Many of us use sugar substitutes on a regular basis. Which ones are the safest?  The following is a Food and Drug Administration (FDA) release on the status of sugar substitutes.

Release…May 19, 2014

Whether it’s to cut down on the number of calories they consume or any of a variety of other reasons, some people use sugar substitutes – also called high-intensity sweeteners – to sweeten and add flavor to their foods. They can be used alone to sweeten foods and beverages such as iced tea or coffee, or as an ingredient in other products. There are a number of sugar substitutes on the market from which to choose.

“Sugar substitutes are called ‘high-intensity’ because small amounts pack a large punch when it comes to sweetness,” says Captain Andrew Zajac, U.S. Public Health Service (USPHS), director of the Division of Petition Review at the Food and Drug Administration (FDA). According to Zajac, unlike sweeteners such as sugar, honey, or molasses, high-intensity sweeteners add few or no calories to the foods they flavor. Also, high-intensity sweeteners generally do not raise blood sugar levels.

The FDA has approved a new high-intensity sweetener called advantame.

Advantame—which does not yet have a brand name (such as Sweet’N Low, a brand name for saccharin, or Equal, a brand name for aspartame)—has been approved as a new food additive for use as a sweetener and flavor enhancer in foods, except meat and poultry.

Examples of uses for which advantame has been approved include baked goods, non-alcoholic beverages (including soft drinks), chewing gum, confections and frostings, frozen desserts, gelatins and puddings, jams and jellies, processed fruits and fruit juices, toppings, and syrups.

How Do You Know it’s  Safe?

FDA is required by law to review all new food additives for safety before they can go on the market. The process begins when a company submits a food additive petition to FDA seeking approval. One exception is for substances “generally recognized as safe,” or GRAS, because those substances are generally recognized by qualified experts as safe under the conditions of intended use and are exempt from the food additive approval process.

Zajac explains that the agency’s scientists thoroughly review all the scientific evidence submitted by a company to ensure the product is safe for the intended use.

“In determining the safety of advantame, FDA reviewed data from 37 animal and human studies designed to identify possible toxic (harmful) effects, including effects on the immune, reproductive and developmental, and nervous systems,” Zajac says.

Advantame is chemically related to aspartame, and certain individuals should avoid or restrict the use of aspartame. To that end, FDA evaluated whether the same individuals should avoid or restrict advantame, as well.

People who have phenylketonuria (PKU), a rare genetic disorder, have a difficult time metabolizing phenylalanine, a component of both aspartame and advantame. Newborns are tested for PKU using a common “heel-prick” test before they leave the hospital.

Foods containing aspartame must bear an information statement for people with PKU alerting them about the presence of phenylalanine. But advantame is much sweeter than aspartame, so only a very small amount needs to be used to reach the same level of sweetness. As a result, foods containing advantame do not need to bear that statement.

Five Sugar Substitutes Already on the Market:

The last high-intensity sweetener approved by FDA was Neotame (brand name Newtame) in 2002. The other four on the market, and are:

• Saccharin, was first discovered and used in 1879, before the current food additive approval process came into effect in 1958. Brand names include Sweet‘N Low

• Aspartame, first approved for use in 1981. Brand names include Equal

• Acesulfame potassium (Ace-K), first approved for use in 1988. Brand names include Sweet One

• Sucralose, first approved for use in 1998. Brand name is Splenda

In addition to the six sugar substitutes ( high-intensity sweeteners) that are FDA-approved as food additives, the agency has received and has not questioned GRAS notices for two types of plant/fruit based high-intensity sweeteners: certain steviol glycosides obtained from the leaves of the stevia plant (Stevia rebaudiana (Bertoni) Bertoni) and extracts obtained from Siraitia grosvenorii Swingle fruit, also known as Luo Han Guo or monk fruit.

While these sugar substitutes (high-intensity sweeteners) are considered safe for their intended uses, certain individuals may have a particular sensitivity or adverse reaction to any food substance. Consumers should share with their health care provider any concerns they have about a negative food reaction.

In addition, FDA encourages consumers to report any adverse events through MedWatch: FDA’s safety information and adverse event reporting program.

This article appears on FDA’s Consumer Updates page, which features the latest on all FDA-regulated products.

Congress passed the Hunger-Free Kids Act in 2010 with bipartisan support to help ensure every American child had access to the nutrition they need to grow into healthy adults. One goal of the law was to help reduce America’s childhood obesity epidemic and reduce health risks for America’s children by helping schools across the country produce balanced meals so children had access to healthy foods during the school day. USDA based the new school meal standards on independent, expert recommendations from the Institute of Medicine to ensure kids are being fed healthy food while they are at school.

