The Sugar Project

How “Healthy” Foods Are Slowly Killing Us

Sugar Skulls, by Caylena Cahill and Jill Keller
“Sugar: The Sweetest Killer”

Photography by: Caylena Cahill   |   Food Styling: Jill Keller

About the Project

A few years ago, I went on a weight loss journey. As I began learning about food and nutrition, I also began reading the labels on foods and paying attention to the ingredients.

At the same time as I was doing this, ever more research was coming out about the dangers of the overconsumption of sugar, in its various forms. I was also noticing more and more people who seemed to be quite large.

As I paid attention to the labels, I saw a theme… and a problem.

Sugar is in just about everything. Sometimes it seems like a negligible amount, but unless you’re looking for it and eating mostly foods you make yourself, it’s almost impossible to avoid.

The problem isn’t even so much about obviously sweet foods, like cookies, ice cream or candy, where we expect high levels of sugar.

It’s in the foods presented as “healthy” or “all natural,” and in particular, in foods traditionally thought of as savory. Some examples include most commercially produced salad dressings (1-10g sugar per 2 tbsp serving), tomato sauce, “healthy” fruit yogurts, fruit juice, bread…

When you start to pay attention, it’s impossible to look away. It is in everything, once you start to notice.

That’s why I wanted to do this photo essay. We really aimed to pick foods that an average person would think of as healthy, to show just how pervasive and pernicious this really is.

Project shown at RAW Showcase: Savor, 10.24.17 in NYC. Prints available for purchase.

Part 1: A Typical “Healthy” Day

A piece consisting of 5 diptychs illustrating meals that the average person would think of as “healthy.” One image shows the meal itself, the other shows the surprising amount of sugar in each dish. Note: The actual amount varies based on specific brands or types, but the numbers here represent a middle of the road selection, based on research of various brands and their specific nutrition labels. This is an industry wide problem, so this project is not targeted at any specific company.

Remember that the World Health Organization recommends no more than 6 tsp or 24 g of added sugars per day, and the US Government recommends no more than 12 tsp or 50 g.

The total amount of sugar in this average/fictitious day is 60-93 tsp or 240-372g, at least 10x the WHO’s recommendation and 5x the US Government’s recommendation. 


Corn Crisps & Dried Fruit Cereal (like Raisin Bran), with Vanilla Soy Milk
Yogurt Parfait, vanilla greek yogurt with blueberry compote
Flavored Latte, espresso/coffee, milk, flavored syrup
Total Sugar: 89 – 132g   //   22.25 – 33 tsp


Peanut Butter Sandwich
Lunch Sugar

Peanut Butter & Jelly, on Wheat Bread
Fruit Cup, Mandarins in syrup
Fruit Smoothie, pre-packaged
Total Sugar: 59 – 102 g   //   14.75 – 25.5 tsp

Afternoon Snack

Granola Bar, typical/average bar (not brand specific) with nature or health themed marketing
Sports Drink, average colored sports beverage
Total Sugar: 28-43g or 7-10.75 tsp


spaghetti squash dinner
Spaghetti Squash with sugar

Spaghetti Squash, with average store-bought sauce
Salad, with average store-bought “Italian” salad dressing
Apple tart, with whipped cream
Iced Tea, sweetened
Total Sugar: 11.25 – 19 tsp

Late Night Pleasantry

Chocolate and tea

Dark Chocolate Pieces
Hot Tea, sweetened
Total Sugar: 15g or 4.75 tsp

Part 2: By the Numbers

How Much Sugar? Recommended vs Reality.

How Much Sugar - US Map Made Of Sugar

The World Health Organization recommends no more than 6 tsp or 24g of added sugars per day, and the US Government recommends no more than 12 tsp or 50 g. The average American adult consumes around 21 tsp or 84 g per day. This person may not be consuming overly sweet foods, such as large quantities of soda, candy or desserts, but may, unbeknownst to him/her, be consuming high quantities of sugar in foods marketed as being healthy, particularly items denoted as “low-fat,” which often contain large amounts of sugar to make up for the removal of flavor originally in the fat.

Sugar Related Deaths

Sugar related deaths - Number on a cake with skull

The number of deaths of American adults in 2014 related to lifestyle diseases connected to sugar, such as Diabetes and Heart Disease.

Weight In America

Statistics of Weight in America, as visualized by fruit, muffins and cupcakes.

As of 2011-12, 35.1% of Americans over 20 are medically obese and 69.0% of Americans over 20 are either medically overweight or or obese. This means, 1 of roughly every 3 people is obese and either severe risk for, or already suffering from, any number of lifestyle related diseases, such as heart disease, high blood pressure, diabetes, or even early death. 2 out of 3 American adults is at a higher risk than those of of a healthy weight. And, only 1 out of every 3 adults is in a healthy weight bracket.


Diseases that are shown to arise from excessive sugar consumption

According to, “About half of all American adults—117 million individuals—have one or more preventable chronic diseases, many of which are related to poor quality eating patterns and physical inactivity. … In 2008, the medical costs associated with obesity were estimated to be $147 billion. In 2012, the total estimated cost of diagnosed diabetes was $245 billion, including $176 billion in direct medical costs and $69 billion in decreased productivity.”

Research shows that the overconsumption of sugars, and particularly certain types of sugar, can be linked to lifestyle diseases and even death. The way our bodies process certain sugars can lead to sugars being converted to fat for storage, malfunction of insulin and the liver, the increase and spread of free radicals in our bloodstreams, obsession and addition to sugar, and the rise of so called “bad bacteria” in the gut microbiome.