[{"command":"openDialog","selector":"#drupal-modal","settings":null,"data":"\u003Cdiv id=\u0022republish_modal_form\u0022\u003E\u003Cform class=\u0022modal-form-example-modal-form ecl-form\u0022 data-drupal-selector=\u0022modal-form-example-modal-form\u0022 action=\u0022\/en\/article\/modal\/11382\u0022 method=\u0022post\u0022 id=\u0022modal-form-example-modal-form\u0022 accept-charset=\u0022UTF-8\u0022\u003E\u003Cp\u003EHorizon articles can be republished for free under the Creative Commons Attribution 4.0 International (CC BY 4.0) licence.\u003C\/p\u003E\n \u003Cp\u003EYou must give appropriate credit. We ask you to do this by:\u003Cbr \/\u003E\n 1) Using the original journalist\u0027s byline\u003Cbr \/\u003E\n 2) Linking back to our original story\u003Cbr \/\u003E\n 3) Using the following text in the footer: This article was originally published in \u003Ca href=\u0027#\u0027\u003EHorizon, the EU Research and Innovation magazine\u003C\/a\u003E\u003C\/p\u003E\n \u003Cp\u003ESee our full republication guidelines \u003Ca href=\u0027\/horizon-magazine\/republish-our-stories\u0027\u003Ehere\u003C\/a\u003E\u003C\/p\u003E\n \u003Cp\u003EHTML for this article, including the attribution and page view counter, is below:\u003C\/p\u003E\u003Cdiv class=\u0022js-form-item form-item js-form-type-textarea form-item-body-content js-form-item-body-content ecl-form-group ecl-form-group--text-area form-no-label ecl-u-mv-m\u0022\u003E\n \n\u003Cdiv\u003E\n \u003Ctextarea data-drupal-selector=\u0022edit-body-content\u0022 aria-describedby=\u0022edit-body-content--description\u0022 id=\u0022edit-body-content\u0022 name=\u0022body_content\u0022 rows=\u00225\u0022 cols=\u002260\u0022 class=\u0022form-textarea ecl-text-area\u0022\u003E\u003Ch2\u003E Food for thought: obesity may affect the brain too\u003C\/h2\u003E\u003Cp\u003EEsther Aarts has a warning for fast-food lovers around the world: such diets not only expand waistlines but also cause brain inflammation.\u003C\/p\u003E\u003Cp\u003EA professor of nutritional neuroscience at Radboud University in the Netherlands, Aarts calls the double whammy an \u2018obesity spiral\u2019 that traps people in unhealthy eating habits.\u003C\/p\u003E\u003Cp\u003E\u003Cstrong\u003ETrouble a head\u003C\/strong\u003E\u003C\/p\u003E\u003Cp\u003EShe leads a research project that received EU funding to explore the impact of people\u2019s diets on their decision-making.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u2018The foods that we choose have an effect on our body and on our brain,\u2019 said Aarts. \u2018This creates an obesity spiral where what we eat can have an effect on our immune system and this, in turn, can affect our brain.\u2019\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EHer project is called\u0026nbsp;\u003Ca href=\u0022https:\/\/cordis.europa.eu\/project\/id\/852189\u0022\u003EOBESITY_SPIRAL\u003C\/a\u003E and runs for five years through October 2025. The presumption is that people with brain inflammation resulting from fast food meals such as hamburgers, chips and soft drinks have less energy to prepare or seek out other dishes.\u003C\/p\u003E\u003Cp\u003E\u2018There is a lot of evidence that, if there\u2019s inflammation in the brain, you don\u2019t feel like doing anything, you don\u2019t feel like expending effort,\u2019 Aarts said.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EObesity is a rapidly growing phenomenon in the EU, which now lags only the US in the proportion of the population either clinically obese or overweight.\u003C\/p\u003E\u003Cp\u003EAlmost 60% of adults in Europe and one in three children are afflicted by troubles with overweight, according to a 2022\u0026nbsp;\u003Ca href=\u0022https:\/\/www.who.int\/europe\/publications\/i\/item\/9789289057738\u0022\u003Ereport\u003C\/a\u003E by the World Health Organization.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EIn response, healthier diets have become a top EU policy goal including through a range of research initiatives grouped under a framework called\u0026nbsp;\u003Ca href=\u0022https:\/\/research-and-innovation.ec.europa.eu\/research-area\/environment\/bioeconomy\/food-systems\/food-2030_en\u0022\u003EFood 2030\u003C\/a\u003E.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Cstrong\u003ECalorie craze\u003C\/strong\u003E\u003C\/p\u003E\u003Cp\u003EFast food, which also commonly includes pizzas, sandwiches, muffins and milkshakes, are generally high in refined sugars and unhealthy fats and low in vitamins, minerals and fibres.