The DOI matches its Crossref record; 63 of the 65 references it cites were found in a registry or an index.
Sugars, energy metabolism, and body weight control
Open accessAbstract
Obesity represents a major threat to health and quality of life. Although obesity has strong genetic determinants, it is generally accepted that it results from an imbalance between food intake and daily physical activity. Health guidelines have been focused on 3 particular lifestyle factors: increased levels of physical activity and reductions in the intakes of fat and sugars. The dietary guidelines, especially, are under debate. This review covers evidence from carefully controlled laboratory studies, clinical trials, studies in populations at high risk of developing obesity, and epidemiologic studies on the role of sugars, particularly sucrose, in the development of obesity. Although many environmental factors promote a positive energy balance, it is clear that the consumption of a low-carbohydrate, high-fat diet increases the likelihood of weight gain. The evidence related to carbohydrate, particularly sugars, and the type of food (solid or liquid) is less clear because the number of long-term ad libitum dietary intervention trials is very small. Data on sucrose intake in relation to metabolism and weight gain do not associate high consumption of sucrose with the prevalence of obesity. The evidence supports the current dietary guidelines for reducing fat intake. However, the effect of the carbohydrate source and class and of the form in which carbohydrate is consumed (solid or liquid) on body weight control requires further consideration.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Reduction in dietary intake of fat is frequently associated with increased intake of carbohydrates and leads to carbohydrate induced hypertriglyceridemia (HPTG) [64-69].”
From The case for low carbohydrate diets in diabetes management (2005) · cites this paper as [68]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Obesity : Preventing and managing the global epidemic
Akram, D. S., Astrup, A. V., Atinmo, T., Boissin, J.-L., Bray, G. A., Carroll, K. N., Chitson, P., Chen, C., Dietz, W. H., Hill, J. O., et al. (2000) · Research at the University of Copenhagen (University of Copenhagen) · Cited by 12,945
Ludwig, D. S., Peterson, K. E., & Gortmaker, S. L. (2001) · The Lancet · doi:10.1016/s0140-6736(00)04041-1 · Cited by 2,414
Role of Brain Insulin Receptor in Control of Body Weight and Reproduction
Brüning, J. C., Gautam, D., Burks, D. J., Gillette, J., Schubert, M., Orban, P. C., Klein, R., Krone, W., Müller-Wieland, D., & Kahn, C. R. (2000) · Science · doi:10.1126/science.289.5487.2122 · Cited by 2,235
Liu, S., Willett, W. C., Stampfer, M. J., Hu, F. B., Franz, M., Sampson, L., Hennekens, C. H., & Manson, J. E. (2000) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/71.6.1455 · Cited by 1,166 · cited 1×
“The calculation of an average dietary GI or glycemic load from food intake measurements can be seriously questioned because of the uncertainties of both food intake and GI measurements (42).”
BackgroundObesity in Britain: gluttony or sloth?
Prentice, A. M., & Jebb, S. A. (1995) · BMJ · doi:10.1136/bmj.311.7002.437 · Cited by 1,163
Willett, W. C., Dietz, W. H., & Colditz, G. A. (1999) · New England Journal of Medicine · doi:10.1056/nejm199908053410607 · Cited by 1,137
Weight, Weight Change, and Coronary Heart Disease in Women: Risk Within the 'Normal' Weight Range
Willett, W. C. (1995) · JAMA · doi:10.1001/jama.1995.03520300035033 · Cited by 924
Liquid versus solid carbohydrate: effects on food intake and body weight
DiMeglio, D., & Mattes, R. (2000) · International Journal of Obesity · doi:10.1038/sj.ijo.0801229 · Cited by 882
Glucostatic Mechanism of Regulation of Food Intake
Mayer, J. (1953) · New England Journal of Medicine · doi:10.1056/nejm195307022490104 · Cited by 682
Raben, A., Vasilaras, T. H., Møller, A. C., & Astrup, A. (2002) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/76.4.721 · Cited by 667
Recent Advances in Obesity Research
Bray, G. A. (1979) · Cited by 610
Brand-Miller, J. C., Holt, S. H., Pawlak, D. B., & McMillan, J. (2002) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/76.1.281s · Cited by 558
International tables of glycemic index
Foster-Powell, K., & Miller, J. (1995) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/62.4.871s · Cited by 495
Astrup, A., Grunwald, G., Melanson, E., Saris, W., & Hill, J. (2000) · International Journal of Obesity · doi:10.1038/sj.ijo.0801453 · Cited by 468
Self-citationDietary fat and obesity: evidence from epidemiology.
