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Updated Sep 13, 2025 · 21:15
Health News Updated Sep 13, 2025

Study claims artificial sweeteners can lead to faster cognitive decline

A major Brazilian study analyzing 12,000 patients found artificial sweeteners significantly accelerate cognitive decline. High consumers experienced 62% faster memory decline and brain aging equivalent to 1.6 additional years. Experts suggest these sweeteners may cause neuroinflammation and alter gut microbiome function. While some studies show minor benefits for weight management, the neurological risks raise serious concerns about long-term use.

New Delhi, Sep 13

Long-term use of artificial sweeteners or low- and no-calorie sweeteners, used mainly by people with diabetes, can lead to cognitive decline, claimed a study.

Researchers from the Universidade de São Paulo, Brazil, analysed 12,000 patients who use common artificial sweeteners such as aspartame, saccharin, xylitol, erythritol, sorbitol, tagatose, and acesulfame K.

The results, published in the Neurology journal, found that people who consumed the highest amounts had the greatest declines – 62 per cent -- in thinking and memory, as compared to those who consumed less.

The declines amounted to 1.6 years of additional brain ageing.

“We know sugar and sugar substitutes raise the risk of diabetes and malignancies. They are also linked to brain vascular cell dysfunction,” Dr. Manjari Tripathi, head of the neurology department at AIIMS, told IANS. She advised restricting its use.

The study revealed that the people who used the artificial sweeteners moderately had a 35 per cent faster rate of memory and thinking decline, and a 110 per cent faster rate of verbal fluency decline.

For those in the high consumption group, the rate of memory and thinking decline was 62 per cent faster, and their verbal fluency decline was 173 per cent faster.

Dr. Anshu Rohatgi, Vice-Chairperson, Neurology, from a city-based hospital, added that the effect, seen most commonly among diabetics, is a matter of concern as the incidence of diabetes is increasing.

Rohatgi explained that chronic exposure to these sugar alternatives may be making the brain more vulnerable.

“These artificial sweeteners may be causing neuroinflammation, and that may be one of the reasons for the cognitive decline. The other could be that it may be altering the gut microbiome,” Rohatgi told IANS.

A 2024 study led by the Chennai-based Madras Diabetes Research Foundation (MDRF) showed that replacing table sugar (sucrose) with a small quantity of natural and artificial non-nutritive sweeteners (NNSs) such as sucralose in daily beverages like coffee and tea may have no adverse effect on glycemic markers like glucose or HbA1c levels.

The study, published in the journal Diabetes Therapy, revealed that people who used sucralose in pellet, liquid, or powder form also had a slight improvement in body weight (BW), waist circumference (WC), and body mass index (BMI).

In 2023, the World Health Organization (WHO) raised concerns among healthcare stakeholders and the public regarding the use of NNS, even among those with diabetes.

— IANS

Reader Comments

Rajesh Q

My mother has been using artificial sweeteners for 15 years since her diabetes diagnosis. She's been experiencing memory issues lately. This study makes me wonder if there's a connection. Time to consult our doctor.

Michael C

The conflicting studies are confusing - one says cognitive decline, another says no adverse effects on glycemic markers. More research needed before drawing conclusions. But moderation seems key, as with everything.

Ananya R

Our grandparents never used these artificial things and lived healthier lives. Maybe we should go back to traditional Indian eating habits - less processed foods, more natural ingredients. Jaggery in moderation is better than these chemicals!

Vikram M

The 173% faster verbal fluency decline is alarming! As someone who works in IT, cognitive health is everything. Time to ditch the diet sodas and stick to plain water or nimbu pani. Better safe than sorry.

Sarah B

While this study is important, I wish they'd specified which sweeteners are most problematic. Not all artificial sweeteners are created equal. Some might be safer than others. More specific guidance would help consumers make better choices.

We welcome thoughtful discussions from our readers. Please keep comments respectful and on-topic.

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