Xylitol is a sugar alcohol with the chemical formula C5H12O5. It is a white crystalline solid that dissolves easily in water. Derived from the Greek words for 'wood' and 'sugar alcohol,' xylitol is classified as both a polyalcohol and an alditol.
Recent studies suggest that Xylitol, a common sugar substitute found in chewing gum, is significantly associated with an elevated risk of heart attacks and strokes, raising concerns about its long-term cardiovascular impact.
In 1985, the E.U. Scientific Committee on Food published a report stating that consuming 50 grams of xylitol daily can cause diarrhea. This report led to regulations requiring tabletop sweeteners and other xylitol-containing products to display warnings about potential laxative effects.
In 2011, EFSA approved a marketing claim stating that foods and beverages containing xylitol or other similar sugar substitutes result in a lower blood glucose and insulin response compared to sugar-containing foods and drinks.
In 2011, the European Food Safety Authority (EFSA) concluded that there was not enough scientific evidence to support the claim that xylitol-sweetened gum could prevent middle-ear infections (acute otitis media).
A Cochrane review published in 2015 examined ten studies conducted between 1991 and 2014. The review indicated a positive correlation between xylitol-containing fluoride toothpaste and a reduction in tooth decay compared to fluoride-only toothpaste.
A 2016 review suggested that xylitol in chewing gum or syrup form might have a moderate effect on preventing acute otitis media (AOM) in children who are generally healthy.
A study conducted in 2018 suggested that xylitol is safe for cats in doses up to 1000 mg/kg. However, it is important to note that this study had a small sample size, involving only six cats, and further research is needed to confirm these findings.
A 2022 review suggested that chewing gum containing xylitol can reduce plaque buildup, but this effect was not observed with xylitol-containing candies.
By 2025, xylitol production from discarded biomass via fermentation is projected to reach US $1.4 billion in market value, as per the US Department of Energy.
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