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Titolo:
ADDITIONAL CATEGORIES OF SLEEP-RELATED EATING DISORDERS AND THE CURRENT STATUS OF TREATMENT
Autore:
SCHENCK CH; HURWITZ TD; OCONNOR KA; MAHOWALD MW;
Indirizzi:
HENNEPIN CTY MED CTR,MINNESOTA REG SLEEP DISORDERS CTR,701 PK AVE S MINNEAPOLIS MN 55415 HENNEPIN CTY MED CTR,DEPT PSYCHIAT MINNEAPOLIS MN 55415 HENNEPIN CTY MED CTR,DEPT NEUROL MINNEAPOLIS MN 55415 UNIV MINNESOTA,SCH MED MINNEAPOLIS MN 55455
Titolo Testata:
Sleep
fascicolo: 5, volume: 16, anno: 1993,
pagine: 457 - 466
SICI:
0161-8105(1993)16:5<457:ACOSED>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
SEXUAL ABUSE; BULIMIA; SLEEPWALKING; TRYPTOPHAN; CLONAZEPAM; SEROTONIN;
Keywords:
SLEEP-RELATED (NOCTURNAL) EATING DISORDERS; OBSTRUCTIVE SLEEP APNEA; SLEEP WAKE SCHEDULE DISORDER; RESTLESS LEGS SYNDROME-PERIODIC LIMB MOVEMENT DISORDER; FAMILIAL SLEEP DISORDERS; OBESITY; STRESS; DOPAMINERGIC AGENTS; SLEEPWALKING;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
42
Recensione:
Indirizzi per estratti:
Citazione:
C.H. Schenck et al., "ADDITIONAL CATEGORIES OF SLEEP-RELATED EATING DISORDERS AND THE CURRENT STATUS OF TREATMENT", Sleep, 16(5), 1993, pp. 457-466

Abstract

Sleep-related eating disorders distinct from daytime eating disordershave recently been shown to be associated with sleepwalking (SW), periodic limb movement (PLM) disorder and triazolam abuse in a series of 19 adults. We now report eight other primary or combined etiologies identified by clinical evaluations and polysomnographic monitoring of 19additional adults (mean age 40 years; 58% female): i) obstructive sleep apnea (OSA), with eating during apnea-induced confusional arousals (n = 3); ii) OSA-PLM disorder (n = 1); iii) familial SW and sleep-related eating (n = 2); iv) SW-PLM disorder (n = 1); v) SW-irregular sleep/wake pattern disorder (n = 1); vi) familial restless legs syndrome and sleep-related eating (n = 2); vii) anorexia nervosa with nocturnal bulimia (n2) and viii) amitriptyline treatment of migraines (n = 1). Inour cumulative series of 38 patients (excluding six with simple obesity from daytime overeating), 44% were overweight (i.e. > 20% excess weight) from sleep-related eating. Nightly sleep-related binge eating (without hunger or purging) had occurred in 84% of patients. Onset of sleep-related eating was also closely linked with i) acute stress involving reality-based concerns about the safety of family members or aboutrelationship problems (n = 6), ii) abstinence from alcohol and opiate/cocaine abuse (n = 2) and iii) cessation of cigarette smoking (n = 2). Current treatment data indicate a primary role of dopaminergic agents (carbidopa/L-dopa; bromocriptine), often combined with codeine and clonazepam, in controlling most cases involving SW and/or PLM disorder. Fluoxetine was effective in two of three patients. Nasal continuous positive airway pressure therapy controlled sleep-related eating in twoOSA patients.

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Documento generato il 10/04/20 alle ore 01:35:41