Effects of Consuming Beverages Sweetened with Fructose, Glucose, High-Fructose Corn Syrup, Sucrose, or Aspartame on OGTT-Derived Indices of Insulin Sensitivity in Young Adults

(1) Background: Clinical results on the effects of excess sugar consumption on insulin sensitivity are conflicting, possibly due to differences in sugar type and the insulin sensitivity index (ISI) assessed. Therefore, we compared the effects of consuming four different sugars on insulin sensitivity...

Full description

Bibliographic Details
Main Authors: Bettina Hieronimus, Valentina Medici, Vivien Lee, Marinelle V. Nunez, Desiree M. Sigala, Andrew A. Bremer, Chad L. Cox, Nancy L. Keim, Jean-Marc Schwarz, Giovanni Pacini, Andrea Tura, Peter J. Havel, Kimber L. Stanhope
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/16/1/151
_version_ 1797358328548950016
author Bettina Hieronimus
Valentina Medici
Vivien Lee
Marinelle V. Nunez
Desiree M. Sigala
Andrew A. Bremer
Chad L. Cox
Nancy L. Keim
Jean-Marc Schwarz
Giovanni Pacini
Andrea Tura
Peter J. Havel
Kimber L. Stanhope
author_facet Bettina Hieronimus
Valentina Medici
Vivien Lee
Marinelle V. Nunez
Desiree M. Sigala
Andrew A. Bremer
Chad L. Cox
Nancy L. Keim
Jean-Marc Schwarz
Giovanni Pacini
Andrea Tura
Peter J. Havel
Kimber L. Stanhope
author_sort Bettina Hieronimus
collection DOAJ
description (1) Background: Clinical results on the effects of excess sugar consumption on insulin sensitivity are conflicting, possibly due to differences in sugar type and the insulin sensitivity index (ISI) assessed. Therefore, we compared the effects of consuming four different sugars on insulin sensitivity indices derived from oral glucose tolerance tests (OGTT). (2) Methods: Young adults consumed fructose-, glucose-, high-fructose corn syrup (HFCS)-, sucrose-, or aspartame-sweetened beverages (SB) for 2 weeks. Participants underwent OGTT before and at the end of the intervention. Fasting glucose and insulin, Homeostatic Model Assessment-Insulin Resistance (HOMA-IR), glucose and insulin area under the curve, Surrogate Hepatic Insulin Resistance Index, Matsuda ISI, Predicted M ISI, and Stumvoll Index were assessed. Outcomes were analyzed to determine: (1) effects of the five SB; (2) effects of the proportions of fructose and glucose in all SB. (3) Results: Fructose-SB and the fructose component in mixed sugars negatively affected outcomes that assess hepatic insulin sensitivity, while glucose did not. The effects of glucose-SB and the glucose component in mixed sugar on muscle insulin sensitivity were more negative than those of fructose. (4) Conclusion: the effects of consuming sugar-SB on insulin sensitivity varied depending on type of sugar and ISI index because outcomes assessing hepatic insulin sensitivity were negatively affected by fructose, and outcomes assessing muscle insulin sensitivity were more negatively affected by glucose.
