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May 21, 2023

Stevia: Health benefits, facts, and safety

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Stevia is an intensely sweet-tasting plant that has been used to sweeten beverages and make tea since the 16th century.

The plant is originally native to Paraguay and Brazil but is now also grown in Japan and China. It is used as a non-nutritive sweetener and herbal supplement.

A non-nutritive sweetener is one that contains little to no calories. Stevia is used as a healthful alternative to added sugar in many meals and beverages.

The United States Food and Drug Administration (FDA) banned the marketing of stevia as a food additive in 1987. However, stevia regained its status as a sweet, sustainable dietary ingredient in 1995. The sweetener has since soared in popularity, with a 58 percent boost in new products that contain stevia.

This breakdown looks at the characteristics, uses, health benefits, and side effects of stevia, as well as considering its overall safety.

Stevia, also known as Stevia rebaudiana Bertoni, is a bushy shrub that is part of the sunflower family. There are 150 species of stevia, all native to North and South America.

China is the current leading exporter of stevia products. However, stevia is now produced in many countries. The plant can often be purchased at garden centers for home growing.

As stevia is 200 to 300 times sweeter than table sugar. It typically requires about 20 percent of the land and far less water to provide the same amount of sweetness as other mainstream sweeteners.

Stevia contains eight glycosides. These are the sweet components isolated and purified from the leaves of stevia. These glycosides include:

Stevioside and rebaudioside A (reb A) are the most plentiful of these components.

The term "stevia" will be used to refer to steviol glycosides and reb A throughout this article.

These are extracted through a process of harvesting the leaves, then drying, water extraction, and purification. Crude stevia, the processed product before it is purified, often carries a bitter taste and foul smell until it is bleached or decolored. It takes roughly 40 steps to process the final stevia extract.

Stevia leaves contain stevioside in a range of concentrations up to around 18 percent.

Some of the common trade names for stevia sweeteners are:

As an alternative to sucrose, or table sugar, using stevia as a sweetener carries the potential for considerable health benefits.

Stevia is considered "no-calorie" on the FoodData Central (FDC). Stevia does not strictly contain zero calories, but it is significantly less calorific than sucrose and low enough to be classified as such.

The sweet-tasting components in stevia sweeteners occur naturally. This characteristic may benefit people who prefer naturally-sourced foods and beverages. The low calorie count qualifies Stevia to be a healthful alternative for diabetes control or weight loss.

Here are some of the possible health benefits of stevia.

Research has shown that stevia sweeteners do not contribute calories or carbohydrates to the diet. They have also demonstrated no effect on blood glucose or insulin response. This allows people with diabetes to eat a wider variety of foods and comply with a healthful meal plan.

Another review of five randomized controlled trials compared the effects of stevia on metabolic outcomes with the effects of placebos. The study concluded that stevia showed minimal to no effects on blood glucose, insulin levels, blood pressure, and body weight.

In one of these studies, subjects with type 2 diabetes reported that stevia triggered significant reductions in blood glucose and glucagon response after a meal. Glucagon is a hormone that regulates glucose levels in the blood, and the mechanism that secretes glucagon is often faulty in people with diabetes.

Glucagon drops when blood glucose climbs. This regulates the glucose level.

There are many causes of overweight and obesity, such as physical inactivity and increased intake of energy-dense foods that are high in fat and added sugars.

The intake of added sugars has been shown to contribute an average of 16 percent of the total calories in the American diet. This has been linked to weight gain and reduced control of blood glucose levels.

Stevia contains no sugar and very few, if any, calories. It can be part of a well-balanced diet to help reduce energy intake without sacrificing taste.

Stevia contains many sterols and antioxidant compounds, including kaempferol.

Studies have found that kaempferol can reduce the risk of pancreatic cancer by 23 percent.

Certain glycosides in stevia extract have been found to dilate blood vessels. They can also increase sodium excretion and urine output.

A 2003 study showed that stevia could potentially help lower blood pressure. The study suggested that the stevia plant might have cardiotonic actions. Cardiotonic actions normalize blood pressure and regulate the heartbeat.

