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High Fructose Corn Syrup: Current Conversations Northern Nevada Dietetic Association February 20, 2013 Presented by Carol Berg Sloan RD Consultant Corn Refiners Association The Coca Cola Company

High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

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Page 1: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

High Fructose Corn Syrup: Current Conversations

Northern Nevada Dietetic Association February 20, 2013

Presented by

Carol Berg Sloan RD Consultant

Corn Refiners Association The Coca Cola Company

Page 2: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Overview

History of sweeteners

How high fructose corn syrup is made

Confusion about high fructose corn syrup: consumers and health professionals

Misconceptions about high fructose corn syrup

Recent Issues: Scientific Research

Our role communicating research-based information about sweeteners to patients, clients and consumers

Page 3: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Sweeteners: a brief history…

Page 4: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

How is HFCS Made?

High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

1. Steeping corn to soften the hard kernels

2. Physically separating the kernel into its separate components (starch, corn hull, protein and oil)

3. Breakdown of starch into glucose

4. Use of enzymes to invert glucose to fructose

5. Removal of impurities

6. Blending of glucose and fructose to make HFCS-42 and HFCS-55

White JS. 1992. Fructose syrup: production, properties and applications, in FW Schenck & RE Hebeda, eds, Starch Hydrolysis Products – Worldwide Technology, Production, and Applications. VCH Publishers, Inc. pp. 177-200.

Page 5: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Sweetener Processing Methods are Similar

Page 6: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Technology Development

Introduced to Food Industry

Wide Use in Foods

Peak Consumption

Scientific Focus

1960s 1970s 1980s 1990s 2000s and beyond

Long History of Safe Use

High Fructose Corn Syrup

Page 8: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Source: MSR Group (2011)

Why Are We Talking About HFCS?

Unfounded Controversy

In 2004, researchers George Bray and

Barry Popkin published a commentary in

the American Journal of Clinical Nutrition

suggesting that high fructose corn syrup

was a unique contributor to obesity.

Page 9: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

• HFCS is high in fructose (HFCS was a bad choice of name)

• HFCS is metabolized differently than other nutritive sweeteners

• HFCS is used in foods just to make them sweet

• HFCS does not stimulate satiety

• HFCS is uniquely responsible for obesity

• Research: pure fructose being applied to HFCS

Confusion about high fructose corn syrup

Page 10: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Myth: High fructose corn syrup is high in fructose

Page 11: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

50

49

42

55

Sucrose

Honey

HFCS 42

HFCS 55

Fructose

Glucose

Polysaccahride/Other Sugar

42

53

43

50

Hanover LM, White JS. 1993. Manufacturing, composition, and applications of fructose. Am J Clin Nutr 58 (suppl 5):724S-732S.

Comparison of caloric sweeteners

Page 12: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

HFCS sugars are common in nature

Page 13: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Myth: HFCS is metabolized differently than other nutritive sweeteners

Page 14: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Difference in sugars disappear in the bloodstream

Page 15: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

• 30 women consumed identical meals for one day with sweetened beverage in each

• Half drank beverage sweetened with sugar and half with HFCS

• Measured blood levels of glucose, insulin, appetite hormones and triglycerides

Melanson, et al. “Effects of high-fructose corn syrup and sucrose consumption on circulating glucose, insulin, leptin, and ghrelin and on appetite in normal-weight woman.” Nutrition, 23 (2007) 103 - 112

Study: comparing HFCS and sugar

Page 16: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Melanson, Zukley, Lowndes, Nguyen, Angelopoulos, Rippe. 2007.Effects of high-fructose corn syrup and sucrose consumption on circulating glucose, insulin, leptin, and ghrelin and on appetite in normal-weight woman. Nutrition 23(2):103-112.

Page 17: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Melanson, Zukley, Lowndes, Nguyen, Angelopoulos, Rippe. 2007.Effects of high-fructose corn syrup and sucrose consumption on circulating glucose, insulin, leptin, and ghrelin and on appetite in normal-weight woman. Nutrition 23(2):103-112.

Page 18: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Zukley M, et al. June 2007. The Effect of High Fructose Corn Syrup on Post-Prandial Lipemia in Normal Weight Females. Presented at the June 2007 meeting of The Endocrine Society. Program Abstract #P2-46.

Page 19: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Myth: HFCS is used in foods just to make them sweet

Page 20: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Maintains freshness in condiments

Promotes browning of baked goods

Enhances fruit and spice flavors in marinades

Aids in fermentation for breads and yogurts

Retains moisture in breakfast bars and cereals

Makes high fiber baked goods and cereals more palatable Maintains consistent flavors in beverages

Keeps ingredients evenly mixed in salad dressings

Role beyond sweetening…

Page 21: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Myth: HFCS does not stimulate satiety

Page 22: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Beverages sweetened with sucrose and high fructose corn syrup all have similar effects on feelings of fullness.

Akhavan T, Anderson GH. American Journal of Clinical Nutrition. 2007; 86:1354-63

Soenen S, Westerterp–Plantenga. American Journal of Clinical Nutrition. 2007; 86:1586-94

Monsivais P et al. American Journal of Clinical Nutrition. 2007; 86:116-23

Zukley L et al. Journal of American Dietetic Association. 2006; 106: A33.

Satiety research shows…

Page 23: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Melanson, Zukley, Lowndes, Nguyen, Angelopoulos, Rippe. 2007.Effects of high-fructose corn syrup and sucrose consumption on circulating glucose, insulin, leptin, and ghrelin and on appetite in normal-weight woman. Nutrition 23(2):103-112.