Lissner, L., & Heitmann, B. L. (1995) · PubMed · Cited by 429
Is dietary fat a major determinant of body fat?
Willett, W. C. (1998) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/67.3.556s · Cited by 411
Pi-Sunyer, X. (2002) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/76/1.290s · Cited by 408
Dietary Compensation by Humans for Supplemental Energy Provided as Ethanol or Carbohydrate in Fluids
Mattes, R. D. (1996) · Physiology & Behavior · doi:10.1016/0031-9384(95)02007-1 · Cited by 403
Glycogen storage capacity and de novo lipogenesis during massive carbohydrate overfeeding in man
Acheson, K. J., Schutz, Y., Bessard, T., Anantharaman, K., Flatt, J. P., & Jéquier, E. (1988) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/48.2.240 · Cited by 349
Failure of dietary fat intake to promote fat oxidation: a factor favoring the development of obesity
Schutz, Y., Flatt, J. P., & Jéquier, E. (1989) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/50.2.307 · Cited by 349
Fat and carbohydrate overfeeding in humans: different effects on energy storage
Horton, T., Drougas, H., Brachey, A., Reed, G., Peters, J., & Hill, J. (1995) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/62.1.19 · Cited by 339
Metabolic effects of a low-glycemic-index diet
Jenkins, D. J. A., Wolever, T. M. S., Collier, G. R., Ocana, A., Rao, A. V., Buckley, G., Lam, Y. L., Mayer, A., & Thompson, L. U. (1987) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/46.6.968 · Cited by 312
A Low–Glycemic Index Diet in the Treatment of Pediatric Obesity
Spieth, L. E., Harnish, J. D., Lenders, C. M., Raezer, L. B., Pereira, M. A., Hangen, S. J., & Ludwig, D. S. (2000) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.154.9.947 · Cited by 298
Saris, W. H. M., Astrup, A. V., Prentice, A. M., Zunft, H.-J. F., Formiguera, X., de Venne, W. P. H. G. V., Raben, A., Poppitt, S., Seppelt, B., Johnston, S., et al. (2000) · International Journal of Obesity · doi:10.1038/sj.ijo.0801451 · Cited by 256
Self-citationImportance of glycemic index in diabetes
Miller, J. (1994) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/59.3.747s · Cited by 247
De novo lipogenesis in humans: metabolic and regulatory aspects
Hellerstein, M. (1999) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1600744 · Cited by 246
Aarsland, A., Chinkes, D., & Wolfe, R. R. (1996) · Journal of Clinical Investigation · doi:10.1172/jci119005 · Cited by 212
Flatt, J. P. (1987) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1987.tb36202.x · Cited by 212
Low glycemic index carbohydrate foods In the management of hyperlipidemia
Jenkins, D., Wolever, T. M. S., Kalmusky, J., Giudici, S., Giordano, C. S. D. S., Wong, G., Bird, J., Patten, R., Hall, M., Buckley, G., et al. (1985) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/42.4.604 · Cited by 201
Beneficial Effect of Low-Glycemic Index Diet in Overweight NIDDM Subjects
Wolever, T. M. S., Jenkins, D. J. A., Vuksan, V. V. V., Jenkins, A. L., Wong, G. S., & Josse, R. G. (1992) · Diabetes Care · doi:10.2337/diacare.15.4.562 · Cited by 200
