Can Food Cues and Stress Influence What We Eat?

Today’s food landscape is full of sensory-perceptual cues that can drive us to consume high-calorie, energy-dense foods (Ravussin & Ryan, 2018). The abundance of these food cues is believed to be one of the main drivers of food overconsumption (Charbonnier, 2018), as is the availability of high-calorie, energy-dense foods. Exposure and availability are two concepts within nutritional psychology shown to influence our dietary intake behaviors and patterns.

Exposure to high-calorie, energy-dense food cues invoke a host of psychological, cognitive, behavioral, sensory-perceptual, and interoceptive processes that affect our response to these foods. This can be particularly true for those with obesity (Chao et al., 2020). The cognitive process associated with learning and memory involve the hippocampus — which is one of the structures in our brain found to be particularly vulnerable to the influence of high-calorie, energy-dense foods.

What does memory have to do with our response to food cues in our environment? Studies show that memories can influence our future food seeking for highly palatable and remembered food experiences. Let’s explore how these memories influence our response to food cues in our environment, particularly when related to memories of events we find stressful, or foods we remember as preferred.

 

Many situations that cause people to recall memories from their past are related to food.

 

Humans become conditioned to respond to food-related cues that are informed by past memory associations with previous food experiences. For example, an individual may start to associate stressful events with the feeling of reward experienced after eating high-calorie foods. Once this association is learned, encountering that same food stimulus can induce the same physiological and behavioral responses as previously experienced, including salivation, hunger, and ultimately repeated food intake (Chao et al. 2020).

A study by Chao et al. in 2020 examined whether briefly exposing individuals to their personal favorite foods or to an event they personally find stressful, would impact their hunger, anxiety, and food intake, compared with exposing them to cues that are considered ‘neutral’ to them.

Since it was hypothesized that the obese participants would have greater responses to cues than ‘normal weight’ participants, the researchers also investigated whether cue responses of hunger and food intake differed by weight status. Participants recruited were 18 to 45 years old and scored less than 40 on the BMI scale (30 and above is classified as obese).

 

It was hypothesized that the obese participants would have greater responses to cues than ‘normal weight’ participants.

 

‘Scene imagination’ questionnaires were used to find out more about the participants’ recent life events, helping to create personalized imagery scripts indicating participant’s personal stressors, favorite foods, and the cues they deemed neutral. Audiotapes were recorded using these structured and personalized scripts, and were played during the 3-day laboratory experiments to reproduce the same stressful, food, or neutral situation. In these sessions, participants were given headphones to listen to different audio recordings of these cues each day.

After each scene imagination session, each person was given free access to a buffet consisting of high-calorie snack foods such as chips, cookies, and brownies, as well as low-calorie snack alternatives including carrots and grapes. After an hour, the snack tray was carried away and examined to measure how much the person had eaten.

The results showed that food cues induced hunger to a significantly greater extent than the neutral and stress stimuli. But the weight class of the individual did not have an impact on the level of hunger evoked by food cues. A similar number of calories were consumed across the three stimuli. However, a difference was observed in the type of snacks mostly eaten by certain individuals after listening to the food and stress cue audiotapes.

In response to the food cue, those with obesity sought 81% of their calories from high-calorie snacks, which was significantly higher than ‘normal weight’ participants (63.5%). The obese subjects also recorded a significantly higher percentage intake of calories from calorie-rich snacks than their ‘normal weight’ counterparts following exposure to stress cues. Weight status, however, did not predict how much calorie-rich food a person ate following the neutral cue condition.

 

Interventions that decrease cue reactivity to food and stress may help obese individuals to cut down on calorie-rich foods.

 

This study found that obese adults obtained a greater proportion of their calories from high-calorie foods relative to ‘normal weight’ adults in response to food cues and stress, which is in accordance with previously conducted research. While these findings represent the efforts in this study only, they support the notion that people with obesity can be more vulnerable to food cues and stress, leading them to seek out more high-calorie and energy-dense foods. The study authors note that interventions that decrease cue reactivity to food and stress may help obese individuals to cut down on their intake of calorie-rich foods, and in turn, improve their diet-mental health relationship.

 

References

Chao, A. M., Fogelman, N., Hart, R., Grilo, C. M., & Sinha, R. (2020). A laboratory-based study of the priming effects of food cues and stress on hunger and food intake in individuals with obesity. Obesity (Silver Spring, Md.)28(11), 2090–2097. https://doi.org/10.1002/oby.22952

Charbonnier, L., van Meer, F., Johnstone, A. M., Crabtree, D., Buosi, W., Manios, Y., Androutsos, O., Giannopoulou, A., Viergever, M. A., Smeets, P., & Full4Health consortium (2018). Effects of hunger state on the brain responses to food cues across the life span. NeuroImage171, 246–255. https://doi.org/10.1016/j.neuroimage.2018.01.012

Ravussin, E., & Ryan, D. H. (2018). Three New Perspectives on the Perfect Storm: What’s behind the obesity epidemic?. Obesity (Silver Spring, Md.)26(1), 9–10. https://doi.org/10.1002/oby.22085

Stevenson, R., Francis, H., Attuquayefio, T., Gupta, D., Yeomans, M., Oaten, M., & Davidson, T. (2020) Hippocampal-dependent appetitive control is impaired by experimental exposure to a Western-style diet. Royal Society Open Science, 7(2).

