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Stress may add bite to appetite in women: a laboratory study of stress-induced cortisol and eating behavior
Abstract
To date, there are few known predictors of stress-induced eating. The purpose of this study was to identify whether physiological and psychological variables are related to eating after stress. Specifically, we hypothesized that high cortisol reactivity in response to stress may lead to eating after stress, given the relations between cortisol with both psychological stress and mechanisms affecting hunger. To test this, we exposed fifty-nine healthy pre-menopausal women to both a stress session and a control session on different days. High cortisol reactors consumed more calories on the stress day compared to low reactors, but ate similar amounts on the control day. In terms of taste preferences, high reactors ate significantly more sweet food across days. Increases in negative mood in response to the stressors were also significantly related to greater food consumption. These results suggest that psychophysiological response to stress may influence subsequent eating behavior. Over time, these alterations could impact both weight and health.
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“stress and adversity can increase consumption of fast food (Steptoe, Lipsey, & Wardle, 1998), snacks (Oliver & Wardle, 1999), calorie-dense and highly-palatable foods (Epel et al., 2001), and stress has been associated with increased binge eating”
From Role of addiction and stress neurobiology on food intake and obesity (2018) · cites this paper as Epel et al., 2001
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“Chronic high GCs and increases in insulin have synergistic effects on increasing HP food intake and abdominal fat deposition”
From Role of addiction and stress neurobiology on food intake and obesity (2018) · cites this paper as Epel et al., 2001
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de Macedo, I. C., Medeiros, L. F., de Oliveira, C. M., de Oliveira, C. M., Rozisky, J. R., Scarabelot, V. L., de Souza, A., Silva, F. R., Santos, V. S., Cioato, S. G., et al. (2012) · Peptides · doi:10.1016/j.peptides.2012.08.007 · Cited by 87
Is comfort food really comforting? Mechanisms underlying stress-induced eating
Pool, E. R., Delplanque, S., Coppin, G., & Sander, D. (2015) · Food Research International · doi:10.1016/j.foodres.2014.12.034 · Cited by 87
“Experiments conducted on humans have also shown that participants in stressful conditions eat more highly palatable food than do participants in stress-free conditions (Epel, Lapidus, McEwen, & Brownell, 2001; Tomiyama et al., 2011; Zellner et al., 2006).”
Social subordination produces distinct stress-related phenotypes in female rhesus monkeys
Michopoulos, V., Higgins, M. K., Toufexis, D. J., & Wilson, M. E. (2012) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2011.12.004 · Cited by 83
“This result is consistent with the idea that exposure to psychosocial stressors increases preference for and intake of highly palatable food in laboratory animals (Berridge, 1996; Dallman et al., 2005; Hagan et al., 2003; Tamashiro et al., 2006) and women (Adam and Epel, 2007; Epel et al., 2001).”
BackgroundResultInfluentialBurnout and Behavior-Related Health Risk Factors
Ahola, K., Pulkki-Råbäck, L., Kouvonen, A. M., Rossi, H., Aromaa, A., & Lönnqvist, J. K. (2011) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e31823ea9d9 · Cited by 91
Nakamura, Y., Walker, B. R., & Ikuta, T. (2015) · Stress · doi:10.3109/10253890.2015.1121984 · Cited by 80
“Increased stress responses, both psychological and physiological, after dietary restrictions have been reported (Epel et al., 2001).”
BackgroundBinge-type eating attenuates corticosterone and hypophagic responses to restraint stress
Kinzig, K. P., Hargrave, S. L., & Honors, M. A. (2008) · Physiology & Behavior · doi:10.1016/j.physbeh.2008.04.026 · Cited by 80
Leung, C. Y. Y., Lumeng, J., Kaciroti, N., Chen, Y.-P., Rosenblum, K., & Miller, A. L. (2014) · Appetite · doi:10.1016/j.appet.2014.03.025 · Cited by 78
“Emotional overeating refers to tendency to seek immediate comfort through excessive eating in response to emotional arousal (Epel et al., 2001).”
