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People who become addicted to drugs and those who eat compulsively
may experience similar changes in brain chemistry that keep
them coming back for more.
This theory is just one put forth at a conference on the relationship
between substance abuse and eating disorders.
While it is well known that people who
suffer from bulimia and anorexia nervosa are more likely to abuse
drugs, alcohol or nicotine, the reasons why remain unclear.
The factors that motivate a person to abuse drugs or eat compulsively
may share circuits in the brain. For example, studies have shown
that restricting food changes levels of dopamine -- a brain
chemical associated with feelings of pleasure -- in the brains of
mice. It is also known that cocaine makes a person's brain more
sensitive to heroin via changes in dopamine levels.
So, food restriction
might sensitize the brain to drugs.
People who have certain eating disorders are more likely
to smoke, drink and
abuse drugs. For example, students who have dieted by the
sixth grade are more than 20%
more likely to drink alcohol
by the ninth grade. And the more frequently an incoming college
female diets, the more likely she is to use drugs and abuse alcohol.
Further, 12% to 18% of individuals
with anorexia and 30%
to 70% of people with bulimia
abuse tobacco, alcohol, pills and over-the-counter drugs.
Previous studies have shown that heavy smokers may use nicotine
to manage psychiatric problems including bulimia and binge eating.
Nicotine, according to one
study, can quickly alter brain chemicals including dopamine,
and can either sedate or stimulate depending on the timing and dosage
of the drug.
And many women use smoking as a weight-control tool. Girls who
smoke to suppress their appetites are among the largest group
of new nicotine addicts, and women who smoke are more than two-times
as likely as men to cite weight control as a reason not to quit
smoking.
The tobacco companies understood the relationship between smoking
and weight control long before the public health experts, as a 1920s
advertisement for Lucky Strike cigarettes told women to "reach
for a Lucky Strike instead of a sweet."
The latest slogan for Capri cigarettes is "there's no slimmer
way to smoke."
"There is no question that relationships (with parents) are
a major, major issue in the development of a child's personality,
emotional makeup and chemical system.
National Center on Addiction
and Substance Abuse (CASA) at Columbia University in New York City.
January 23, 2001
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