Cavagnari Brian M
Escuela de Nutrición. Facultad de Ciencias de la Salud de la Pontificia Universidad Católica Argentina. Buenos Aires. Argentina.
Rev Esp Salud Publica. 2019 Aug 2;93:e201908052.
Many pregnancies have a weight gain that is higher than recommended, situation that carries several risks for the mother and her child. As a strategy to achieve a lower weight gain, the replacement of sugar-sweetened foods and beverages by those with non-caloric sweeteners could be a choice for pregnant or puerperal mothers. The objective of this article is to review the available evidence regarding the use of non-caloric sweeteners during pregnancy and lactation. Pregnancy is not a period to lose weight, so it would not be advisable to perform hypocaloric diets. However, to achieve an adequate weight gain during pregnancy, many women choose to consume food and beverages with non-caloric sweeteners. During pregnancy, the consumption of cyclamate, saccharin and crude stevia leaf should be avoided, as well as that of stevia infusions or extracts of the whole leaf. Regarding the rest of the approved non-caloric sweeteners, their consumption during pregnancy and lactation is considered to be safe, as long as they are consumed in moderation, adhering to their admissible daily intake levels. Aspartame does not reach breast milk. While saccharin, sucralose, and acesulfame-K are detectable in breast milk, their concentration is several orders of magnitude below their admissible daily intake levels.
许多孕妇体重增加超过推荐值，这种情况对母亲及其孩子有诸多风险。作为实现较低体重增加的一种策略，用含非热量甜味剂的食物和饮料替代含糖甜味的食物和饮料可能是怀孕或产后母亲的一种选择。本文的目的是综述关于孕期和哺乳期使用非热量甜味剂的现有证据。孕期不是减肥的时期，因此不宜进行低热量饮食。然而，为了在孕期实现适当的体重增加，许多女性选择食用含非热量甜味剂的食物和饮料。孕期应避免食用甜蜜素、糖精和粗制甜叶菊叶，以及甜叶菊冲泡液或全叶提取物。对于其余已批准的非热量甜味剂，只要适量食用并遵守其每日允许摄入量，在孕期和哺乳期食用被认为是安全的。阿斯巴甜不会进入母乳。虽然母乳中可检测到糖精、三氯蔗糖和安赛蜜-K，但它们的浓度比每日允许摄入量低几个数量级。