\u003C\/p\u003E\u003Cp\u003E\u003Cblockquote class=\u0022tw-text-center tw-text-blue tw-font-bold tw-text-2xl lg:tw-w-1\/2 tw-border-2 tw-border-blue tw-p-12 tw-my-8 lg:tw-m-12 lg:tw--ml-16 tw-float-left\u0022\u003E\n \u003Cspan class=\u0022tw-text-5xl tw-rotate-180\u0022\u003E\u201c\u003C\/span\u003E\n \u003Cp class=\u0022tw-font-serif tw-italic\u0022\u003EThe foods that we choose have an effect on our body and on our brain.\u003C\/p\u003E\n \u003Cfooter\u003E\n \u003Ccite class=\u0022tw-not-italic tw-font-normal tw-text-sm tw-text-black\u0022\u003EProfessor Esther Aarts, OBESITY_SPIRAL\u003C\/cite\u003E\n \u003C\/footer\u003E\n\u003C\/blockquote\u003E\n\u003C\/p\u003E\u003Cp\u003E\u2018There are lots of calories but not a lot of nutrition,\u2019 said Aarts. \u2018With fast food, you could get all your calories for the day in one meal but be hungry one hour later.\u2019\u003C\/p\u003E\u003Cp\u003EPeople who eat large amounts of this kind of food are more likely to have chronic inflammation, also reaching the brain, as a result of increased fat tissue in the belly. This can lead to changes in dopamine processes, which give feelings of pleasure, satisfaction and motivation.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u2018With obesity, there\u2019s a 50% chance of having low-grade inflammation in the body,\u2019 said Aarts. \u2018This can consume 30% of your energy, so there\u2019s just less energy to expend effort on other things.\u2019\u003C\/p\u003E\u003Cp\u003EHer interest in how food affects the brain started during a postdoctoral position at the University of California in the US from 2010 to 2012.\u003C\/p\u003E\u003Cp\u003EThe growing obesity trend in the US as well as in certain parts of Europe prompted Aarts to focus on how people perceive food as a reward and how diets can change decision-making in ways that reinforce unhealthy eating habits.\u003C\/p\u003E\u003Cp\u003E\u003Cstrong\u003ELaziness link?\u0026nbsp;\u003C\/strong\u003E\u003C\/p\u003E\u003Cp\u003EOBESITY_SPIRAL is zeroing in on the links between what people eat, the effect on the immune system and the impact on decision-making.\u003C\/p\u003E\u003Cp\u003EThe team is using brain scans and biological measurements to observe what goes on in the brain when people make decisions about food \u2013 and what impact this has on the body.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u2018We just want to see the links with inflammation and understand how the dopamine system is involved,\u2019 said Aarts.\u003C\/p\u003E\u003Cp\u003EShe suspects that body inflammation resulting from unhealthy diets causes people to make less effort when choosing food.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003ESo, for example, rather than shop and make a meal, the choice would be to go for the easy and quick option with more calories and fewer nutrients. That in turn leads to more body fat and inflammation.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u2018Sometimes people think obesity is about people being lazy and I really want to show whether or not there is a biological reason behind the decision not to exert effort,\u2019 said Aarts. \u2018Then perhaps we can find solutions for this.\u2019\u003C\/p\u003E\u003Cp\u003E\u003Cstrong\u003EGlobal costs\u003C\/strong\u003E\u003C\/p\u003E\u003Cp\u003EBecause it significantly increases the risk of chronic illnesses including type 2 diabetes, cardiovascular disease and some types of cancer, obesity has a significant cost for society as a whole.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EAarts said people need to be aware of mental-health risks too resulting from obesity.\u003C\/p\u003E\u003Cp\u003E\u2018It\u2019s also linked to depression,\u2019 she said. \u2018And it\u2019s linked to Alzheimer\u2019s disease later on in life.\u2019\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EUnder current trends, overweight and obesity could cost the global economy in 2035 more than \u20ac3.7 trillion of potential income, or nearly 3% of worldwide gross domestic product, according to a\u0026nbsp;\u003Ca href=\u0022https:\/\/www.worldobesityday.org\/assets\/downloads\/World_Obesity_Atlas_2023_Report.pdf\u0022\u003E2023 report\u003C\/a\u003E.