05/18/2023
This guidance by the WHO is misguided, as are all recommendations to avoid artificial sweeteners. Of course, artificial sweeteners don't produce weight loss or management by themselves - they have to be used properly, which means they have to replace sugar or calories you would otherwise have consumed. If used in this way - for example drinking a diet beverage with 0 calories and 0g of sugar in place of a bottle of juice with 140 calories and 30+ grams of sugar -they absolutely help with weight management.
As Sherman and Popkin note toward the end of the article, the evidence that ties sugar substitutes to diabetes and CVD does not distinguish between users with terrible diets and users with healthy diets. Obviously, someone with a terrible diet who uses artificial sweeteners is likely to develop health problems - because of the terrible diet. But for those with healthy diets who use artificial sweeteners, there is no evidence of harm for that scenario.
I have been using artificial sweeteners for 23 years to manage my weight (without harm!) and greatly appreciate having them as an option, as a tool, to enjoy a wider variety of beverages and foods than the limited suggestions fear-driven dietitians and doctors like to give (water, black coffee, tea...boring!).
In conclusion, the WHO is just one more organization to jump on the anti-artificial sweetener bandwagon without truly strong evidence for it, thereby limiting options for people who want to manage their weight while enjoying more variety in what they drink and eat. I support more options and more dietary freedom because that works so much better than needless restrictions and sacrifice.
The World Health Organization wants people to cut back on all sweeteners, not just sugar.