[HN Gopher] Sugar-Sweetened Beverage Consumption and Executive F...
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       Sugar-Sweetened Beverage Consumption and Executive Function in
       Children
        
       Author : prostoalex
       Score  : 63 points
       Date   : 2022-01-02 17:34 UTC (5 hours ago)
        
 (HTM) web link (www.mdpi.com)
 (TXT) w3m dump (www.mdpi.com)
        
       | iovrthoughtthis wrote:
       | i wouldn't be surprised if causation were reversed and children
       | who have slower executive function development drink more ssb's
       | 
       | is caffeine controlled for?
        
       | questiondev wrote:
       | if you want to really know what types of hazards chemicals in
       | your food check out the app yuka. i just started using it about 3
       | weeks ago, you'd be surprised what is in some food products. it
       | gives you science data on the additives in a product. you just
       | scan the upc code
        
       | beebeepka wrote:
       | This is nothing. Back in high school, I used to drink 100 cans of
       | cola a week, right up until my third heart attack.
       | 
       | Futurama quotes aside, I don't know what to make of adults doing
       | this to themselves and their children. Water is fantastic.
       | 
       | If taste is what one is after, one can easily drop a couple bags
       | of chai/tea in a liquid vessel of choice. Don't even need to brew
       | it. And if one really "needs" their instant sugar kick - use some
       | actual honey.
       | 
       | Cheaper, healthier, better. In every way.
        
         | colechristensen wrote:
         | Honey is more or less chemically identical to high fructose
         | corn syrup unless there is some magic protective tiny component
         | to honey or poison in HCFS.
        
           | oblak wrote:
           | Both are more or less sugar, obviously. Devil is in the
           | details. No need to polarize things by introducing words such
           | as magic or poison.
           | 
           | Do you have any links to support the notion they are pretty
           | much the same thing? Cause I just did some searching and
           | literally all results (ddg, if that matters) are obviously
           | politically motivated. To me, that means that no, they're not
           | the same thing and there's been a lot of money spent on
           | pushing that "agenda", if you will.
           | 
           | Edit: Thanks for your input, guys. It would seem the problem
           | with sugars is quantity, not quality. I am agreeing to that
           | not so shocking fact.
        
             | ThrowawayR2 wrote:
             | " _The average ratio was 56% fructose to 44% glucose, but
             | the ratios in the individual honeys ranged from a high of
             | 64% fructose and 36% glucose (one type of flower honey;
             | table 3 in reference) to a low of 50% fructose and 50%
             | glucose (a different floral source)._ "
             | 
             | https://en.wikipedia.org/wiki/Honey#Sugar_profile
             | 
             | " _' HFCS 42' and 'HFCS 55' refer to dry weight fructose
             | compositions of 42% and 55% respectively, the rest being
             | glucose_"
             | 
             | https://en.wikipedia.org/wiki/High-fructose_corn_syrup
             | 
             | So they're broadly similar.
        
             | ncmncm wrote:
             | Honey has only trace amounts of anything except sugar. In
             | particular, it has no fiber.
             | 
             | If you can find anything that shows an important difference
             | from sugar or high-fructose corn syrup, report that.
        
             | gruez wrote:
             | >Do you have any links to support the notion they are
             | pretty much the same thing
             | 
             | "The average ratio was 56% fructose to 44% glucose"
             | 
             | https://en.wikipedia.org/wiki/Honey
             | 
             | >"HFCS 42" and "HFCS 55" refer to dry weight fructose
             | compositions of 42% and 55% respectively, the rest being
             | glucose.[5] HFCS 42 is mainly used for processed foods and
             | breakfast cereals, whereas HFCS 55 is used mostly for
             | production of soft drinks.[5]
             | 
             | https://en.wikipedia.org/wiki/High-fructose_corn_syrup
        
             | colechristensen wrote:
             | Wiki articles linked below confirm.
             | 
             | Both honey and HCFS usually contain a bulk composition of a
             | 40:60 to 60:40 ratio of fructose to glucose. There are
             | variations in honey and different grades of HCFS. Honey
             | contains a few other sugars in considerably smaller
             | amounts, and a few percent of "other" stuff, HCFS likewise
             | contains a bit of other material.
             | 
             | So either you believe that the minor components of one or
             | the other is what is "good" or "bad" for you or you're the
             | victim of magical thinking that something "natural" is
             | better than something "synthetic" despite being
             | substantially identical.
        
