Steviol glycosides - Toxicology


Steviol glycosides are natural sweeteners derived from the leaves of the Stevia rebaudiana plant, commonly used as an alternative to sugar. Their use has expanded globally due to their high sweetness potency and potential health benefits. However, from a toxicological perspective, it is crucial to understand their safety profile and any potential health implications.

What Are Steviol Glycosides?

Steviol glycosides are a group of compounds that include stevioside and rebaudioside A, which are responsible for the sweet taste of stevia leaves. These compounds are much sweeter than sucrose and are often used in food and beverages to provide sweetness without the caloric content of sugar.

Safety and Regulatory Status

The safety of steviol glycosides has been evaluated by several health authorities worldwide. The Joint FAO/WHO Expert Committee on Food Additives (JECFA) has established an Acceptable Daily Intake (ADI) for steviol glycosides of 0-4 mg/kg body weight per day, expressed as steviol equivalents. Regulatory agencies in various countries, including the United States FDA and the European Food Safety Authority (EFSA), have also assessed these compounds and consider them safe for consumption within the established ADI.

Metabolism and Excretion

Steviol glycosides are not absorbed in the upper gastrointestinal tract; instead, they are metabolized by the gut microbiota into steviol, which is then absorbed. Steviol is primarily excreted in the urine, indicating that it does not accumulate in the body. This metabolic pathway helps to minimize potential toxic effects.

Potential Toxicological Concerns

While steviol glycosides are generally considered safe, there have been concerns about their potential effects on reproductive health and genotoxicity. However, extensive studies have shown no significant adverse effects at levels below the established ADI. Chronic toxicity studies in animals have not demonstrated carcinogenic effects, and reproductive studies have not shown adverse effects on fertility or developmental outcomes.

Impact on Blood Sugar Levels

One of the appealing aspects of steviol glycosides is their negligible impact on blood sugar levels, making them an attractive option for individuals with diabetes or those looking to manage their blood glucose levels. Studies suggest that steviol glycosides do not affect insulin sensitivity or blood glucose homeostasis.

Interactions with Medications

Although rare, potential interactions with medications should be considered. For instance, their use may affect individuals on antihypertensive drugs, as some studies suggest that steviol glycosides might have a blood pressure-lowering effect. However, more research is needed to fully understand these interactions.

Conclusion

In summary, steviol glycosides are a safe and effective alternative to sugar, with a well-established safety profile supported by extensive toxicological research. While they offer a sweet solution for those seeking to reduce sugar intake, it is important to adhere to the recommended ADI and consider any potential interactions with medications. Ongoing research continues to enhance our understanding of their long-term effects and potential health benefits.



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