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Psychother Psychosom Med Psychol 2012; 62(12): 463-468
DOI: 10.1055/s-0032-1316348
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Komorbidität von Diabetes mellitus Typ 2 und Night Eating

Co-Morbidity between Type 2 Diabetes Mellitus and Night Eating
Barbara Schwandt
1   Klinik für Psychosomatik und Psychotherapie, Medizinische Hochschule Hannover
,
Martina de Zwaan
1   Klinik für Psychosomatik und Psychotherapie, Medizinische Hochschule Hannover
,
Burkard Jäger
1   Klinik für Psychosomatik und Psychotherapie, Medizinische Hochschule Hannover
› Author Affiliations
Further Information

Publication History

eingereicht 31 January 2012

akzeptiert 16 May 2012

Publication Date:
17 December 2012 (online)

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Zusammenfassung

Das zentrale Symptom des Night Eating Syndroms (NES) stellt abendliches Überessen und/oder nächtliches Erwachen mit Nahrungsaufnahme dar. Ziel unserer Studie war es, mögliche metabolische und psychopathologische Unterschiede zwischen Patienten mit Diabetes mellitus (DM) Typ 2 mit und ohne night eating (NE) zu erfassen. Insgesamt nahmen 226 Patienten mit DM Typ 2 an der Untersuchung teil. NE, definiert als abendliche oder nächtliche Aufnahme von 25% der täglichen Nahrungsmenge, wurde von 28 Patienten (12,4%) angegeben. Weiterhin wurden Diabetes-spezifische Parameter, Angaben zum Ernährungs- und Diätverhalten sowie zur essstörungsspezifischen und allgemeinen Psychopathologie (Depression, Lebensqualität) erfasst. Patienten mit NE hatten höhere HbA1c-Werte und gaben eine höhere Störbarkeit des Essverhaltens und mehr erlebte Hungergefühle an als Patienten ohne NE. Nachtesser zeigten weiterhin eine signifikant geringere Lebensqualität und ausgeprägtere depressive Symptomatik.

Abstract

The core symptoms of the night eating syndrome (NES) are overeating in the evening and/or nocturnal awakenings with the ingestion of food. The aim of this study was to examine metabolic and psychopathological differences between patients with type 2 diabetes mellitus with and with­out night eating (NE). A total of 226 individuals with type 2 diabetes mellitus participated in the study. Night eating (NE), defined as the ingestion of ≥25% of the daily food intake in the evening or nighttime, was reported by 28 (12.4%) of the participants. In addition, diabetes-related variables, eating and dieting behavior as well as eating-related and general psychopathology (depression, quality of life) were assessed. Compared to pa­tients without NE patients with NE showed higher HbA1c values, higher scores on the disinhibition and the perceived hunger scale, lower scores on the quality of life scale and higher depression scores.