Results of the Healthy-Hunger Free Kids Act school meals provision to date include:

• Kids are eating more fruits and vegetables as a result of updated standards. A recent Harvard study has concluded that, under the updated standards, kids are now eating 16 percent more vegetables and 23 percent more fruit at lunch.
• Over 90 percent of schools report that they are successfully meeting the updated nutrition standards. Students across the country are experiencing a healthier school environment with more nutritious options. The new meals are providing children more whole grains, fruits and vegetables, lean protein and low-fat dairy, as well as less sugar, fat, and sodium.
• School lunch revenue is up. Despite concerns raised about the impact of new standards on participation and costs, a USDA analysis suggests that in the first year of implementing updated meal patterns, schools saw a net nationwide increase in revenue from school lunches of approximately $200 million. This includes the annual reimbursement rate adjustments, as well as increased revenue from paid meals and the additional 6 cents per meal for schools meeting the new meal standards.
• Healthy food standards have not increased food waste. While reducing plate waste at schools, homes and workplaces continues to be a priority for USDA, a recent study by the Harvard School of Public Health showed that new school meal standards did not result in increased food waste.
• Participation is increasing substantially in many areas of the country. USDA has received reports from many schools indicating a positive response to healthier offerings and increased participation. Examples include Los Angeles, Dallas, and some of Florida’s largest school districts. In fact, Los Angeles Unified-one of the nation’s largest school districts-has seen a 14% increase in participation under the new meal standards. As more kids and schools continue to successfully make the transition to the new standards, USDA expects participation to keep climbing.
• HHFKA has led to participation increases within many schools. The Community Eligibility Provision (CEP) under the HHFKA has been successfully implemented in almost 4,000 schools in early adopting States. More than 600 school districts across 11 States have at least one school participating in CEP. The evaluation results demonstrate that participating schools were able to increase participation in their meals programs, and as well as experience revenue gains and decreased administrative costs.
• Virtually all schools continue to participate. Data from states indicated very few schools (only 0.15% of schools nationwide) reported dropping out of the programs due to struggles over providing kids healthy food. State agencies reported that the schools no longer participating in the NSLP were mainly residential child care institutions and smaller schools with very low percentages of children eligible for free and reduced price meals.
• USDA has and will continue to listen to stakeholders and provide guidance and flexibilities, as appropriate, to help schools and students adapt to the updated requirements. Early in the implementation process for school meals, when schools asked for flexibility to serve larger servings of grains and proteins within the overall calorie caps, USDA responded. In January of this year, that flexibility was made permanent. USDA is also phasing other requirements in over the next several years. And hearing schools concerns on the lack of availability of whole grain pasta, USDA is allowing schools that have demonstrated difficulty in obtaining adequate whole grain pasta to use traditional pastas for an additional two years while industry works to create better whole grain pasta products.

• USDA is helping schools encourage kids to choose new healthier options. Most recently, the Department announced $5.5 million in new grants to support Smarter Lunchrooms, a broad toolkit of easy-to-implement, low-cost, evidence-based strategies that increase consumption of healthier foods and decrease plate waste.

• USDA is supporting numerous training sessions in conjunction with our partners to help schools implement the updated meal standards and prepare for Smart Snacks. USDA has completed seven sessions with various audiences since the rule was published, and additional training is planned for the rest of the year. The Department has made in-person trainings at 16 school professional organization meetings and have tree more scheduled this spring and summer.

• USDA is supporting implementation of the updated school meals standards and new Smart Snacks standards through a variety of additional methods.

It’s time to put the shovels away. It’s time to check and see if you light-weight clothes still fit, and what clothes need to be replaced.

Finally, after a long, hard winter, it is time to get outside and get physical !

Whatever you are planning to do, be it running, walking, playing tennis, biking, gardening or home repairs you’ll need some fuel to keep you going!

Take the time to review some great snacks suggestions from the Centers for Disease Control, CDC:

• Fresh veggies like carrots and celery sticks
• Snack-sized boxes of raisins
• Pretzels
• Low-fat yogurt
• Crackers — try graham crackers, animal crackers, or saltines
• Bagels
• Fig bars
• Fruit juice boxes (make sure you choose 100% pure fruit juice, or for an added boost, try orange juice with added calcium)
• Small packages of trail mix
• Fresh fruits such as bananas, oranges, grapes (try freezing your grapes for a new taste sensation!), and berries

No matter what type of physical activity you do, you should always be sure to drink plenty of water — before you start, during the activity, and after you’re done, even if you don’t feel thirsty.

What you are eating and drinking will be a great example for your children. When it is time for them to grab a snack, they will be less likely to want sugary drinks, candy and cookies as snacks following a physical activity.

MedlinePlus, a service of the U.S. National Library of Medicine National Institutes of Health published the following press release on their site regarding  study findings that support kids teaching kids when it comes to fighting obesity.

MONDAY, Feb. 10, 2014 (HealthDay News) — When older kids teach younger kids about nutrition and the benefits of exercise, the little ones seem to lose weight and gain knowledge about healthy living, Canadian researchers report.

Such a program — called Healthy Buddies — was tested in Manitoba elementary schools. It helped heavy kids lose an average of half an inch off their waist and increased their knowledge of diet and exercise, the researchers said.

