Why Artificial Sweeteners Make You Fat: What Do We Do Now?

SodaWe’ve been hearing for years that artificial sweeteners are bad for you and can actually cause weight gain. This flies in the face of logic. After all, if you’re consuming fewer calories than you would if you were using sugar or honey, how could they encourage weight gain? And just how bad are they for you in other ways? We decided to stop asking ourselves these questions and get down to what appears to be the truth of the matter.

Artificial sweeteners have been around for more than 130 years; saccharin was developed in 1878 from coal tar derivatives (yum!). It didn’t enter widespread use until WWI, due to sugar shortages. But artificial sweeteners experienced a huge boost in popularity in the 1960s and 1970s, as new sweeteners were introduced to satisfy the sweet tooth (teeth?) of dieters.[1] The rising tide of American obesity increased in step with the increase in consumption of artificially sweetened products, particularly diet sodas.

Artificial sweeteners have been controversial and subject to scrutiny almost from their inception. The USDA began investigating saccharin in 1907, and then proceeded to flipflop, proclaiming it an adulterant in 1911, then stating in 1912 that saccharin was not harmful to human health.

Cyclamates underwent similar scrutiny by the FDA in the 1960s, and is still banned in the U.S., spurring the development of alternatives such as aspartame and sucralose. Artificial sweeteners are in widespread use today in sodas, candies and other processed foods, as well as available on (almost) every restaurant table in America. Some, like stevia, claim to be derived from natural sources, the implication being that they are better for you than completely laboratory-derived products. (Most stevia products are actually highly processed.)

The basis for the story that artificial sweeteners promote weight gain comes from a study at Purdue University.[2] Rats were fed yogurt sweetened with glucose (table sugar) and compared to a group of rats fed yogurt sweetened with zero-calorie saccharin. Three different experiments were conducted to see whether saccharin changed the rats’ ability to regulate intake of calories. The saccharin-fed rats later consumed more calories, gained more weight, put on more body fat and didn’t make up for it by cutting back on calories. This phenomenon occurred at statistically significant levels.

The researchers postulated that when the body detects sweetness, it gears up to consume a high-calorie food. When the false sweetness is not followed by the anticipated calories, it confuses the body’s connection between sweetness and calories. This leads to increased intake of calories and a blunted satiety response to overeating, leading to increased accumulation of fat.

Of course, these were rats, not people. Other studies have shown that at some level, the brain can distinguish between real and artificial sweeteners—but not, as it happens, if the person regularly consumes diet soft drinks. A diet soda drinker’s pleasure center in the brain will respond equally to either sucrose- or artificially sweetened sodas. Activity was diminished in an area of the brain called the caudate head in diet soda drinkers. Decreased activation of this area is associated with elevated risk of obesity.[3]

So far, we’ve learned that artificial sweeteners may blunt people’s satiety response, but that if they come in the form of diet soda, this effect may be worsened. Is there anything else out there to worry us about artificial sweeteners?

Although there have been many hoaxes perpetuated around artificial sweeteners and their alleged danger to human health, according to the FDA, all sweeteners currently on the market have been conclusively proven safe for human consumption.[4] There is no credible evidence that any of these sweeteners cause toxic reactions, cancer, seizures, or any of the other claims that have been lodged against them.

However, there is ample evidence they can make you fat. What more do we need to know? Artificial sweeteners are products that do the exact opposite of what they were intended to do.

So what alternatives do we have? We know that sugar isn’t good for us, and we know that high fructose corn syrup is worse. Sugar alcohols (which are not alcohols) can raise blood glucose levels, although not usually to the level of sugar. Sugar alcohols (including maltitol, sorbitol and xylitol) can also cause gastric symptoms, especially in children.[5] Honey is no better than sugar, healthwise, especially if processed (raw honey may confer some health benefits in the form of trace minerals, vitamins and phytochemicals).

Fortunately, there are a number of alternatives for sweetening the morning cup of tea or coffee. Which you choose depends on your personal taste, plus where it falls on the glycemic index. Diabetics in particular need to find a low-glycemic-index sweetener they can live with if they wish to avoid artificial sweeteners.

