We know too much sugar is bad for us, but do different sugars have different health effects?

Our recent article published in the Medical Journal of Australia found that Australian and European soft drinks contained higher concentrations of glucose, and less fructose, than soft drinks in the United States. The total glucose concentration of Australian soft drinks was on average 22% higher than in US formulations.

We compared the composition of sugars in four popular, globally marketed brands - Coca-Cola, Fanta, Sprite and Pepsi - using samples from Australia, Europe and the US. While the total sugar concentration did not differ significantly between brands or geographical location, there were differences between countries in the concentrations of particular sugars, even when drinks were marketed under the same trade name.

Whether these differences have distinct effects on long-term health is currently unclear. Certainly, over -consumption of either glucose or fructose will contribute to weight gain, which is associated with a host of health conditions such as type 2 diabetes and heart disease. And because the body metabolises glucose and fructose in different ways, their effects may differ.

Sucrose, glucose and fructose:

Soft drinks, as they are referred to in Australia, or “sodas” in the US and “fizzy drinks” in the UK, are non-alcoholic, carbonated, sugar-sweetened beverages. Australia ranks seventh out of the top ten countries for soft drink sales per capita.

Sugars are the chief ingredient in soft drinks and include glucose, fructose and sucrose. The source of sugars in popular soft drinks varies between global regions. This is because sugars are sourced from different crops in different areas of the world.

Soft drinks in Australia are primarily sweetened with sucrose from sugar cane. Sucrose, often referred to as “table sugar”, is composed of one glucose molecule and one fructose molecule joined by chemical bonds. This means equal amounts of glucose and fructose are released into the bloodstream when sucrose is digested. Read more

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