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High sugar intake linked with poorer long-term mental healthÌý

27 July 2017

Men with high sugar intakes have an increased likelihoodÌýof common mental disorders (such as anxiety and depression)Ìýafter 5 years compared to those with low intakes,Ìýaccording to ¹û¶³Ó°Ôº research.

cupcake The studyÌýalso showed that having a moodÌýdisorder did not make people more inclined to eat foods with a high sugar content.Ìý

TheÌýreport,Ìýpublished today inÌýScientific ReportsÌýused data from the Whitehall II cohort and analysed theÌýsugar intake from sweet food and beverages and occurrence ofÌýcommon mental disorders in over 5000 men and over 2000 womenÌýfor a period of 22 years between 1983 and 2013.Ìý

Although previous studies have found an increased risk of depression with higher consumption of added sugars, none examined the role of 'reverse causation'.ÌýIf people with anxiety and/or depressionÌýtended toÌýconsumeÌýmoreÌýsugary foodsÌýand drinks, this couldÌýbe theÌýrealÌýreason whyÌýa link betweenÌýsugar intake andÌýpoorer mental healthÌýis observed.ÌýAlthoughÌýtheÌýstudyÌýlooked for thisÌýlink,Ìýit was not seen in the data:Ìýmen and women with mental disordersÌýwere notÌýmore likely to consume more sugar.ÌýAs a result, the evidence thatÌýmental healthÌýis adverselyÌýaffectedÌýby a highÌýsugar intake isÌýstrengthened.

The study categorisedÌýdailyÌýsugarÌýintake (in grams) from sweet food and beveragesÌýinto three similar sized groups. Men in the top third, who consumed more than 67g,ÌýhadÌýa 23% increased chance of incident common mental disorders after five years,Ìý(independent of health behaviours, socio-demographic and diet-related factors, adiposity and other diseases)Ìýcompared to those in the bottomÌýthird,Ìýwho consumed less than 39.5 g.ÌýAccordingÌýto theÌýNational Diet and Nutrition SurveyÌýpublished in 2013Ìýmen in theÌýUK consume an averageÌý68.4 grams of added sugar per dayÌý(75 per cent from sweet foods and beverages).

MenÌýand women with mood disordersÌýand high sugar consumptionÌýalsoÌýhad an increased chance of being depressed again after 5 years compared to those with lower intakes, but this finding was not independentÌýofÌýother socio-demographic, health and diet-related factors.

Anika Knüppel (¹û¶³Ó°ÔºÌýInstitute ofÌýEpidemiology and Public Health),Ìýlead author of the paper said:Ìý"High sugar diets have a number of influences on our health but our study shows that there might also be a link between sugar and mood disorders, particularly among men.ÌýThere are numerousÌýfactors that influenceÌýchances for mood disorders, butÌýhaving a diet high in sugary foods and drinks mightÌýbeÌýthe straw thatÌýbreaksÌýthe camel's back. The study foundÌýnoÌýlinkÌýbetween sugar intake andÌýnewÌýmoodÌýdisordersÌýinÌýwomen and it is unclear why. More research is needed toÌýtest the sugar-depression effect inÌýlarge populationÌýsamples.

"There is increasing evidence for the physical damage sugar has on our health. Our work suggests an additional mental health effect.ÌýThis further supports the evidence for policy action such as the newÌýsugar levy in the UK,ÌýbutÌýthis is not addressed in many other European countries."

In Britain, adults consume approximately double, and in the U.S. triple, the recommended level of added sugar, with sweet foods and drinks contributingÌýthree-quarters of the intakes. Meanwhile, major depression is predicted to become the leading cause of disability inÌýhigh income countries by 2030.*Ìý

Knüppel added: "Sweet food hasÌýbeenÌýfoundÌýto induceÌýpositive feelingsÌýin theÌýshort-term.ÌýPeople experiencing low moodÌýmay eatÌýsugary foodsÌýin the hope of alleviating negative feelings.ÌýOur studyÌýsuggestsÌýa high intake of sugary foods is more likely to have the opposite effect on mental healthÌýin the long-term."

Professor Eric BrunnerÌý(¹û¶³Ó°ÔºÌýInstitute of Epidemiology and Public Health), senior author of the paper,Ìýconcluded:Ìý"Our findings provide yet further evidence that sugary foods and drinks are best avoided. TheÌýnewÌýsugarÌýtaxÌýon soft drinks,Ìýwhich willÌýtake effectÌýin April 2018,Ìýis a step in the right direction. The physical and mental health of British people deserves some protection from the commercial forcesÌýwhich exploit the human 'sweet tooth'".

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Source: 'Cupcakes' by JonÌý

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Rowan Walker

Tel: +44 (0)20 3108 8515

Email: rowan.walker [at] ucl.ac.uk