Schlüsselwörter

Night Eating Syndrom - Diabetes mellitus - Depression - glykämische Kontrolle

Keywords

night eating syndrome - diabetes mellitus type 2 - depression - glycemic control
 

  • Literatur

  • 1 Stunkard AJ, Grace WJ, Wolff HG. The night-eating syndrome; a pattern of food intake among certain obese patients. Am J Med 1955; 19: 78-86
    Google Scholar
  • 2 Rand CS, Macgregor AM, Stunkard AJ. The night eating syndrome in the general population and among postoperative obesity surgery patients. Int J Eat Disord 1997; 22: 65-69
    CrossrefPubMedGoogle Scholar
  • 3 Striegel-Moore RH, Dohm FA, Hook JM et al. Night eating syndrome in young adult women: prevalence and correlates. Int J Eat Disord 2005; 37: 200-206
    CrossrefPubMedGoogle Scholar
  • 4 Vander Wal JS. Night eating syndrom: A critical review of the literature. Clinical Psychology Review 2012; 32: 49-59
    CrossrefPubMedGoogle Scholar
  • 5 Gallant AR, Lundgren J, Drapeau V. The night-eating syndrome and obesity. Obesity Reviews 2012; DOI: 10.1111/j.1467-789X.2011.00975.x.
    PubMedGoogle Scholar
  • 6 Mühlhans B, Olbrich K, de Zwaan M. Night Eating Syndrom und nächtliches Essen – was ist das eigentlich?. Psychother Psych Med 2009; 59: 50-56
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Allison KC, Lundgren JD, O’Reardon JP et al. Proposed diagnostic criteria for night eating syndrome. Int J Eat Disord 2010; 43: 241-247
    Google Scholar
  • 8 Allison KC, Lundgren JD, O’Reardon JP et al. The Night Eating Ques­tionnaire (NEQ): psychometric properties of a measure of severity of the Night Eating Syndrome. Eat Behav 2008; 9: 62-72
    Google Scholar
  • 9 Fairburn CG, Cooper Z, Bohn K et al. The severity and status of eating disorder NOS: Implications for DSM-5. Behav Res Ther 2007; 45: 1705-1715
    CrossrefPubMedGoogle Scholar
  • 10 Hilbert A. Klassifikation von Essstörungen im Zuge von DSM-5 mit besonderem Fokus auf der Diagnostik von Essanfällen bei der Binge-Eating-Störung. Z Psychiatr Psychol Psychother 2011; 59 (04) 267-274
    PubMedGoogle Scholar
  • 11 Stunkard A, Allison K, Lundgren J. Issues for DSM-V: night eating syndrome. Am J Psychiatry 2008; 165: 424
    CrossrefPubMedGoogle Scholar
  • 12 Striegel-Moore RH, Franko DL, May A et al. Should night eating syndrome be included in the DSM?. Int J Eat Disord 2006; 39: 544-549
    CrossrefPubMedGoogle Scholar
  • 13 Kulzer B, Albus C, Herpertz S et al. Diabetes und Psychosoziales. Diabetologie 2011; 6: 143-149
    Article in Thieme ConnectPubMedGoogle Scholar
  • 14 Herpertz S, Petrak F, Albus C et al. Psychosoziales und Diabetes mellitus. Evidenzbasierte Diabetes-Leitlinie DDG. Diabetes und Stoffwechsel 2003; 12: 35-58
    PubMedGoogle Scholar
  • 15 Kenardy J, Mensch M, Bowen K et al. A comparison of eating behaviors in newly diagnosed NIDDM patients and case-matched control subjects. Diabetes Care 1994; 17: 1197-1199
    CrossrefPubMedGoogle Scholar
  • 16 Crow S, Kendall D, Praus B et al. Binge eating and other psychopathology in patients with type II diabetes mellitus. Int J Eat Disord 2000; 30: 222-226
    PubMedGoogle Scholar
  • 17 Munsch S, Herpertz S. Essstörungen bei Adipositas und Diabetes mellitus. Nervenarzt 2011; 82: 1125-1132
    CrossrefPubMedGoogle Scholar
  • 18 Allison KC, Crow SJ, Reeves RR et al. Binge eating disorder and night eating syndrome in adults with type 2 diabetes. Obesity 2007; 15: 1287-1293
    Google Scholar
  • 19 Morse SA, Ciechanowski PS, Katon WJ et al. Isn’t this just bedtime snacking? The potential adverse effects of night-eating symptoms on treatment adherence and outcomes in patients with diabetes. Diabetes Care 2006; 29: 1800-1804
    Google Scholar
  • 20 Allison KC, Ahima RS, O’Reardon JP et al. Neuroendocrine profiles associated with energy intake, sleep, and stress in the night eating syndrome. J Clin Endocrinol Metab 2005; 90: 6214-6217
    Google Scholar
  • 21 Goel N, Stunkard AJ, Rogers NL et al. Circadian rhythm profiles in women with night eating syndrome. J Biol Rhythms 2009; 24: 85-94
    Google Scholar
  • 22 Shea SA, Hilton MF, Orlova C et al. Independent circadian and sleep/wake regulation of adipokines and glucose in humans. J Clin Endocrinol Metab 2005; 90: 2537-2544
    CrossrefPubMedGoogle Scholar
  • 23 Birketvedt GS, Florholmen J, Sundsfjord J et al. Behavioral and neuroendocrine characteristics of the night-eating syndrome. JAMA 1999; 282: 657-663
    CrossrefPubMedGoogle Scholar
  • 24 Gluck ME, Geliebter A, Satov T. Night eating syndrome is associated with depression, low self-esteem, reduced daytime hunger, and less weight loss in obese outpatients. Obes Res 2001; 9: 264-267
    Google Scholar
  • 25 Pudel V, Westenhöfer J. Fragebogen zum Essverhalten: Handanweisung. Göttingen: Hogrefe; 1989
    Google Scholar
  • 26 Angermeyer MC, Kilian R, Matschinger H. WHOQOL-100 und WHOQOL-BREF. Handbuch für die deutschsprachige Version der WHO Ins­trumente zur Erfassung von Lebensqualität. Göttingen: Hogrefe; 2000
    Google Scholar
  • 27 Gräfe K, Zipfel S, Herzog W et al. Screening psychischer Störungen mit dem „Gesundheitsfragebogen für Patienten (PHQ-D)“. Ergebnisse der deutschen Validierungsstudie. Diagnostica 2004; 50: 171-181
    CrossrefPubMedGoogle Scholar
  • 28 Napolitano MA, Head S, Babyak MA et al. Binge eating disorder and night eating syndrome: psychological and behavioral characteristics. Int J Eat Disord 2001; 30: 193-203
    CrossrefPubMedGoogle Scholar
  • 29 Schenck CH. A study of circadian eating and sleeping patterns in night eating syndrome (NES) points the way to future studies on NES and sleep-related eating disorder. Sleep Med 2006; 7: 653-656
    CrossrefPubMedGoogle Scholar
  • 30 Lustman PJ, Anderson RJ, Freedland KE et al. Depression and poor gylcemic control: a meta-analytic review of the literature. Diabetes Care 2000; 23: 934-942
    CrossrefPubMedGoogle Scholar
  • 31 Herpertz S, Albus C, Wagener R et al. Comorbidity of diabetes and eating disorders. Does diabetes control reflect disturbed eating behavior?. Diabetes Care 1998; 21: 1110-1116
    CrossrefPubMedGoogle Scholar