Pop quiz: what does the Backstreet Boys’ Millennium album have in common with high-fructose corn syrup? No, not the saccharine overload. 
Millennium was the top-selling album in 1999, the same year HFCS consumption peaked in the US, according to the USDA. You might assume that obesity peaked then too. After all, high-fructose corn syrup is the devil’s candy, driver of the obesity boom and the cascade of health problems associated with the worldwide obesity epidemic, from diabetes and metabolic syndrome to heart disease and sleep disorders.

Or maybe not. Recent findings compiled by the Human Sciences Research Council (HSRC) show that one in five South African men between 45 and 64 years old is obese. Younger guys didn’t fare much better: in the 25 to 44 age category one in five men was categorised as overweight. The theory that HFCS was driving our belly bulge – the “HFCS hypothesis” – arose in 2002 and grew in influence for years, but it’s currently under attack. Liesbet Delport, registered dietician and research and development manager at the GI Foundation of South Africa (GIFSA), believes that it’s misguided to blame HFCS for making us fat. Many culprits contribute to obesity, including all kinds of sugar and maybe even artificial sweeteners. “People are still on high alert against HFCS,” says sports nutritionist Dr Chris Mohr. “That’s a good thing. But to lose weight, you have to watch your intake of all sugars.” That’s easier if you understand why you crave sugar and how your body reacts when you cut down on it. Spoiler alert: you’re going to like the results. This is the simplest method to lose weight that you’ll ever try.

Maybe you think this isn’t about you.
Maybe you hardly ever touch a sugar bowl or rip open a white packet. Doesn’t matter: just eating and drinking packaged foods means that we suck down sugar that doesn’t occur naturally in food.

The American Heart Association recommends that men limit their daily intake of added sugars to nine teaspoons, or 600 kilojoules’ worth, on average. The World Health Organisation recommends a sugar intake of less than 10% of your total energy intake and the Department of Health’s “obesity guidelines” advocate a sugar intake of less than 45g per day. We eat sugar mindlessly, so let’s change that with a quick, painless lesson.

This is chemistry, but don’t be afraid. Fructose and glucose are “simple” sugars and both are found naturally in fruit in roughly equal proportions. Sucrose is a combo of glucose and fructose. So they’re all cousins. Despite their kinship, they behave differently in the body, says Dr Manal Abdelmalek, an associate professor of medicine at Duke University School of Medicine.

GLUCOSE is absorbed by your intestines and makes its way into your bloodstream; there a hormone called insulin helps shuttle it to your cells, where it’s used as fuel. Any extra is stored as glycogen in your liver and muscles.

FRUCTOSE, on the other hand, bypasses the insulin step and goes straight to your liver, where it’s mostly converted to fat, says Abdelmalek. Studies link the over-consumption of fructose with increased visceral fat, high blood lipid levels and insulin resistance. Moreover, fructose doesn’t produce as many satiety 
hormones as glucose does, so you feel less full.

SUCROSE is a combination of glucose and 
fructose in equal proportions, like table sugar.

We’re wired to love all of these sugars.
To our ancestors, sweetness signalled ripeness in fruit and precious kilojoules. “Sugar is one of the primary things we crave,” says Dr Nicole Avena, a neuroscientist at the University of Florida. “It activates brain pathways that 
reinforce our desire to keep eating it.”

Avena is a member of the research team that published a widely cited study in the Journal of Nutrition suggesting that sugar might be addictive. The scientists discovered that when rats binged on sugar, the rodents showed signs of withdrawal after it was taken away.

Research on humans is revealing similar tendencies: in a 2011 Yale study, when participants who exhibited symptoms of food addiction saw a picture of a chocolate milkshake, they experienced heightened brain activity in the same regions involved in drug addiction. But when they tasted the shake, their reward buzz was lower – a response that might cause them to eat more in order to experience the same pleasure.

Fighting our evolutionary desire for sugar is hard enough without being constantly bombarded by office birthday cake and chocolate ads. Avena says you should expect cravings when you start to cut back, but she predicts that they’ll subside after a few days.

