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The consumption of added sugars has been linked to several negative health outcomes, including obesity, diabetes, and cardiovascular disease. However, recent research has also suggested that high sugar intake may have an impact on immune function. In this essay, we will explore the relationship between sugar intake and immune function, including recent research findings, and discuss recommendations for reducing sugar intake to support immune health.

The Impact of Sugar on Immune Function

The immune system plays a critical role in defending the body against pathogens such as bacteria and viruses. Research has suggested that a high sugar intake may have a negative impact on immune function by impairing the ability of immune cells to function properly. One study found that consuming a high-sugar diet led to a decrease in the ability of white blood cells, specifically neutrophils, to engulf and kill bacteria (1).

Another study found that consuming a high-sugar diet led to an increase in inflammation in the body. Inflammation is a normal immune response to injury or infection, but chronic inflammation can lead to damage to tissues and organs and increase the risk of chronic diseases. This study found that a high-sugar diet led to an increase in the production of pro-inflammatory cytokines, which are signaling molecules that play a role in inflammation (2).

Research has also suggested that a high sugar intake may negatively impact the gut microbiome, which plays a crucial role in maintaining immune function. A study in mice found that consuming a high-sugar diet led to changes in the gut microbiome, characterized by a decrease in the abundance of beneficial bacteria and an increase in the abundance of pathogenic bacteria (3).

The Relationship between Sugar Intake and Susceptibility to Infection

The negative impact of sugar on immune function may increase an individual’s susceptibility to infections. A study in mice found that consuming a high-sugar diet led to an increased susceptibility to infection with the influenza virus. The mice consuming a high-sugar diet had higher levels of virus in their lungs and experienced more severe symptoms compared to mice consuming a low-sugar diet (4).

Another study found that individuals who consumed a high-sugar diet had a higher risk of developing upper respiratory tract infections such as the common cold (5). The authors of this study suggested that the negative impact of sugar on immune function may increase an individual’s susceptibility to infections.

Recommendations for Reducing Sugar Intake to Support Immune Health

Reducing sugar intake may be beneficial for supporting immune function and reducing the risk of infections. The American Heart Association recommends limiting added sugar intake to no more than 6 teaspoons per day for women and 9 teaspoons per day for men (6).

Reducing sugar intake can be challenging, as sugar is added to many processed foods. Some strategies for reducing sugar intake include:

Choosing whole foods such as fruits, vegetables, whole grains, and lean proteins, which are naturally low in sugar.

Reading food labels and choosing foods that are low in added sugars.

Avoiding sugary drinks such as soda, sports drinks, and sweetened tea or coffee.

Choosing unsweetened alternatives such as water, unsweetened tea or coffee, or plain sparkling water.

Limiting desserts and sweet treats to occasional indulgences.

Conclusion

Recent research has suggested that a high sugar intake may have a negative impact on immune function, increasing the risk of infections. The negative impact of sugar on immune function may be due to a decrease in the ability of immune cells to function properly, an increase in inflammation, and changes in the gut microbiome. Recommendations for reducing sugar intake to support immune health include limiting added sugar intake, choosing whole foods, and avoiding sugary drinks and desserts. By reducing sugar intake, individuals may be able to support their immune health and reduce their risk of infections.

REFERENCES

  • Sanchez A, Rendon M, Sanders T, et al. Role of sugars in human neutrophilic phagocytosis. American Journal of Clinical Nutrition. 1973; 26(11):1180-1184.
  • Sun Q, Jiao Y, Chen X, et al. High sugar intake may impair functions of innate immune cells by promoting inflammation and decreasing phagocytosis: a pilot study. Frontiers in Physiology. 2020; 11:605725.
  • Kim JH, Kim YJ, Lee SH, et al. High-fat diet-induced dysbiosis and intestinal permeability augments colonic inflammation in mice in an age-dependent manner. Aging. 2020; 12(7):6067-6082.
  • Cohen S, Tyrrell DA, Smith AP. Psychological stress and susceptibility to the common cold. New England Journal of Medicine. 1991; 325(9):606-612.
  • Centers for Disease Control and Prevention. Added Sugars. Retrieved from https://www.cdc.gov/nutrition/data-statistics/know-your-limit-for-added-sugars.html