don't sugar coat the myth

With so many different types and names for sugar, and so much misinformation out there about how we should be cutting down on the sweet stuff, it can be very confusing. Should we be going ‘sugar-free’? What are ‘free’ sugars and why are they not so good for our health? Is fruit sugar as bad as table sugar? And are raisins just full of added sugar, or is there more to them than that?

First off, what exactly is sugar?

Simply put, sugar is type of carbohydrate and is, therefore an important source of energy for our bodies and brain. Most people think of sugar as the white granulated variety (aka sucrose or table sugar) we put in our tea or coffee, but it comes in many guises. 

And despite what self-styled nutrition gurus and unqualified celebrities would have you believe, it’s almost impossible to completely remove sugar from our diet and go ‘sugar free’ because sugars are in lots of nutritious foods that we need to have a healthy, balanced diet. For example, there’s lactose (found in milk and dairy products like yogurt), glucose and fructose (found in fruits, including dried fruits like raisins, and vegetables) and maltose (found in grains like wheat and barley, and breakfast cereals).


Types of sugar… explained

Let’s get one thing clear – not all foods containing sugar are the same, so to help us better understand the sugars in our diet, the World Health Organisation separates them into two camps:


The healthier sugars

Milk and dairy foods (like yogurt, cheese); fruits and vegetables  (fresh, frozen, canned and dried with no added sugars); beans and pulses; cereal grains; nuts and seeds all contain sugar, but these natural occurring (or intrinsic) sugars come ‘locked in’ as part of a nutrient package with vitamins and minerals, and in some cases fibre, which all work together to keep us healthy.

… and the ones we need to cut down on

What we do need to cut down on are free (or added) sugars. They’re ‘free’ because they’re not naturally present in the food or drink – either because they’re added in, by us, by a chef or by a food manufacturer to enhance flavour, or they’re ‘freed’ from the plant cell walls of fruit and vegetables when they’re processed into juices, smoothies, purées and pastes.

Plus, don’t be hoodwinked by those ‘healthy’ unrefined sugar alternatives touted in the wellness world – the sugars naturally present in honey, molasses, trendy syrups (like maple, golden, coconut and agave) and nectars (such as blossom) all count as free sugars, and therefore need to be reduced in the diet, too.


What about the sugars in raisins?

Raisins are just full of added sugar, right? Wrong – it’s NOT added.  It was always there inside the fruit! Raisins are basically dried grapes – most of the water has been removed from the grapes though sun drying, which concentrates their natural sugars. That’s why raisins taste super sweet, but the sugar content of one raisin is actually no different to a fresh grape – it just comes in a smaller package!

And, as is the case with other traditional dried fruits, the sugars naturally present in raisins are bound within the fibrous matrix of the fruit, so they don’t count as the ‘free’ sugars type that we need to cut down on. This means that they’re slowly digested, which makes for better blood sugar (glucose) control. 

What’s more, raisins come hand-in-hand with vitamins, minerals, bioactive plant compounds with antioxidant capacities, and fibre that many Brits aren’t getting enough of.  Plus, a 30g portion (one tablespoon) counts as one of our five-a-day, too.

When it comes to our dental health, dried fruit, such as raisins has long been thought of as a big NO-NO due to their sugar content and supposed ‘stickiness’. Early research seems to suggest that dried fruit is not as detrimental to our dental health as once thought, and in fact, may provide some protective benefits. But, more research needs to be done to confirm this, and in the meantime, dentists and other health professionals will tell you that dried fruit is best enjoyed at mealtimes – as part of a dessert, for example, rather than as a snack.

Bottom line – Raisins are your friend.  Yes, raisins are not currently recommended between meals to reduce the risk of tooth decay. BUT they provide ‘healthy calories’ as opposed to ‘empty calories’ in sweets, chocolate, cakes and biscuits, so they’re a good, naturally-sweet treat swap, and ingredient in baking, puddings or even savoury dishes – especially given that many of us still fail to reach the recommended five daily fruit and veg portions, and 30g fibre target, too.

So why are free sugars the baddies?

There are several reasons why free sugars are bad for our health. To start with, free sugars provide the body with energy (calories), but not much else nutritionally, so they’re not necessary for a healthy diet. Plus, eating too many foods and drinks high in these sugars, like confectionary, leaves less room in our diet for other more nutritious foods.

