Abanobi Amarachi N, Itacy Sarah, Coleman Chad M, Harlow Bernard L
Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA.
J Am Coll Health. 2025 Jan;73(1):399-405. doi: 10.1080/07448481.2023.2225616. Epub 2023 Jul 18.
Explore associations between eating disorders (EDs) and sleep duration and the impact of depression symptoms (DSs) in American college students.
College students from 2018 to 2019 Healthy Minds Study.
Multivariate logistic regression evaluated associations between EDs (bulimia, anorexia, binge eating [BED]) and sleep duration. Stratified analyses assessed effect modification by DSs and gender.
Students reporting any eating disorder had no greater risk of not recommended sleep duration during weekdays compared to those with no eating disorder history (Adjusted OR = 0.99, 95% CI: 0.89-1.13). However, subjects reporting BED were at greater risk of deficient sleep during weekends compared to those with no EDs (Adjusted OR = 1.26, 95% CI: 1.01-1.58). This association was not impacted by DSs. However, all EDs were associated with not-recommended sleep duration among those who identified as other gender identity in comparison to those with no EDs.
Health educators should monitor academic performance in students with EDs for adequate sleep duration.
探究美国大学生饮食失调（EDs）与睡眠时间之间的关联以及抑郁症状（DSs）的影响。
来自2018年至2019年健康心灵研究的大学生。
多变量逻辑回归评估了饮食失调（暴食症、厌食症、暴饮暴食[BED]）与睡眠时间之间的关联。分层分析评估了抑郁症状和性别的效应修正。
与没有饮食失调病史的学生相比，报告有任何饮食失调的学生在工作日期间睡眠时间不被推荐的风险并没有更高（调整后的比值比=0.99，95%置信区间：0.89-1.13）。然而，与没有饮食失调的学生相比，报告有暴饮暴食的学生在周末睡眠不足的风险更高（调整后的比值比=1.26，95%置信区间：1.01-1.58）。这种关联不受抑郁症状的影响。然而，与没有饮食失调的学生相比，所有饮食失调在那些认同为其他性别身份的学生中都与不被推荐的睡眠时间有关。
健康教育工作者应该监测有饮食失调的学生的学业表现，以确保有足够的睡眠时间。
