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Relationship Between Night Eating Syndrome and Chronic Musculoskeletal Pain Among First-Year Medical Students

Year 2024, Volume: 46 Issue: 4, 611 - 617, 16.07.2024
https://doi.org/10.20515/otd.1481787

Abstract

Introduction: No studies have investigated the prevalence of chronic musculoskeletal pain among individuals with nocturnal eating syndrome to the best of our knowledge. The aim of this study was to determine the rate of night eating syndrome and chronic musculoskeletal pain among first-year medical students and to investigate whether chronic musculoskeletal pain is more prevalent in students with night eating syndrome compared to those without.
Materials and Methods: This cross-sectional study was conducted with 177 first-year medical students at Faculty of Medicine. Demographic characteristics were assessed. Presence of chronic pain in the musculoskeletal system for at least 3 months, number of painful areas, location of painful areas, and pain intensity were evaluated using the Visual-Analog-Scale. Night eating syndrome diagnosis was made according to the diagnostic criteria developed by Allison et al.
Results: The rate of night eating syndrome was 20.3%, while the rate of chronic musculoskeletal pain was 25.4%. Students were divided into two groups based on the presence or absence of night eating syndrome. No statistically significant differences were found between the two groups in terms of Visual-Analog-Scale scores, and distribution of painful areas. While 36% of students with night eating syndrome had chronic pain in any part of the musculoskeletal system, this rate was lower in students without night eating syndrome, at 22%. However, this difference was not statistically significant. The only statistically significant difference was the number of painful areas which were higher in students with night eating syndrome.
Discussion: Educational interventions on potential consequences of night eating syndrome and proper dietary habits should be planned for students.

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: 78–86. 2. Tzischinsky O, Tokatly Latzer I, Alon S, Latzer Y. Sleep quality and eating disorder-related psychopathologies in patients with night eating syndrome and binge eating disorders. Journal of clinical medicine, 2021;10(19): 4613.
  • 3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5, 5th ed. Washington DC; 2013.
  • 4. Lundgren JD, Allison KC, O’Reardon JP, Stunkard AJ. A descriptive study of non-obese persons with night eating syndrome and a weight-matched comparison group. Eat. Behav. 2008;9:343–51.
  • 5. Rogers NL, Dinges DF, Allison KC, Maislin G, Martino N, O’Reardon JP, et al. Assessment of sleep in women with night eating syndrome. Sleep, 2006:29:814–9.
  • 6. Smith MT, Haythornthwaite JA. How do sleep disturbance and chronic pain inter-relate? Insights from the longitudinal and cognitive-behavioral clinical trials literature. Sleep medicine reviews, 2004;8(2):119-32.
  • 7. Dzierzewski JM, Williams JM, Roditi D, Marsiske M, McCoy K, McNamara J, et al. Daily variations in objective nighttime sleep and subjective morning pain in older adults with insomnia: evidence of covariation over time. Journal of the American Geriatrics Society, 2010;58(5):925-30.
  • 8. Edwards RR, Almeida DM, Klick B, Haythornthwaite JA, Smith MT. Duration of sleep contributes to next-day pain report in the general population. Pain, 2008; 137(1):202-7.
  • 9. Runfola CD, Allison KC, Hardy KK, Lock J, Peebles R. Prevalence and clinical significance of night eating syndrome in university students. Journal of Adolescent Health, 2014;55(1):41-8.
  • 10. Özgür M, Uçar A. Ankara’da yaşayan üniversite öğrencilerinde besin bağımlılığı ve gece yeme sendromunun değerlendirilmesi. Ankara Sağlık Bilimleri Dergisi, 2018;7(1):10-21.
  • 11. Ahmad M, Kashoo FZ, Alqahtani M, Sami W, Rizvi M, Bushra A. Relation between night eating syndrome and academic grades among university students. Turkish Journal of Endocrinology & Metabolism, 2019; 23(2):85-91.
  • 12. Serbic D, Friedrich C, Murray R. Psychological, social and academic functioning in university students with chronic pain: a systematic review. Journal of American College Health, 2023;71(9):2894-908.
  • 13. Stock C, Mikolajczyk RT, Bilir N, Petkeviciene J, Naydenova V, Dudziak U, et al. Gender differences in students’ health complaints: a survey in seven countries. J Public Health, 2008;16(5):353–60.
  • 14. Silva AL, Smaidi K, Pires MHR, Pires OC. Prevalence of chronic pain and associated factors among medical students. Revista Dor, 2017;18:108-11.
  • 15. Nicholas M, Vlaeyen JW, Rief W, Barke A, Aziz Q, Benoliel R, et al. The IASP classification of chronic pain for ICD-11: chronic primary pain. Pain, 2019; 160(1):28-37.
  • 16. Gallagher EJ, Liebman M, Bijur PE. Prospective validation of clinically important changes in pain severity measured on a visual analog scale. Ann Emerg Med. 2001;38:633–8.
  • 17. Allison KC, Lundgren JD, O'reardon JP, Geliebter A, Gluck ME, Vinai Pet AL. Proposed Diagnostic Criteria For Night Eating Syndrome. Int J Eat Disord. 2010;43: 241- 7.
  • 18. Oğur S, Aksoy A, Selen H. Üniversite Öğrencilerinin Yeme Davranışı Bozukluğuna Yatkınlıkları: Bitlis Eren Üniversitesi Örneği. Bitlis Eren Üniversitesi Fen Bilimleri Dergisi, 2016;5:14–26.
  • 19. Sim LA, Lebow J, Weiss K, Harrison T, Bruce. B. Eating disorders in adolescents with chronic pain. Journal of Pediatric Health Care, 2017;31(1):67-74.
  • 20. Lin Y, De Araujo I, Stanley G, Small D, Geha P. Chronic pain precedes disrupted eating behavior in low-back pain patients. PLoS One, 2022;17(2):e0263527.
  • 21. Sim L, Harbeck Weber C, Harrison T, Peterson C. Central sensitization in chronic pain and eating disorders: A potential shared pathogenesis. Journal of Clinical Psychology in Medical Settings, 2021;28(1):40-52.

