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Sleep-wake cycles in obese children with and without binge-eating episodes
Orna Tzischinsky1, Yael Latzer
1Emek Yezreel College, Emek Yezreel, Israel. orna@yvc.ac.il
Insights
Obese children with binge eating experience more severe sleep disruption than those without binge eating and normal-weight children. This study highlights the link between obesity, binge eating, and poor sleep quality in pediatric populations.
Area of Science:
- Pediatric Endocrinology
- Sleep Medicine
- Behavioral Pediatrics
Background:
- Obesity in children is a significant public health concern.
- Binge eating disorder (BED) is increasingly recognized in pediatric populations.
- Sleep disturbances are common in childhood obesity but their specific association with binge eating requires further investigation.
Purpose of the Study:
- To investigate the prevalence of binge-eating episodes in obese children.
- To characterize and compare sleep-wake cycles in obese children with and without binge eating, and in normal-weight controls.
- To determine the relationship between binge eating, obesity, and sleep quality.
Main Methods:
- A cohort of 36 obese children, diagnosed with primary obesity, were recruited.
- Obese participants were categorized into two groups: those with binge eating and those without.
- A control group of 25 normal-weight children was included. Sleep patterns were assessed for one week using mini-actigraphy and self-report questionnaires.
Main Results:
- Binge-eating episodes were reported by 37% of the obese children.
- Actigraphy revealed significant differences in sleep quality across all three groups.
- Self-report questionnaires indicated greater sleep disturbances in both obese groups compared to normal-weight controls.
Conclusions:
- Sleep disruption is significantly more pronounced in obese children who engage in binge eating.
- These findings suggest a strong link between binge eating, obesity, and severe sleep disturbances in children.
- Interventions for pediatric obesity may benefit from addressing both binge eating behaviors and sleep quality.
Aim:
The aim of the study was to assess binge-eating episodes and to characterise sleep-wake cycles among obese children.
Method:
The obese group consisted of 36 children. All participants received a diagnosis of primary obesity. The obese group was subdivided into two groups: obese with binge eating and without binge eating. A normal-weight control group was comprised of 25 normal-weight children. Sleep-wake patterns were monitored for 1 week, using mini-actigraphs and self-report questionnaires.
Results:
Thirty-seven per cent of the obese children reported uncontrolled binge-eating episodes. Actigraphic monitoring revealed significant differences in sleep quality between all three groups. Self-report questionnaires presented significantly more sleep disturbances in the obese group with binge eating and obese group without binge eating than in the normal-weight group.
Conclusion:
Sleep disruption in obese children with binge eating is significantly more severe than in both obese non-binge-eating children and normal-weight controls.
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