Music Angela Guo: So, it's the old adage on what you eat when I eaτ sugary or caffeinated food I often find myself, like unable to focus So, eating healthier foods has a significant impact on how well I can focus, as well as how quick I can think. Sanjay Gupta: That's Angela Guo. She's a 17-year old senior at Adlai Stevenson High School in Lincolnshire, Illinois. And that adage she just cited, "You are what you eat", that's been around since the 1800's. People have known for a long time just how much food affects us. But it's not just in term of long-term health, but also short-term mood. AG: Food really helps us maintain a safe clarity and so eating healthier foods has had a significant impact on how well I can focus, as well as how quick I can think. SG: She may only be in high school but Angela has already made the crucial connection between what she puts in her mouth and how quickly that affects her brain. She even believes that simple understanding gave her a real advantage when she competed in the National Science Olympiad tournament earlier this year. Announcer: First place: National champions of the 2023 Science Olympiad National Tournament: Adlai Stevenson High School of Illinois, let's go!! SG: Now at this tournament earlier this year, Angela and her team mates went up against thousands of students from around the country. They were competing in events highlighting chemistry, and Earth science and biology. But here is the thing: the entire time on Angela's team you really didn't see much sugar around. Instead, there were lots of healthy snacks. AG: So, even at school, I'd bring my own lunch and it's just that aspect of knowing what goes into your meals is like really important. It kind of gives you peace of mind. SG: The team did really well, and now as they prepare for more tournaments, Angela, who's now is team captain, says, "Sure, they do study hard, but what they eat, how they eat, that's also top of mind. AG: When we do travel for Science Olympiad our coaches always makes sure that our like bus is well stocked with fruits and water. SG: So Angela, seems pretty convinced that food helps her focus and perform well academically. Of course, that makes sense but the question today, "What is the empirical evidence to support that and how does it work? How exactly does food impact the brain? And how do we really know when our brain is well nourished?" Uma Naidoo: Sugar is not good for our brain. But I also want people to understand we need sugar for our bodies and our brain, so it's where you get the sugar that's important. SG: Look, a lot of people worry about how food influences the way we look, how much weight we may gain -- I get that -- or the likelihood we're going to be high risk for diseases, like diabetes and hypertension. But even though it is harder to measure, food is also deeply connected to how we feel in the moment and how well the brain functions. Even as you listen to this podcast, your experience, right now, is likely affected by what you ate earlier today. So in this episode, I'm going to find out what's the best fuel for the brain, what food we should avoid and what it really means to have a well-nourished brain. I'm Dr Sanjay Gupta, CNN's Chief medical correspondent and this is Chasing life. You know, I love hearing stories like Angela's. They're so personal. She's someone who's paying attention to her body and then she's figuring out what makes her feel good and what it takes to do the activities she loves. She's being really intentional with her nutrition and that may save her from having health problems later in life but it could help optimize her function now. For me, food is an endless source of fascination. The way that I think about it is this: food is one of the most significant ways we allow our outside world to influence and communicate with our inside world, the world inside of our body and our mind. That is an awesome task. Food does that. So, I thought today we would start with the basics. We know that all food items have calories and calories are by definition energy but, as you just heard, not all calories are created equal. Some have more nutrients and do more to promote overall health and well-being than others. And that is especially true when it comes to the brain. But the challenge again: that's hard to measure. There is no brain scan or blood test that indicates that a particular food promotes brain health. So how do we really know? How do you really know what works for you? To find out, I return to someone whose work I really respect both in the clinic and in the kitchen, someone who knows a lot about this really intricate connection between food and brain health. Uma Naidoo: if you want, you know, your brain to really be optimized lean into the foods you like, but the healthy versions of that. SG: That' Dr Uma Naidoo; she's a nutritional psychiatrist. Such a cool field. She's at Harvard medical school. What she does is that she works with patients to improve their mental health with the help of medication and food. She's also a professional chef. She's the author of the books "This is Your Brain on Food" and "Calm Your Mind with Food." That one's going to be released later this year. I should tell you, this is actually Dr Naidoo's second time on the show. We spoke a few years ago about the broader concept of food as medicine. And I was so fascinated by the conversation, so affected by it, I asked her to come back and discuss how food impacts brain health specifically and brain function. I have long said that I think food can be medicine, I also think just philosophically, we consciously decide what signals we're going to give to the inside of our body through food. What the discussion has primarily focused on has been calories and energy, and are you going overweight or not. UN: Correct SG: So what are those foods that are both good for the brain and can actually get to the brain. UN: What I think is good, and I think what is helpful for people, especially in the U.S., is that most people are consuming the standard American diet which, as you know, is called sad for a reason. So any time that we can add those lipid grains and those actual whole foods onto our plate, you know, and think about it that way and step away a little bit from those processed fast foods the healthier we are going to become as a country and I think that that is because processed, ultra-processed foods are engineered, as you know, to trick our brain. So we eat more, we can't stop ourselves. SG: Yeah, maybe I'm being audacious here in doing a podcast about how to achieve a most optimally nourished brain. As you correctly point out, we have a lot of work to do as a country to just stop doing the bad things, maybe even before we can, uh, really, really focus on the good things. But the idea that food itself can be medicine and that can be quantified, maybe even to the point, for someone like you, prescribed. Are we to the point, with what we know, data-wise that food can be thought of prescriptive, like we think of medicine? UN: So I can't yet say to you, you need to eat ten blueberries over this amount of time to improve your mood. But what we do know from pretty large population-based studies that if you were consuming extra-dark natural chocolate, that it improved depression by 70% in over 12,000 participants. We know and it was in the candy bars it was extra dark natural chocolate, which contains serotonin, magnesium, um, some fiber. So we're not at a point where I can say this number of blueberries in order to improve your mood, but we are definitely emerging and growing in the scientific evidence to be able to say you can construct a nutritional psychiatry plate for your mood. You can lean into those leafy green vegetable, 3-5 cups a day. Um, things like arugula, spinach all contain folate. A low folate is associated with low mood. So, we can give people guidance around it and really have them understanding that food is moving in that direction. SG: Now before we hear more food recommendations, I want to note something that's, I think, really important here. the term "brain food." That gets thrown around a lot. But, true brain food meaning any food that actually impacts the function of the brain has to do something really important. Its got to get past the blood-brain barrier. Now, I don't want to get to wonky or technical, but I think it's important for you to understand this point. Think of the blood-brain barrier as sort of a body guard for the brain. This barrier prevents the entry of toxins and pathogens and other molecules that could be harmful to the brain.