Tuesday, November 11, 2014

Does Sugar Cause Anxiety?

Sugar has been on the usual suspects shortlist for a variety of illnesses lately and is now being blamed for some of the mental health issues that we're facing in the West. Secondary effects of too much sugar and processed food consumption can cause depression and anxiety due to the weight gain and sedentary feelings they may cause but is there a direct relation between sugar and anxiety?

Notice, I'm not going to be talking about many of the other problems that have been grouped with sugar consumption like confusion, sadness, inability to focus etc. I'm going to focus on anxiety and see where we stand with sugar consumption and its relation to anxiety by looking at the research that is currently out there.

There is a lot of research which shows that sugar and junk food has led us down a path of swollen bodies and unhealthy attitudes. Don't get me wrong. I'm not suggesting that a healthy diet is the answer to all of our problems. I would, however, like to see a study done on the percentage of people who have an unhealthy diet and are overweight compared to people who eat very healthy diets and are in good shape and see what the gap is between the two groups on how much psychotherapy and pharmaceuticals that each is taking. I'm willing to bet that the more healthy group is way less medicated. I'm willing to also bet that people who have addictive personalities are much more likely to have unhealthy diets and have emotional eating issues. And when is the last time you at a tomato when you were depressed? Aren't you more likely to eat a pint of ice cream, which just continues the addiction to sugar? To only add to the confusion, you also have a "chicken or the egg" situation as stated in The Psychiatric Times -
"However, since the advent of the atypical antipsychotics, obesity has become more prevalent." - link

If you've been keeping up with this blog at all you'll notice that I've been keeping a scattered journal on my recent separation from nicotine. It's been a hard road and considering that it's an oral fixation that I've grown accustomed to for many years I've been apt to use this as an excuse to have a tootsie roll pop (or any other sugary candy that you can think of) anytime I have the urge for a tobacco product. As of today, it's been 29 days so maybe it's helped. I have pretty much gotten over the need for nicotine, which is probably why I'm moving on to this subject of diet and relating it to my mental health issues. Can a proper diet with moderate exercise cure me of my anxiety and make my small doses of Xanax unnecessary? This is the next step on my journey. The next frontier that I will have to undertake in order to become so healthy that I'm afraid to die again.

Now, back to the question of sugar and anxiety. Dr.Perlmutter, in his book "Grain Brain: The Surprising Truth about Wheat, Carbs, and Sugar--Your Brain's Silent Killers" - he suggest a low carb diet with very little fruits. There is an excerpt from his site suggesting that not only does sugar effect our brains but also the healthy carbs...
Renowned neurologist David Perlmutter, MD, blows the lid off a topic that’s been buried in medical literature for far too long: carbs are destroying your brain. And not just unhealthy carbs, but even healthy ones like whole grains can cause dementia, ADHD, anxiety, chronic headaches, depression, and much more. LINK
Looking at his site and video interviews, the main claim tends to be that following his suggested diet will greatly lower your chance of getting Alzheimer's and a reduce in brain fog, depression, ADHD etc. I'm not seeing much on anxiety besides a few articles. Maybe the book goes into more detail about anxiety specifically. These are the kinds of studies I'm looking for. Perlmutter's diet does seem to help people though. One man claims to have seen a 50% decline in his anxiety after reading Grain Brain, taking the suggested supplements, and exercising.


The Calm Clinic had the below to say about sugar and anxiety...
Contrary to what you read online, sugar does not cause anxiety. Anxiety is a mental health issue, and it's very uncommon for a person's diet to "cause" anxiety. What sugar does do is create changes in your body that may make your anxiety symptoms worse, or cause feelings that trigger anxiety attacks.
And then they egg you on to take this 7 minute anxiety test, so while what they're saying in the article is probably true there may be a $68 ulterior motive to why you can't fix your anxiety with diet alone. The $68 may be worth it but I'm sticking to diet on this post.


In the next article written by Dr. David Sack we read that...
"sugar consumption to an increased risk of depression and worse outcomes in individuals with schizophrenia" and " Interestingly, countries with high sugar intake also have a high rate of depression."
But what about anxiety? Well, he goes on to say that..
"The Standard American Diet, which is full of sugar and fat, does not necessarily cause anxiety but it does appear to worsen anxiety symptoms and impair the body’s ability to cope with stress." and "In a 2008 study, rats that binged on sugar and then fasted displayed anxiety, and in a 2009 study rats fed sucrose compared to high-antioxidant honey were more likely to suffer anxiety. While dietary changes alone cannot cure anxiety, they can minimize symptoms, boost energy and improve the body’s ability to cope with stress."

So I'm starting to see a theme as I study the correlation between anxiety and sugar. Yes, it does have an effect but it seems to lean more towards the symptoms than it does the cause.  We've seen the 50% reduction from following Dr. Perlmutter's recommended diet, the Calm Clinic saying that "anxiety is a mental health issue" and not so much a dietary issue, while they admit sugar can make symptoms worse as does Dr. Sack in his article.

Does anyone say that reducing or removing sugar from your diet can cure you from having those overly intense feelings that are not common in the normal population, the intense feelings you get with social anxiety, when in certain situations, or with OCD? From what research I've done on other people's research - Sadly no. Although it seems to help some people I don't see where diet has cured anyone in the anxiety arena. Can losing weight and feeling healthier help you with your social anxiety? Of course it can, but cure it? Maybe not. Even if you're lucky and diet takes care of 80% of your problems with anxiety, there is a percentage that has to do with our perceptions and facing our difficulties etc.

But let me veer in a direction that I didn't even see this article going...
There is an interview here with Bill Brenner about his addiction to sugar that shows how much a downward spiral unhealthy food can be. It's very easy for me to say that I'm going to change my diet to help with my anxiety, but what is it that has caused my poor eating habits? More often than not, it's my anxiety, or in the case of Brenner, his OCD. Like I mentioned earlier, most of us who are emotional eaters are not binge eating celery while we listen to that song from Inception while crying.
"The OCD is the main problem. It triggers my addictive behavior and the flour and sugar is what I would lunge for." LINK
What changed after you stopped binge eating?
"My head cleared in dramatic ways. I stopped having anxiety attacks. I dropped 65 pounds on the spot and have kept it off for more than two years. It made my OCD much easier to manage."

Once again, we're back to symptoms and managing the mental health issues but doesn't the quote above sound a lot better than not addressing diet at all? So maybe sugar isn't the cause of  anxiety disorders, but it's not helping anyone either. Let's take in the fact that not one study or article (at least none that I could find) said that sugar or junk food of any kind was good for you either physically or mentally. So while Ben & Jerry's Ice Cream taste and feels good at the time, there is always the "you play, you pay" rule in food - whether it's our waistlines, our moods, or our slipping back into addictive eating after splurging for one evening. When we've splurged on junk food to the point of being emotional vulnerable or numb to the world we've lost the battle (at least temporarily).  I think that most of us are going for that numb part and the anxiety comes from the lack of having that refined sugar hit like you would any other drug. So you eat more of it and it helps in the short term.


The plan for myself goes as follows - started the Paleo diet as of yesterday and so far it's been okay. I'm probably overdoing it on the meat right now but I'll reign that in. I'm about to go to the grocery store to stock up on more vegetables and some lean meat, maybe some fruits also. It's got to be better than all of the ice cream I've been eating. I'll let you know how it goes. Hopefully I will see gains physically and mentally, and will be able to describe it well enough to let help someone else, whether it's Paleo, vegetarian, whatever eventually works.

Other Links:
Sugar, Junk Food, and Mental Illness
How blocking sugar intake can reduce cancer risk/progression
Panic Attacks and Anxiety

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