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UK Medical Journal Letter
On Aspartame And Health

BMJ  2005;330:309-310 (5 February),
doi:10.1136/bmj.330.7486.309-a
Letter
5-11-8
 
Aspartame and its effects on health
 
 
http://www.bmj.com/cgi/content/full/330/7486/309-a?ijkey=35a17593e
157e2d7f14404bce5f1b287803fc6d2&keytype2=tf_ipsecsha
 
Independently funded studies have found potential for adverse effects
 
EDITOR-Lean and Hankey's editorial on the effects of aspartame and health gives this artificial sweetener a clean bill of health.
http://www.bmj.com/cgi/content/full/330/7486/309-a?ijkey=35a17593e1
57e2d7f14404bce5f1b287803fc6d2&keytype2=tf_ipsecsha#REF1
 
1 However, it seems they have ignored or dismissed a wealth of evidence, which shows that aspartame can provoke a wide range of symptoms including depression<http://www.bmj.com/cgi/content/full/330/7486/309-a?ijkey=35a17
593e157e2d7f14404bce5f1b287803fc6d2&keytype2=tf_ipsecsha#REF2>2 and headaches.
 
http://www.bmj.com/cgi/content/full/330/7486/309-a?ijkey=35a17593e157e
2d7f14404bce5f1b287803fc6d2&keytype2=tf_ipsecsha#REF3
 
http://www.bmj.com/cgi/content/full/330/7486/309-a?ijkey=35a17593e157e
2d7f14404bce5f1b287803fc6d2&keytype2=tf_ipsecsha#REF4
 
4 Other studies (a total of 91) that attest to aspartame's potential for harm can be found in an online review of peer reviewed literature.
 
http://www.bmj.com/cgi/content/full/330/7486/309-a?ijkey=35a17
593e157e2d7f14404bce5f1b287803fc6d2&keytype2=tf_ipsecsha#REF5
5
 
This review is particularly worrying as it shows that, although 100% of industry funded (either whole or in part) studies conclude that aspartame is safe, 92% of independently funded studies have found that aspartame has the potential for adverse effects.
http://www.bmj.com/cgi/content/full/330/7486/309-a?ijkey=35a1759
3e157e2d7f14404bce5f1b287803fc6d2&keytype2=tf_ipsecsha#FIG1
 
Also, while Lean and Hankey speculate on the potential of aspartame to bring about weight loss, their assessment is largely theoretical (based on the potential for the replacement of sugar with aspartame to bring about caloric deficit). Despite two decades of use in the human diet, not one single, double blind, placebo controlled study that supports aspartame's supposed weight loss effects has been published.
 
Lean and Hankey endorse the use of aspartame in the diet, but the facts are that this synthetic chemical's "benefits" are unproved, and a considerable body of evidence exists that shows it has very real potential for harm. The glaring disparity in results from industry funded and independently funded research is clearly of considerable concern. Lean and Hankey say that the public needs protection from "misleading" websites warning of the hazards of aspartame. It seems that what the members of the public (and the medical profession) really need protecting from is editorials lacking in balance and objectivity.
 
John Briffa, general practitioner
 
London N6 5ED DrJBriffa@aol.com
 
 
Competing interests: None declared.
 
References
 
1. Michael Lean, Catherine Hankey. Aspartame and its effects on health. BMJ 2004;329: 755-6. (2 October.)<http://www.bmj.com/cgi/ijlink?linkType=FULL
&journalCode=bmj&resid=329/7469/755>[Free Full Text]
 
2. Walton RG, Hudak R, Green-Waite RJ. Adverse reactions to aspartame: double-blind challenge in patients from a vulnerable population. Biol Psychiatry1993;34(1-2): 13-7.
http://www.bmj.com/cgi/external_ref?access_num=8373935&link_type=MED
 
3. Van Den Eeden SK, Koepsell TD, Longstreth Jr WT, van Belle G, Daling JR, McKnight B. Aspartame ingestion and headaches: a randomized, crossover trial.Neurology 1994;44: 1787-93.
http://www.bmj.com/cgi/ijlink?linkType=ABST&journalCode=neurology&resid=44/10/1787
[Abstract/Free Full Text]
 
4. Lipton RB, Newman LC, Cohen JS, Solomon S. Aspartame as a dietary trigger of headache. Headache 1989;29(2): 90-2.
[CrossRef]
http://www.bmj.com/cgi/external_ref?access_num=A1989T436900003&link_type=ISI
 
5. Walton RG. Survey of aspartame studies: correlation of outcome and funding sources. 
www.dorway.com/peerrev.html (accessed 18 Nov 2004).
 
Related Article
 
Aspartame and its effects on health
Michael E J Lean and Catherine R Hankey
BMJ 2004 329: 755-756. 
http://www.bmj.com/cgi/reprint/329/7469/755
[PDF]
 
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