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Obesity and Food Addiction


Obese manI recently went to see the movie Bridesmaids which features a cameo performance by the pop group, Wilson Phillips. When I last saw or heard of Carnie Wilson she had had gastric bypass surgery to overcome a lifelong struggle with obesity (she was 300 lbs at 5'3") and the operation had been broadcast live on the internet. 

Following the surgery, she lost 150 lbs and went from a US size 28 to a size 6 and posed nude for Playboy to display her new body. She subsequently became the poster girl for gastric bypass surgery touring TV talk shows and hosting her own infomercial to promote the procedure.

However, further to that she regained some of the weight she had lost and became a contestant on VH1's Celebrity Fit Club in 2006. She lost 22 pounds during the show, which she also eventually put back on. 

So I was disappointed to see in the film that she had again regained much of the weight she has struggled so hard to lose. There is obviously a great deal of distress and desperation around the issues of food and weight for her, and yet, in spite of the extreme measures she has employed, a sense of control around food still obviously eludes her. 

Carnie Wilson before and after

 

Other high profile figures that have had well publicised struggles with their weight include Oprah Winfrey and Luther Vandross, the soul singer who died aged 54 of a heart attack. These people obviously have access to chefs, personal trainers, and the best physicians and therapists and yet still have not conquered their weight issues.

A growing number of experts now think that this is because the excess weight is a symptom of an underlying problem which may be either emotional or physical and restriction of calories combined with vigorous exercise can only ever be a temporary solution until the underlying problems are addressed. Carnie Phillips experience reflects that of the vast majority of people who lose weight through dieting only to regain the weight they lost often plus a little more.

In the UK, gastric bypass surgery is being promoted as a lifelong and cost-effective cure for obesity after the dramatic weight loss of some high profile public personalities and there are calls for more surgery to be paid for from public funds. Obviously, it is not the lifelong solution it is presented as, if Carnie's experiences are anything to go by, and performing surgery on the seriously obese has fatal consequences for a small percentage of people and is traumatic for all.  

So why is this issue so intractable for so many? There are a great many factors which may underscore obesity and compulsive over-eating and just a few of these overlooked factors are addressed below. 

 

Childhood trauma and comfort eating

Childhood trauma is known to play an important role in the later development of addictive behaviours and all three of the people cited above have had significant and well documented trauma and stress in childhood.

In the particular case of Carnie Phillips, she has a younger sister, Wendy (also in Wilson Phillips), who appears to be able to control her weight. However, they are the daughters of Brian Wilson of Beach Boys fame and the birth of Carnie is said to have precipitated a spiral of drug abuse and mental illness in her father.

In the case of Oprah Winfrey, she was the illegitimate child of a single mother and was raised by her stern grandmother. She reports that she was multiply sexually abused by family members and a family friend, starting when she was nine years old. She gave birth to a son when she was just 14 years old who died shortly after birth. 

Luther Vandross too was raised in relative poverty and his father died of diabetes when he was 8 years old.

Experts think that until the painful issues of childhood trauma are adequately addressed, the underlying need to comfort eat or indulge in other addictive behaviours will always remain. 

 

"The past is not dead. In fact, it's not even past."

William Faulkner

 

For more on this topic see Book Review: Trauma and Addiction.

 

Food addiction as a cause of obesity

Research which is to be presented at the upcoming annual meeting of the Society for the Study of Ingestive Behavior (SSIB), suggests that people can become addicted to 'highly palatable' foods engaging in compulsive patterns of consumption identical to the behaviours of drug addicts and those with alcoholism.

A questionnaire used to assess the 7 symptoms of substance dependence (e.g., withdrawal, tolerance, continued use in spite of negative health and social consequences) was given to obese men and women with food being the substance in question. Based upon their responses, respondents were classified as ‘food addicts’ or non-addicts, and then the two groups were compared in three areas relevant to conventional addiction disorders such as clinical co-morbidities, psychological risk factors, and abnormal motivation for the addictive substance.

While those addicted to food did not differ from non-addicts in their age or body weight, they were more likely to binge-eat, be depressed and to demonstrate more symptoms of attention-deficit/hyperactivity disorder. They were also more likely to be impulsive, were more responsive to the pleasurable properties of palatable foods, and were more likely to ‘self-comfort’ using food.

