Many of us believe that fruit can only be healthy and so make an effort to boost our intake - carrying apples in our bags, eating grapes or bananas at our desk and trying to stick to fruit salad for dessert.
It's considered so beneficial that
the government's five-a-day guideline is a minimum recommendation for the amount
of fruit and vegetables we should eat. Then there's the damage fruit can
cause to teeth. Chewing fruit releases sugar in the mouth, where it attacks the
teeth. Fruit juice or smoothies are even more of a problem, as the juicing or
blending breaks down the fruit further, so more sugar is released in the mouth.
But it seems some people are
actually eating too much fruit, leading to health problems such as obesity, and
to tooth decay.
There's no denying fruit's health
benefits - it's packed with vitamins, fibre and antioxidants, which protect
against disease.
But while it is fine to exceed
this amount if you are a healthy weight, if you are overweight or suffer from
high cholesterol or diabetes, too much fruit could be trouble. It could also
explain why, despite your healthy lifestyle, you're piling on the pounds.
One of the problems is people
forget that fruit - like all food - contains calories. And the calories in fruit
can make you just as overweight as those in chocolate, explains Dr Carel Le
Roux, consultant in metabolic medicine at Imperial College London.
'Different people over-eat
different things,' he says. 'But the people who eat fruit to excess are often
weight-conscious. I've seen patients who can't understand their obesity because
they eat healthily, then it turns out they are eating way too much fruit or
drinking fruit smoothies all day - glugging down 300 calories in a couple of
minutes.'
And it's not about lack of
self-control. Fruit is packed with fructose (fruit sugar) and this doesn't make
you feel full.
When we eat sugar, our body
releases the hormone insulin, which tells the brain we've had enough to eat,
explains dietician Ursula Arens of the British Dietetic Association.
'High insulin levels dampen the
appetite, but fructose doesn't trigger this insulin response, so the brain
doesn't get the message that you are full,' she says.
Essentially, when we eat fruit we
bypass this internal 'stop button', which could explain why some of us can
absent-mindedly nibble away at slice after slice of melon or munch through a
large bunch of grapes.
Weight gain isn't the only health problem
associated with too much fructose. It can increase levels of triglycerides, a
type of blood fat known to be linked to heart disease.
Dr Le Roux says: 'We tell
patients with high cholesterol to be careful with fruit. Too much drives up
triglycerides. Diabetics should also take care, as the high fructose content can
raise blood glucose levels.
Teeth are particularly vulnerable
to acidic citrus fruits, which can soften tooth enamel. Although the enamel will
harden again after about 30 minutes, if you brushed your teeth immediately after
drinking orange juice, you would brush away some enamel, raising the risk of
dental erosion.
Dried fruit is another problem,
because it's not only high in sugar but is also very sticky.
Dr Anjali Shahi, a Cheshire-based
dentist, says: 'Little bits can stick to the teeth for a long time and dental
cavities can result.'
She adds that raisins are as bad
for the teeth as sweets. 'This is a problem for children, who are often given
raisins by health-conscious mums. I've noticed a rise in dental cavities now the
healthy fruit message is so strong.'
Even those who don't actually eat
much fruit could be getting far more fructose than they realise - regular sugar
that you add to your tea consists of 50 per cent glucose and 50 per cent
fructose.
Fructose is often added to
manufactured products, such as fizzy drinks, yoghurts and cereal bars in the
form of glucose-fructose syrup. You can get as much as 30g of fructose from one
fizzy drink.
So how much fruit is too much?
Unlike salt and saturated fats, there is no recommended daily allowance for
fructose. And this is unlikely to change soon.
As Ursula Arens, of the British
Dietetic Association, points out:
'Too many nutritionists would jump up and down if the public picked up the
message that eating an apple wasn't good for them.'
Yet one possible guideline
emerged after a recent study at Colorado University. Scientists looked at 4,500
people with no history of high blood pressure and discovered those who ate more
than 74g of fructose a day increased their risk of the condition by up to 87 per
cent.
Though this is the equivalent of
ten apples or 30 oranges, you'd need only just over three large smoothies to top
this figure (one smoothie contains around 23g of fructose).
It is worth
noting, too, that bananas and some other fruits, such as strawberries, become
richer in fructose as they ripen and some of the starch is converted to sugar.
The secret is to get your five a
day with a mix of fruit and vegetables.
'People who are obese or have
heart conditions should limit their fruit to one portion a day, along with four
portions of vegetables,' says Dr Le Roux. 'You'd still have plenty of
antioxidants, but you'd bring your fructose levels and calories down.'
However,most people find fruit
easier to eat and it should remain a key part of a healthy diet.
As
Glenys Jones, a nutritionist at the Medical Research Council of Human Nutrition,
says: 'Everything in moderation. Just as you make a decision not to eat a packet
of biscuits, you should think about portion control when it comes to fruit.'
She sticks to a banana and
a glass of apple juice with her cereal, an orange mid-morning and an apple
mid-afternoon. 'And if I get the urge to eat chocolate at night, I'll sometimes
have raisins. Even so, I still limit how many raisins I eat.'
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