Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Multicentre Survey on Relations of Night Eating Syndrome and Oral Health Status Among Turkish Dental School Students
Türk Diş Hekimliği Fakültesi Öğrencilerinde Gece Yeme Sendromu ve Ağız Sağlığı İlişkileri Üzerine Çok Merkezli Araştırma
Kader CESUR AYDINa, Selin GAŞb, Alperen TEKİNa, Oğuzhan DEMİRELc
aDepartment of Dentomaxillofacial Radiology, İstanbul Medipol University Faculty of Dentistry, İstanbul, Türkiye
bDepartment of Dentomaxillofacial Surgery, Beykent University Faculty of Dentistry, İstanbul, Türkiye
cDepartment of Dentomaxillofacial Radiology, Bahçeşehir University Faculty of Dentistry, İstanbul, Türkiye
Turkiye Klinikleri J Dental Sci. 2022;28(4):749-54
doi: 10.5336/dentalsci.2022-88940
Article Language: EN
Full Text
ABSTRACT
 Objective: Night eating syndrome (NES) is a common eating disorder in which the circadian timing of food intake disturbs. The aim of the present study is to determine the prevalence of NES among dental school students and evaluate its association with body mass index (BMI), smoking status, alcohol consumption, and oral health status. Material and Methods: Night eating questionnaire consisting of 14 questions was conducted on dental school students at 3 universities and a total of 30 points and higher was determined as a cutpoint for NES diagnosis. Demographic status, medical status, BMI, smoking/alcohol consumption, carious/filled teeth, and interval of brushing are recorded. Results: Twelve (3.5%) of the study group among 346 attendants revealed NES diagnosis. Students with NES showed significantly higher average body weight values (p<0.05) on the other hand average BMI values did not differ among groups with and without NES (p>0.05). Smoking rates (91.7%) and alcohol consumption (83.3%) were significantly higher in students with NES (p<0.05). Number of carious teeth were found higher, oral health status, tooth brushing habit was found poorer in NES diagnosed subjects (p<0.05). Conclusion: This present study concluded that NES diagnosis was relatively low in dental students. NES could be a risk factor for impaired oral hygiene, especially in dental students with smoking habits and alcohol consumption. Oral hygiene knowledge and attitudes contribute to decreasing night eating habits in dental students.

Keywords: Night eating syndrome; dental caries; oral health; body mass index; smoking
ÖZET
 Amaç: Gece yeme sendromu (GYS), gıda alımının sirkadiyen zamanlamasının bozulduğu yaygın bir yeme bozukluğudur. Bu çalışmanın amacı, diş hekimliği fakültesi öğrencileri arasında GYS sıklığını belirlemek ve beden kitle indeksi (BKİ), sigara içme durumu, alkol tüketimi ve ağız sağlığı durumu ile ilişkisini değerlendirmektir. Gereç ve Yöntemler: Üç üniversitenin diş hekimliği fakültesi öğrencilerine, 14 sorudan oluşan gece yeme anketi (GYA) uygulanmıştır. GYS tanısı için sınır değer olarak toplam 30 puan ve üzeri belirlenmiştir. Demografik durum, tıbbi durum, BKİ, sigara/alkol kullanımı, çürük/dolgulu dişler ve fırçalama aralığı kaydedilmiştir. Bulgular: Araştırmaya katılan 346 kişiden 12'sinde (%3,5) GYS bulguları belirlenmiştir. GYS bulguları olan öğrencilerin ortalama vücut ağırlık değerleri daha yüksek (p<0,05) görülmüş, ancak ortalama BKİ değerleri, GYS olan ve olmayan gruplar arasında farklılık göstermemiştir (p>0,05). GYS olan öğrencilerde sigara içme oranları (%91,7) ve alkol tüketimi (%83,3) anlamlı olarak daha yüksek bulunmuştur (p<0,05). GYS tanılı kişilerde çürük dişlerin sayısı daha fazla, ağız sağlığı durumu ve diş fırçalama alışkanlığı daha kötü bulunmuştur. Sonuç: Bu çalışma, diş hekimliği öğrencilerinde GYS tanısının nispeten düşük olduğu sonucunu göstermiştir. GYS, özellikle sigara içme alışkanlığı ve alkol tüketimi olanlarda bozulmuş ağız hijyeni için bir risk faktörü olabilir. Ağız hijyen bilgisi ve tutumları gece yeme alışkanlıklarının azalmasına katkıda bulunabilir.

