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Nonnutritive Sweeteners

Nonnutritive sweeteners are compounds, such as aspartame, sucralose and stevia extracts, that taste sweet but add almost no calories, so they stand in for sugar in drinks and foods. People mostly look at them for weight control, and reviews of randomized trials found body weight went down and people ate less food, with moderate evidence for both. The effects were small, though, and each finding came from a single review; the evidence for HDL cholesterol was very limited, with no clear difference.

Sources: PMID 40913681; PMID 39606579

Best evidence
Grade B
Conditions studied
2
Outcomes
6
Graded outcomes
0201

Evidence by condition

  • Strong
  • Moderate
  • Limited
  • Very limited

2 conditions

Weight Loss & Maintenance: outcomes studied for Nonnutritive Sweeteners
GradeOutcomeEffectSizeStudiesPeopleStudies list
Food Intake

Small Decrease

Improves (the measure goes down)Small effect1 study944 people
Weight

Small Decrease

Improves (the measure goes down)Small effect1 study2,617 people

General Cardiovascular Health

General Cardiovascular Health: outcomes studied for Nonnutritive Sweeteners
GradeOutcomeEffectSizeStudiesPeopleStudies list
High-density lipoprotein (HDL)

No effect

NoneNo effect2,209 people
TriglyceridesImproves (the measure goes down)1 study2,209 people
Low-density lipoprotein (LDL)Improves (the measure goes down)2,209 people
Total cholesterolImproves (the measure goes down)2,209 people

Key findings

  • Food IntakeWeight Loss & MaintenanceImproves (the measure goes down)
  • WeightWeight Loss & MaintenanceImproves (the measure goes down)
  • High-density lipoprotein (HDL)

Shop the evidence-backed picks

Third-party tested Nonnutritive Sweeteners products, in the forms the graded studies used where we can match them.

  • Grade B

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Studies cited

3 studies from PubMed

  1. The effects of non-nutritive sweeteners on energy and macronutrients intake in adults: a grade-assessed systematic review and meta-analyses of randomized controlled trials.Front Nutr · PMID 39606579
  2. Effects of non-nutritive sweeteners on body weight: a systematic review and meta-analysis of randomized controlled trial (RCT) studies.J Endocrinol Invest · PMID 40913681
  3. The effects of non-nutritive sweeteners on lipid profile in adults: a systematic review and meta-analysis of randomized controlled clinical trials.Sci Rep · PMID 40595722