Associations of sleep duration and quality with disinhibited eating behaviors in adolescent girls at-risk for type 2 diabetes
Associations of sleep duration and quality with disinhibited eating behaviors in adolescent girls at-risk for type 2 diabetes
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DOI：
10.1016/j.eatbeh.2016.06.019
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发表时间：
2016-08-01
期刊：
影响因子：
2.8
通讯作者：
Yanovski, Jack A.
中科院分区：
文献类型：
--
作者：
Kelly, Nichole R.;Shomaker, Lauren B.;Yanovski, Jack A.
目的：睡眠时间短和白天嗜睡与成人发生2型糖尿病的风险增加有关。对于糖尿病高危青少年的睡眠特征，以及睡眠可能影响代谢功能的可能的行为机制，如无节制进食的关注要少得多。方法：我们评估了119名基于超重/肥胖和糖尿病家族史的青春期女孩无节制进食的多模式评估与睡眠时间和白天嗜睡的相关性。女孩们也支持轻度到中度的抑郁症状。青少年使用《睡眠习惯调查》和《儿童睡眠习惯问卷》报告睡眠时间和白天嗜睡情况。他们接受了一系列连续的测试餐，以测量总能量摄入量和在没有饥饿的情况下进食(EAH)。结果：考虑到年龄、种族、青春期、身体成分、抑郁症状和感受到的压力，报告的睡眠时间与测试餐总能量摄入量呈正相关(p=0.04)，而与EAH无关。调整了相同的协变量，白天嗜睡与前一个月目标暴饮暴食的几率更大相关(p=0.009)。结论：在有2型糖尿病风险的青春期女孩中，报告的睡眠特征与失控饮食行为有关，后者与超重和不良代谢结果有关。未来的研究需要使用客观的睡眠指标来评估这些联系。(C)2016爱思唯尔有限公司。保留所有权利。
Objectives: Short sleep duration and daytime sleepiness have been associated with an increased risk for the onset of type 2 diabetes in adults. There has been far less attention to the characterization of sleep in adolescents at-risk for diabetes or to the possible behavioral mechanisms, such as disinhibited eating, through which sleep may affect metabolic functioning.Methods: We evaluated the associations of sleep duration and daytime sleepiness with a multi- modal assessment of disinhibited eating in 119 adolescent girls at-risk for type 2 diabetes based upon being overweight/obese and having a family history of diabetes. Girls also endorsed mild-to-moderate depressive symptoms. Adolescents reported sleep duration and daytime sleepiness with the Sleep Habits Survey and Children's Sleep Habits Questionnaire. They were administered a series of successive test meals to measure total energy intake and eating in the absence of hunger (EAH). Adolescent binge eating was assessed with the Eating Disorder Examination interview.Results: Accounting for age, race, puberty, body composition, depressive symptoms, and perceived stress, reported sleep duration was positively related to test meal total energy intake (p = 0.04), but not to EAH. Adjusting for the same covariates, daytime sleepiness was associated with a greater odds of objective binge eating in the previous month (p = 0.009).Conclusions: In adolescent girls at-risk for type 2 diabetes, reported sleep characteristics are associated with disinhibited eating behaviors that have been linked to excessive weight and adverse metabolic outcomes. Future studies are called for to evaluate these links using objective measures of sleep. (C) 2016 Elsevier Ltd. All rights reserved.