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Irene Rubaum-Keller

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Why Are We Americans So Fat? (Part Three)

Posted: 05/18/09 03:22 PM ET

"Show me a man who's eating dessert, and I'll show you a man who's not drinking enough." W.C. Fields

Maybe W.C. knew it long ago, that alcohol and sugar activate the same reward pathways in the brain. If you have ever known an alcoholic who stopped drinking, they often turn to sugar instead.

The question is, "Is sugar addictive?"

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In this multi-part series on why Americans are so fat, we are now moving into the idea that there is such a thing as a food addiction. In this blog I am going to be talking about the work of Dr. Bart Hoebel who is a researcher and professor at Princeton University.

Dr. Hoebel has discovered some fascinating things by studying rats. What he did was see if he could get rats addicted to sugar. He took rats and got them pretty hungry. These rats were hungry to the equivalent of having fasted all night and then skipped breakfast. He then gave them a sugar water solution to drink and regular rat chow to eat. He measured how much they consumed.

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The first day the rats consumed a fair amount of sugar water and some chow. The next day, more sugar water and less chow. The following day even more sugar water and less chow. This went on until the rats were essentially binging on sugar, and this binging behavior got worse as they went on. When looking at their brains on sugar, the reward pathways were stimulated just as they would be with drugs of abuse, only less so. Sugar affected the brain just as cocaine, heroin, meth, pot and/or alcohol would. When the rats had had enough, their brains released acetylcholine, which isn't that pleasant, and caused them to stop eating.

By using a chemical to block the reward pathway, these rats experienced withdrawal. Teeth chattering, anxiety, etc. They were showing the classic signs of addiction in that they were craving the sugar, they required more to get the desired feeling (tolerance) and they experienced withdrawal when deprived of the substance.

The rats did not gain weight on the sugar binges as they adjusted the amount of rat chow they consumed to compensate for the calories. They remained normal weighted. When Dr. Hoebel substituted sweetened water made with high fructose corn syrup, the rats began to gain weight. (More on the dangers of high fructose corn syrup coming up.)

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Dr. Hoebel then put the rats back on regular rat chow, didn't give them the sugar and didn't allow them to become hungry for 21 days. The experiment was then repeated by getting them hungry and giving them the sugar water. The sugar binge, after a 21 day abstinence, was as bad as the worst binge they had had previously. These rats had effectively learned to binge on sugar.

I asked Dr. Hoebel if they had tried to wait longer than 21 days to see if these rats would eventually normalize. He said it was a good question but no they hadn't because rats don't live that long and you would end up with some very old rats.

In an additional experiment, Dr. Hoebel was able to do the same thing with the rats while also inducing a purging state. He did this by inserting a tube to purge the rat after he binged on sugar. He then was able to look at the brain and could see that the reward pathways in the brain were stimulated. When the rats didn't purge, the acetylcholine was released that would essentially bring them down and they would stop eating. In the purging rats, there was only the high, or dopamine, and no acetylcholine. As a psychotherapist, working with bulimics, this has helped tremendously in understanding why binging and purging is so addictive. Bulimics get all of the high with none of the down. Very seductive indeed. Not only do bulimics get the dopamine high, they also avoid the inevitable weight gain their high calorie binges would produce if they didn't purge.

More on the addictive properties of food and what we can do about it coming up. Stay tuned.

For more information about Dr. Hoebel's work, please visit http://weblamp.princeton.edu/~psych/psychology/research/hoebel/index.php.

If you'd like to participate in the research for Irene's new book about the process of weight loss, please visit http://www.eatingdisordertherapist.com/ and take the survey.

 
 
 

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"Show me a man who's eating dessert, and I'll show you a man who's not drinking enough." W.C. Fields Maybe W.C. knew it long ago, that alcohol and sugar activate the same reward pathways in the bra...
"Show me a man who's eating dessert, and I'll show you a man who's not drinking enough." W.C. Fields Maybe W.C. knew it long ago, that alcohol and sugar activate the same reward pathways in the bra...
 
 
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02:48 PM on 05/20/2009
The food additive MSG is a major factor in causing obesity. But the complexity of chemical additives in processed foods means we often don't realize what we are really eating. Hydrolyzed vegetable protein, for instance, is another name for MSG. MSG causes our pancreas to create triple the amount of insulin resulting in food cravings and eventual diseased states. In some people MSG causes extreme allergic reactions. It isn't just a matter of discipline in the amount we eat. It is a matter of re-educating our political food chain. "We" are allowing our food providers and manufacturers to use these additives so that in the interest of a free market economy they are able to increase their revenues. Such a disease based economy is shameful.
10:37 AM on 05/20/2009
I love sugar.