The chief researcher, Dr Davis said “These results strongly reinforce the view that food addiction is an identifiable condition with clinical symptoms, and is characterised by a psycho-behavioural profile that is similar to conventional drug-abuse disorders.” She added that “The results also deliver much needed human support for the growing evidence of sugar and fat addiction in experimental animal research.”

The findings, she suggests, might lead to different approaches to obesity depending upon different biological and psychological vulnerabilities to environmental risk factors.

The animal experiments to which she refers include experiments with rats that demonstrated that the rats chose to starve rather than eat healthy food once they had become dependent upon junk foods.

So it seems that in the same way that a recovered alcoholic cannot ever consume alcohol again for fear of triggering the whole cascade of addiction, people who are addicted to certain foods really cannot eat them for fear of promoting the addictive cycle. But whilst it is possible (if challenging) for an alcoholic to avoid alcohol, avoiding foodstuffs containing the substance of addiction is almost impossible - especially if the individual does not even recognise the particular addiction involved.

The simple fact is that all foods have a physiological effect upon the body. However, any food that is a favourite and that the individual feels that they could not live without is usually a prime candidate for addiction - and for intolerance, because the two are highly related. Foods to which the individual is intolerant give a 'high' as they promote a stress response from the adrenal glands. This can exhaust the endocrine system over time leading to chronic fatigue states and thyroid and adrenal gland dysfunction.   

The body's response to foods can be assessed by means of muscle testing and a kinesiologist and some nutritional therapists and Allergy therapists provide this service although you can learn to test yourself or be tested with the help of a friend or relative (See Muscle Testing Dental Restorations for details). Intolerances can also be assessed by means of a Voll machine which measures resistance in the energy meridians in relation to specific foods and blood tests may also be useful. 

As with other addictions, tolerance to the substance of abuse develops requiring more to achieve the same high. Withdrawal symptoms such as mood changes can also occur after discontinuing the substance of addiction whether that be drugs or chocolate. The UK comedian, Greg Davies, recently talking about his experience of following the Atkins diet said that after about 3 weeks, everywhere he turned he misheard people talking about bread and even dogs seemed to be barking "Bread, bread!" These cravings for the substance of addiction can be overwhelming, irresistible and relentless.

A subset of patients treated by gastric bypass surgery are also known to transfer their addictive behaviours onto other substances such as alcohol or drugs.  

 

The addictive Western diet

Research tells us daily to avoid tofu or to eat more tofu, or to be wary of this or that foodstuff or to eat more of some 'superfood'. But what if the problem is much bigger than that? What if there is a fundamental problem with our whole way of eating in the West?

The work of Dr Weston Price cataloguing the dramatic change from native diets to the modern Western diet nearly a century ago revealed a catalogue of health horrors which unfolded in rapid order in indigenous societies as the modern diet was introduced. These included gum disease, tooth decay, gall bladder disease, obesity, osteoporosis, digestive problems and cancer.

There was also a dramatic shrinking of the arch of the jaws with the development of a high vaulted palate in infants whose mother had been exposed during pregnancy to the Western diet. It is possible that all these symptoms evidence deficiency states which we have come to regard as normal. 

There are no obese people living on an indigenous diet - it is purely a symptom of our modern way of eating combined with levels of inactivity never before known to humanity.  

The vast majority of people in the developed world eat a wheat and dairy based breakfast of cereal and/or toast, then either catch public transport or drive to work. They then sit at a desk or work behind a till or on a production line before having sandwiches for lunch (possibly with potato chips, a bar of chocolate and a can of a carbonated sweetened beverage). There is then more sedentary work before returning home to sit slumped in front of the television whilst eating a ready meal which has often been heated in the microwave.

Even diseases like osteoporosis may mostly be related to lack of exercise especially as the elderly often become even less active. Bone is deposited dynamically in response to the stresses placed upon it and it is possible that the current epidemic of osteoporosis is largely related to our sedentary lifestyle rather than any dietary factors. 

