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Title: Ibero-American consensus on low- and no-calorie sweeteners: safety, nutritional aspects and benefits in food and beverages
Authors: Serra-Majem, Lluis 
Raposo, Antonio
Aranceta-Bartrina, Javier
Varela-Moreiras, Gregorio
Logue, Caomhan
Laviada, Hugo
Socolovsky, Susana
Perez-Rodrigo, Carmen
Antonio Aldrete-Velasco, Jorge
Meneses Sierra, Eduardo
Lopez-Garcia, Rebeca
Ortiz-Andrellucchi, Adriana 
Gomez-Candela, Carmen
Abreu, Rodrigo
Alexanderson, Erick
Joel Alvarez-Alvarez, Rolando
Alvarez Falcon, Ana Luisa
Anadon, Arturo
Bellisle, France
Alejandra Beristain-Navarrete, Ina
Blasco Redondo, Raquel
Bochicchio, Tommaso
Camolas, Jose
Cardini, Fernando G.
Carocho, Marcio
Costa, Maria do Ceu
Drewnowski, Adam
Duran, Samuel
Faundes, Victor
Fernandez-Condori, Roxana
Garcia-Luna, Pedro P.
Carlos Garnica, Juan
Gonzalez-Gross, Marcela
La Vecchia, Carlo
Leis, Rosaura
Maria Lopez-Sobaler, Ana
Agustin Madero, Miguel
Marcos, Ascension
Mariscal Ramirez, Luis Alfonso
Martyn, Danika M.
Mistura, Lorenza
Moreno Rojas, Rafael
Moreno Villares, Jose Manuel
Antonio Nino-Cruz, Jose
Oliveira, Maria Beatriz P. P.
Palacios Gil-Antunano, Nieves
Perez-Castells, Lucia
Ribas-Barba, Lourdes
Rincon Pedrero, Rodolfo
Riobo, Pilar
Rivera Medina, Juan
Tinoco de Faria, Catarina
Valdes-Ramos, Roxana
Vasco, Elsa
Wac, Sandra N.
Wakida, Guillermo
Wanden-Berghe, Carmina
Xochihua Diaz, Luis
Zuniga-Guajardo, Sergio
Pyrogianni, Vasiliki
Velho de Sousa, Sergio Cunha
UNESCO Clasification: 3206 Ciencias de la nutrición
Keywords: Non-nutritive sweeteners
Low-calorie sweeteners
Added sugars
Issue Date: 2018
Publisher: 2072-6643
Journal: Nutrients 
Abstract: International scientific experts in food, nutrition, dietetics, endocrinology, physical activity, paediatrics, nursing, toxicology and public health met in Lisbon on 2-4 July 2017 to develop a Consensus on the use of low- and no-calorie sweeteners (LNCS) as substitutes for sugars and other caloric sweeteners. LNCS are food additives that are broadly used as sugar substitutes to sweeten foods and beverages with the addition of fewer or no calories. They are also used in medicines, health-care products, such as toothpaste, and food supplements. The goal of this Consensus was to provide a useful, evidence-based, point of reference to assist in efforts to reduce free sugars consumption in line with current international public health recommendations. Participating experts in the Lisbon Consensus analysed and evaluated the evidence in relation to the role of LNCS in food safety, their regulation and the nutritional and dietary aspects of their use in foods and beverages. The conclusions of this Consensus were: (1) LNCS are some of the most extensively evaluated dietary constituents, and their safety has been reviewed and confirmed by regulatory bodies globally including the World Health Organisation, the US Food and Drug Administration and the European Food Safety Authority; (2) Consumer education, which is based on the most robust scientific evidence and regulatory processes, on the use of products containing LNCS should be strengthened in a comprehensive and objective way; (3) The use of LNCS in weight reduction programmes that involve replacing caloric sweeteners with LNCS in the context of structured diet plans may favour sustainable weight reduction. Furthermore, their use in diabetes management programmes may contribute to a better glycaemic control in patients, albeit with modest results. LNCS also provide dental health benefits when used in place of free sugars; (4) It is proposed that foods and beverages with LNCS could be included in dietary guidelines as alternative options to products sweetened with free sugars; (5) Continued education of health professionals is required, since they are a key source of information on issues related to food and health for both the general population and patients. With this in mind, the publication of position statements and consensus documents in the academic literature are extremely desirable.
ISSN: 2072-6643
DOI: 10.3390/nu10070818
Source: Nutrients [ISSN 2072-6643],v. 10 (7), (Julio 2018)
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