Anahtar Kelimeler: Gece yeme sendromu; diş çürükleri; ağız sağlığı; beden kitle indeksi; sigara içme
REFERENCES:
  1. Stunkard AJ, Grace WJ, Wolff HG. The night-eating syndrome; a pattern of food intake among certain obese patients. Am J Med. 1955;19(1):78-86. [Crossref]  [PubMed] 
  2. O'Reardon JP, Ringel BL, Dinges DF, Allison KC, Rogers NL, Martino NS, et al. Circadian eating and sleeping patterns in the night eating syndrome. Obes Res. 2004;12(11):1789-96. [Crossref]  [PubMed] 
  3. Garrido-Martínez P, Domínguez-Gordillo A, Cerero-Lapiedra R, Burgue-o-García M, Martínez-Ramírez MJ, Gómez-Candela C, et al. Oral and dental health status in patients with eating disorders in Madrid, Spain. Med Oral Patol Oral Cir Bucal. 2019;24(5):e595-e602. [PubMed]  [PMC] 
  4. Giraudeau N, Camman P, Pourreyron L, Inquimbert C, Lefebvre P. The contribution of teledentistry in detecting tooth erosion in patients with eating disorders. Digit Health. 2021;7:20552076211019250. [Crossref]  [PubMed]  [PMC] 
  5. Lourenço M, Azevedo Á, Brandão I, Gomes PS. Orofacial manifestations in outpatients with anorexia nervosa and bulimia nervosa focusing on the vomiting behavior. Clin Oral Investig. 2018;22(5):1915-22. [Crossref]  [PubMed] 
  6. Monda M, Costacurta M, Maffei L, Docimo R. Oral manifestations of eating disorders in adolescent patients. A review. Eur J Paediatr Dent. 2021;22(2):155-8. [PubMed] 
  7. de Zwaan M, Roerig DB, Crosby RD, Karaz S, Mitchell JE. Nighttime eating: a descriptive study. Int J Eat Disord. 2006;39(3):224-32. [Crossref]  [PubMed] 
  8. Allison KC, Lundgren JD, O'Reardon JP, Martino NS, Sarwer DB, Wadden TA, et al. The Night Eating Questionnaire (NEQ): psychometric properties of a measure of severity of the Night Eating Syndrome. Eat Behav. 2008;9(1):62-72. [Crossref]  [PubMed] 
  9. Taymur İ, Budak E, Demi̇rci̇ H, Karayürek Y, Önen S, Kanat BB. Night eating syndrome and food addiction in Turkish population. Ankara Med J. 2019;19(3):602-12. [Crossref] 
  10. Sevincer GM, Ince E, Taymur I, Konuk N. Night eating syndrome frequency among university students: association with impulsivity, depression, and anxiety. Bull Clin Psychopharmacol. 2016;26(3):238-47. [Crossref] 
  11. Atasoy N, Saraçlı Ö, Konuk N, Ankaralı H, Güriz SO, Akdemir A, et al. The reliability and validity of Turkish version of the Night Eating Questionnaire in psychiatric outpatient population. Anatolian Journal of Psychiatry. 2014;15(3):238-47. [Crossref] 
  12. Fischer S, Meyer AH, Hermann E, Tuch A, Munsch S. Night eating syndrome in young adults: delineation from other eating disorders and clinical significance. Psychiatry Res. 2012;200(2-3):494-501. [Crossref]  [PubMed] 
  13. Nolan LJ, Geliebter A. Night eating is associated with emotional and external eating in college students. Eat Behav. 2012;13(3):202-6. Erratum in: Eat Behav. 2014;15(4):700. [Crossref]  [PubMed]  [PMC] 
  14. Runfola CD, Allison KC, Hardy KK, Lock J, Peebles R. Prevalence and clinical significance of night eating syndrome in university students. J Adolesc Health. 2014;55(1):41-8. [Crossref]  [PubMed]  [PMC] 
