Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation

Abstract

This opinion addresses the re-evaluation of erythritol (E 968) as food additive and an application for its exemption from the laxative warning label requirement as established under Regulation (EU) No 1169/2011. Erythritol is a polyol obtained by fermentation with Moniliella pollinis BC or Moniliella megachiliensis KW3-6, followed by purifications and drying. Erythritol is readily and dose-dependently absorbed in humans and can be metabolised to erythronate to a small extent. Erythritol is then excreted unchanged in the urine. It does not raise concerns regarding genotoxicity. The dataset evaluated consisted of human interventional studies. The Panel considered that erythritol has the potential to cause diarrhoea in humans, which was considered adverse because its potential association with electrolyte and water imbalance. The lower bound of the range of no observed adverse effect levels (NOAELs) for diarrhoea of 0.5 g/kg body weight (bw) was identified as reference point. The Panel considered appropriate to set a numerical acceptable daily intake (ADI) at the level of the reference point. An ADI of 0.5 g/kg bw per day was considered by the Panel to be protective for the immediate laxative effect as well as potential chronic effects, secondary to diarrhoea. The highest mean and 95th percentile chronic exposure was in children (742 mg/kg bw per day) and adolescents (1532 mg/kg bw per day). Acute exposure was maximally 3531 mg/kg bw per meal for children at the 99th percentile. Overall, the Panel considered both dietary exposure assessments an overestimation. The Panel concluded that the exposure estimates for both acute and chronic dietary exposure to erythritol (E 968) were above the ADI, indicating that individuals with high intake may be at risk of experiencing adverse effects after single and repeated exposure. Concerning the new application, the Panel concluded that the available data do not support the proposal for exemption.

Keywords: E 968; diarrhoea; erythritol; food additive; laxative; sweeteners.

PubMed Disclaimer

Conflict of interest statement

If you wish to access the declaration of interests of any expert contributing to an EFSA scientific assessment, please contact interestmanagement@efsa.europa.eu.

Figures

FIGURE 1
FIGURE 1
Chemical structure of erythritol (E 968) (Documentation provided to EFSA No. 1).
FIGURE 2
FIGURE 2
NOAELs for diarrhoea in human studies. M, males; F, females; C, Children. *Highest dose tested.
FIGURE A1
FIGURE A1
PRISMA flow chart (adapted from Moher et al., 2009).

References

    1. Agriculture and Environment Research Unit, University of Hertfordshire , Lewis, K. A. , & Tzilivakis, J. (2021). Review and synthesis of data on the potential environmental impact of artificial sweeteners. EFSA Supporting Publication 18(10), EN‐6918. 10.2903/sp.efsa.2021.EN-6918 - DOI
    1. Arrigoni, E. , Brouns, F. , & Amado, R. (2005). Human gut microbiota does not ferment erythritol. British Journal of Nutrition, 94, 643–646. 10.1079/bjn20051546 - DOI - PubMed
    1. Baker, K. A. , White, G. S. , Faraji, A. , & Bibbs, C. S. (2023). Enhancing toxic sugar meals against Aedes aegypti (Diptera: Culicidae) by adulterating with erythritol in combination with other active ingredients. Journal of Medical Entomology, 60(4), 833–836. 10.1093/jme/tjad041 - DOI - PubMed
    1. Bär, A. (1985). Safety assessment of polyol sweeteners – Some aspects of toxicity. Food Chemistry, 16(3–4), 231–241. 10.1016/0308-8146(85)90117-7 - DOI
    1. Barrett, M. , Caponera, V. , McNair, C. , O'Donnell, S. , & Marenda, D. R. (2020). Potential for use of erythritol as a socially transferrable ingested insecticide for ants (Hymenoptera: Formicidae). Journal of Economic Entomology, 113(3), 1382–1388. 10.1093/jee/toaa019 - DOI - PubMed

LinkOut - more resources