Avena · Neuroscience and biobehavioral reviews 2008 · narrative review of animal studies · n=?

Evidence for sugar addiction: behavioral and neurochemical effects of intermittent, excessive sugar intake.

Cited 1347 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of bench and animal research without direct clinical human trial data.

PubMed 17617461 · doi:10.1016/j.neubiorev.2007.04.019 · record verified 2026-08-31

What was done

This narrative review synthesized experimental findings on whether intermittent, excessive sugar consumption produces characteristics of substance dependence in rodent models. The authors evaluated evidence across four behavioral components of addiction—bingeing, withdrawal, craving, and cross-sensitization—and assessed associated neurochemical adaptations, specifically opioid and dopamine receptor dynamics and neurotransmitter release in the nucleus accumbens.

What was found

The abstract reports no quantitative metrics. Qualitatively, intermittent sugar access induced behavioral markers of dependence (bingeing, somatic and behavioral signs of withdrawal, craving, and cross-sensitization to other substances) accompanied by neurochemical changes: altered dopamine and opioid receptor binding, modified enkephalin mRNA expression, and altered release of dopamine and acetylcholine in the nucleus accumbens.

Why it matters

The review provides a neurobiological framework showing that non-drug reinforcers like sugar can engage neural addiction circuitry in rodents under specific feeding schedules, offering potential mechanistic insight into eating disorders and obesity.

Limits

The findings are derived primarily from rodent models using artificial intermittent-access protocols, limiting direct generalizability to human eating behaviors. The abstract provides no quantitative effect sizes, systematic search methodology, or primary human experimental data.

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