
Sweeteners & Your Appetite
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Sugar is famously not great for the health. See for example: Is Sugar The New Smoking? ← the answer is “no, but it’s still very bad, just not in the same league of badness as smoking”!
Of course, there are some important circumstantial things to bear in mind, such as:
From Apples to Bees, and High-Fructose Cs: Which Sugars Are Healthier, And Which Are Just The Same?
But even without sugar, simply sweetness itself can cause problems: we can build tolerance to sweetness. Many sugar substitutes are many times (in some cases, hundreds of times) sweeter than sugar. This leads to people craving increasingly sweeter foods for the same experiential sweetness level.
Because of this, the World Health Organization has released a report offering guidance regards the use of sugar-free sweeteners.
In a nutshell, the guidance is: don’t
- Here’s the report itself: Use of non-sugar sweeteners: WHO guideline
- And it was based on this huge systematic review: Health effects of the use of non-sugar sweeteners: a systematic review and meta-analysis
- Here’s the WHO’s own press release about it: WHO advises not to use non-sugar sweeteners for weight control in newly released guideline
Nevertheless, if you really want to, we previously did a rundown on:
- Sucrose (metabolic problems)
- Sucralose (genotoxic)
- Erythritol (ischemiagenic)
- Xylitol (gut disruptor)
- Acesulfame K (gut disruptor)
- Stevia (strong risk of sweetness tolerance problem)
- Glycine (beneficial in moderation, sweetness problem though)
For more details than those one-or-few-word summaries, see: What’s The Healthiest Sweetener?
We’ve also talked about: The Fascinating Truth About Aspartame, Cancer, & Neurotoxicity
…which covers how the most popular beliefs about aspartame are myths, and in large part stemming from a single viral hoax chain letter in the 90s!
But sweeteners really increase your appetite?
That’s the question that Dr. Sabina Anderson et al. put to the test all so recently, using a mixture of acesulfame K and acesulfame cyclamate (Ace-K/Cyc).
What they found, in few words:
- No, there was no increase in food intake: participants didn’t eat more after consuming artificial sweeteners compared with water, even when allowed to eat freely later.
- No, there was no meaningful effect on hunger overall: hunger, fullness, and satiety were the same between sweeteners and water across all time points during the study.
- In fact, the participants enjoyed reduced sweet cravings: the sweetened drink lowered the desire to eat something sweet, and this effect persisted even after adjusting for taste differences.
You may be thinking: what happened to that up top about tolerance spiralling and craving more and more sweet things?!
And the answer is: that’s in the big picture; this was a 265-minute study, done three times in a row. So, it’s less about what it does in the long term, and more about what it does in the moment.
Specifically,
❝Subjective appetite sensations were measured using visual analogue scales while fasting and nine times during a 250-min postprandial period. During this period, a standardized breakfast (0–10 min) was served and, 2 h later, a test drink containing either Ace-K/Cyc or water (120–130 min) was given. After 265 min, an ad libitum test meal was served.❞
Read in full: Acute and Prolonged Effects of Sweeteners and Sweetness Enhancers on Postprandial Appetite Sensations, Palatability, and Ad Libitum Energy Intake in Humans: A SWEET Sub-Study (yes, they say “and prolonged”, but when they say “prolonged”, they’re referring to t=265 min, as opposed to immediately after drinking the drink)
That does mean, of course, that while helpful to know about in the moment, the results may not be extrapolated to the long term.
It’s also worth noting that the sample size was small (n=26), so in terms of strength of evidence it’s more of an indicative “jumping-off point” for future studies, rather than anything that should necessarily shape policy (including your personal policy) in the meantime.
One other important limitation is that obviously the results are for acesulfame-K and cyclamate, which means the results cannot necessarily be assumed to apply to all artificial sweeteners.
In fact, there is some science to the opposite for at least one sweetener, sucralose:
The Sweetener That Interferes With Hunger/Satiety Signals
Of course, sucralose is not technically a non-sugar sweetener, as it is chemically a sugar. But in practical terms, sucralose is a sugar in the same way that coffee is a fruit, i.e. it’s true, but for most purposes we can disregard that information as it’s not how we usually use those words in daily parlance.
Want to learn more?
