PMID- 26936185 OWN - NLM STAT- MEDLINE DCOM- 20170922 LR - 20220409 IS - 1573-2606 (Electronic) IS - 1389-9155 (Print) IS - 1389-9155 (Linking) VI - 17 IP - 2 DP - 2016 Jun TI - Understanding the metabolic and health effects of low-calorie sweeteners: methodological considerations and implications for future research. PG - 187-94 LID - 10.1007/s11154-016-9344-5 [doi] AB - Consumption of foods, beverages, and packets containing low-calorie sweeteners (LCS) has increased markedly across gender, age, race/ethnicity, weight status, and socio-economic subgroups. However, well-controlled intervention studies rigorously evaluating the health effects of LCS in humans are limited. One of the key questions is whether LCS are indeed a beneficial strategy for weight management and prevention of obesity. The current review discusses several methodological considerations in the design and interpretation of these studies. Specifically, we focus on the selection of study participants, inclusion of an appropriate control, importance of considering habitual LCS exposure, selection of specific LCS, dose and route of LCS administration, choice of study outcomes, and the context and generalizability of the study findings. These critical considerations will guide the design of future studies and thus assist in understanding the health effects of LCS. FAU - Sylvetsky, Allison C AU - Sylvetsky AC AD - Department of Exercise and Nutrition Sciences, The George Washington University, 950 New Hampshire Avenue NW, Washington, DC, 20052, USA. AD - Section on Pediatric Diabetes and Metabolism, NIDDK, NIH, 9000 Rockville Pike, Building 10, Room 8C432A, Bethesda, MD, 20892, USA. FAU - Blau, Jenny E AU - Blau JE AD - Section on Pediatric Diabetes and Metabolism, NIDDK, NIH, 9000 Rockville Pike, Building 10, Room 8C432A, Bethesda, MD, 20892, USA. FAU - Rother, Kristina I AU - Rother KI AD - Section on Pediatric Diabetes and Metabolism, NIDDK, NIH, 9000 Rockville Pike, Building 10, Room 8C432A, Bethesda, MD, 20892, USA. kristina.rother@nih.gov. LA - eng GR - ZIA DK075093-01/Intramural NIH HHS/United States GR - ZIA DK075093-02/Intramural NIH HHS/United States GR - ZIA DK075093-03/Intramural NIH HHS/United States PT - Journal Article PT - Review PL - Germany TA - Rev Endocr Metab Disord JT - Reviews in endocrine & metabolic disorders JID - 100940588 RN - 0 (Sweetening Agents) SB - IM MH - Clinical Studies as Topic/*standards MH - Humans MH - Obesity/*prevention & control MH - Outcome Assessment, Health Care/*standards MH - Sweetening Agents/administration & dosage/adverse effects/*pharmacology PMC - PMC5010791 MID - NIHMS765511 OTO - NOTNLM OT - Artificial sweeteners OT - Beverages OT - Diet soda OT - Low-calorie sweeteners OT - Metabolism OT - Obesity OT - Study design OT - Weight EDAT- 2016/03/05 06:00 MHDA- 2017/09/25 06:00 PMCR- 2017/06/01 CRDT- 2016/03/04 06:00 PHST- 2016/03/04 06:00 [entrez] PHST- 2016/03/05 06:00 [pubmed] PHST- 2017/09/25 06:00 [medline] PHST- 2017/06/01 00:00 [pmc-release] AID - 10.1007/s11154-016-9344-5 [pii] AID - 10.1007/s11154-016-9344-5 [doi] PST - ppublish SO - Rev Endocr Metab Disord. 2016 Jun;17(2):187-94. doi: 10.1007/s11154-016-9344-5.