Brown rice syrup. This has a distinct malty or nutty flavor. It falls high on the glycemic index at 85, which makes it unsuitable for diabetics. It does contain minute traces of arsenic because brown rice contains minute traces of arsenic, but not enough to harm you unless you’re really chugging the stuff—in which case, you might have other worries.

Coconut palm sugar. This is a pale brown, granulated sugar made from the sap of coconut palms. It has a pleasant, light flavor and is relatively low on the glycemic index at 35.

Barley malt syrup. This is derived from malted (sprouted) barley that is cooked until the starch converts to sugar. It comes as a syrup or powder and is 42 on the glycemic index.

Agave nectar. Made from the juice of the blue agave plant (the same plant used to make tequila). It’s low on the glycemic index, between 15 and 30, depending on whether you are using raw or refined syrup. The raw syrup is darker and has more flavor, while the refined is a light color and has less flavor.

Stevia. Stevia is 0 on the glycemic index although it is 200-300 times sweeter than table sugar. It is touted as a natural product, but the white powder you put in your iced tea is in fact the product of an intensive refining process (and may also contain maltodextrin, which is highly processed and may elevate blood sugar[6]). There are liquid tinctures of stevia available that are not highly processed.

The sweeteners mentioned here are widely available, affordable, and palatable to most people (although some people react strongly to the taste of stevia). Find out more about sweeteners and where they fall on the glycemic scale at http://www.organiclifestylemagazine.com/healthy-sugar-alternatives/

SweetBeat Tuned for Athletic HRV Training

Front crawl swimmer speeding through the pool

 

Many of you are athletes or fitness-focused individuals and currently use SweetBeat to monitor and track your HRV as it correlates to your training routine. In an effort to better meet your needs, we have added some features that are specifically designed for HRV recovery and training.

The latest release of SweetBeat can now be downloaded from the App Store.

When you press start, you can view a selection screen to monitor stress, run HRV For Training session or run a Heart Rate Recovery session. If you select the Help icon (question mark in a box) at the right of each session type, you will see the following screen.

Session Selection Screen

Select session

 

You can learn about the HRV For Training feature set by swiping to the left after you select the help ? button. The following six screens give you an overview of the new SweetBeat functionality.

 

Screen1

 

Screen2

 

Screen3

 

Screen4

 

Screen5

 

HRV for Training over time

 

To run an HRV For Training session, select the session option, and press the start button on the main monitor screen. SweetBeat will automatically filter your HRV readings from your heart rate monitor and begin counting down a three-minute session.

The SweetBeat learning algorithm will establish a reference line over a few days as shown in the HRV For Training Over Time graph.

We recommend that you initially do light training or no training for a couple of days.  If you do train during initial sessions, the algorithm will compensate and adjust over the first 10 days of use, improving accuracy over time.

The HRV For Training Over Time graph will provide recommendations after each daily reading for a regular training day (HRV is above reference line), a light exertion day (HRV is below reference line for one day), or a rest day (HRV is below the reference line for two days).

If you wish, SweetBeat will remind you to take a daily HRV reading, with a selectable time that you preset. This reminder will appear initially when you select your first HRV training session. If you want to change the daily reminder time, you can access the preset in the settings menu under application settings.

Daily Reminder Setting

Daily Reminder

 

Charts for each session are included in history tab as well as cumulative charts for all sessions. HRV training sessions are tagged as HRV in the history screen.  You can also still select your own tag.

Good luck with your training! If you have any questions you can email us at support@sweetwaterhrv.com and we will reply within 24 hours.

SweetBeat Gets the Blues

Bluetooth is a wonderful invention. It enhances the mobility of the athlete, who no longer has to mess with wires while working out. It’s also a boon to the person who likes to garden or do other chores while listening to music. (I know one gentleman who bought Bluetooth headphones because he liked to garden while listening to music and snipped his wires with the garden shears once too many times.)

But when it comes to heart rate variability, not all Bluetooth is created equal. When SweetWater Health came out with our Bluetooth-compatible version of SweetBeat™, we tested several BT sensors to assure accuracy. Heart rate requires a lower sampling rate, and all sensors performed well for heart rate detection. But HRV requires a more frequent sampling rate to be accurate, which is why the iPhone camera sensor, at 30 frames per second, cannot deliver accurate HRV data.

