Sorbitol Abuse Among Eating-Disordered Patients

Artificial sweetener use among individuals with eating disorders

“…We did not systematically review ill effects with our participants, and none were spontaneously reported. Theoretical effects of abuse of diet beverages include further impairment of bone density with use of carbonated beverages, as carbonation is associated with reduced bone density 20 ; caffeinism, with abuse of caffeinated beverages; and oral discomfort, including temporomandibular joint problems 21 and/or gastrointestinal effects (i.e., bloating, abdominal pain, diarrhea) 1 from prolonged gum chewing. Behavioral effects could conceivably include appetite dysregulation or worsening of the eating disorder.…”

“…One study assessed the use of products containing sorbitol in a series of patients with eating disorders admitted to an inpatient treatment unit. 1 Eighteen of 21 consecutive patients reported daily use of such products, predominantly sugarfree gum. A number of these patients reported gastrointestinal symptoms resulting from the consumption of very large quantities of the products.…”

Caffeine, artificial sweetener, and fluid intake in anorexia nervosa

“…Excessive fluid intake often takes the form of carbonated beverages, coffee, and water. Similarly, artificial sweeteners in the form of sugar-free candies or chewing gum, foods, and drinks have been reported to be used to suppress appetite in this population 2, 3. Understanding the relationship between fluid intake, caffeine use and artificial sweetener use is challenging because these substances are often found in combination in the same products.…”

“…Ohlrich and colleagues offered case reports of sorbitol abuse through chewing gum 2. The authors suggested that sorbitol-based gum was used as a purging technique, a way to control binge-eating episodes, or as a means to limit hunger 2. Most of these patients experienced gastrointestinal symptoms (e.g., bloating, cramping, loose stools, and distention).…”