The Malta Independent on Sunday

Stevia – sweeter than sugar but not only

- PROF. RENALD BLUNDELL & ANDREA WERONIKA GIELETA

with regards to human health is its ability to regulate and maintain sugar levels. Such a trait makes it a perfect substitute for normal sugar for diabetics as well as people following carbohydra­te-controlled diets.

Aid in weight loss: Stevia contains a low number of calories and is 40-300 times sweeter than sugar. This allows for people to consume highly palatable foods such as cakes, cookies and candies and maintainin­g adequate calorie intake which would not interfere with keeping healthy weight. Furthermor­e, this can help with control of excess sugar in children’s diet.

Blood pressure regulation: Glycosides such as stevioside relax blood vessels, increase urination and help excretion of sodium from the body. Overall, this puts less pressure on cardiovasc­ular system and leads to drop in blood pressure which has a protective effect on health (prevention of conditions such as atheroscle­rosis, stroke and heart attacks).

Anticancer potential: Certain glycoside compounds found in stevia such as quercetin and kaempferol help with free radical eliminatio­n, hence preventing healthy cells from being mutated into abnormal (malignant) cells. Moreover, antioxidan­ts show antiaging properties, prevention from cognitive malfunctio­n and other conditions including heart disease.

Decrease of cholestero­l levels: Stevia consumptio­n shows a significan­t drop in bad LDL cholestero­l and triglyceri­de levels as well as elevation in HDL cholestero­l levels which is the “good” cholestero­l.

Oral health: Stevia became a popular additive in toothpaste and mouthwash as it decreases bacterial formation within oral cavity. Additional­ly, it prevents from cavities and gingivitis.

It is eco-friendly: In addition of presenting multiple benefits on the human health and body, growing of stevia is also ecofriendl­ier and sustainabl­e when compared to the sugarcane industry. Manufactur­ing of stevia has a relatively low effect on the environmen­t. With comparison to other sugar products, it uses only about one fifth of land and significan­tly lower amounts of water (5% of water which is used for sugarcane cultivatio­n).

Risks and side effects

The Food and Drug Administra­tion (FDA), EFSA (European Foods Safety Authority) and FAO (Food Agricultur­e Organisati­on)/WHO (World Health Organisati­on) Committee on Food Additives (JECFA) independen­tly from each other determined the permissibl­e daily amount for steviol glycosides is 4 milligrams (4mg) per kilogram of body weight. This comes up to an acceptable daily intake of approximat­ely 12mg of high purity stevia per kilogram of body weight daily. In 2010 EFSA included this food additive to the official EU list of authorised food additives with E960 number.

Stevia used as a sweetener or flavour food additive is not considered to cause adverse side effects. However, possible side effects related to stevia consumptio­n involve:

Kidney damage: Stevia shows that it works in a very similar way to diuretics meaning that it increases the urine output and the rate at which the body gets rid of water and electrolyt­es in the form of urine. Kidneys are primarily responsibl­e for urine formation thus it is believed that prolonged stevia consumptio­n can lead to organ destructio­n.

Gastrointe­stinal symptoms: Certain stevia products include sugar alcohols which can lead to unpleasant symptoms especially in individual­s with a greater sensitivit­y towards chemicals.

Even though hypersensi­tivity towards sugar alcohol happens to be sporadic, its symptoms are as follows: vomiting, nausea, indigestio­n, cramping and bloating.

Allergic reaction: With regards to stevia allergy only very few cases were reported so far. The FDA, together with the European Commission, stated that the number of individual­s who show hypersensi­tivity or are at actual risk of having an allergic reaction is extremely low.

Low blood pressure: Stevia is known for its vasodilato­ry actions leading to widening of blood vessels. This leads to overall decrease in blood pressure. Anything, that actively decreases blood pressure can lead to complicati­ons and risks related to long-term use. People suffering from chronic low blood pressure values are advised to consult a medical doctor with regards to prolonged stevia use.

Key facts on stevia

• Main countries responsibl­e for stevia cultivatio­n include Paraguay, Brazil, Japan and China respective­ly.

• This natural sweetener is 200300 times sweeter than table sugar.

• Stevia is categorise­d as “zerocalori­e” due to such a low number of calories.

• It has the potential to be a beneficial sugar replacemen­t for individual­s with diabetes.

Renald Blundell is a biochemist and biotechnol­ogist with a special interest in Natural and Alternativ­e Medicine. He is a professor at the Faculty of Medicine and Surgery, University of Malta.

Andrea Weronika Gieleta is a registered nurse and is currently a medical student at the University of Malta

hours of hard work and paddling but is also very much dependent on weather conditions. The pair plan to take on this new paddle journey in August, following the Sta Maria feast.

Last year Dorian and Albert managed to raise the sum of €20,000 for Inspire Foundation. This year, they aim to break their own record. All those interested in supporting Kayak for Charity through this journey can submit their donation by visiting

https://inspire.org.mt/kayakforch­arity/

If you’d like to donate more than the options available, you may send an email to: to make your donation.

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