Ml. Wolraich et al., EFFECTS OF DIETS HIGH IN SUCROSE OR ASPARTAME ON THE BEHAVIOR AND COGNITIVE PERFORMANCE OF CHILDREN, The New England journal of medicine, 330(5), 1994, pp. 301-307
Background. Both dietary sucrose and the sweetener aspartame have been
reported to produce hyperactivity and other behavioral problems in ch
ildren. Methods. We conducted a double-blind controlled trial with two
groups of children: 25 normal preschool children (3 to 5 years of age
), and 23 school-age children (6 to 10 years) described by their paren
ts as sensitive to sugar. The children and their families followed a d
ifferent diet for each of three consecutive three-week periods. One di
et was high in sucrose with no artificial sweeteners, another was low
in sucrose and contained aspartame as a sweetener, and the third was l
ow in sucrose and contained saccharin (placebo) as a sweetener. All th
e diets were essentially free of additives, artificial food coloring,
and preservatives. The children's behavior and cognitive performance w
ere evaluated weekly. Results. The preschool children ingested a mean
(+/-SD) of 5600+/-2100 mg of sucrose per kilogram of body weight per d
ay while on the sucrose diet, 38+/-13 mg of aspartame per kilogram per
day while on the aspartame diet, and 12+/-4.5 mg of saccharin per kil
ogram per day while on the saccharin diet. The school-age children con
sidered to be sensitive to sugar ingested 4500+/-1200 mg of sucrose pe
r kilogram, 32+/-8.9 mg of aspartame per kilogram, and 9.9+/-3.9 mg of
saccharin per kilogram, respectively. For the children described as s
ugar-sensitive, there were no significant differences among the three
diets in any of 39 behavioral and cognitive variables. For the prescho
ol children, only 4 of the 31 measures differed significantly among th
e three diets, and there was no consistent pattern in the differences
that were observed. Conclusions. Even when intake exceeds typical diet
ary levels, neither dietary sucrose nor aspartame affects children's b
ehavior or cognitive function.