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Objective: Night eating syndrome (NES) is an eating disorder characterized by evening hyperphagia. Despite having a prevalence comparable to some other eating disorders, NES remains sparsely investigated and poorly characterized. The present study examined the phenotypic and genetic associations for NES in the clinical Mass General Brigham Biobank. Method: Cases of NES were identified through relevant billing codes for eating disorders (F50.89/F50.9) and subsequent chart review; patients likely without NES were set as controls. Other diagnoses were determined from billing codes and collapsed into one of 1,857 distinct phenotypes based on clinical similarity. NES associations with diagnoses were systematically conducted in phenome-wide association scans using logistic regression models with adjustments for age, sex, race, and ethnicity. Polygenic scores for six related traits, namely for anorexia nervosa, depression, insomnia, sleep apnea, obesity, and type 2 diabetes were tested for associations with NES among participants of European ancestry using adjusted logistic regression models. Results: Phenome-wide scans comparing patients with NES against controls (cases n = 88; controls n = 64,539) identified associations with 159 clinical diagnoses spanning 13 broad disease groups including endocrine/metabolic and digestive diseases. Notable associations were evident for bariatric surgery, vitamin D deficiency, sleep disorders (sleep apnea, insomnia, and restless legs syndrome), and attention deficit hyperactivity disorder. The polygenic scores for insomnia and obesity were associated with higher odds of NES (insomnia: odds ratio [OR], 1.24; 95% CI, 1.07, 1.43; obesity: 1.98; 95% CI, 1.71, 2.28). Discussion: Complementary phenome-wide and genetic exploratory analyses provided information on unique and shared features of NES, offering insights that may facilitate its precise definition, diagnosis, and the development of targeted therapeutic interventions. [ABSTRACT FROM AUTHOR]

Background: Night eating syndrome (NES) is included in the Diagnostic and Statistical Manual for Mental Disorders, 5th edition, as an example of "Other Specified Feeding or Eating Disorders" with minimal guidance about how to define and operationalize NES. The literature suggests that research practices vary widely, making it difficult to draw conclusions about the public health burden of, effective interventions for, or policy implications relevant to NES. This Forum article seeks to illustrate the lack of definitional agreement to underscore the need for a consensus about NES diagnostic criteria, and to propose steps toward closing knowledge gaps and achieving consensus. Method: We searched PubMed and PsycINFO titles and abstracts, using "NES" as the search term, for research articles published in English between January 1, 2013 to August 12, 2024 with sample sizes of NES > 10 and ages 18 or older. Eligible articles were coded for NES definitions and assessment method used to diagnose participants with NES and for information about comorbidity of NES and any other eating disorder (ED). Results: Seventy‐three articles met inclusion criteria. Most commonly, NES was diagnosed using a diagnostic criteria set (35/73) or a symptom score threshold (34/73); among the former, only eight studies employed DSM‐5 NES criteria. Thirteen studies, varying widely in methodology, examined comorbidity with other EDs, most commonly binge‐eating disorder where comorbidity was high. Conclusion: Heterogeneity of definitions and assessment impede progress in the study of NES. We propose strategies for developing a consensus definition and addressing research gaps. [ABSTRACT FROM AUTHOR]

To evaluate the relationship between polycystic ovary syndrome (PCOS), night eating syndrome (NES), and sleep problems in the adolescent population. PCOS patients (n = 43) and healthy controls (n = 62) aged between 15 and 19 years were recruited from the clinics of Adolescent Medicine and Adolescent Gynecology. The Night Eating Questionnaire (NEQ), Pittsburg Sleep Quality Index (PSQI), and Pediatric Sleep Questionnaire-Short Form (PSQ-SF) were completed by the participants. The PSQI (P =.175), PSQ-SF (P =.320), and NEQ (P =.493) scores were not statistically different between the PCOS and control groups. The NEQ scores were positively correlated with illness duration (r = 0.348, P =.024) in the PCOS group. There was no significant correlation between the NEQ scores and body mass index Z-score, total testosterone and dehydroepiandrosterone sulfate levels, or modified Ferriman–Gallwey Score. The NEQ scores were positively correlated with both the PSQI (r = 0.532, P <.001) and PSQ-SF scores (r = 0.204, P =.037) in the PCOS group. The ratio of adolescents at risk for NES (having an NEQ score ≥25) did not differ significantly between the PCOS and control groups (P =.601). Adolescents with PCOS have NES scores similar to those of healthy controls. This result may change as the duration of exposure to the disease increases. When screening adolescents with PCOS for eating, psychiatric, and sleep problems, they should also be screened for NES due to the high comorbidity rates and symptom overlap of these health conditions. [ABSTRACT FROM AUTHOR]

Night Eating Syndrome (NES) is a prevalent eating disorder that significantly impacts individuals' quality of life and well-being. However, most NES research has focused on adolescent populations, leaving a significant gap in our understanding of its prevalence and predictors among adults, particularly in the MENA region. This study, therefore, presents a novel contribution by filling this gap and determining the prevalence of NES and its predictors among adults in Abha, Saudi Arabia. A descriptive correctional design was conducted on 714 adults randomly recruited from primary healthcare centers (PHCCs). A self-administered questionnaire, which comprised a demographic and lifestyle data sheet and the Arabic version of the NES questionnaire, was used for data collection. 13.3 % of the participants reported having full syndrome of NES, with 16.1 % of males and 22.5 % of females reporting high NES awareness. Meanwhile, 14.4 % of the participants were non-emotional eaters. This finding is significant as it sheds light on the high prevalence of NES among Saudi adults. Significant differences were observed between NES and higher education, sleeping patterns, smoking habits, dietary type, and exercise routines, with an OR of 1.422, 40.78, 6.14, 66.70, and 4.47, respectively, and a p -value of <0.001. NES was a common eating disorder among Saudi adults. Higher education, inadequate sleep, smoking, unhealthy diet, and lack of exercise were the most significant predictors of NES. These findings underline the importance of addressing these factors in preventing and managing NES. Social media campaigns, awareness campaigns, and cognitive behavioral and mindfulness therapies could effectively address NES. However, further research is necessary to identify underlying causes and assess their association with comorbidities, providing a clear direction for future studies. • NES was a prevalent eating disorder among Saudi adults. • Higher education, inadequate sleep, smoking, unhealthy diet, and lack of exercise were significant predictors of NES. • Social media campaigns, and cognitive behavioral and mindfulness therapies could effectively address NES. • Further research is needed to identify underlying causes and assess the association between NES and comorbidities. [ABSTRACT FROM AUTHOR]