Tıp Fakültesi Öğrencilerinde Gece Yeme Sendromu ve Kronik Kas İskelet Sistemi Ağrıları Arasındaki İlişki

Year 2024, Volume: 46 Issue: 4, 611 - 617, 16.07.2024
https://doi.org/10.20515/otd.1481787

Abstract

Giriş: Literatürde gece yeme sendromu olan bireylerde kronik kas iskelet sistemi ağrısının daha fazla görülüp görülmediğini araştıran bir çalışmaya rastlamamıştır. Bu çalışmanın amacı, tıp fakültesi birinci sınıf öğrencilerinde gece yeme sendromu ve kas iskelet sisteminde kronik ağrı sıklığı belirlemek ve gece yeme sendromu olanlarda, olmayanlara kıyasla kronik kas iskelet sistemi ağrısının daha sık görülüp görülmediğini araştırmaktır.
Gereç ve yöntem: Bu çalışma Tıp Fakültesi 1. Sınıftaki 177 öğrenci ile gerçekleştirilmiştir. Demografik özellikler sorgulanmıştır. Kas iskelet sisteminde en az 3 aydır kronik ağrı varlığı, ağrılı bölge sayısı, ağrılı bölgelerin yeri sorgulanmış, ağrı şiddeti ise Vizüel Analog Skala ile değerlendirilmiştir. Gece yeme sendromu tanısı ile Allison ve arkadaşlarının geliştirdiği tanı ölçütleri ile konulmuştur.
Sonuç: Gece yeme sendromu sıklığı %20,3, kronik kas iskelet sistemi ağrısı sıklığı %25,4 olarak saptanmıştır. Öğrenciler gece yeme sendromu olan ve olmayan olarak iki gruba ayrılmıştır. Demografik özellikler, Vizüel Analog Skala, ağrılı bölgelerin dağılımı açısından her 2 grup arasında istatistiksel olarak anlamlı bir fark saptanmamıştır. Gece yeme sendromu olan öğrencilerin %36’sında kas iskelet sisteminin herhangi bir yerinde kronik ağrı saptanırken, gece yeme sendromu olmayan öğrencilerde bu oran daha düşük, %22 olarak saptanmıştır. Ancak bu farklılık istatistiğe yansımamıştır. İstatistiksel olarak anlamlı tek farklılık gece yeme sendromu olan öğrencilerin yüksek olan ağrılı bölge sayısında idi.
Tartışma: Öğrencilere gece yeme sendromunun yol alabileceği durumlar ve doğru beslenme alışkanlıkları ile ilgili eğitimler planlanmalıdır.

Ethical Statement

Bu çalışmanın etik kurul onayı Eskişehir Osmangazi Üniversitesi, Etik Kurul Başkanlığı tarafından 02.01.2024 tarihinde 375 karar sayısı ile onaylanmıştır.

