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Q: Diet Sodas/Pops ( Answered 4 out of 5 stars,   5 Comments )
Question  
Subject: Diet Sodas/Pops
Category: Health > Fitness and Nutrition
Asked by: speby-ga
List Price: $10.00
Posted: 30 Mar 2004 12:24 PST
Expires: 29 Apr 2004 13:24 PDT
Question ID: 322531
How can Diet Sodas/Pops (specifically Diet Pepsi) affect one's health?
Good, bad, or neutral? Short-term? Long-term?

It appears Diet Pepsi contains aspartame as a substitute sugar and may
be linked to the possible health effects, but if so, what are the
health effects and in what quantities consumed of Diet Pepsi can one
be affected? If aspartame is harmless, what else is Diet Pepsi made
with that may affect health negatively?

I have found information using Google and very quickly located what
appeared to be reputable sites (appeared, not necsessarily ARE) but
there is conflicting information?
Answer  
Subject: Re: Diet Sodas/Pops
Answered By: kriswrite-ga on 30 Mar 2004 14:40 PST
Rated:4 out of 5 stars
 
Hello Spbeby~


There?s a lot of debate about aspartame. The official, government
answer is that it?s harmless. But many other groups link it to ill
health.

Aspartame (also known as Nutra Sweet and Equal) is composed of 40%
aspartic acid, 50% phenylalanine, and 10% methanol. Here are just a
few of the 92 reactions that have been reported to the FDA:

?	?Angioedema or swelling of the eyelids,lips, hands or feet 
?	Anxiety attacks 
?	Breathing difficulties 
?	Depression 
?	Dizziness 
?	Fatigue 
?	Headaches 
?	Heart palpitations 
?	Hives 
?	Itching without a rash 
?	Muscle spasms 
?	Nausea 
?	Numbness 
?	Rashes 
?	Respiratory allergies 
?	Weight gain 
?	Memory loss?
(?Aspartame May Be the Cause of Your Health Problems,? Allergies,
About.com: http://allergies.about.com/cs/aspartame/a/aa012901a.htm )

Studies have also shown a link between aspartame and brain cancer.
(See ?Study suggests link between aspartame and brain cancer,? CNN:
http://www.cnn.com/HEALTH/9611/18/aspartame/ )

A major concern for some people is that 10% of aspartame is absorbed
into the bloodstream as methanol (or wood alcohol). ?The Environmental
Protection Agency defines safe consumption as no more than 7.8
milligrams per day of this dangerous substance. A one-liter beverage,
sweetened with aspartame, contains about 56 milligrams of wood
alcohol, or eight times the
EPA limit.? (?Could There Be Evils Lurking In Aspartame Consumption??
by Christine Lydon, MD, Oxygen Magazine:
http://aspartamekills.com/lydon.htm )
On the other hand, the FDA says you can drink about 17 cans of
aspartame sweetened sodas a day. (?The Skinny on Sweeteners,? MSNBC:
http://www.msnbc.msn.com/id/3840760/ )

Aspartame is also required to carry a warning label noting the
inclusion of phenylalanine in the product; phenylalanine has been
linked to Phenylketonuria (a genetic disease).

You should not use aspartame if you have liver disease, are pregnant
with high blood levels of phenylalanine, or experience headaches,
dizziness, fatigue or other systems after consuming the product.

For some people, the perceived ill effects of aspartame seem to be
short term, and go away if the product is no longer consumed. For
others, what is perceived as damage from aspartame seems to last for
years. Unfortunately, nobody has publicized a thorough study on
perceived side effects.

For those trying to loose weight, aspartame can also be a hindrance,
leading to a plateau. For this reason, the Atkin?s diet (and others)
tell dieters to stay away from products containing aspartame. (An
alternative is offered: Sucralose, or Splenda.)

So the jury is really still out on aspartame, and each side defend
it?s position fiercely.

