Translational Health Research Institute, Western Sydney University, Campbelltown, NSW, 2560, Australia.
Mental Health Services, SWSLHD, Camden and Campbelltown Hospitals, Sydney, Australia.
Eat Weight Disord. 2023 Sep 20;28(1):77. doi: 10.1007/s40519-023-01603-x.
Night eating syndrome (NES) is a unique eating disorder characterised by evening hyperphagia and nocturnal ingestions which cause significant distress and/or impairment in functioning. Despite the growing literature, NES remains poorly understood and under diagnosed. As such, this study aims to compare the prevalence of physical health conditions in participants with NES when compared to participants without an eating disorder (ED) and participants with other eating disorders (including anorexia nervosa (AN), binge eating disorder (BED) and bulimia nervosa (BN)) in a general population Australian sample of adults.
The data for this study were obtained from the 2017 Health Omnibus Survey (HOS) a multi-stage, cross-sectional survey, conducted by Harrison Research in South Australia. This current study focused on 2547 participants over 18 years of age and specific questions from this population survey including those related to participant demographics and health.
This study identified that participants who screened positive for night eating syndrome (spNES) when compared to participants with other eating disorders (ED) or no ED diagnosis, were significantly more likely to have an increased age, be female, have lower levels of education and have lower household income. Additionally, the spNES group was significantly associated with sleep apnoea (p = 0.031), insomnia or other sleep problems (p < 0.0001), increased BMI (p < 0.0001), increased levels of pain/discomfort and lower physical health-related quality of life. Hypertension, hypercholesterolemia, and diabetes were not significantly associated with the spNES group or the "other ED" group which included participants with AN, BED, BN.
Several physical health problems were found to be significantly associated with the spNES group including sleep problems, increased BMI, increased levels of pain and lower self-reported physical health-related quality of life. Consequently, future research exploring the complex interaction between NES and these medical conditions may provide further insight into the diagnosis, screening tools and management of NES. Additionally, this study highlights the need for future studies which use larger population-based samples.
Level III. Evidence obtained from well-designed cohort or case-control analytic studies.
夜间进食综合征（NES）是一种独特的进食障碍，其特征为晚上暴食和夜间摄食，这会导致明显的痛苦和/或功能障碍。尽管相关文献不断增加，但 NES 仍然了解不足且诊断不足。因此，本研究旨在比较患有 NES 的参与者与无进食障碍（ED）的参与者以及患有其他进食障碍（包括神经性厌食症（AN）、暴食障碍（BED）和神经性贪食症（BN））的参与者在澳大利亚一般人群成年样本中的身体健康状况患病率。
本研究的数据来自 2017 年健康综合调查（HOS），这是一项由南澳大利亚哈里森研究公司进行的多阶段、横断面调查。本研究主要关注 2547 名 18 岁以上的参与者，以及该人群调查中的特定问题，包括与参与者人口统计学和健康相关的问题。
本研究发现，与其他进食障碍（ED）或无 ED 诊断的参与者相比，筛查出夜间进食综合征（spNES）的参与者更有可能年龄较大、为女性、教育程度较低、家庭收入较低。此外，spNES 组与睡眠呼吸暂停（p=0.031）、失眠或其他睡眠问题（p<0.0001）、BMI 增加（p<0.0001）、疼痛/不适程度增加和较低的身体健康相关生活质量显著相关。高血压、高胆固醇血症和糖尿病与 spNES 组或包括 AN、BED、BN 在内的“其他 ED”组无显著相关性。
发现一些身体健康问题与 spNES 组显著相关，包括睡眠问题、BMI 增加、疼痛程度增加和自我报告的身体健康相关生活质量较低。因此，未来探索 NES 与这些疾病之间复杂相互作用的研究可能会进一步深入了解 NES 的诊断、筛查工具和管理。此外，本研究强调需要使用更大的基于人群的样本进行未来研究。
三级。来源于设计良好的队列或病例对照分析研究的证据。
