Available online at www.sciencedirect.com
ScienceDirect
Effects of sugar and fat consumption on sweet and fat
taste
Russell SJ Keast
Excessive consumption of fat and sugar is associated with physiology may therefore influence food choice or
development of diet related diseases. While there are multiple metabolism [5].
factors involved with overconsumption of sweet and fatty
foods, the taste system is responsible for identifying sugars and Psychophysical measures of taste function include detec-
fats in foods, and in this way inform consumption of potential tion threshold (DT), the lowest concentration of a stimu-
foods. Published research linking sweet taste and sugar lus that is perceivable, recognition threshold (RT) the
consumption is limited and conflicting with one recent dietary concentration at which the quality of the stimuli can be
intervention supporting a link between sweet taste and sugar correctly identified, and the suprathreshold intensity
consumption. Fat taste is an emerging area of interest, and range which increases with increasing stimuli concentra-
recent research illustrates a direct link with high-fat diet tion to a terminal threshold [7]. These three measures are
increasing fat taste thresholds while low-fat diets decrease fat all reflective of tastes perceptual domain, but studies have
taste thresholds. illustrated that the measures are not correlated with each
other [8,9] meaning that consumption of sugar or fat may
Address associate with one measure of taste function, such as DT,
Deakin University, Centre for Advanced Sensory Science (CASS), VIC
but not correlate with RT or perceived intensity.
3125, Australia
Corresponding author: Keast, Russell SJ ([email protected])
Sweet taste
Sweet taste is mediated by taste cells expressing the
heterodimer of T1R2 + T1R3 with variation in gene
Current Opinion in Behavioral Sciences 2016, 9:55–60
expression underpinning inter-individual variation in
This review comes from a themed issue on Diet, behavior and brain
function sweet taste perception, which may in-turn influence sugar
consumption [10–12,13 ]. In support of this, evidence
Edited by Dana M Small and Susanne E la Fleur
from a genotyping study involving n = 1137 subjects
showed genetic variation in the TAS1R2 gene was associ-
ated with significant difference in total free sugar intake
in overweight and obese individuals, but not healthy
http://dx.doi.org/10.1016/j.cobeha.2015.12.003 weight population [14 ]. Unfortunately the study did
2352-1546/# 2015 Elsevier Ltd. All rights reserved. not assess sweet taste function making it impossible to
assess if the measured taste gene variance or the con-
sumption of free sugars was associated with perceptual
measures of sweet taste.
One small well-controlled dietary intervention has been
Introduction undertaken with 13 subjects completing a three-month
Diets high in fats, refined sugars or both increase suscep- low-sugar diet and a 16 participant control group remain-
tibility to chronic disease including obesity [1–3]. In this ing on their normal diet [15 ]. There were no significant
review conflicting evidence is presented with one study changes in sweet taste thresholds during the intervention
identifying an association between sweet taste and sugar and no changes in preference for sweet foods in either
consumption, and emerging evidence indicating a rela- group or between groups. Sweet taste intensity measures
tionship between dietary fat and fat taste thresholds. using general labelled magnitude scale (gLMS) were also
reported and while there was no difference in intensity
The sense of taste ratings during the first month, the low-sugar group rated
Taste receptors in the oral cavity give rise to perceptions sweet foods as more intense in months two and three. A
such as sweet and bitter, which enable organisms to one-month post-intervention follow-up showed the low-
identify nutrients and avoid toxins [4]. Homologous sugar intervention group had returned to their normal diet
post-oral taste receptors lining the gastrointestinal tract and sweet taste intensity returned to baseline. This is
(GIT) also serve physiological functions, such as orches- direct evidence that a low-sugar diet causes an increase in
trating reflexive responses including gastric emptying sweet taste intensity. In contrast to this, one cross-sec-
and hormone secretion to optimise nutrient metabolism tional study (n = 85 adults) using gLMS intensity ratings
[5,6 ]. Variations in oral or post-oral taste receptor failed to find an association between perceived sweetness,
www.sciencedirect.com Current Opinion in Behavioral Sciences 2016, 9:55–60
56 Diet, behavior and brain function
variety of food in diet, food beliefs, or dietary intake The studies mentioned prior are not intended as a com-
although this study used only one measure of sweet taste prehensive review but do nevertheless reflect the dis-
[16]. crepancies between studies, thereby ensuring no absolute
conclusion can be made on whether sweet taste function
A meta-analyses of randomised controlled trials and co- and sugar intake are associated.