Other ingredients in Pepsi can be adverse to health, if you don?t
consume them in moderation. For example, caffeine should be limited in
a healthy diet. Each Diet Pepsi contains 24 mg of caffeine. You may
wish to read ?Caffeine in the Diet,? Discovery Health:
http://health.discovery.com/diseasesandcond/encyclopedia/1877.html 
?Most doctors believe there's very little risk of health problems for
people who have less than 600mg of caffeine each day.? (?Caffeine and
Your Health,? NSW Health:
http://www.mhcs.health.nsw.gov.au/health-public-affairs/mhcs/publications/4630.html
) Those with high blood pressure or certain heart conditions should
limit their caffeine even more. Caffeine may also make weight loss
more difficult.

Also, watch the sodium intake of colas. The American Heart Association
recommends limiting sodium intake to 2400 mg per day. (?Q & A About
Nutrition and Diet,? Kelsy-Seybold Clinic:
http://www.kelsey-seybold.com/kelsey/Health_Features/AskVeronicaQandALibrary.cfm#3
)

Almost all doctors agree; limiting the intake of sodas (even diet
sodas) is an excellent idea, and be sure to drink 8 glasses of water
daily.

Regards,
Kriswrite

KEYWORDS USED:
Aspartame Health
://www.google.com/search?hl=en&ie=ISO-8859-1&q=Aspertame+Health&btnG=Google+Search
caffeine health
://www.google.com/search?hl=en&lr=&ie=ISO-8859-1&q=caffeine+health&btnG=Search

Request for Answer Clarification by speby-ga on 31 Mar 2004 21:30 PST
I appreciate some of the comments below. The information you
(kriswrite-ga) have supplied is the information found spattered about
that I have found myself with Google. I was hoping, if there were any,
for a hint at other sources of (hopefully reputable) information where
a better decision can be made. In addition, aspartame was only one of
my concerns.

Are there any other definitive answers from any other sources? You
mentioned the FDA as one and the references from the CNN article as
well as the Discovery Health article. I realize that the jury may
still be out on the issue, but... surely there is a swing in one
direction or the other. What about access to the actual studies that
have been done? Is that possible?

Clarification of Answer by kriswrite-ga on 01 Apr 2004 08:10 PST
Here?s a more thorough explanation of what the FDA thinks about
aspartame, including rebuts against specific complaints against it:

