Child Nutritional Psychology: Diet Increases Risk of Mental Health Issues in Adulthood

Cardiometabolic disorders often occur alongside certain mental health conditions like depression and psychosis. But these disorders are generally deemed an issue for the aging population and not for children, which subsequently leads to indifference regarding the importance of children’s diets.

A study published on the 13th of January 2021 may change this narrative. Following nearly 15,000 children from the ages of 1 to 24 years old, researchers measured fasting insulin levels at age 9, 15, 18, and 24 years of age, alongside repeatedly measuring body mass index.

Importance of children’s diets in relation with Body mass index: When the children reached the age of 24, they completed a semi-structured psychosis-like symptom interview which was used to identify psychotic experiences and symptoms of depression.

After adjusting for confounding variables like sex at birth, race/ethnicity, paternal social class, childhood emotional and behavioral problems along with lifestyle behaviors including smoking, physical activity, alcohol use, substance use, sleep problems, and average calorie intake, what they found was particularly interesting.

Children who had persistently high insulin levels beginning at age 9 were five times more likely to be at risk for psychosis and three times more likely to be diagnosed with a psychotic disorder at 24.

Not only that, but children who had a significant increase in their body mass index around puberty were four times more likely to develop depressive symptoms or experience a depressive episode by the age of 24.

During adolescence, the brain undergoes extensive change and maturation. The area essential for cognitive control is the final region to reach full maturity. Whilst this region is still developing, it is less able to exert control over reward-driven behaviours, like consuming calorie-dense food. Over-consumption of calorie-dense foods is the leading cause of obesity. Unfortunately, the persistent and excessive consumption of calorie-dense foods can lead to changes in the structure and function of the very same region — the prefrontal cortex — which can then result in altered neurotransmitter systems. The development of balance in these systems is in fact critical to obtaining optimal brain function in adulthood.

Appropriate nutrition during this period of neurodevelopment is vital for brain health. Find a link to this study, as well as additional research connecting diet with children’s psychological functioning in the Diet, Depression & Anxiety research category within CNP’s Parent Research Library.

 

References

Perry, B.I., Stochl, J., Upthegrove, R., et al. (2021). Longitudinal Trends in Childhood Insulin Levels and Body Mass Index and Associations With Risks of Psychosis and Depression in Young Adults. JAMA Psychiatry. DOI:10.1001/jamapsychiatry.2020.4180

Our Cognitive-Behavioral Relationship with Junk Food — Interoceptive Awareness to the Rescue?

Our diet-mental health relationship (DMHR) is complex. When it comes to taking control of our dietary intake patterns (from the inside out) and making conscious decisions to support our mood and psychological health, research shows that increasing something called our Interoceptive Awareness (IA) is a great place to start (Herbert et al., 2013).Many people know intuitively that eating unhealthy junk foods can lead them on a path to making more unhealthy food choices, but research is beginning to reveal the complex cognitive-behavioral processes showing us why. An increasing number of studies reveal that consuming processed sugary foods high in fat and sugar leads to changes in our brain’s cognitive-behavioral processes that change our brain function and influence us to eat more high fat/high sugar (HFHS) foods (Stevenson et al., 2020). This and other “reward-based” processes create “neuroadaptations” in our brain that further influence our eating behaviors and reinforce our food choices.

Junk food and cognitive-behavioral processes

A study by Dr. Stevenson and his colleagues found that merely adding extra junk food to our diet for as little as 7 days impairs our ability to control our appetite. A growing body of research is demonstrating that the structure in the brain responsible for this particular cognitive-behavioral process is the hippocampus. The hippocampus is best known for its role in learning and memory, and as it turns out, is the part of the brain that is most highly susceptible to influence by a HFHS diet.

This study, which was the first to demonstrate a causal role in the ability of a HFHS to directly affect hippocampal functioning, shows that the cognitive processes affected resulted in impaired appetite control, leading to an increased desire to consume HFHS foods —even when full. It turns out that in this same study, those who were eating the junk food addition in their diet performed worse on tests of learning and memory — processes of cognition that are controlled by the hippocampus.

Why are learning and memory involved in regulating appetite and driving our eating behavior? When we consume foods rich in processed fat and sugar, our hippocampus — the part of our brain involved in learning and memory activates brain functions that affect cognitive-behavioral processes involving liking/wanting, learning/remembering, and anticipating (many factors that relate to our cognitive control mechanisms and ensuing dietary intake behaviors).