Types of carbohydrate in an ordinary diet affect insulin action and muscle substrates in humans
Kiens, B., & Richter, E. A. (1996) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/63.1.47 · Cited by 196
Slabber, M., Barnard, H., Kuyl, J., Dannhauser, A., & Schall, R. (1994) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/60.1.48 · Cited by 190
Glycogen synthesis versus lipogenesis after a 500 gram carbohydrate meal in man
Acheson, K. J., Flatt, J. P., & Jéquier, E. (1982) · Metabolism · doi:10.1016/0026-0495(82)90010-5 · Cited by 187
Sugar and body weight regulation
Hill, J., & Prentice, A. M. (1995) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/62.1.264s · Cited by 177
Changes in fat oxidation in response to a high-fat diet
Schrauwen, P., van Marken Lichtenbelt, W., Saris, W., & Westerterp, K. (1997) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/66.2.276 · Cited by 168
Self-citationEffect of Glycemic Carbohydrates on Short-term Satiety and Food Intake
Anderson, G. H., & Woodend, D. (2003) · Nutrition Reviews · doi:10.1301/nr.2003.may.s17-s26 · Cited by 166
De novo lipogenesis during controlled overfeeding with sucrose or glucose in lean and obese women
McDevitt, R. M., Bott, S. J., Harding, M., Coward, W. A., Bluck, L. J., & Prentice, A. M. (2001) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/74.6.737 · Cited by 166
Dietary composition and physiologic adaptations to energy restriction
Agus, M. S. D., SWAIN, J. F., Larson, C. L., Eckert, E. A., & Ludwig, D. S. (2000) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/71.4.901 · Cited by 163
Blood glucose patterns and appetite in time-blinded humans: carbohydrate versus fat
Melanson, K. J., Westerterp‐Plantenga, M. S., Saris, W. H. M., Smith, F. J., & Campfield, L. A. (1999) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.1999.277.2.r337 · Cited by 156
Self-citationDietary-Fat Intake in the US Population
Kennedy, E. T., Bowman, S. A., & Powell, R. (1999) · Journal of the American College of Nutrition · doi:10.1080/07315724.1999.10718853 · Cited by 116
Importance of energy density and macronutrients in the regulation of energy intake.
Prentice, A. M., & Poppitt, S. D. (1996) · PubMed · Cited by 113
Raben, A., Macdonald, I. A., & Astrup, A. V. (1997) · International Journal of Obesity · doi:10.1038/sj.ijo.0800494 · Cited by 104
Lindroos, A. K., Lissner, L., & Sjöström, L. (1996) · PubMed · Cited by 90
Blaak, E. E., & Saris, W. H. M. (1996) · Metabolism · doi:10.1016/s0026-0495(96)90241-3 · Cited by 88
Self-citationPs, S., Prentice, A. M., Goldberg, G., Murgatroyd, P., McKenna, A., Stubbs, R. J., & Volschenk, P. (1994) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/60.4.534 · Cited by 86
Macronutrient balances and obesity: the role of diet and physical activity
Astrup, A. V. (1999) · Public Health Nutrition · doi:10.1017/s1368980099000464 · Cited by 85
Role of glycogen-lowering exercise in the change of fat oxidation in response to a high-fat diet.
