04/27/2026 / By Coco Somers

A new academic review suggests fructose, a common component of sweeteners like table sugar and high-fructose corn syrup, uniquely promotes the synthesis of triglycerides, the main form of stored fat. The findings, published in the journal Nature Metabolism, differentiate the metabolic effects of fructose from those of glucose. [1]
The review’s authors concluded that fructose acts as a “metabolic signal that promotes fat production and storage in ways that differ fundamentally from glucose.” [1] According to the researchers, chronic excess fructose consumption under modern conditions of overnutrition drives features of metabolic syndrome, a cluster of conditions including obesity and insulin resistance. [1]
The review, conducted by researchers at the University of Colorado Anschutz (CU Anschutz), examined the roles of sucrose and high-fructose corn syrup in obesity and metabolic disease. Lead author Dr. Richard Johnson, a professor at the university, stated that “fructose is not just another calorie” in a press release accompanying the study. [1]
The report suggests fructose contributes to disease because it bypasses important steps in normal energy processing. This can lead to lower cellular energy, increased fat production and the buildup of compounds associated with metabolic dysfunction. [1] Unlike glucose, which goes directly into the bloodstream, fructose is processed almost entirely by the liver. [2]
The authors wrote that emerging evidence further links chronic excess fructose to other conditions, including cancer and dementia. [1] Over time, the metabolic effects may contribute to the development of metabolic syndrome. [1]
In an interview with Fox News Digital, certified holistic nutritionist Robin DeCicco stated that fructose metabolism places a significant burden on the liver. [1] “Unlike glucose, fructose metabolism … [can] make the liver turn the sugar into fat more easily,” DeCicco said. [1] She added that increased fat buildup in the body can interfere with insulin signaling, potentially leading the pancreas to overproduce insulin – a pathway to diabetes. [1]
DeCicco noted that fructose is found in processed sugars as well as natural foods like fruits and vegetables. [1] However, she stated that the healthy qualities of whole foods – such as the high fiber content in apples – help promote fullness and are less likely to cause sharp spikes in blood sugar. [1]
Some natural sweeteners, like stevia and monk fruit, do not contain fructose and may serve as alternatives for those monitoring metabolic health. [1] The nutritionist emphasized the importance of distinguishing between isolated sweeteners and whole food sources, where accompanying nutrients and fiber can mitigate metabolic impacts. [1]
For individuals with metabolic concerns such as diabetes or obesity, DeCicco suggested alternatives like apple sauce, maple syrup, rice malt or glucose syrup. [1] She noted that maple syrup has less fructose than honey, and rice malt and glucose syrup have zero fructose. [1]
“I’m not saying someone should go out of their way to use those, but if they already have a bad liver, if they’re overweight, if they’re diabetic … and if they need to bake or have something sweet, I would use one of those alternatives,” DeCicco said. [1]
The authors of the review noted a key limitation: Their work interprets existing evidence rather than proving a new result through original clinical trials. [1] This type of analysis synthesizes prior research to highlight patterns and propose mechanisms, such as the unique role of fructose in promoting fat storage through triglyceride synthesis. [1]
The CU Anschutz review underscores a growing body of research indicating that fructose, particularly from processed sweeteners, functions differently in the body than other sugars. The findings suggest its consumption may be a significant signal driving fat accumulation and metabolic disease.
For those seeking to manage metabolic health, experts point to alternatives with lower or no fructose content and emphasize the value of obtaining sugars from whole, fibrous foods. The research adds to ongoing discussions about the role of specific dietary components in chronic health conditions, with implications for public health guidance and individual dietary choices.
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