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Dietary fructose: implications for dysregulation of energy homeostasis and lipid/carbohydrate metabolism.
Open accessAbstract
Fructose intake and the prevalence of obesity have both increased over the past two to three decades. Compared with glucose, the hepatic metabolism of fructose favors lipogenesis, which may contribute to hyperlipidemia and obesity. Fructose does not increase insulin and leptin or suppress ghrelin, which suggests an endocrine mechanism by which it induces a positive energy balance. This review examines the available data on the effects of dietary fructose on energy homeostasis and lipid/carbohydrate metabolism. Recent publications, studies in human subjects, and areas in which additional research is needed are emphasized.
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“Foods that contain potent substrates for triglyceride production such as simple sugars, fructose, and alcohol can substantially increase triglyceride levels in susceptible people (80, 81).”
From Evaluation and Treatment of Hypertriglyceridemia: An Endocrine Society Clinical Practice Guideline (2012) · cites this paper as [80]
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Sock, E. T. N., Lê, K., Ith, M., Kreis, R., Boesch, C., & Tappy, L. (2009) · British Journal Of Nutrition · doi:10.1017/s0007114509992819 · Cited by 148
Challenging the Fructose Hypothesis: New Perspectives on Fructose Consumption and Metabolism
White, J. S. (2013) · Advances in Nutrition · doi:10.3945/an.112.003137 · Cited by 140
A Critical Examination of the Evidence Relating High Fructose Corn Syrup and Weight Gain
Forshee, R. A., Storey, M. L., Allison, D. B., Glinsmann, W. H., Hein, G. L., Lineback, D. R., Miller, S. A., Nicklas, T. A., Weaver, G. A., & White, J. S. (2007) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408390600846457 · Cited by 140
Insulin Internalizes GLUT2 in the Enterocytes of Healthy but Not Insulin-Resistant Mice
Tobin, V., Gall, M. L., Fioramonti, X., Stolarczyk, É., Blazquez, A. G., Klein, C., Prigent, M., Serradas, P., Cuif, M., Magnan, C., et al. (2007) · Diabetes · doi:10.2337/db07-0928 · Cited by 135
Blevins, J. E., & Baskin, D. G. (2015) · Physiology & Behavior · doi:10.1016/j.physbeh.2015.05.023 · Cited by 135
Intestinal Fructose and Glucose Metabolism in Health and Disease
Merino, B., Fernández-Díaz, C. M., Cózar‐Castellano, I., & Perdomo, G. (2019) · Nutrients · doi:10.3390/nu12010094 · Cited by 147
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“Sugar-sweetened beverages may negatively affect he-patic metabolism and energy homeostasis, 24 and the consumption of SSBs has been implicated in many 10,11,24,54 but not all 27,28 studies as a contributing factor to the increased incidence and prevalence of overweight and obesity.”
BackgroundCox, C. L., Stanhope, K. L., Schwarz, J. M., Graham, J. L., Hatcher, B., Griffen, S. C., Bremer, A. A., Berglund, L., McGahan, J. P., Havel, P. J., et al. (2012) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2011.159 · Cited by 132
Self-citationSwarbrick, M. M., Stanhope, K. L., Elliott, S. S., Graham, J. L., Krauss, R. M., Christiansen, M. P., Griffen, S. C., Keim, N. L., & Havel, P. J. (2008) · British Journal Of Nutrition · doi:10.1017/s0007114508968252 · Cited by 132
Self-citationSoft drink consumption and obesity: it is all about fructose
Bray, G. A. (2010) · Current Opinion in Lipidology · doi:10.1097/mol.0b013e3283346ca2 · Cited by 134
DiNicolantonio, J. J., Mehta, V., Onkaramurthy, N. J., & O’Keefe, J. H. (2017) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2017.12.001 · Cited by 135
Fructose stimulates GLP-1 but not GIP secretion in mice, rats, and humans
Kuhre, R. E., Gribble, F. M., Hartmann, B., Reimann, F. M., Windeløv, J. A., Rehfeld, J. F., & Holst, J. J. (2014) · American Journal of Physiology-Gastrointestinal and Liver Physiology · doi:10.1152/ajpgi.00372.2013 · Cited by 125
Thiazide Diuretics Exacerbate Fructose-Induced Metabolic Syndrome
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Bray, G. A. (2007) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/86.4.895 · Cited by 125
Potential Health Risks From Beverages Containing Fructose Found in Sugar or High-Fructose Corn Syrup
Bray, G. A. (2012) · Diabetes Care · doi:10.2337/dc12-1631 · Cited by 124
Stanhope, K. L., & Havel, P. J. (2009) · Journal of Nutrition · doi:10.3945/jn.109.106641 · Cited by 125
Self-citationVos, M. B., Colvin, R., Belt, P. H., Molleston, J. P., Murray, K. F., Rosenthal, P. J., Schwimmer, J. B., Tonascia, J. A., Ünalp, A., & Lavine, J. E. (2011) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0b013e318229da1a · Cited by 122
Metadata
- Authors
- Havel, P. J.
- Affiliations
- University of California, Davis (US)
- Corresponding author
- Havel, Peter J.
- ORCID
- Havel, Peter J.
- Venue
- Nutrition Reviews
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-05
- Volume
- 63
- Issue
- 5
- Pages
- 133-157
- ISSN
- 0029-6643 (ISSN-L)
- 1753-4887
- OpenAlex
- W2162627097
- Cited by
- 607
- References
- 230
- Citations by year
- 2026: 5 · 2025: 11 · 2024: 13 · 2023: 13 · 2022: 14 · 2021: 21 · 2020: 20 · 2019: 28 · 2018: 32 · 2017: 23 · 2016: 46 · 2015: 54 · 2014: 42 · 2013: 48 · 2012: 37
- FWCI
- 15.31
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Nutrition Reviews (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- American Diabetes Association
- U.S. Department of Agriculture
- Dairy Management
- National Institutes of Health (5r01hl075675-05, 58108, HL‐075675)
- National Heart, Lung, and Blood Institute (HL 075675, R01 HL-091333, R01HL107256)
- National Institute of Diabetes and Digestive and Kidney Diseases (R03DK058108, DK-58108)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Nursing › Nutrition and Dietetics › Biochemical Analysis and Sensing Techniques
- Keywords
- dietary fructose, energy homeostasis, lipid metabolism, carbohydrate metabolism, obesity, hepatic lipogenesis, hyperlipidemia, insulin, leptin, ghrelin, energy balance
- MeSH terms
- Beverages, Diabetes Mellitus, Type 2, Energy Metabolism, Fructose, Glucose, Humans, Hyperlipidemias, Insulin, Insulin Resistance, Obesity, Leptin, Peptide Hormones, Ghrelin
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