🍬 Do sweeteners destroy the brain bit by bit?

Published by Adrien,
Source: Neurology
Other Languages: FR, DE, ES, PT

To reduce their sugar intake, many turn to artificial sweeteners, believing they are choosing a healthier alternative. However, a long-term Brazilian study reveals that this habit could lead to surprising consequences for the brain.

This research, published in Neurology, followed more than 12,000 Brazilian adults for about eight years. The goal was to examine how the ingestion of several common sugar substitutes is associated with changes in memory and thinking.


With an average age of 52, participants described their diet through questionnaires. They were then divided into categories based on their total sweetener intake, ranging from low to high. Subsequently, repeated cognitive assessments measured the evolution of their skills, such as verbal fluency or information processing speed.

The results indicate that the group with the highest sweetener consumption experienced an overall cognitive decline 62% faster than the group with the lowest intake. This gap roughly equals about 1.6 years of additional aging, a notable difference that highlights a potential impact on brain health.

The analysis notes that this effect is particularly clear in people under 60 and those with diabetes. For these groups, the decrease in cognitive and verbal performance is more pronounced, which could indicate a greater sensitivity linked to age or specific health conditions.

Among the sweeteners reviewed, such as aspartame or sorbitol, most are correlated with accelerated decline, with the exception of tagatose. The scientists specify that these observations do not establish a direct cause-and-effect link, but encourage further examination to clarify the processes at play.

How sweeteners interact with the brain


Designed to mimic the taste of sugar without adding calories, artificial sweeteners like aspartame or saccharin activate the sweet receptors on the tongue once consumed. This activation sends signals to the brain that may influence the feeling of satiety and metabolism.

These products can also alter gut flora, which affects the production of neurotransmitters involved in mood and cognition. Animal studies indicate that some sweeteners could disrupt the brain's chemical balance, leading to impairments in memory and learning.

Furthermore, regular consumption could lead the brain to adapt by reducing its sensitivity to sugar and affecting reward pathways. This phenomenon could explain why some people experience an increased desire for sweet flavors or notice a deterioration in their cognitive functions over time.

These mechanisms remain under investigation, and their effects differ among individuals and types of sweeteners. Ongoing work seeks to determine precisely how these interactions occur and what long-term health repercussions they entail.

Distinguishing association and causality in science


In scientific research, it is common to observe links between two variables, such as sweetener consumption and cognitive decline. However, an association does not automatically imply that one factor causes the other; it could be a simple correlation due to other unconsidered elements.

To establish a cause-and-effect relationship, studies often use experimental methods, such as randomized controlled trials. This approach helps eliminate biases and verify if one change directly induces another.

In the case of sweeteners, the observed link could be influenced by factors like lifestyle, overall diet, or pre-existing health conditions. Researchers account for these variables in their analyses, but doubts remain, requiring further investigation.

Understanding this distinction helps interpret findings without drawing hasty conclusions.
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