4.7 Article

The concept of food addiction helps inform the understanding of overeating and obesity: YES

Journal

AMERICAN JOURNAL OF CLINICAL NUTRITION
Volume 113, Issue 2, Pages 263-267

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/ajcn/nqaa343

Keywords

processed food; addiction; withdrawal; tolerance; policy; industry; food environment

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Highly processed foods, similar to addictive substances, have reinforcing properties that can lead to compulsive consumption, loss of control over intake, cravings, and negative consequences. These foods are more effective in activating reward-related neural systems and can trigger withdrawal and tolerance processes. The negative impact of highly processed foods on public health underscores the importance of recognizing and addressing addictive patterns of food intake.
Addictive substances such as opiates and other drugs are highly reinforcing and some (but not all) individuals consume them compulsively. Highly processed (HP) foods have unnaturally high concentrations of refined carbohydrates and fat. These foods are highly reinforcing and some (but not all) individuals consume them compulsively. HP foods, like addictive substances. are more effective in activating reward-related neural systems than minimally processed foods. More importantly, HP foods are associated with the behavioral indicators of addiction: diminished control over consumption. strong craving, continued use despite negative consequences, and repeated failed attempts to reduce or eliminate intake. Thus. HP foods are key in addictive patterns of food intake. Like addictive drugs, HP foods are complex. human-made substances designed to effectively deliver reinforcing ingredients (e.g., refined carbohydrates. fat). Withdrawal and tolerance are not necessary for an addiction classification; however, HP foods can trigger both these processes. On a public health level, the negative consequences of HP foods are high, even for those without clinically relevant levels of addictive eating. The recognition that some foods can be addictive will inform clinical obesity treatment and underscore the importance of environmentally focused policy interventions.

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