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Supplements · Sweeteners

non-nutritive sweeteners increases appetite

Leans against Supplements 🔬 Includes disconfirming

Part of: • non-nutritive sweeteners

RefutedContestedStrong support
consensus score -0.37

📅 Last reviewed: 2026-07-15

Evidence ladder

How far up the ladder this claim has climbed. A high consensus on a low rung means "consistent so far," not "proven in people."

Top evidence so far: All trials, pooled (Meta-analysis)

MechanismIn-vitroAnimalObservationalRCTMeta-analysis

How the studies fall

2 support 4 contradict 0 tested null 4 mixed · 10 sources, 6 independent groups

What the evidence shows

The 'sweetness without calories confuses the body and drives hunger' idea has weak human support. Controlled trials generally find that non-nutritive-sweetened drinks produce appetite, satiety and 24-hour energy intake similar to sugar or water, with unchanged leptin.

The evidence (10)

SourceGradeStanceQualityFinding
Chakravartti SP et al
2025 · study_type: RCT
RCT mixed moderate RCT n=75: sucralose raised hunger vs SUCROSE (P<.001) but NOT vs water — the vs-sucrose gap is the CALORIE difference, not appetite-stimulation; vs-water null argues AGAINST 'NNS increase appetite'.
Al-Dalaeen A et al
2025 · study_type: observational
observational supports low Cross-sectional, n=300 university students. Higher NNS intake frequency associated with higher food-craving scores (β=0.21, 95% CI 0.08-0.34, p=0.002) independent of BMI/age/smoking.
Movahedian et al.
2024 · Crit Rev Food Sci Nutr
meta-analysis contradicts moderate GRADE MA of RCTs: NNS did not raise serum leptin (appetite-regulating hormone) and reduced body weight.
Farhat et al.
2019 · Nutrients
RCT contradicts moderate Three-arm crossover: stevia did not increase appetite or food intake vs sugar/control.
Rogers et al.
2016 · Int J Obes
meta-analysis contradicts moderate SR/MA: NNS do not increase energy intake or body weight vs sugar/control — no appetite-stimulating effect at the intake level.
Almiron-Roig et al.
2023 · Appetite
RCT mixed moderate SWEET beverages RCT (n=60): sucralose-ace-K blend raised prospective food-intake ratings vs sucrose, but small magnitude and no difference in 24-h energy intake.
Tey et al.
2017 · Int J Obes
RCT mixed moderate RCT (aspartame/monk-fruit/stevia vs sucrose): NNS beverages showed incomplete energy compensation but no clear increase in appetite/intake.
Zhu S et al
2024 · study_type: animal
animal mixed low Guinea pigs, 28d feeding: sucralose (TGS) group had significantly REDUCED food consumption vs control (P<0.05); rebaudioside-A (stevia) group had significantly INCREASED food consumption vs control (P<0.05). AGRP/NPY upregulated.
Overduin et al.
2016 · Appetite
RCT contradicts low Crossover RCT: replacing sucrose with erythritol did not change GLP-1/PYY, hunger/satiety or subsequent energy intake and sucrose preference.
Casperson et al.
2017 · Appetite
RCT supports moderate Crossover RCT: after a non-nutritive-sweetened beverage, sweet snacks became more reinforcing (higher operant responding) than after a sugar beverage.

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