Sugar substitutes have been around since 1879 when saccharin was first invented. Researchers have been trying to create alternatives to sugar that have the sweet taste without the calories. Sugar alcohols are one of the latest types of sugar substitutes, with erythritol being a commonly used sugar alcohol. However, recent research has linked erythritol to an increased risk of cardiovascular issues such as heart attacks and strokes. Another study has found that erythritol use may also increase a person’s risk of blood clots, which can restrict the movement of blood and oxygen around the body.
In a recent study published in the journal Arteriosclerosis, Thrombosis and Vascular Biology, researchers recruited 20 healthy volunteers to investigate the effects of erythritol. Ten volunteers received water mixed with glucose, while the other ten were given water mixed with erythritol. The study found that participants who ingested erythritol experienced a significant increase in blood platelet activity, raising their risk of blood clot formation. In contrast, no change was found in participants who consumed glucose. The increase in clotting potential after drinking erythritol raises concerns about the impact of sugar substitutes on public health, particularly for individuals at risk for heart attacks or strokes.
Dr. Stanley L. Hazen, a researcher involved in both the March 2023 study linking erythritol to cardiovascular events and the recent study on blood clot risk, emphasized the importance of further research to reassess the safety of erythritol and other sugar substitutes. He suggested that individuals with conditions like heart disease, diabetes, or metabolic syndrome may want to limit the amount of sugar alcohols they consume. Dr. Yu-Ming Ni, a board certified cardiologist, expressed concern over the findings of the study and recommended limiting the use of artificial sweeteners in favor of natural sweeteners like honey or maple syrup.
Monique Richard, a registered dietitian nutritionist, highlighted the importance of understanding the potential risks associated with sugar substitutes and artificial sweeteners. She advised individuals to assess their overall intake of sugar substitutes and sugar, read labels carefully, and seek guidance from healthcare professionals or reputable online sources. Richard also recommended using natural non-nutritive sweeteners such as stevia and monk fruit for recipes and meals, while consuming natural or minimally refined sugars in moderation as part of a healthy diet. In conclusion, the findings of the study underscore the need for further research and awareness regarding the potential risks of erythritol and other sugar substitutes.