hort studies reported reduced intake of dietary sugars is
associated with a decrease in body weight, and increased Hedonics of sweet taste rather than the intensity or
sugars intake was associated with a comparable weight threshold of sweetness may influence intake of sweet
increase [17]. This suggests lean and obese will have foods, although as with intensity, much of the data is
different intake of sugar and comparable differences in conflicting. A large 4-survey study by Pangborn and
taste function would provide circumstantial evidence of a Simone collected liking and preference information from
link between consumption and taste, although the link 12 505 participants, all of whom provided anthropometric
between sugar intake and obesity remains controversial information [12]. In-home assessment of canned pears
[18]. Studies have shown that there is a wide range of taste (n = 708 adults) and apricots (n = 370 adults) with 30, 40,
responses to sweet stimuli amongst people with obesity 50, and 70% sucrose syrup was performed using 9-point
and lean persons with little consistency in results. For hedonic scale; there was no association between hedonic
example, there was no difference in ability between lean rating for sweetened apricots and pears with body weight.
participants (n = 13) or participants with obesity (n = 39) Pangborn and Simone also used a paired preference
to identify a 0.175% sucrose solution from water using a method during the 1956 California State Fair to evaluate
two sample forced choice procedure over 175 trials ice cream (n = 6093) with varying levels of sweetness (11,
[19,20]. Similarly, a recent study assessing sweet taste 13, 15, 17 and 19%, w/v, sucrose) and peaches (n = 5334)
threshold using 3-alternate forced choice method in in- with varying levels of sweetness (45, 55 and 65% sucrose
dividuals with obesity (n = 52) and lean participants syrup) and reported no significant difference in prefer-
(n = 56) revealed no significant difference between the ence between underweight, healthy weight or overweight
populations. In contrast, ascending concentration forced- participants [12]. In contrast, Bartoshuk and colleagues
choice method to determine sucrose DTs in women illustrate the interaction between BMI, sweet intensity
(n = 72) found those with higher body mass index and sweetness liking where they plot remembered liking
(BMI) and body fat had significantly higher thresholds of sugar against actual liking of a candy and group subjects
[21]. Similar results were reported for sucrose DT in a according to BMI. The results show that correlations
study containing individuals with obesity (n = 51) and coefficient increased with each BMI category: under-
lean participants (n = 52), with obese individuals having weight (r = 0.0), normal (r = 0.1), overweight (r = 0.13)
significantly higher threshold [22 ]. and obese (r = 0.25), meaning for the same perceived
sweetness, liking increases as BMI increases [25 ]. Other
It is possible that sweetness detection or RTs have little well controlled studies have compared sweet taste DT
to do with intake, and that suprathreshold intensity [19,26,27] and suprathreshold intensities [27–29] with
measures are more appropriate when assessing taste sweetness preference between different BMI groups
associations with diet [7,9,23]. Measures in the sweet- and failed to find any significant associations.
