Lennerz, B., & Lennerz, J. K. (2018). Food Addiction, High-Glycemic-Index Carbohydrates, and Obesity. Clinical chemistry, 64(1), 64–71. https://doi.org/10.1373/clinchem.2017.273532 From the review’s abstract: “High-glycemic-index carbohydrates elicit a rapid shift in blood glucose and insulin levels, akin to the pharmacokinetics of addictive substances, and signal to the mesolimbic system to modify dopamine concentration.”
Food addiction: A common neurobiological mechanism with drug abuse
Lindgren, E., Gray, K., Miller, G., Tyler, R., Wiers, C. E., Volkow, N. D., & Wang, G. J. (2018). Food addiction: A common neurobiological mechanism with drug abuse. Frontiers in Bioscience (Landmark Edition), 23, 811–836. https://doi.org/10.2741/4618 From the research article’s abstract: “Drugs and food both exert a rewarding effect through the firing of dopamine neurons in the ventral tegmental area, resulting in the release of dopamine into the nucleus accumbens and effects on the mesolimbic pathway. Here, we review the neuroimaging literature to consider the validity of food addiction and the common neurobiological mechanisms that overlap in food and drug addiction. This review paper focuses on findings from Positron Emission Tomography (PET), functional Magnetic Resonance Imaging (fMRI) and structural imaging studies, as well as evidence from neuroimaging studies of bariatric surgery and pharmacological interventions on obese individuals. We examine not only functional and structural changes in the mesolimbic pathways, but also in other frontal areas shown to be involved in drug addiction, including the prefrontal cortex, orbitofrontal cortex and anterior cingulate cortex, as well as changes in neurotransmitter systems beyond dopaminergic systems.”
Food Addiction, High-Glycemic-Index Carbohydrates, and Obesity
Lennerz, B., & Lennerz, J. K. (2018). Food Addiction, High-Glycemic-Index Carbohydrates, and Obesity. Clinical Chemistry, 64(1), 64–71. https://doi.org/10.1373/clinchem.2017.273532 From the research article’s abstract: “Treatment success in obesity remains low, and recently food addiction has been delineated as an underlying etiologic factor with therapeutic relevance. Specifically, current treatment focuses on reduced food intake and increase of physical activity, whereas interventions for addiction encompass behavioral therapy, abstinence, and environmental interventions such as taxation, restrictions on advertising, and regulation of school menus. Here, we reviewed the pertinent literature on food addiction with a specific focus on the role of high-glycemic-index carbohydrates in triggering addictive symptoms. Three lines of evidence support the concept of food addiction: (a) behavioral responses to certain foods are similar to substances of abuse; (b) food intake regulation and addiction rely on similar neurobiological circuits; (c) individuals suffering from obesity or addiction show similar neurochemical- and brain activation patterns. High-glycemic-index carbohydrates elicit a rapid shift in blood glucose and insulin levels, akin to the pharmacokinetics of addictive substances. Similar to drugs of abuse, glucose and insulin signal to the mesolimbic system to modify dopamine concentration.
The Association between Food Addiction and Early Maladaptive Schemas in Overweight and Obese Women: A Preliminary Investigation
Imperatori, C., Innamorati, M., Lester, D., Continisio, M., Balsamo, M., Saggino, A., & Fabbricatore, M. (2017). The Association between Food Addiction and Early Maladaptive Schemas in Overweight and Obese Women: A Preliminary Investigation. Nutrients, 9(11), 1259. https://doi.org/10.3390/nu9111259 From the clinical study’s core discovery: “Disconnection/Rejection is the primary schema domain independently linked to Food Addiction (FA) severity.”
