Study shows a high-fat diet may fuel anxiety

Junk Food
Junk Food

When stressed, many people turn to junk food for solace. However, new research by the University of Colorado Boulder suggests this strategy may backfire. 

The study found that in animals, a high-fat diet disrupts resident gut bacteria, alters behaviour and, through a complex pathway connecting the gut to the brain, influences brain chemicals in ways that fuel anxiety.

“Everyone knows that these are not healthy foods, but we tend to think about them strictly in terms of a little weight gain,” said lead author Christopher Lowry, a professor of integrative physiology at CU Boulder. “If you understand that they also impact your brain in a way that can promote anxiety, that makes the stakes even higher.”

Lowry’s team divided adolescent rats into two groups: Half got a standard diet of about 11% fat for nine weeks; the others got a high-fat diet of 45%, mostly saturated fat from animal products. 

According to the Centres for Disease Control and Prevention, the typical American diet is about 36% fat.

The researchers collected faecal samples throughout the study and assessed the animals’ microbiome or gut bacteria. After nine weeks, the animals underwent behavioural tests.

Not surprisingly, the high-fat diet group gained weight compared to the control group. However, the animals also showed significantly less diversity of gut bacteria. Generally speaking, more bacterial diversity is associated with better health, Lowry explained. They also hosted far more of a category of bacteria called Firmicutes and less of a category called Bacteroidetes. A higher Firmicutes to Bacteroidetes ratio has been associated with the typical industrialized diet and obesity.

The high-fat diet group also showed higher expression of three genes (tph2, htr1a, and slc6a4) involved in the production and signalling of the neurotransmitter serotonin—particularly in a region of the brainstem known as the dorsal raphe nucleus cDRD, which is associated with stress and anxiety.

While serotonin is often billed as a “feel-good brain chemical,” Lowry notes that certain subsets of serotonin neurons can, when activated, prompt anxiety-like responses in animals.  Notably, heightened expression of tph2, or tryptophan hydroxylase, in the cDRD has been associated with mood disorders and suicide risk in humans.

“To think that just a high-fat diet could alter the expression of these genes in the brain is extraordinary,” said Lowry. “The high-fat group essentially had the molecular signature of a high anxiety state in their brain.” 

Lowry suspects an unhealthy microbiome compromises the gut lining, enabling bacteria to slip into the body’s circulation and communicate via the vagus nerve, a pathway from the gastrointestinal tract to the brain.

“If you think about human evolution, it makes sense,” Lowry said.  “We are hard-wired to really notice things that make us sick so we can avoid those things in the future.” 

Lowry stresses that not all fats are bad and that healthy fats, such as those found in fish, olive oil, nuts, and seeds, can be anti-inflammatory and good for the brain.

His advice: Eat as many different kinds of fruits and vegetables as possible, add fermented foods to your diet to support a healthy microbiome and lay off the pizza and fries. Also, if you do have a hamburger, add a slice of avocado. Some research shows that good fat can counteract some of the bad.

Revolutionizing depression treatment online

A new study at Hebrew University examined the effects of guided internet-based cognitive behavioral therapy for depression, focusing on the therapeutic alliance and attachment styles. The study found significant improvements in depression and insomnia symptoms over time. These findings deepen our understanding of how depression can be treated through internet-based interventions, underscoring the crucial role of the therapeutic alliance and the wider benefits of this form of therapy.

A new study at Hebrew University examined the effects of guided internet-based cognitive behavioural therapy for depression, focusing on the therapeutic alliance and attachment styles. The study found significant improvements in depression and insomnia symptoms over time. These findings deepen our understanding of how depression can be treated through internet-based interventions, underscoring the crucial role of the therapeutic alliance and the wider benefits of this form of therapy.

A new study led by Dr Dina Zalaznik from Prof. Jonathan Huppert’s Laboratory for the Treatment and Study of Mental Health and Well-Being at the Hebrew University of Jerusalem has revealed significant advancements in treating depression. The study focused on two crucial aspects: the therapeutic alliance and attachment styles.

Participants for the study were recruited through ads for a free trial and underwent screening, including online surveys and a phone interview. Thirty-nine participants, mostly female (59%), with an average age of 37.9 years, were included. The internet-based cognitive behavioural therapy program consisted of six modules covering psychoeducation, cognitive work, behavioural activation, challenging thoughts, optional cognitive behavioural therapy for insomnia, and relapse prevention. Treatment was delivered by supervised doctoral students, with weekly guidance and homework assignments. Dropout rates and treatment adherence were also examined.

One of the study’s key findings was the importance of the alliance between the therapist and the patient, as well as the alliance with the program, in predicting adherence and dropout rates. While both alliances played a role in treatment outcomes, only the alliance with the therapist was significantly related to symptom improvement. This highlights the unique contributions of each aspect of the alliance in the effectiveness of internet-based cognitive behavioural therapy.

The study also addressed the role of attachment styles in internet-based cognitive behavioural therapy, with results indicating that avoidant attachment style scores improved significantly during internet-based cognitive behavioural therapy, whereas anxious attachment did not show significant improvement. This finding suggests that even though internet-based cognitive behavioural therapy focuses not on interpersonal relationships and the therapist’s involvement is limited, the emotional and cognitive components of attachment can still be positively impacted.

Results from the study demonstrate the effectiveness of a culturally adapted Hebrew version of guided internet-based cognitive behavioural therapy for depression and insomnia. Depression symptoms and insomnia improved significantly over time, with noticeable and meaningful changes observed for all variables.

This study suggests that in internet-based therapy, the relationship with the therapist and the program is crucial for maintaining motivation and commitment to the treatment. Clinicians should consider using a weekly questionnaire to track these relationships and make necessary improvements. Future studies should explore factors influencing these relationships further.

Dr. Zalaznik’s study reveals the critical role of interpersonal factors in internet-based cognitive behavioral therapy, highlighting the distinct impacts of the therapist and program alliances. These findings advance our understanding of depression treatment through internet interventions, emphasizing the therapeutic alliance’s importance and the therapy’s broader benefits.

Turning Fear into Power: Understanding and managing anxiety

Fear is one of the most important survival mechanisms in all species. But for the millions of Americans living with anxiety disorders, this healthy defence system has a dark side. In this seminar, Harvard Medical School scientists will explore the roots and origins of anxiety and how it can be managed.

‘How I rewired my brain in six weeks’

There is growing evidence that simple, everyday changes can alter our brains and how they work.   So, how do we keep our brains healthy?   BBC journalist Melissa Hogenboom explores the latest scientific research and has her brain scanned and analysed, with intriguing results.