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标题：Sleep, eating disorder symptoms, and daytime functioning
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作者：Marilou DP Tromp ; Anouk AMT Donners ; Johan Garssen 等
期刊名称：Nature and Science of Sleep
印刷版ISSN：1179-1608
电子版ISSN：1179-1608
卷号：8
页码：35-40
DOI：10.2147/NSS.S97574
出版社：Dove Medical Press Ltd
摘要：Objective: To investigate the relationship between eating disorders, body mass index (BMI), sleep disorders, and daytime functioning. Design: Survey. Setting: The Netherlands. Participants: N=574 Dutch young adults (18–35 years old). Measurements: Participants completed a survey on eating and sleep habits including the Eating Disorder Screen for Primary care (ESP) and SLEEP-50 questionnaire subscales for sleep apnea, insomnia, circadian rhythm disorder (CRD), and daytime functioning. SLEEP-50 outcomes of participants who screened negative (≤2) and positive (>2) on the ESP were compared. In addition, SLEEP-50 scores of groups of participants with different ESP scores (0–4) and different BMI groups (ie, underweight, healthy weight, overweight, and obese) were compared using nonparametric statistics. Results: Almost 12% (n=67) of participants screened positive for having an eating disorder. Relative to participants without eating disorders, participants who screened positive for eating disorders reported significantly higher scores on sleep apnea (3.7 versus 2.9, P =0.012), insomnia (7.7 versus 5.5, P <0.0001), CRD (2.9 versus 2.3, P =0.011), and impairment of daytime functioning (8.8 versus 5.8, P =0.0001). ESP scores were associated with insomnia ( r =0.117, P =0.005), sleep apnea ( r =0.118, P =0.004), sleep quality ( r =−0.104, P =0.012), and daytime functioning ( r =0.225, P <0.0001), but not with CRD ( r =0.066, P =0.112). BMI correlated significantly with ESP scores ( r =0.172, P <0.0001) and scores on sleep apnea ( r =0.171, P <0.0001). When controlling for BMI, the partial correlation between ESP and sleep apnea remained significant ( r =0.10, P =0.015). Conclusion: Participants who score positive for eating disorders scored significantly higher on sleep disorder scales, and reported significantly more impairment of daytime functioning.
关键词：eating disorders; sleep disorders; insomnia; apnea; circadian rhythm disorder; daytime functioning This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported; v3.0) License . By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited; provided the work is properly attributed. For permission for commercial use of this work; please see paragraphs 4.2 and 5 of our Terms .