What it is

Modified starches are starches altered chemically to thicken, gel, stabilise or emulsify foods such as desserts and mayonnaise 12.

The EU authorises twelve, E1404 to E1452, made by oxidation, phosphorylation, cross-linking, acetylation, hydroxypropylation or octenyl succination, alone or combined; E1404 to E1451 have identical INS numbers 1.

How often it is used

Modified starches are the third commonest additive in French food products, listed on 10,100 of 126,556 in 2019 3.

Individual starches are undercounted, since “modified starch” alone may be declared on labels 31. Of NutriNet-Santé adults, 91.48% consumed them, a mean 1596.45 mg/day or 24.33 mg/kg body weight/day, against 112.0 in EFSA’s French non-brand-loyal scenario 4.

In the body

Modified starches are not absorbed intact: digestive enzymes split them, and colonic bacteria ferment the rest 1.

EFSA’s fibre definition lists chemically modified starches under resistant starch 5. Fermentation yields acetate, propionate and butyrate, the main colonocyte fuel, formed mainly via the acetyl-CoA pathway 16.

Butyrate synthesis by colonic bacteria (acetyl-CoA pathway)Colonic lumen; cytosol of butyrate-producing bacteria
  1. Fermentable polysaccharides
  2. several stepsStarch, xylan and other polysaccharides that escape digestion; via pyruvate
  3. Acetyl-CoA
  4. Thiolase (Thl)Acetyl-CoACondenses two acetyl-CoA and releases CoA
  5. Acetoacetyl-CoA
  6. β-Hydroxybutyryl-CoA dehydrogenase (Hbd)
  7. 3-Hydroxybutyryl-CoA
  8. Crotonase (Cro)
  9. Crotonyl-CoA
  10. Butyryl-CoA dehydrogenase–electron-transferring flavoprotein complex (Bcd-Etfαβ)FerredoxinShared by all four butyrate pathways; postulated energy conservation
  11. Butyryl-CoA
  12. Butyryl-CoA:acetate CoA-transferase (But)Acetate → acetyl-CoAAlternative: phosphate butyryltransferase (Ptb) and butyrate kinase (Buk)
  13. Butyrate

What studies show

In a French cohort, people eating more of a mixture of modified starches, pectin, guar gum, carrageenan, polyphosphates, potassium sorbate, curcumin and xanthan gum developed type 2 diabetes slightly more often 7.

Over a mean 7.7 years, the hazard ratio was 1.08 (95% CI 1.02 to 1.15) per standard deviation; 465 of 36,214 in the highest third and 260 of 36,215 in the lowest developed it 7. Rats fed up to 31,000 mg/kg body weight/day showed no effects relevant to humans; adults tolerated one 25,000 mg dose of E1450 1.

Regulation

The EU and the United States permit modified starches; EFSA, and Japan’s Food Safety Commission for all but E1452, set no numerical acceptable daily intake 1112.

EFSA’s refined brand-loyal 95th-percentile exposure estimate was 3,053 mg/kg body weight/day, in toddlers 1. For E1450, EFSA found no indication of concern in infants below 16 weeks up to 2,725 mg/kg body weight/day 10. China lists ten, not E1451 or E1452, mostly for use as production requires 12.