This commentary critically examines the article by Rodríguez-Cortés et al. on the links between circadian preferences, eating disorders, and obesity in pediatric populations, emphasizing the association between evening chronotypes and disordered eating behaviors. Key findings highlight the increased prevalence of food addiction (FA) and night eating syndrome (NES) among evening-oriented children and adolescents, though the article's reliance on studies with adult samples limits the generalizability of its conclusions. Additionally, the ambiguous classification of FA and NES within broader eating disorder frameworks necessitates further investigation to delineate these behaviors from traditional disorders such as anorexia and bulimia nervosa. This commentary advocates for future research focusing on pediatric populations to explore the intersection of circadian misalignment with emotional regulation and environmental factors, aiming to develop tailored preventative strategies that incorporate chronobiological and lifestyle modifications. [ABSTRACT FROM AUTHOR]

Diabetes is a chronic condition that requires constant blood glucose self-monitoring. The carbohydrate metabolism compensation is usually assessed by the level of glycated hemoglobin. But it does not always help reveal the true cause of poor glycemic control. The devices for continuous glucose monitoring allows to assess blood glucose level in real time and find unusual causes of hyper- and hypoglycemia. Achieving target glycemic levels is influen­ced by many factors: age of patients, duration of diabetes, eating habits and eating disorders, level of education, patient’s understan­ding of the diabetes course. One of the reasons for not reaching the target levels of glycemia can be hyperphagic eating disorders, such as night eating syndrome. According to the American Psychiatric Association classification, night eating syndrome belongs to the category of “Other specified eating disorders”. Diagnostic criteria in this syndrome include consumption of > 25 % of food from the daily diet after dinner or at least 2 cases per week of food consumption at night; awareness of these episodes; and at least 3 of the following: morning anorexia, uncontrollable desire to eat between dinner and sleep or at night, conviction that eating will help you fall asleep or return to sleep, insomnia and/or bad mood in the morning. The prevalence of night eating syndrome in the general population is 1.1 %, and in those who refer to metabolic surgery specialists, it is 2–20 %. The presence of night eating syndrome in diabetes adversely affects metabolic control and complicates the management of these patients, in particular, they have higher levels of HbA1c, blood pressure and body mass index compared to individuals without such eating disorder. In this case report, we describe a patient with poor glycemic control who used continuous glucose monitor and was diagnosed with night eating syndrome that helped change management and achieve normoglycemia in the evening and nighttime.

Introduction: This study aimed to determine eating mindfulness (EM), night eating syndrome (NES), and sleep quality in adult subjects presenting to a psychiatric outpatient clinic and to evaluate possible differences according to diagnoses and clinical variables. Methods: This study included 381 outpatients. Sociodemographic data were collected, the Night Eating Questionnaire (NEQ), Pittsburgh Sleep Quality Index (PSQI), and the Mindful Eating Questionnaire (MEQ) were completed, and body mass index was measured. Results: The median PSQI score was 3.0 (0.0-7.0), the median NEQ total score was 4.0 (0.0-14.0), and the median MEQ total score was 76.0 (59.0-95.0). Sixteen percent of the participants met the NES criteria. The patient group with the poorest sleep quality was the group with alcohol/substance use disorder and atypical psychosis. The patient groups with the lowest EM were those with schizophrenia, impulse control disorder, attention deficit disorder, and hyperactivity disorder. The highest NEQ score was found in individuals diagnosed with alcohol/substance use disorder. As the NEQ scores increased, so did the PSQI. A significant negative correlation was found between NEQ and MEQ total, disinhibition, emotional eating, eating control, and focus. The PSQI (β=1.169, p

The study by Dang and colleagues in this issue is a timely reminder of the need for careful consideration when it comes to the inclusion of putative new diagnoses in the diagnostic and statistical manual of mental disorders (DSM). The authors conclude that findings from their systematic review and meta‐analysis of recent literature bearing on the DSM‐5 other specified feeding and eating disorders (OSFED) category "support the conceptualization of atypical AN, PD and NES as clinically significant EDs with similar severity to full‐threshold EDs." This commentary attempts to provide some additional context, historical context in particular, that the author believes may be helpful when considering the potential implications of Dang and colleagues' findings. This is achieved through reference to the construct, well‐known in the sociology and feminist literature, of medicalization and by highlighting certain issues relevant to the determination of "clinical significance." I hope that readers approaching Dang and colleagues' research from the currently dominant, medical‐model perspective might be persuaded of the importance of considering alternative perspectives when interpreting findings from research of this kind. [ABSTRACT FROM AUTHOR]

Objective: To compare all other specified feeding or eating disorders (OSFED) groups (atypical anorexia nervosa [AN], purging disorder [PD], night eating syndrome [NES], subthreshold bulimia nervosa [sub‐BN], and subthreshold binge‐eating disorder [sub‐BED]) to threshold eating disorders (EDs [AN, BN, and BED]) and control groups (CGs) on measures of eating and general psychopathology. Method: We conducted a comprehensive search in PsycINFO, Medline, Embase, and CINAHL on all published studies from January 2013 to February 2024 using DSM‐5 diagnostic criteria via clinical interviews or well‐established diagnostic tools. We also undertook a quality appraisal using an adapted version of the Downs and Black criteria and registered the review with PROSPERO (ID: CRD42022314495). Results: Overall, our meta‐analyses (n = 33 eligible studies) indicated that the combined OSFED and several specific OSFED subtypes displayed comparable levels of eating psychopathology to full‐threshold EDs. Our systematic review (n = 33 eligible studies) found individuals with OSFED to have comparable levels of eating and general psychopathology to full‐threshold EDs, but higher levels of eating and general psychopathology than CGs. These findings were specifically attributed to atypical AN and NES. There was a lack of evidence available for sub‐BN and sub‐BED. Studies mainly met the quality appraisal criteria. The main limitations identified in the included studies were insufficient reporting of their statistical power (78%) and no adjusting for potential confounding factors (67%). Discussion: Findings support the conceptualization of atypical AN, and NES as clinically significant EDs with similar severity to full‐threshold EDs. [ABSTRACT FROM AUTHOR]