\u003C\/p\u003E\u003Cp\u003E\u003Cstrong\u003ECells study\u003C\/strong\u003E\u003C\/p\u003E\u003Cp\u003EThe connections among food, inflammation and health are also of interest to Professor Nicola Gagliani at the University Medical Center Hamburg-Eppendorf, or UKE, in Germany.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Cblockquote class=\u0022tw-text-center tw-text-blue tw-font-bold tw-text-2xl lg:tw-w-1\/2 tw-border-2 tw-border-blue tw-p-12 tw-my-8 lg:tw-m-12 lg:tw--ml-16 tw-float-left\u0022\u003E\n \u003Cspan class=\u0022tw-text-5xl tw-rotate-180\u0022\u003E\u201c\u003C\/span\u003E\n \u003Cp class=\u0022tw-font-serif tw-italic\u0022\u003EWhat you eat matters.\u003C\/p\u003E\n \u003Cfooter\u003E\n \u003Ccite class=\u0022tw-not-italic tw-font-normal tw-text-sm tw-text-black\u0022\u003EProfessor Nicola Gagliani, Diet-namic\u003C\/cite\u003E\n \u003C\/footer\u003E\n\u003C\/blockquote\u003E\n\u003C\/p\u003E\u003Cp\u003EGagliani is an expert on T cells \u2013 one of the immune system\u2019s two main cells. The others are B cells.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EB cells produce antibodies that attack invading bacteria, viruses and toxins. T cells protect the body in a different way: by destroying cells that have themselves been taken over by viruses or become cancerous.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EGagliani led EU-funded research into the impact of food on the activity of T cells. Called\u0026nbsp;\u003Ca href=\u0022https:\/\/cordis.europa.eu\/project\/id\/715271\u0022\u003EDiet-namic\u003C\/a\u003E, the project ran from December 2016 through November 2022.\u003C\/p\u003E\u003Cp\u003E\u2018I was curious about diet because eating is something that we do every day, several times a day,\u2019 Gagliani said. \u2018I wanted to see how rapid the impact of food intake is on the T cells.\u2019\u003C\/p\u003E\u003Cp\u003EThe Diet-namic team already knew that the intestinal microbiota are highly connected with T cells and, in particular, with immune response.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EGagliani was curious whether dietary changes could also alter the microbiota and, as a result, the immune system.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u003Cstrong\u003EConsequential choices\u003C\/strong\u003E\u003C\/p\u003E\u003Cp\u003E\u2018What wasn\u2019t clear was how rapid the connection was between what you eat and how your immune system responds to that,\u2019 he said. \u2018T cells are the orchestrator of the immune response. They can basically decode the environment and tell the immune system how to respond.\u2019\u003C\/p\u003E\u003Cp\u003EThrough studies with mice as well as a study on six human volunteers, the researchers discovered that, indeed, the immune system changes quickly and significantly in response to changes in diet.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u2018We show in the mice studies that, as soon as you change from a good diet to a bad diet, the T cells are impaired and the likelihood of infection increases,\u2019 said Gagliani.\u003C\/p\u003E\u003Cp\u003EIn this research, a good diet was one high in fibres, which are metabolised by the microbiota into short-chain fatty acids. These are fundamental for T cell function.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EA second study focused on patients with pancreatic cancer and monitored how this related to their intestinal microbiota.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003ECertain combinations of microbes in the gut produce a metabolite of tryptophan that boosts the efficacy of chemotherapy. Tryptophan is an essential amino acid that can be obtained only through food.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EThis confirms a link between diets and the immune system and signals that choices about food can cause rapid changes in people\u2019s health. It also suggests a potential for using dietary recommendations as part of medical treatments.\u0026nbsp;\u003C\/p\u003E\u003Cp\u003E\u2018This research suggests to us that what you eat matters,\u2019 said Gagliani. \u2018And it\u2019s not just over a period of years, but every time that you choose what to eat probably matters.\u2019\u003C\/p\u003E\u003Cp\u003E\u003Cem\u003EResearch in this article was funded by the EU\u2019s Horizon Programme via the European Research Council (ERC). The views of the interviewees don\u2019t necessarily reflect those of the European Commission. 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