           | mrfusion wrote:
           | I've heard it contains natural anti microbials.
        
             | ch4s3 wrote:
             | Mostly owing to the fact that the concentration of sugar
             | causes bacterial cells to rupture. Dry granulated sugar the
             | same property. Most of the health claims I've encountered
             | about honey seem highly suspect at best.
        
       | jerkstate wrote:
       | Sugar isn't just a problem in drinks.. we thought our kids were
       | lactose intolerant until we talked to our pediatrician, turns out
       | diarrhea in kids is commonly caused by too much sugar and not
       | enough fat in the diet, so we reviewed our common meals and
       | snacks, and found a LOT more than the daily recommended sugar
       | intake in the "healthy" snacks like granola and yogurt, and
       | chewable vitamins we gave our kids every day.. made some changes
       | and the kids are much healthier, and it certainly impacts
       | behavior/compliance at meal time; kids who need calories are a
       | lot more willing to eat something even if it isn't their favorite
       | treat.
        
       | ObnoxiousProxy wrote:
       | While the findings are quite believable and corroborates some
       | other similar studies where increased sugar intake for kids may
       | lower executive function/cognition, this study relies on
       | executive function assessments reported by the parents which
       | doesn't feel like it would be very reliable to me.
       | 
       | Furthermore, while they account for diet in their covariate
       | analysis, it's not very detailed or granuar so it doesn't account
       | for other sources of sugar that these kids might be having (the
       | authors acknowledge this). Based on this study it's hard to
       | conclusively say whether it's the sugar that negatively impacts
       | cognition or other ingredients, or vice versa whether kids with
       | poor executive function prefer sweet drinks. Probably still a
       | good idea to limit refined sugar intake for your own kids though.
        
       | bjornsing wrote:
       | Reasonable explanation: Those with poor executive function
       | consume more beverages that taste nice but are well known to
       | negatively impact your health long term.
        
         | ineedasername wrote:
         | They're kids, so parents make a lot of these choices for them,
         | in which case it wouldn't be the kids' poor executive function
         | causing them to drink more. Perhaps the general causal threads
         | are overly indulgent parents, and SSB's are just one facet of
         | that indulgence, which as a whole is what impacts executive
         | function. A behavioral (instead of chemical) cause.
        
           | iovrthoughtthis wrote:
           | well, executive function issues are quiet heritable
        
       | inglor_cz wrote:
       | I find the idea that excessive sugar intake messes with all sorts
       | of our systems entirely plausible - we definitely aren't designed
       | to consume the quantities of sugar that we on average do consume;
       | and especially not non-stop for years and decades.
       | 
       | Teasing out all the causal chains will be hard work, though.
       | Metabolism is really complicated. Sugar increases levels of
       | insulin; fructose kicks liver into overdrive; how does that
       | excessive metabolic activity work out in remote parts of the body
       | such as the brain?
        
         | colechristensen wrote:
         | Well we're not designed. Plenty of our primate relatives eat
         | mostly high sugar fruit based diets.
         | 
         | More important than what we eat, we didn't evolve in an
         | environment where we had infinite easily available calories.
        
           | ncmncm wrote:
           | Everywhere sugar appears in nature (with the exception of
           | beehives), it comes with fiber that slows its absorption.
           | Uniquely (with the exception of bees) we separate it from the
           | fiber and deliver the sugar without. The whole food-
           | processing industry is largely devoted to removing and
           | discarding the fiber we need to remain healthy.
        
             | erosenbe0 wrote:
             | Just bees? What about maple syrup?
        
               | cdot2 wrote:
               | I believe theres a lot of processing before you get the
               | maple syrup that you find in stores so its not really
               | found in nature
        
               | ipython wrote:
               | But most people don't consume maple syrup, they consume
               | high fructose corn syrup with artificial flavoring. You
               | have to go out of your way and pay a lot more $$$ to get
               | "real" maple syrup. For example, the ingredient list from
               | Aunt Jemima syrup:
               | 
               | CORN SYRUP, HIGH FRUCTOSE CORN SYRUP, WATER, CELLULOSE
               | GUM, CARAMEL COLOR, SALT, NATURAL AND ARTIFICIAL FLAVOR,
               | SODIUM BENZOATE AND SORBIC ACID PRESERVATIVES , SODIUM
               | HEXAMETAPHOSPHATE
        
               | katbyte wrote:
               | maybe its because I'm Canadian but no one I know would
               | consume anything but real maple syrup, I never
               | encountered anything else until I went to the states.
        