This Commentary discusses the findings of Dang et al.'s systematic review and metanalysis on the "Other Specified Feeding or Eating Disorder" (OSFED) category in the context of current conceptualizations and main international diagnostic schemes of classification, the DSM‐5 and the ICD‐11. The aim to reduce less specified eating disorder categories in these classifications has not been completely achieved and OSFED cases remain prevalent. Different definitions of OSFED contribute to difficulties in study selection and limitation of data aggregation in metanalysis, highlighting the need for improving methodologies for studying OSFED subtypes. Although use of either the DSM‐5 or ICD‐11 scheme concurs with Dang et al.'s main finding that OSFED comprises categories of similar clinical significance to the recognized eating disorders, the ICD‐11 includes more people with anorexia nervosa, bulimia nervosa, or binge‐eating disorder who would receive a DSM‐5 OSFED diagnosis. This may have impacts for epidemiological studies of distribution as well as for identification and treatment of the individual. We support that before creating new eating disorder categories, consideration be given to also broadening current DSM‐5 criteria. This approach may result in fewer OSFED subtypes needing elevation to distinct categories, potentially limiting these to just purging disorder and night eating syndrome. [ABSTRACT FROM AUTHOR]

Dang et al.'s review concludes that atypical anorexia nervosa (atypical AN), purging disorder (PD), and night eating syndrome (NES) are clinically significant and severe eating disorders (EDs). However, findings are unlikely to alter their status in future editions of the DSM due to limitations in the literature to date. Guidelines are offered to promote rigorous and reproducible research on other specified feeding or eating disorder OSFED. First, published research diagnostic criteria for atypical AN, PD, and NES should be consistently used to ensure findings across studies reflect the same conditions. Second, operational definitions are recommended for "recurrent" as at least twice within a 3‐month period, minimum duration as at least 1 month, and "significant weight loss" as >5% BMI reduction within 1 month. Third, Thomas's and Gydus's trumping scheme for differential diagnosis of OSFED subcategories is endorsed but should prioritize identifying treatment targets based on medical morbidity over mirroring existing diagnostic algorithms. Fourth, a systematic approach for establishing clinical significance is recommended that explicitly notes medical risk associated with malnutrition, purging and nonpurging behaviors, and relevance of marked distress related to binge eating and body image disturbance. Adoption of these guidelines will facilitate necessary research on clinical utility. [ABSTRACT FROM AUTHOR]

Objective: Night eating syndrome (NES) has been associated with psychological issues and academic performance among university students in several countries, yet research on NES in Bangladesh remains limited. Therefore, the purpose of the study was to examine the prevalence and factors associated with NES among university students in the country. Methods: This cross‐sectional study included 500 students from five public universities in Bangladesh. A validated 14‐item night eating questionnaire was used to assess NES as the outcome variable. Demographic factors, depressive symptoms measured via the Patient Health Questionnaire (PHQ‐9), and internet addiction levels measured via Orman's Internet Addiction Survey (OIAS) were explored as predictor variables. A multiple binary logistic regression model was fitted to identify the correlation of NES and its associated factors, with results presented as adjusted odds ratio (AOR) and level of significance set at p values < 0.05. Results: The prevalence of NES among participants was 16.6% (mean age = 21.6 years, 53.6% male). Adjusted binary logistic regression revealed that male participants (AOR = 2.03, 95% CI = 1.09–3.74, p = 0.024), smoking (AOR = 1.92, 95% CI = 1.02–4.44, p = 0.044), depressive symptoms (AOR = 2.17, 95% CI = 1.26–3.72, p = 0.005), and severe internet addiction (AOR = 2.69, 95% CI = 1.28–5.62, p = 0.009) were significantly associated with increased odds of experiencing NES. Conclusions: These findings underscore the need for heightened healthy eating awareness programs along with targeted mental health interventions with students attending Bangladeshi universities. Further research that explores longitudinal patterns of NES and the risk factors addressed in this study is warranted to better understand and inform the development of future interventions to benefit the Bangladeshi university student population. [ABSTRACT FROM AUTHOR]

Background/Objectives: Irregular lifestyles, such as sleep deprivation and disordered eating, disrupt the circadian clock and are linked to health issues. This study investigates the relationship among chronotypes, social jet lag, night-snacking habits, and screen time in toddlers. Methods: A survey of 6177 mothers of children aged 3–8 years was conducted in June 2022. Means comparison and multiple regression analyses were used to analyze the data. Results: Toddlers who consumed night snacks were more likely to be evening types and experienced longer social jet lag. Longer screen time during night snacking correlated with evening-type tendencies. Juice and ice cream were identified as evening-type snacks. Conclusions: We suggest that stopping snacks after dinner is crucial to prevent evening-type eating. Especially, high-sugar and high-fat night snacks like juice and ice cream may contribute to nocturnal habits and disrupt circadian rhythms in children. [ABSTRACT FROM AUTHOR]

Purpose: Esports players' training takes long periods and they sit for a long time during competitions, which increases their risk of obesity and urges them to develop inappropriate eating behaviors. In this study, we aimed to investigate the night-eating syndrome and food addiction in esports players. Methods: This cross-sectional study was conducted with 248 esports players who were members of a university's esports community. The study data were collected using an online questionnaire consisting of the descriptive information form, Night Eating Questionnaire, and Yale Food Addiction Scale. Results: The mean age of the sports players participating in the study was 22.19 ± 5.97 years. Of them, 55.6% had a normal body weight, 13.4% were obese, 54.4% played esports for 3 years or more, 13.3% experienced night eating syndrome, and 21.4% experienced food addiction. While the weekly duration of playing esports and skipping meals were associated with night eating syndrome, the weekly duration of playing esports and smoking were associated with food addiction (p < 0.05). Additionally, although there was no statistically significant difference, the risk of food addiction was 2.12 times higher in those with poor perceived sleep quality. Conclusion: We observed that night eating syndrome was very common in esports players and that these individuals were at risk in terms of food addiction. Since esports has a more sedentary structure than traditional sports, we suggest that esports players should be evaluated in terms of their unhealthy eating behaviors and risk of eating disorders. [ABSTRACT FROM AUTHOR]