?FDA stands behind its original approval of aspartame, and subsequent
evaluations have shown that the product is safe?the agency continually
monitors safety information on food ingredients such as aspartame and
may take action to protect public health if it receives credible
scientific evidence indicating a safety problem?
FDA calls aspartame, sold under trade names such as NutraSweet and
Equal, one of the most thoroughly tested and studied food additives
the agency has ever approved. The agency says the more than 100
toxicological and clinical studies it has reviewed confirm that
aspartame is safe for the general population.
?Websites with screaming headlines and well-written text attempt to
link aspartame consumption to systemic lupus, multiple sclerosis,
vision problems, headaches, fatigue, and even Alzheimer's disease. One
report distributed nationally over e-mail systems claims that
aspartame-sweetened soft drinks delivered to military personnel during
the Persian Gulf War may have prompted Gulf War syndrome.
No way, says FDA, along with many other health organizations such as
the American Medical Association. David Hattan, Ph.D., acting director
of FDA's division of health effects evaluation, says there is no
?credible evidence,? to support, for example, a link between aspartame
and multiple sclerosis or systemic lupus. Some Internet reports claim
that patients suffering from both conditions went into remission after
discontinuing aspartame use. ?Both of these disorders are subject to
spontaneous remissions and exacerbation,? says Hattan. ?So it is
entirely possible that when patients stopped using aspartame they
might also coincidentally have had remission of their symptoms.?
It is true, says Hattan, that aspartame ingestion results in the
production of methanol, formaldehyde and formate--substances that
could be considered toxic at high doses. But the levels formed are
modest, and substances such as methanol are found in higher amounts in
common food products such as citrus juices and tomatoes.
Other circulating reports claim that two amino acids in
aspartame--phenylalanine and aspartic acid--can cause neurotoxic
effects such as brain damage. ?This is true in certain individuals and
in high enough doses,? says Hattan. He explains that a very small
group of people who have the rare hereditary disease phenylketonuria,
estimated at 1 in 16,000 people, are sensitive to phenylalanine. These
?phenylketonurics? have to watch their intake of phenylalanine from
other sources as well. People with advanced liver disease and pregnant
women with high levels of phenylalanine in the blood also may have
trouble metabolizing the substance..
Aspartic acid also has the potential to cause brain damage at very
high doses. But under normal intake levels, the brain's mechanism for
controlling aspartic acid levels ensures no adverse effects. It is
unlikely that any consumer would eat or drink enough aspartame to
cause brain damage: FDA figures show that most aspartame users only
consume about 4 to 7 percent of the acceptable daily intake the agency
has set for the sweetener. [Note from Researcher: which is about 17
cans a day.]
Still other reports attempt to link aspartame to seizures and birth
defects. Regarding seizures, Hattan cites animal and human studies
showing that the sweetener neither causes nor enhances the
susceptibility of seizures. Aspartame also has been evaluated for its
potential to cause reproductive effects or birth defects. Again,
researchers found no evidence, even in test animals fed the sweetener
at doses much higher than those to which humans would be exposed.
? In 1996, a study raised the issue that aspartame consumption may be
related to an increase in brain tumors following FDA's approval of the
sweetener in 1981. But analysis of the National Cancer Institute's
database on cancer incidence showed that cases of brain cancers began
increasing in 1973--well before aspartame was approved--and continued
to increase through 1985. In recent years, brain tumor frequency has
actually decreased slightly. NCI currently is studying aspartame and
other dietary factors as part of a larger study of adult brain
cancer.? (?Sugar Substitutes: Americans Opt for Sweetness and Lite,?
U.S. Food & Drug Administration:
http://www.fda.gov/fdac/features/1999/699_sugar.html )
Full medical studies are rarely published on the Internet; generally,
the people involved in the study send out press releases to media
sources, and that is how we know about the results. To make matters
more difficult, there?s no generally accepted ?reliable source? for
information against aspartame. Who seems more credible than the FDA,
for example? The American Heart Association and The American Diabetes
Association both stand behind aspartame, but I can find no evidence
that they?ve conducted independent studies; they seem to base their
position on what the FDA believes.
The trouble is, most of the ?side effects? of aspartame are found only
in anecdotal evidence: everyday citizens complaining of side effects
to the FDA, their doctor, or the media.
That said, Holistic Medicine has some studies on their website. You?ll
find them at ?Recent Independent Aspartame Research Results:?
http://www.holisticmed.com/aspartame/recent.html  Their website also
lists some lawsuits regarding aspartame:
http://www.holisticmed.com/aspartame/lawsuit/
If you live near a great library, you can try to get your hands on the
original published reports. Here is a list of some aspartame
(published) studies ?1988-2000?, in PDF format:
http://www.foodstandards.gov.uk/multimedia/pdfs/~6791008.pdf  If you
have trouble opening this, try the Google cache, available for a
limited time at: ://www.google.com/search?q=cache:RjDCOHSEfocJ:www.foodstandards.gov.uk/multimedia/pdfs/~6791008.pdf+apartame+study&hl=en&ie=UTF-8

As for the other ingredients found in Diet Pepsi, the only other
possible health risks have already been discussed: caffeine, sodium,
and risks of becoming dehydrated by not drinking enough water. These
are all very generally accepted ?truths? in the medical community.
Here?s a news piece about phosphoric acid, ?Soft-Drinks and Bones,?
Tufts e-news: http://enews.tufts.edu/stories/092503Tucker.htm  Notice
that the study concludes that phosphoric acid ?may? cause bone density
problems. More studies still need to be done.

