Lundgren Jennifer D, Allison Kelly C, O'Reardon John P, Stunkard Albert J
University of Pennsylvania School of Medicine, 3535 Market Street, Philadelphia, PA 19104, USA.
Eat Behav. 2008 Aug;9(3):343-51. doi: 10.1016/j.eatbeh.2007.12.004. Epub 2008 Jan 12.
The purpose of this study was to characterize the Night Eating Syndrome (NES) and its correlates among non-obese persons with NES, and to compare them to non-obese healthy controls. Nineteen non-obese persons with NES were compared to 22 non-obese controls on seven-day, 24-hour prospective food and sleep diaries, the Eating Disorder Examination and the Structured Clinical Interview for DSM-IV Diagnoses interviews, and measures of disordered eating attitudes and behavior, mood, sleep, stress, and quality of life. Compared to controls, persons with NES reported significantly different circadian distribution of food intake, greater depressed mood, sleep disturbance, disordered eating and body image concerns, perceived stress, decreased quality of life, and more frequent Axis I comorbidity, specifically anxiety, mood, and substance use disorders. These findings are the first to describe the clinical significance of night eating syndrome among non-obese individuals in comparison to a non-obese control group, and they suggest that NES has negative health implications beyond that associated with obesity.
本研究的目的是描述夜食症(NES)及其在非肥胖型夜食症患者中的相关因素,并将其与非肥胖健康对照组进行比较。19名非肥胖型夜食症患者与22名非肥胖对照组在为期七天的24小时前瞻性饮食和睡眠日记、饮食失调检查以及DSM-IV诊断访谈的结构化临床访谈,以及饮食态度和行为、情绪、睡眠、压力和生活质量测量方面进行了比较。与对照组相比,夜食症患者报告了食物摄入的昼夜分布显著不同、情绪低落、睡眠障碍、饮食失调和身体形象问题、感知压力、生活质量下降以及更频繁的轴I共病,特别是焦虑、情绪和物质使用障碍。这些发现首次描述了与非肥胖对照组相比,非肥胖个体中夜食症的临床意义,并且表明夜食症对健康的负面影响超出了与肥胖相关的影响。