Evidence map›Paper›PMID 31928558›Full record

ArticleNutrition research reviews2020

Expert consensus on low-calorie sweeteners: facts, research gaps and suggested actions.

Margaret Ashwell, Sigrid Gibson, France Bellisle, Judith Buttriss, Adam Drewnowski, Marc Fantino, Alison M Gallagher, Kees de Graaf, Séverine Goscinny, Charlotte A Hardman and 9 more

Abstract readConsensus Statement
In one paragraph

Article in Nutrition research reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
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  6. Trial
  7. Article
  8. Review
  9. Biological and Behavioral Responses ofInternational journal of molecular sciences · 2025
    Article
  10. Low- or No-Energy Sweeteners and Body Weight Management: Dissecting a "Minor" Effect.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. International society of sports nutrition position stand: energy drinks and energy shots.Journal of the International Society of Sports Nutrition · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Margaret AshwellAshwell Associates, Ashwell, Hertfordshire, UK.
Sigrid GibsonSig-Nurture Ltd, Guildford, Surrey, UK.ORCID 0000-0003-4300-3140
France BellisleNutri Psy Consult, Paris, France.
Judith ButtrissBritish Nutrition Foundation, London, UK.
Adam DrewnowskiCenter for Public Health Nutrition, University of Washington, Seattle, WA, USA.
Marc FantinoFantino Consulting SAS, F-69230 Saint Genis Laval, France.
Alison M GallagherNutrition Innovation Centre for Food and Health (NICHE), Ulster University, Coleraine, UK.
Kees de GraafDivision of Human Nutrition and Health, Wageningen, The Netherlands.
Séverine GoscinnyService Organic Contaminants and Additives (SCIENSANO), Brussels, Belgium.
Charlotte A HardmanDepartment of Psychological Sciences, University of Liverpool, Liverpool, UK.
Hugo Laviada-MolinaEscuela de Ciencias de la Salud, Universidad Marista de Mérida, Merida, Mexico.
Rebeca López-GarcíaLogre International Food Science Consulting, Mexico City, Mexico.
Berna MagnusonHealth Science Consultants, Inc., Mississauga, Ontario, Canada.
Duane MellorAston Medical School, Aston University, Birmingham, UK.
Peter J RogersNutrition and Behaviour Unit, School of Psychological Science, University of Bristol, Bristol, UK.
Ian RowlandDepartment of Food and Nutritional Sciences, University of Reading, Reading, UK.
Wendy RussellUniversity of Aberdeen Rowett Institute, Aberdeen, UK.
John L SievenpiperDepartment of Nutritional Sciences, University of Toronto, Toronto, Canada.
Carlo la VecchiaDepartment of Clinical Sciences and Community Health, University of Milan, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A consensus workshop on low-calorie sweeteners (LCS) was held in November 2018 where seventeen experts (the panel) discussed three themes identified as key to the science and policy of LCS: (1) weight management and glucose control; (2) consumption, safety and perception; (3) nutrition policy. The aims were to identify the reliable facts on LCS, suggest research gaps and propose future actions. The panel agreed that the safety of LCS is demonstrated by a substantial body of evidence reviewed by regulatory experts and current levels of consumption, even for high users, are within agreed safety margins. However, better risk communication is needed. More emphasis is required on the role of LCS in helping individuals reduce their sugar and energy intake, which is a public health priority. Based on reviews of clinical evidence to date, the panel concluded that LCS can be beneficial for weight management when they are used to replace sugar in products consumed in the diet (without energy substitution). The available evidence suggests no grounds for concerns about adverse effects of LCS on sweet preference, appetite or glucose control; indeed, LCS may improve diabetic control and dietary compliance. Regarding effects on the human gut microbiota, data are limited and do not provide adequate evidence that LCS affect gut health at doses relevant to human use. The panel identified research priorities, including collation of the totality of evidence on LCS and body weight control, monitoring and modelling of LCS intakes, impacts on sugar reduction and diet quality and developing effective communication strategies to foster informed choice. There is also a need to reconcile policy discrepancies between organisations and reduce regulatory hurdles that impede low-energy product development and reformulation.

Indexed as

Energy IntakeSweetening AgentsAppetiteConsensusDietHumansSweetening AgentsConsensus ReportsFood safetyGlucose controlLow-calorie sweetenersNutrition policyWeight management

Identifiers

PMID31928558
PMCPMC7282854

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.