The Association between Food Addiction and Early Maladaptive Schemas in Overweight and Obese Women: A Preliminary Investigation
Imperatori, C., Innamorati, M., Lester, D., Continisio, M., Balsamo, M., Saggino, A., & Fabbricatore, M. (2017). The Association between Food Addiction and Early Maladaptive Schemas in Overweight and Obese Women: A Preliminary Investigation. Nutrients, 9(11), 1259. https://doi.org/10.3390/nu9111259 From the research article’s abstract: “In recent years, there has been a growing focus on early maladaptive schemas (EMSs) as core features associated with eating psychopathology. The aims of the present study were to assess in overweight and obese women: (i) the association between dysfunctional eating patterns (i.e., food addiction and binge eating) and EMSs, and (ii) the association between food addiction and EMSs after controlling for potential confounding variables (i.e., binge eating severity and psychopathology). Participants were 70 overweight and obese women seeking low-energy-diet therapy. The patients were administered self-report measures investigating food addiction, binge eating, EMSs, anxiety symptoms, and depressive symptoms. Food addiction severity was strongly associated with all main schema domains. Binge eating severity was positively related to disconnection/rejection (r = 0.41; p < 0.01), impaired limits (r = 0.26; p < 0.05), and other-directedness domains (r = 0.27; p < 0.05).
The dopamine motive system: implications for drug and food addiction
Volkow, N. D., Wise, R. A., & Baler, R. (2017). The dopamine motive system: implications for drug and food addiction. Nature Reviews Neuroscience, 18(12), 741-752. https://doi.org/10.1038/nrn.2017.130 From the research article’s abstract: “Behaviours such as eating, copulating, defending oneself or taking addictive drugs begin with a motivation to initiate the behaviour. Both this motivational drive and the behaviours that follow are influenced by past and present experience with the reinforcing stimuli (such as drugs or energy-rich foods) that increase the likelihood and/or strength of the behavioural response (such as drug taking or overeating). At a cellular and circuit level, motivational drive is dependent on the concentration of extrasynaptic dopamine present in specific brain areas such as the striatum. Cues that predict a reinforcing stimulus also modulate extrasynaptic dopamine concentrations, energizing motivation. Repeated administration of the reinforcer (drugs, energy-rich foods) generates conditioned associations between the reinforcer and the predicting cues, which is accompanied by downregulated dopaminergic response to other incentives and downregulated capacity for top-down self-regulation, facilitating the emergence of impulsive and compulsive responses to food or drug cues. Thus, dopamine contributes to addiction and obesity through its differentiated roles in reinforcement, motivation and self-regulation, referred to here as the ‘dopamine motive system’, which, if compromised, can result in increased, habitual and inflexible responding. Thus, interventions to rebalance the dopamine motive system might have therapeutic potential for obesity and addiction.”
Food and beverage consumption and food addiction among women in the Nurses’ Health Studies
Lemeshow, A. R., Rimm, E. B., Hasin, D. S., Gearhardt, A. N., Flint, A. J., Field, A. E., & Genkinger, J. M. (2018). Food and beverage consumption and food addiction among women in the Nurses’ Health Studies. Appetite, 121, 186–197. https://doi.org/10.1016/j.appet.2017.10.038 From the research article’s abstract: “Previous studies have not addressed a fundamental component of a food addiction disorder: the compulsive relationship between eating and potentially positively reinforcing foods. We aimed to evaluate the association between food consumption and food addiction. We conducted cross-sectional analyses merging data from the Nurses’ Health Study (n = 58,625) and Nurses’ Health Study II (n = 65,063), two prospective cohort studies of female nurses in the United States. Diet was assessed in 2006–2007 using a food frequency questionnaire, and food addiction was assessed in 2008–2009 using the Modified Yale Food Addiction Scale. The prevalence of food addiction was 5.4%. The odds of food addiction were strongest among nurses consuming 5+ servings/week (compared with <1 serving/month) of hamburgers (multivariable odds ratio (MVOR) 4.08; 95% CI, 2.66–6.25), French fries (MVOR, 2.37; 95% CI, 1.59–3.51) and pizza (MVOR, 2.49; 95% CI, 1.67–3.69).
