Sugar is one of the most addicting substances in the world.
Scientists have established that it is more addictive than
coccain or marijuana.
Food is something we call a natural reward. In order for animals
to survive as a species, food sex and nurturing others must be
pleasurable to the brain so that these behaviours are reinforced
and repeated.
Evolution has resulted in the mesolimbic pathway, a brain system
that deciphers these natural rewards for us. When we do
something pleasurable, a bundle of neurons called the ventral
tegmental area uses the neurotransmitter dopamine to signal to a
part of the brain called the Nucleus Accumbens. The connection
between the nucleus accumbens and our prefrontal cortex dictates
our motor movement, such as deciding whether or not to taking
another bite of that delicious chocolate cake. The prefrontal
cortex also activates hormones that tell our body: “Hey, this
cake is really good. And I’m going to remember that for the
future.”
Not all foods are equally rewarding, of course. Most of us
prefer sweets over sour and bitter foods because,
evolutionarily, our mesolimbic pathway reinforces that sweet
things provide a healthy source of carbohydrates for our bodies.
When our ancestors went scavenging for berries, for example,
sour meant “not yet ripe,” while bitter meant “alert – poison!”
Fruit is one thing, but modern diets have taken on a life of
their own. A decade ago, it was estimated that the average
American consumed 22 teaspoons of added sugar per day, amounting
to an extra 350 calories; it may well have risen since then.
Average person in a western country consumes 238 teaspoons of
sugar each week.
Today, with convenience more important than ever in our food
selections, it’s almost impossible to come across processed and
prepared foods that don’t have added sugars for flavour,
preservation, or both.
These added sugars are sneaky – and unbeknown to many of us,
we’ve become hooked. In ways that drugs of abuse – such as
nicotine, cocaine and heroin – hijack the brain’s reward pathway
and make users dependent, increasing neuro-chemical and
behavioural evidence suggests that sugar is addictive in the
same way, too.
Sugar addiction is real.
There are four major components of addiction: bingeing,
withdrawal, craving, and cross-sensitisation (the notion that
one addictive substance predisposes someone to becoming addicted
to another). All of these components have been observed in
animal models of addiction – for sugar, as well as drugs of
abuse.
A typical experiment goes like this: rats are deprived of food
for 12 hours each day, then given 12 hours of access to a sugary
solution and regular chow. After a month of following this daily
pattern, rats display behaviours similar to those on drugs of
abuse. They’ll binge on the sugar solution in a short period of
time, much more than their regular food. They also show signs of
anxiety and depression during the food deprivation period. Many
sugar-treated rats who are later exposed to drugs, such as
cocaine and opiates, demonstrate dependent behaviours towards
the drugs compared to rats who did not consume sugar beforehand.
Like drugs, sugar spikes dopamine release in the nucleus
accumbens. Over the long term, regular sugar consumption
actually changes the gene expression and availability of
dopamine receptors in both the midbrain and frontal cortex.
Specifically, sugar increases the concentration of a type of
excitatory receptor called D1, but decreases another receptor
type called D2, which is inhibitory. Regular sugar consumption
also inhibits the action of the dopamine transporter, a protein
which pumps dopamine out of the synapse and back into the neuron
after firing.
In short, this means that repeated access to sugar over time
leads to prolonged dopamine signalling, greater excitation of
the brain’s reward pathways and a need for even more sugar to
activate all of the midbrain dopamine receptors like before. The
brain becomes tolerant to sugar – and more is needed to attain
the same “sugar high.”
Sugar withdrawal is also real
Although these studies were conducted in rodents, it’s not
far-fetched to say that the same primitive processes are
occurring in the human brain, too.
In a 2002 study by Carlo Colantuoni and colleagues of Princeton
University, rats who had undergone a typical sugar dependence
protocol then underwent “sugar withdrawal.” This was facilitated
by either food deprivation or treatment with naloxone, a drug
used for treating opiate addiction which binds to receptors in
the brain’s reward system. Both withdrawal methods led to
physical problems, including teeth chattering, paw tremors, and
head shaking. Naloxone treatment also appeared to make the rats
more anxious, as they spent less time on an elevated apparatus
that lacked walls on either side.
Similar withdrawal experiments by others also report behaviour
similar to depression in tasks such as the forced swim test.
Rats in sugar withdrawal are more likely to show passive
behaviours (like floating) than active behaviours (like trying
to escape) when placed in water, suggesting feelings of
helplessness.
A new study published by Victor Mangabeira and colleagues in
this month’s Physiology & Behavior reports that sugar withdrawal
is also linked to impulsive behaviour. Initially, rats were
trained to receive water by pushing a lever. After training, the
animals returned to their home cages and had access to a sugar
solution and water, or just water alone. After 30 days, when
rats were again given the opportunity to press a lever for
water, those who had become dependent on sugar pressed the lever
significantly more times than control animals, suggesting
impulsive behaviour.
Humans aren’t depriving ourselves of food for 12 hours and then
allowing ourselves to binge on soda and doughnuts at the end of
the day. But these rodent studies certainly give us insight into
the neuro-chemical underpinnings of sugar dependence,
withdrawal, and behaviour.
Through decades of diet programmes and best-selling books, we’ve
toyed with the notion of “sugar addiction” for a long time.
There are accounts of those in “sugar withdrawal” describing
food cravings, which can trigger relapse and impulsive eating.
There are also countless articles and books about the boundless
energy and new-found happiness in those who have sworn off sugar
for good. But despite the ubiquity of sugar in our diets, the
notion of sugar addiction is still a rather taboo topic.
Today we see more and more people getting sick and dying from
diabetes, heart disease strokes and cancer. Sugar addiction is
one of the little known and less spoken reasons why it is so.
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