I hope this helps clarify things a bit more. It?s a sticky issue, for sure!
Regards,
Kriswrite
speby-ga rated this answer:4 out of 5 stars

Comments  
Subject: Re: Diet Sodas/Pops
From: kenj0418-ga on 31 Mar 2004 06:47 PST
 
Regarding this paragraph:
>Aspartame is also required to carry a warning label noting the
>inclusion of phenylalanine in the product; phenylalanine has been
>linked to Phenylketonuria (a genetic disease).

This paragraph is somewhat misstated, as it gives the impression that
aspartame may cause phenylketonuria.  The purpose of the warning is to
warn those who suffer from already have phenylketonuria to avoid the
product.

Phenylalanine is one of the 20 basic amino acids the body needs.  The
reason for the warning regarding it because about 1 in every 20,000
have an inherited  metabolic disease called Phenylketonuria (PKU). 
People with PKU cannot break down the amino acid phenylalanine and it
builds up in the brain and causes a variety of problems that appear
during childhood (if not detected).

In the US, a screening test is done on all newborns for PKU about
three days after birth (usually the day they leave the hospital).  If
a child is identified as having PKU, they follow a strict, lifelong
diet that restricts foods that contain phenylalanine.  Since aspartame
contains a large amount of phenylalanine, it must be avoided by those
that have PKU.

For more info see: http://www.medhelp.org/lib/pku.htm
Subject: Re: Diet Sodas/Pops
From: kriswrite-ga on 31 Mar 2004 07:34 PST
 
Ken is correct that aspartame does not cause Phenylketonuria.
Phenylketonuria is a genetic disease; therefore *no* product can
*cause* it. However, aspartame may exacerbate the problem.

Kriswrite
Subject: Re: Diet Sodas/Pops
From: ctheronj-ga on 31 Mar 2004 20:22 PST
 
Many dark-colored sodas (like Diet Coke) contain phosphate or
phosphoric acid.  Calcium and phosphorus are in balance in the body,
so that too much phosphate can cause you to lose calcium -- things
like sodas should be avoided by those at risk of or suffering from
osteoporosis, because the phosphates can lead to weakening of bone. 
As far as I know the other ingredients in sodas are not dangerous.
Subject: Re: Diet Sodas/Pops
From: purkinje-ga on 06 Aug 2004 15:15 PDT
 
The only reputable source that you will find for this is the PubMed
research database (I've listed a few of the articles from there
below). Aspartame is just two amino acids stuck together (which is
found in any meat, milk, or other protein products) with methanol.
Linking it with cancer is like linking air to cancer. It's
statistically true that all people who have cancer have at some time
in their lives breathed air, but this fact is just silly and
ridiculous. And as for the side effects, there are even more side
effects than that reported with placebo (inert) pills.

I'm surprised that Kriswrite would provide such a biased and
uneducated response as a google researcher.

There are tons of studies that gave huge abuse doses of aspartame, and
none found any unusual effects:

There was no change in urine metabolites (from aspartame) with the
equivalent of 10L of soda per day:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=2802896

There was no difference in methanol concentrations between milk and aspartame:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=8480740

Aspartame increases phenylalanine (thus the FDA warning only for those
who have phenylketonuria, a disease you're either born with or not),
but did not increase methanol or formaldehyde concentrations beyond
normal limits.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=2566887

Not dangerous during pregnancy:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=2862125

A dose of aspartame in the 99th percentile caused a slight increase in
methanol concentrations, but that concentration was within normal
limits.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=3957170

Again, no significant changes in any of the metabolites concentrations.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=137987

Phenylalanine is incorporate into the body (as should happen), alanine
goes through krebs cycle (also normal), and methanol is oxidized to
CO2 (normal).
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=827618
Subject: Re: Diet Sodas/Pops
From: purkinje-ga on 06 Aug 2004 15:17 PDT
 
Oops, the last sentence of my first paragraph above should say, "And
as for the side effects, there are even more side effects reported
with placebo (inert) pills."

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