PMID- 22573781 OWN - NLM STAT- MEDLINE DCOM- 20120725 LR - 20230216 IS - 1541-6100 (Electronic) IS - 0022-3166 (Linking) VI - 142 IP - 6 DP - 2012 Jun TI - The use of low-calorie sweeteners by adults: impact on weight management. PG - 1163S-9S LID - 10.3945/jn.111.149617 [doi] AB - The application of low-calorie sweeteners (LCS) in foods and beverages has increased over the past 35 y. At the same time, many characteristics of the American diet have changed, including variations in fat and carbohydrate content and composition, increased nutrient additions, and new dietary patterns due to changing lifestyles and attitudes toward food and the changing cost of food. During this same time period, the prevalence of overweight and obesity has increased from ~30 to 70% of adults in the United States. Clearly, these trends lead to a variety of hypotheses and efforts to explain the role of LCS in this association. The aim of this review is to gain clarity on the role of LCS in weight management and their impact on diet quality. In addition, because the majority of studies aimed at identifying associations between LCS and these outcomes are based on observational data, the pitfalls in designing and evaluating data from observational studies are also discussed. We conclude that there is no evidence that LCS can be claimed to be a cause of higher body weights in adults. Similarly, evidence supporting a role for LCS in weight management is lacking. Due to the confounders in most observational studies, randomized controlled trials are needed to advance understanding. FAU - Anderson, G Harvey AU - Anderson GH AD - University of Toronto, Department of Nutritional Sciences, Toronto, Ontario, Canada. harvey.anderson@utoronto.ca FAU - Foreyt, John AU - Foreyt J FAU - Sigman-Grant, Madeleine AU - Sigman-Grant M FAU - Allison, David B AU - Allison DB LA - eng PT - Journal Article PT - Review DEP - 20120509 PL - United States TA - J Nutr JT - The Journal of nutrition JID - 0404243 RN - 0 (Sweetening Agents) SB - IM MH - Adult MH - Diet/*standards MH - Energy Intake/*drug effects MH - Humans MH - Nutritive Value MH - Obesity/*prevention & control MH - Sweetening Agents/*pharmacology MH - United States EDAT- 2012/05/11 06:00 MHDA- 2012/07/26 06:00 CRDT- 2012/05/11 06:00 PHST- 2012/05/11 06:00 [entrez] PHST- 2012/05/11 06:00 [pubmed] PHST- 2012/07/26 06:00 [medline] AID - S0022-3166(22)02772-9 [pii] AID - 10.3945/jn.111.149617 [doi] PST - ppublish SO - J Nutr. 2012 Jun;142(6):1163S-9S. doi: 10.3945/jn.111.149617. Epub 2012 May 9.