Cited by 223Sleep and related disordersEating Disorders and BehaviorsCircadian rhythm and melatonin

Circadian eating and sleeping patterns in the night eating syndrome

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O'Reardon, John P., Ringel, Brenda L., Dinges, David F., Allison, Kelly Costello, Rogers, Naomi L., Martino, Nicole S., Stunkard, Albert J.·2004·Obesity Research

Abstract

OBJECTIVE: To compare the eating and sleep-wake patterns of persons with the night eating syndrome (NES) with those of matched control subjects. RESEARCH METHODS AND PROCEDURES: Forty-six overweight/obese NES subjects (mean age 43.3 +/- 9.8 years; 32 women) and 43 similar controls (mean age 39.0 +/- 11.0 years; 28 women) wore wrist actigraphs for 7 days and completed sleep and food diaries at home. RESULTS: There was no difference between the total energy intake of the NES and the control subjects, but the pattern of energy intake differed greatly. Relative to control subjects, the temporal pattern of food intake of night eaters was delayed. Food intake after the evening meal, as a proportion of the 24-hour intake, was more than 3-fold greater in NES subjects than in controls (34.6 +/- 10.1% vs. 10.0 +/- 6.9%, p = 0.001). NES subjects had sleep onset, offset, and total sleep duration times comparable with those of controls. NES subjects reported more nocturnal awakenings than did controls (1.5 +/- 1.0 per night vs. 0.5 +/- 0.5; p < 0.001), and their actigraphically monitored arousals occurred earlier during sleep (at 128 minutes after sleep onset vs. 193 minutes, p = 0.01). NES subjects consumed food on 74% of the awakenings vs. 0% for the controls. DISCUSSION: The pattern of cumulative energy intake of the night eaters suggests a phase delay in energy consumption relative to sleep-wake times. NES may involve a dissociation of the circadian control of eating relative to sleep.

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Crossref · 10.1038/oby.2004.222

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  • The core criteria of night eating syndrome (evening hyperphagia, associated with nighttime awakening and ingestion) are associated with definite behavioral and hormonal phase delays.

    “The core criteria of evening hyperphagia, associated with nighttime awakening and ingestion are associated with definite behavioral and hormonal phase delays (Allison et al., 2005; Birketvedt et al., 1999; O'Reardon et al., 2004).”
  • Not all studies report differences in daily caloric intake between night eaters and controls.

    “However, not all studies report differences in daily caloric intake between night eaters and controls [32,33,34]”
  • Compared to those who do not eat late at night, individuals with NES consume a larger portion of their total calories at night (≥50% after dinner) and have higher overall daily and evening caloric intake in some but not all cases.

    “Compared to those who do not eat late at night, individuals with NES consume a larger portion of their total calories at night (≥50% after dinner) and have higher overall daily and evening caloric intake in some [30,31], but not all cases [32,33,34].”

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Research works printed but not linked: 3

  1. Stunkard AJ, Grace WJ, Wolff HG. The night eating syn- drome: a pattern of food intake in certain obese patients. Am J Med. 1955;19:78 -86.
  2. First MB, Spitzer RL, Gibbon M, Williams JBW, Ben- jamin L. Structured Clinical Interview for DSM-IV: Patients Edition (with Psychotic Screen, Version 2.0). New York: Biometrics Research Department, New York State Psychiatric Institute; 1996.
  3. Hsu LKG, Betancourt S, Sullivan SP. Eating disturbances before and after vertical banded gastroplasty: a pilot study. Int J Eat Dis 1996;19:23-34.

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Authors
O'Reardon, J. P., Ringel, B. L., Dinges, D. F., Allison, K. C., Rogers, N. L., Martino, N. S., & Stunkard, A. J.
Affiliations
University of Pennsylvania (US)
Corresponding author
Stunkard, Albert J.
Venue
Obesity Research
Publisher
Wiley
Published
2004-11
Volume
12
Issue
11
Pages
1789-1796
ISSN
  • 1071-7323 (ISSN-L)
  • 1550-8528
OpenAlex
W2155177818
Cited by
223
References
26
Citations by year
2026: 6 · 2025: 9 · 2024: 4 · 2023: 5 · 2022: 9 · 2021: 8 · 2020: 7 · 2019: 11 · 2018: 8 · 2017: 11 · 2016: 10 · 2015: 12 · 2014: 8 · 2013: 19 · 2012: 14
FWCI
14.85
Type
journal article
Language
en
Open access
Locations
  • Obesity Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health
  • Pfizer Pharmaceuticals
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK056735)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
Keywords
night eating syndrome, circadian rhythm, dietary habits, sleep-wake patterns, night eating, nocturnal awakenings, sleep arousal, meal timing, energy intake, obesity
MeSH terms
Activity Cycles, Adult, Arousal, Energy Intake, Circadian Rhythm, Eating, Female, Humans, Hyperphagia, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Obesity, Sleep, Syndrome, Body Mass Index

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