Cited by 656Stress Responses and CortisolRegulation of Appetite and ObesityEating Disorders and Behaviors

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Chronic stress and comfort foods: self-medication and abdominal obesity

Dallman, Mary F., Pecoraro, Norman C., la Fleur, Susanne E.·2005·Brain, Behavior, and Immunity

DOI 10.1016/j.bbi.2004.11.004

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Abstract

Central corticotropin-releasing factor (CRF) networks are recruited by chronic stressors and elevated glucocorticoids (GCs) that initiate recruitment of central CRF activity in the amygdala. Increased central activity of the CRF network stimulates all monoaminergic cell groups, as well as premotor autonomic and other limbic structures resulting in the typical arousal, behavioral changes, autonomic, and neuroendocrine changes that accompany the chronic imposition of a stressor. By contrast, elevated GCs appear, through a variety of means to counteract the effects of central CRF, which they have initiated. Together with insulin, the GCs stimulate drive for and ingestion of "comfort foods" that may directly result in reduction of the negative effects of the chronic stressor in the nucleus Accumbens, through stimulation of the anterior, more pleasure-associated part of this cell group, thus reducing the weight of the stress-stimulated posterior, more defensive part. Furthermore, the shift in caloric intake from chow to preference for "comfort foods," together with elevated GCs and insulin, reorganize energy stores from a peripheral to a central distribution, primarily as abdominal fat. A signal associated with this fat depot appears, as with eating "comfort foods," to reduce the influence of the chronic stress network on behaviors, autonomic, and neuroendocrine outflow.

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Authors: Dallman, M. F., Pecoraro, N. C., & la Fleur, S. E.
Affiliations: University of California, San Francisco (US)
Corresponding author: Dallman, Mary F.
Venue: Brain, Behavior, and Immunity
Publisher: Elsevier BV
Published: 2005-07
Volume: 19
Issue: 4
Pages: 275-280
ISSN: 0889-1591 (ISSN-L)
DOI: 10.1016/j.bbi.2004.11.004
OpenAlex: W2100183198
Cited by: 656
References: 36
Citations by year: 2026: 24 · 2025: 22 · 2024: 20 · 2023: 21 · 2022: 33 · 2021: 29 · 2020: 26 · 2019: 35 · 2018: 25 · 2017: 37 · 2016: 41 · 2015: 52 · 2014: 53 · 2013: 47 · 2012: 41
FWCI: 1.13
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Brain Behavior and Immunity (publishedVersion)
PubMed (publishedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Pure Amsterdam UMC (submittedVersion)
Funders: National Institute on Drug Abuse (DA-16944, R01DA016944)
National Institute of Diabetes and Digestive and Kidney Diseases (DK28172)
Topics: Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Keywords: chronic stress, comfort food, self-medication, abdominal obesity, corticotropin-releasing factor, glucocorticoids, insulin, nucleus accumbens, amygdala, energy homeostasis, energy intake
MeSH terms: Animals, Chronic Disease, Corticotropin-Releasing Hormone, Eating, Food Preferences, Glucocorticoids, Humans, Limbic System, Macaca mulatta, Neural Pathways, Obesity, Self Medication, Stress, Physiological, Rats

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Chronic stress and comfort foods: self-medication and abdominal obesity

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