Food addiction – the driving force behind metabolic disease

Food is the key to life, but as the standard of living of our people has improved, diseases such as diabetes, hypertension and obesity have risen. Many of these patients suffer from a combination of food addiction. Food addiction is a condition in which people are unable to rationally control the amount and duration of consumption of certain foods (generally high-salt, high-fat and high-sugar foods) for a long period of time, and the tolerance to food increases during overeating. Cross-sensitization also occurs. Food addiction-prone people have the following characteristics: 1. irregular diet, unable to eat three meals a day on time; 2. high frequency of eating out; 3. frequent substitution of snacks for regular meals; 4. excessive restriction of diet; 5. childhood sweet tooth; 6. serious picky eating, partial eating; 7. premenstrual syndrome; 8. habit of eating to reduce stress. Several studies have shown that the prevalence of food addiction in the surveyed population ranged from 5.4% to 56.8%, with an average prevalence of 19.9%. The prevalence of food addiction was 11.1% in normal weight people, 24.9% in overweight people (BMI ≥ 25 kg/m2), and up to 62% in people with bulimia. Therefore, patients with combined food addiction disorder and are prone to diabetes, hypertension and other obesity-related diseases. We recommend an article that tells you what food addiction disorder is and how to prevent and manage it. It is recommended that overweight and diabetic people as well as people who want to lose weight through friendship read this article carefully. VI. Diagnosis of food addiction Currently, food addiction is mainly diagnosed by questionnaires. The most commonly used questionnaires are the Yale Food Addiction Scale (YFAS) and the Substance Dependence Scale (DSM-IV). The Yale Food Addiction Scale (YFAS) was designed by the Yale Department of Psychology in 2009 to identify symptoms of addiction to certain types of food (e.g., high-fat, high-sugar foods) over the past year. However, the scale is complex and a simplified version of the scale is provided here for clinical use. (1) I eat a specific food even though I am full A. Never B. 1 time in January C. 2-3 times in January D. 2-3 times in 1 week E. ≥ 4 times in 1 week (2) I feel sluggish or fatigued because of overeating A. Never B. 1 time in January C. 2-3 times in January D. 2-3 times in 1 week E. ≥ 4 times in 1 week (3) I have had physical withdrawal symptoms similar to agitation and anxiety when reducing certain foods (excluding caffeinated beverages) A. Never B. 1 time in January C. 2 to 3 times in January D. 2 to 3 times in 1 week E. ≥ 4 times in 1 week (4) My behavior regarding food and eating has caused me significant distress A. Never B. 1 time in January C. 2 to 3 times in January D. 2 to 3 times in 1 week E. ≥ 4 times in 1 week (5) Food and eating-related problems have prevented me from functioning effectively (interfering with work, school, family, recreation, or health) A. Never B. 1 time a month C. 2 to 3 times a month D. 2 to 3 times a week E. 1 week ≥ 4 times (6) regardless of mental and physical acceptability, I insist on eating the same type or amount of food A. Yes B. No (7) eating the same amount of food will not relieve my bad mood as before A. Yes B. No Note: 0 points for A, 1 to 5 questions, 1 point for B The higher the score, the more likely it is that there is a bad mood. The higher the score, the more likely the presence of food addiction disorder. 2. Substance Dependence Scale (DSM-IV) This scale was established in 2009 based on the criteria for identifying substance consumption disorders in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, and can be used as a tool for detecting addiction to refined foods. Within 1 year, 3 items are considered addiction if they are met. (1) Eating more than expected; (2) Eating uncontrollably despite knowledge of the negative consequences of gluttony; (3) Constantly trying to control gluttony, or unsuccessful actions to control gluttony; (4) Experiencing withdrawal symptoms; (5) Spending much energy on, or freeing oneself from, gluttonous behavior; (6) Needing to consume more food to achieve the desired effect; (7) Giving up or reducing important activities because of gluttony. VII. Treatment of food addiction From the current research, there is no particularly good treatment for food addiction, mainly through daily behavioral interventions. Obese people can take medical treatment, such as gastric reduction surgery, etc. After the surgery, the patient’s brain white matter damage will slowly recover and food dependence will be reduced. 1.Diversion through exercise After sustained medium and intense exercise of more than 30 minutes, about 1 hour, the body digestion and absorption will be inhibited. Therefore, when desperately want to eat, you can choose your favorite sports, not only can replace eating, but also reduce stress. 2, replace artificial sugar with fruit Fruit not only provides sweetness, but also is rich in a variety of vitamins, minerals and dietary fiber. Daily intake of 200 to 400g of fruit or diluted fruit juice instead of consuming white sugar, candy and a variety of Chinese and Western desserts, can not only relieve the symptoms of sugar addiction, but also very beneficial to health. 3.Ensure healthy living and eating habits Get at least 7 hours of sleep every day; maintain water intake; gradually reduce the intake of foods rich in caffeine, theophylline and spicy taste, such as coffee, strong tea, chocolate, cola and all heavy foods, until completely quit; slowly adapt to cooking methods with less oil and salt, such as steaming, boiling and stewing. 4. Eat regularly to maintain stable blood sugar Choose staple foods that are slow to digest, such as whole grains, coarse grains, mixed grains and potatoes; set good rules for yourself, follow the principle of eating less and more meals, eat some fruits or yogurt between meals; eat staple foods together with fish or vegetables; do not sit down or lie down within 30 minutes after meals; usually do more strength exercises to increase muscle content of the body and increase muscle glycogen reserve capacity to ensure blood sugar Smooth release. In addition, stop dieting to lose weight. Dieting tends to put the body in a state of energy and micronutrient deficiency, lower basal metabolism, and the body frequently switches between two states of dieting and overeating, which will not only cause chronic damage to organs, but also cause mental illnesses of appetite control disorders. 5, pay attention to the intake of high-quality fatty acids Most common cooking oils and meat mainly provide ω-6 fatty acids, only fish, walnuts, flaxseed, pumpkin seeds and a few other foods contain high-quality fatty acids ω-3. Fish food is recommended to choose salmon, swordfish, sardines, scallops, yellowtail and other varieties with slightly higher fat content. 6, follow the diet principle of food diversity Try to achieve 25 kinds of ingredients per day, 150 kinds per week, and try to cover staple foods (including whole grains and potatoes), vegetables (including leafy greens, roots and tubers, melons and eggplants, mushrooms and algae, etc.), fruits, soy or soy products, eggs and milk, lean meat, fish and shrimp or other aquatic products, nuts and other ingredients to ensure that a variety of micronutrient intake Adequate. If, for various reasons, it is difficult to achieve the above dietary arrangements, you can take a daily multivitamin-mineral supplements with meals, but can not replace the normal diet. Learn to make peace with stress and bad emotions, and try to find other ways to soothe and channel emotions besides food, such as writing a journal, listening to music, and cleaning the room. Research shows that food addiction is the root cause of obesity, and most patients with obesity or bulimia will show symptoms of food addiction. And obesity can easily induce diabetes, heart disease, cancer and other complications, which has serious health hazards and seriously threatens the public health system and socio-economic development. Changing lifestyle habits plays a crucial role in both the prevention and treatment of food addiction. However, it is not easy to change eating habits that have been formed for years, resulting in a long treatment period, usually 1 to 2 years. Therefore, doctors should strengthen the publicity and education of food addiction, help patients choose the types of food wisely and reduce the intake of high sugar, high salt and high fat foods to protect their health. And patients should try to obey doctors’ treatment, have more patience with their bodies and change their habits step by step.