Sadly, doctors are taught practically nothing about nutrition, which compared to some of the lifesaving measures that they can deploy seems rather dull, boring and irrelevant to them. As a consequence, they constantly counsel people to eat a normal, varied diet. Which sounds perfectly reasonable, until you realise that what we regard as a 'normal' diet probably caused the problem in the first place!

I eat a gluten and dairy-free diet and avoid sugar and refined foods where possible. I also actively try to incorporate as many fruit and vegetables into my diet as possible, to eat some high quality protein with most meals and to eat some raw fruit or a salad every day. However, I am very aware of addictive behaviour surrounding certain foods that once reintroduced my diet I find myself craving. And I know that wheat for me and many others is a prime offender. 

We also know from the archaeological record that the introduction of agriculture was a disaster for humanity in health terms. Men lost 7" in height and women lost 5" - stature we are only now regaining 10-12,000 years later. There is also evidence of a massive increase in infant mortality at the time of transition.

Then came the introduction of the nightshade family (belladonna) of fruits and vegetables from South America in the sixteenth century. This group includes potatoes, tomatoes, capsicum and chilli peppers, aubergines (eggplants) and tobacco - all of which were known by the native peoples to cause health problems and particularly arthritis. These too have been widely incorporated into our diet, but pose a problem for many people since they all contain low levels of the toxin, solanine.   

Some may regard excluding all grains, dairy and possibly nightshade fruits and vegetables from the diet as extreme, but the evidence that our current way of fuelling our bodies is causing disastrous results is plain for all to see. 

As always, if you follow the money you will find that there are profits to be made from surgery, pharmaceutical interventions for obesity, special 'diet' foods, and so on. However, there is little to no money to be made from encouraging people to alter their eating habits. Even being counselled to eat whole grains (as I did for many years) I believe is faulty thinking. For those with intolerances the husk of the grain often contains the most allergenic proteins and may promote a worse reaction than eating the processed version.

I don't think most people should be eating grains at all. Anything made with flour - any kind of flour - is highly processed and is not something indigenous people or Stone Age man would have eaten. Also, most grains contain the protein, gluten (in wheat, rye, barley and oats), and this acts as a glue retaining moisture in foods and giving bread its chewy texture. The problem being that it acts like glue in your intestines too!

Irritable bowel syndrome is now at epidemic proportions with 90% of American women experiencing symptoms at least occasionally and 70% daily. This is the body's way of objecting to the fuel it is being given. Typically, dairy products constipate and gluten-containing grains produce soft bowel movements or diarrhoea. And so people eating the Western diet alternate daily between the two extremes according the foods eaten that day.

Incidentally, and this is only something I have figured out lately after someone else suggested the association - eating wheat makes my shoulders and neck ache - which is one of the hallmarks of fibromyalgia. According to Dr George Goodheart, the founder of kinesiology all muscles are related to energy meridians within the body and hypertension (spasm) in the muscle can indicate an overload of the associated energy meridian. The muscles on the back of the neck and shoulders variously relate to the stomach meridian, central (brain) meridian, spleen (immune system), kidney and liver meridians which is what you would expect of a system stressed by foods to which it is intolerant.

 

Undiagnosed endocrine problems as a cause of obesity

Underlying undiagnosed endocrine issues relating to thyroid disorders can cause the metabolism to slow to the point where weight gain is inevitable and weight loss becomes impossible. Some natural health experts now think that these may affect up to half the population to some greater or lesser extent. And the general feeling is that they are massively under-diagnosed by allopathic medicine.

This seems to largely be due to a possible lack of training and an almost total reliance on blood test results which, for a variety of reasons, do not provide an accurate picture of what is taking place within the cells. Doctors rarely seem to examine such patients or to take a detailed symptom history which would clearly indicate an underactive thyroid gland or hypothyroidism, but are bound by the parameters that apply to thyroid function blood tests.

Adrenal insufficiency or fatigue can also account for the 'spare tyres' that accumulate around one's middle with age and this too is almost never recognised by allopathic medicine.

Another factor is poorly controlled blood sugar levels which many natural health practitioners also regard as practically epidemic due to the Western diet. This causes a see-saw of cravings and hunger often accompanied by low mood or depression and places an enormous stress on the pancreas (which produces insulin and glucagon in response to blood sugar levels) and on the adrenal glands (which respond to all kinds of stresses of which wildly fluctuating blood sugar is the most common).

