© 1996 Oxford University Press
research-article |
Aspartame PharmacokineticsThe Effect of Ageing
Department of Health Care of the Elderly, King's College School of Medicine and Dentistry, Dulwich Hospital, E. Dulwich Grove London SE22 8PT
Department of Clinical Pharmacology, St Bartholomew's Hospital Medical College W. Smithfield, London EC1A 7BE
*Address correspondence to Dr S. H. D. Jackson
Aspartame is an intense sweetener which is increasingly used in the UK. It is registered at an acceptable daily intake (ADI) of 40mg/kg, although there are no previous data relating to the metabolism of aspartame in older people. Twelve young and 12 elderly volunteers each received a single dose of approximately 40mg/kg of aspartame. Baseline concentrations of phenylalanine (the main metabolite of aspartame) rose after ingestion with a significantly higher maximum concentration (Cmax) (81.3 vs. 63.3µmol/l, p < 0.01) and area under the plasma concentration-time curve extrapolated to infinity AUC(O-
) (518.7 vs. 353.5µmol · h/1, p < 0.01) in the elderly group. The higher concentrations reflected a significant fall in volume of distribution (V) from 2.03 to 1.59 I/kg (p < 0.05) and clearance (CL) from 7.3 to 4.9ml/min/kg (p < 0.005) in the elderly group. The greater effect on CL than on V resulted in a small but non-significant rise in elimination half life (3.5 to 3.9 hours). The sizes of the differences were modest implying that there is no need on pharmacokinetic grounds for a change in the ADI for older people.
Revision received October 4, 1995.
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