  15. Yahia N, Brown C, Potter S, Szymanski H, Smith K, Pringle L, et al. Night eating syndrome and its association with weight status, physical activity, eating habits, smoking status, and sleep patterns among college students. Eat Weight Disord. 2017;22(3):421-33. [Crossref]  [PubMed] 
  16. Hernandez E, Kim M, Kim WG, Yoon J. Nutritional aspects of night eating and its association with weight status among Korean adolescents. Nutr Res Pract. 2016;10(4):448-55. [Crossref]  [PubMed]  [PMC] 
  17. Öner C, Günay N, Telatar B, Yeşildağ Ş. Night eating syndrome in young adolescents: frequency and significance. Anatol JFM. 2018;1(1):17-20. [Crossref] 
  18. AlJohani S, Salam M, BaniMustafa A, Zaidi ARZ, Aljohani AA, Almutairi A, et al. Dietary habits of students enrolled in faculties of health sciences: a cross-sectional Study. Cureus. 2019;11(10):e6012. [Crossref]  [PubMed]  [PMC] 
  19. Meule A, Allison KC, Brähler E, de Zwaan M. The association between night eating and body mass depends on age. Eat Behav. 2014;15(4):683-5. [Crossref]  [PubMed] 
  20. McCrory MA. Meal skipping and variables related to energy balance in adults: a brief review, with emphasis on the breakfast meal. Physiol Behav. 2014;134:51-4. [Crossref]  [PubMed] 
  21. Spaeth AM, Dinges DF, Goel N. Resting metabolic rate varies by race and by sleep duration. Obesity (Silver Spring). 2015;23(12):2349-56. [Crossref]  [PubMed]  [PMC] 
  22. Cleator J, Abbott J, Judd P, Sutton C, Wilding JP. Night eating syndrome: implications for severe obesity. Nutr Diabetes. 2012;2(9):e44. [Crossref]  [PubMed]  [PMC] 
  23. Marshall HM, Allison KC, O'Reardon JP, Birketvedt G, Stunkard AJ. Night eating syndrome among nonobese persons. Int J Eat Disord. 2004;35(2):217-22. [Crossref]  [PubMed] 
  24. Allison KC, Crow SJ, Reeves RR, West DS, Foreyt JP, Dilillo VG, et al. Binge eating disorder and night eating syndrome in adults with type 2 diabetes. Obesity (Silver Spring). 2007;15(5):1287-93. [Crossref]  [PubMed]  [PMC] 
  25. Morse SA, Ciechanowski PS, Katon WJ, Hirsch IB. Isn't this just bedtime snacking? The potential adverse effects of night-eating symptoms on treatment adherence and outcomes in patients with diabetes. Diabetes Care. 2006;29(8):1800-4. [Crossref]  [PubMed] 
  26. Ashizawa E, Katano S, Harada A, Yanagibori R, Kobayashi Y, Sato S, et al. [Exploring the link between standard lifestyle questionnaires administered during specific medical check-ups and incidence of metabolic syndrome in Chiba Prefecture]. Nihon Koshu Eisei Zasshi. 2014;61(4):176-85. Japanese. [PubMed] 
  27. Lundgren JD, Williams KB, Heitmann BL. Nocturnal eating predicts tooth loss among adults: results from the Danish MONICA study. Eat Behav. 2010;11(3):170-4. [Crossref]  [PubMed] 
  28. Batra M, Shah AF, Rajput P, Shah IA. Comparison of linear and zero-inflated negative binomial regression models for appraisal of risk factors associated with dental caries. J Indian Soc Pedod Prev Dent. 2016;34(1):71-5. [Crossref]  [PubMed] 

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