Copyright of Balikesir Health Sciences Journal / Balıkesir Sağlık Bilimleri Dergisi is the property of Balikesir Health Sciences Journal (BAUN Health Sci J) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: This study aimed to determine eating mindfulness (EM), night eating syndrome (NES), and sleep quality in adult subjects presenting to a psychiatric outpatient clinic and to evaluate possible differences according to diagnoses and clinical variables. Methods: This study included 381 outpatients. Sociodemographic data were collected, the Night Eating Questionnaire (NEQ), Pittsburgh Sleep Quality Index (PSQI), and the Mindful Eating Questionnaire (MEQ) were completed, and body mass index was measured. Results: The median PSQI score was 3.0 (0.0-7.0), the median NEQ total score was 4.0 (0.0-14.0), and the median MEQ total score was 76.0 (59.0-95.0). Sixteen percent of the participants met the NES criteria. The patient group with the poorest sleep quality was the group with alcohol/substance use disorder and atypical psychosis. The patient groups with the lowest EM were those with schizophrenia, impulse control disorder, attention deficit disorder, and hyperactivity disorder. The highest NEQ score was found in individuals diagnosed with alcohol/substance use disorder. As the NEQ scores increased, so did the PSQI. A significant negative correlation was found between NEQ and MEQ total, disinhibition, emotional eating, eating control, and focus. The PSQI (β=1.169, p<0.001) and the eating control subdimension (β=-0.425, p=0.003) predicted the NEQ scale. Conclusion: NES should not be underestimated in psychiatric outpatient clinics. EM, NES, and sleep quality are closely related. Regarding patients' eating attitudes, sleep problems in psychiatric disorders should also be considered. The eating habits and attitudes of these patients must be carefully examined, and appropriate individuals must be targeted for mindfulness training. [ABSTRACT FROM AUTHOR]

Abstract Background Night eating syndrome (NES) is an eating disorder in which at least one-third of one’s daily caloric intake is consumed after the last meal of the day or throughout the nocturnal evening on at least two consecutive occasions each week. In the literature, the prevalence of NES among university students ranged from 4.2 to 15%. Aim The purpose of this study was to find out how common NES is among Palestinian university students, as well as the association between NES, sleep quality, BMI, socioeconomic factors, and lifestyle factors. Methods Students from An-Najah National University completed an online questionnaire. The Pittsburgh Sleep Quality Index (PSQI) and the Eating Questionnaire (NEQ) were employed. Results A total of 333 participants took part in the study. The average age of the participants was 21.66 years (range: 16 to 33). The presence of NES was identified in 82.6% of the study subjects. There was no evidence of a link between NES and BMI, sociodemographic variables, or lifestyle factors. Higher scores on subjective sleep quality (p

Night Eating Syndrome (NES) is a distinct eating disorder characterized by recurrent episodes of night eating, either through excessive food consumption after the evening meal or eating after awakening from sleep. Despite its recognition, there remains a dearth of research on NES, limiting our understanding of its etiology, prevalence, diagnosis, and treatment. This paper conducts a narrative review spanning a wide spectrum of studies focusing on the etiology, assessment, and clinical treatment strategies of NES. This review traces the historical evolution of NES definitions, distinguishes NES from obesity-related eating behaviors and other eating disorders, explores the psychological determinants of NES, and discusses existing therapeutic options. This review highlights the complex etiology of NES, influenced by circadian rhythms, hormonal changes, psychological distress, and personality traits. It emphasizes the need for reliable assessment tools and a holistic approach to treatment, considering the high comorbidity of NES with other psychiatric and medical conditions. Current treatment options, such as cognitive behavioral therapy and pharmacotherapy, show promise but require further research for refinement. NES remains underdiagnosed and undertreated, with challenges including unclear diagnostic criteria, comorbidities, and lack of evidence-based treatments. Future research should focus on developing reliable assessment tools, exploring etiology, comparing treatment approaches, and considering prevention strategies, utilizing diverse and representative samples to advance our understanding and improve clinical care.

Objective: Tobacco use is elevated among individuals with eating disorders (EDs). Yet, further research is needed to understand associations between cigarette and e-cigarette use patterns and ED symptomatology. To gain a more comprehensive understanding of tobacco use and EDs, this study characterized ED symptomatology and tobacco use patterns, including exclusive cigarette use, e-cigarette use, dual use, and nonuse. Method: Young adults aged 18-24 years who self-reported exclusive cigarette, e-cigarette, dual, or nonuse (N = 2500) were recruited via Lucid, an online survey management company. Participants completed questionnaires assessing body dissatisfaction, global ED psychopathology, binge eating and self-induced vomiting frequency, and demographics. ED diagnostic groups included: anorexia nervosa (AN), bulimia spectrum eating disorders (BSED), atypical AN, and night eating syndrome (NES). Results: Multinomial logistic models revealed those with AN were more likely to be dual users, those with atypical AN were more likely to be exclusive e-cigarette users, and participants with a BSED or NES were more likely to be exclusive e-cigarette or dual users, compared to those without an ED. General linear models suggested body dissatisfaction and global ED psychopathology were higher among exclusive e-cigarette and dual users, while binge eating and self-induced vomiting frequencies were greater among all tobacco use groups compared to nonusers. Discussion: Our findings suggest young adults with ED symptomatology were more likely to be users of e-cigarettes exclusively or dual users. It will be necessary to examine how these associations manifest using longitudinal and clinical populations in future research. [ABSTRACT FROM AUTHOR]

Copyright of Osmangazi Journal of Medicine / Osmangazi Tip Dergisi is the property of Eskisehir Osmangazi University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Diabetes is a chronic condition that requires constant blood glucose self-monitoring. The carbohydrate metabolism compensation is usually assessed by the level of glycated hemoglobin. But it does not always help reveal the true cause of poor glycemic control. The devices for continuous glucose monitoring allows to assess blood glucose level in real time and find unusual causes of hyperand hypoglycemia. Achieving target glycemic levels is influenced by many factors: age of patients, duration of diabetes, eating habits and eating disorders, level of education, patient’s understanding of the diabetes course. One of the reasons for not reaching the target levels of glycemia can be hyperphagic eating disorders, such as night eating syndrome. According to the American Psychiatric Association classification, night eating syndrome belongs to the category of “Other specified eating disorders”. Diagnostic criteria in this syndrome include consumption of > 25 % of food from the daily diet after dinner or at least 2 cases per week of food consumption at night; awareness of these episodes; and at least 3 of the following: morning anorexia, uncontrollable desire to eat between dinner and sleep or at night, conviction that eating will help you fall asleep or return to sleep, insomnia and/or bad mood in the morning. The prevalence of night eating syndrome in the general population is 1.1 %, and in those who refer to metabolic surgery specialists, it is 2–20 %. The presence of night eating syndrome in diabetes adversely affects metabolic control and complicates the management of these patients, in particular, they have higher levels of HbA1c, blood pressure and body mass index compared to individuals without such eating disorder. In this case report, we describe a patient with poor glycemic control who used continuous glucose monitor and was diagnosed with night eating syndrome that helped change management and achieve normoglycemia in the evening and nighttime. [ABSTRACT FROM AUTHOR]

