Skip to content

Are thickeners safe to consume? A comprehensive guide

4 min read

According to the U.S. Food and Drug Administration (FDA) and other global regulatory bodies, many common food thickeners are deemed safe for consumption within recommended limits. However, concerns regarding potential side effects and safety for specific populations mean many still wonder: are thickeners safe to consume?

Quick Summary

Food thickeners are generally recognized as safe by regulators, though overuse or individual sensitivity can cause digestive issues. Concerns exist for vulnerable groups like infants, and specific conditions like dysphagia require careful consideration. Most function similarly to dietary fiber.

Key Points

  • Generally Safe: Most common food thickeners, like xanthan gum and guar gum, are considered safe by major regulatory agencies like the FDA.

  • Dose-Dependent Effects: Digestive side effects such as bloating or gas are possible with very high doses of thickeners, but are rare at typical dietary levels.

  • Special Population Risks: Premature infants and individuals with swallowing difficulties (dysphagia) face specific risks and require caution or medical supervision when consuming thickened products.

  • Individual Sensitivities: While uncommon, some people may experience allergies or sensitivities to certain thickeners like carrageenan or guar gum.

  • Natural vs. Synthetic: Both natural and synthetic thickeners are heavily regulated for safety, so their origin isn't the primary indicator of safety.

  • Proper Use is Crucial: For medicinal use, especially for dysphagia, correct preparation and dosage are critical to avoid complications like dehydration or choking.

In This Article

What Are Food Thickeners?

Food thickeners are ingredients used to increase the viscosity of liquid food and drinks without substantially changing their other properties, such as flavor. They play a vital role in processed foods, improving texture, stability, and consistency. Thickeners are derived from a variety of sources, including plants, seaweed, animals, and microbial fermentation.

Common types of thickeners found in everyday products include:

  • Starch-based: Cornstarch, arrowroot, and tapioca starch.
  • Gum-based: Xanthan gum, guar gum, and locust bean gum.
  • Protein-based: Gelatin, derived from animal collagen.
  • Seaweed-based: Carrageenan and agar-agar.
  • Fruit-based: Pectin, concentrated in citrus peels.

The Safety of Common Food Thickeners

Regulatory bodies worldwide, such as the FDA in the U.S. and the European Food Safety Authority (EFSA), extensively test food additives before they can be used in products. Most common thickeners are classified as GRAS (Generally Recognized as Safe). However, the safety profile can vary based on the specific thickener, consumption amount, and individual health conditions.

Xanthan Gum

Made by fermenting simple sugars with the bacterium Xanthomonas campestris, xanthan gum is a widely used and well-researched thickener. It is considered safe for long-term consumption at typical dietary levels. As a soluble fiber, it is not digested by the human body. However, high doses (more than 15g per day) can lead to temporary gastrointestinal issues like bloating, gas, and softer stools. Premature infants should not be given xanthan gum-based thickeners, as reports linked its use to a serious condition called necrotizing enterocolitis (NEC) in this vulnerable group.

Carrageenan

Extracted from red seaweed, carrageenan is used in dairy products and processed foods. Its safety has been debated, with some animal studies suggesting it could cause gastrointestinal inflammation, particularly degraded carrageenan. However, the undegraded, food-grade version is considered safe by the FDA and the World Health Organization (WHO) committee. Some individuals report digestive discomfort that improves after removing it from their diet. The WHO committee has reaffirmed its safety for use in infant formula.

Guar Gum

Derived from guar beans, this soluble fiber is common in gluten-free recipes and processed foods. It is considered GRAS. Guar gum can benefit digestion by acting as a prebiotic and normalizing bowel movements. However, consuming high amounts without sufficient fluid can cause esophageal or intestinal blockage. Mild digestive symptoms like gas and bloating are also possible with high intake. Decades ago, high-dose guar gum supplements for weight loss were banned by the FDA due to safety concerns related to intestinal blockage.

Modified Starch

Modified starches are starches that have been treated to alter their properties. The FDA considers them safe for consumption and classifies many as GRAS. They are processed and digested alongside other food ingredients. While the long-term effects of some modified starches are not fully understood, they are widely used without significant reported issues at normal levels.

