Burcu Deniz BEKTAŞ, Muazzez GARİPAĞAOĞLU

Yetişkin Kadınlarda Beden Kütle İndeksi ile Gece Yeme Sendromu ve Uyku Düzeni Arasındaki İlişkinin Değerlendirilmesi

Amaç: Çalışma, yetişkin kadınlarda Beden Kütle İndeksi (BKİ) ile gece yeme sendromu (GYS) ve uyku düzeni arasındaki ilişkinin değerlendirilmesi amacıyla yapılmıştır. Bireyler ve Yöntem: Temmuz-Ekim 2015 tarihleri arasında, Maltepe Toplum Sağlığı Merkezi'nde yaş ortalaması 35.7±12.0 yıl olan 235 sağlıklı kadın üzerinde yürütülen bu çalışmanın verileri, önceden hazırlanmış bir anket formu ile elde edilmiştir. Vücut ağırlığı ve boy uzunluğu ölçümleri yapılmıştır. Beden Kütle İndeksleri hesaplanmıştır. Bireylerin gece beslenme durumu "Gece Yeme Anketi", uyku düzeni "Pittsburgh Uyku Kalite İndeksi" kullanılarak belirlenmiştir. Çalışmanın verileri SPSS 23.0 paket programı ile analiz edilmiştir. Bulgular: Çalışmaya katılan kadınların BKİ ortalaması 26.0±6.2 kg/m2 bulunmuştur. BKİ ile yaş, eğitim düzeyi, medeni durum, çocuk sayısı ve çalışma durumu arasında istatistiksel olarak anlamlı bir ilişki vardır (p

Evaluation of Association Between Night Eating Syndrome, Sleeping Pattern and Body Mass Index in Adult Women

Aim: This study was performed to evaluate the relationship between body mass index (BMI) with night eating syndrome (NES) and sleeping pattern in adult women. Subjects and Methods: The study was conducted on a total of 235 healthy women whose mean age was found to be 35.7±12.0 year, presenting to Maltepe Public Health Center between July 2015 and September 2015 and the data of this study were obtained with inquiry form that was performed. BMI was calculated according to weight and height a measurements obtained by the inquiry form. Night Eating Questionnaire was used to determine night eating behaviors of the individuals. Pittsburgh Sleep Quality Index was used to determine sleep quality. The analysis of the data was made by SPSS 23.0. Results: The mean BMI of individuals was found to be 26.0±6.2 kg/m2. There was a significant relationship between BMI with age, educational status, marital status, number of children and working status statistically (p<0.05). Although there was not a significant relationship between NES and obesity, it was observed that obese individuals have higher NES scores. There was a significant relationship among individuals who have NES between their numbers of snack and total meals with the rate of skipping breakfast statistically (p<0.05). Whereas we found that 60.4% of women have good sleeping quality, 39.6% of women have bad sleeping quality. The average of BMI of women that have bad sleeping quality, was higher than women that have good sleeping quality (p<0.05). There was a significant difference between NES with sleep quality and sleep quality components (p<0.05). Conclusion: As a result, it was found that night eating habit impairs sleep quality and obesity is associated with sleep quality. Being able to keep target body weight, night eating habit and sleep patterns must be considered. It was thought that the topic should be researched with more detailed studies and methods.

