How and why does carbohydrate consumption affect mood and memory?

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How and why does carbohydrate consumption affect mood and memory?

It is commonly believed that ingestion of carbohydrate greatly affects an individual’s mood and cognition. One early theory proposed by Fernstrom and Wurtman (1971) suggested that the consumption of carbohydrate alters the balance of amino acids in the blood, which in turn causes an increase in serotonin, which is known to influence and modulate mood. There is also a body of evidence suggesting that manipulating blood glucose levels has an impact on mood and cognition. When levels of blood sugar rise, insulin is released from the pancreas. Whilst blood sugar begins to rise above 5mmol/1 it causes glucose to be removed from circulation and converted into glycogen in the liver and muscles, thus decreasing blood sugar levels. If blood sugar levels drop below 5mmol/1, the alpha cells of the pancreas release glycogen that mobilises glycogen in the liver. Glycogen is converted into glucose. The glucose is released into the blood stream, increasing blood sugar until insulin release is triggered. Therefore, since glucose is the major source of fuel for the brain changes in plasma levels of glucose will result in alterations in levels of glucose within the brain hence, affecting neural function.  

The serotonin theory explains how serotonin acts through a biofeedback mechanism to regulate carbohydrate consumption. The amino acid tryptophan normally circulates in low concentrations, but when carbohydrates enter the blood stream they stimulate insulin production and facilitate the uptake of most amino acids, excluding tryptophan into the tissues. The proportion of circulating tryptophan increases relative to other amino acids, facilitating its passage across the blood-brain barrier, where it is converted into serotonin. As a result, variations in serotonin levels influence carbohydrate intake. Wurtman and Wurtman (1986) went on to develop the theory and argued that conditions such as seasonal affective disorder involve a disturbance of the feedback mechanism between serotonin and carbohydrate intake in which the desire for carbohydrates persists. It has also been proposed that, people suffering from depression and premenstrual syndrome might have low serotonin function, which makes them feel low, therefore additional consumption of carbohydrates may be necessary to lift serotonin levels and thus mood.

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Although, an assessment of the literature does indicate that the serotonin theory is flawed which was highlighted in a review by Benton and Donohoe (1999). More than thirty studies of blood amino acid profiles taken after subjects consumed meals varying in their carbohydrate content were examined. It was found that only when the protein content of the meal was less than two per cent did the resulting amino acid profile favour a rise in serotonin levels in the brain. It was found that even foods considered being high in carbohydrate such as bread, fifteen per cent of calories were ...

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