How chronic stress drives the brain to crave comfort food

 When you're stressed, a high-calorie snack may seem like a comforting go-to. But this combination has an unhealthy downside. According to Sydney scientists, stress combined with calorie-dense 'comfort' food creates changes in the brain that drive more eating, boost cravings for sweet, highly palatable food and lead to excess weight gain.

A team from the Garvan Institute of Medical Research found that stress overrode the brain's natural response to satiety, leading to non-stop reward signals that promote eating more highly palatable food. This occurred in a part of the brain called the lateral habenula, which when activated usually dampens these reward signals.

"Our findings reveal stress can override a natural brain response that diminishes the pleasure gained from eating -- meaning the brain is continuously rewarded to eat," says Professor Herzog, senior author of the study and Visiting Scientist at the Garvan Institute.

"We showed that chronic stress, combined with a high-calorie diet, can drive more and more food intake as well as a preference for sweet, highly palatable food, thereby promoting weight gain and obesity. This research highlights how crucial a healthy diet is during times of stress."

The research was published in the journal Neuron.

From stressed brain to weight gain

While some people eat less during times of stress, most will eat more than usual and choose calorie-rich options high in sugar and fat.

To understand what drives these eating habits, the team investigated in mouse models how different areas in the brain responded to chronic stress under various diets.

"We discovered that an area known as the lateral habenula, which is normally involved in switching off the brain's reward response, was active in mice on a short-term, high-fat diet to protect the animal from overeating. However, when mice were chronically stressed, this part of the brain remained silent -- allowing the reward signals to stay active and encourage feeding for pleasure, no longer responding to satiety regulatory signals," explains first author Dr Kenny Chi Kin Ip from the Garvan Institute.

"We found that stressed mice on a high-fat diet gained twice as much weight as mice on the same diet that were not stressed."

The researchers discovered that at the centre of the weight gain was the molecule NPY, which the brain produces naturally in response to stress. When the researchers blocked NPY from activating brain cells in the lateral habenula in stressed mice on a high-fat diet, the mice consumed less comfort food, resulting in less weight gain.

Driving comfort eating

The researchers next performed a 'sucralose preference test' -- allowing mice to choose to drink either water or water that had been artificially sweetened.

"Stressed mice on a high-fat diet consumed three times more sucralose than mice that were on a high-fat diet alone, suggesting that stress not only activates more reward when eating but specifically drives a craving for sweet, palatable food," says Professor Herzog.

"Crucially, we did not see this preference for sweetened water in stressed mice that were on a regular diet."

Stress overrides healthy energy balance