Page 24: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Melanson, Zukley, Lowndes, Nguyen, Angelopoulos, Rippe. 2007. Effects of high-fructose corn syrup and sucrose consumption on circulating glucose, insulin, leptin, and ghrelin and on appetite in normal-weight woman. Nutrition 23(2):103-112.

Page 25: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Myth: HFCS is uniquely responsible for obesity

Page 26: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

High fructose corn syrup and the obesity epidemic

Page 27: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

No single food, beverage or ingredient is the cause of weight gain, obesity or disease. In isocaloric conditions, added sugars are no more likely to cause weight gain than any other source of energy

It’s the total diet and lifestyle over time that influences weight and health status.

Obesity is a calorie imbalance issue

Page 28: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

1970 to 2010

Source: Economic Research Service, USDA (U.S. per capita loss-adjusted food availability: “Total Calories”)

2,076

2,534

1970 2010-

Percent of Caloric Growth

+458 Calories

Added fats 53%

Flours/Cereal Products 36%

Added Sugars 7%

Other 4%

+22%

Since 1970 average increase in calories: 458 calories

Page 29: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Added sugars 34 calories/day

Cereals/Grains 167 calories/day

Fats and oils 242 calories/day

All other foods 15 calories/day

Source of additional 458 calories

Page 30: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Added sugar intake in the U.S. decreased from 100 grams (400 kcal) in 1999-2000 to 77 grams (308 kcal) in 2007-2008

Total calories from added sugars declined from 18.1% to 14.6%

NHANES added sugar data

Page 31: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Source: U.S. Department of Agriculture, Economic Research Service. 2012. Table 51 -- Refined cane and beet sugar: estimated number of per capita calories consumed daily, by calendar year. Table 52 -- High fructose corn syrup: estimated number of per capita calories consumed daily, by calendar year. Table 53 -- Other sweeteners: estimated number of per capita calories consumed daily, by calendar year. See column I, Per capita consumption (adjusted for loss) lb/yr http://www.ers.usda.gov/data-products/sugar-and-sweeteners-yearbook-tables.aspx#25512, Centers for Disease Control and Prevention, National Diabetes Surveillance System. 2010. Long-term Trends in Diabetes, October 2010 http://www.cdc.gov/diabetes/statistics/slides/long_term_trends.pdf, Centers for Disease Control and Prevention. 2010. Prevalence of overweight, obesity and extreme obesity among adults: United States, trends 1960-62 through 2005-2006. http://www.cdc.gov/nchs/data/hestat/overweight/overweight_adult.htm. Obesity Rates 2007-2010 Source: Flegal KM, Carroll MD, Ogden CL, Curtin LR. 2010. Prevalence and Trends in Obesity Among US Adults, 1999-2008. JAMA, January 20, 2010—Vol 303, No. 3. http://jama.ama-assn.org/content/303/3/235.full.pdf+, and Flegal KM, Carroll MD, Kit BK, Ogden CL. 2012. Prevalence of Obesity and Trends in the Distribution of Body Mass Index Among US Adults, 1999-2010. JAMA, February 1, 2012 - Vol. 307, No. 5 http://jama.ama-assn.org/content/307/5/491.full.pdf+html.

Page 32: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

September 18, 2012 Commentary

Lack of evidence for high fructose corn syrup as the cause of the obesity epidemic DM Klurfeld, J Foreyt, TJ Angelopoulos and JM Rippe

Page 33: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Recent Scientific Research

Page 34: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

The very high levels of fructose used in many studies are not found in the human diet

Page 35: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Studies with Fructose

Page 36: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Review of 13 studies examining the effects of HFCS compared with other nutritive sweeteners Conclusion: “These studies consistently found little evidence that HFCS differs uniquely from sucrose and other nutritive sweeteners in metabolic effects (circulating glucose, insulin, postprandial triglycerides, leptin and ghrelin), subjective effects (hunger, satiety and energy intake at subsequent meals) and adverse effects such as risk of weight gain.”

Evidence Analysis Library

Page 37: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Current market research and high fructose corn syrup

Page 38: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Conducted by Mintel Research Consultancy April 2011

2,005 primary household grocery shoppers

30 questions

Asked about HFCS in relation to other sugars and ingredients

Page 39: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

When you read labels, what information are you looking for? (Multiple responses accepted)

Page 40: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

In the last six months, have there been any particular foods, beverages, or specific ingredients that you and your family are trying to consume less of or avoid? (Multiple responses accepted)

Page 41: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

HFCS MENTIONS ARE LESS THAN 1% OF TOTAL SOCIAL MEDIA INGREDIENT CONVERSATIONS

Social Media Conversations

Page 42: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Communicating Health Messages

Page 43: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Communication goals:

Simple, direct, actionable messages

Behavior‐change focused

Page 44: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Monitor food and beverage intake, physical activity, and body weight Reduce portion sizes When eating out, make healthier choices Limit screen time Make more nutrient‐dense choices; nutrient dense breakfast Know calorie limits Place individual food choices into total diet/overall eating pattern

Promote Calorie Balance in Food and Beverage Intake

Page 45: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

HFCS is nutritionally and metabolically equivalent to sugar and honey

Dietary recommendations for added sugars

Moderation and “personalized” nutrition

Talking with your clients and peers…

Page 46: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Resources

Page 47: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

SweetenerStudies.com Reviews from prominent experts

Page 48: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

, facts SweetSurprise.com Consumer information, scientific facts

Page 49: High Fructose Corn Syrup: Current Conversations · How is HFCS Made? High fructose corn syrup is made from corn using a process called wet milling. In general, the process includes:

Thank you!

Any questions?