ness suprathreshold range using magnitude estimation
method also failed to find any differences in intensity While data are limited and conflicting, it is important to
between lean (n = 13), moderately obese (n = 14) and note that discrepancies between studies may be attribut-
extremely obese (n = 39) [20,24 ]. However, as Bar- ed to type of methodology, or using only one measure of
toshuk et al. later noted, comparison between these taste function [25 ]. It is also probable that the association
groups may be erroneous as the magnitude estimation between sweet taste and sugar intake is minimal due to
method provided standardisation of the scale across the multiple other factors that influence diet, one of
people rather than allowing free use of labelled scales which will be binary interactions of sugars with other
[25 ]. Using sweetness intensity of candy rated on the components of food, such as fat. A small study measured
gLMS which is appropriate for cross-group evaluation, liking for fatty-sweet mixtures on a 9-point hedonic scale
participants (n = 3740) with higher BMIs found the in healthy weight individuals (n = 15), individuals who are
candy less sweet (sr = À0.04) [25 ]. In the interpretation formerly obese (n = 8) and individuals with obesity
of the data it should be noted that the semi partial (n = 12). Three dimensional plots were created using
correlation was small and there was no mention of Response Surface method which illustrated differences
controlling for odour or other sensory attributes present between the groupings, with obese disliking sweetness
in the candy that may have influenced the result. Even without fat compared to healthy weight, while both
with large numbers of participants and appropriate psy- groups equally liked the sweetened high-fat mixture
chophysical scaling used, the magnitude of difference in [30]. Similar methodology using sugar–fat mixtures was
sweet taste intensity between lean participants and employed by Hayes and Duffy, and while not assessing
those with obesity was minor. BMI found at high sugar/high fat levels participants with
Current Opinion in Behavioral Sciences 2016, 9:55–60 www.sciencedirect.com
Effects of sugar and fat on sweet and fat taste Keast 57
Figure 1
KEY 1 Strong signal Weak signal
L OBESE INDIVIDUAL
LEAN INDIVIDUA Taste bud in oral cavity
2
Neurotransmitters (noradrenaline,seratonin amino acids,acetylcholine)
Ghrelin 3 Stomach Ghrelin sensitivity sensitivity
Leptin Leptin
Intestine
Satiety hormones released Satiety hormones released
GLP-1 GLP-1 sensitivity CCK CCK sensitivity PYY PYY
4 5
Satiety compared to Satiety
Energy intake compared to Energy intake
LEAN OBESE
Current Opinion in Behavioral Sciences
Fat taste sensitivity in the oral cavity and gastrointestinal tract and proposed differences between lean and obese individuals. Fats in food are
broken down into FFAs by lipase enzymes in the mouth (1), and interact with putative receptors within taste cells. Lean individuals may have an
increased quantity of these receptors, compared to obese individuals. The presence of fatty acids in the mouth elicits the release of intracellular
2+
Ca and neurotransmitter activation, eliciting a taste perception (2). The brain centre talks with GIT via vagus nerve (3). In normal weight
individuals (4), fat ingestion triggers the release of satiety hormones including grehlin, leptin, CCK, PYY, GLP-1, while comparatively, obese
individuals (5) have decreased expression of fatty acid specific receptors, impairing fat sensing ability, thereby increasing energy
intake.Reproduced by permission from [46].
www.sciencedirect.com Current Opinion in Behavioral Sciences 2016, 9:55–60
58 Diet, behavior and brain function
low fungiform papillae density (n = 41, 15 female) expe- determination without standardising diet and collecting
rienced less intensity but retained liking for the mixture, recent dietary history may limit validity of studies inves-
while those participants with high fungiform papillae tigating the relationship between diet and taste. This is
(n = 38, 21 female), experienced increased intensity the likely explanation for the conflicting cross-sectional
and reduced liking for the sweet–fat mixture [31,32]. data previously discussed surrounding fat taste, diet and
The role of fat (and other food components) in intensity BMI.
and liking of sweetness and consumption of sugar may be
important factor in food consumption. The association between fat taste, diet and obesity are
probably a result of a coordinated alimentary canal re-
Fat taste sponse to dietary fat [45,46] (Figure 1). Indeed, a link
Fat taste is an emerging area of interest particularly in between fat taste and GIT responses to fatty acid has
chemosensory and nutrition research [33,34], and there been established with individuals with obesity having
has been direct evidence of a relationship between fat impaired responses to fatty acid in the oral cavity and the
consumption and fat taste. The impetus for the research is GIT [5,44 ,47,48] compared to healthy weight subjects.
the association between excessive intake of dietary fats Satiety mechanisms may be impaired in the individuals
and the obese state [2,35,36 ,37]. with obesity with subjects voluntarily consuming twice as
much energy from fat products as non-obese [5,49].