This recommendation’s tangential to our main topic today, but it’ll be relevant for a lot of people who use sweeteners as a blood sugar control tool, so:
Stop Overeating During Low Blood Sugars With Diabetes – by Ginger Vieira
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Chard vs Kale – Which is Healthier?
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Our Verdict
When comparing chard to kale, we picked the kale.
Why?
It wasn’t close!
In terms of macros, kale has more than 2x the fiber, carbs, and protein, winning this round easily.
In the category of vitamins, chard has more of vitamins B5, K, and choline, while kale has more of vitamins A, B1, B2, B3, B6, B9, and C, making a convincing win for kale.
When it comes to minerals, chard has more magnesium, while kale has more calcium, copper, manganese, phosphorus, potassium, and zinc; another easy win for kale.
Another thing to bear in mind is that kale has more polyphenols, including kaempferol and quercetin. So that’s another point in kale’s favor.
Adding up the sections makes for a clear overall win for kale, but by all means enjoy either or both; diversity is good!
Want to learn more?
You might like:
Enjoy!
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‘Tis To Season To Be SAD-Savvy
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Seasonal Affective Disorder & SAD Lamps
For those of us in the Northern Hemisphere, it’s that time of the year; especially after the clocks recently went back and the nights themselves are getting longer. So, what to do in the season of 3pm darkness?
First: the problem
The problem is twofold:
- Our circadian rhythm gets confused
- We don’t make enough serotonin
The latter is because serotonin production is largely regulated by sunlight.
People tend to focus on item 2, but item 1 is important too—both as problem, and as means of remedy.
Circadian rhythm is about more than just light
We did a main feature on this a little while back, talking about:
- What light/dark does for us, and how it’s important, but not completely necessary
- How our body knows what time it is even in perpetual darkness
- The many peaks and troughs of many physiological functions over the course of a day/night
- What that means for us in terms of such things as diet and exercise
- Practical take-aways from the above
Read: The Circadian Rhythm: Far More Than Most People Know
With that in mind, the same methodology can be applied as part of treating Seasonal Affective Disorder.
Serotonin is also about more than just light
Our brain is a) an unbelievably powerful organ, and the greatest of any animal on the planet b) a wobbly wet mass that gets easily confused.
In the case of serotonin, we can have problems:
- knowing when to synthesize it or not
- synthesizing it
- using it
- knowing when to scrub it or not
- scrubbing it
- etc
Selective Serotonin Re-uptake Inhibitors (SSRIs) are a class of antidepressants that, as the name suggests, inhibit the re-uptake (scrubbing) of serotonin. So, they won’t add more serotonin to your brain, but they’ll cause your brain to get more mileage out of the serotonin that’s there, using it for longer.
So, whether or not they help will depend on you and your brain:
Read: Antidepressants: Personalization Is Key!
How useful are artificial sunlight lamps?
Artificial sunlight lamps (also called SAD lamps), or blue light lamps, are used in an effort to “replace” daylight.
Does it work? According to the science, generally yes, though everyone would like more and better studies:
- The Efficacy of Light Therapy in the Treatment of Seasonal Affective Disorder: A Meta-Analysis of Randomized Controlled Trials
- Blue-Light Therapy for Seasonal and Non-Seasonal Depression: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Interestingly, it does still work in cases of visual impairment and blindness:
How much artificial sunlight is needed?
According to Wirz-Justice and Terman (2022), the best parameters are:
- 10,000 lux
- full spectrum (white light)
- 30–60 minutes exposure
- in the morning
Source: Light Therapy: Why, What, for Whom, How, and When (And a Postscript about Darkness)
That one’s a fascinating read, by the way, if you have time.
Can you recommend one?
For your convenience, here’s an example product on Amazon that meets the above specifications, and is also very similar to the one this writer has
Enjoy!
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How To Walk Away From Alzheimer’s
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We have written before avoiding Alzheimer’s in many different ways, for example:
Alzheimer’s Causative Factors To Avoid
…and regular readers will also be aware of our dictum “what’s good for the heart, is good for the brain”, which is because the heart feeds the brain, with oxygen and nutrients, and also ultimately clears away detritus like beta-amyloid (associated with Alzheimer’s).
For much more detail on this, see: What’s Your Vascular Dementia Risk? ← includes actual numbers and a risk calculator tool and things like that
So, it’s no surprise of course that exercise is protective against dementia, and as per the above, typically the most important thing here is heart health, so getting regular cardiovascular exercise, such walking, running, or dancing is great. Cycling too. Things like that.
