Öz
Amaç: Günümüzde teknolojinin ilerlemesiyle
günlük yaşamı kolaylaştıran faktörlerin artması kişilerin hareketini azaltmıştır.
Bu da kilo alımı ve obeziteye neden olmuştur. Obezite dünyada giderek artan bir
sorundur. Gece yeme bozuklukları; gece yeme sendromu ile uykuyla ilişkili yeme
bozukluğu olarak sınıflandırılır. Çalışmada, gece yeme bozuklukları ile obezite
arasındaki ilişkiyi araştırmayı amaçladık.
Materyal ve Metot: Çalışma Ocak-Mart
2015'te herhangi bir sebepten dolayı Aile Hekimliği Kliniğine müracaat eden ve
uygun kriterleri bulunan 290 katılımcı ile gerçekleştirildi. Dâhil etme
kriterleri; 18 yaş üstü olma, psikolojik veya kronik hastalığı olmama ve anketi
cevaplamayı kabul etme idi. Gece vardiyasında çalışan, fiziksel ve psikolojik
rahatsızlıkları olan ve kronik hastalığı olan katılımcılar çalışmadan dışlandı.
Anketler doktorlar tarafından katılımcılar ile yüz yüze görüşme yöntemiyle
dolduruldu. Sosyo-demografik faktörlere ek olarak, gece yeme bozuklukları
kriterleri sorgulandı ve veriler kaydedildi. Sonrasında katılımcıların boy, kilo
ve bel çevresi ölçüldü. Hastalar beden kitle indekslerine göre 2 gruba
ayrılarak [obez (BKİ ≥30 kg/m2) ve obez değil (BMI <30 kg/m2)]
analiz edildi. p≤ 0,05 anlamlı kabul edildi.
Bulgular: Cinsiyet, eğitim durumu, ekonomik
durum ile gece yeme sendromu arasında herhangi bir ilişki olmamasına rağmen;
yaş ve obezite gece yeme sendromu ile ilişkili bulundu (p<0,001). Yaş,
cinsiyet, eğitim durumu, ekonomik durum ile uyku ile ilişkili yeme bozukluğu arasında
bir ilişki saptanmadı. Obezite, uyku ile ilişkili yeme bozukluğu ile ilişkili bulundu
(p<0,001).
Sonuç: Gece yeme bozuklukları ile obezite
arasında güçlü bir ilişki bulduk. Bu nedenle obez hastalarda gece yeme bozukluklarının
sorgulanmasının tedavi açısından önemli olduğunu düşünmekteyiz.
Anahtar Kelimeler
Beslenme ve yeme bozuklukları obezite yeme davranışı gece yeme bozuklukları
Kaynakça
- 1- World Health Organisation [Internet]. Global Health Observatory data. Available from http://www.who.int/gho/ncd/risk_factors/overweight/en/ [access date 09.06.2017].
- 2- Stunkard AJ, Grace WJ, Wolff HG. The night-eating syndrome: a pattern of food intake among certain obese patients. Am J Med 1955;19(1):78-86.
- 3- Allison KC, Lundgren JD, O’Reardon JP et al. Proposed diagnostic criteria for night eating syndrome. Int J Eat Disord 2010;43(3):241-7.
- 4- Schenck CH, Hurwitz TD, Bundlie SR, Mahowald MW. Sleep-related eating disorders: polysomnographic correlates of a heterogeneous syndrome distinct from daytime eating disorders. Sleep 1991;14(5):419-31.
- 5- Thorpy MJ. The international classification of sleep disorders: diagnostic and coding manual, 2nd ed. Westchester, IL: American Academy of Sleep Medicine; 2005.
- 6- Atasoy N, Saraçlı Ö, Konuk N et al. The reliability and validity of Turkish version of The Night Eating Questionnaire in psychiatric out patient population. Anadolu Psikiyatri Derg 2014;15(3):238-47.
- 7- Marshall HM, Allison KC, O’Reardon JP, Birketvedt G, Stunkard AJ. Night eating syndrome among nonobese persons. Int J Eat Disord 2004;35(2):217-22.
- 8- Meule A, Allison KC, Brähler E, De Zwaan M. The association between night eating and body mass depends on age. Eat Behav 2014;15(4):683-5.
- 9- Root TL, Thornton LM, Lindroos AK et al. Shared and unique genetic and environmental influences on binge eating and night eating: a Swedish twin study. Eat Behav 2010;11(2):92-8.
- 10- Antelmi E, Vinai P, Pizza F et al. Nocturnal eating is part of the clinical spectrum of restless legs syndrome and an underestimated risk factor for increased body mass index. Sleep Med 2014;15(2):168-72.
- 11- Stunkard AJ, Allison KC. Two forms of disordered eating in obesity: binge eating and night eating. Int J Obes Relat Metab Disord 2003;27(1):1-12.
- 12- Gallant A, Drapeau V, Allison K, Tremblay A, Lambert M, O’Loughlin J et al. Night eating behavior and metabolic heath in mothers and fathers enrolled in the QUALITY cohort study. Eat Behav 2014;15(2):186-91.
- 13- Winkelman JW, Herzog DB, Fava M. The prevalence of sleep-related eating disorder in psychiatric and non-psychiatric populations. Psycholog Med 1999;29(6):1461-6.
- 14- Santin J, Mery V, Elso MJ et al. Sleep-related eating disorder: a descriptive study in Chilean patients. Sleep Med 2014;15(2):163-7.
- 15- Aronoff NJ, Geliebter A, Zammit G. Gender and body mass index as related to the night-eating syndrome in obese outpatients. J Acad Nutr Diet 2001;101(1):102-4.
