Is Sugar Addictive?

Function: The shell of the nucleus accumbens is involved in the cognitive processing of reward, including subjective “liking” reactions to certain pleasurable stimuli, motivational salience, and positive reinforcement.

Hooked on Food: A Battle in the Brain? The Anatomy of  Food Addiction

One large long-term study published in 2017 addition of Scientific Reports found that men who consumed 67 grams or more of sugar per day are 23% more likely to be diagnosed with depression than men who ate 40 grams or less. Some doctors and researchers even classify sugar as an addictive drug because this refined white crystal triggers the pleasure and reward centers in our brain much like a drug does. One area is called the nucleus accumbens and there are others.

We crave sweetness but it is clear that too much sugar leads to suffering. Large scale studies show that excess sugar consumption can significantly raise the risk of obesity, diabetes, and heart disease as well as new information about Alzheimer’s disease and other degenerative brain disorders that thrive on chronic inflammation.

Sugar in the form of glucose provides the body with quick energy. But lately, we’ve gone way beyond the Call of Duty. 200 years ago, the average American ate about 2 pounds of sugar per year. Today we each eat about 152 pounds a year according to the US Department of Health and Human Services. This sharp increase in the consumption of sugar is no mystery. Sugar is cheap, plentiful, and it tastes great.

Doctors are trying to curb our out of control sweets habit. The American Heart Association recommends that adult men consume no more than 38 grams or 9 teaspoons of sugar daily, women only 6 teaspoons, and children even less. The latest draft of the 2025 Dietary Guidelines coming out soon recommends even smaller amounts for daily consumption: no more than 30 grams of added sugar a day for an adult male. However, these numbers fall far below what a typical American actually consumes. An average soda is 39 grams and a bowl of cereal is 20 grams and that’s without dumping more spoonfuls of sugar on top of it.

Is Sugar Addictive?

Why are rats dying just to satisfy its desire for chocolate? A study gave rats unlimited access to standard chow as well as to a mini cafeteria full of appetizing high calorie foods: sausage, cheesecake, chocolate. The rats decreased their intake of the healthy but bland items of its typical rat chow diet and switched to eating the cafeteria food almost exclusively. They gained weight. They became obese.

The researcher then warned the rats as they were eating by flashing a light that they would receive a nasty foot shock. Rats eating the bland chow would quickly stop and scramble away, but time and again the obese rats continued to devour the rich food, ignoring the warning that they had been trained to fear. Their hedonic  desire overruled their basic sense of self preservation.

Did they become “hooked on food”? An inability to suppress a behavior, despite the negative consequences, is common in addiction. Scientists are finding similar compulsiveness in certain people. Almost all obese individuals say they want to consume less, yet they consume or continue to overeat even though they know that doing so can have shockingly negative health or social consequences. Studies show that overeating juices up the reward systems in our brain so much so in some people that it overpowers the brain’s ability to tell them to stop eating when they have had an enough. As with alcoholics and drug addicts, the more they eat the more they want. Whether or not overeating is technically an addiction, if it stimulates the same brain circles as drug use in the same way, people also can possibly be “addicted to food.”

  Our brains maintain a healthy body weight by signaling when to eat and when to stop. Hormones regulate feeding circuits that control appetite and satiety, but fatty sugary foods can motivate some people to overeat. The more they have the more they want, a sensation common in drug addiction.

What to Do? Protein to the Rescue

Many peoples’ relationship with sugar typically starts when they wake up in the morning.  Many start the day with a sweet bowl of cereal or a muffin (at 600 calories) for breakfast. But this pattern can set you up to fail, so many nutritionists recommend to focus more on protein. Protein helps stabilize blood sugar which helps keep you out of fight or flight reactions and protein also provides the building blocks for your brain neurotransmitters including serotonin and dopamine. Many nutritionists advise their patients to eat protein such as eggs, cheese, nuts, peas, beans, and or even a protein shake at least an hour after they get up, and with every meal. If you snack before bed, make sure that it has protein too. Even if we strive to avoid sugar, sweet treats have a way of worming their way into our lives especially during the Holidays. If you have trouble saying no to sweets, it is recommended to eat protein proactively to keep temptations in check.