 

The Evolution of Food and Mood: A New Conceptualization in Mental Healthcare

The foods that comprise our dietary and nutrient intake patterns can influence virtually every aspect of our psychological functioning. Most people are aware of the mood-relaxing effects of tryptophan in turkey, and the energizing effects of caffeine, but few are aware of the more complex role that food, nutrients, and dietary-intake play in shaping our mood, behavior, and mental health.

The emerging field of Nutritional Psychiatry has focused on examining the direct relationship between diet and mental health, and the researchers comprising this area have successfully established a corollary, and recently causal link, between diet and certain aspects of mental health.

These findings, together with findings from other related fields have helped us to not only better understand the connection between food and mood, but also the mechanisms by which this connection exists. It turns out that “good mood food” is not merely anecdotal, but can be verified by peer-reviewed studies.

Some of the physiological mechanisms connecting our diet to our mental health include our diet’s ability to influence and impact: 1) the production and regulation of our neurotransmitters, 2) the composition of our Microbiome, 3) the directing of our immune and central nervous systems, and 4) the modulating of our inflammatory and oxidative processes.

Conceptualizing food and mood through a new lens

The psychological mechanisms connecting our diet with our mood and mental health involve examining the relationship between our dietary/nutrient intake patterns and the 1) psychological, 2) behavioral, 3) cognitive, 4) perceptual, 5) interoceptive, and 6) psychosocial elements of our psychological functioning.

Taken together, these physiological and psychological findings form a new conceptualization in the food-mood connection – one that gives a more in-depth understanding of the psychological components comprising the food-mood relationship. This conceptualization lies within a new interdisciplinary field referred to as Nutritional Psychology.

Nutritional Psychology (NP) is the area of study that examines the relationship between our dietary intake patterns and our mood, behavior, and mental health. NP conceptualizes the food-mood relationship in terms of the “Diet-Mental Health Relationship” (DMHR), which in NP terms includes the following elements:

%learn about nutrition mental health %The Center for Nutritional Psychology

Diet and Psychological elements: The relationship between our dietary-nutrient intake patterns and our psychological moods, emotions and affect (e.g., resilience, flourishing, creativity, negativity).

Diet and Behavioral elements: The behaviors, reactions, and choices we engage in resulting from thoughts and emotions influenced by our dietary-nutrient intake patterns and food environment (e.g., increased reactive behavior or changed dietary behavior patterns).

Diet and Perceptual elements: The relationship between dietary-nutrient intake patterns and the processing and interpretation of sensory stimuli (of which experiences, culture, and socioeconomic factors play a role).

Diet and Interoceptive elements: The internal physiological (somatic) sensations we experience in response to our dietary-nutrient intake patterns (discomfort, pain, energy, fatigue, desire).

Diet and Cognitive elements: The relationship between dietary-nutrient intake and our cognitive functions and capacity, including memory, attention, learning and appetite control.

Diet and Psychosocial elements: Examining the role that family, culture, community, society, and socioeconomic status play in relationship to our dietary-nutrient intake patterns.

When examining the effects of our dietary patterns through the broader lens of Nutritional Psychology, it becomes apparent that not only is there a broad effect of diet on most areas of mental-health related functioning, but there is ample evidence to substantiate the role that food plays in psychological functioning and mental health outcomes.

The field of Nutritional Psychology

Nutritional Psychology is an obvious and natural extension to the traditional practice of psychology. While psychology concerns itself with the psychological, cognitive, psychosocial, and behavioral aspects of mental health, Nutritional Psychology expands this model to include the contributions of dietary intake patterns to all aspects of psychological functioning and mental health.

Mental health professionals already hold the knowledge that contributes to positive mental health, but we believe that the current model is not taking into consideration the role of the Diet-Mental Health Relationship in supporting someone’s mental health. Nutritional Psychology is a natural adjunct to the traditional practice of psychology and stands at the forefront of this knowledge, working to provide another piece of the puzzle for improving mental health.

Findings in the DMHR have evolved beyond simply observing and documenting the role of food in our mood, behavior, and mental health. Through groundbreaking research and clinical studies, we can now take steps to define an area of study that takes control of this knowledge and uses it to improve our lives and potentially impact mental health issues around the globe.

To find out more about the emerging field of Nutritional Psychology, visit The Center for Nutritional Psychology (CNP).

For more information on the role of diet on immunity, visit the CNP Research Library category on Diet and Immunity. For more information on the role of dietary inflammation on mental health visit the CNP Research Library category on Diet and Inflammation.

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Nutritional Psychiatry

Nutritional Psychology

Diet-Mental Heath Relationship (DMHR)

Diet and psychological

Diet and behavioral

Diet and perceptual

Diet and interoceptive

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Diet and psychosocial

Nutritional Psychology

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