Besin Bağımlılığı ve Obezite İlişkisi

Amaç: Beslenme, bireylerin hayatta kalması için gerekli bir eylem olmakla birlikte, çeşitli duyu organlarımıza hitap eden keyif verici bir durumdur. Ancak duyularımıza hitap eden lezzetli besinlerin sürekli tüketimi bazı bireylerde bağımlılık benzeri durumlar oluşturabilmektedir. Besin bağımlılığı; bireyin düzenli olarak tükettiği bir veya daha fazla besine duyduğu spesifik bir adaptasyon olarak tanımlanan bir kavramdır. Çeşitli psikolojik, sosyal problemlerin dışında bazı hormonal dengesizlikler, beyin yapılarındaki anomaliler ve çeşitli ilaçların kullanımından kaynaklanan yan etkiler besin bağımlılığının patofizyolojisini oluşturabilmektedir. Besin bağımlılığı üzerine yapılan klinik çalışmalar artmakta, ancak henüz uluslararası otoriteler tarafından resmi olarak bağımlılık türü olarak tanımlanmaması nedeniyle belirli bir tedavi metodu bulunmamaktadır. Genel olarak obez bireylerde uygulanan tedavi metotlarına ek olarak obezitenin altında yatan patolojik durumlar tespit edilmekte ve buna uygun multidisipliner tedavi stratejileri geliştirilmektedir. En sık kullanılan tedavi stratejileri; tıbbi beslenme tedavileri, psikoterapiler, farmakolojik tedaviler ve nöromodülasyon tedavileridir. Bu derleme çalışmada; besin bağımlılığı ve obezite arasındaki ilişkinin güncel literatür eşliğinde incelenerek tartışılması amaçlanmıştır.

Association Between Food Addiction and Obesity

Although nutrition is a necessary action for the survival of individuals, it is an enjoyable situation that appeals to our various senses. However, the constant consumption of delicious foods that appeal to our senses can create addiction-like situations in some individuals. Food addiction is a concept defined as a specific adaptation to one or more foods that an individual consumes regularly. Apart from various psychological and social problems, some hormonal imbalances, anomalies in brain structures and side effects caused by the use of various drugs can constitute the pathophysiology of food addiction. Clinical studies on food addiction are increasing, but there is no specific treatment method, as it is not yet officially defined as a type of addiction by international authorities. In addition to the treatment methods generally applied to obese individ- uals, the underlying pathological conditions of obesity are identified and appropriate multidisci- plinary treatment strategies are developed. The most commonly used treatment strategies are; medical nutrition treatments, psychotherapies, pharmacological treatments and neuromodulation treatments. The aim of this compilation study is to examine and discuss the relationship between.