first_indexed 2024-03-08T15:00:20Z
format Article
id doaj.art-61c9cbb4b6d8413687a44614a434bdde
institution Directory Open Access Journal
issn 2072-6643
language English
last_indexed 2024-03-08T15:00:20Z
publishDate 2024-01-01
publisher MDPI AG
record_format Article
series Nutrients
spelling doaj.art-61c9cbb4b6d8413687a44614a434bdde2024-01-10T15:05:44ZengMDPI AGNutrients2072-66432024-01-0116115110.3390/nu16010151Effects of Consuming Beverages Sweetened with Fructose, Glucose, High-Fructose Corn Syrup, Sucrose, or Aspartame on OGTT-Derived Indices of Insulin Sensitivity in Young AdultsBettina Hieronimus0Valentina Medici1Vivien Lee2Marinelle V. Nunez3Desiree M. Sigala4Andrew A. Bremer5Chad L. Cox6Nancy L. Keim7Jean-Marc Schwarz8Giovanni Pacini9Andrea Tura10Peter J. Havel11Kimber L. Stanhope12Department of Molecular Biosciences, School of Veterinary Medicine, University of California, Davis, CA 95616, USADivision of Gastroenterology and Hepatology, University of California, Davis, CA 95616, USADepartment of Molecular Biosciences, School of Veterinary Medicine, University of California, Davis, CA 95616, USADepartment of Nutrition, University of California, Davis, CA 95616, USADepartment of Molecular Biosciences, School of Veterinary Medicine, University of California, Davis, CA 95616, USADepartment of Pediatrics, School of Medicine, University of California, Davis, CA 95616, USADepartment of Chemistry and Department of Family and Consumer Sciences, California State University, Sacramento, CA 95819, USAUnited States Department of Agriculture, Western Human Nutrition Research Center, Davis, CA 95819, USADepartment of Basic Sciences, College of Osteopathic Medicine, Touro University California, Vallejo, CA 94592, USADepartment of Medicine, Division of Endocrinology, Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA 94110, USADepartment of Medicine, Division of Endocrinology, Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA 94110, USADepartment of Molecular Biosciences, School of Veterinary Medicine, University of California, Davis, CA 95616, USADepartment of Molecular Biosciences, School of Veterinary Medicine, University of California, Davis, CA 95616, USA(1) Background: Clinical results on the effects of excess sugar consumption on insulin sensitivity are conflicting, possibly due to differences in sugar type and the insulin sensitivity index (ISI) assessed. Therefore, we compared the effects of consuming four different sugars on insulin sensitivity indices derived from oral glucose tolerance tests (OGTT). (2) Methods: Young adults consumed fructose-, glucose-, high-fructose corn syrup (HFCS)-, sucrose-, or aspartame-sweetened beverages (SB) for 2 weeks. Participants underwent OGTT before and at the end of the intervention. Fasting glucose and insulin, Homeostatic Model Assessment-Insulin Resistance (HOMA-IR), glucose and insulin area under the curve, Surrogate Hepatic Insulin Resistance Index, Matsuda ISI, Predicted M ISI, and Stumvoll Index were assessed. Outcomes were analyzed to determine: (1) effects of the five SB; (2) effects of the proportions of fructose and glucose in all SB. (3) Results: Fructose-SB and the fructose component in mixed sugars negatively affected outcomes that assess hepatic insulin sensitivity, while glucose did not. The effects of glucose-SB and the glucose component in mixed sugar on muscle insulin sensitivity were more negative than those of fructose. (4) Conclusion: the effects of consuming sugar-SB on insulin sensitivity varied depending on type of sugar and ISI index because outcomes assessing hepatic insulin sensitivity were negatively affected by fructose, and outcomes assessing muscle insulin sensitivity were more negatively affected by glucose.https://www.mdpi.com/2072-6643/16/1/151dietary intervention studyfructoseglucosehigh-fructose corn syrupsucroseaspartame
spellingShingle Bettina Hieronimus
