Assize Index

糖與代糖

木糖醇

GI(Glucose = 100)

主要來源 · 13 GI

Livesey — Health potential of polyols as sugar replacers (Nutrition Research Reviews) (2003)

Energy(kcal/100g)

主要來源 · 240 kcal/100g

FDA — calorie conversion factors for sugar alcohols (nutrition labeling) (2016)

Carbs(g/100g)

主要來源 · 100 g/100g

FDA — calorie conversion factors for sugar alcohols (nutrition labeling) (2016)

Sugars(g/100g)

主要來源 · 0 g/100g

FDA — calorie conversion factors for sugar alcohols (nutrition labeling) (2016)

功能性益處

  • 不會促進蛀牙

    21 CFR 101.80 eligible sugar alcohol when food sugars/plaque-pH criteria are met. Not an anticaries drug claim.

    FDA — 21 CFR 101.80 Health claims: noncariogenic carbohydrate sweeteners and dental caries (2024)

  • 習慣性使用可減少變異鏈球菌

    Review of clinical / plaque studies: xylitol disrupts S. mutans energy cycle and can support remineralization context (often chewing gum, ~5–10 g/d split doses). Vehicle and dose matter — not a drug claim.

    Nayak et al. — Xylitol on dental caries and oral flora (J Int Soc Prev Community Dent) (2014)

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

  • 可能引起滲透性腸胃不適

    caution

    Largest symptom-free single dose 0.37 g/kg in men, 0.42 in women (10–50 g in water, 55 young adults). In men, 30 g gave symptoms in 4 of 26 and 40 g in half. A drink with 35 g or 50 g caused significant symptoms and watery stools (Storey 2007). Not a medical diagnosis. Scored: −5 on Everyday Health, Diabetic-friendly and Minimally processed — largest symptom-free single dose 0.3–0.4 g/kg.

    Oku & Nakamura — Threshold for transitory diarrhea induced by ingestion of xylitol and lactitol in young male and female adults (J Nutr Sci Vitaminol) (2007)

  • 血液濃度與心臟事件有關聯

    note

    European Heart Journal 2024: among 2,149 patients having cardiac evaluation, the highest vs lowest third of blood xylitol had more heart attacks, strokes or deaths over 3 years — adjusted HR 1.57 (1.12–2.21). A xylitol drink raised platelet responsiveness in 10 healthy adults. Blood levels the body also makes, in at-risk patients; no authority review on file yet. Scored: CV signal −7 on Everyday Health, Weight goals and Diabetic-friendly (not on Easy on the liver) — a serious outcome at low certainty.

    Witkowski et al. — Xylitol is prothrombotic and associated with cardiovascular risk (European Heart Journal) (2024)

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

還沒有額外的背景註記。

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。