Researchers from the United States, Brazil, and Spain, including scientists with the Fralin Biomedical Research Institute at VTC, published an analysis in a special edition of the British Medical Journal with a timely and controversial recommendation: It's time for an international shift in the way we think about ultra-processed food.
"There is converging and consistent support for the validity and clinical relevance of food addiction," said Ashley Gearhardt, the article's corresponding author and a psychology professor at the University of Michigan. "By acknowledging that certain types of processed foods have the properties of addictive substances, we may be able to help improve global health."
While people can give up smoking, drinking, or gambling, they can't stop eating, said co-author Alexandra DiFeliceantonio, assistant professor at the Fralin Biomedical Research Institute. The challenge, and the open and controversial question, is defining which foods have the most potential for addiction and why.
Their work was published Oct. 10 in Food For Thought, a special edition of the British Medical Journal, a high-impact publication and one of the world's oldest medical journals.
DiFeliceantonio is also associate director of the Fralin Biomedical Research Institute's Center for Health Behaviors Research and an assistant professor in the Department of Human Nutrition, Foods, and Exercise in the College of Agriculture and Life Sciences at Virginia Tech.
Not all foods have the potential for addiction, the researchers said.
"Most foods that we think of as natural, or minimally processed, provide energy in the form of carbohydrate or fat -- but not both," DiFeliceantonio said.
Researchers gave the example of an apple, salmon, and a chocolate bar. The apple has a carbohydrate to fat ratio of roughly 1-to-0, while the salmon has a ratio of 0-to-1. In contrast, the chocolate bar has a carbohydrate to fat ratio of 1-to-1, which appears to increase a food's addictive potential.
"Many ultra-processed foods have higher levels of both. That combination has a different effect on the brain," DiFeliceantonio said. Researchers also called for more study into the role of food additives used in industrial processing. Key takeaways from the analysis include:
The co-authors represent international expertise on food addiction, nutrition physiology, gut-brain reward signaling, food policy, behavioral addiction, and eating disorders. They call for more study and science surrounding ultra-processed foods,
"Given how prevalent these foods are -- they make up 58 percent of calories consumed in the United States -- there is so much we don't know." DiFeliceantonio said.
The researchers call for more study into such areas as: how complex features of ultra-processed foods combine to increase their addictive potential; better defining which foods can be considered addictive; differences among countries and communities, including disadvantaged communities; the value of public-health messaging; and clinical guidelines for preventing, treating, and managing addiction to ultra-processed foods.
In addition to Gearhardt and DiFeliceantonio, authors include Nassib B. Bueno, a professor at Universidade Federal de Alagoas in Brazil; Christina A. Roberto, associate professor in the Department of Medical Ethics and Health Policy at the University of Pennsylvania's Perelman School of Medicine; and Susana Jiménez-Murcia and Fernando Fernandez-Aranda, both professors in the Department of Clinical Psychology at the University Hospital of Bellvitge in Spain.
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