Prevalence and clinical characteristics of unremembered nocturnal eating in diabetic subjects: Kurume sleep trouble in obesity and metabolic disorders (KUSTOMED) study
| Autor: | Tamotsu Kato, Shuichi Sato, Tamami Oshige, Kenshi Mitsuzaki, Hitomi Nakayama, Yuji Tajiri, Kentaro Yamada, Tsuyoshi Ohki, Saori Hirao, Toshihiko Hashinaga, Hiroh Kaku, Rika Hasuo, Satoko Yoshinobu, Shinpei Iwata, Naoka Kato, Kazuhisa Muraishi, Tomoko Kato, Yuko Sasaki, Kento Hara |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Sleep Wake Disorders medicine.medical_specialty Pediatrics Endocrinology Diabetes and Metabolism Amnesia Hyperphagia Body Mass Index Diabetes Complications Feeding and Eating Disorders Pittsburgh Sleep Quality Index Endocrinology Japan Metabolic Diseases Prevalence medicine Humans Hypnotics and Sedatives Obesity Psychiatry Aged Morning Glycated Hemoglobin Memory Disorders Sleep disorder business.industry Parasomnia Middle Aged Amnesia Anterograde medicine.disease Circadian Rhythm Eating disorders Cross-Sectional Studies Hyperglycemia Female medicine.symptom business Body mass index |
| Zdroj: | Endocrine Journal. 60:1059-1063 |
| ISSN: | 1348-4540 0918-8959 |
| DOI: | 10.1507/endocrj.ej13-0098 |
| Popis: | Nighttime food intake is associated with weight gain and higher HbA1c levels. We experienced night eaters who have no memory of their nocturnal eating in the morning. In this study, the curious night eating behavior was designated as "unremembered nocturnal eating syndrome (UNES)". We screened 1,169 patients with diabetes for sleep quality and abnormal eating behavior at night using the Pittsburgh Sleep Quality Index questionnaire with an additional question regarding UNES. When abnormal nocturnal eating behavior was noted, detailed clinical information was extracted from interviews with the patients. We identified 9 patients who experienced UNES. They had a higher BMI compared with subjects who reported no such episodes. Among them, 6 patients who consumed food at night without memory 2-5 times per month or more had significantly higher HbA1c levels. Continuous glucose monitoring in a patient with type 1 diabetes revealed an abrupt elevation of glucose levels from midnight when some foods were consumed. Eight of the 9 patients were taking benzodiazepine and/or non-benzodiazepine hypnotic agents when they experienced the episodes. The prevalence of UNES was 0.8% in all subjects and 4% in those taking hypnotic drugs. The ratio of hypnotic drug use in subjects with UNES was significantly higher than for individuals without UNES (89% vs. 17%, p |
| Databáze: | OpenAIRE |
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