Food additives as non-conventional modulators of gut microbiota: health implications

1UOC di Nutrizione Clinica, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
2Centro di Ricerca in Nutrizione Umana, Dipartimento di Medicina e Chirurgia Traslazionale, Università Cattolica Del Sacro Cuore, Rome, Italy
3Scuola di Specializzazione in Medicina Interna, Università Cattolica Del Sacro Cuore, Rome, Italy
4CEMAD – Centro Malattie Apparato Digerente, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy

ABSTRACT

Every day, billions of individuals consume variable amounts of food additives contained in most ultra-processed foods, even though these substances are considered non-nutritive. The market for these compounds is growing, as well as the incidence of non-communicable diseases (NCDs). Recent evidence suggests the detrimental role of food additives on gut microbiota and homeostasis as crucial players in the onset of NCDs. This review summarizes the main findings about this hot topic dissecting the most recent studies justifying the growing scientific concern about these non-nutritive substances. At least four categories of food additives have been put under the spotlights: artificial sweeteners, emulsifiers, food colorants, and preservatives. Human studies on a large scale are warranted to confirm preclinical results.

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Publication history:

Submission date: Oct 06th, 2022
Revised on: Oct 07th, 2022
Accepted on: Oct 09th, 2022
Published online: Oct 17th, 2022

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