               | briHass wrote:
               | Maple syrup is highly, highly concentrated sap. The sap
               | itself is mostly 99%+ water, with just a slight sweetness
               | to it. To make syrup, you have to boil away almost all of
               | that water, going from gallons of sap to only a small
               | amount of syrup.
               | 
               | That boiling process and amount of sap required is partly
               | why it's so expensive. It's like aged whisky: you lose so
               | much of what you started with.
        
               | wfhpw wrote:
               | Making maple syrup from sap is an illuminating
               | experience. You have to reduce something like 40x the
               | volume of sap to create the desired quantity of syrup.
        
           | coolso wrote:
           | > Well we're not designed.
           | 
           | At least, that's currently the prevailing theory among
           | scientists.
        
           | inglor_cz wrote:
           | I know, it is a metaphor.
           | 
           | Some of our primate relatives live off fruit, but a) wild
           | fruit is generally way less sugary than whatever we produce
           | now, b) they are fairly far from us in many other regards
           | (lifespan, anatomy, the ability to swing in the trees), so we
           | cannot really derive relevant lessons on human metabolism
           | from them.
           | 
           | Our closest living relatives are chimps, who can eat tree
           | bark and some leaves that we are unable to digest (they do
           | not prefer them, but can eat them without ill consequences).
           | Even at this relatively short evolutionary distance, our food
           | requirements diverged.
        
         | gruez wrote:
         | >we definitely aren't designed to consume the quantities of
         | sugar that we on average do consume; and especially not non-
         | stop for years and decades.
         | 
         | That's a poor argument. We're also not "designed" to consume
         | cooked foods, drink filtered tap water, and have access to
         | modern medicine (eg. prescription/OTC drugs).
        
           | inglor_cz wrote:
           | Cooked food is a fairly old addition to our diet. Ancient
           | humans learnt to control fire long before they evolved into
           | the species that we now are. Some kind of adaptation must
           | have happened - just look at our small teeth that are no more
           | suitable for tearing raw meat apart.
           | 
           | Filtered tap water isn't that different from natural water in
           | streams, but I do not know nearly enough about water to
           | dispute this.
           | 
           | Prescription / OTC drugs can mess with us fairly seriously if
           | not used carefully and in recommended quantities, so this is
           | actually a good analogy.
           | 
           | It is the dose that makes the poison. One Tylenol and/or 10 g
           | of sugar per day won't probably harm you, but 20 Tylenols and
           | half a pound of sugar per day, consumed every day for years
           | and years, is another story.
        
             | gruez wrote:
             | >Filtered tap water isn't that different from natural water
             | in streams.
             | 
             | complete with chlorine and flouride added? also, from a
             | microbial activity and/or organic contaminants point of
             | view, tap water probably has orders of magnitude less than
             | most streams.
             | 
             | >Prescription / OTC drugs can mess with us fairly seriously
             | if not used carefully and in recommended quantities, so
             | this is actually a good analogy.
             | 
             | What's the equivalent statement for "the quantities of
             | sugar that we on average do consume", but for drugs? I'd
             | say that a big chunk of the population consumes
             | _infinitely_ more antidepressants and cholesterol-lowering
             | drugs than we were  "designed to consume".
        
               | com2kid wrote:
               | > complete with chlorine and flouride added? also, from a
               | microbial activity and/or organic contaminants point of
               | view, tap water probably has orders of magnitude less
               | than most streams.
               | 
               | > I'd say that a big chunk of the population consumes
               | infinitely more antidepressants and cholesterol-lowering
               | drugs than we were "designed to consume".
               | 
               | Connecting these two topics together, there are
               | localities that have naturally occurring lithium in their
               | water supply. Depression and suicide rates in these areas
               | are lower than average.
               | 
               | See https://www.cambridge.org/core/journals/the-british-
               | journal-...
        