But the trouble with consuming too many free sugars doesn’t end there. There’re around 16 calories in one teaspoon of sugar, so having more free sugars in our diet can make it harder to control our overall calorie intake, and an excess of calories can lead to us putting on weight. This in turn, could increase our risk of serious health problems like heart disease.

Lastly, there’s also the major risk to our dental health to consider – consuming too many foods and drinks high in free sugars, and too often, will do our precious pearly whites no favours at all! Plus, most sugary drinks are acidic, which can worsen dental problems and regular consumption may lead to type 2 diabetes, too.

How much sugar is too much?

The daily allowance (AKA the Reference Intake (RI) you’ll see on food labels) for total sugars is 90g a day, which includes the natural sugars you’ll find in dairy ingredients and fruit and vegetables (as a guide there’s around 10g in a glass (200ml) of milk, 27g in a medium banana, and 20g in a handful (30g) of raisins), and added ‘free’ sugars, too.

It’s recommended that we should get no more than 5% of our daily calories from free sugars, so the amount we should eat in a day depends on how old we are.  To put this into context – children aged four to six years old should be limited to a maximum of 19g per day (around five sugar cubes). Seven to ten year olds should have no more than 24g (6 sugar cubes), and adults and children aged over 11 years shouldn’t have more than 30g of free sugars ( 7 sugar cubes) a day.

How many free sugars are we consuming?

Worryingly, free sugars intakes in the UK far exceed recommendations. In fact, a staggering 87 per cent of adults exceed the 5% of our calories recommendation. The UK’s National Diet and Nutrition Survey, which gives us an insight into people’s eating habits, shows that on average, adults have around 50g a day (~13 teaspoons), and teenagers (11-18 year olds) are faring even worse, at 55g (14 teaspoons) a day.

 

Where are all of these free sugars coming from?

Sugary drinks (fizzy drinks, energy drinks and cordials) are still the biggest source of free sugars for teenagers, and in the top ten for younger children and adults, too, along with table sugar, jams and sweet spreads; buns, cakes, pastries and fruit pies; biscuits; sugar and chocolate confectionary; fruit juice; breakfast cereals; yogurt, ice cream and other dairy deserts.

 

Become a sugar detective…

To add to the confusion around sugars, we need to do a bit of detective work if we want to work out the amount of free sugars in our favourite foods and drinks. Nutrition labels on packaging can help us understand how much the sugar is in different food or drinks – look for the ‘carbohydrates (of which sugars)’ figure to see how many grams of sugar there are per 100g or 100ml – and sometimes per portion, too. 

But, remember this ‘sugars’ figure is the TOTAL amount of sugar, and includes both ‘naturally occurring’ sugars, as well as added sugars.  That’s why you’ll see a value for sugar on bags of raisins – they DON’T have any sugar added to them, but they DO contain natural sugars. So, it can be a tricky thing to do working out how much of the sugar in products is coming from the free sugars type.

 

How can I tell if sugar has been added?

Even though the TOTAL sugar figure only tells us part of the story, if you want to know if a product is high in added or free sugars, then check the ingredients list. Any ingredients used to make a food or drink must be listed, in descending order of weight – so if sugar doesn’t appear in the ingredients list, then no sugar has been added!

Do keep in mind though that added sugar could be listed under many different names such as molasses, fructose, glucose fructose syrup, honey, malt sugar, agave syrup agave nectar – and the higher up the ingredient list they are, the more sugar is in the product!

 

How to cut down on free sugars?

We all enjoy a little sweetness in our lives, but there’s no getting away from the fact that as a nation, we really do eat too much of the ‘added’ sweet stuff – an average of 85 teaspoons per person, in a week. So, if you’re looking to cut down on free sugars in yours and your family’s diet, check out Helen’s top tips below….

  • Keep to traditional dried fruits. Traditional dried fruits such as raisins, dates, figs, prunes and apricots have no added sugar. But, beware of other dried fruits such as cranberries and blueberries, and processed dried fruit snacks, which are sometimes infused with sugar syrups or fruit juices to improve their taste and shelf life. These contain free sugars, so should be eaten only occasionally and in small amounts.

  • Make sweet treats from scratch. Baking and cooking from scratch means that you’ll have more control over the amount of sugar – both natural and free sugars, you add in. You can normally slash the free sugar content of cakes and bakes by replacing sugar with mashed banana or diced apples, and dried fruits like raisins. If you’re stuck for ideas, check out some of the delicious California Raisins recipes here.