Fruit can help wean you off added sugar. Most fruits contain fructose and glucose in roughly equal proportions, but they also have fibre (which keeps you full) and nutrients. And fruit is self-regulating: you’d have to eat more than five small apples to take in the 65g of sugar you’d guzzle from 600ml of a fizzy drink.

Artificial sweeteners may seem like a perfect solution, but they’re better viewed as a temporary bridge. Some people who swap regular soft drinks for diet drinks can lose weight. A 2012 study from University of North Carolina at Chapel Hill found that when overweight people made the swap, they lost about 2.5kg in six months. However, research from the UT Health Science Center at San Antonio suggests that drinking diet soft drinks may increase waist size.

Another factor: sugar substitutes can be hundreds of times sweeter than the real stuff. Researchers believe that eating them can mess with your appetite and make you crave sweet foods. Dr Susan Swithers, a professor of behavioural neuroscience at Purdue University, discovered in 2008 that rats eating artificially sweetened chow consumed more kilojoules and gained more fat than rodents that ate food sweetened with sucrose.

“Animals, including humans, normally finish a meal long before they have digested all the nutrients,” she says. “That means they use cues to predict how much they have actually eaten and when to stop.” One such cue is the taste of sweetness in the mouth; it’s usually a yummy sign that kilojoules and sugar will follow.

Artificial sweeteners might interfere with the signals that tell us to stop eating. “If you want to cut back on kilojoule intake, diet drinks might help,” Avena says. “But if you want to reduce your sugar cravings, they might just be 
a crutch.”

Where does HFCS fit into this line-up of suspects?
Any biochemist can confirm that HFCS is virtually identical to sucrose. HFCS comes in two formulas: one 42% fructose, 
the other 55% fructose. To your body, they ’re practically the same as table sugar, says Dr Marion Nestle, a professor of nutrition at 
New York University. “Because HFCS and sucrose are both fructose and glucose, there’s no reason to think HFCS would be metabolised differently.”

The HFCS hypothesis made sense when it was proposed in 2002 by Dr George Bray, a professor studying obesity at the Pennington Biomedical Research Center. In 1970, several years after it was introduced into the US food supply, HFCS represented less than 1% of all energy-containing sweeteners consumed in the United States. Food manufacturers loved the stuff: it stayed stable and cost about half as much as sucrose. By 2000, HFCS accounted for 42% of all energy-containing sweeteners on the market. Coincidentally (or not?), 
obesity rates in the US climbed from 13% in 1960 to 31% by 2000.

But some scientists questioned HFCS’s link to obesity. Sure, cheap HFCS adds kilojoules without staving off hunger, but then so does sugar-sweetened soda. The American Medical Association’s Council on Science and Public Health conducted a major review in 2009 and concluded that it was unlikely that high-fructose corn syrup contributed more to obesity than sucrose. Soon after that, Bray modified his position: “It has become clearer that it is the fructose in both HFCS and sucrose, plus the added kilojoules, that are the culprits.”

If you were to take all these studies 
and expert opinions and rats and drinks and fruit and sugar and put them through a blender – well, you’d lose your appetite pretty quickly. That’s a start. Realistically, begin here:

Beware of “healthy” sweeteners
Most of the energy-containing sweeteners we consume – HFCS, white and brown sugars, honey – have both fructose and glucose, and 13 or 16 kilojoules per gram. “People think molasses and brown sugar are healthier than white. They aren’t,” says nutritionist Dr Mike Roussell. “What’s more, table sugar has been under-demonised.”

Stop drinking sweetened beverages
The top source of added sugars in our diet, especially in urban areas, is soft drinks. They just add to your wide-bottom line: we typically don’t compensate for drinking sugar-sweetened beverages by eating fewer kilojoules at meals, a 2012 French study review found.

Scan labels and cook more
Some 75% of packaged foods harbour energy-containing sweeteners, a study in the Journal of the Academy of Nutrition and Dietetics reveals. Note the grams of sugar: your quota 
is nine teaspoons (a teaspoon is about five grams), so aim for no more than 36 grams 
of added sugars a day.
Do that, and we’ll see you in just under five kilograms or so.

By Maria Masters