Beyond cardio
First, some background. A previous (2023) study concluded:
❝Among older adults, more time spent in sedentary behaviors was significantly associated with higher incidence of all-cause dementia. Future research is needed to determine whether the association between sedentary behavior and risk of dementia is causal.❞
Source: Sedentary Behavior and Incident Dementia Among Older Adults
We’re not going to go deeply into that paper, because our interest today is about the answer to that call of “future research is needed”, because a team of scientists have now delivered on that.
In terms of how recent this new research is, it was published today (at time of writing), in the Journal of the Alzheimer’s Association.
In it, Dr. Marissa Gogniat et al. examined the relationship between sedentary behavior and cognitive decline and neurodegeneration, in 404 adults aged 50+.
A note on “cognitive decline” and “neurodegeneration”: those two terms are often used interchangeably, because they are usually strongly associated with each other so if one goes up or down then so does the other, but technically:
- cognitive decline = a decline of cognitive abilities, as measured by cognitive performance tests
- neurodegeneration = physical degeneration of neural tissue, typically specifically in the brain, as measured by various physical markers of neurodegeneration (tests range from brain scans to blood markers to biopsies and more, but the point is that it’s all physical stuff)
While based on the one-line summary we gave (“examined the relationship between sedentary behavior and cognitive decline / neurodegeneration”), this can sound a bit like a “examined whether water is wet” study, but in fact it becomes interesting when physical exercise is controlled for, since they found:
❝Reducing your risk for Alzheimer’s disease is not just about working out once a day. Minimizing the time spent sitting, even if you do exercise daily, reduces the likelihood of developing Alzheimer’s disease.❞
~ Dr. Marissa Gogniat
Too vague? Here’s the less vague version:
❝In cross-sectional models, greater sedentary time related to a smaller AD-neuroimaging signature (β = -0.0001, p = 0.01) and worse episodic memory (β = -0.001, p = 0.003). Associations differed by APOE-ε4 status. In longitudinal models, greater sedentary time related to faster hippocampal volume reductions (β = -0.1, p = 0.008) and declines in naming (β = -0.001, p = 0.03) and processing speed (β = -0.003, p = 0.02; β = 0.01, p = 0.01).❞
In other words:
- Those are very significant findings, statistically speaking; the causal association cannot be reasonably denied without some strong new evidence for why
- Greater sedentary behavior is related to neurodegeneration and worse cognition.
- Sedentary behavior is an independent* risk factor for Alzheimer’s disease.
- Associations differed by APOE-ε4 carrier status in cross-sectional models.
*as in, the sedentary risk factor stands (so to speak) regardless of whether you exercise a lot
With regard to “Associations differed by APOE-ε4 carrier status in cross-sectional models.”, that’s a little complicated, as …
❝Interestingly, we only found a sedentary time x APOE-ε4 status interaction on occipital volume longitudinally (which did not survive correction for multiple comparisons) and no interactions on cognition. The significant effect on occipital lobe volume was driven by APOE-ε4 non-carriers, which does not align with our cross-sectional findings. APOE-ε4 carriers are thought to have accelerated gray matter volume loss, starting possibly in middle age. Therefore, while increased sedentary time may impact gray matter volume among APOE-ε4 carriers, this effect may be masked by the cumulative effect of APOE-ε4 on brain volume over the lifespan that is captured at baseline.❞
In other words: in all likelihood, having the APOE-ε4 mutation probably means it’s extra important for you to not be sedentary in your lifestyle, and (good news) being non-sedentary is probably disproportionately impactful for you in a positive way, but (bad news) the APOE-ε4 mutation causes such an increased risk already, that it’s difficult to 100% ascertain that statistically, without larger samples starting earlier in life.
You can read the paper in full here:
“What if have to spend a lot of time sitting down?”
A valid question, relevant for many.
For this, check out:
Stand Up For Your Health (Or Don’t) ← our main feature on this also includes more things you can do if you must sit, to make sitting less bad!
Take care!
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Fast-Pickled Cucumbers
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Pickled vegetables are great for the gut, and homemade is invariably better than store-bought. But if you don’t have pickling jars big enough for cucumbers, and don’t want to wait a couple of weeks for the results, here’s a great way to do it quickly and easily.