Ultimately, in order for the cell to preserve its internal environment, the cell membranes down-regulate the number of insulin receptors and the tissues become unresponsive to insulin. This means that in spite of the fact that blood sugar levels may be normal or even elevated, the glucose is unable to enter the cell and the tissues are being deprived of the fuel they require to power all cellular processes.

The body sends out an alarm signal that fuel is required and so the cycle goes on as the individual eats more probably highly refined sugary food until the mechanism finally fails and Type II diabetes is diagnosed. This is almost exclusively a problem relating to the modern diet and is believed to affect a great many people who remain undiagnosed.

The only way to get off the blood sugar merry-go-round is to eat a low GI diet of whole, unrefined foods avoiding sugary foodstuffs ie: the diet nature intended and to support the struggling endocrine system using nutrients.  

Those people who appear to be able to maintain their weight effortlessly over a lifetime have been shown to be able to burn off excess calories as body heat as their body up-regulates whereas those who struggle with their weight have bodies that are unable to do this and any excess intake gets stored as fat. This ability may relate to the efficiency of thyroid function.

For more on this issue see Endocrine Gland Disorders.

 

Nutritional deficiencies and obesity

Many think that the cravings that compel people to eat are actually symptomatic of a body calling out for meaningful nutrition whilst eating a nutrient deficient diet. For example, the craving for chocolate that many women frequently experience may be associated with an underlying magnesium deficiency. 

For more on this issue see Special Diets for Fatigue Syndrome Sufferers or Modern Malnutrition.

 

Toxicity and excess weight

Fat soluble toxins are stored in the body fat and the body simply will not release them if they pose a threat to the body. The UK actor known internationally for his roles in the Harry Potter films, Stephen Fry, has recently lost 80-90 lbs in the space of a year by restricting his food intake and taking up a programme of walking. However, as the images below show he is now looking very frail and frankly, unwell. This may because his body is simply not getting the nutrients it needs to function combined with mobilising toxins from his fat stores.    

 

The disappearing Stephen Fry

 

Prescription medications as a cause of weight gain 

Prescription medications are often overlooked as a cause of weight gain, in spite of the fact that it is a recognised side-effect of more than 50 common medications. Offenders include prescription drugs used to treat mood disorders (especially the antidepressants Paxil and Zoloft), seizures (Depakote), migraines, diabetes (Diabeta and Diabinese), hypertension (Cardura and Inderal) and heartburn (Nexium and Prevacid).

Steroid drugs such as prednisone, older antidepressant drugs such as Elvail and Tofranil and second-generation antipsychotics such as and Prevacid are the worst offenders. But hormone replacement therapy (HRT) and oral contraceptives can also cause stubborn weight to accrue.  

Some drugs have unpredictable effects on weight causing weight gain in some and weight loss in others. 

 

Further resources

You might also be interested in the following: 

Read button

How We Are Wired for Addiction

It's Official: Junk Food IS Addictive

Food Intolerances in Fatigue Syndromes

Modern Malnutrition

What Happened to Wheat?

Book Review: Trick and Treat

Book Review: Trauma and Addiction

Addictions

For a comprehensive approach to detoxification and diet refer to The Natural Recovery Plan book

Listen button
 

The Nutritional Findings of Weston Price see under Supplements & Nutrition in the Audio hub

Video button
 
 
 

Gluten: What You Don't Know Might Kill You

Dairy: 6 Reasons Why You Should Avoid it at All Costs, 

 

Or for all media use the Search facility at the top of the page

 

Obesity and addiction: Article summary

This article looks at research to be presented to the Society for the Study of Ingestive Behavior revealing that the patterns of addiction surrounding food for some obese people are identical to those of other substance abusers. Some examples of public figures who have struggled to overcome their food addictions and an analysis of the modern diet are offered. 

 


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The Natural Recovery Plan Newsletter August 2011 Issue 20. Copyright Alison Adams 2011. All rights reserved
Dr Alison Adams Dentist, Naturopath, Author and Online Health Coach www.thenaturalrecoveryplan.com

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