These foods also stimulate reward pathways in the brain which release dopamine. Dopamine is the neurotransmitter involved in feeling pleasure, which is released in anticipation of a reward (Attuquayefio et al., 2017). This is particularly important because it enhances reward-related memories, strengthening memory-related synapses in the brain. 

This high-sensory experience of anticipation, pleasure and reward is encoded into our brain’s wiring of memories, making us more susceptible to choosing HFHS foods in the future. For some of us, if we listen carefully to our body’s sensations, we can become aware of what we feel in this process. 

 

What is interoception and what role does it play in this process?

Interoception — our body’s physiological internal sensory system providing us with information about the internal state of our body (Sharp et al., 2018) — is one of the six elements informing the field of Nutritional Psychology. The intrinsic approach mentioned above involves increasing our Interoceptive Awareness (IA) — our ability to identify, access, understand, and respond appropriately to our internal physiological signals. 

It turns out that IA can be an important path to self-regulation. By using IA to connect to our perception of the internal state of our body, we can become more aware of the highly orchestrated dance between our dietary intake, cognitive, and behavioral processes.

To learn more about the hippocampus’ role in regulating appetite, watch our Diet-Mental Health Break #1. 

To learn more about how cognition, behavior, and interoceptive processes play a role in the DMHR, take 110: Introduction to Nutritional Psychology Methods. 

 


References

Attuquayefio, T., Stevenson, R. J., Oaten, M. J., & Francis, H. M. (2017). A four-day western-style dietary intervention causes reductions in hippocampal-dependent learning and memory and interoceptive sensitivity. PloS One, 12(2), e0172645. 

Herbert, B. M., Blechert, J., Hautzinger, M., Matthias, E., & Herbert, C. (2013). Intuitive eating is associated with interoceptive sensitivity. Effects on body mass index. Appetite, 70, 22-30.

Powell A. (2018). Harvard researchers study how mindfulness may change the brain in depressed patients. Harvard Gazette. https://news.harvard.edu/gazette/story/2018/04/harvard-researchers-study-how-mindfulness-may-change-the-brain-in-depressed-patients/

Sharp, P. B., Sutton, B. P., Paul, E. J., et al. (2018). Mindfulness training induces structural connectome changes in insula networks. Sci Rep. 8(1):1-10.

Stevenson RJ, Francis HM, Attuquayefio T, et al. Hippocampal-dependent appetitive control is impaired by experimental exposure to a Western-style diet. R Soc Open Sci. 2020;7(2):191338.

Diet Quality and Mental Health Amongst Acute Inpatient Psychiatric Patients

Taking into consideration the global shift to a diet rich in refined carbohydrates, this exploratory study examined the self-reported dietary habits of psychiatric inpatients in the psychiatric unit of an academic hospital.

After gathering a detailed diet history of patients’ food habits, findings were compared to a Mediterranean dietary index to assess patient dietary patterns. Findings showed that 75% of the psychiatric inpatients had an unhealthy diet, and that inpatients with schizophrenia had highly significant increased sugar consumption.

The study authors expressed concern that unhealthy dietary habits cause deficiencies in essential nutrients and minerals and can exacerbate mental illnesses. They also expressed that while the causes of mental health conditions are multifactorial and can be partially attributed to the social impairment and diminished quality of self-care resulting from mental illness, improved dietary habits may contribute to more rapid symptoms resolution and acute stabilization in short-stay psychiatric inpatient units.

The authors also conclude that while unhealthy food and inactivity have been part of the culture of mental health treatment historically, recommendations and encouragement to follow national guidelines for dietary and exercise practices should be part of care for all people with mental illness.

The authors further state that while mental health practitioners may not feel competent to provide advice on nutrition and diet, the evidence suggests that detailed advice may not be necessary. Read the full, original study here.

 

References

Gill, R., Tyndall, S. F., Vora, D., Hasan, R., Megna, J. L., & Leontieva, L. (2021). Diet Quality and Mental Health Amongst Acute Inpatient Psychiatric Patients. Cureus, 13(1), e12434. https://doi.org/10.7759/cureus.12434

A New Path Forward: Introduction to Nutritional Psychology Methods (NP 110)

Thirty years ago, there existed no university-level education in how diet and nutrients relate to human behavior and psychological functioning. Over time, an increasing number of students, professionals, practitioners, and researchers realized that there is indeed a connection between what we eat and how we feel. They sought to educate and train themselves in the science of this connection, wondering why their respective fields hadn’t formally acknowledged it, nor provided an educational curriculum on this subject.

