Eating in response to anxiety or sadness is linked with heart damage

This was the first study to assess the association between eating behaviors in healthy individuals and cardiovascular damage 13 years later. The study included 1,109 participants of the STANISLAS cohort, which enrolled parents and adolescents in the Lorraine region of northeast France between 1993 and 1995. Emotional eating, which is the tendency to overeat in response to negative emotions such as sadness or anxiety, was assessed using the Dutch Eating Behaviour Questionnaire.

Measures of cardiovascular damage included carotid-femoral pulse-wave velocity and diastolic dysfunction, which indicate stiffness in the arteries and heart, respectively. According to previous studies, rises in pulse-wave velocity, meaning stiffer arteries, are associated with higher risks of heart disease and stroke. Diastolic dysfunction, meaning the heart relaxes insufficiently after contraction, is correlated with a greater likelihood of developing heart failure.

Associations between emotional eating and cardiovascular damage were analyzed after adjusting for age, sex, education level, diabetes, hypertension, the median age difference between measurement of eating behavior and cardiovascular damage, body mass index, blood lipid levels, physical activity, other measures of eating behavior, and the onset of cardiovascular disease during follow-up.

Among the 916 adults, the median age at the time of eating behavior measurement was 44.7 years and nearly half (49.7%) were women. The median time between measurement of eating behavior and cardiovascular damage was 13.4 years. Emotional eating was associated with higher pulse-wave velocity (stiffer arteries) and a 38% increased risk of diastolic dysfunction (stiffer heart).

The authors performed a mediation analysis to explore potential explanations for the associations. They found that stress level explained 32% of the association between emotional eating and diastolic dysfunction. “The reward system may be particularly involved in emotional eating, where eating may reduce anxiety and eating comfort foods may blunt the response to acute stress,” states the paper.

Energy intake was not a mediator of any associations. Professor Girerd explained: “We might expect that emotional eaters would consume high-calorie foods, which would in turn lead to cardiovascular problems but this was not the case. One explanation is that we measured average calorie intake and emotional eaters may binge when stressed and then eat less at other times. This yo-yo pattern may have negative effects on the heart and blood vessels compared with stable food intake.”

The authors concluded that efforts to prevent cardiovascular disease should address eating behaviours on top of nutritional content. Dr. Wagner said: “Techniques to tackle emotional eating are already used to help obese individuals. Our study suggests that these strategies should be extended to all emotional eaters, regardless of weight, to stop cardiovascular damage later in life.”

3 Comments

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3 responses to “Eating in response to anxiety or sadness is linked with heart damage

  1. Thank you, Yony, for your article to encourage walking. I am lucky to be able to go outside and take a walk if I am bored. It always refreshed my perspective. Have a great day and thanks again for your wonderful health column!
    –Janine

    Liked by 1 person

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