Mapping the Homeostatic and Hedonic Brain Responses to Stevia Compared to Caloric Sweeteners and Water: A Double-Blind Randomised Controlled Crossover Trial in Healthy Adults

Nutrients. 2022 Oct 7;14(19):4172. doi: 10.3390/nu14194172.

Abstract

Non-nutritive sweeteners have potential effects on brain function. We investigated neural correlates of responses to beverages differing in sweetness and calories. Healthy participants completed 4 randomised sessions: water vs. water with stevia, glucose, or maltodextrin. Blood-oxygenation level-dependent (BOLD) contrast was monitored for 30 min post-ingestion by functional Magnetic Resonance Imaging. A food visual probe task at baseline was repeated at 30 min. A significant interaction of taste-by-calories-by-time was demonstrated mainly in motor, frontal, and insula cortices. Consumption of the stevia-sweetened beverage resulted in greater BOLD decrease, especially in the 20-30 min period, compared to other beverages. There was a significant interaction of taste-by-time in BOLD response in gustatory and reward areas; sweet beverages induced greater reduction in BOLD compared to non-sweet. The interaction calories-by-time showed significantly greater incremental area under the curve in thalamic, visual, frontal, and parietal areas for glucose and maltodextrin 10-20 min post-consumption only, compared to water. In the visual cue task, the water demonstrated an increased response in the visual cortex to food images post-consumption; however, no difference was observed for the three sweet/caloric beverages. In conclusion, both sweet taste and calories exert modulatory effects, but stevia showed a more robust and prolonged effect.

Keywords: BOLD; fMRI; food cues; glucose; maltodextrin; neuroimaging; physMRI; stevia.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Brain
  • Cross-Over Studies
  • Diterpenes, Kaurane
  • Glucose
  • Glucosides
  • Humans
  • Non-Nutritive Sweeteners* / pharmacology
  • Stevia*
  • Sweetening Agents / pharmacology
  • Water

Substances

  • Diterpenes, Kaurane
  • Glucosides
  • Non-Nutritive Sweeteners
  • Sweetening Agents
  • Water
  • stevioside
  • Glucose