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Sağlam NGU, Beştepe EE, Sertler İ, Kurnaz S, Ayık B, Poyraz CA. The Relationship Among Seasonality, Night Eating, and Chronotype in Bipolar Disorder: Exploring the Mediating Role of Sleep Quality. J Nerv Ment Dis 2024; 212:166-173. [PMID: 38090970 DOI: 10.1097/nmd.0000000000001748] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/29/2024]
Abstract
ABSTRACT The purpose of the study was to explore the association among chronotype, seasonality, sleep quality, and night eating syndrome (NES) among patients with bipolar disorder (BD) and the mediating role of sleep quality in this relationship. Ninety-two individuals with BD type 1 who had been euthymic for at least 8 weeks and 87 healthy controls were included. In addition to sociodemographic/clinical data, chronotype, seasonality, sleep quality, and NES were evaluated using the Morningness-Eveningness Questionnaire (MEQ), Seasonal Pattern Assessment Questionnaire, Pittsburgh Sleep Quality Index, and Night Eating Questionnaire. The prevalence of NES (17.4%) was higher among BD than the controls. BD patients with NES had poorer sleep quality, greater seasonality, and lower MEQ scores. Chronotype had an indirect effect that was partially mediated by sleep quality on night eating symptoms in BD patients, in addition to a direct effect. Seasonality was found to have a direct effect on night eating symptoms. Therapeutic interventions that target both sleep and circadian disruption should be implemented when addressing NES in patients with BD.
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Affiliation(s)
| | - Engin Emrem Beştepe
- Department of Psychiatry, University of Health Sciences, Erenkoy Training and Research Hospital for Psychiatry and Neurological Diseases
| | - İlke Sertler
- Department of Psychiatry, University of Health Sciences, Erenkoy Training and Research Hospital for Psychiatry and Neurological Diseases
| | - Samet Kurnaz
- Department of Psychiatry, University of Health Sciences, Sancaktepe Sehit Prof. Dr. Ilhan Varank Training and Research Hospital, Istanbul, Turkiye
| | - Batuhan Ayık
- Department of Psychiatry, University of Health Sciences, Erenkoy Training and Research Hospital for Psychiatry and Neurological Diseases
| | - Cana Aksoy Poyraz
- Department of Psychiatry, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine
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Haneef S, Almuammar S. Prevalence and Associations of Night Eating Syndrome Among Medical Students in Saudi Arabia. Psychol Res Behav Manag 2024; 17:529-535. [PMID: 38374939 PMCID: PMC10875165 DOI: 10.2147/prbm.s450463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2023] [Accepted: 02/10/2024] [Indexed: 02/21/2024] Open
Abstract
Background Medical students often experience elevated stress levels and disrupted sleep patterns, increasing the risk of developing Night Eating Syndrome (NES). Depression is prevalent among medical students, further emphasizing the need for investigation. This study aims to explore the occurrence of NES and its associated factors, primarily focusing on depression, among medical students at a university in Jeddah, Saudi Arabia. Methods In this cross-sectional study involving medical students, participants completed a self-administered questionnaire covering sociodemographic details, the Night Eating Syndrome Questionnaire (NEQ) with 14 items, and the Patient Health Questionnaire-2 (PHQ-2) for depression screening. Results The study involved 300 medical students, reflecting a diverse sample with an average age of 21.4 ± 1.9 years and a well-balanced distribution across academic years. Notably, 41 participants (13.7%) were identified as obese. Depression, as determined by PHQ-2 scores exceeding 3, was prevalent in 159 students (53.0%). A multivariable logistic regression analysis uncovered a significant independent association, revealing that being a second-year medical student was linked to depressive health conditions (odds ratio [OR]: 3.53, 95% confidence interval [CI]: 1.24-10.10, p = 0.02). Exploring NES, 22 students (7.3%) scored above the NEQ threshold of 25, indicating its presence. Intriguingly, multivariable logistic regression illustrated that the sole independent factor associated with NES was the presence of depression (OR: 4.4, CI: 1.4-13.2, p = 0.01). Conclusion The overall prevalence of NES was 7.3%, and it was found to be associated with depression in medical students. Additionally, being a second-year medical student was independently associated with depression. These findings underscore the importance of addressing mental health issues, including NES and depression, in medical students, particularly during the early stages of their training.
