Allison Kelly C, Crow Scott J, Reeves Rebecca R, West Delia Smith, Foreyt John P, Dilillo Vicki G, Wadden Thomas A, Jeffery Robert W, Van Dorsten Brent, Stunkard Albert J
Department of Psychiatry, University of Pennsylvania School of Medicine, 3535 Market Street, Suite 3021, Philadelphia, PA 19104-3309, USA.
Obesity (Silver Spring). 2007 May;15(5):1287-93. doi: 10.1038/oby.2007.150.
To determine the prevalence of binge eating disorder (BED) and night eating syndrome (NES) among applicants to the Look AHEAD (Action for Health in Diabetes) study.
The Eating Disorders Examination-Questionnaire (EDE-Q) and the Night Eating Questionnaire (NEQ) were used to screen patients. Phone interviews were conducted using the EDE for those who reported at least eight episodes of objective binge eating in the past month and using the Night Eating Syndrome History and Interview for those who scored > or =25 on the NEQ. Recruitment at four sites (Birmingham, n = 200; Houston, n = 259; Minneapolis, n = 182; and Philadelphia, n = 204) yielded 845 participants (58% women; mean age = 60.1 +/- 6.7 years; mean BMI = 36.2 +/- 6.3 kg/m(2)).
Screening scores were met by 47 (5.6%) applicants on the EDE-Q and 71 (8.4%) on the NEQ. Of the 85% (40/47) who completed the EDE interview, 12 were diagnosed with BED, representing 1.4% of the total sample. Of the 72% (51/71) who completed the Night Eating Syndrome History and Interview, 32 were diagnosed with NES, equal to 3.8% of the total sample. Three participants had both BED and NES. Participants with eating disorders were younger, heavier, and reported more eating pathology than those without eating disorders.
Among obese adults with type 2 diabetes, NES was reported more frequently than BED, which, in turn, was less common than expected.
确定“展望未来（糖尿病健康行动）”研究的申请者中暴饮暴食症（BED）和夜间进食综合征（NES）的患病率。
采用饮食失调检查问卷（EDE-Q）和夜间进食问卷（NEQ）对患者进行筛查。对过去一个月内报告至少有八次客观暴饮暴食发作的患者，使用EDE进行电话访谈；对NEQ得分≥25分的患者，使用夜间进食综合征病史及访谈进行评估。在四个地点（伯明翰，n = 200；休斯顿，n = 259；明尼阿波利斯，n = 182；费城，n = 204）招募了845名参与者（58%为女性；平均年龄 = 60.1±6.7岁；平均体重指数 = 36.2±6.3kg/m²）。
EDE-Q筛查中，47名（5.6%）申请者达到筛查标准；NEQ筛查中，71名（8.4%）申请者达到筛查标准。在完成EDE访谈的85%（40/47）的患者中，12名被诊断为BED，占总样本的1.4%。在完成夜间进食综合征病史及访谈的72%（51/71）的患者中，32名被诊断为NES，占总样本的3.8%。三名参与者同时患有BED和NES。与无饮食失调的参与者相比，患有饮食失调的参与者更年轻、体重更重，且报告的饮食病理情况更多。
在患有2型糖尿病的肥胖成年人中，NES的报告频率高于BED，而BED的发生率低于预期。