           | 323 wrote:
           | Actually we are designed to eat cooked food:
           | 
           | > _Human beings evolved to eat cooked food. It is literally
           | possible to starve to death even while filling one's stomach
           | with raw food. In the wild, people typically survive only a
           | few months without cooking, even if they can obtain meat.
           | Wrangham cites evidence that urban raw-foodists, despite
           | year-round access to bananas, nuts and other high-quality
           | agricultural products, as well as juicers, blenders and
           | dehydrators, are often underweight._
           | 
           | > _Cooked food, by contrast, is mostly digested by the time
           | it enters the colon; for the same amount of calories
           | ingested, the body gets roughly 30 percent more energy from
           | cooked oat, wheat or potato starch as compared to raw, and as
           | much as 78 percent from the protein in an egg._
           | 
           | > _In essence, cooking--including not only heat but also
           | mechanical processes such as chopping and grinding--
           | outsources some of the body's work of digestion so that more
           | energy is extracted from food and less expended in processing
           | it. Cooking breaks down collagen, the connective tissue in
           | meat, and softens the cell walls of plants to release their
           | stores of starch and fat. The calories to fuel the bigger
           | brains of successive species of hominids came at the expense
           | of the energy-intensive tissue in the gut, which was
           | shrinking at the same time--you can actually see how the
           | barrel-shaped trunk of the apes morphed into the
           | comparatively narrow-waisted Homo sapiens. Cooking freed up
           | time, as well; the great apes spend four to seven hours a day
           | just chewing, not an activity that prioritizes the
           | intellect._
           | 
           | https://www.smithsonianmag.com/science-nature/why-fire-
           | makes...
        
       | mrfusion wrote:
       | It would be interesting to study the metabolisms of animals that
       | live entirely on sugar. Hummingbirds, nectar eating insects,
       | sugar cane weevil.
       | 
       | How does insulin work for them? Do they get intense blood sugar
       | spikes whenever they eat?
        
       | ineedasername wrote:
       | It could simply be that parents who let their children have SSB's
       | regularly also indulge them in general, and that indulgence is
       | what leads to the change in executive function.
       | 
       | Also this sounds like changing the goal posts a bit too much
       | after the study protocol was already set:
       | 
       |  _The distribution of SSB consumption status was highly skewed,
       | and transformation of data was not feasible owing to the large
       | number of people who reported never drinking SSB. Therefore, the
       | frequency of SSB consumption was aggregated and then a new intake
       | category was categorized in order to ensure an adequate number of
       | participants in each group._
        
         | mlyle wrote:
         | Yup, this is hopelessly confounded now. Soda and juice are
         | "bad", and so letting your kids have a lot of soda shows that
         | you don't really care about parenting norms or data about
         | what's good for kids.
         | 
         | And a lot of people who don't care about parenting norms at all
         | are probably dubious parents in other ways...
         | 
         | There's no attempt here to case control for other factors.
         | 
         | Worse, the parents' own reported measures of children's
         | executive function were used.
        
           | com2kid wrote:
           | > Yup, this is hopelessly confounded now. Soda and juice are
           | "bad",
           | 
           | 20 years ago juice was good. In the US (linked study was done
           | in China), I saw older friends having kids bringing home
           | pamphlets from the doctor's office extolling the virtues of
           | 100% fruit juice. Juice being bad is a very recent thing, and
           | it is not entirely out of the realm of possibility that some
           | parents didn't Get The Memo, but they are otherwise still
           | "good parents".
           | 
           | Or they may just have given up the fight over juice. Pick
           | your battles and all that, and without any research showing
           | juice was really "that" bad, parents may have figured it
           | wasn't a battle worth fighting over.
        
             | wffurr wrote:
             | Or those juice pamphlets were planted by Big Juice in a
             | psyops move to increase juice sales and juice being "good
             | for you" is a semi-recent invention, only recently
             | overturned in favor of "juice is not good for you".
        
               | com2kid wrote:
               | > Or those juice pamphlets were planted by Big Juice in a
               | psyops move to increase juice sales
               | 
               | It wasn't psyops, it was just marketing.
               | 
               | The problem is, without evidence to the contrary, doctors
               | are as want to go along with "common sense" as everyone
               | else.
               | 
               | Thus, when "common knowledge" because "fruit juice is
               | good for you" doctors just nodded their head and agreed
               | with the advice, until evidence to the contrary come out.
        
       | m1ckey wrote:
       | Sugar: The Bitter Truth by Robert Lustig, MD
       | 
       | https://youtu.be/dBnniua6-oM
        
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