Picture source: Flickr, by Hillary Stein

Georgie Fear, a registered dietitian who writes Ask Georgie, wrote me a comment for ideas on trends in health and food for my HealthBuzz theme this August:

I think a topic you should consider addressing is normal sugar vs other sweeteners (caloric). There are so many people out there blogging about using agave and honey and dates and boasting that their recipes are “sugar-free” or contain “no refined sugar” as if they have achieved nutritional superiority.

Thanks Georgie for the inspiration!

Agave

Agave is marketed as nutritionally superior to sugar due to its low glycemic index (GI). Glycemic index for a certain food–usually carbohydrate-containing foods–is how quickly a portion of it that contains 50 grams of carbohydrate can raise blood glucose level. The higher the number, the faster starches in the food are digested and absorbed, and the faster they show up in your blood as glucose.

It’s true that agave nectar has a lower GI value than table sugar, and some studies found diets rich in foods with low GI values can prevent diabetes, obesity, and cardiovascular disease. However, it’s still equally important to look at other factors in the diet: total carbohydrates, fiber, protein, and fats, exercise habits, eating style, stress level, and so on.

Plus, agave nectar is 90% fructose. If excessive fructose is causing our obesity, diabetes, and metabolic syndrome epidemic, then agave might be worse than high fructose corn syrup (55% fructose) and worse than table sugar. Fructose doesn’t stimulate insulin release and as a result, doesn’t stimulate the release of another hormone that makes us feel full. So when we consume too much fructose, we are likely to eat more! Plus, fructose goes to the liver to be broken down, and there it is converted to fat, which can raise cholesterol and triglycerides. Bad stuff. Read this article from Diabetes Health for more on fructose.

And let’s not forget that agave is still nutrient-free.

Agave nectar is processed. It undergoes heat processing so that fructosans, the complex form of fructose found in it, are broken down into fructose. Now that doesn’t sound so natural from where I stand.

Honey

Honey has a GI right in the middle between table sugar and agave nectar and is 38% fructose. While honey is touted for having vitamins, minerals, and protein, the amounts are insignificant in a regular edible portion. To a get a decent amount of nutrients, you need to eat A LOT of honey, and it’s much easier to get these nutrients from fruits, beans, grains, vegetables, and dairy–without paying the price in calories and sugars.

I can’t skip that honey is highly valued by many religions and considered “holy food” by people who follow them. I personally think that it is, and prefer it often over table sugar only from my personal religious bias and not as a dietitian. Whether you agree or not, it’s totally your own opinion that I respect.

Date Sugar

Date sugar is not really sugar but is dried dates, chopped up into small pieces, then ground. It’s considered a natural and non-processed wholesome food with high fiber, vitamins, and minerals. While it can substitute an equal amount of granulated or brown sugar, it doesn’t dissolve in liquids, doesn’t melt, and can clump, making it impractical for some types of baking. Nutritionally, it might be slightly superior to sugar. Is it sugar-free? Certainly not. It has natural sugars that add total calories and carbohydrates (if you’re counting your carbs).

Bottom Line

The world of sweeteners is not a fun place to hang out. It can get messy and complicated, and there’s no straight answer. My bottom line:

  • –Agave nectar might not be as healthy as its producers and fans claim it to be. It has a low GI but high in fructose. Tough call.
  • –Honey might be slightly healthier than table sugar (due to some nutrients) especially if you like its taste and value it from your religion’s perspective.
  • –Agave and honey (and probably most other “natural” sweeteners) should be limited to the minimum. In no way are they sugar-free or refined-sugar-free! Try date sugar if available, use very ripe fruits in your baking, or use applesauce, pureed peaches, pears, berries, etc.
  • –Cut back on the amount of sweeteners you use in beverages and baked products. There’s nothing wrong with getting used to having a less of a sweet tooth.
  • –Eat fruits to satisfy your sugar cravings. And on the occasions when you want to enjoy a treat, just eat a sensible portion and don’t worry too much about the type of sweetener used.

Read this post on artificial sweeteners.