  • Get into the habit of reading nutrition labels. Unless you’re buying fruit products, try avoiding foods and drinks with a red traffic light label for, or that are high in sugars. These are foods with more than 22.5g sugar per 100g; and drinks with more than 11.25g per 100ml. Opt for foods and drinks with more greens and ambers, instead. Similarly, look out for those marked low in sugar, no added sugar, contains naturally occurring sugars, reduced sugar or sugar-free.

  • Lookout for free sugars in the ingredient list. When shopping, check the ingredients list for added sugars – as a rule, free sugars often end in ‘ose’, such as glucose, dextrose, fructose, maltose etc.

  • Watch the alcoholic drinks. Adults may be surprised to hear that alcoholic drinks, on average, currently supply around 10% of our free sugar intakes? They’re an easy way to overload on free sugars (and calories!) without noticing. Try switching to low-or zero alcohol drinks, enjoying alcohol free days mid-week, alternating your alcoholic drinks with water, diet soft drinks and mixers, and downsizing your wine glass size, too.

  • Keep fruit juice to one small glass a day. A 150ml glass of unsweetened fruit juice counts as one of your five-a-day – but no more. It’s high in calories and counts as free sugars, too, so keep an eye on your portion size and have it with meals to minimise the impact on teeth.

  • Choose lower-sugar puddings. Swap sugary desserts for healthier puds like chargrilled pineapple or baked bananas, sugar free jelly, lower-sugar rice pudding, raisin and carrot muffins, or even a bowl of tropical fruit salad with plain natural yogurt. Too sour  – why throw in a handful of raisins or berries, bursting with natural sweetness to help cut down the tartness.

  • Skips the sugary soft drinks. Tap water, unsweetened tea and coffee, lower fat milks are better choices for our waistline and teeth. But if you fancy something sweet, opt for sugar-free, no added sugar fruit squash or diet drinks.

  • Use spices for flavour without the added sugar. Try spices such as cinnamon, vanilla, mixed spice, nutmeg and ginger in stewed fruits, porridge, pancakes and bakes.

  • Be savvy with the sugary foods you give up. Eat fewer processed carbohydrates such as cakes, biscuits, pastries, chocolate and sweets, with little nutritional merit. And on the flip side, make sure any sweet foods you have to satisfy your sweet tooth contain nutritional benefits, too.

  • Watch for free sugars in unlikely places. Sugar is added to many savoury products for taste, like sauces, bread, ready-meals and soups, and even pickles.  If you’re a condiment lover and have a dollop of sauce with everything, it can soon add up. Switch to lower sugar versions, where possible.

  • Don’t beat yourself up about the occasional sugary treat. We don’t need to quit all sugar and a little bit of what you fancy now and then is ABSOLUTELY fine. Think about the 80/20 rule – if you eat healthy, whole foods that are low in saturated fat, salt and free sugars most of the time (80% of the time), then it’s OK to occasionally enjoy less healthy foods (20% of the time).

  • Don’t just think sugar, think about the whole food. Of course, reducing free sugars in our diet is important, but it’s not the only nutrient that matters when it comes to looking after our health. Think about the whole food – in other words, what else does it provide in the way of nutrition? Remember, it’s the full nutrient package, that’s important – not just the amount of sugar.

References:

    1. World Health Organisation (2015). Guideline: Sugars Intake for adults and children. Available here
    2. PHE Definition of Free sugars. British Nutrition Foundation. Available here
    1. SACN (2015) Carbohydrates and Health Report. Available here
    1. FAQs Sugars. British Nutrition Foundation. Available here
    1. BDA Food Fact Sheet: Sugar. Available here
    1. Public Health England (2015). McCance and Widdowson’s The Composition of Foods Seventh Summary Edition. Royal Society of Chemistry.
    1. British Heart Foundation. What are free sugars? Available here
    1. Why 5%. Public Health England. July 2015. Available here
    1. Sadler M J, Gibson S et al. (2019) Dried fruit and public health – what does the evidence tell us? International Journal of Food Sciences and Nutrition. Vol 70; 6; 675-687. Available here 
    1. Public Health England. National Diet and Nutrition Survey: Results from years 9 to 11 (2016 to 2017 and 2018 to 2019). December 2020. Available here 
    1. Sadler M J. Dried fruit and dental health – how strong is the evidence? Nutrition Bulletin 42, Issue 4: P338-345. Available here

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