I can't breathe without cake

I have short coach potato spasms

I'm extremely lean.
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
05:16 PM on 05/20/2009
Hi Redeemer777, Thank you for your perspective and important point on this. Not everyone who eats sugar has a problem with it. Just like most people who drink alcohol, do so in moderation and don't become alcoholics. We do think there is a genetic link for those who can't control their sugar intake. We are still learning.
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krisgarfield
Res ipsa loquitur - Let the good times roll.
01:40 PM on 05/19/2009
Yep...I lOVE Sugar! Especially chocolate....triple addiction there (sugar, cocoa, and caffeine). Yet I never binge on it. Makes me puke. A little sugar is OK. Yet Americans seem to overdo everything. Whether it's massive portions, cars the size of a small eight wheeler, McMansions, a shoe collection Imelda Marcos would envy...when is it ever enough? Perhaps with this economic downturn, Americans will finally reassess their excesses. Those who went through the depression have known this and still practice pragmatic frugality. The same should go for younger generations.

I use sugar ( I HATE Stevia) in my morning cup of joe, but with it I eat whole grain cereal, fresh fruit, and yogurt. I'll have plain tart frozen yogurt for desert. Sugar is not evil...it's our response to it that gets us into a mess. A little goes a long way....just back it up with being physically active. Checks and balances, Simple!
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
08:58 PM on 05/19/2009
Hi Kris, Thanks for your comment. We think there is some genetic component to people who binge vs. those who don't. Dr. Hoebel's work speaks to the idea that it also has to do with getting too hungry (some diets create this state) and the type of sugar that is consumed. I will be covering more of this in upcoming blogs. Stay tuned!
09:56 AM on 05/19/2009
I am really excited that you are looking at the whole concept of sugar addiction. Bart came to a talk I did on sugar sensitivity and addiction about 7-8 years ago. He was thinking about retiring, had some extra lab money, a few eager grad students so I challenged him to play with the rats to test it out. I have been working with the issues clinically (and personally) for 20 years or so. By dealing with these ideas in alcoholism recovery, we upped our treatment success rate from 20% to 92%. Now, we have been working with sugar addicts all over the world. I think you would love to read about the difference in the biochemistry between the mice who love sugar and those who who do not care one white. Here is a fun article:

http://www.radiantrecovery.com/resourcecenter/C57story.htm

I think we sugar addicts are the human equivalent of the C57 mice.

kathleen
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
08:56 PM on 05/19/2009
Kathleen, Thank you so much for your comments. I'm so glad you persuaded Dr. Hoebel to continue his work. I will be getting into the genetic aspect of this addiction in upcoming blogs. I really appreciate your input!
07:40 PM on 05/18/2009
Why are Americans so fat? Because we eat at every event. and we have events all the time. And we eat past just being satisfied.

Gotta clear everything off that plate!

Donuts at work, birthdays, New years, Valentines, St. Patrick's, Easter, Mother's Day, Memorial Day Father's Day, 4th of July, Labor day, Christmas/Chaunukah etc, Halloween, Thanksgiving, Superbowl Sunday and other sports events, movies, ..on n' on.
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
10:36 PM on 05/18/2009
Yes, loganhunter, we eat too much for sure. It is not just the amount but the quality of the food as well. Thank you for commenting.
05:14 PM on 05/18/2009
I know I have an addiction to sugar. 8 years ago I removed sugar (and HFCS) from my diet, and in that time, I feel much, much better (lost some weight, too. Yay!). My PMS isn't as bad, neither are cramps, I'd go into bouts of mild depression, and that stopped. I find I can now look at sweets and can resist temptation--in fact, there is NO temptation as long as sugar doesn't pass my lips. If it does, I go absolutely crazy and have a hard time stopping. (this has happened just once. With, of all things, liver sausage. Had no idea it had HFCS & sugar in it, until I had found I couldn't stop eating this one day, I looked back at my menu, then checked the ingredients. Found the liver sausage was the culprit. I was very bummed, since I love the stuff. Haven't had it since that day a few years ago either.)

For anything sweet, I use Stevia or Xylitol, and the occasional bit of Splenda. They do not induce any cravings
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
10:34 PM on 05/18/2009
Thank you so much for sharing your story Sunshine. You are not alone. I am so glad you have been able to conquer this addiction. One of the sugar addicts at the conference I attended said when she stopped sugar, a core feeling of something being wrong with her, left. Kind of like your depression I would say. Good for you!
09:59 AM on 05/19/2009
Hey Sunshine.....actually anything sweet...activates the part of your brain that will want more. It is called *priming*...a little bit of it makes your beta endorphin sing. and then when it wears off, the beta endorphin receptors screech until you find something to fill them again.

kathleen
02:30 PM on 05/22/2009
Hi, Kathleen, I've heard that, but it doesn't seem to happen with Stevia or Xylitol (and Splenda) in me. I find I can have just a taste of something with those sweeteners and then stop with no binging, or going crazy for something else to eat. It may have a reaction in others, but I don't seem to have a problem.

Now, sugar or HFCS, oh, yeah. I'll eat all day if I have even a small pinch of the stuff.
02:46 PM on 05/18/2009
Great article! Many of us sugar addicts already know we are addicted. It is nice to be validated by science.
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Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
10:35 PM on 05/18/2009
Thanks for your comment gfk. We do think there may be a genetic component and I will be covering that in upcoming blogs. Stay tuned.
09:59 AM on 05/19/2009
Irene, check Christine Gianoulakis' work at McGill.

kathleen