Understanding the Roles: FDA vs. NASM
The inquiry of how many nonnutritive sweeteners have been approved for use by the FDA NASM stems from a common confusion regarding the roles of these organizations. The U.S. Food and Drug Administration (FDA) is the government agency responsible for protecting public health by ensuring the safety, efficacy, and security of food. This includes the rigorous premarket review and approval of food additives, such as synthetic high-intensity sweeteners, or the evaluation of substances designated as Generally Recognized As Safe (GRAS). In contrast, the National Academy of Sports Medicine (NASM) is a private, educational organization that provides certifications and continuing education for fitness and nutrition professionals. NASM's role is to synthesize and disseminate scientific knowledge to help its members guide clients; it does not possess the authority to approve food ingredients and relies on the safety determinations made by the FDA and other authoritative health bodies. Therefore, to understand the landscape of approved nonnutritive sweeteners, one must look solely to the FDA.
The FDA's Nonnutritive Sweetener Portfolio
The FDA categorizes high-intensity sweeteners, which are far sweeter than sugar with minimal to no caloric contribution, in two ways: as food additives or as GRAS substances. A sweetener approved as a food additive must undergo extensive safety testing and formal premarket review by the FDA. A substance with GRAS status, on the other hand, does not require FDA premarket approval because its safety has been widely established by qualified scientific experts through publicly available information.
Sweeteners Approved as Food Additives
The FDA has formally approved six high-intensity sweeteners for use as food additives in the United States:
- Saccharin: The oldest artificial sweetener, first approved in 1977 following decades of use and safety reviews. Brands include Sweet'N Low and Necta Sweet.
- Acesulfame Potassium (Ace-K): Approved in 1988 for specific food categories and later as a general-purpose sweetener in 2003. It is heat-stable and often used in combination with other sweeteners. Brand names include Sunett and Sweet One.
- Aspartame: Approved in 1974 for tabletop use and other dry goods, with approval for soft drinks following in 1983. Aspartame is composed of two amino acids. Brands include Equal and NutraSweet.
- Sucralose: A highly stable sweetener approved in 1998 that can be used in baking and is found in a wide variety of food products. The most common brand name is Splenda.
- Neotame: Approved in 2002 as a general-purpose sweetener and flavor enhancer (except in meat and poultry). It is exceptionally sweet, requiring minimal amounts.
- Advantame: The most recently approved, receiving the green light in 2014 for general use (except in meat and poultry). It is also very high-intensity and heat-stable.
Sweeteners with GRAS Status
In addition to food additives, the FDA has not questioned the GRAS status of several other sweeteners, based on submissions from manufacturers.
- Steviol Glycosides: These are purified extracts from the stevia plant leaves. Only the high-purity extracts are considered GRAS, not whole leaf or crude stevia extracts. Brands include Truvia and PureVia.
- Monk Fruit Extract (Luo Han Guo): This extract from the monk fruit has been evaluated and received no objections from the FDA regarding its GRAS status. It is 100-250 times sweeter than table sugar.
- Thaumatin: A protein isolated from the katemfe fruit, which has also been subject to GRAS notices with no objection from the FDA.
Nonnutritive Sweeteners: A Comparison
To better understand the range of options, the following table summarizes the key characteristics of the nine FDA-regulated nonnutritive sweeteners:
| Sweetener Name | FDA Status | Relative Sweetness (vs. Sugar) | Heat Stability | Common Brand Names | Special Considerations |
|---|---|---|---|---|---|
| Saccharin | Food Additive | 200-700x | Poor | Sweet'N Low | Some aftertaste; initial cancer scares proven irrelevant. |
| Acesulfame Potassium (Ace-K) | Food Additive | ~200x | Stable | Sunett, Sweet One | Often blended with other sweeteners to improve taste. |
| Aspartame | Food Additive | ~200x | Poor | Equal, NutraSweet | Not heat-stable; contains phenylalanine, a concern for individuals with PKU. |
| Sucralose | Food Additive | ~600x | Stable | Splenda | Very versatile, stable for baking and cooking. |
| Neotame | Food Additive | 7,000-13,000x | Stable | Newtame | Used in minimal amounts; no PKU warning needed. |
| Advantame | Food Additive | ~20,000x | Stable | Advantame | Highest intensity; approved for general use except meat/poultry. |
| Steviol Glycosides (Stevia) | GRAS | 200-400x | Stable | Truvia, PureVia | Purified extracts only; natural origin. |
| Monk Fruit Extract | GRAS | 100-250x | Stable | Monk Fruit in the Raw | Also natural origin; popular for clean label products. |
| Thaumatin | GRAS | 2,000-3,000x | Stable | Talin | Natural protein extract; also used as a flavor enhancer. |
The National Academy of Sports Medicine (NASM) and Sweetener Guidance
For an organization like the NASM, which provides educational content for fitness professionals, its position on nonnutritive sweeteners is guided by the broader scientific consensus and health authority recommendations, primarily those established by the FDA. NASM’s role involves educating its certified professionals on how these ingredients fit into a client's overall diet plan, focusing on appropriate use and moderation. Rather than dictating which specific sweeteners are acceptable, NASM emphasizes key nutritional principles, such as reducing overall sugar intake and improving diet quality by prioritizing whole foods. A fitness professional would advise a client to consider that products containing these sweeteners, while lower in calories, may still be highly processed and should not be seen as a perfect substitute for nutrient-dense foods.
Recent discussions from organizations like the World Health Organization (WHO) and other research bodies have also influenced how nonnutritive sweeteners are viewed in nutrition science. Some observational studies have raised questions about long-term health outcomes, including potential links to altered gut microbiota, metabolic changes, and weight management. However, these studies are often complex and cannot establish a clear causal link, and regulatory bodies like the FDA and WHO's Joint Expert Committee on Food Additives (JECFA) maintain their safety conclusions for intake within Acceptable Daily Intake (ADI) levels. NASM's guidance would naturally incorporate this context, encouraging a balanced, evidence-based approach that considers both the benefits and the ongoing scientific debate.
Conclusion
In summary, the question of how many nonnutritive sweeteners have been approved for use by the FDA NASM requires a distinction between the roles of the two entities. The FDA, as the regulatory body, has confirmed the safety and permitted the use of nine specific high-intensity nonnutritive sweeteners through its food additive and GRAS programs. This list includes saccharin, Acesulfame Potassium, aspartame, sucralose, neotame, advantame, purified steviol glycosides, monk fruit extract, and thaumatin. The NASM, as an educational organization, does not grant such approvals but instead bases its nutrition guidance on the findings and regulations of expert bodies like the FDA, promoting a balanced and informed perspective for its members and their clients. The FDA continues to monitor research on these substances to ensure they meet the safety standard of reasonable certainty of no harm under their intended conditions of use.