Review · British journal of sports medicine · 2018Abstract onlyConflicts declared

Sugar and addiction: what animal and human studies show

What it found

In animal studies, sugar produced more signs of addiction than needed to call a substance addictive, and both animal and human research shows overlaps with drugs of abuse.

The authors say sugar addiction may really be a dependence on the body's own opioids released when sugar is eaten.

What they found

Animal and lab studies

Signs of addiction in animals

In animal studies, sugar produced more symptoms than are required for a substance to be considered addictive. These included bingeing, craving, tolerance and withdrawal.

Drug-like effects in animals

Animal data showed significant overlap between eating added sugars and drug-like effects. These included cross-sensitisation, cross-tolerance, cross-dependence, reward and opioid effects.

What sugar addiction may be

Sugar addiction seems to be a dependence on the natural opioids the body releases when sugar is taken in. This is based on animal data.

Studies in people and animals

Parallels with drugs of abuse

In both animals and humans, the evidence shows substantial parallels and overlap between drugs of abuse and sugar. This covers brain chemistry as well as behaviour.

What the authors conclude

“Sugar addiction seems to be dependence to the natural endogenous opioids that get released upon sugar intake.”
DiNicolantonio JJ, O'Keefe JH, Wilson WL, 2018

Also in their conclusions

  • They say sugar addiction seems to be dependence to the natural endogenous opioids that get released upon sugar intake.
  • They report that in both animals and humans the evidence shows substantial parallels and overlap between drugs of abuse and sugar, from the standpoint of brain neurochemistry as well as behaviour.

What it can’t tell you

  • We summarised it from the abstract only.
  • Much of the evidence comes from animal studies, which can't show what happens in people.
  • The human evidence described is about parallels and overlap, not proof that sugar causes addiction in people.

The paper

Title
Sugar addiction: is it real? A narrative review
Type
ReviewThe authors read earlier studies and describe what they found. It isn’t a new study.
Evidence
Studies in people · animals · lab
Summarised from
Abstract only
Cite
DiNicolantonio JJ, O'Keefe JH, Wilson WL (2018). Sugar addiction: is it real? A narrative review. British journal of sports medicine. doi:10.1136/bjsports-2017-097971PubMed 28835408DOI

Summary written 26 Sep 2026. Check it against the paper before it changes what you eat. How we summarise papers · Report an error