Sleep-related eating disorder (SRED) is a non-REM parasomnia with potentially significant negative effects on general health (dangerous activities during night eating episodes, obesity, or metabolic syndrome, for example). Although the history of SRED encompasses more than six decades, public awareness and even the awareness of the mental health specialists of this disorder is very limited, a phenomenon that hinders the development of research in this field. Therefore, a systematic review based on PRISMA 2020 guidelines explored the available evidence for SRED found in four electronic databases (PubMed, Cochrane Collaboration, Google Scholar, and Clarivate/Web of Science). A number of 94 primary and secondary reports were retrieved, investigating aspects regarding the risk factors, epidemiology, clinical data and differential diagnosis, epidemiology, structured evaluation, and treatment of SRED. Based on the results of these reports, Z-drugs, but also certain benzodiazepines, antidepressants, antipsychotics, and psychostimulants may trigger the onset of SRED. Psychiatric and neurologic disorders have also been associated with SRED, either as risk factors or comorbid conditions. Cerebral glucose metabolism dysfunctions, neurotransmitter dysfunctions, and genetic factors have been invoked as pathogenetic contributors. Structured assessment of SRED is possible, but there is a dearth of instruments dedicated to this purpose. Data on the prevalence and treatment of SRED exist, but good-quality epidemiological studies and clinical trials are still missing. In conclusion, future research is expected to address the shortcomings of SRED exploration by creating the conditions for better quality and larger group clinical research. The need for such investigation is granted by the importance of this pathology and its negative functional consequences. [ABSTRACT FROM AUTHOR]

Polycystic ovary syndrome (PCOS) was the most prevalent endocrine disorder among women. Weight issues were commonly observed and found to be associated with comorbidities. This study aimed to compare Eating Disorder Examination Questionnaire (EDE-Q) scores and Night Eating Questionnaire (NEQ) scores in patients with and without PCOS and analyze the factors associated with disordered eating. Women aged 18–25 years with and without PCOS (n = 110 for each group) were included in the study. All patients completed the EDE-Q, NEQ, Beck Anxiety, and Beck Depression inventories. Disordered eating was found more frequently in women with PCOS than in controls (25.5% vs. 2.7%, p < 0.001). There were no significant differences in NEQ scores between the two groups. Anxiety and depression scores were higher in patients with PCOS than in controls (p = 0.002 and p = 0.001, respectively). PCOS diagnosis (OR: 7.4, CI: [1.63–33.7]; p = 0.010) and high BMI (OR: 1.24, CI: [1.10–1.39]; p < 0.001) were found to be independent factors for disordered eating (EDE-Q global score ≥ 4). Disordered eating was more common in young women with PCOS compared to the control group. PCOS diagnosis and having a high BMI (> 25) were found to be independent factors related to disordered eating in young women with PCOS. Young women with a high BMI or PCOS appear to be at a higher risk of disordered eating than women of the same age. Scanning this group may help clinicians in identifying women at high risk for eating disorders and preventing comorbidities associated with them. [ABSTRACT FROM AUTHOR]

Introduction: Management of obesity is challenging for both patients and healthcare workers. Considering the low success rate of current interventions, this study aimed to explore the prevalence and associated factors of night eating syndrome (NES), insomnia, and psychological distress among individuals with obesity in order to plan comprehensive obesity management interventions. Methods: A cross-sectional study on a convenient sample from five primary healthcare centers in Port Said, Egypt, was conducted from November 2020 to March 2021. Sociodemographic and clinical characteristics were collected in addition to the assessment of NES, insomnia, and psychological distress using the Arabic versions of the Night Eating Diagnostic Questionnaire (NEQ), the Insomnia Severity Index (ISI), and the Patient Health Questionnaire-4 (PHQ-4) scales, respectively. Associations of NES, insomnia, and psychological distress were assessed by multiple regression analysis. We performed Bonferroni adjustments for multiple comparisons. Results: We included 425 participants with obesity with a mean age of 45.52 ± 6.96 years. In all, 54.4% were females and the mean body mass index (BMI) was 35.20 ± 4.41 kg/m2. The prevalence rates of NES, insomnia, and psychological distress were 21.6% (95% CI: 17.7–25.6%), 15.3% (95% CI: 11.9–18.7%), and 18.8% (95% CI: 15.1–22.6%), respectively. NES was significantly associated with younger age (OR 0.974, p = 0.016), physical inactivity (OR 0.485, p = 0.010), insomnia (OR 2.227, p = 0.014), and psychological distress (OR 2.503, p = 0.002). Insomnia showed strong associations with NES (OR 2.255, p = 0.015) and psychological distress (OR 5.990, p < 0.001). Associated factors of psychological distress symptoms included insomnia (OR 6.098, p < 0.001) and NES (OR 2.463, p = 0.003). Conclusion: The prevalence rates of NES, insomnia, and psychological distress were high among primary care patients with obesity, and these conditions were interrelated. Optimal obesity management necessitates individualized and targeted multidisciplinary care plans that take into consideration individual patients' mental, behavioral, and dietary habits needs. Plain Language Summary: Despite the increasing interest in combating obesity, its prevalence is increasing worldwide. The success of available management modalities for obesity is often complicated by mental health, eating, and sleeping disorders. Night eating syndrome is a unique eating disorder characterized by excessive calorie intake at night that exceeds one-quarter of the total daily calorie consumption. We conducted a study on 425 individuals with obesity from five healthcare centers in Port Said, Egypt to evaluate the extent and associated factors of night eating syndrome, insomnia, and psychological distress among people with obesity. We found that around one in five individuals with obesity suffered from night eating syndrome or psychological distress, and one in six individuals with obesity had symptoms of insomnia. Notably, night eating syndrome, insomnia, and psychological distress were interrelated. Moreover, fatty liver occurred more frequently in patients with obesity who had night eating syndrome or insomnia highlighting the importance of maintaining circadian rhythms in metabolic disorders. Based on our findings, we recommend that family physicians should routinely assess dietary habits, sleeping disorders, and mental health conditions in people with obesity to enhance the success rate of obesity management in primary care. [ABSTRACT FROM AUTHOR]

