The Incomplete Absorption Process
The fundamental reason that sugar alcohols provide fewer calories than table sugar is that they are poorly and incompletely absorbed by the small intestine. Unlike sucrose, which is quickly and efficiently broken down into glucose for energy, most sugar alcohols, or polyols, pass through the small intestine relatively untouched. This inefficient absorption means that the body doesn't get to use all the energy the compound contains. This unabsorbed portion continues its journey to the large intestine.
Fermentation in the Large Intestine
Once in the large intestine, the unabsorbed sugar alcohols become a food source for gut bacteria. This process, known as fermentation, can create some gastrointestinal side effects in large quantities, such as gas, bloating, and diarrhea. The bacteria consume the polyols, and while this fermentation produces some energy in the form of short-chain fatty acids, it is not as calorie-dense or as efficiently used by the body as the energy from regular sugar.
The Special Case of Erythritol
Among the various types of sugar alcohols, erythritol is a notable exception that comes closest to having zero calories. The body's handling of erythritol is unique. Instead of being poorly absorbed and then fermented like other polyols, erythritol is almost fully absorbed by the small intestine. However, unlike other carbohydrates that are then metabolized for energy, the body cannot break down erythritol. As a result, it is excreted virtually unchanged in the urine, providing no energy and therefore no calories. This metabolic pathway is why it is often marketed as a truly zero-calorie sweetener, distinguishing it from other sugar alcohols that provide a small amount of energy.
Comparing Common Sugar Alcohols
Different sugar alcohols have different caloric values because of their varying degrees of absorption and fermentation. Here is a comparison of some common polyols:
| Sugar Alcohol | Sweetness (vs. Sucrose) | Approximate Calories per Gram | Digestive Impact | Common Uses | 
|---|---|---|---|---|
| Sorbitol | ~60% | 2.6 | Can cause digestive issues in large amounts | Sugar-free gums, mints, candies | 
| Xylitol | 100% | 2.4 | Moderate digestive impact, dental benefits | Chewing gum, dental products | 
| Maltitol | ~75% | 2.1 | Higher potential for digestive upset | Sugar-free chocolate, baked goods | 
| Erythritol | ~70% | 0.2 | Low digestive impact, largely excreted | Baking, beverages, keto products | 
| Isomalt | ~50% | 2.0 | Minimal absorption, low glycemic index | Hard candies, caramel | 
| Lactitol | ~40% | 2.0 | Varies, can be more tolerable than others | Sugar-free ice cream, chocolate | 
Calorie Counting and Labeling
Understanding the actual calorie content of sugar alcohols is important for those on controlled diets, such as people with diabetes or those following a ketogenic lifestyle. The U.S. Food and Drug Administration (FDA) and other health organizations provide specific guidelines for labeling products with sugar alcohols. While sugar has a standard 4 calories per gram, manufacturers must use the specific caloric value for each polyol, though it is often generalized to about 2 calories per gram for food labels. This is where the concept of "net carbs" comes into play, as the fiber and incompletely absorbed sugar alcohols are often subtracted from the total carbohydrate count. However, this can be misleading for some individuals, as the calories from the fermented portion of the polyol are not truly "net zero". Always read the nutrition facts carefully and consider your body's individual response.
Conclusion: The Digestive Difference
In conclusion, the idea that sugar alcohols are 'zero calories' is a common misconception, with the notable exception of erythritol. The reality is that their low-calorie profile is a direct result of the human body's digestive limitations. By being poorly and incompletely absorbed in the small intestine, most of their potential energy is never fully utilized. The remaining portion undergoes fermentation by gut bacteria in the large intestine, contributing only a fraction of the energy that standard sugars provide. This metabolic difference, combined with their non-cariogenic properties, makes them valuable low-calorie alternatives in many processed foods, but understanding their variable caloric content and potential for digestive side effects is key to using them effectively.
For more detailed information on sweeteners, including sugar alcohols and their specific applications, visit the Calorie Control Council at https://caloriecontrol.org/.