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Is addictive-like eating an overlooked stroke risk factor? A study case

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SPRINGER
DOI: 10.1007/s40519-021-01115-6

关键词

Stroke; Food addiction; Stress; Emotional eating; Hypertriglyceridemia; Dyslipidemia

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  1. French Ministry of Research and Higher Education

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This case study highlights the risk of stroke associated with food addiction, suggesting the need to consider addictive-like eating behaviors and related mental disorders in stroke prevention. It emphasizes the importance of addressing dietary habits and psychological well-being in stroke prevention efforts, especially in women who may be more prone to using food as a coping mechanism.
Purpose While stroke is already considered a nutrition-related disease, the prevalence of the broad array of disordered eating behaviors is under-reported in this disease. We describe the case of a stroke in a young woman following a recent food addiction to fatty-sweet food. Methods She was diagnosed with a Night-Eating-Syndrome, with a loss-of-control exclusively towards sugary carbohydrates used to manage her insomnia and distress, and her consummatory behaviors were investigated. Results This case report illustrates a self-medication of a significant psychological distress by shifting from a healthy diet to an overconsumption of hyper-palatable foods, triggering an addiction disorder. The related hypertriglyceridemia, on top of chronic smoking, contributed to the development of an atherosclerotic plaque and thrombus formation. Conclusion Food addiction might be considered as an emerging stroke risk factor. We suggest it fosters the need to take into consideration addictive-like eating behaviors and associated mental disorders in the primary and secondary prevention of stroke. This may be particularly relevant for the prevention of stroke in women as they are more prone to comfort their emotions with food.

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