BackgroundInfluentialLeptin concentrations in response to acute stress predict subsequent intake of comfort foods
Tomiyama, A. J., Schamarek, I., Lustig, R. H., Kirschbaum, C., Puterman, E. M., Havel, P. J., & Epel, E. S. (2012) · Physiology & Behavior · doi:10.1016/j.physbeh.2012.04.021 · Cited by 89
“This test has been shown to reliably result in a short-lived increase of psychological stress with physiological manifestations (i.e., cortisol secretion) and has been used in several previous studies examining the role of stress in eating behavior [9,12].”
InfluentialChanges in the Food-Related Behaviour of Italian Consumers during the COVID-19 Pandemic
Fanelli, R. M. (2021) · Foods · doi:10.3390/foods10010169 · Cited by 87
Stress-induced eating in women with binge-eating disorder and obesity
Klatzkin, R. R., Gaffney, S., Cyrus, K., Bigus, E., & Brownley, K. A. (2016) · Biological Psychology · doi:10.1016/j.biopsycho.2016.11.002 · Cited by 88
“Although these psychological measures are also commonly linked to stress-induced eating in non-clinical samples (Epel et al., 2001; Freeman & Gil, 2004; Roberts, Troop, Connan, Treasure, & Campbell, 2007; Wardle, Steptoe, Oliver, & Lipsey, 2000; Zellner et al., 2006), their effects are potentiated…”
The future of human malnutrition: rebalancing agency for better nutritional health
Wells, J. C. K., Marphatia, A. A., Amable, G. S., Siervo, M., Friis, H., Miranda, J. J., Haisma, H. H., & Raubenheimer, D. (2021) · Globalization and Health · doi:10.1186/s12992-021-00767-4 · Cited by 103
Raspopow, K., Abizaid, A. B., Matheson, K., & Anisman, H. (2013) · Appetite · doi:10.1016/j.appet.2013.11.018 · Cited by 77
Sleep problems are associated with binge eating in women
Trace, S. E., Thornton, L. M., Runfola, C. D., Lichtenstein, P., Pedersen, N. L., & Bulik, C. M. (2012) · International Journal of Eating Disorders · doi:10.1002/eat.22003 · Cited by 81
Reichenberger, J., Pannicke, B., Arend, A., Petrowski, K., & Jens Blechert, A. (2020) · Psychology and Health · doi:10.1080/08870446.2020.1781122 · Cited by 75
Effects of glucocorticoids on leptin levels and eating behaviour in women
Udden, J., Björntorp, P., Arner, P., Barkeling, B., Meurling, L., & Rössner, S. (2003) · Journal of Internal Medicine · doi:10.1046/j.1365-2796.2003.01099.x · Cited by 84
Metadata
- Authors
- Epel, E., Lapidus, R., McEwen, B., & Brownell, K.
- Affiliations
- University of California, San Francisco (US)
- Yale University (US)
- Rockefeller University (US)
- Corresponding author
- Epel, Elissa
- Venue
- Psychoneuroendocrinology
- Publisher
- Elsevier BV
- Published
- 2001-01
- Volume
- 26
- Issue
- 1
- Pages
- 37-49
- ISSN
- 0306-4530 (ISSN-L)
- OpenAlex
- W2101290962
- Cited by
- 1,060
- References
- 26
- Citations by year
- 2026: 30 · 2025: 32 · 2024: 40 · 2023: 41 · 2022: 41 · 2021: 75 · 2020: 92 · 2019: 52 · 2018: 60 · 2017: 52 · 2016: 48 · 2015: 54 · 2014: 66 · 2013: 61 · 2012: 53
- FWCI
- 17.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychoneuroendocrinology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- John D. and Catherine T. MacArthur Foundation
- National Institutes of Health
- National Center for Research Resources (M01RR000125, RR00125)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- stress eating, cortisol response, dietary habits, appetite, premenopausal women, taste preference, sweets consumption, negative mood, hunger, psychophysiological stress response
- MeSH terms
- Adult, Affect, Appetite, Energy Intake, Diet, Reducing, Eating, Educational Status, Female, Food Preferences, Humans, Hydrocortisone, Income, Stress, Physiological, Body Mass Index, Premenopause
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