Binge eating and psychostimulant addiction
Open accessAbstract
Many of the various factors, characteristics, and variables involved in the addictive process can determine an individual's vulnerability to develop drug addiction. Hedonic eating, based on pleasure rather than energy needs, modulates the same reward circuits, as do drugs of abuse. According to the last report of the World Health Organization, the worldwide obesity rate has more than doubled since 1980, reaching especially critical levels in children and young people, who are overexposed to high-fat, high-sugar, energy-dense foods. Over the past few decades, there has been an increase in the number of studies focused on how eating disorders can lead to the development of drug addiction and on the comorbidity that exists between the two disorders. Herein, we review the most recent research on the subject, focusing especially on animal models of binge eating disorders and drug addiction. The complex profile of patients with substance use and binge eating disorders requires an integrated response to dually diagnosed patients. Nutritional patterns should be considered an important variable in the treatment of substance use disorders, and future studies need to focus on specific treatments and interventions in individuals who show a special vulnerability to shift from one addiction to the other.
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Nicotine interacts with the brain's reward system and alters neurotransmitter activity, particularly dopamine and serotonin, which play key roles in hunger and satiety regulation.
“Studies have shown that nicotine interacts with the brain's reward system and alters neurotransmitter activity, particularly dopamine and serotonin, which play key roles in hunger and satiety regulation [2, 3, 4, 5-6].”
From Smoking and its impact on eating behavior: A review (2026) · cites this paper as [4]
The Introduction (page unavailable) says that drugs and food engage reward pathways through dopamine release, which can alter the control of hunger and satiety. The common-neurobiology section also identifies dopamine as a regulator of feeding behavior and drug addiction. Neither passage establishes the claim specifically for nicotine or identifies serotonin as involved; a search for serotonin found no supporting passage. (LLM, conf=0.85)
Experimental — accuracy not yet measuredNicotine has appetite-suppressing effects, leading many smokers to report reduced food intake.
“Nicotine, the primary psychoactive component of tobacco, is known to cause appetite-suppressing effects leading many smokers to report reduced food intake on one hand”
From Smoking and its impact on eating behavior: A review (2026) · cites this paper as [4]
The paper’s References section mentions a study of nicotine, food deprivation, and resistance to smoking, but that title does not address whether nicotine suppresses appetite. Searches for nicotine, appetite suppression, and smokers’ food intake found no passage in our copy reporting that smokers eat less because of nicotine. (LLM, conf=0.76)
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Cites
Swanson, S. A., Crow, S. J., Le Grange, D., Swendsen, J., & Merikangas, K. R. (2011) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2011.22 · Cited by 1,611 · see citing works
Sugar and Fat Bingeing Have Notable Differences in Addictive-like Behavior
Avena, N. M., Rada, P., & Hoebel, B. G. (2009) · The Journal of Nutrition · doi:10.3945/jn.108.097584 · Cited by 388 · see citing works
A diet promoting sugar dependency causes behavioral cross-sensitization to a low dose of amphetamine
Avena, N. M., & Hoebel, B. G. (2003) · Neuroscience · doi:10.1016/s0306-4522(03)00502-5 · Cited by 284 · see citing works
Binge eating in children and adolescents
Marcus, M. D., & Kalarchian, M. A. (2003) · International Journal of Eating Disorders · doi:10.1002/eat.10205 · Cited by 237 · see citing works
Brain dopamine is associated with eating behaviors in humans
Volkow, N. D., Wang, G., Maynard, L., Jayne, M., Fowler, J. S., Zhu, W., Logan, J., Gatley, S. J., Ding, Y., Wong, C., et al. (2003) · International Journal of Eating Disorders · doi:10.1002/eat.10118 · Cited by 235 · see citing works
Nair, S. G., Adams-Deutsch, T., Epstein, D. H., & Shaham, Y. (2009) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2009.05.003 · Cited by 112 · see citing works
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Smoking and its impact on eating behavior: A review
Department of Oral Pathology and Microbiology, M. A. D. C. A. H., Prabhakar, M., Bottu, K., Department of Oral Pathology and Microbiology, M. A. D. C. A. H., Chaly, P. E., Department of Public Health Dentistry, M. A. D. C. A. H., S.G, R. K., Department of Public Health Dentistry, T. G. D. C. A. H., M, A., & Department of Psychiatry, M. M. C. H. A. R. I. (2026) · Bioinformation · doi:10.6026/973206300220132
- Authors
- Blanco-Gandia, M. C., Montagud-Romero, S., & Rodríguez-Arias, M.
- Venue
- World Journal of Psychiatry
- Publisher
- Baishideng Publishing Group Inc.
- Published
- 2021-09-19
- Volume
- 11
- Issue
- 9
- Pages
- 517-529
- ISSN
- 2220-3206 (ISSN-L)
- PMC
- PMC8475000
- OpenAlex
- W3198998109
- Cited by
- 14
- References
- 6
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 3 · 2023: 2 · 2022: 1
- FWCI
- 0.20
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- World Journal of Psychiatry (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Zaguan (University of Zaragoza Repository) (publishedVersion, cc-by-nc)
- Repository of Digital Objects for Teaching Research and Culture (University of Valencia) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- binge eating, stimulant use disorder, drug addiction, eating disorders, comorbidities, hedonic eating, reward systems, obesity, dual diagnosis, animal models, substance use disorders, nutritional patterns
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