Sleep and binge eating in early adolescents: a prospective cohort study.

Jason M Nagata, Rachel Huynh, Priyadharshini Balasubramanian, Christopher M Lee, Christiane K Helmer, Kyle T Ganson, Alexander Testa, Jinbo He, Jason M Lavender, Orsolya Kiss, Fiona C Baker
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Abstract

Purpose: To determine the prospective associations between sleep disturbance and binge-eating disorder and behaviors in a national sample of early adolescents in the United States (US).

Methods: We analyzed prospective cohort data from the Adolescent Brain Cognitive Development Study (N = 9428). Logistic regression analyses were used to determine the associations between several sleep variables (e.g., overall sleep disturbance, disorders of initiating and maintaining sleep [insomnia], duration; Year 2) and binge-eating disorder and behaviors (Year 3), adjusting for sociodemographic Year 2 binge-eating covariates.

Results: Overall sleep disturbance was prospectively associated with higher odds of binge-eating disorder (OR = 3.62, 95% CI 1.87-6.98) and binge-eating behaviors (OR = 1.59, 95% CI 1.17-2.16) 1 year later. Disorders of initiating and maintaining sleep were prospectively associated with higher odds of binge-eating disorder (OR = 1.12, 95% CI 1.05-1.19) and binge-eating behaviors (OR = 1.06, 95% CI 1.03-1.10). Sleep duration under 9 h was prospectively associated with greater binge-eating behaviors.

Conclusions: Sleep disturbance, insomnia symptoms, and shorter sleep duration were prospectively associated with binge eating in early adolescence. Healthcare providers should consider screening for binge-eating symptoms among early adolescents with sleep disturbance.

Level of evidence: Level III: Evidence obtained from well-designed cohort or case-control analytic studies.

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青少年早期睡眠和暴饮暴食:一项前瞻性队列研究。
目的:在美国早期青少年的全国样本中确定睡眠障碍和暴饮暴食和行为之间的潜在关联。方法:我们分析了来自青少年大脑认知发展研究(N = 9428)的前瞻性队列数据。Logistic回归分析用于确定几个睡眠变量之间的关联(例如,整体睡眠障碍,开始和维持睡眠的障碍[失眠],持续时间;二年级)和暴饮暴食障碍和行为(三年级),调整社会人口统计学二年级暴饮暴食协变量。结果:整体睡眠障碍与1年后暴饮暴食症(OR = 3.62, 95% CI 1.87-6.98)和暴饮暴食行为(OR = 1.59, 95% CI 1.17-2.16)的发生率较高有前瞻性关联。开始和维持睡眠障碍与暴饮暴食障碍(OR = 1.12, 95% CI 1.05-1.19)和暴饮暴食行为(OR = 1.06, 95% CI 1.03-1.10)的几率较高相关。睡眠时间少于9小时可能与更大的暴饮暴食行为有关。结论:睡眠障碍、失眠症状和较短的睡眠时间可能与青春期早期的暴饮暴食有关。医疗保健提供者应考虑筛查早期青少年睡眠障碍的暴饮暴食症状。证据等级:III级:证据来自设计良好的队列或病例对照分析研究。
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来源期刊
CiteScore
6.50
自引率
10.30%
发文量
170
审稿时长
>12 weeks
期刊介绍: Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.
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