Schrauwen, P., Lichtenbelt, W. D. V. M., Saris, W. H. M., & Westerterp, K. R. (1997) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1997.273.3.e623 · Cited by 77
Self-citationFat balance in obese subjects: role of glycogen stores
Schrauwen, P., Lichtenbelt, W. D. V. M., Saris, W. H. M., & Westerterp, K. R. (1998) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1998.274.6.e1027 · Cited by 74
Self-citationEffect of alcohol on postmeal fat storage
Sonko, B., Prentice, A. M., Murgatroyd, P., Goldberg, G., van de Ven, M., & Coward, W. A. (1994) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/59.3.619 · Cited by 74
Metabolic and behavioral effects of a high-sucrose diet during weight loss
Surwit, R. S., Feinglos, M. N., McCaskill, C., Clay, S., Babyak, M. A., Brownlow, B. S., PLAISTED, C. S., & Lin, P. (1997) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/65.4.908 · Cited by 73
Short-term effects of dietary-fat ingestion on energy expenditure and nutrient balance
Bennett, C., Reed, G., Peters, J., Abumrad, N., Sun, M., & Hill, J. (1992) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/55.6.1071 · Cited by 60
Carbohydrates, fat, and insulin action
Smith, U. (1994) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/59.3.686s · Cited by 57
Yudkin, J. S. (1972) · Medical Entomology and Zoology · Cited by 55
Staying Slim with Insulin in Mind
Schwartz, M. W. (2000) · Science · doi:10.1126/science.289.5487.2066 · Cited by 52
Astrup, A. V., & Raben, A. (1995) · PubMed · Cited by 46
No common energy currency: de novo lipogenesis as the road less traveled
Hellerstein, M. K. (2001) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/74.6.707 · Cited by 44
Coulston, A. M., & Johnson, R. K. (2002) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(02)90082-9 · Cited by 33
Weight loss in overweight subjects following low-sucrose or sucrose-containing diets
West, J., & de Looy, A. (2001) · International Journal of Obesity · doi:10.1038/sj.ijo.0801652 · Cited by 30
Physiological aspects of exercise in weight cycling
Saris, W. H. M. (1989) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/49.5.1099 · Cited by 27
Self-citationAcute fuel selection in response to high-sucrose and high-starch meals in healthy men
Daly, M. E., Vale, C., Walker, M., Littlefield, A., George, K., Alberti, M. M., & Mathers, J. C. (2000) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/71.6.1516 · Cited by 25
Leveille, G. A., & Finley, J. W. (1997) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1997.tb51794.x · Cited by 21
Dietary carbohydrate and energy balance.
Macdonald, I. A. (1986) · PubMed · Cited by 9
Bennedboek, O. (2002) · PubMed · Cited by 5
Research works printed but not linked: 2
- Katan, 1997, Beyond low fat diets, N Engl J Med, 337, 563
- Saris, 1997, Effects of exercise intensity on 24-h substrate metabolism in obese men, Int J Obes Relat Metab Disord, 21, S75
Cited by
Sorted by citations
A humanized gnotobiotic mouse model of host-archaeal-bacterial mutualism
Samuel, B. S., & Gordon, J. I. (2006) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0602187103 · Cited by 674
Mattes, R. D., & Popkin, B. M. (2009) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.2008.26792 · Cited by 521
Yang, Q. H. (2010) · PubMed Central · Cited by 221
Intense sweeteners, energy intake and the control of body weight.
Bellisle, F., & Drewnowski, A. (2007) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602649 · Cited by 200
Urinary Sucrose and Fructose as Biomarkers for Sugar Consumption
Tasevska, N., Runswick, S. A., McTaggart, A., & Bingham, S. A. (2005) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-04-0827 · Cited by 180
Metadata
- Authors
- Saris, W. H.
- Affiliations
- Maastricht University (NL)
- Corresponding author
- Saris, Wim HM
- ORCID
- Saris, Wim HM
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2003-10
- Volume
- 78
- Issue
- 4
- Pages
- 850S-857S
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2125063102
- Cited by
- 102
- References
- 65
- Citations by year
- 2026: 1 · 2025: 4 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 5 · 2015: 6 · 2014: 6 · 2013: 7 · 2012: 9
- FWCI
- 1.01
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, other-oa)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- sugar consumption, sucrose, obesity, weight management, energy balance, dietary guidelines, low-carbohydrate high-fat diet, carbohydrate sources, energy metabolism, dietary fat intake
- MeSH terms
- Adult, Analysis of Variance, Body Weight, Dietary Carbohydrates, Energy Metabolism, Female, Humans, Obesity, Randomized Controlled Trials as Topic, Glycemic Index
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review