- 16- Romon M, Edme JL, Boulenguez C, Lescroart JL, Frimat P. Circadian variation of diet-induced thermogenesis. Am J Clin Nutr 1993:57(4):476-80.
- 17- Birketvedt GS, Florholmen J, Sundsfjord J et al. Behavioral and neuroendocrine characteristics of the night-eating syndrome. JAMA 1999;282(7):657-63.
Öz
Abstract
Objectives: Today, with the advance of technology, increasing
factors that facilitate daily life have reduced the movement of people, leading
to weight gain and obesity. Obesity is a growing problem in the world. Night
eating disorders, (NED)s were classified as night eating syndrome and sleep
related eating disorder. In the study, we aimed to investigate the relationship
between night eating disorders and obesity.
Materials and
Methods: The study was
performed with 290 participants who have inclusion criteria and applied to
Family Medicine Clinic for any reason between January-March 2015. Inclusion
criteria were being over 18 years of age, having no psychological or chronic
illness and accepting to answer the questionnaire. Participants who worked at
night, had physical and psychological problems and had chronic illness were
excluded from the study. The questionnaires were performed by doctors with
face-to-face interview technique with the participants. In addition to
socio-demographic factors, the criteria for NEDs were investigated and
recorded. After this; the weight (kg), height (cm) and waist circumference (WC;
cm) of all participants were measured. Participants were divided into two
groups, according to BMI [obese (BMI ≥30 kg/m2) and non-obese (BMI <30
kg/m2)] and analyzed. A p value of p≤ 0.05 was considered to be statistically
significant.
Results: Although there was no relation between gender,
education status, economic status and night eating syndrome; age and obesity
were related with night eating syndrome (p<0,001). There was no relation
between age, gender, education status, economic status and sleep related eating
disorder but obesity was related sleep related eating disorder (p<0.001).
Conclusion: We found that, there is a strong relationship
between NEDs and obesity. For this reason, we think that the questioning of NEDs
in obese patients is important for treatment.
Anahtar Kelimeler
Feeding and eating disorders obesity eating behavior night eating disorders
Kaynakça
- 1- World Health Organisation [Internet]. Global Health Observatory data. Available from http://www.who.int/gho/ncd/risk_factors/overweight/en/ [access date 09.06.2017].
- 2- Stunkard AJ, Grace WJ, Wolff HG. The night-eating syndrome: a pattern of food intake among certain obese patients. Am J Med 1955;19(1):78-86.
- 3- Allison KC, Lundgren JD, O’Reardon JP et al. Proposed diagnostic criteria for night eating syndrome. Int J Eat Disord 2010;43(3):241-7.
- 4- Schenck CH, Hurwitz TD, Bundlie SR, Mahowald MW. Sleep-related eating disorders: polysomnographic correlates of a heterogeneous syndrome distinct from daytime eating disorders. Sleep 1991;14(5):419-31.
- 5- Thorpy MJ. The international classification of sleep disorders: diagnostic and coding manual, 2nd ed. Westchester, IL: American Academy of Sleep Medicine; 2005.
- 6- Atasoy N, Saraçlı Ö, Konuk N et al. The reliability and validity of Turkish version of The Night Eating Questionnaire in psychiatric out patient population. Anadolu Psikiyatri Derg 2014;15(3):238-47.
- 7- Marshall HM, Allison KC, O’Reardon JP, Birketvedt G, Stunkard AJ. Night eating syndrome among nonobese persons. Int J Eat Disord 2004;35(2):217-22.
- 8- Meule A, Allison KC, Brähler E, De Zwaan M. The association between night eating and body mass depends on age. Eat Behav 2014;15(4):683-5.
- 9- Root TL, Thornton LM, Lindroos AK et al. Shared and unique genetic and environmental influences on binge eating and night eating: a Swedish twin study. Eat Behav 2010;11(2):92-8.
- 10- Antelmi E, Vinai P, Pizza F et al. Nocturnal eating is part of the clinical spectrum of restless legs syndrome and an underestimated risk factor for increased body mass index. Sleep Med 2014;15(2):168-72.
- 11- Stunkard AJ, Allison KC. Two forms of disordered eating in obesity: binge eating and night eating. Int J Obes Relat Metab Disord 2003;27(1):1-12.
- 12- Gallant A, Drapeau V, Allison K, Tremblay A, Lambert M, O’Loughlin J et al. Night eating behavior and metabolic heath in mothers and fathers enrolled in the QUALITY cohort study. Eat Behav 2014;15(2):186-91.
- 13- Winkelman JW, Herzog DB, Fava M. The prevalence of sleep-related eating disorder in psychiatric and non-psychiatric populations. Psycholog Med 1999;29(6):1461-6.
- 14- Santin J, Mery V, Elso MJ et al. Sleep-related eating disorder: a descriptive study in Chilean patients. Sleep Med 2014;15(2):163-7.
- 15- Aronoff NJ, Geliebter A, Zammit G. Gender and body mass index as related to the night-eating syndrome in obese outpatients. J Acad Nutr Diet 2001;101(1):102-4.
- 16- Romon M, Edme JL, Boulenguez C, Lescroart JL, Frimat P. Circadian variation of diet-induced thermogenesis. Am J Clin Nutr 1993:57(4):476-80.
- 17- Birketvedt GS, Florholmen J, Sundsfjord J et al. Behavioral and neuroendocrine characteristics of the night-eating syndrome. JAMA 1999;282(7):657-63.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırmalar |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Mart 2018 |
| Yayımlandığı Sayı | Yıl 2018 Cilt: 18 Sayı: 1 |