The relationship between fat taste thresholds, dietary fat Moreover, illustrating the role fat taste sensitivity may
intake, and BMI has recently been investigated by our have in overconsumption of fatty foods, participants who
group and others [5,36 ,38 ,39,40 ,41]. Some studies were classified as orally hyposensitive to C18:1 found fat
have found that those who were more sensitive (lower the least satiating macronutrient, while those who were
taste thresholds) to the fatty acid C18:1 had lower energy classified as hypersensitive to C18:1 found fat the most
intakes and consumed less total dietary fats, and were also satiating [36 ]. This result was specific for the high fat
better at detecting the fat content of food (custard) meal; this was not observed following a high carbohy-
[5,36 ,39,40 ,41]. In contrast, some studies show no drate, high protein or balanced meal [36 ].
association between fat taste thresholds and BMI
[36 ,40 ] and one study investigating fatty acid intensity The link between fat taste threshold and ability to
(not threshold) found no relationship [42]. The conflicting identify fat in foods and subsequent preference or liking
results in the literature may be due to methodological for fatty foods has also been investigated with conflicting
differences including the vehicle solution (water or milk) results [38 ,40 ,50–52]. Two studies have shown links
or type of fatty acid used [34,43]. Another likely explana- with diet and preference for fatty foods, with lower fat
tion is the cross-sectional design of the above research diets or lower sensory exposure to fats being associated
using dietary assessment methods prone to error, whereas with increased preference for lower fat foods [38 ,53].
weekly weighed food records may provide greater level of Whereas other cross-sectional studies failed to find asso-
accuracy of intake. ciations between habitual diet and preference for fatty
foods [39,51]. Low and high fat dietary interventions have
Direct evidence of the link between diet and fat taste has modified fat taste thresholds within four weeks as dis-
been shown in two intervention studies. The first study cussed previously, but these same studies that measured
was a 4-week randomised cross-over design high-fat/low- fatty food preference before and after the dietary inter-
fat dietary intervention that showed fat taste thresholds vention reported no significant or consistent changes in
can be modified by dietary fat, with a 45% energy from fat preference for fatty foods [40 ,44 ].
diet causing increase in fat taste thresholds (decreased
sensitivity) in lean individuals but not participants with Conclusion
obesity, while a 15% energy from fat diet resulted in Inconsistency between studies is to be expected as there
decrease in fat taste threshold (increased sensitivity) in are multiple factors influencing sweet and fat taste per-
both lean and participants with obesity [40 ]. The second ceptions/preferences, food preferences, food choices and
study was a 10-week low-fat weight loss diet that resulted the type and quantity of food consumed. One consistent
in decreased fat taste threshold (increased sensitivity) in is the role of dietary fat influencing fat taste thresholds.
subjects who were overweight and obese [44 ]. The two As fat taste thresholds are associated with energy con-
dietary interventions have been consistent and shown sumption, fat taste has major implications for obesity
that modifying the fat content of diet does influence fat research and development of obesity related pathologies.
taste threshold. However, a single meal two hours prior to Sweet taste intensity and sugar consumption may be
fat taste threshold has no influence [36 ], so there appears associated as indicated by a recent dietary intervention,
a critical window between 2 hours and 4 weeks where the and field would benefit from further well controlled
level of dietary fat or repeated exposure to high or low fat studies including the use of high intensity sweeteners
foods has an effect of fat taste thresholds. Given the in interventions to gain insights from decoupling sweet-
influence of diet on fat taste threshold, a single threshold ness and energy.
Current Opinion in Behavioral Sciences 2016, 9:55–60 www.sciencedirect.com
Effects of sugar and fat on sweet and fat taste Keast 59
intensity but not perceived pleasantness. Am J Clin Nutr 2015
Conflict of interest statement
http://dx.doi.org/10.3945/ajcn.115.112300.
Nothing declared. This study assessed the effect of a three-month low-sugar diet on sweet
taste intensity, thresholds and preference. There were no changes in
sweet taste threshold or food preference. However, the 13 subjects who
Acknowledgement were on the low-sugar diet perceived sucrose to be significantly more
sweet in months two and three of the diet indicating a direct role of dietary
This work is supported by National Health Medical Research Council
sugar in sweet taste intensity.
(NHMRC) grant 1043780 (RK).
16. Cicerale S, Riddell LJ, Keast RS: The association between
perceived sweetness intensity and dietary intake in young
adults. J Food Sci 2012, 77:H31-H35.
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