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Fat Chance: Fructose 2.0

University of California Television (UCTV) · Youtube · 1 HN points · 7 HN comments
HN Theater has aggregated all Hacker News stories and comments that mention University of California Television (UCTV)'s video "Fat Chance: Fructose 2.0".
Youtube Summary
(4:30 - Main Presentation) Dr. Robert Lustig, UCSF Division of Pediatric Endocrinology, updates his very popular video “Sugar: The Bitter Truth.” He argues that sugar and processed foods are driving the obesity epidemic, which in turn affects our endocrine system. [10/2013] [Show ID: 25641]

Eating for Health (and Pleasure): The UCSF Guide to Good Nutrition
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Watch Sugar: The Bitter Truth: http://www.uctv.tv/shows/Sugar-The-Bitter-Truth-16717
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For anyone interested in a detailed explanation of fructose metabolism (and why it's bad for you), I'd highly recommend these two talks by Robert Lustig on the subject. The first one is about how the body reacts to fructose, and the second video is a follow-up that emphasizes how fructose has contributed to the obesity epidemic in the US and elsewhere.

https://youtu.be/dBnniua6-oM

https://youtu.be/ceFyF9px20Y

admash
An excellent and detailed write-up of the biochemical mechanisms and effects involved in fructose metabolism is available at:

https://themedicalbiochemistrypage.org/fructose-metabolism/

knuthsat
Those videos have been debunked. Lustig used a lot of false claims.
bitwize
Which claims are false? I wouldn't trust any "debunking" with big sugar money behind it.
knuthsat
There's no big sugar behind it. You can quite easily see that a bunch of studies are on isolates, the Japanese he mentions eat much less calories and more fructose as a percentage of calories, etc.

There's just too much inaccuracies and outright misrepresentation to fit the narrative

leephillips
But don’t all other primates eat lots of fruit? Why are humans unique?
bnjms
Lustig argues that the fiber in fruit is the reason fruit does not cause issues in primates where we strip the fiber by straining or most commonly using hfcs as a sweetener. It’s a good-to-great video and worth the watch though I do not have the background to critique it.
mfer
A half cup of Dole canned pineapple is 15g of sugar. Eating a half cup of fresh pineapple is 8g of sugar. Pineapple is higher in sugar that many fruits. A cup of raspberries is 3g of Fructose.

This is a little mixing of apples and oranges but the high fructose we tend to eat are much higher than primates that eat fruit.

cjbenedikt
If you eat an apple for example yes, it contains fructose. Eating or drinking something with corn syrop is like eating LOTS of apples. Which you normally wouldn't do. https://www.healthline.com/nutrition/is-fruit-good-or-bad-fo...
knuthsat
Eating the equivalent amount of apples to HFCS is never going to have the same effect. Fiber content and other good stuff will completely remove the effects that you might see fructose isolate.
jcynix
Raw fruit isn't a problem, not even for humans. Products where "sugar" is replaced by fructose or other, simpler sugar variants is. Various sugar substitutes are added to e.g. canned fruit in "juice" which is mostly some kind of sugar. Which lets marketing say "less sugar" ...

And "high fructose corn syrup" is ... almost pure fructose. Which the human liver can only process a limited amount per day.

Anecdote: a young guy in Freiburg (Germany) got Covid recently and as a result lost his sense of taste afterwards. Now he isn't interested in fast food any more as everything tasty "bland" and can "easily" eat vegetables which he disliked before, even broccoli or Brussels sprouts. Which made him loose more than 50 pounds. Don't get this wrong, it's not an incentive to get Covid, but an example of the effects of abstaining from fast food and soft drinks.

aszantu
maybe I should get magicberry tabs again, they make everything taste sweet (more like aspartam sweet) without actually giving you sugar
pseudalopex
The most common form of HFCS is less than half fructose.[1]

[1] https://en.wikipedia.org/wiki/High-fructose_corn_syrup#Compo...

m463
I think fruits in nature probably have a lot more water and are manually picked and eaten which limits the speed and quantity of intake.

Meanwhile humans can eat concentrated fruits. Imagine picking and eating 100 grapes, vs eating a handful of raisins.

xbmcuser
Primates also eat fermented fruits which have enzymes that convert to something more digestible. By going for the cleanest best looking fruits/foods we have decreased the diversity of our gut bacteria which increasing the things people are allergic to.
simcop2387
No research done, but I suspect it's because of the sheer amount that we consume, at least in the US due to the use of corn syrup in packaged foods.
leephillips
Sure, but that’s not the question. Presumably gorging on HFCS would be bad for chimps, too. I was asking about the claim that “fructose” is unhealthy.
oudhmkbjx
Food is more properly understood in totality than merely as isolated nutrients. However, it is easier to design scientific studies that focus on isolated nutrients.

Whole fruit contains vitamins, minerals, fiber, and significant amounts of water. Whole fruit contains intact plant cell walls. It's very important to eat intact plant cell walls, but that's difficult to determine from studies of isolated nutrients. Because of the bulkiness caused by water and fiber in whole fruit, it's difficult to eat large amounts. For example, it takes about four oranges to make a glass of orange juice. Most people would not eat four oranges, but most people could easily drink 1 or more glasses of juice.