You can use any Bluetooth v4.0 low-energy heart rate monitor with SweetBeat, including 60Beat and newer Polar H7 models with the iPhone 4S, 5, iPad 3 and newer iPod Touch 5 devices—with one exception. You cannot use Wahoo Blue HR. It’s fine for heart rate, but is not suitable for heart rate variability. This is noted in the app store description of SweetBeat.

We’re sorry for any inconvenience this may cause our Wahoo Blue HR owners. We have worked closely with Wahoo on this issue, but as of this writing, the technical issues have not yet been resolved.

Questions? Please contact us at info@SweetWaterHRV.com.

Important Information for SweetBeat Users

SweetWater Health is a very young company. SweetBeat™, our iPhone app, has been on the market for just a little over a year. We started with no users at all (except for us SweetWaterites), and during the months that followed SweetBeat’s debut, we have watched with interest as our audience of users has grown.

And you, our users, have surprised us. We thought that most people would purchase SweetBeat to help reduce stress. There are certainly some users that fit that profile, but the dedicated users, the ones who really use SweetBeat all the time, are athletes—often elite athletes—who use SweetBeat for HRV training to help understand their bodies better and to optimize training schedules.

And you—our dedicated users—told us that the product needed tweaking so you could use it even more effectively. So tweak it we did, and we need to tell you about the changes we made. This is important to know even if you are not an athlete, as your HRV levels will appear lower than in previous versions. This does not mean your HRV has changed—only the scale.

SweetBeat version 1.2.2 (and beyond) includes a refinement of the HRV calculation algorithm to fine-tune it for athletes. Some of you ultra-fit individuals were “maxing out” the HRV reading at 100. The new algorithm fixes this with the result that the calculated HRV will appear lower than in previous versions of SweetBeat. We have included some charts to illustrate what you can expect with version 1.2.2.

For SweetBeat users who have been measuring HRV for athletic training, your HRV will appear to decrease with version 1.2.2. For this reason we recommend starting with a new baseline taken on a day that you know you are fully recovered. We believe this will provide more accurate results in the long run as your fitness levels improve.

Below are a couple of charts that illustrate how your new HRV scores may differ from your previous scores.

How is HRV calculated? SweetBeat measures the RR intervals (the time between heartbeats) then calculates the HRV parasympathetic parameter rMSSD. We then run a scaling algorithm on rMSSD to create an HRV value. Typical values will be in the range of 0-100. rMSSD is the square root of the mean squared difference of successive RRs. Elite athletes will experience very high rMSSD scores compared to others.

If you want to see the raw numbers, look at the “Geek Screen” on the flip side of the ECG heart beat screen. To see the Geek Screen, press the button in lower right corner of the window where the animated ECG appears. You will see the summary numbers from your last session. Below are the same charts from above that include rMSSD.

As a reminder on how to use HRV for training:

  1. Take your HRV every morning prior to any activity.
    1. This session can be measured sitting, standing or lying down, but be consistent in the position you select.
    2. Do a five-minute session.
      1. HRV is time dependent so be consistent in the length of the session
      2. If HRV drops significantly (more than 10 points) a low exertion or rest day is in order.
      3. If HRV drops significantly two or more days in a row, a rest day is in order.

Questions? Please send them to support@sweetwaterhrv.com. We’d love to hear from you.

 

 

Can We Fight Diabetic Neuropathy with Your Help?

Diabetic neuropathy is one of the most hideous symptoms of a devastating disease, and can result in loss of limbs and eyesight, debilitating pain—and even death. I’m about to ask a favor of anyone reading this who is diabetic, but first, a brief description of diabetic neuropathy for those who haven’t already learned about it.

There are various kinds of neuropathies, or damage to the nervous system, that can result from diabetes. In diabetes, neuropathies are believed to be caused by long-term exposure of the nerve cells to high blood glucose and possibly by low levels of insulin.[1] Symptoms of neuropathies depend on the type of nerve damage:

Peripheral neuropathies, the most common, cause pain or numbness in toes, feet, legs, hands, arms, or fingers.

Diabetic autonomic neuropathy  (DAN) affects the autonomic nervous system and may cause changes in digestion, bowel or bladder function, sexual response and perspiration.