You will need
- 1 large cucumber, sliced
- 2 tbsp apple cider vinegar
- 1½ tbsp salt (do not omit or substitute)
- 3 cloves garlic, whole, peeled
- 3 large sprigs fresh dill
- 2 tsp whole black peppercorns
- ½ tsp crushed red pepper flakes
- 1 bay leaf
Method
(we suggest you read everything at least once before doing anything)
1) Mix the vinegar and salt with 1½ cups of water in a bowl.
2) Assemble the rest of the ingredients, except the cucumber, into a quart-size glass jar with an airtight lid.
3) Add the cucumber slices into the jar.
4) Add the pickling brine that you made, leaving ½” space at the top.
5) Close the lid, and shake well.
6) Refrigerate for 2 days, after which, serve at your leisure:
Enjoy!
Want to learn more?
For those interested in some of the science of what we have going on today:
- Making Friends With Your Gut (You Can Thank Us Later)
- Our Top 5 Spices: How Much Is Enough For Benefits? ← 3/5 of these spices are in this recipe!
Take care!
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How Much Does A Vegan Diet Affect Biological Aging?
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Slow Your Aging, One Meal At A Time
This one’s a straightforward one today, and the ““life hack” can be summed up:
Enjoy a vegan diet to enjoy younger biological age.
First, what is biological age?
Biological age is not one number, but a collection of numbers, as per different biomarkers of aging, including:
- Visual markers of aging (e.g. wrinkles, graying hair)
- Performative markers of aging (e.g. mobility tests)
- Internal functional markers of aging (e.g. tests for cognitive decline, eyesight, hearing, etc)
- Cellular markers of aging (e.g. telomere length)
We wrote more about this here:
Age & Aging: What Can (And Can’t) We Do About It?
A vegan diet may well impact multiple of those categories of aging, but today we’re highlighting a study (hot off the press; published only a few days ago!) that looks at its effect on that last category: cellular markers of aging.
There’s an interesting paradox here, because this category is:
- the most easily ignorable; because we all feel it if our knees are giving out or our skin is losing elasticity, but who notices if telomeres’ T/S ratio changed by 0.0407? ← the researchers, that’s who, as this difference is very significant
- the most far-reaching in its impact, because cellular aging in turn has an effect on all the other markers of aging
Second, how much difference does it make, and how do we know?
The study was an eight-week interventional identical twin study. This means several things, to start with:
- Eight weeks is a rather short period of time to accumulate cellular aging, let alone for an intervention to accumulate a significant difference in cellular aging—but it did. So, just imagine what difference it might make in a year or ten!
- Doing an interventional study with identical twin pairs already controlled for a lot of factors, that are usually confounding variables in population / cohort / longitudinal / observational studies.
Factors that weren’t controlled for by default by using identical twins, were controlled for in the experiment design. For example, twin pairs were rejected if one or more twin in a given pair already had medical conditions that could affect the outcome:
❝Inclusion criteria involved participants aged ≥18, part of a willing twin pair, with BMI <40, and LDL-C <190 mg/dL. Exclusions included uncontrolled hypertension, metabolic disease, diabetes, cancer, heart/renal/liver disease, pregnancy, lactation, and medication use affecting body weight or energy.
Eligibility was determined via online screening, followed by an orientation meeting and in-person clinic visit. Randomization occurred only after completing baseline visits, dietary recalls, and questionnaires for both twins❞
~ Dr. Varun Dwaraka et al. ← there’s a lot of “et al.” to this one; the paper had 16 collaborating authors!
As to the difference it made over the course of the 8 weeks…
❝Various measures of epigenetic age acceleration (PC GrimAge, PC PhenoAge, DunedinPACE) were assessed, along with system-specific effects (Inflammation, Heart, Hormone, Liver, and Metabolic).
Distinct responses were observed, with the vegan cohort exhibiting significant decreases in overall epigenetic age acceleration, aligning with anti-aging effects of plant-based diets. Diet-specific shifts were noted in the analysis of methylation surrogates, demonstrating the influence of diet on complex trait prediction through DNA methylation markers.❞
~ Ibid.
