夜食症[1]night eating syndrome,NES,台湾译夜食症候群[2])是一种进食障碍,某种程度上算是神经性贪食并发症,特征是进食的生理时钟延后。[3]与神经性贪食的差异在于,夜食症患者在夜间摄入的食物量不一定像神经性贪食患者摄入的食物量多。夜食症由Albert Stunkard英语Albert Stunkard于1955年提出[4] ,目前归类在DSM-5中的其它特定的喂食或饮食障碍症英语Other specified feeding or eating disorder(Other specified feeding or eating disorder)类别中。[5]目前已提出的诊断标准包括夜间过量饮食(晚餐过后摄入热量大于或等于每日总热量的 25%)和/或在每周两次以上(含)在夜间醒来进食。患者需有意识到其夜间进食的行为,才能将其与异睡症相关的进食障碍(SRED)区分开来。患者也必须符合以下五种症状中的其中三种:早上食欲不振、晚上想吃东西、睡前没有进食就无法入眠、情绪低落失眠[3]

夜食症
类型进食障碍
分类和外部资源
医学专科精神医学
ICD-9-CM307.59
[编辑此条目的维基数据]

夜食症对男性和女性皆造成影响,在普通人口占比1%到2%,在肥胖症人口中占比10%。[6][7][8] 发病年龄通常在十几岁到二十多岁,并且通常持续很长的时间。[9]少有儿童患者。[10]患有夜食症的人较容易抑郁和自卑,并且患者褪黑激素瘦素的激素水平在夜间会降低。[11] 目前夜食症与异睡症之前的关联还需进一步阐明,关于夜食症是否应被视为独立的一个疾病或连续体(continuum)的一部分仍有争议。[12]某期刊中建议食用含有血清素的食物来治疗夜食症,然而其他研究指出,饮食本身并不能明显提高大脑中的血清素水平。[13][14]少数的食物(例如香蕉 )含有血清素,但它们对大脑血清素水平没有影响,而许多食物都含有色氨酸,但它们对大脑血清素水平产生的影响还需要进行进一步的科学研究才能得知。[14]

介绍

并发症

夜食症有时会与超重共病;一项研究中发现接受胃绕道手术的人约有28%患有夜食症,而并非所有夜食症患者都有超重的问题。[15][11][16]而夜食也与糖尿病并发症有关。[17]许多夜食症患者会有抑郁情绪[11][18][19][20][21][22][23][24][25],有些患者同时也有焦虑障碍[23][24][26][27]

参见

参考来源

  1. ^ 夜食症. 术语在线. 全国科学技术名词审定委员会.  (简体中文)
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  4. ^ Stunkard A.J.; Grace W.J.; Wolff H.G. The night-eating syndrome; a pattern of food intake among certain obese patients. The American Journal of Medicine. 1955, 19 (1): 78–86. PMID 14388031. doi:10.1016/0002-9343(55)90276-X. 
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