Valentina Medici
Vivien Lee
Marinelle V. Nunez
Desiree M. Sigala
Andrew A. Bremer
Chad L. Cox
Nancy L. Keim
Jean-Marc Schwarz
Giovanni Pacini
Andrea Tura
Peter J. Havel
Kimber L. Stanhope
Effects of Consuming Beverages Sweetened with Fructose, Glucose, High-Fructose Corn Syrup, Sucrose, or Aspartame on OGTT-Derived Indices of Insulin Sensitivity in Young Adults
Nutrients
dietary intervention study
fructose
glucose
high-fructose corn syrup
sucrose
aspartame
title Effects of Consuming Beverages Sweetened with Fructose, Glucose, High-Fructose Corn Syrup, Sucrose, or Aspartame on OGTT-Derived Indices of Insulin Sensitivity in Young Adults
title_full Effects of Consuming Beverages Sweetened with Fructose, Glucose, High-Fructose Corn Syrup, Sucrose, or Aspartame on OGTT-Derived Indices of Insulin Sensitivity in Young Adults
title_fullStr Effects of Consuming Beverages Sweetened with Fructose, Glucose, High-Fructose Corn Syrup, Sucrose, or Aspartame on OGTT-Derived Indices of Insulin Sensitivity in Young Adults
title_full_unstemmed Effects of Consuming Beverages Sweetened with Fructose, Glucose, High-Fructose Corn Syrup, Sucrose, or Aspartame on OGTT-Derived Indices of Insulin Sensitivity in Young Adults
title_short Effects of Consuming Beverages Sweetened with Fructose, Glucose, High-Fructose Corn Syrup, Sucrose, or Aspartame on OGTT-Derived Indices of Insulin Sensitivity in Young Adults
title_sort effects of consuming beverages sweetened with fructose glucose high fructose corn syrup sucrose or aspartame on ogtt derived indices of insulin sensitivity in young adults
topic dietary intervention study
fructose
glucose
high-fructose corn syrup
sucrose
aspartame
url https://www.mdpi.com/2072-6643/16/1/151
work_keys_str_mv AT bettinahieronimus effectsofconsumingbeveragessweetenedwithfructoseglucosehighfructosecornsyrupsucroseoraspartameonogttderivedindicesofinsulinsensitivityinyoungadults
AT valentinamedici effectsofconsumingbeveragessweetenedwithfructoseglucosehighfructosecornsyrupsucroseoraspartameonogttderivedindicesofinsulinsensitivityinyoungadults
AT vivienlee effectsofconsumingbeveragessweetenedwithfructoseglucosehighfructosecornsyrupsucroseoraspartameonogttderivedindicesofinsulinsensitivityinyoungadults
AT marinellevnunez effectsofconsumingbeveragessweetenedwithfructoseglucosehighfructosecornsyrupsucroseoraspartameonogttderivedindicesofinsulinsensitivityinyoungadults
AT desireemsigala effectsofconsumingbeveragessweetenedwithfructoseglucosehighfructosecornsyrupsucroseoraspartameonogttderivedindicesofinsulinsensitivityinyoungadults
AT andrewabremer effectsofconsumingbeveragessweetenedwithfructoseglucosehighfructosecornsyrupsucroseoraspartameonogttderivedindicesofinsulinsensitivityinyoungadults
AT chadlcox effectsofconsumingbeveragessweetenedwithfructoseglucosehighfructosecornsyrupsucroseoraspartameonogttderivedindicesofinsulinsensitivityinyoungadults
AT nancylkeim effectsofconsumingbeveragessweetenedwithfructoseglucosehighfructosecornsyrupsucroseoraspartameonogttderivedindicesofinsulinsensitivityinyoungadults
AT jeanmarcschwarz effectsofconsumingbeveragessweetenedwithfructoseglucosehighfructosecornsyrupsucroseoraspartameonogttderivedindicesofinsulinsensitivityinyoungadults
AT giovannipacini effectsofconsumingbeveragessweetenedwithfructoseglucosehighfructosecornsyrupsucroseoraspartameonogttderivedindicesofinsulinsensitivityinyoungadults
AT andreatura effectsofconsumingbeveragessweetenedwithfructoseglucosehighfructosecornsyrupsucroseoraspartameonogttderivedindicesofinsulinsensitivityinyoungadults
AT peterjhavel effectsofconsumingbeveragessweetenedwithfructoseglucosehighfructosecornsyrupsucroseoraspartameonogttderivedindicesofinsulinsensitivityinyoungadults
AT kimberlstanhope effectsofconsumingbeveragessweetenedwithfructoseglucosehighfructosecornsyrupsucroseoraspartameonogttderivedindicesofinsulinsensitivityinyoungadults