You can read the whole paper here (it goes into a lot more detail than we have room to here, and also gives infographics, charts, numbers, the works):
Were they just eating more healthily, though?
Well, arguably yes, as the results show, but to be clear:
The omnivorous diet compared to the vegan diet in this study was also controlled; both groups were given a healthy meal plan for their respective diet. So this wasn’t a case of “any omnivorous diet vs healthy vegan diet”, but rather “healthy omnivorous diet vs healthy vegan diet”.
Again, the paper itself has the full details—a short version is that it involved a healthy meal kit delivery service, followed by ongoing dietician involvement in an equal and carefully-controlled fashion.
So, aside from that one group had an omnivorous meal plan and the other vegan, both groups received the same level of “healthy eating” support, guidance, and oversight.
But isn’t [insert your preferred animal product here] healthy?
Quite possibly! For general health, general scientific consensus is that eating at least mostly plants is best, red meat is bad, poultry is neutral in moderation, fish is good in moderation, dairy is good in moderation if fermented, eggs are good in moderation if not fried.
This study looked at the various biomarkers of aging that we listed, and not every possible aspect of health—there’s more science yet to be done, and the researchers themselves are calling for it.
It also bears mentioning that for some (relatively few, but not insignificantly few) people, extant health conditions may make a vegan diet unhealthy or otherwise untenable. Do speak with your own doctor and/or dietician if unsure.
See also: Do We Need Animal Products To Be Healthy?
We would hypothesize, by the way, that the anti-aging benefits of a vegan diet are probably proportional to abstention from animal products—meaning that even if you simply have some “vegan days”, while still consuming animal products other days, you’ll still get benefit for the days you abstained. That’s just our hypothesis though.
Take care!
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Gut Diversity vs Aging
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…and other items from this week’s health news:
How A Diverse Gut Microbiome Can Make You Younger
It’s well-known (to regular 10almonds readers, at the very least) that gut microbiome diversity is broadly a very good thing for health. What’s good for the gut is good for the heart, and what’s good for the heart is good for the brain, and also the gut is in many ways a hugely influential factor in our immune system, which includes not just when it comes to fighting pathogens, but also when it comes to healthy immune regulation, i.e. against immune dysfunction and chronic inflammation, which latter is bad for pretty much everything.
However, a new study has found a link between gut health and aging; specifically, that the aging microbiome produces fewer metabolites that are needed for good health, resulting in a compounding effect of aging.
Most interestingly, however, this relation has found to be causal the other way around, that is to say, it’s not just “when older, the gut doesn’t work so well”, but rather, “when given a better gut microbiome, effects of aging are reversed”.
Caveat: this was a mouse study and it wasn’t all aspects of aging, but it was enough aspects of aging to be very worthy of note, and there’s no reason the same principles shouldn’t apply in humans:
Read in full: Metabolic modeling reveals aging microbiome produces fewer vital substances
Related: Stop Sabotaging Your Gut
Maybe you can drink some calories, after all (if you do this with them)
“Don’t drink your calories” is generally good advice; liquids are typically absorbed much more quickly than solids (increasing total caloric consumption, as well as the initial shock to the metabolism), and most sugary drinks (which absolutely includes pure fruit juice, by the way, as it has been stripped of fiber in the juicing process) produce an impressive spike in blood sugars, and thus insulin levels (both are bad things to spike).
However, smoothies do better than juices, due to still having fiber in them. And, research has found, smoothies with seeds in flatten the blood sugar curve even more, likely due to the combination of fiber and fats:
Read in full: Smoothies with seeds may improve glycemic control, study shows
Related: 3 Day Juice Fasting? Not So Fast! ← why you should absolutely not expect the same results from juices
Where there’s smoke, there’s… An increase in mental health conditions?
Wildfires have been raging in some parts of the US lately, and needless to say, these aren’t great for the health. As well as the initial most obvious risks, there are a lot of follow-up risks (including weakened immune systems as well as increased presence of pathogens in the air; people think of smoke as purifying, but it’s not, it’s mostly just hot air bringing germs with it), and, by the numbers, a large increase in hospital visits for mental health conditions including depression, anxiety, and mood disorders:
Read in full: Exposure to wildfire smoke linked to worsening mental health conditions
Related: The Dangers Of Fires, Floods, & Having Your Hair Washed
Take care!
Don’t Forget…
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