The wild fruit eaten by primates has less sugar and more fiber compared to fruit cultivated by humans. Human cultivated foods, including plants and livestock, are much richer compared to wild plants and animals, having more fat, sugar, starch, and calories in general, than what could evolve in the absence of pest control.

Humans have evolved quite differently than other primates. We have a rare ability to digest large amounts of starch, a capability shared almost exclusively with rats and pigs. It's difficult to compare our diets.

Primates consume significant amounts of foliage (leaves and such). You probably should too, green leaves are very excellent for your health.

jonnycomputer
I guess my first thought is: the amount of fructose in fruit is small relative to the amount in, say, a cola. Also, fiber might mitigate the insulin response. Also, we aren't eating fruits found in the wild (which is the relevant ecological context for this discussion). We have selectively bred fruits to be bigger and sweeter.
pkaye
I wonder if the enzyme uricase has anything to do with it. While reading about gout, I read that uricase is not found in humans, chimpanzees, gorillas, orangutans and gibbons but is found in other primates. Apparently uricase is found in most animals except the above. And somehow uricase is also related to fructose processing.
rirze
I was told that most fruits have a comparable amount of fructose and glucose and that eating excess fructose is what causes diseases and autoimmune reactions.
4ec0755f5522
Does fruit contain as much fructose today as it did 50, 100, 200 years ago? Or have we selectively bread the sweetest fruits to the point where monkeys cannot eat bananas?

Monkeys banned from eating bananas at Devon zoo

Zookeepers say the stereotypical food actually makes monkeys more aggressive, rots their teeth and can lead to diabetes

[...]

Zookeepers said the fruit grown and exported for human consumption have far higher levels of sugar than the ones monkeys would eat in the wild – to the point that it’s bad for their teeth and can lead to diabetes.

https://www.independent.co.uk/news/uk/home-news/monkeys-bann...

ASalazarMX
This was very unexpected, thank you for the link.
leephillips
This is interesting! And I love bananas, too.
jcynix
> Does fruit contain as much fructose today as it did 50, 100, 200 years ago?

Maybe due to selection of larger, sweeter fruit, yes. But processed food contains various sugar variants, including fructose (think "high fructose corn syrup") so fruit isn't the only (not even the main) source of fructose for many.

I don't think having everybody insured would be the criteria for it being working either. I came across a lecture about how metabolic syndrome treatment accounts for a large chunk of health care spending (75% [0]), and there's a lot of blame put on added sugars and processed foods. A large push for preventative care would be ideal.

[0] https://www.youtube.com/watch?v=ceFyF9px20Y

Robert Lusting has cery intersting book on this, and more specifically the influence of fructose sugar in diet.

https://m.youtube.com/watch?v=ceFyF9px20Y

Sugar seems to be a major driver of this development. The main problem is likely excessive sugar and especially fructose consumption starting with the emerge of cheap HFCS in most products. Dr. Robert Lustig has put a lot of research into the causes of the obesity crisis. He goes into great detail in his lectures on YouTube https://youtu.be/ceFyF9px20Y?t=51m41s He also argues against the "gluttony and sloth" prejudice by saying that you eat too much and move to little as a consequence of messed up hormones due to excessive fat. Not the other way around. The problem is probably more dimensional but the correlation between increasing Sugar/HFCS amounts in foods and the onset of obesity seems to be pretty strong.
ellyagg
You should read Stephen Guyenet to challenge what you've heard about sugar, both his twitter and his blog. He's a Ph.D. neuroscientist who studies the connection of the brain to fatness for a living.

A recent tweet from him:

    Most comprehensive analysis of macronutrients vs. lifespan, fatness, health in mice.  High fat + high carb + low protein = highest body fat.  High fat + high carb + high protein = highest insulin.  High carb + low fat + low protein = longest lifespan.
https://twitter.com/whsource/status/965330116468502529

There is an air of certainty about low carbs permeating our culture right now that is not justified by the evidence at all. The Kitavans today get 70% of their calories from potato and have no diabetes or metabolic syndrome.

Look up Ray Peat for a good argument in favor of sugar. Plenty of people are thriving on high sugar diets.

For my own part, I've consumed 1300 or so calories of sugar a day for 20 years and my biomarkers are 99th percentile. I'm very consistent about resistance training and I don't overeat, both factors likely dwarfing my sugar intake.

Of course, obviously that's an anecdote, but I would caution anyone who automatically judges someone else for their sugar consumption. You might be wrong about sugar and, more importantly, you might be wrong about sugar paired with a particular person's genes or other lifestyle factors.

Because of my high sugar consumption, I eat relatively low fat and protein. What if that's better for you, assuming you don't overeat?

Guyenet is somewhat in favor of the hypothesis that sugar increases fatness, but he thinks it's because humans are susceptible to the "unnatural" increase in food reward that adding extra sugar induces, not because sugar is toxic in and of itself.

You can start with this, start 11:00 go to 20:00. Or actually watch the whole thing.

https://www.youtube.com/watch?v=ceFyF9px20Y

May 18, 2014 · pkulak on Always Hungry? Here’s Why
If carbs are bad, sugar is horrible. Just in case you haven't seen these:

Sugar: The Bitter Truth: http://youtu.be/dBnniua6-oM

Fat Chance: Fructose 2.0: http://youtu.be/ceFyF9px20Y

Dec 02, 2013 · 1 points, 0 comments · submitted by hristov
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