Division of Diabetes, Endocrinology & Gastroenterology, School of Medical Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Sciences Centre, The University of Manchester, Oxford Rd, Manchester M13 9PL, UK.
Department of Gastroenterology, Salford Royal NHS Foundation Trust, Stott Lane, Salford M6 8HD, UK.
Nutrients. 2020 Oct 6;12(10):3049. doi: 10.3390/nu12103049.
Stevia is a non-nutritive sweetener, providing sweet taste with no calories. This randomised, controlled, open-label 2-parallel arm trial examined the effects of daily stevia consumption on glycaemia in healthy adults. Secondary endpoints included body weight (BW) and energy intake (EI). Healthy participants ( = 28; aged 25 ± 5y, body mass index 21.2 ± 1.7 kg/m) were randomised into either the stevia group ( = 14)-required to consume a stevia extract daily-or to the control group ( = 14). At weeks 0 and 12, the glucose and insulin responses to an oral glucose tolerance test were measured; BW and EI were assessed at weeks 0, 6, and 12. There was no significant difference in the glucose or insulin responses. There was a significant main effect of group on BW change (F(1,26) = 5.56, = 0.026), as the stevia group maintained their weight as opposed to the control group (mean weight change at week 12: -0.22 kg, 95%CI [-0.96, 0.51] stevia group, +0.89 kg, 95%CI [0.16, 1.63] control group). The energy intake was significantly decreased between week 0 and 12 in the stevia group ( = 0.003), however no change was found in the control group ( = 0.973). Although not placebo-controlled, these results suggest that daily stevia consumption does not affect glycaemia in healthy individuals, but could aid in weight maintenance and the moderation of EI.
甜菊糖是一种无营养的甜味剂,提供甜味而无热量。这项随机、对照、开放标签的 2 臂平行试验研究了每日甜菊糖消费对健康成年人血糖的影响。次要终点包括体重 (BW) 和能量摄入 (EI)。将健康参与者 ( = 28;年龄 25 ± 5 岁,体重指数 21.2 ± 1.7 kg/m) 随机分为甜菊糖组 ( = 14)-需要每天消费甜菊糖提取物-或对照组 ( = 14)。在 0 周和 12 周时,测量口服葡萄糖耐量试验的血糖和胰岛素反应;在 0 周、6 周和 12 周时评估 BW 和 EI。血糖或胰岛素反应无显著差异。BW 变化的组间存在显著的主要效应 (F(1,26) = 5.56, = 0.026),因为甜菊糖组保持了体重,而对照组则体重增加 (第 12 周时的体重变化:-0.22 kg,95%CI[-0.96, 0.51]甜菊糖组,+0.89 kg,95%CI[0.16, 1.63]对照组)。在甜菊糖组中,EI 从第 0 周到第 12 周显著减少 ( = 0.003),但对照组中未发现变化 ( = 0.973)。尽管未进行安慰剂对照,但这些结果表明,每日甜菊糖消费不会影响健康个体的血糖,但可能有助于维持体重和调节 EI。