Cardiovascular autonomic neuropathy (CAN), one of the most serious versions, damages the nerve fibers that control the heart and blood vessels, resulting in cardiovascular disease.[2]

Proximal neuropathy causes pain in the thighs, hips or buttocks and leads to weakness in the legs.

Focal neuropathy results in the sudden weakness of one nerve or group of nerves, causing pain or weakness in that area. While painful, focal neuropathy usually does not lead to more severe, long-term problems.[3]

The most insidious aspect of diabetic neuropathy is that by the time you experience symptoms, the nerve damage is already done. Various therapies are available for treating the symptoms and slowing nerve damage, but the best of all approaches is PREVENTION. The best prevention is keeping blood sugar under control, but as the nerve damage often takes place long before you notice symptoms, wouldn’t it be great if there were some way to detect the onset of neuropathy before damage has been done?

While neuropathy testing has been added to the treatment recommendations of the American Diabetes Association, testing for diabetic neuropathy is usually not a part of your annual or biannual visit to the doctor. (If it is, we applaud your physician!) Neuropathy is usually diagnosed after you have developed symptoms—by which time, it is too late to reverse the damage; it can only be managed.

There is, however, a way to test for diabetic neuropathy that is non-invasive, not painful, and easy. Heart rate variability (HRV) can be used to identify nerve damage in very early stages, which would allow diabetic patients to seek help from their physicians before greater damage has occurred. (For an explanation of HRV, download our whitepaper on HRV or see the article on HRV in Wikipedia.)

SweetWater Health is working on an iPhone app that would allow diabetics to test themselves at home as often as desired (though twice a year is usually sufficient). The app would require the purchase of a compatible heart rate monitor such as athletes use, usually priced under $100. You would perform three simple physical exercises while wearing the monitor and the app will tell you if you are experiencing damage to your nervous system.

Now for the favor. If you are diabetic and are interested in the development of such an app, please go to http://www.sweetwaterhrv.com/dan.php and let us know. Your input will help us by letting us know there is a genuine need and desire for such a product. You can also sign up for more information about the product and volunteer to be a beta tester if you want.

Sincere thanks for taking the time to help us help you!


[1] National Diabetes Clearinghouse, http://diabetes.niddk.nih.gov/dm/pubs/neuropathies/

[2] “Diabetic Cardiovascular Autonomic Neuropathy,” A. Vinik, MD, PhD, FCP, MACP; D. Ziegler, MD, PhD., FRCPE; Contemporary Reviews in Cardiovascular Medicine, Jan. 22, 2013.

12 Ways Women Are Different from Men (No, Not That!)

Men and women are equal under the law (at least that is the ideal). But when it comes to health, there are some big differences between the sexes. Here are 12 facts all women should know about how women’s health differs from men’s health:

1.       Heart. Heart disease is the leading cause of death for women in the United States. Nearly five times as many women die from heart attacks every year than will die from breast cancer. Most people are aware of the signs of a heart attack—in men. In women, the symptoms may not be the same and are often harder to identify. Forty-three percent of women experience no chest pain at all during a heart attack. The top symptoms reported by women include:

  • Shortness of breath
  • Weakness
  • Fatigue

Women sometimes experience pre-heart attack symptoms up to a month prior to the actual attack. These symptoms are not necessarily ones you would associate with a heart attack, and include:

  • Unusual fatigue
  • Sleep disturbance
  • Shortness of breath
  • Indigestion
  • Anxiety

If you think you are experiencing a heart attack, call 911 immediately and crush or chew a full-strength aspirin and swallow with water.

2.     Sex. There is a generally-held belief that men hit their sexual peak at about 18, while women peak in their thirties. Studies do show that in men, testosterone levels drop 2% each year after they turn 30. Anecdotal evidence indicates that women may continue to peak for a long time, in part due to lessened childcare responsibilities, greater self-confidence, and other benefits of, if not getting older, at least not being young any more.

3.       Weight. It’s just so unfair—but women are more likely to be overweight than men. Women carry more fat than men naturally because it is essential for the energy needed to bear and nurse babies, so gaining weight just comes naturally to us. It also seems to be true that women have more difficulty losing weight. Men carry more muscle mass than women, and muscle mass is more metabolically active than fat. When women exercise, their burn rate is 37% lower than men, on average. So you can be doing all the same things as your hubby or significant other, and he’s going to be slimmer and trimmer than you. Just resign yourself to the awful truth, and eat less and exercise more than he does.

