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• W2046290111 abstract "Obesity (Silver Spring): A recent article by Rezvani et al. ((1)) compares the relative effects of fructose- and glucose-sweetened beverages at 25% of total energy on plasma acylation stimulating protein, adiponectin, and leptin concentrations. For all its biochemical probing and attempted mechanistic integration, the paper suffers from a fundamental flaw: its protocol is simply not relevant to the normal human diet. First, humans do not eat fructose and glucose separately, as tested in this protocol. They are consumed together in approximately equal ratios from both natural (fruits, vegetables, and nuts) and added sources (sucrose, high fructose corn syrup, honey, and fruit juice concentrates). Though the fructose- or glucose-sweetened test beverages were consumed against the background of an ad libitum diet, it is reasonable to expect that subject glucose-to-fructose ratios would be substantially distorted from the normal whole-diet ratio of 5-to-1 ((2)). And even in the absence of actual composition data, it is clear from the variation in reported daily energy intakes (author Table 1) that the dietary makeup of fructose- and glucose-subject groups was considerably different, further confounding data interpretation. Second, the level of sugar tested—25% of energy as fructose (% E)—was clearly excessive in comparison with normal human exposure. Marriott et al. analyzed NHANES data to estimate human fructose intakes, and reported 9.1 and 14.6% E for the overall population mean and 95th percentile, respectively ((3)). The 25% E level tested by Rezvani et al. is far higher even than the population subgroup consuming the greatest amount of fructose (<18% E by young adults aged 19–22). Use of single-sugar and exaggerated dose design elements are protocol choices by the authors that are difficult to justify. However provocative the results may appear, the protocol remains artificial, distorts normal biochemistry, and cannot be used to predict the effects of fructose on human metabolism and disease states. The study by Rezvani et al. is simply not relevant." @default.
• W2046290111 created "2016-06-24" @default.
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• W2046290111 date "2013-09-17" @default.
• W2046290111 modified "2023-10-04" @default.
• W2046290111 title "Effect of fructose vs. glucose on acylation stimulating protein, leptin, and adiponectin lacks relevance" @default.
• W2046290111 cites W1578040554 @default.
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• W2046290111 doi "https://doi.org/10.1002/oby.20551" @default.
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