Assessment of the relationship between food addiction and nutritional status in schizophrenic patients
Küçükerdönmez, Ö., Urhan, M., Altın, M., Hacıraifoğlu, Ö., & Yıldız, B. (2019). Assessment of the relationship between food addiction and nutritional status in schizophrenic patients. Nutritional Neuroscience, 22(6), 392–400. https://doi.org/10.1080/1028415X.2017.1392429 From the research article’s abstract: “Obesity is one of today’s most important public health problems. It is suggested that overeating and substance addiction show similarities, and addiction to food may be an important factor in the obesity epidemic. This study aimed to determine the prevalence of food addiction among schizophrenic patients and to examine the relationship between food addiction and anthropometric measurements and dietary nutrient intake. Study participants included a total of 104 schizophrenic outpatients, 62 females and 42 males. Food addiction was assessed by using the Yale Food Addiction Scale, and the anthropometric measurements of participants and their three-day food consumption were recorded. This study found that more than half of the schizophrenic patients (60.6%) had food addiction, and that female schizophrenic patients had a higher prevalence (62.9%) of food addiction than male patients (57.1%).
Food addiction: Prevalence, psychopathological correlates and associations with quality of life in a large sample
Nunes-Neto, P. R., Köhler, C. A., Schuch, F. B., Solmi, M., Quevedo, J., Maes, M., Murru, A., Vieta, E., McIntyre, R. S., McElroy, S. L., Gearhardt, A. N., Stubbs, B., & Carvalho, A. F. (2018). Food addiction: Prevalence, psychopathological correlates and associations with quality of life in a large sample. Journal of Psychiatric Research, 96, 145–152. https://doi.org/10.1016/j.jpsychires.2017.10.003 From the research article’s abstract: “Objective: To determine the prevalence of food addiction in a large Brazilian non-clinical sample. Sociodemographic and psychopathological correlates of food addiction as well as associations with quality (QoL) domains were also investigated. Methods: This cross-sectional study obtained data from a Brazilian anonymous web-based research platform (N = 7639; 71.3% females). Participants provided sociodemographic data and completed the modified Yale Food Addiction Scale 2.0, PHQ-9, hypomania checklist (HCL-32), Fagerström Test for Nicotine Dependence, AUDIT, modified Skin picking-Stanford questionnaire, Minnesota impulsive disorders interview, Symptom Checklist-90-Revised inventory (SCL-90R), early trauma inventory self report-short form, and the WHO Quality of Life instrument-Abbreviated version (WHOQOL-Bref). Associations were adjusted to potential confounders through multivariable models. Results:
An examination of the mechanisms and personality traits underlying food addiction among individuals with severe obesity awaiting bariatric surgery
Ouellette, A. S., Rodrigue, C., Lemieux, S., Tchernof, A., Biertho, L., & Bégin, C. (2017). An examination of the mechanisms and personality traits underlying food addiction among individuals with severe obesity awaiting bariatric surgery. Eating and Weight Disorders – Studies on Anorexia, Bulimia and Obesity, 22(4), 633-640. https://doi.org/10.1007/s40519-017-0440-7 From the research article’s abstract: “Purpose: The aetiology underlying addiction has often been investigated to shed more light on the factors contributing to the development and maintenance of various disorders. In the field of addictive eating behaviours, data on the aetiological factors related to food addiction (FA) in the bariatric context remain scarce. The present study aimed to explore mechanisms and variables underlying FA among individuals suffering from severe obesity and awaiting bariatric surgery. Methods: Participants (N = 146) were recruited at the Quebec Heart and Lung Institute during their pre-operative visit and were invited to complete questionnaires. Participants with and without FA were compared on reward sensitivity, impulsivity, emotion dysregulation, and personality traits. Results: Findings showed that bariatric candidates with FA (16%) presented more emotion dysregulation, more harm avoidance, and less self-directedness.