Sara Haneef, Sarah Almuammar Department of Family Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaCorrespondence: Sarah Almuammar, Email salmuammar@kau.edu.saBackground: Medical students often experience elevated stress levels and disrupted sleep patterns, increasing the risk of developing Night Eating Syndrome (NES). Depression is prevalent among medical students, further emphasizing the need for investigation. This study aims to explore the occurrence of NES and its associated factors, primarily focusing on depression, among medical students at a university in Jeddah, Saudi Arabia.Methods: In this cross-sectional study involving medical students, participants completed a self-administered questionnaire covering sociodemographic details, the Night Eating Syndrome Questionnaire (NEQ) with 14 items, and the Patient Health Questionnaire-2 (PHQ-2) for depression screening.Results: The study involved 300 medical students, reflecting a diverse sample with an average age of 21.4 ± 1.9 years and a well-balanced distribution across academic years. Notably, 41 participants (13.7%) were identified as obese. Depression, as determined by PHQ-2 scores exceeding 3, was prevalent in 159 students (53.0%). A multivariable logistic regression analysis uncovered a significant independent association, revealing that being a second-year medical student was linked to depressive health conditions (odds ratio [OR]: 3.53, 95% confidence interval [CI]: 1.24– 10.10, p = 0.02). Exploring NES, 22 students (7.3%) scored above the NEQ threshold of 25, indicating its presence. Intriguingly, multivariable logistic regression illustrated that the sole independent factor associated with NES was the presence of depression (OR: 4.4, CI: 1.4– 13.2, p = 0.01).Conclusion: The overall prevalence of NES was 7.3%, and it was found to be associated with depression in medical students. Additionally, being a second-year medical student was independently associated with depression. These findings underscore the importance of addressing mental health issues, including NES and depression, in medical students, particularly during the early stages of their training.Keywords: night eating syndrome, depression, medical students, cross-sectional study, Saudi Arabia

Abstract Background The relationship between adolescent obesity and eating disorders is an issue that needs urgent attention. Screening for eating disorders is as important as dietary interventions to treat obesity. This study aimed to determine the relationship between hedonic hunger, food addiction, and night eating syndrome, which are considered potential risk factors for obesity, and body mass index (BMI) in adolescents. Methods The data were collected through an online questionnaire. The “Power of Food Scale (PFS)” was used to assess hedonic hunger; the “Yale Food Addiction Scale for Children 2.0 (dYFAS-C 2.0)” was used to assess food addiction; and the “Night Eating Questionnaire (NEQ)” was used to assess night eating syndrome (NES)”. BMI was calculated using self-reported height and weight values of adolescents. The mediated structural model analysis was performed to evaluate the effect of hedonic hunger on BMI z score via food addiction and NES. Results The study was conducted with 614 voluntary adolescents aged between 11 and 18 years. The dYFAS-C 2.0 and NEQ scores were found to be higher in adolescents with overweight and obesity, and the BMI z-score of the adolescents had significant positive correlation with their PFS scores (p

Other specified feeding and eating disorders (OSFED) is a diagnostic category in DSM‐5 describing individuals with clinically significant eating behavioral disturbances that do not meet criteria for full‐threshold eating disorder diagnoses. OSFED includes five example subgroups: atypical anorexia nervosa, sub‐threshold bulimia nervosa, sub‐threshold binge‐eating disorder, purging disorder, and night eating syndrome. A recent review of OSFED by Dang et al. aims to examine differences between OSFED and full‐threshold eating disorders as well as between OSFED and healthy populations but is limited by the lack of clear definitions of OSFED subtypes and methodological differences across studies. Clearer diagnostic definitions for OSFED subtypes are needed. Consideration should also be given to indicators of lifetime history of full‐threshold conditions, diagnostic drift, and remission criteria as OSFED categories undergo further study. [ABSTRACT FROM AUTHOR]

The diagnostic criteria for Other Specified Feeding or Eating Disorder (OSFED) have been arbitrary and are not always research driven. Therefore, for atypical anorexia nervosa (AAN), there are inconsistencies in defining low weight, weight loss, and the timing of weight loss. For purging disorder (PD), it is unclear whether subjective binge-eating episodes and loss of control over eating need to be included. For night eating syndrome (NES), comorbidity with binge-eating disorder (BED) and other sleep-related disorders complicate diagnosis. For subthreshold bulimia nervosa (Sub-BN)/BED, the frequency and duration of symptoms has not been defined. Agreed-upon diagnostic standards for OSFED are needed for consistent study results. Atypical anorexia nervosa (AAN), purging disorder (PD), night eating syndrome (NES), and subthreshold bulimia nervosa and binge-eating disorder (Sub-BN/BED) are the five categories that comprise the 'Other Specified Feeding or Eating Disorder' (OSFED) category in the Diagnostic and Statistical Manual for Mental Disorders (DSM-5). In this review, we examine problems with the diagnostic criteria that are currently proposed for the five OSFED types. We conclude that the existing diagnostic criteria for OSFED are deficient and fall short of accurately describing the complexity and individuality of those with these eating disorders (EDs). Therefore, to enhance the quality of life of people with OSFED, diagnostic criteria for the condition should be applied uniformly in clinical and research settings. [ABSTRACT FROM AUTHOR]

Copyright of Istanbul Gelisim University Journal of Health Sciences / İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi is the property of Istanbul Gelisim Universitesi Saglik Bilimleri Yuksekokulu and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The purpose of the study was to explore the association among chronotype, seasonality, sleep quality, and night eating syndrome (NES) among patients with bipolar disorder (BD) and the mediating role of sleep quality in this relationship. Ninety-two individuals with BD type 1 who had been euthymic for at least 8 weeks and 87 healthy controls were included. In addition to sociodemographic/clinical data, chronotype, seasonality, sleep quality, and NES were evaluated using the Morningness-Eveningness Questionnaire (MEQ), Seasonal Pattern Assessment Questionnaire, Pittsburgh Sleep Quality Index, and Night Eating Questionnaire. The prevalence of NES (17.4%) was higher among BD than the controls. BD patients with NES had poorer sleep quality, greater seasonality, and lower MEQ scores. Chronotype had an indirect effect that was partially mediated by sleep quality on night eating symptoms in BD patients, in addition to a direct effect. Seasonality was found to have a direct effect on night eating symptoms. Therapeutic interventions that target both sleep and circadian disruption should be implemented when addressing NES in patients with BD. [ABSTRACT FROM AUTHOR]

