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                                                                                                     World Health Organization, to a whopping
                                                                                                     74 per cent of men and 64 per cent of women
                                                                                                     in the UK by 2030.
                                                                                                        But food addiction studies have generally
                                                                                                     been conducted on animals, or been snapshot

                                                                                                     studies in humans. And despite one support
                                                                                                     group for overeaters having 6,000 members
                                                                                                     in six countries, including the UK, there still
                                                                                                     haven’t been any comprehensive scientific
                                                                                                     reviews to study the issue. This is a problem
                                                                                                     that Dr Hisham Ziauddeen, a senior researcher
                                                                                                     in food reward processing at the University of
                                                                                                     Cambridge, feels undermines the idea of food
                                                                                                     addiction as a medical condition.
                                                                                                       “The evidence for thinking food might be
                                                                                                     addictive, or that food addiction exists, is
                                                                                                     actually fairly weak,” he says. “I wouldn’t say
                                                                                                     it definitely does not exist. It’s quite possible,
                                                                                                     given the breadth of symptoms that people with
                                                                                                     eating disorders describe, that a small group of
                                                                                                     people have problems with disordered eating
                                                                                                     that look very much like an addiction, and
                                                                                                     [they may] share the kinds of experiences that
                                                                                                     people with alcohol and drug addictions do.”
                                                                                                        But he remains unconvinced that the Yale
                                                                                                     Food Addiction Scale could identify these
                                                                                                     people, or convince ‘doubters’ like him. “People
                                                                                                     who score very highly on the scale also score
                                                                                                     very highly for some of the more conventional
                                                                                                     eating disorders. So the scale is measuring

                                                                                                     certain behaviours that we see with other
                                                                                                     eating disorders – but it’s not actually capturing
                                                                                                     something distinct,” he argues.
                                                                                                        Some researchers go further, and say food
                                                                                                     addiction is a potentially dangerous public
                                                                                                     health message. Ian Macdonald, a professor
                                                                                                     of metabolic physiology at the University of
                                                                                                     Nottingham, feels this could be because it
                                                                                                     is difficult to reconcile an addiction with
                                                                                                     something that is essential to human life.
                                                                                                     Things like alcohol and drugs are, essentially,
                                                                                                     choices – eating is not.
                                                                                                       “I don’t think the term ‘food addiction’ is
                                                                                                     helpful, and I certainly don’t think using
                                                                                                     the word ‘addiction’ in combination with
                                                                                                     specific nutrients like fat and sugars, or foods
                                                                                                     like chocolate, should be encouraged,” Prof
                                                                                                     Macdonald says. “Everyone must eat to survive,
                                                                                                     so an addiction has to be something much more

                                                                                                     extreme than normal eating. It is not helpful 5






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