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

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...

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Autores principales: Pham, Hung, Phillips, Liza K., Jones, Karen L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6722982/
https://www.ncbi.nlm.nih.gov/pubmed/31349678
http://dx.doi.org/10.3390/nu11081717
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author Pham, Hung
Phillips, Liza K.
Jones, Karen L.
author_facet Pham, Hung
Phillips, Liza K.
Jones, Karen L.
author_sort Pham, Hung
collection PubMed
description 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.
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spelling pubmed-67229822019-09-10 Acute Effects of Nutritive and Non-Nutritive Sweeteners on Postprandial Blood Pressure Pham, Hung Phillips, Liza K. Jones, Karen L. Nutrients Review 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. MDPI 2019-07-25 /pmc/articles/PMC6722982/ /pubmed/31349678 http://dx.doi.org/10.3390/nu11081717 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Pham, Hung
Phillips, Liza K.
Jones, Karen L.
Acute Effects of Nutritive and Non-Nutritive Sweeteners on Postprandial Blood Pressure
title Acute Effects of Nutritive and Non-Nutritive Sweeteners on Postprandial Blood Pressure
title_full Acute Effects of Nutritive and Non-Nutritive Sweeteners on Postprandial Blood Pressure
title_fullStr Acute Effects of Nutritive and Non-Nutritive Sweeteners on Postprandial Blood Pressure
title_full_unstemmed Acute Effects of Nutritive and Non-Nutritive Sweeteners on Postprandial Blood Pressure
title_short Acute Effects of Nutritive and Non-Nutritive Sweeteners on Postprandial Blood Pressure
title_sort acute effects of nutritive and non-nutritive sweeteners on postprandial blood pressure
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6722982/
https://www.ncbi.nlm.nih.gov/pubmed/31349678
http://dx.doi.org/10.3390/nu11081717
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