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Nighttime Eating Syndrome (NES)

Night eating syndrome (NES) is an eating disorder that occurs forth with frequent sleep interruptions. People with NES feel like they won't exist able to become back to sleep without eating. They may wake upwards several times in one night, and may feel ashamed or depressed. Providers treat NES with a combination of antidepressant medications and therapy.

Overview

What is NES?

Night eating syndrome (NES) is an eating disorder that occurs along with interrupted slumber (indisposition). NES causes people to wake up during the nighttime to eat, ordinarily several times throughout the night. Untreated, NES makes it hard to maintain a healthy weight. Information technology besides increases the risk of health problems like diabetes and high blood pressure.

If you take NES, yous may experience similar you won't be able to autumn comatose if yous don't consume. You lot might feel as if yous accept no control over your urge to swallow in the middle of the nighttime. Many people with NES likewise have depression or anxiety that is often worse at night.

To help people with NES, healthcare providers ordinarily recommend a combination of treatments. These include antidepressant medications, cognitive behavioral therapy and techniques to correct the sleeping and eating cycle.

How common is NES?

About ane in 100 people have NES. Dark eating syndrome is more mutual among people who:

Carry actress weight or have obesity.
Have depression or feet.
Abuse drugs or alcohol.
Have some other eating disorder, such as bulimia nervosa or binge eating disorder.

What is the difference between NES and sleep-related eating disorder (SRED)?

NES is not a type of sleepwalking or other aberrant sleep behavior (parasomnia). It's unlike from sleep-related eating disorder (SRED) because people who have NES are fully awake while eating.

People with NES remember waking and eating during the dark. But people with SRED consume while they're asleep and take no memory of information technology the next solar day.

Symptoms and Causes

What are the symptoms of night eating syndrome?

Symptoms of NES usually last for several weeks or months. They include:

Waking up to eat: People with NES usually take insomnia more than iv times per week. They wake up to swallow (sometimes multiple times a night) for several weeks or months. They feel similar they have to have a full breadbasket to become back to slumber.
Eating many calories at dark: People with this disorder eat more than 25% of their daily nutrient intake at night. They may eat tardily at dark before they go to bed, during the night or both. Instead of eating one big meal, many people with NES eat smaller meals or snacks throughout the night. They usually crave foods that are loftier in calories, carbohydrates or sugar.
Decreased ambition during the 24-hour interval: Hyperphagia (intense hunger and overeating) happens later in the evening and during the night. People with NES may not be hungry for breakfast. Some people don't feel hungry until afterwards in the afternoon.
Depression and anxiety: Mental wellness conditions such as depression and anxiety often occur along with NES. People with NES tend to feel like they accept no control over their eating. They may feel ashamed, sad or embarrassed.

What causes NES?

Healthcare providers don't know exactly what causes NES. They believe it results from several factors, including:

Circadian rhythm disorders: The circadian rhythm is the body's natural "clock" that controls when you feel tired, alarm and hungry. If you take NES, your internal clock doesn't work like it should. Your body releases hormones that make you feel hungry and alert at night rather than during the day.
Genes: NES tin can run in families, so providers recall genes may play a part in who gets the disorder.
Mental health: Many people with NES likewise have mood disorders such as depression and anxiety.
Other disorders: People with NES are more likely to have other eating disorders and substance corruption disorders. They're also more probable to have obesity. Just the connection between these disorders and NES isn't clear.
Daytime dieting: NES can sometimes result from non getting plenty calories during the day. People who restrict their nutrient intake during the 24-hour interval may be more likely to binge at dark.

Diagnosis and Tests

How practise healthcare providers diagnose NES?

Your provider will ask nigh your symptoms, including how often you lot wake upward at nighttime and what helps y'all go back to sleep. They volition examine you to check your concrete wellness and ask questions well-nigh your mood, emotions and mental health.

Your provider may ask you to keep a sleep diary. Keeping track of when you lot wake up and what you eat at night tin help your provider plan handling. You may also need to spend the dark in a sleep report center to cheque for abnormal sleep behaviors.

Management and Treatment

How practise providers treat NES?

To treat NES, your provider may recommend i treatment or a combination of several. Treatments include:

Cognitive behavioral therapy (CBT), a type of talk therapy that tin can help you modify troubling behaviors and adopt healthier habits. CBT might assist yous eat more during the twenty-four hours and control night hunger.
Antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs), to heave your mood and regulate your emotions.
Heed-body exercises, such equally progressive muscle relaxation, to assistance you at-home downwards and fall back asleep.
Low-cal therapy (phototherapy), using a special lite for about 15 to 30 minutes every solar day. This lamp helps to change your circadian rhythm, so you'll feel sleepy at night.
Melatonin, a hormone that regulates and controls the sleep-wake cycle. Your provider may recommend taking melatonin supplements to help you become to sleep and stay asleep at night.
Weight management program, so you lot can maintain a healthy weight, cull nutritious foods and feel better.

Prevention

Tin I prevent NES?

You may non be able to prevent NES. But you tin take steps to amend your health and get restful slumber past:

Choosing healthy foods: Make sure you only have salubrious foods at home. Getting rid of foods that are high in fat and saccharide tin help you avoid indulging in them at night.
Practicing good slumber hygiene: Keep your bedroom at a comfy temperature, and attempt to go to sleep at the same time every day. Avoid caffeine and electronics before bed.
Keeping an eye on your mental health: Try to manage stress with meditation and deep animate. If you feel sad or anxious, talk to your provider. Counseling and therapy tin help you manage emotions and ameliorate your mood.
Staying active during the 24-hour interval: Regular exercise and concrete activity during the day helps you sleep better at night.

Outlook / Prognosis

What is the outlook for people with NES?

Untreated, NES can cause health bug and emotional challenges. It tin pb to diabetes, high cholesterol, high claret pressure and other issues that consequence from carrying excess weight.

But healthcare providers can care for NES with a combination of therapy, medications and lifestyle changes. Many people with NES discover relief from symptoms by sticking to a comprehensive treatment plan.

Living With

When should I see my healthcare provider about NES?

Phone call your provider if you take symptoms of NES. It'southward important to see your provider for an evaluation and check for wellness conditions that might be causing yous to wake upward at nighttime. Talk to your provider if you're sorry or anxious.

If you take thoughts of suicide, get help right abroad. Talk to your provider or telephone call the National Suicide Prevention Lifeline at 800.273.8255. This national network of local crisis centers provides free and confidential emotional support to people in suicidal crunch or emotional distress 24 hours a solar day, seven days a calendar week.

A note from Cleveland Clinic

Night eating syndrome can have a major impact on your health and wellbeing. In addition to weight gain and excessive daytime sleepiness, NES can cause you to experience out of command. Only treatments can help. Be honest with your provider about your symptoms, including when you experience the need to eat and what helps y'all fall back asleep. Tell your provider if you experience sad, anxious or embarrassed. These details help your provider plan the nigh effective treatments.

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Source: https://my.clevelandclinic.org/health/diseases/21731-night-eating-syndrome-nes