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Affiliation(s)
- Sara Haneef
- Department of Family Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Sarah Almuammar
- Department of Family Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
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Miraj M, Kashoo F, Saleem S, Alzhrani M, Alanazi A, Alzahrani H, Shaphe MA, Ahmad M, Ahmad F, Shaik AR, Almansour A, Sirajudeen MS, Alshewaier SA, Alqahtani M, Mir SA, Siddiq M, Alyahya D, Shaik RA. Prevalence of night eating syndrome associated with psychological disorders among university students: A metaanalysis. JOURNAL OF KING SAUD UNIVERSITY - SCIENCE 2022; 34:102031. [DOI: 10.1016/j.jksus.2022.102031] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/05/2024]
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Kim W, Ju YJ, Lee SY. The association between episodes of night eating and levels of depression in the general population. Int J Eat Disord 2022; 55:254-262. [PMID: 35037724 DOI: 10.1002/eat.23677] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 01/02/2022] [Accepted: 01/03/2022] [Indexed: 11/07/2022]
Abstract
OBJECTIVE Research has suggested that a correlation may exist between depressive mood and episodes of night eating. This study aimed to examine whether having episodes of night eating was associated with increased levels of depression. METHOD This study used data from the 2019 Korea Community Health Survey and the study population consisted of adults aged ≥19 years. Depression levels were measured using the Patient Health Questionnaire-9. We investigated the patients' general characteristics using t-tests and analysis of variance. The association between depression levels and episodes of night eating was analyzed using a multivariable linear regression analysis. Subgroup analysis was conducted based on daily sleep duration. RESULTS We analyzed 34,358 individuals and found higher average depression scores (β: 4.99, p < .001) in those with episodes of night eating than those without. Large effect sizes were found for differences in depression scores between participants with and without episodes of night eating. The magnitude of this increase was particularly pronounced in individuals who reported 9 or more hours of sleep per day. DISCUSSION An association was found between levels of depression and episodes of night eating as individuals with episodes of night eating were more likely to have higher depression scores. Our findings suggest the potential need to consider night eating when addressing the mental health of the general population.
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Affiliation(s)
- Woorim Kim
- Division of Cancer Control & Policy, National Cancer Control Institute, National Cancer Center, Goyang-si, Gyeonggi-do, Republic of Korea
| | - Yeong Jun Ju
- Department of Preventive Medicine and Public Health, Ajou University School of Medicine, Suwon-si, Gyeonggi-do, Republic of Korea
| | - Soon Young Lee
- Department of Preventive Medicine and Public Health, Ajou University School of Medicine, Suwon-si, Gyeonggi-do, Republic of Korea
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Tian Y, Zhong F, Li C, Wu C, Zou J, Wang Q, Song Z, Cui Y, Sun X, Huang C. Association Between Parental Socioeconomic Status and Skeletal Muscle Mass in Chinese College Students: Fitness Improvement Tactics in Youths (FITYou) Project. Risk Manag Healthc Policy 2020; 13:2457-2467. [PMID: 33177901 PMCID: PMC7650838 DOI: 10.2147/rmhp.s266891] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 09/26/2020] [Indexed: 12/13/2022] Open
Abstract
Purpose The purpose of this study was to determine the association between parental socioeconomic status (SES) and skeletal muscle mass in Chinese college students. Methods A cross-sectional study including 2204 college freshmen was conducted in Shenyang, China. Data regarding body composition, health examinations, and a self-reported questionnaire were available from all the participants. Skeletal muscle mass assessment was completed by a bioelectrical impedance analyzer. Information on parental SES (educational levels, annual income, and occupational status) was collected via questionnaires. Covariance analysis was used to adjust for the confounding effects of sex, age, ethnicity, smoking status, alcohol use, and sleep duration. Results Multivariate analysis showed that college freshmen with higher parental SES levels generally had higher skeletal muscle mass after adjustment for confounding factors (mean [95% confidence interval]: low, 42.4 [42.0, 42.8]; middle, 42.9 [42.6, 43.3]; high, 43.7 [43.4, 44.1], p for trend < 0.001). Similar results were observed for paternal and maternal SES (p for trend < 0.001, respectively), whereas association between paternal SES and youth muscle mass became non-significant after adjusting for maternal SES (p for trend = 0.077). Results also showed positive linear trends for skeletal muscle mass and paternal or maternal educational levels and annual income (p for trend < 0.001, respectively), but not for occupational status. Conclusion This study found a positive association between parental SES and skeletal muscle mass in Chinese college students. Compared to the normalization of height or weight, body mass index-adjusted skeletal muscle mass is more likely to be associated with SES.