Today, an abundance of research supports and strengthens our understanding of this “food-mood” link, but it is spread across many countries, disciplines, and scientific journals. nutritional psychology (NP) is the field of study that unites these findings and recognizes the elements needed to define the relationship between nutrition and psychological functioning. 

Here at The Center for Nutritional Psychology, we are consolidating the wealth of NP-related research and information. We are using it to support the development of methods, education, and training in NP. We are committed to paving the path for professionals, educators, parents, researchers, and everyone else wishing to learn to use NP to improve psychological functioning.

Launching March 2021, NP 110: Introduction to Nutritional Psychology Methods will be the first in a series of educational courses based on the latest scientific findings relating to NP. This course will…

  • Introduce conceptualization, methods, and research structures informing the field
  • Introduce the six elements of the field of NP: the psychological, behavioral, cognitive, perceptual, interoceptive, and psychosocial
  • Provide administrative information helpful in taking this course 
  • Introduce preliminary Scope of Practice Guidelines for implementing this knowledge in a professional setting

While designed primarily for students and mental health, nutrition, and allied health professionals, this course is open to anyone wishing to learn the science of how dietary intake affects mood, behavior, and psychological functioning. 

NP 110 Introduction to Nutritional Psychology Methods will be the first of many courses examining the elements that inform our relationship with food and its nutrients. 

Welcome to the beginning of your formal educational journey in nutritional psychology.

Nutritional Psychology: Can a 1-Week Junk Food Diet Change Your Brain and Lead to Overeating?

Researchers are zeroing in on whether high-fat, high-sugar foods can impact our brain, and influence our eating choices. It turns out that they can and do, and the Hippocampus, a major structure within our brain, is one of junk food’s favorite targets.

We were excited when we heard about this recently published study. We knew it belonged in the CNP Diet and Brain Research Category, and would be the perfect flagship study for our first Diet-Mental Health Break (DMHB). CNP’s DMHBs are quick 2-3 animated cartoons that take cutting-edge research studies and turn them into highly palatable (no pun intended) animations that support conceptualization in the field of Nutritional Psychology (NP).

This animated series is designed for inclusion within CNP’s Nutritional Psychology curriculum and can be used by educators, mental health professionals, dietitians, and other interested individuals to develop an understanding of how diet affects mood, behavior, and mental health. This increased understanding can lead to tools to better support our Diet-Mental Health Relationship (DMHR).

The lead author of this study, Dr. Richard Stevenson from Macquarie University in Sydney, Australia, has been investigating the effects of what are called “highly-palatable foods” on a part of our brain called the hippocampus. Investigation in this area had been done before, but this study was only the second to demonstrate whether exposure to a western-style diet actually causes hippocampal impairment (the first study on this topic can be found here).

Study Methodology

Dr. Stevenson’s study included 102 healthy university students, all who regularly ate a healthy, balanced diet. For the duration of the experiment, half of the group ate their regular balanced diet, while the other half ate their balanced diet plus additional portions of junk food each day.

At the end of the week, both groups’ hippocampal functioning was tested to see whether the junk food added to their diet changed their desire for these foods. The hippocampus is the part of our brain that helps us to learn, remember, and control our appetite.

Study Findings

The participants’ desire to eat the highly palatable foods was significantly increased to the point that they continued to eat even after they were full. This study showed that when we eat junk-style foods – foods high in processed sugars and fats – the high-sensory experiences of anticipation, pleasure, and reward are encoded into our memory. This memory influences what we like and want to eat, and how much. It sets us on a path to want and like more highly stimulating junk foods, and to eat more of them. In the end, this study demonstrated that just one week of added junk food significantly impaired the ability to control one’s appetite. Food for thought…

The full research study by Dr. Stevenson and his team, entitled “Hippocampal-dependent appetitive control is impaired by experimental exposure to a Western-style diet,” can be found here. Watch CNP’s animated Diet-Mental Health Break (DMHB) video on this study here.

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