However, more recent studies have shown that stevia does not seem to impact blood pressure. Further research is required to confirm this benefit of stevia.

Foods and beverages containing stevia can play an important role in decreasing calories from unwanted sweeteners in the diets of children.

There are now thousands of products on the market containing naturally-sourced stevia, ranging from salad dressings to snack bars. This availability allows children to consume sweet foods and drinks without the added calories while transitioning to a lower sugar diet.

Excessive sugars and calories are linked to obesity and cardiovascular disease.

In 2010, the European Food Safety Committee (EFSA) reviewed existing literature to determine if there was any cause for concern regarding the potential for allergic reactions to stevia.

The reviewers concluded that "steviol glycosides are not reactive and are not metabolized to reactive compounds, therefore, it is unlikely that the steviol glycosides under evaluation should cause by themselves allergic reactions when consumed in foods."

Even the highly purified forms of stevia extract are highly unlikely to cause an allergic reaction. No cases of allergic reaction to stevia have been recorded since 2008.

Safety studies have marked stevia extract as free of side effects.

While purified steviol glycosides can be added to foods and are generally recognized as safe (GRAS) by the Food and Drug Administration, the same is less true of whole leaf stevia. However, the stevia plant itself may be grown at home, and the leaves can be used in a variety of ways.

It was originally thought that stevia poses a danger to kidney health. A study on rats carried out since then suggests that stevia leaves in supplement form may instead possess qualities that protect the kidneys and reduce the impact of diabetes.

Current research also suggests that it is safe to consume the recommended amount of sugar substitute or less while pregnant.

Some stevia products also contain sugar alcohol. People with sensitivity to sugar alcohol may experience bloating, abdominal cramps, nausea, and diarrhea, though one type of sugar alcohol, erythritol, poses less risk of symptoms than others.

As long as stevia is highly-purified and used in moderation, it will not cause side effects and can be consumed worry-free.

In the U.S., stevia sweeteners are primarily found in table sugar products and reduced calorie beverages as sugar substitutes.

Extracts from the stevia leaf have been available as dietary supplements in the U.S. since the mid-1990s, and many contain a mixture of both sweet and non-sweet components of the stevia leaf.

The sweet components in stevia sweeteners are naturally occurring. This may further benefit consumers who prefer foods and beverages they perceive as natural.

Worldwide, more than 5,000 food and beverage products currently use stevia as an ingredient. Stevia sweeteners are used as an ingredient in products throughout Asia and South America such as:

In 1991, the FDA refused to approve stevia as a sweetener as an additive in foods. However, in 2008, after the purification process was developed and patented by Coca-Cola, the FDA approved the stevia extracts as GRAS.

Multiple global regulatory bodies have now determined that high-purity stevia extract is safe for consumption by the general population within the recommended levels, including children. Governing bodies have established an Acceptable Daily Intake (ADI) of 4 milligrams per kilogram (kg).

These organisations include the Food and Agriculture Organization of the United Nations (FAO), the World Health Organization (WHO), and the FDA.

Stevioside was found to be nontoxic in acute toxicity studies. These studies used a variety of laboratory animals. No major contraindications, warnings, or adverse reactions have been documented.

The steviol glycosides in stevia meet purity criteria established by the Joint Expert Committee on Food Additives (JECFA), indicating that stevia sweeteners are safe for use by individuals with diabetes.

The majority of scientific research on stevia uses high-purity stevia extracts. Crude stevia extracts were used in some studies from the past instead of high-purity extracts, which skewed the availability of accurate information.

The stevia plant is regulated not by the FDA but by the U.S. Department of Agriculture (USDA). The lack of a GRAS status by the FDA does not mean the stevia plant is inherently dangerous.

In fact, the plant can be purchased from a variety of gardening sources in the US, grown at home, and consumed in a variety of ways, as it has been for centuries in other countries.

The potential health benefits of stevia require further study before they can be confirmed. However, be confident that stevia is safe to consume and is an ideal alternative to sugar when looking for that extra boost of sweetness.

A range of stevia products is available for purchase online.