Assize Index

糖與代糖

阿斯巴甜

代糖合成日常健康排名

GI(Glucose = 100)

主要來源 · 0 GI

High-intensity sweeteners — no available carbohydrate for classical GI (2020)

Energy(kcal/100g)

主要來源 · 0 kcal/100g

High-intensity sweeteners — no available carbohydrate for classical GI (2020)

Carbs(g/100g)

主要來源 · 0 g/100g

High-intensity sweeteners — no available carbohydrate for classical GI (2020)

Sugars(g/100g)

主要來源 · 0 g/100g

High-intensity sweeteners — no available carbohydrate for classical GI (2020)

功能性益處

還沒有附出處的礦物質或其他功能註記。

已引述的礦物質可在 日常最適合的甜味劑 上最多加 +2 分,見 Methods。

風險與副作用

  • 苯丙氨酸(苯酮尿症)

    caution

    FDA labeling requirement. Avoid if you have PKU. Not scored — it matters only to people with phenylketonuria, a rare inherited condition, for whom the answer is avoid, not a few points.

    FDA — Aspartame and other sweeteners in food (PKU labeling) (2023)

  • IARC 2B 類

    caution

    Possibly carcinogenic (limited evidence in humans, for liver cancer). JECFA reaffirmed ADI 0–40 mg/kg bw; dietary exposure within ADI not a health concern. Not scored on its own — a hazard class (could it cause cancer at some dose), not a risk estimate. The cancer signal below scores the human cohort link; IARC's liver-cancer evidence is why that signal also applies on Easy on the liver.

    WHO — IARC Group 2B + JECFA ADI reaffirmation for aspartame (joint release) (2023)

  • 世代研究發現與癌症有關聯

    note

    PLOS Medicine 2022 NutriNet-Santé (102,865 adults): overall cancer HR 1.15 (1.03–1.28) for higher consumers vs non-consumers; breast cancer HR 1.22. Observational association, not proof of cause; JECFA (2023) found the evidence not convincing and kept the ADI. Scored: cancer signal −7 on every list, Easy on the liver included (synthetics are not on Diabetic-friendly).

    Debras et al. — Artificial sweeteners and cancer risk: NutriNet-Santé cohort (PLOS Medicine) (2022)

  • 可能誘發敏感族群頭痛或偏頭痛

    note

    RCT in self-identified susceptible adults: more headache-days on aspartame than placebo. Not proven for everyone. FDA AERS reports are surveillance noise, not causal proof. Not scored — shown only in a self-selected sensitive subset.

    Van Den Eeden et al. — Aspartame ingestion and headaches, randomized crossover (Neurology) (1994)

  • WHO 不建議用於體重控制

    caution

    WHO 2023, conditional (low certainty): not for weight control or lowering disease risk — no long-term body-fat benefit. Not a safety ruling. Scored: the energy points it earns over sucrose are taken back on Everyday Health, Weight goals and Easy on the liver; not on Diabetic-friendly (WHO excludes people with diabetes).

    WHO — Use of non-sugar sweeteners: WHO guideline (2023)

  • 世代研究發現與腦血管疾病有關聯

    note

    BMJ 2022 NutriNet-Santé (103,388 adults): HR 1.17 (1.03–1.33). Observational association, not proof of cause. Scored: CV signal −7 on Everyday Health and Weight goals (synthetics are not on Diabetic-friendly; not on Easy on the liver), once per sweetener however many links.

    Debras et al. — Artificial sweeteners and risk of cardiovascular diseases: NutriNet-Santé cohort (BMJ) (2022)

這不是醫療建議。若該項目會依公開公式扣分,細節列在「分數怎麼算」;分數不代表臨床嚴重程度。

註記

  • No cited functional-benefit mechanism beyond intense sweetness on this row. WHO/IARC 2023 hazard classification (Group 2B, limited evidence) is already listed under Risks; JECFA kept the ADI unchanged.

    Editorial honesty note. Do not extend IARC 2B to other intense sweeteners without their own cites.

    WHO — IARC Group 2B + JECFA ADI reaffirmation for aspartame (joint release) (2023)

註記說明公開軸或風險標籤本身看不出來的事,不是醫療建議。

空白表示目前找不到方法清楚、可引用的資料。表格第一名只代表依公開規則計算後居首,不是醫療認證。