青少年早期的睡眠与暴饮暴食：一项前瞻性队列研究。

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

作者信息

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

机构信息

Department of Pediatrics, University of California, 550 16th Street, 4th Floor, Box 0503, San Francisco, CA, 94143, USA.

Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.

出版信息

Eat Weight Disord. 2025 Feb 26;30(1):19. doi: 10.1007/s40519-025-01729-0.

DOI:10.1007/s40519-025-01729-0

PMID:40000536

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11861393/

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.

摘要

目的

在美国全国范围内的青少年样本中，确定睡眠障碍与暴饮暴食症及行为之间的前瞻性关联。

方法

我们分析了青少年大脑认知发展研究的前瞻性队列数据（N = 9428）。采用逻辑回归分析来确定几个睡眠变量（如总体睡眠障碍、入睡和维持睡眠障碍[失眠]、时长；第2年）与暴饮暴食症及行为（第3年）之间的关联，并对社会人口统计学第2年暴饮暴食协变量进行了调整。

结果

总体睡眠障碍与1年后暴饮暴食症（比值比[OR] = 3.62，95%置信区间[CI] 1.87 - 6.98）和暴饮暴食行为（OR = 1.59，95% CI 1.17 - 2.16）的较高几率存在前瞻性关联。入睡和维持睡眠障碍与暴饮暴食症（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）的较高几率存在前瞻性关联。9小时以下的睡眠时间与更严重的暴饮暴食行为存在前瞻性关联。