___

  • 1. Visscher TL, Lakerveld J, Olsen N, Küpers L, Ramalho S, Keaver L, et al. Perceived Health Status: Is Obesity Perceived as a Risk Factor and Disease? Obesity Facts. 2017;10(1):52-60.
  • 2. Park A. Pathophysiology and aetiology and medical consequences of obesity. Medicine. 2019;47(3):169-74.
  • 3. Leigh SJ, Morris MJ. The role of reward circuitry and food addiction in the obesity epidemic: An update. Biological Psychology. 2018;131:31-42.
  • 4. Volkow ND, Wise RA, Baler R. The dopamine motive system: implications for drug and food addiction. Nature reviews Neuroscience. 2017;18(12):741-52.
  • 5. Randolph TG. The descriptive features of food addiction; addictive eating and drinking. Quarterly Journal of Studies on Alcohol. 1956;17(2):198-224.
  • 6. Davis C, Curtis C, Levitan R, Carter J, Kaplan A, Kennedy J. Evidence that 'food addiction' is a valid phenotype of obesity. Appetite. 2011;57:711-7.
  • 7. Gearhardt AN, Yokum S, Orr PT, Stice E, Corbin WR, Brownell KD. Neural correlates of food addiction. Archives of General Psychiatry. 2011;68(8):808-16.
  • 8. Leigh SJ, Lee F, Morris MJ. Hyperpalatability and the Generation of Obesity: Roles of Environment, Stress Exposure and Individual Difference. Current Obesity Reports. 2018;7(1):6-18.
  • 9. Hebebrand J, Albayrak Ö, Adan R, Antel J, Dieguez C, de Jong J, et al. "Eating addiction", rather than "food addiction", better captures addictive-like eating behavior. Neuroscience and Biobehavioral Reviews. 2014;47:295-306.
  • 10. Munn-Chernoff MA, Baker JH. A Primer on the Genetics of Comorbid Eating Disorders and Substance Use Disorders. Eur Eat Disord Rev. 2016;24(2):91-100.
  • 11. Meule A, Gearhardt AN. Food addiction in the light of DSM-5. Nutrients. 2014;6(9):3653-71.
  • 12. Tang DW, Fellows LK, Small DM, Dagher A. Food and drug cues activate similar brain regions: a meta-analysis of functional MRI studies. Physiology & Behavior. 2012;106(3):317-24.
  • 13. Berthoud H-R. Metabolic and hedonic drives in the neural control of appetite: who is the boss? Curr Opin Neurobiol. 2011;21(6):888-96.
  • 14. Gold MS, Frost-Pineda K, Jacobs WS. Overeating, Binge Eating, and Eating Disorders as Addictions. Psychiatric Annals. 2003;33(2):117-22.
  • 15. Avena NM, Rada P, Hoebel BG. Sugar and fat bingeing have notable differences in addictive-like behavior. J Nutr. 2009;139(3):623-8.
  • 16. Farooqi IS, Bullmore E, Keogh J, Gillard J, O'Rahilly S, Fletcher PC. Leptin regulates striatal regions and human eating behavior. Science (New York, NY). 2007;317(5843):1355.
  • 17. Volkow N, Wang G-J, Fowler J, Logan J, Jayne M, Franceschi D, et al. "Nonhedonic" food motivation in humans involves dopamine in the dorsal striatum and methylphenidate amplifies this effect. Synapse (New York, NY). 2002;44:175-80.
  • 18. D'Addario C, Micioni Di Bonaventura MV, Pucci M, Romano A, Gaetani S, Ciccocioppo R, et al. Endocannabinoid signaling and food addiction. Neuroscience and Biobehavioral Reviews. 2014;47:203-24.
  • 19. Gearhardt AN, Corbin WR, Brownell KD. Preliminary validation of the Yale Food Addiction Scale. Appetite. 2009;52(2):430-6.
  • 20. Lent MR, Eichen DM, Goldbacher E, Wadden TA, Foster GD. Relationship of food addiction to weight loss and attrition during obesity treatment. Obesity (Silver Spring, Md). 2014;22(1):52-5.
  • 21. Meule A. How Prevalent is “Food Addiction”? 2011;2(61).
  • 22. Eichen DM, Lent MR, Goldbacher E, Foster GD. Exploration of "food addiction" in overweight and obese treatment-seeking adults. Appetite. 2013;67:22-4.
  • 23. Mills JG, Thomas SJ, Larkin TA, Deng C. Overeating and food addiction in Major Depressive Disorder: Links to peripheral dopamine. Appetite. 2020;148:104586.
  • 24. Romer AL, Su Kang M, Nikolova YS, Gearhardt AN, Hariri AR. Dopamine genetic risk is related to food addiction and body mass through reduced reward-related ventral striatum activity. Appetite. 2019;133:24-31.
  • 25. Avena NM. The study of food addiction using animal models of binge eating. Appetite. 2010;55(3):734-7.
  • 26. Schulte EM, Avena NM, Gearhardt AN. Which Foods May Be Addictive? The Roles of Processing, Fat Content, and Glycemic Load. PLOS ONE. 2015;10(2):e0117959.
  • 27. Ochoa M, Lallès J-P, Malbert C-H, Val-Laillet D. Dietary sugars: their detection by the gut-brain axis and their peripheral and central effects in health and diseases. Eur J Nutr. 2015;54(1):1-24.
  • 28. Levin BE. Glucosensing neurons do more than just sense glucose. International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity. 2001;25 (Suppl 5):68-72.
  • 29. Adams WK, Sussman JL, Kaur S, D'Souza A M, Kieffer TJ, Winstanley CA. Long-term, calorie-restricted intake of a high-fat diet in rats reduces impulse control and ventral striatal D2 receptor signalling - two markers of addiction vulnerability. The European Journal of Neuroscience. 2015;42(12):3095-104.
  • 30. van de Giessen E, la Fleur SE, de Bruin K, van den Brink W, Booij J. Free-choice and no-choice high-fat diets affect striatal dopamine D2/3 receptor availability, caloric intake, and adiposity. Obesity (Silver Spring, Md). 2012;20(8):1738-40.
  • 31. Volkow ND, Fowler JS, Wang GJ, Swanson JM, Telang F. Dopamine in drug abuse and addiction: results of imaging studies and treatment implications. Archives of Neurology. 2007;64(11):1575-9.
  • 32. Iozzo P, Guiducci L, Guzzardi MA, Pagotto U. Brain PET imaging in obesity and food addiction: current evidence and hypothesis. Obesity Facts. 2012;5(2):155-64.
  • 33. Volkow ND, Wise RA. How can drug addiction help us understand obesity? Nature Neuroscience. 2005;8(5):555-60.
  • 34. Wang GJ, Volkow ND, Logan J, Pappas NR, Wong CT, Zhu W, et al. Brain dopamine and obesity. Lancet (London, England). 2001;357(9253):354-7.
  • 35. Finger BC, Dinan TG, Cryan JF. Diet-induced obesity blunts the behavioural effects of ghrelin: studies in a mouse-progressive ratio task. Psychopharmacology. 2012;220(1):173-81.
  • 36. Pursey KM, Stanwell P, Gearhardt AN, Collins CE, Burrows TL. The prevalence of food addiction as assessed by the Yale Food Addiction Scale: a systematic review. Nutrients. 2014;6(10):4552-90.
  • 37. García-García I, Horstmann A, Jurado MA, Garolera M, Chaudhry SJ, Margulies DS, et al. Reward processing in obesity, substance addiction and non-substance addiction. Obesity reviews : an official journal of the International Association for the Study of Obesity. 2014;15(11):853-69.
  • 38. Blum K, Braverman ER, Wood RC, Gill J, Li C, Chen TJ, et al. Increased prevalence of the Taq I A1 allele of the dopamine receptor gene (DRD2) in obesity with comorbid substance use disorder: a preliminary report. Pharmacogenetics. 1996;6(4):297-305.
  • 39. Bacon L, Aphramor L. Weight Science: Evaluating the Evidence for a Paradigm Shift. Nutrition Journal. 2011;10(1):9.
  • 40. Walther K, Birdsill AC, Glisky EL, Ryan L. Structural brain differences and cognitive functioning related to body mass index in older females. Human Brain Mapping. 2010;31(7):1052-64.
  • 41. Safer DL, Robinson AH, Jo B. Outcome from a randomized controlled trial of group therapy for binge eating disorder: comparing dialectical behavior therapy adapted for binge eating to an active comparison group therapy. Behavior Therapy. 2010;41(1):106-20.
  • 42. Linardon J. Rates of abstinence following psychological or behavioral treatments for binge-eating disorder: Meta-analysis. The International Journal of Eating Disorders. 2018;51(8):785-97.
  • 43. Reas DL, Grilo CM. Review and meta-analysis of pharmacotherapy for binge-eating disorder. Obesity (Silver Spring, Md). 2008;16(9):2024-38.
  • 44. Matsumoto H, Ugawa Y. Adverse events of tDCS and tACS: A review. Clinical Neurophysiology Practice. 2017;2:19-25.
  • 45. Taylor R, Galvez V, Loo C. Transcranial magnetic stimulation (TMS) safety: a practical guide for psychiatrists. Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists. 2018;26(2):189-92.
  • 46. Lowe CJ, Vincent C, Hall PA. Effects of Noninvasive Brain Stimulation on Food Cravings and Consumption: A Meta-Analytic Review. Psychosomatic Medicine. 2017;79(1):2-13.
Akdeniz Tıp Dergisi-Cover
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2015
  • Yayıncı: Akdeniz Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

