睡眠是最好的良药：评估睡眠、饮食紊乱和与体重相关的功能。
Sleep is the best medicine: assessing sleep, disordered eating, and weight-related functioning.
机构信息
Division of Geriatrics, Palliative and Primary Care, University of Minnesota Medical School, MMC 741, 420 Delaware Street SE, Minneapolis, MN, 55455, USA.
Department of Psychology, School of Entrepreneurship and Management, University of North Dakota, Grand Forks, ND, USA.
出版信息
Eat Weight Disord. 2023 Nov 22;28(1):98. doi: 10.1007/s40519-023-01610-y.
Sleep quality is linked to disordered eating, obesity, depression, and weight-related functioning. Most research, however, has focused on clinical populations. The current study investigated relationships between sleep quality, disordered eating, and patterns of functioning in a community sample to better understand relationships among modifiable health behaviors. Participants (N = 648) recruited from Amazon Mechanical Turk completed assessments of eating, depression, weight-related functioning, and sleep. Self-reported height and weight were used to calculate body mass index (M = 27.3, SD = 6.9). Participants were on average 37.6 years (SD = 12.3), primarily female (65.4%), and White, not Hispanic (72.7%). Over half of participants endorsed poor sleep quality, and average sleep scores were above the clinical cutoff for poor sleep quality. Sleep scores were significantly positively correlated with disordered eating, depression, and weight-related functioning, even after adjusting for age, body mass index, and sex. Multivariate regression models predicting weight-related functioning and depression showed that both sleep quality and disordered eating independently predicted depression. Sleep quality did not independently predict weight-related functioning; however, disordered eating did. To the best of our knowledge, this is the first study to assess sleep behaviors, disordered eating, and weight-related functioning in a community sample of weight diverse participants. Results indicate that most participants endorsed poor sleep quality, which was associated with disordered eating patterns, including binge eating and poorer weight-related functioning, even after controlling for body mass index, highlighting that this relationship exists across the weight spectrum. These results speak to the importance of health behavior assessment and intervention within nonclinical samples.Level of evidence Level III: evidence obtained from well-designed cohort or case-control analytic studies.
睡眠质量与饮食紊乱、肥胖、抑郁和与体重相关的功能障碍有关。然而，大多数研究都集中在临床人群上。本研究在社区样本中调查了睡眠质量、饮食紊乱和功能模式之间的关系，以更好地理解可改变的健康行为之间的关系。从亚马逊 Mechanical Turk 招募的参与者（N=648）完成了饮食、抑郁、与体重相关的功能和睡眠评估。自我报告的身高和体重用于计算体重指数（M=27.3，SD=6.9）。参与者的平均年龄为 37.6 岁（SD=12.3），主要是女性（65.4%），白人，非西班牙裔（72.7%）。超过一半的参与者表示睡眠质量差，平均睡眠评分高于临床睡眠质量差的标准。睡眠评分与饮食紊乱、抑郁和与体重相关的功能显著正相关，即使在调整了年龄、体重指数和性别后也是如此。预测与体重相关的功能和抑郁的多元回归模型表明，睡眠质量和饮食紊乱都独立地预测了抑郁。睡眠质量不能独立地预测与体重相关的功能；然而，饮食紊乱可以。据我们所知，这是第一项在体重多样化的社区样本中评估睡眠行为、饮食紊乱和与体重相关的功能的研究。结果表明，大多数参与者表示睡眠质量差，这与饮食紊乱模式有关，包括暴食和较差的与体重相关的功能，即使在控制体重指数后，这表明这种关系存在于整个体重谱中。这些结果表明，在非临床样本中进行健康行为评估和干预的重要性。证据水平 III：来源于精心设计的队列或病例对照分析研究的证据。
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