“Engaging older kids in delivering health messages to younger peers is an effective method for preventing weight gain, improving knowledge of healthy living and increasing self-esteem,” said lead researcher Jonathan McGavock, an assistant professor at the University of Manitoba.

“The effects of this peer mentoring model of healthy living promotion is particularly effective for overweight children,” McGavock said. This approach — detailed online in the Feb. 10 issue of the journal JAMA Pediatrics — could help curb the obesity epidemic among young children in North America, he said. The percentage of U.S. children aged 6 to 11 considered obese increased from 7 percent in 1980 to nearly 18 percent in 2010, according to the U.S. Centers for Disease Control and Prevention.

McGavock said younger children see older children as role models, which is why their advice is taken more seriously than when the same message is delivered by adults. “Younger children likely pay more attention to messages or cues from older peers,” he said. “Therefore, proper role modeling of healthy behaviors should be a key objective of elementary schools.”

Dr. David Katz, director of the Yale University Prevention Research Center in New Haven, Conn., said he wasn’t surprised by the findings. “In my many interactions with parents regarding the importance of good nutrition in childhood, one of the more frequent protests over the years has been peer pressure,” Katz said. “Parents, it seems, often feel powerless to overcome the negative influence of peers eating badly.”

But Katz, a father of five, said he has seen the upside of peer pressure. “My wife and I have shared our devotion to healthy living with our children, and they have made it their own,” he said. “They, in turn, have helped pay it forward, influencing their peers favorably.”This paper illustrates the opportunity to convert negative peer pressure into a positive peer influence,” Katz said.

“We can teach healthy living skills to older kids and they, of course, benefit,” he said. “They can then help pass these skills along to younger kids, and both groups benefit some more. This paper highlights an important opportunity we have only begun to leverage — peer pressure, for good.”

Healthy Buddies has lessons that focus on physical activity, healthy eating, self-esteem and body image. The instruction is given by 9- to 12-year-olds to 6- to 8-year-olds.

In this study, 19 schools were randomly assigned to use the Healthy Buddies curriculum or their regular instruction during the 2009-’10 school year. Over the course of the school year, the researchers looked at changes in waist size and body-mass index (BMI), as well as physical activity, heart fitness, self-image and knowledge about healthy living and diet.

They found that the waist size of children in the Healthy Buddies program dropped an average of half an inch compared with children in the regular curriculum. There was no difference in BMI — a measurement of fat based on height and weight — between the groups.

Based on responses to questionnaires, knowledge about healthy living, self-image and diet increased among kids in the Healthy Buddies program, compared with other children, the researchers said. No differences, however, were seen between the groups in terms of physical activity (steps taken per day) or heart and lung fitness, the researchers said.

This suggests that the reduction in waist size seen among the Healthy Buddies participants is attributable to dietary changes, the researchers said.

SOURCES: Jonathan McGavock, Ph.D., assistant professor, University of Manitoba, Winnipeg, Canada; David Katz, M.D., M.P.H., director, Yale University Prevention Research Center, New Haven, Conn.; Feb. 10, 2014, JAMA Pediatrics, online

The School Nutrition Association (SNA) launched a PR campaign called Tray Talk in 2010. The official website (www.TrayTalk.org), is designed to emphasize the benefits of school meals and showcase success stories from school nutrition programs nationwide. SNA members can help send positive messages about school meals by submitting their own “school nutrition success stories” at the Tray Talk website.

Here is some of the information shared on the site:

School meals are well-balanced, healthy meals that are required to meet science-based, federal nutrition standards.

• • No more than 30% of calories can come from fat, less than 10% from saturated fat
  • Meals must provide 1/3 of Recommended Dietary Allowances of protein, vitamins A and C, iron and calcium
  • School meals are served in age-appropriate portion sizes
• Every School Lunch Includes five choices that add up to a great value:
  • Milk – Fat free or 1% – flavored or regular
  • Vegetables – From jicama slaw to fresh carrot sticks
  • Fruit – Everything from kiwi to locally grown apples; often fresh
  • Grains – More whole grain items like rolls or sandwich bread
  • Meat or meat alternate –White meat chicken, bean chili, lean beef

•  In January 2011, the US Department of Agriculture released proposed nutrition standards including new calorie and sodium limits, larger fruit and vegetable serving sizes and requirements to expand the variety of vegetables served in schools each week. The standards were finalized in 2012.
  

The School Nutrition Association makes the case for your child eating a school lunch saying, “A school lunch provides students with their choice of milk, fruits and vegetables, grains and proteins. School meals are a great value and a huge convenience for busy parents. School cafeterias offer students a variety of healthy choices and help children learn how to assemble a well-balanced meal. Parents can be assured that there’s no super-sizing in school cafeterias because federal regulations require schools to serve age-appropriate portions.”

For more information on healthy school meals, visit www.schoolnutrition.org.