Did this ingredient lead to obesity in lower income areas?

Did this ingredient lead to obesity in lower income areas?

In 1864, chemists realized that corn starch, developed in 1841, could be used as a sweetener, and corn syrup was born. Not nearly as sweet as cane or beet sugar, in 1967, a cheaper method was developed to convert corn syrup into high fructose corn syrup (HFCS) – where dextrose sugars are converted into sweeter fructose sugars – and commercialized production began.

Researchers claim in a new study that when it really took off as a cheap way for manufacturers to sweeten sodas and processed foodstuffs, so did the expansion of the waistline and the rate of diabetes, especially in lower income areas.

Corn, an agricultural product grown in abundance and heavily subsidized by the government, is an economically efficient way to produce a sweetener – HFCS is cheap to both process and purchase.

While it has been known for a few years that HFCS, along with other added sugars, has played a role in the obesity epidemic, a new study out of the University of Tennessee in Knoxville, available in the online journal, Palgrave Communications, has linked HFCS with greater obesity among the poor. The researchers matched obesity rates and mediaN household incomes using data that went back decades.

In the early 1990s, when HFCS use was ramping up, study co-author Alex Bentley said the relationship between low income and high rates of adult obesity in the U.S. became a detectable problem. Before 1990, he said there was no correlation between low income and obesity.

Bentley notes that in the mid-1990s, more readily-available processed foods contained HFCS, while organic food popularity caused produce and meat prices to increase. The result was that those living in low income communities, known as food deserts, had limited options and what they ended up consuming were heavily processed foods often made with cheap HFCS. Obesity-related diseases then started to rise in those communities.

Bentley says 2016 marked “peak obesity” in America – exactly one generation following peak HFCS use. “In 2015, over 35 percent of the population was obese in the U.S. where median household incomes were below $45,000 per year, whereas obesity was less than 25 percent of state populations where median incomes were above $65,000,” said Bentley.

“Poor people in America are disproportionately affected by obesity. In the decade from 2004 through 2013, obesity increased about one percent on average among the top 25 wealthiest U.S. counties. Averaged among the 25 poorest U.S. counties, the obesity increase for that decade was more than 10 percent,” said Bentley.

“While interesting, I do not agree with this study,” says registered dietitian, Dotty Berzy, with Advocate Trinity Hospital in Chicago, who points to a summary on HFCS by The University of California Berkeley. “Association does not equal causation. Increase in obesity could also be due to more fast food intake, less physical activity and more screen time.”

Berzy says too much sugar of any kind means ingesting extra calories that can lead to weight gain, type 2 diabetes and a range of other health issues. The dietary guidelines for Americans recommend limiting added sugar of any kind to no more than 10 percent of total daily calories.

“To improve your overall health and to help with weight loss if needed, reduce soda, which provides only empty calories, to one per day or eliminate all together, and read food labels to choose foods with less added sugar of any kind.”

Added sugars go by many names, says Berzy, including sucrose, honey, dextrose, evaporated cane juice, evaporated cane juice, molasses, corn syrup, agave nectar and syrup, among many others.

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About the Author

Kate Eller
Kate Eller

Kate Eller, health enews contributor, is director of public affairs for Advocate Illinois Masonic Medical Center and Advocate Lutheran General Hospital. She came to Chicago and Advocate in 2014 after living in Iowa, Nebraska, Missouri, Kansas and Texas. She enjoys road trips, exploring little towns, minimalism, hiking and urban hiking around Chicago.