Pectin

Found naturally in fruits, pectin is a soluble fiber used as a gelling agent in jams and jellies. It is generally considered safe and well-tolerated, even in supplement form. Potential side effects include mild abdominal cramps and diarrhea, especially with high intake. Pectin can also interfere with the absorption of certain medications, including tetracycline antibiotics, digoxin, and some cholesterol-lowering drugs.

Potential Side Effects and Precautions

For the general population, the main risks of consuming thickeners typically stem from excessive intake, which is unlikely with a normal diet. Side effects like bloating, gas, and digestive discomfort are most common. Inhaling thickener powder can cause respiratory irritation and should be avoided. Individuals with specific food allergies or sensitivities should always check ingredient lists.

Comparison of Common Thickeners

Thickener Source FDA/WHO Status Potential Side Effects & Considerations
Xanthan Gum Fermented sugar GRAS, Approved (E415) Bloating, gas (high doses). Contraindicated for premature infants.
Carrageenan Red seaweed Approved (E407) GI inflammation concerns (animal studies, specific sensitivities). Generally safe at normal intake.
Guar Gum Guar beans GRAS Bloating, gas (high doses). Risk of blockage without sufficient fluid.
Modified Starch Corn, potato, etc. GRAS None typically associated with food levels.
Pectin Fruits Generally recognized as safe Cramps, diarrhea (high doses). Drug interactions possible.

Natural vs. Synthetic Thickeners

Thickeners are not inherently 'good' or 'bad' based on their origin. Natural thickeners like pectin and agar-agar, derived directly from plants or seaweed, are processed but are often favored in certain dietary trends. Synthetic thickeners like carboxymethyl cellulose are created in a lab and are equally subject to rigorous safety assessments. The primary distinction is often marketing rather than a fundamental safety difference, as both must meet strict regulatory standards. Concerns sometimes arise when additives are part of ultra-processed foods that may have higher salt, fat, or sugar content.

Thickeners for Dysphagia: A Special Case

For people with dysphagia (swallowing difficulties), thickeners are often medically prescribed to prevent aspiration (food or liquid entering the airway). In this context, thickeners are a crucial safety tool. However, even with medical supervision, specific risks exist:

  • Dehydration: Thickened fluids can be less palatable, leading to reduced fluid intake.
  • Accidental Ingestion: Accidental swallowing of the dry powder can cause life-threatening choking or airway obstruction.
  • Medication Bioavailability: Thickening agents can alter how the body absorbs medication, impacting its effectiveness.

Due to these risks, healthcare providers stress the need for careful dosage, monitoring, and proper storage of thickener powders. For more information on the effects of thickened liquids in dysphagia management, the NIH has published a detailed review: Thickening agents used for dysphagia management: effect on hydration and medication bioavailability.

Conclusion

For most healthy individuals, food thickeners are safe to consume in the small amounts found in packaged foods, thanks to strict regulation by agencies like the FDA. These additives, many of which function as dietary fiber, are part of the modern food supply. However, awareness is key. High-dose consumption, individual sensitivities, specific health conditions like dysphagia, and age (premature infants) can introduce risks and side effects that warrant caution and, when necessary, medical consultation. By understanding the source and potential implications of different thickeners, consumers can make informed decisions about their dietary choices.

Frequently Asked Questions

Common food thickeners include gums like xanthan gum and guar gum, starches such as cornstarch and tapioca, and gelling agents like pectin, gelatin, and carrageenan.

Yes, although rare, some individuals may have allergies or sensitivities to specific thickeners, such as those derived from corn, soy, or dairy. If you have severe allergies, it's wise to be cautious.

Concerns about carrageenan's safety stem from some animal studies suggesting it could cause intestinal inflammation. However, regulatory bodies have deemed the food-grade version safe for consumption at typical levels.

Modified food starch is generally considered safe by the FDA and is a common additive. Concerns mostly relate to the broader context of processed foods rather than the ingredient itself at normal intake levels.

Most thickeners, like xanthan gum and guar gum, are soluble fibers that can act as prebiotics and aid digestion. However, consuming very high amounts can cause gas, bloating, and other GI discomfort.

Specific thickeners like SimplyThick, which contains xanthan gum, are linked to necrotizing enterocolitis (NEC) in premature infants and should be avoided in this population. Any use of thickeners for infants should be under a doctor's supervision.

Yes, for some people with dysphagia who require very thick liquids, certain thickeners can impair the absorption of orally administered medications. This requires careful management in consultation with a pharmacist.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.