Akdeniz Üniversitesi Diş Hekimliği Fakültesi’ ne Başvuran Hastalarda Konik Işınlı Bilgisayarlı Tomografi İstem Nedenlerinin İncelenmesi

Hümeyra TERCANLI ALKIŞ

Farklı Radyoterapi Teknikleri İle Meme Işınlamalarında Alan Dışı Dozların TLD İle Dozimetrik Olarak İncelenmesi

Hamit BAŞARAN, Osman Vefa GÜL, Gökçen İNAN

Travmatik Vertebra Fraktürü Nedeniyle Yapılan Vertebra Cerrahilerinde Allojenik Kan Transfüzyonları

Gülsüm Merve ÜNAL, Nesil COŞKUN FIRAT, Zekiye BİGAT, İlker ÖNGÜÇ AYCAN, Yeşim ÇETİNTAŞ

Acil Servise Başvuran Hastalarda Pulmoner Bt Anjiografi Tetkikinin Tanı Verimliliğinin Değerlendirilmesi

Şenay Bengin ERTEM, Nilüfer AYLANÇ, Murat DAŞ, Okan BARDAKÇI

Meme Kanseri Cerrahisi Geçiren Kadınlarda Psikolojik Dayanıklılık

Hatice BALCI, Şule BALCI ŞENER

Covid-19 Döneminde Yetişkin Bireylerde Yeme Bozukluğu, Duygusal Yeme, İnternet ve Sosyal Medya Bağımlılığı

Özgü İNAL

Farklı Tiplerdeki Kök Kanal Yıkama Solüsyonlarının İnsan Osteoblastik Hücre Canlılığı Üzerine Etkileri

Ayşe Canan Tutku ÇELİK, Hatice BÜYÜKÖZER ÖZKAN, Hayriye Esra ÜLKER

Anterior Maksiller Duvar ve Lakrimal Kanal İlişkisinin BT ile Analizi

Veysel KAPLANOĞLU, Hatice KAPLANOĞLU

Türk Popülasyonunda ABO ve Rh Kan Grupları ve COVID-19 Duyarlılığı ve Hastalık Şiddeti İlişkisi - Retrospektif Bir Vaka Kontrol Çalışması

Faruk KARANDERE, Hakan KOÇOĞLU, Ramazan KORKUSUZ, Betül ERİŞMİŞ, Mehmet HURŞİTOĞLU, Kadriye KART YAŞAR

Ekstrahepatik Kolanjiokarsinomalı Hastalarda Safra Sıvısında Tespit Edilen P53 Gen Mutasyonunun Tanı ve Prognozu Belirlemedeki Rolü

Arzu DENLER KILIÇ, Muhammed Cem KOÇKAR, Mete AKIN, Pınar ASLAN KOŞAR, Nilüfer ŞAHİN CALAPOĞLU