The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

  • Top topics on The CAM Report

    *Animal-assisted Therapy
    *Birth Defects
    *Arsenic in modern medicine
    *Mindfulness and cognitive behavioral therapy
    *TENS/FNS/VNS

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      The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    Comparing fructose- and glucose-sweetened beverages

    Overweight and obese subjects consumed glucose- or fructose-sweetened beverages, and researchers from the US and Japan compared the effects.

    Here are their findings, and the potential political significance of this research.

    First, the details.

    • 32 overweight and obese adult men and women were observed for 10 weeks.
    • They drank beverages sweetened with glucose or fructose that accounted for 25% of their daily calorie intake.

    And, the results.

    • Participants in both groups put on about the same amount of weight.
    • Fasting triglyceride blood levels increased 10% with glucose but not with fructose.
    • Changes recorded with fructose only
      • Increased belly fat
      • Production of fat by the liver
        • aka hepatic de novo lipogenesis (DNL)
      • Increased markers of altered lipid metabolism (eg, apoB, LDL [bad] cholesterol)
      • Increased concentrations of remnant-like particle–triglyceride and –cholesterol
        • Newly proposed risk factors for heart disease
      • Increased fasting blood sugar and insulin levels
      • Decreased insulin sensitivity

    The bottom line?
    The authors concluded, “Dietary fructose specifically increases DNL, promotes dyslipidemia, decreases insulin sensitivity, and increases visceral adiposity in overweight/obese adults.”

    An accompanying editorial provides perspective. “While these symptoms are telltale signs of metabolic syndrome, which raises a person’s risk of heart attack, we still don’t know what the long term implications of fructose consumption on such a risk might be.”

    4/23/09 20:30 JR

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