PDF

___

1. Birketvedt GS, Florholmen J, Sundsfjord J, Osterud B, Dinges D, Bilker W, Stunkard A. Behavioral and neuroendocrine characteristics of the night-eating syndrome. JAMA 1999;282:657-663.
2. Allison KC, Lundgren JD, O'Reardon JP, Geliebter A, Gluck ME, Vinai P, et al. Proposed diagnostic criteria for night eating syndrome. Int J Eat Disord 2010;43:241- 247.
3. Soares Mj, Macedo A. Modulation of sleep by obesity, age and diet. (Ed: Watson RR). Sleep Disturbances, Body Mass Index, and Eating Behavior. Acedemic Press is an imprint Elsevier; USA, 2015, p. 43-57.
4. Lundgren JD, Allison KC, Crow S, O'Reardon JP, Berg KC, Galbraith J, et al. Prevalence of the night eating syndrome in a psychiatric population. Am J Psychiatry 2006;163:156-158.
5. Köse E, Aslan D. Uyku ve sağlık: Halk sağlığı bakış açısı. Sağlık ve Toplum 2013;23(1):12-24.
6. Ryua JY, Lee JS, Honga HC, Choi HY, Yooa HJ, Seo JA, et al. Association between body size phenotype and sleep duration: Korean National Health and Nutrition Examination Survey V (KNHANES V). Metabolism 2015;64:460-466.
7. Logue EE, Scott ED, Palmieri PA, Dudley P. Sleep duration, quality or stability and obesity in an urban family medicine center. J Clin Sleep Med 2014;10(2);177-182.
8. Hung HC, Yang YC, Ou HY, Wu JS, Lu FH, Chang CJ. The association between self-reported sleep quality and metabolic syndrome. Plos One 2013;8(1):1-6.
9. Rogers NL, Dinges DF, Allison KC. Assessment of sleep in women with night eating syndrome. Sleep 2006;29(6):814-819.
10. Vetrugno R, Manconi M, Ferini-Strambi L, Provini F, Plazzi G, Montagna P, et al. Nocturnal eating: sleeprelated eating disorder or night eating syndrome? A videopolysomnographic study. Sleep 2006;29(7):949- 954.
11. BjoÈrk CC, Andersson I, RoÈssner S. Night eating and nocturnal eating two different or similar syndromes among obese patients? Int J Obes 2001;25:365-372.
12. WHO, BMI classification http://apps.who.int/bmi/ index.jsp?introPage=intro_3.html Accessed January 05, 2017.
13. Allison KC, Lundgren JD, O'Reardon JP, Martino NS, Sarwer DB, Wadden TA, 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.
14. Atasoy N, Saraçlı Ö, Konuk N, Ankaralı H, Güriz O, Akdemir A, et al. Gece yeme anketi-Türkçe formunun psikiyatrik ayaktan hasta popülasyonunda geçerlilik ve güvenilirlik çalışması. Anadolu Psikiyatri Derg 2014;15:238-247.
15. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer D. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric research and practice. Psychiatry Res 1988;28(2):193-213.
16. Agargün MY, Kara H, Anlar O. Pittsburgh Uyku Kalite İndeksinin geçerliliği ve güvenirliği. Türk Psikiyatri Derg 1996;7: 107-115.
17. Marshall HM, Allison KC, O'Reardon JP, Birketvedt G, Stunkard AJ. Night eating syndrome among nonobese persons. Int J Eat Disord 2004;35:217-222.
18. Jillon S, Vander Wal. Night eating syndrome: A critical review of the literature. Clin Psychol Rev 2012;32:49- 59.
19. Tom SE, Berenson AB. Associations between poor sleep quality and psychosocial stress with obesity in reproductive-age women of lower socioeconomic status. Women's Health Issues 2013;23(5):295-300.
20. Huth JJ, Eliades A, Handwork C, Englehart JL, Messenger J. Shift worked, quality of sleep, and elevated body mass index in pediatric nurses. J Pediatri Nurs 2013;28:64-73.
21. Yan Z, Chang-Quan H, Zhen-Chan L, Bi-Rong D. Association between sleep quality and body mass index among Chinesenonagenarians/centenarians. Age (Dordr) 2012;34(3):527-537.
22. Hung HC, Yang YC, Ou HY, Wu, Lu FH, Chang CH. The association between self-reported sleep quality and overweight in a Chinese population. Obesity 2013;21:486-492.
23. Wirth MD, Hébert JR, Hand GA, Youngstedt SD, Hurley TG, Shook RP, et al. Association between actigraphic sleep metrics and body composition. Ann Epidemiol 2015;25(10):773-778.
24. Rahe C, Czira ME, Teismann H, Berger K. Associations between poor sleep quality and different measures of obesity. Sleep Med 2015;16(10):1225-8.
25. Fatima Y, Doi SA, Mamun A. Sleep qualityand obesity in young subjects: a meta-analysis. Obesity Rev 2016;17:1154-1166.
26. Algul A, Semiz UB, Ates MA, Önem Y, Ebrinc S, Basoglu C, et al. Association between psychological distress, subjective sleep quality and health-related quality of life in patients with obesity: A preliminary study. Abstracts for Poster session III / European Psychiatry 2008;23:362-363.
27. Algul A, Ates MA, Semiz UB, Basoglu C, Ebrinc S, Gecici O, et al. Evaluation of general psychopathology, subjective sleep quality, and health-related quality of life in patients with obesity. Int J Psychiatry Med 2009;39:297-312.
28. Sahlin C, Franklin KA, Stenlund H, Lindberg E. Sleep in women: Normal values for sleep stages and position and the effect of age, obesity, sleep apnea, smoking, alcohol and hypertension. Sleep Med 2009;10:1025- 1030.
29. Yeh SS, Brown RF. Disordered eating partly mediates the relationship between poor sleep quality and high body mass index. Eat Behav 2014;15:291-297.
30. Allison KC, Spaeth A, Hopkins CM. Sleep and eating disorders. Curr Phsychiatry Rep 2016 August 23 Doi:10.1007/s111920-016-0728-8
31. Ohayona MM, Hong SC. Prevalence of insomnia and associated factors in South Korea. J Psychosom Res 2002;53:593-600.
32. Cleator C, Abbott J, Judd P, Wilding J, Sutton CJ. Correlations between night eating, sleep quality, and excessive daytime sleepiness in a severely obese UK population. Sleep Med 2013;14:1151-1156.