Background: The relationship between adolescent obesity and eating disorders is an issue that needs urgent attention. Screening for eating disorders is as important as dietary interventions to treat obesity. This study aimed to determine the relationship between hedonic hunger, food addiction, and night eating syndrome, which are considered potential risk factors for obesity, and body mass index (BMI) in adolescents. Methods: The data were collected through an online questionnaire. The "Power of Food Scale (PFS)" was used to assess hedonic hunger; the "Yale Food Addiction Scale for Children 2.0 (dYFAS-C 2.0)" was used to assess food addiction; and the "Night Eating Questionnaire (NEQ)" was used to assess night eating syndrome (NES)". BMI was calculated using self-reported height and weight values of adolescents. The mediated structural model analysis was performed to evaluate the effect of hedonic hunger on BMI z score via food addiction and NES. Results: The study was conducted with 614 voluntary adolescents aged between 11 and 18 years. The dYFAS-C 2.0 and NEQ scores were found to be higher in adolescents with overweight and obesity, and the BMI z-score of the adolescents had significant positive correlation with their PFS scores (p <.001). Hedonic hunger has no direct effect on BMI independent of food addiction and NES (β = − 0.051, p =.468), but when the total indirect effect is evaluated with the bootstrap analysis, it was found that one-unit increase in hedonic hunger score increases BMI z-score by approximately 0.22 units (β = 0.223, SE = 0.046, 95% CI 0.131–0.313). Hedonic hunger, food addiction, and NES together explained 5.2% of the total variance in BMI z score. Conclusion: This study showed that hedonic hunger significantly predicted BMI z-score in adolescents through food addiction and NES. This emphasizes the critical importance of evaluating adolescents in terms of hedonic hunger, food addiction, and NES in the prevention, diagnosis, and treatment of obesity. Plain English Summary: The relationship between adolescent obesity and eating disorders is an issue that requires urgent attention. This study was conducted to determine the relationship between hedonic hunger (drive to eat for pleasure in the absence of true physical hunger), food addiction and night eating syndrome and obesity in adolescents. An online questionnaire, which assessed hedonic hunger, food addiction, and night eating syndrome, was administered to adolescents with parental consent. The study was conducted with 614 volunteer adolescents aged between 11 and 18 years. Adolescents with overweight and obesity were found to have a higher tendency to food addiction and night eating syndrome. In addition, as the hedonic hunger tendency of adolescents increased, body mass index also increased. This emphasizes the critical importance of assessing adolescents in terms of hedonic hunger, food addiction and night eating syndrome in the prevention, diagnosis, and treatment of obesity. [ABSTRACT FROM AUTHOR]

Sleep-related eating disorder (SRED) is a non-REM parasomnia with potentially significant negative effects on general health (dangerous activities during night eating episodes, obesity, or metabolic syndrome, for example). Although the history of SRED encompasses more than six decades, public awareness and even the awareness of the mental health specialists of this disorder is very limited, a phenomenon that hinders the development of research in this field. Therefore, a systematic review based on PRISMA 2020 guidelines explored the available evidence for SRED found in four electronic databases (PubMed, Cochrane Collaboration, Google Scholar, and Clarivate/Web of Science). A number of 94 primary and secondary reports were retrieved, investigating aspects regarding the risk factors, epidemiology, clinical data and differential diagnosis, epidemiology, structured evaluation, and treatment of SRED. Based on the results of these reports, Z-drugs, but also certain benzodiazepines, antidepressants, antipsychotics, and psychostimulants may trigger the onset of SRED. Psychiatric and neurologic disorders have also been associated with SRED, either as risk factors or comorbid conditions. Cerebral glucose metabolism dysfunctions, neurotransmitter dysfunctions, and genetic factors have been invoked as pathogenetic contributors. Structured assessment of SRED is possible, but there is a dearth of instruments dedicated to this purpose. Data on the prevalence and treatment of SRED exist, but good-quality epidemiological studies and clinical trials are still missing. In conclusion, future research is expected to address the shortcomings of SRED exploration by creating the conditions for better quality and larger group clinical research. The need for such investigation is granted by the importance of this pathology and its negative functional consequences.

Objectives: Night eating syndrome (NES) is classified as a delay of food intake, reflected by consuming large amounts after the evening meal or ingesting food after sleep onset (DSM-5). This article aims to describe NES experience, awareness, narratives, and behavior from the perspectives of patients with NES in light of their history of traumatic life events. Method: Semi-structured interviews based on the phenomenological approach were conducted with 18 women (aged 19–60) diagnosed with NES. Results: The analysis raised two themes: 1. References to NES as an experience that represents the darker sides of patients’ behaviors and involves helplessness, contempt, self-loathing, and a loss of control. Patients also related to difficult memories concerning sexual, physical, and emotional abuse. 2. References to the comforting side of NES patients’ behaviors that involves soothing, regulating, emotional disconnecting, and a sense of calm, control, and the ability to function. Conclusion: Findings present the relationship between traumatic life events, dissociation, and EDs. Clinically, they highlight the importance of an early assessment and a traumatic life history and suggest giving special treatment attention to the role of dissociation and night eating as regulatory mechanisms in the therapeutic process and alliance.

Abstract Background 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. Methods 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. Results 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

Purpose. This study aimed to examine the association between hedonic hunger and night-eating syndrome (NES) with difficulties in emotion regulation (DER) among young adults. Design and Methods. This cross-sectional, descriptive study was conducted on a voluntary basis at a private foundation university, involving a total of 1010 students enrolled in the 2020-2021 academic year. Data were collected through an online application of an information form, which assessed demographic characteristics, the Power of Food Scale (PFS), the Night-Eating Questionnaire (NEQ), and the Difficulties in Emotion Regulation Scale-Short Form (DERS-16). The data were analyzed using IBM SPSS26® software. Findings. Women made up 80.4% of the students in the study. The mean age was 21.58 ± 2.98 years, and the mean body mass index (BMI) was 22.06 ± 3.71 kg/m2. The results indicated that 68.1% of the students reported hedonic hunger and 88.7% had NES. Moreover, DER was found to be more prevalent among women (p = 0.03 1). In addition, the DERS-16 score increased by 6.5% (p = 0.040) with each increase in age and by 6.8% (p = 0.031) with each increase in BMI. Furthermore, the total PFS score increased by 32.5% (p < 0.001), and the total NEQ score increased by 22.4% (p < 0.001), corresponding to an increase in the total DERS-16 score. Practice Implications. These findings suggest that an increase in the difficulties experienced in emotion regulation is associated with higher levels of hedonic hunger and night-eating tendencies among young adults. [ABSTRACT FROM AUTHOR]

