fitness

Forbidden fruit

Fructose is a simple sugar present in fruits, fresh juices, honey and many commercial sweets and beverages. Taken in excessive amounts, it can increase the risk of obesity, diabetes and heart disease

If you thought going on a fruit diet will help you lose your flab, think again! Undisputedly, fruits and vegetables are central to a weight-loss diet and good health. However, recent research suggests that excessive intake of sugar from fruits can be harmful. Sugar from fruits, also called fructose, in excessive amounts (more than 50gm / day) can be counter-productive for many and can increase the risk of obesity, diabetes and heart disease. A 100gm of apple gives you about 6 gm of fructose and a single serving of a sweetened carbonated beverage can give you as much as 20 gm of fructose.

High fructose corn syrup is used in commercial baked goods
High fructose corn syrup is used in commercial baked goods


HIDDEN SOURCES OF FRUCTOSE

Some popular sources of fructose found in eatables and drinks of every-day use are table sugar, honey, jaggery, molasses, brown sugar, cane sugar, corn sweetener, corn or agave syrup, sucrose, laevulose, and maple syrup. 


Fresh fruit juice may contain about 25 gm of fructose per glass
Honey, which may be considered healthy, also contains fructose
Honey, which may be considered healthy, also contains fructose

Fructose is a simple sugar that is present in fruits, fruit juices and honey, and is responsible for their sweet taste. Besides fruits, a significant source of fructose in our diets is table sugar, which is made up of 50 per cent fructose and 50 per cent glucose. Nowadays, fructose is cropping up not just in fruit juices, where it occurs naturally, but in all sorts of foods and drinks — from biscuits to ice creams.

Fruits and fruit juices are generally perceived as health foods, low on calories, fat and cholesterol-free. These are, in fact, a disguised form of fructose. For those who believe that fresh fruit juice is an alternative, the truth is that it may contain about 25 gm of fructose per glass. Sweetened beverages and fruit juices contribute significantly to high fructose intake in the urban diet worldwide. This leads to extra pounds in tricky way and in part explains the growing epidemic of obesity and diabetes.

Unlike other sugars like glucose, ingestion of excessive fructose is associated with insulin resistance leading to metabolic syndrome - a constellation of factors including increased blood sugar levels, high triglycerides, high uric acid, fat deposition in the liver (fatty liver) and weight gain, particularly around the belly. Other complications associated with metabolic syndrome, include high blood pressure, endothelial dysfunction, increased oxidative stress, increased inflammation, increased intra-abdominal fat accumulation, leptin resistance. These eventually increase the risk to obesity, type-2 diabetes and heart disease. Those who are particularly vulnerable to high fructose include individuals who are overweight with insulin resistance or diabetes. According to recent research, fructose intake correlates closely with the rate of diabetes worldwide.

Fructose intake causes fat to accumulate in the blood and liver. Instead of being used immediately for energy, the fructose is readily converted into triglycerides by the liver. According to the National Institute of Health (USA), the growing incidence of gout, due to high uric acid levels also coincides with a substantial increase in the consumption of soft drinks and fructose.

Studies done as early as 1950s, have reported that diets high in sugar, specially fructose can rapidly induce features of metabolic syndrome. Researchers found that when overweight individuals were fed equal calories from glucose and fructose, both sugars caused about the same degree of weight gain, but an important difference in the nature of these gains was evident. The fructose group gained more fat in their abdominal area which is known to elevate the risk of diabetes and heart disease to a greater degree than fat stored elsewhere in the body.

Conversely, those with metabolic syndrome, fatty liver and high uric acid have been found to have a history of significantly greater fructose intake. The ability of fructose to induce insulin resistance can be shown with diets as low as 15-25 per cent fructose.

Most of us don't know that fructose can be listed in the ingredients under a variety of names — the most common being HFCS (high fructose corn syrup). It is a combination of 50 per cent fructose and 50 per cent glucose, which is a sweetener used commercially by the food industry and is a major ingredient in soft drinks, desserts, fruit yogurts, cereals, health bars, ice-creams, biscuits, pastries and processed foods.

Fructose is a major ingredient in fruit yogurts
Fructose is a major ingredient in fruit yogurts

Food manufacturers prefer to use HFCS in place of sugar for several reasons. It is cheap, increases shelf life, improves texture, easy to use and more stable than simple sugar. It is used in cereal bars and biscuits to make them chewy, thicken ice creams and yoghurt drinks, reduce crystallisation in frozen products and improving colour of baked products. Introduction of HFCS in the 1970s has resulted in a 30 per cent increase in total fructose intake in the past 20 years soft drinks, fruit drinks and juices and processed foods and has been associated with a remarkable increase in the rates of obesity and diabetes. Adding a HFCS single sweetened soft drink at each meal for 10 weeks significantly increases blood fat levels, which eventually can lead to fatty liver, pre-diabetes or metabolic syndrome.

Even health bars can contain fructose
Even health bars can contain fructose

There is an urgent need for increased public awareness of the risks associated with high fructose consumption and greater efforts should be made to curb the addition of packaged foods with high fructose additives.

So, next time when you go on that 'fruit diet', watch your portions. A prudent approach to fruit intake must be maintained. In general, enjoy the pleasures of sweets within limits. Empty calories from soft drinks, sweetened drinks, punches, cocktails and fruit juices will do well to be replaced by water, plain soda, coconut water, low fat milk and vegetable juices.

The writer is a Clinical Nutritionist & Founder, theweightmonitor.com, Founder, WholeFoodsIndia and Founder President Celiac Society for Delhi

Health Capsules


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