Nutrition Timeline: How the U.S. Diet Evolved

Nutrition Timeline:

Obviously, a lot has happened in nutrition since the first Thanksgiving in America. Many scientific discoveries have given us a better idea how foods can contribute to health and disease. At first, little was known about nutrition science and there is still a lot to know. Knowing our progression helps us to know how we got from there to here.  The bottom Line: After all the science, we often still ponder on “what’s for dinner?”and “how do we lose weight”?

Note: Those events in Bold type tell the story of how our current food patterns evolved and have affected our present health status.

1621 First Thanksgiving Feast at Plymouth Colony

1702 First coffeehouse in America opens in Philadelphia

1734 Scurvy recognized

1744 First record of ice cream in America

Lind publishes “Treatise on Scurvy”and citrus is identified as cure.

Sandwich invented by the Earl of Sandwich

Potato heralded as famine food

Americans drink more coffee in protest over Britain’s tea tax

1775 Lavoisier (“the father of nutrition science) discovers the energy property of food (calories)

1816 Protein and amino acids identified followed by carbohydrates and fats

1833 Beaumont’s experiment on a wounded man’s stomach greatly expand knowledge about digestion

1862 U.S. Department of Agriculture founded by authorization of President Lincoln

1871 Proteins, carbohydrates, and fats determined to be insufficient alone to support life, there are other “essential” compounds in foods

First milk station providing children with un-contaminated milk opens in New York City

Pure Food and Drug Act passed by President Theodore Roosevelt to protect consumers against contaminated foods

Pasteurized milk introduced

Funk suggests scurvy, beriberi, and pellagra caused by deficiency of “vitamines” in the diet

1913 First vitamin discovered (vitamin A)

1914 Goldberger identifies the cause of pellagra (niacin deficiency) in poor children to be a missing component of the diet rather than a germ as others believed

1916 First dietary guidance material produced for the public released: Title is Food for Young Children

1917 First food groups published for the Five Food Groups: Milk and Meat, Vegetables and Fruits, Cereals, Fats and Fat Foods, Sugars and Sugary Foods. (Imagine: Sugar is a food group).

1921 First fortified food produced: iodized salt needed to prevent widespread iodine deficiency goiter in many parts of the U.S.

1929 Essential fatty acids identified

1930’s Vitamin C identified in 1932, followed by pantothenic acid and riboflavin in 1933 and vitamin K in 1934

1937 Pellagra found to be due to the deficiency of niacin.

1938 Health Canada issues nutrient intake standards

1941 First refined grain enrichment standards developed (Niacin, riboflavin,  and iron added)

First Recommended Dietary Allowances (RDAs) announced by President Franklin Roosevelt on the radio

1946 National School Lunch Act passed

1947 Vitamin B12 identified

1953 Double helix structure of DNA discovered

1956 Basic Four Food Groups released by the U.S. Department of Agriculture

1958 The Seven Countries Study was conceived by Ancel Keys, a Minnesota physiologist, who brought together researchers from all over the world. It became a collective effort to study questions about heart and vascular diseases among countries having varied traditional eating patterns and lifestyles. This alone changed the U.S. food supply dramatically to emphasize low fat diets high carbohydrate foods that continued to dominate until around 1983.

1965 Food Stamp Act passed. Food Stamp program established

1966 Child Nutrition Act adds school breakfast to the National School Lunch Program

1968 First National nutrition survey in U.S. launched. (The Ten State Nutrition Survey)

1970 First Canadian national nutrition survey launched (Nutrition Canada National Survey)

1972 The “Atkins Diet” by Dr. Robert Atkins started as a fad, but quickly became a counter-conventional movement that reset people’s thinking of nutrition and weight loss, and its link to health. It promoted a low carbohydrate, high fat diet to replace and challenge  the current conventional thinking that a low fat, high carbohydrate diet promoted by Keys was heart healthy.

1977 Dietary Goals for the U.S. issued  

1978 First Health Objectives for the Nation released

1989 First national scientific consensus report on diet and chronic disease published

1992 The Food Guide Pyramid is released by the USDA that contained a food group recommending 6-11 servings a day from the Bread, Cereal, Rice, Pasta Group (High carbohydrate foods).