Background: The nutritional issues faced by adolescents have shifted towards the condition of overnutrition, which includes obesity and overweight. Overnutrition occurs when there is an excessive body fat accumulation, potentially increasing the risk of degenerative diseases such as hypertension, diabetes mellitus, heart disease, and others. According to Riskesdas 2018, the national prevalence of overnutrition adolescent was 13.5%. Some risk factors for the occurrence of overnutrition include genetics, psychological factors, excessive energy intake, physical activity, and socioeconomic status. Night eating syndrome is considered as a deviant eating behavior associated with overweight and obesity. Objectives: To analyze the relationship between night eating syndrome, fiber intake, and household income with the occurrence of overnutrition among students of SMAN 6 Depok. Methods: The research study design was cross-sectional. The sample was obtained using a stratified random sampling technique, resulting in 100 students from SMAN 6 Depok. Nutritional status was assessed based on body weight and height, night eating syndrome was measured using the Night Eating Syndrome Questionnaire, fiber intake was measured using the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), and household income was classified based on the minimum wage of Depok City. Data analysis was conducted using chi-square and fisher's exact tests. Results: The bivariate analysis revealed that night eating syndrome (p=0.004) had a significant association with the occurrence of overnutrition. Fiber intake (p=1.00) and household income (p=0.954) showed no association with the occurrence of overnutrition. Based on the multivariate analysis, night eating syndrome was found to be the most significant factor associated with overnutrition. Conclusions: Night eating syndrome is the most significant factor associated with overnutrition. Researchers suggest avoiding stress, getting enough sleep, and controlling intake, especially in the evening. [ABSTRACT FROM AUTHOR]

Background: 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. Methods: 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. Results: 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. Conclusions: 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 of evidence: Level III. Evidence obtained from well-designed cohort or case–control analytic studies. [ABSTRACT FROM AUTHOR]

Purpose: Quality of life may be influenced by the presence of eating disorders. This study investigated the association between night eating syndrome (NES) and health-related quality of life in the general population. Methods: Data were from the 2019 Korea Community Health Survey. The presence of NES was determined using the Night Eating Questionnaire. Health-related quality of life was measured using the 3-level EuroQoL-5 Dimension Index. Multivariable linear regression analyses assessed the association between NES and health-related quality of life. Subgroup analyses were performed based on daily sleep duration. Results: A total of 34,434 individuals aged 19 years or older were included in the study population. Participants with NES (β = − 4.85, p < 0.001) reported poorer health-related quality of life scores than those without NES. Decreases in health-related quality of life scores among those with NES were greatest in those who slept over 8 h daily (β = − 12.03, p = 0.004), followed by those who slept less than 6 h (β = − 5.90, p = 0.006) and participants who slept between 6 and 8 h (β = − 3.40, p = 0.026) daily. Conclusion: Individuals with NES were more likely to have a lower health-related quality of life than those without NES. These findings highlight the potential importance of considering NES in investigating the health-related quality of life. Level of evidence: Level III, well-designed case–control analytic studies. [ABSTRACT FROM AUTHOR]

Postoperative eating behaviors and unhealthy weight control measures are leading causes of bariatric surgery complications. Candidates for bariatric surgery and individuals with eating disorders may share common risk factors, such as a history of dieting, and/or being bullied or teased for their weight. Binge-eating disorder, night eating syndrome, and bulimia nervosa are the most common eating disorders among candidates for bariatric surgery before the operation. Malnutrition, stress, and intense fear of weight gain can lead to the development of an eating disorder after surgery as well. Plugging, grazing, loss of control eating, dumping, and food avoidance are specific disordered behaviors that may present after bariatric surgery. To improve physical and psychological outcomes for individuals under their care, clinicians can screen for these disordered behaviors and distinguish them from a healthy diet and the expected postsurgical course. [ABSTRACT FROM AUTHOR]

Elanda Fikri1,2 1Department of Environmental Health, Poltekkes Kemenkes Bandung, Bandung, Indonesia; 2Center of Excellence on Utilization of Local Material for Health Improvement, Bandung Health Polytechnic, Bandung, IndonesiaCorrespondence: Elanda Fikri, Department of Environmental Health, Poltekkes Kemenkes Bandung, Jl.Pajajaran 56, Bandung, Jawa Barat, Indonesia, Email elandafikri@yahoo.com

Copyright of Acibadem Saglik Bilimleri Dergisi is the property of Acibadem University Medical School and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Night eating syndrome (NES) is described as a disordered eating pattern relative to sleep, where consumption of food occurs in the evening and night. Numerous studies had been conducted in various populations but studies on (NES) among call centre employees are limited. Aim: This study aimed to determine the prevalence of NES and its determinants among selected inbound call centre employees in Kuala Lumpur, Malaysia. Methods: In this cross-sectional study, a total of 217 inbound call centre employees were recruited through random sampling. A self-administered socio-demographic and work-related questionnaire was used to collect data on the background of the respondents. Information on NES and well-being was obtained by using the Night Eating Questionnaire (NEQ) and World Health Organisation-Five Well-Being Index (WHO-5) respectively. Data on dietary intakes, smoking habits, alcohol intakes and life stress were acquired using a Simple Lifestyle Indicator Questionnaire (SLIQ) while eating behaviour of the respondents was studied using the Three-Factor Eating Questionnaire (TFEQ-18). Results: The mean age of the respondents was 24.1 ± 6.0 years. The prevalence of NES was 12.0% (95% CI = 8.12–17.24). The binary logistic regression identified that NES is significantly associated with adequate exercise (AOR = 4.250, p = 0.012) and emotional eating (AOR = 6.510, p = 0.014). Conclusion: This study showed that the prevalence of NES was high in the call centre and repeated nocturnal eating can have multiple adverse health effects. Therefore, promoting healthy eating habits are crucial to reduce the impacts of NES. [ABSTRACT FROM AUTHOR]