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Affiliation(s)
- Ying Tian
- College of Sports Science, Shenyang Normal University, Shenyang, People's Republic of China
| | - Fei Zhong
- Department of Sports and Exercise Science, College of Education, Zhejiang University, Hangzhou, People's Republic of China
| | - Cheng Li
- Department of Grain Science and Industry, Kansas State University, Manhattan, KS, USA
| | - Chunchun Wu
- Department of Sports and Exercise Science, College of Education, Zhejiang University, Hangzhou, People's Republic of China
| | - Jiaqi Zou
- College of Sports Science, Shenyang Normal University, Shenyang, People's Republic of China
| | - Qiang Wang
- College of Sports Science, Shenyang Normal University, Shenyang, People's Republic of China
| | - Zhengxue Song
- College of Sports Science, Shenyang Normal University, Shenyang, People's Republic of China
| | - Yufei Cui
- Institute of Exercise Epidemiology and Department of Physical Education, Huaiyin Institute of Technology, Huai'an, People's Republic of China.,Department of Medicine and Science in Sports and Exercise, Tohoku University Graduate School of Medicine, Sendai, Japan
| | - Xiaomin Sun
- Department of Nutrition and Food Safety, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, People's Republic of China
| | - Cong Huang
- Department of Sports and Exercise Science, College of Education, Zhejiang University, Hangzhou, People's Republic of China.,Department of Medicine and Science in Sports and Exercise, Tohoku University Graduate School of Medicine, Sendai, Japan
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Guo F, Tian Y, Zhong F, Wu C, Cui Y, Huang C. Intensity of Physical Activity and Depressive Symptoms in College Students: Fitness Improvement Tactics in Youth (FITYou) Project. Psychol Res Behav Manag 2020; 13:787-796. [PMID: 33061694 PMCID: PMC7534045 DOI: 10.2147/prbm.s267066] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Accepted: 08/26/2020] [Indexed: 01/10/2023] Open
Abstract
Purpose To investigate whether the physical activity at different intensities is correlated with depressive symptoms in college students. Patient and Methods This cross-sectional study was a part of the Fitness Improvement Tactics in Youth Project, which was conducted in 2017. A total of 2,820 college freshmen aged 15-24 years were included in this study, of whom 699 (24.8%) were males and 2,121 (75.2%) were females. Depressive symptoms were measured using the Self-rating Depression Scale. Physical activity was assessed using the International Physical Activity Questionnaire-Short Form. Covariates included sociodemographic, lifestyle-related, and health-related factors. Results A total of 560 (19.9%) college students had depressive symptoms. Total physical activity levels (METs•hour/week) were positively associated with frequency of breakfast intake (p = 0.050) but no other participant characteristics. Logistic regression analysis showed that the prevalence of depressive symptoms in the highest quartile of physical activity was lower than in the lowest quartile when adjusted for sex, age, ethnicity, only child, smoking status, alcohol use, breakfast frequency, daily sleep duration, body mass index, grip strength, and the number of metabolic syndrome components (odds ratios [95% confidence intervals (CI)]: 0.75 [0.58, 0.98], p = 0.036). Furthermore, high physical activity levels of low-intensity tended to moderately correlate to lower prevalence of depressive symptoms (odds ratios [95% CI]: Q1, 0.71 [0.55, 0.91], Q2, 0.77 [0.59, 1.01], Q3, 0.75 [0.57, 0.98], p for trend = 0.037). Associations of moderate and vigorous physical activity with depressive symptoms were not found. For secondary outcomes, sex-stratified analysis showed that similar findings were only found in females, but not males. Conclusion This study indicated that total physical activity and low-intensity physical activity were inversely associated with depressive symptoms in Chinese college students. All these observations showed gender differences.
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Affiliation(s)
- Feng Guo
- Institute of Exercise Epidemiology and Department of Physical Education, Huaiyin Institute of Technology, Huai'an, People's Republic of China
| | - Ying Tian
- College of Sports Science, Shenyang Normal University, Shenyang, People's Republic of China
| | - Fei Zhong
- Department of Sports and Exercise Science, College of Education, Zhejiang University, Hangzhou, People's Republic of China
| | - Chunchun Wu
- Department of Sports and Exercise Science, College of Education, Zhejiang University, Hangzhou, People's Republic of China
| | - Yufei Cui
- Institute of Exercise Epidemiology and Department of Physical Education, Huaiyin Institute of Technology, Huai'an, People's Republic of China
| | - Cong Huang
- Department of Sports and Exercise Science, College of Education, Zhejiang University, Hangzhou, People's Republic of China.,Department of Medicine and Science in Sports and Exercise, Tohoku University Graduate School of Medicine, Sendai, Japan
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