Have a different opinion? Please pitch in!

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Comments

17 Comments so far

  1. Jane @ Sweet Basil Kitchen on August 5, 2010 3:10 pm

    Very interesting. I just got some Date Syrup to try. I think you are right about agave getting all the raves. Not sure about all that processing tho.

  2. OrganicFoodDude on August 5, 2010 4:09 pm

    Good article. I would point out that agave nectar (the raw / lower filtered varieties) does have trace minerals and up to 5% inulin. Depending upon the producer, some agave nectar brands are minimally processed (as in, low heat, filtration of solids, and evaporation). Using a few teaspoons is equivalent in fructose as eating an apple. I think there should be a differentiation between natural, fruit-based fructose (as in honey and agave) and the GMO-based refined corn syrup that relies upon the lab and significant chemical refining.

  3. Nutritioulicious on August 5, 2010 8:08 pm

    Great post! So many people think agave is the best thing since sliced bread. It’s great to see you letting people know that it’s not the healthiest sweetener available.

  4. Georgie Fear on August 7, 2010 10:49 pm

    Thank you so much for your expert handling of the topic! Great article!!

    :)

    Georgie

  5. Vinegarlic on August 9, 2010 1:51 pm

    Thanks for the info. I’ve been thinking of trying date sugar for the first time sometime soon. I think it seems like a fun idea to use it in cookies during Ramadan and Eid.

  6. Nour El-Zibdeh, RD on August 9, 2010 10:32 pm

    Thank you all for the comments!

    OrganicFoodDude: Thanks for pointing out this information about the fructose content in agave. I couldn’t find any nutrition analysis of agave syrup done by USDA, and as you mentioned, there are many types in the market, making it more difficult for consumers. I think we will continue to see more research on fructose in the future. I don’t think it’s a solved issue just yet.

    Nutritioulicious: I don’t think there will ever be such a thing as a healthy sweetener unless it’s real fruit! But we all want our occasional cakes and cookies, so it’s really about realizing that they’re ok if occasional, but not every morning on cereal…

    Vinegarlic: Ramadan Mubarak!

  7. Angie on August 11, 2010 12:46 pm

    Excellent post! I’ve totally enjoyed reading your articles that I found through HealthBuzz!

    I think this is such an interesting and complicated topic….especially if you add artificial sweeteners into the discussion.

    Thanks for sharing!

  8. Hinna on August 18, 2010 7:32 pm

    Salaam,

    I’ve been hearing a lot about coconut sugar or coconut palm sugar. What are your thoughts on this sweetner?

    You

  9. Hinna on August 18, 2010 7:34 pm

    You mentioned using applesauce in cooking and baking. In what ratio can applesauce or other fruits be substituted in for regular sugar?

  10. Nour El-Zibdeh, RD on August 19, 2010 10:35 am

    In cooking, just taste! Just be careful that the consistency of applesauce (runny) is not the same as sugar (powder/solid). In baking, it’s really trial and error. Actually, applesauce is mainly used to sub for oil. Sugar has a role in baking, other than taste, and you still need to put some sugar. It’s not a simple conversion. Read this article: http://www.ehow.com/how_5162415_substitute-applesauce-sugar.html and this one http://en.allexperts.com/q/Low-Fat-Cooking-3205/Baking.htm for a detailed answer. I hope it helps!

  11. Jennifer @ Evolving Well on August 24, 2010 7:57 pm

    I’m glad that you’ve spoken about this here. I personally use all these different sweeteners, but the key is moderation. I talk about the quest for the healthy sweetener on my blog- http://evolvingwell.com/wordpress/?p=178 – and how we have completely forgotten the part of sugar not being so good for us. I think that clouds a lot of people’s judgment when it comes to how much and how often to use a sweetener. Plus, I also recommend to clients to rotate their sweeteners…don’t just use one and whatever you use, moderation is key.