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: 78–86. 2. Tzischinsky O, Tokatly Latzer I, Alon S, Latzer Y. Sleep quality and eating disorder-related psychopathologies in patients with night eating syndrome and binge eating disorders. Journal of clinical medicine, 2021;10(19): 4613.
  • 3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5, 5th ed. Washington DC; 2013.
  • 4. Lundgren JD, Allison KC, O’Reardon JP, Stunkard AJ. A descriptive study of non-obese persons with night eating syndrome and a weight-matched comparison group. Eat. Behav. 2008;9:343–51.
  • 5. Rogers NL, Dinges DF, Allison KC, Maislin G, Martino N, O’Reardon JP, et al. Assessment of sleep in women with night eating syndrome. Sleep, 2006:29:814–9.
  • 6. Smith MT, Haythornthwaite JA. How do sleep disturbance and chronic pain inter-relate? Insights from the longitudinal and cognitive-behavioral clinical trials literature. Sleep medicine reviews, 2004;8(2):119-32.
  • 7. Dzierzewski JM, Williams JM, Roditi D, Marsiske M, McCoy K, McNamara J, et al. Daily variations in objective nighttime sleep and subjective morning pain in older adults with insomnia: evidence of covariation over time. Journal of the American Geriatrics Society, 2010;58(5):925-30.
  • 8. Edwards RR, Almeida DM, Klick B, Haythornthwaite JA, Smith MT. Duration of sleep contributes to next-day pain report in the general population. Pain, 2008; 137(1):202-7.
  • 9. Runfola CD, Allison KC, Hardy KK, Lock J, Peebles R. Prevalence and clinical significance of night eating syndrome in university students. Journal of Adolescent Health, 2014;55(1):41-8.
  • 10. Özgür M, Uçar A. Ankara’da yaşayan üniversite öğrencilerinde besin bağımlılığı ve gece yeme sendromunun değerlendirilmesi. Ankara Sağlık Bilimleri Dergisi, 2018;7(1):10-21.
  • 11. Ahmad M, Kashoo FZ, Alqahtani M, Sami W, Rizvi M, Bushra A. Relation between night eating syndrome and academic grades among university students. Turkish Journal of Endocrinology & Metabolism, 2019; 23(2):85-91.
  • 12. Serbic D, Friedrich C, Murray R. Psychological, social and academic functioning in university students with chronic pain: a systematic review. Journal of American College Health, 2023;71(9):2894-908.
  • 13. Stock C, Mikolajczyk RT, Bilir N, Petkeviciene J, Naydenova V, Dudziak U, et al. Gender differences in students’ health complaints: a survey in seven countries. J Public Health, 2008;16(5):353–60.
  • 14. Silva AL, Smaidi K, Pires MHR, Pires OC. Prevalence of chronic pain and associated factors among medical students. Revista Dor, 2017;18:108-11.
  • 15. Nicholas M, Vlaeyen JW, Rief W, Barke A, Aziz Q, Benoliel R, et al. The IASP classification of chronic pain for ICD-11: chronic primary pain. Pain, 2019; 160(1):28-37.
  • 16. Gallagher EJ, Liebman M, Bijur PE. Prospective validation of clinically important changes in pain severity measured on a visual analog scale. Ann Emerg Med. 2001;38:633–8.
  • 17. Allison KC, Lundgren JD, O'reardon JP, Geliebter A, Gluck ME, Vinai Pet AL. Proposed Diagnostic Criteria For Night Eating Syndrome. Int J Eat Disord. 2010;43: 241- 7.
  • 18. Oğur S, Aksoy A, Selen H. Üniversite Öğrencilerinin Yeme Davranışı Bozukluğuna Yatkınlıkları: Bitlis Eren Üniversitesi Örneği. Bitlis Eren Üniversitesi Fen Bilimleri Dergisi, 2016;5:14–26.
  • 19. Sim LA, Lebow J, Weiss K, Harrison T, Bruce. B. Eating disorders in adolescents with chronic pain. Journal of Pediatric Health Care, 2017;31(1):67-74.
  • 20. Lin Y, De Araujo I, Stanley G, Small D, Geha P. Chronic pain precedes disrupted eating behavior in low-back pain patients. PLoS One, 2022;17(2):e0263527.
  • 21. Sim L, Harbeck Weber C, Harrison T, Peterson C. Central sensitization in chronic pain and eating disorders: A potential shared pathogenesis. Journal of Clinical Psychology in Medical Settings, 2021;28(1):40-52.
There are 20 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences (Other)
Journal Section ORİJİNAL MAKALE
Authors

Fulya Bakılan 0000-0003-2943-4833

Barış Akzorba This is me 0009-0000-5114-4344

Elif Amet This is me 0009-0007-9103-4159

Harun Doğantürk This is me 0009-0002-1772-4999

Tarık Özdemir This is me 0009-0007-2149-6948

Türkan Hüseynli This is me 0009-0002-8159-2935

Zenfira Babazade This is me 0009-0002-4043-6856

Publication Date July 16, 2024
Submission Date May 13, 2024
Acceptance Date July 2, 2024
Published in Issue Year 2024 Volume: 46 Issue: 4

Cite

Vancouver Bakılan F, Akzorba B, Amet E, Doğantürk H, Özdemir T, Hüseynli T, Babazade Z. Tıp Fakültesi Öğrencilerinde Gece Yeme Sendromu ve Kronik Kas İskelet Sistemi Ağrıları Arasındaki İlişki. Osmangazi Tıp Dergisi. 2024;46(4):611-7.


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