Rethinking the ‘zero calorie’ lifestyle | Cardiology Blogs

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class="blog-content">  <div class="blog-tab-group"> <ul class="blog-tabs"> <li> <a class="current" href="/web/20130724054353/http://www.healio.com/cardiology/blogs/martha-gulati-md-ms-facc-faha">Martha Gulati, MD, MS, FACC, FAHA</a> </li> <li> <a href="/web/20130724054353/http://www.healio.com/cardiology/blogs/franz-h-messerli-md">Franz H. Messerli, MD</a> </li> <li> <a href="/web/20130724054353/http://www.healio.com/cardiology/blogs/l-samuel-wann-md">L. Samuel Wann, MD</a> </li> </ul>  <div class="blog-panes"> <div class="eviblog-header"> <a id="layout_0_maincontent_0_blogcontent_0_HyperlinkBlog" href="/web/20130724054353/http://www.healio.com/cardiology/blogs/martha-gulati-md-ms-facc-faha">Martha Gulati, MD, MS, FACC, FAHA</a> </div> <div>  <ul class="blog-bio"> <li class="img"> <img src="/web/20130724054353im_/http://www.healio.com/~/media/Images/Blog Authors/Cardiology/Gulati_Martha_70x90.jpg" alt="Martha Gulati, MD, MS, FACC, FAHA" width="70" height="90"/></li> <li> Martha Gulati, MD, MS, FACC, FAHA, is section director for Preventive Cardiology and Women’s Cardiovascular Health and holds the Sarah Ross Soter Chair in Women’s Cardiovascular Health at The Ohio State University Wexner Medical Center. She is also an associate professor of medicine in the division cardiology and an associate professor of Clinical Public Health in the Division of Epidemiology. Dr. Gulati is a member of the American College of Cardiology and the American Heart Association as well. Her specific interests are in fitness and prevention.</li> </ul>   <div class="blog-post"> <p class="meta-info"> Thursday, May 16, 2013 </p> <h2> <a href="#"> Rethinking the ‘zero calorie’ lifestyle </a> </h2> <p class="meta-info"> Martha Gulati, MD, MS, FACC, FAHA </p> <p>Recently, an article was published in the <i>American Journal of Clinical Nutrition</i> indicating that diet sodas and other artificially sweetened items may increase type 2 diabetes and obesity. Observational data have supported this conclusion for some time, but this particular study, which examined 66,000 women aged older than 14 years, showed that the risk for developing diabetes was much higher in those women who drank diet soda — 15% higher in those consuming less than one can of diet soda per week (<500 mL) and 59% higher in those drinking 1.5 L per week. What is it about artificial sweeteners that may be causing these major health problems?</p> <p>The artificial sweeteners (ie, sucralose and aspartame) are often much sweeter than sugar and may rewire taste receptors, making less sweet foods less enjoyable and increase the cravings for more intensely sweet food that often come at the cost of being higher in calories. It is also hypothesized that artificial sweeteners may interfere with the regulators of satiety and appetite. If someone consumes real sugar, the brain is satisfied because calories accompany that sugar. On the other hand, artificial sweeteners may not activate the same signals since there are no calories associated with their consumption. The intensely sweet taste does not signal energy for the body, so the physiologic adaptive response may be to increase appetite and crave other intensely sweet calories.  </p> <p>Although there are other factors that may also account for weight gain and the increased risk for diabetes seen in this study, more and more evidence is pointing towards the danger of consuming these sugar substitutes. Maybe it is time that we spend more time cautioning patients about the “zero calorie” lifestyle, which in fact, is not proving to translate into zero calories for many people.</p> <p class="jump-link"> <a href="#"><span>»</span> Comments (0)</a></p> </div>  <div class="blog-post"> <ul class="entry-categories"> <li>Posted in </li> <li> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListViewCategories_hyperlinkCategory_0" href="/web/20130724054353/http://www.healio.com/cardiology/blogs/martha-gulati-md-ms-facc-faha/categories/chd-and-prevention">CHD/Prevention</a> </li> <li>, </li> <li> <a id="layout_0_maincontent_0_blogcontent_0_phblogmain_0_ListViewCategories_hyperlinkCategory_1" href="/web/20130724054353/http://www.healio.com/cardiology/blogs/martha-gulati-md-ms-facc-faha/categories/diabetes">Diabetes</a> </li> </ul> <p>  </p> <div id="entry-tags"> </div> <script language="javascript" type="text/javascript"> var idcomments_acct = 'aa6ff53f9870e40f92f83e1b5df3cddf'; var 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Rethinking the ‘zero calorie’ lifestyle | Cardiology Blogs | Martha Gulati, MD, MS, FACC, FAHA