Sleep is the best medicine: assessing sleep, disordered eating, and weight-related functioning.
Sleep is the best medicine: assessing sleep, disordered eating, and weight-related functioning.
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DOI：
10.1007/s40519-023-01610-y
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发表时间：
2023-11-22
影响因子：
2.9
通讯作者：
Lawson, Jessica L.
中科院分区：
文献类型：
--
作者：
Barnes, Rachel D.;Palmer, Brooke;Hanson, Sheila K.;Lawson, Jessica L.
睡眠质量与饮食失调、肥胖、抑郁和体重相关功能有关。然而，大多数研究都集中在临床人群上。目前的研究调查了一个社区样本中睡眠质量、饮食失调和功能模式之间的关系，以更好地了解可改变的健康行为之间的关系。从亚马逊土耳其机械公司招募的参与者（N = 648）完成了饮食、抑郁、体重相关功能和睡眠的评估。采用自我报告的身高和体重计算体重指数（M = 27.3, SD = 6.9）。参与者的平均年龄为37.6岁（SD = 12.3），主要是女性（65.4%）和白人（72.7%）。超过一半的参与者承认睡眠质量差，平均睡眠分数高于临床睡眠质量差的分界点。睡眠得分与饮食失调、抑郁和体重相关功能显著正相关，即使在调整了年龄、体重指数和性别之后也是如此。预测体重相关功能和抑郁症的多变量回归模型显示，睡眠质量和饮食失调都能独立预测抑郁症。睡眠质量不能独立预测体重相关功能；然而，饮食失调会。据我们所知，这是第一个在体重不同的社区样本中评估睡眠行为、饮食失调和体重相关功能的研究。结果表明，即使在控制了体重指数之后，大多数参与者都认为睡眠质量差与饮食失调有关，包括暴饮暴食和体重相关功能较差，这强调了这种关系存在于整个体重范围内。这些结果说明了在非临床样本中进行健康行为评估和干预的重要性。证据水平III级：证据来自设计良好的队列或病例对照分析研究
Sleep quality is linked to disordered eating, obesity, depression, and weight-related functioning. Most research, however, has focused on clinical populations. The current study investigated relationships between sleep quality, disordered eating, and patterns of functioning in a community sample to better understand relationships among modifiable health behaviors. Participants (N = 648) recruited from Amazon Mechanical Turk completed assessments of eating, depression, weight-related functioning, and sleep. Self-reported height and weight were used to calculate body mass index (M = 27.3, SD = 6.9). Participants were on average 37.6 years (SD = 12.3), primarily female (65.4%), and White, not Hispanic (72.7%). Over half of participants endorsed poor sleep quality, and average sleep scores were above the clinical cutoff for poor sleep quality. Sleep scores were significantly positively correlated with disordered eating, depression, and weight-related functioning, even after adjusting for age, body mass index, and sex. Multivariate regression models predicting weight-related functioning and depression showed that both sleep quality and disordered eating independently predicted depression. Sleep quality did not independently predict weight-related functioning; however, disordered eating did. To the best of our knowledge, this is the first study to assess sleep behaviors, disordered eating, and weight-related functioning in a community sample of weight diverse participants. Results indicate that most participants endorsed poor sleep quality, which was associated with disordered eating patterns, including binge eating and poorer weight-related functioning, even after controlling for body mass index, highlighting that this relationship exists across the weight spectrum. These results speak to the importance of health behavior assessment and intervention within nonclinical samples. Level of evidence Level III: evidence obtained from well-designed cohort or case–control analytic studies
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