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Acute Effects of Nutritive and Non-Nutritive Sweeteners on Postprandial Blood Pressure

1
NHMRC Centre of Research Excellence in Translating Nutritional Science to Good Health, Adelaide Medical School, The University of Adelaide, Adelaide, SA 5000, Australia
2
Endocrine and Metabolic Unit, Royal Adelaide Hospital, Adelaide, SA 5000, Australia
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(8), 1717; https://doi.org/10.3390/nu11081717
Received: 24 June 2019 / Revised: 19 July 2019 / Accepted: 20 July 2019 / Published: 25 July 2019
(This article belongs to the Special Issue Fructose and Glucose for Human Health)
Postprandial hypotension (PPH) is under-recognised, but common, particularly in the elderly, and is of clear clinical importance due to both the independent association between PPH and an increase in mortality and lack of effective management for this condition. Following health concerns surrounding excessive consumption of sugar, there has been a trend in the use of low- or non-nutritive sweeteners as an alternative. Due to the lack of literature in this area, we conducted a systematic search to identify studies relevant to the effects of different types of sweeteners on postprandial blood pressure (BP). The BP response to ingestion of sweeteners is generally unaffected in healthy young subjects, however in elderly subjects, glucose induces the greatest decrease in postprandial BP, while the response to sucrose is less pronounced. The limited studies investigating other nutritive and non-nutritive sweeteners have demonstrated minimal or no effect on postprandial BP. Dietary modification by replacing high nutritive sweeteners (glucose, fructose, and sucrose) with low nutritive (d-xylose, xylitol, erythritol, maltose, maltodextrin, and tagatose) and non-nutritive sweeteners may be a simple and effective management strategy for PPH. View Full-Text
Keywords: postprandial hypotension; nutritive sweeteners; non-nutritive sweeteners; glucose; fructose; sucrose; d-xylose; xylitol; erythritol; maltose; maltodextrin; tagatose postprandial hypotension; nutritive sweeteners; non-nutritive sweeteners; glucose; fructose; sucrose; d-xylose; xylitol; erythritol; maltose; maltodextrin; tagatose
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Pham, H.; Phillips, L.K.; Jones, K.L. Acute Effects of Nutritive and Non-Nutritive Sweeteners on Postprandial Blood Pressure. Nutrients 2019, 11, 1717.

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