  12. Carol Danilowicz on September 21, 2010 12:49 pm

    I choose agave (to sweeten my hot tea in the morning – and to sweeten iced herbal teas I keep on hand) mainly because I can use have the amount than when I use regular sugar, and I like the taste (which is, to me, very similar to the turbinado sugar I generally buy) I also like small amounts of honey and maple syrup for sweetening plain yogurt – but don’t like the way they taste in my morning tea. 1 tsp of agave has 20 calories – and is equal (to my taste) to 2 tsp of sugar, which has 32 calories – so less is required, and therefore, I’d think makes less of an impact.
    whether it’s agave, honey or maple syrup (or regular sugar) I always use as little as possible – and when I bake, I use regular sugar, but always cut it by 1/2 to 1/3 (everything comes out fine – cutting the sugar is never a problem) – my point about agave is that since I can get away with using 1/2 the amount of sugar – then isn’t it indeed a better alternative? – also I’d like to know the amount of agave(e.g. fructose) that has a harmful impact on the liver – and since you said “too much fructose” is what does that, then I’m guessing that the 2 tsp’s a day, max, is fairly innocuous. (as innocuous as any sweetener, that is).

  13. Carol Danilowicz on September 21, 2010 12:51 pm

    I choose agave (to sweeten my hot tea in the morning – and to sweeten iced herbal teas I keep on hand) mainly because I can use half the amount than when I use regular sugar, and I like the taste (which is, to me, very similar to the turbinado sugar I generally buy) I also like small amounts of honey and maple syrup for sweetening plain yogurt – but don’t like the way they taste in my morning tea. 1 tsp of agave has 20 calories – and is equal (to my taste) to 2 tsp of sugar, which has 32 calories – so less is required, and therefore, I’d think makes less of an impact.
    whether it’s agave, honey or maple syrup (or regular sugar) I always use as little as possible – and when I bake, I use regular (or turbinado) sugar, but always cut it by 1/2 to 1/3 (everything comes out fine – cutting the sugar is never a problem) – my point about agave is that since I can get away with using 1/2 the amount of sugar – then isn’t it indeed a better alternative? – also I’d like to know the amount of agave(e.g. fructose) that has a harmful impact on the liver – and since you said “too much fructose” is what does that, then I’m guessing that 2 tsp’s a day, max, is fairly innocuous. (as innocuous as any sweetener, that is).

  14. Nour El-Zibdeh, RD on September 24, 2010 9:33 am

    Carol: you pretty much got my exact message. That moderation and less of all sweeteners is the key. There are people who prefer agave for the same reasons you mentioned (sweeter or the distinct flavor), and that’s perfectly fine. As long as you don’t consider it a healthy food, you’re on the right track.
    I haven’t seen an upper limit for fructose. And I doubt this will ever be set. Fructose is found in fruits and it would simply silly to put an upper limit for an ingredient found in such a healthy food group, especially that people are already behind. But, fructose in fruit is found with other sugars (glucose and sucrose), not alone. FYI, high fructose corn syrup and sucrose (table sugar) are 50% fructose. I think we have so much to learn about fructose and all sugars in the future, so for now, practice common sense and moderation.

  15. Nour El-Zibdeh, RD on October 2, 2010 9:47 pm

    Hi Carol (again) and everyone,

    I just came across a blog post written by a fellow dietitian and she has the answer to how much fructose is too much. Based on a report in the European Journal of Food Safety, total sugar intake should not exceed 20% of calories and fructose intake should not exceed 7.5%. For more details, check her post. Here’s the link: http://www.incyst.com/2010/07/closer-look-at-sugar-and-sweeteners.html.

  16. How to Use Pumpkin Butter : Practical Nutrition on November 1, 2010 7:31 am

    [...] using agave nectar for sugar-free pumpkin butter. Beware of such claims. Agave has sugar. Read my previous post about [...]

  17. The Case Against Agave Nectar | A Black Girl's Guide To Weight Loss on July 14, 2011 8:35 am

    [...] Agave nectar is processed. It undergoes heat processing so that fructosans, the complex form of fructose found in it, are broken down into fructose. Now that doesn’t sound so natural from where I stand. [source] [...]

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