4.     Depression. Women are twice as likely as men to experience severe depression. Some of this gender gap may be due to women’s ever-changing hormones from puberty to menopause. The most critical symptom of depression is not feeling sad; most seriously depressed people report feeling nothing, or emotional numbness. Depression is treatable. In addition to seeing a doctor, exercise, good nutrition and good friends are important.

5.     Osteoporosis. Osteoporosis, or thinning of the bones due to loss of calcium, is far more prevalent in women than men. This is because estrogen plays a major role in the female body’s ability to absorb calcium. (Testosterone plays a similar, but less pronounced role in men.) There are usually no warning symptoms of osteoporosis until bones begin to fracture easily, so get a bone density scan on a regular basis once you start menopause. You can prevent osteoporosis by making sure you are getting enough calcium, either through supplements or in your diet. Women from 18 to 50 need 1,000 milligrams of calcium a day. When women turn 50, this should be increased to 1200 milligrams a day, according to the Mayo Clinic.

6.     Autoimmune disease. Three out of four people suffering from autoimmune disease are women. Autoimmune diseases occur when the body undergoes an immune response to its own tissues and naturally occurring bodily substances. Examples of this are lupus, eczema, and rheumatoid arthritis, but there are many more. There is nothing you can do to prevent an autoimmune disease, but many are either treatable or manageable.

7.     Drugs. When women get addicted, they experience more severe withdrawal symptoms than men and (perhaps as a consequence) find it more difficult to quit. Women produce less of the stomach acid required to break down ethanol and are the fastest-growing segment of the alcohol-abusing population in the U.S. Smoking has a more negative effect on cardiovascular health in women than in men.

8.     Pain. Women generally are more sensitive to pain than men. Women are also more likely to have chronic pain conditions such as fibromyalgia, migraine, osteoarthritis and rheumatoid arthritis.

9.     Life Expectancy. Women tend to live 7.1 years longer than men in the U.S. (which is behind Cuba in average life expectancy, according to the United Nations). Harvard researchers speculate this is because women experience menopause, which protects them from the risk of further childbearing so they can help with rearing grandchildren (the “Grandmother Effect”). Few other species menstruate, and they are all species where the young remain dependent longer on parents to survive.

10.  Menopause. Men’s bodies change gradually over time, but women’s life changes are more profound and dramatic—none more than the onset of menopause. As just mentioned, menopause protects woman from dangerous late-life childbearing. It also stops the production of the hormones estradiol and progesterone, which in turn eliminates the ripening of eggs and the growth of uterine lining. Estrogen levels drop, but continues to be produced by the ovaries, bone, blood vessels, brain, and fat tissues. The hormone testosterone also declines over time (in men as well as women). However, many women find they are delighted with the cessation of menstrual flow and seldom miss the abrupt mood swings that sometimes accompany menstruation.

11.  The X Factor. This refers to the fact that women have two X chromosomes and men have one X and one Y. Initial research indicates that the micro-ribonucleic acid (RNA) in the X chromosome plays a role in strengthening the immune system, enabling it to ward off diseases and even cancer. Because men have only one X chromosome, if something goes wrong, they have no backup. Scientists think this may be why women live longer and tend to be somewhat healthier than men—and may also be the reason women experience more autoimmune diseases than men.

12.  Heart Rate Variability. HRV is the variability in timing between one heartbeat and the next. This is a function of the “tug-of-war” between the sympathetic and the parasympathetic nervous systems. High variability (in microseconds; we’re not talking about afibrillation here) indicates good health and low stress. When stress is high or health is poor, the tug-of-war degrades, resulting in lower HRV. HRV tends to be somewhat higher in men than in women, though the reason for this is unknown. It is important to know that you can train yourself to raise your HRV—thereby lowering stress and increasing your resilience and energy. This can be done merely by doing measured deep breathing. SweetBeat™, the iPhone app from SweetWater Health, monitors HRV and helps train you to raise your HRV levels.