1994 The nutritional food label was put into effect by the Nutrition Labeling and Education Act.

1997 RDAs expanded to Dietary Reference Intakes (DRI’s)

1998 Folic acid fortification of refined grain products begins

2003 Sequencing of DNA in the human genome completed; marks beginning of new era of research in nutrient-gene interactions

2015 – 2020 The current  U.S.Dietary Guidelines include the following:

  • Follow a healthy eating pattern across the lifespan. Eating patterns are the combination of foods and drinks that a person eats over time.
  • Focus on variety, nutrient-dense foods, and amount.
  • Limit calories from added sugars and saturated fats, and reduce sodium intake.
  • Shift to healthier food and beverage choices.
  • Support healthy eating patterns for all.

2020  Obesity and diabetes have become global epidemics/pandemics with the highest rates in the U.S. The custom is for them to be revised every five years.  The latest U.S. Dietary Guidelines are due to be published sometime in 2020 or early 2021.

 

 

 

 

Is All Sugar Equal?

Simple sugars are considered simple because they are small molecules that require little or no digestion before they can be used by the body. They come in two types: monosaccharides and disaccharides. First, here is a little sugar biochemistry.

Types of Carbohydrates

Carbohydrates are chemical compounds that contain carbon, hydrogen, and oxygen. Simple carbs, also called sugars include monosaccharides (fructose, glucose, and galactose)  and disaccharides (sucrose, lactose, and maltose). They are found in foods such as table sugar, honey, milk, and fruit.

Complex carbohydrate include oligosaccharides and polysaccharides. Glycogen is a polysaccharide found in animals, and starch and fiber polysaccharides are found in plants. Sugars and starches consumed in food are broken down in the digestive tract to monosaccharides which can be absorbed in the bloodstream.

The simple sugars the body uses directly to form energy are glucose and fructose. Galactose is readily converted to glucose by the body. So, basically, all sugars and starches (chains of glucose) end up as glucose in the body. When the body has more glucose  than it needs for energy, it converts the excess to fat and and glycogen. The glycogen is stored in the liver and muscles. When the body needs energy, glycogen is broken down making glucose available for energy formation. Glucose can also be obtained from certain amino acids and the glycerol part of fat. A constant supply is needed for the brain, red blood cells, white blood cells and some special cells in the kidney.

What are Added Sugars?

It is now a requirement to state the amount of added sugars on the Nutrition Facts Panel of most food products. Most of the simple sugars in our diet comes from foods and beverages sweeteners as sucrose and high-fructose corn syrup. Added sugars make up 15% of the total caloric intake of Americans.

High-fructose corn syrup is a liquid sweetener found in many soft drinks, fruit drinks, breakfast cereals and other food products.  It consists of 55% fructose and 45% glucose, compared to sucrose that contains 50% glucose and 50% fructose. For example, one 12 oz serving of a soft drink contains about 9 teaspoons of sugar. That’s a lot of sugar and far more than is good for health.

The American Heart Association recommends that women consume no more than 6 teaspoons a day and men only 9 teaspoons a day.

Source: Judith E. Brown, Nutrition Now,  7th Edition.

CLICK HERE.

How much sugar?

We know in times like these, our sugar intake is the last concern on our minds. In fact, we may be eating more of it due  to stress and discontent of our current environment.   But when this horrible pandemic is over, we have to try to get back to improving our diets as much as possible to make up for lost time. Here is a good article about sugar intake that is in reality reasonable and informative in general about the glycemic index, fructose, and artificial sweeteners and processed foods.

CLICK HERE.

Processed Food: Are We Addicted?

The following post may explain in part the possibility of food addiction, a highly controversial topic especially when it comes to processed foods.

Perhaps it is best explained by this excerpt from Michael Moss, Salt, Sugar, Fat: How the Food Giants Hooked Us.

” The blood gets especially besieged when processed food is ingested, flooding the system with its heavy loads of salt, sugar, and fat…, there, narcotics and food…act much alike. Once ingested, they race along the same pathways, using the same neurological circuity to reach the brain’s pleasure zones, those areas that reward us with enjoyable feelings for doing the right thing by our bodies. Or, as the case may be, for doing what the brain has been led to believe is the right thing.”

The following link provides us with a video (suggested (13 min.) and the text of a recent TED talk. Interesting analysis.

CLICK HERE.