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Who Else Has Night Eating Syndrome?
Posted by: | CommentsYou probably know that Night Eating Syndrome is not well recognized in the general population, and you, like most night eaters, may not understand how your genetic background can provide the basis for the development of Night Eating Syndrome. Have your genes played a role in your Night Eating Syndrome? Talk to your family, your parents and siblings, your children, and nephews and nieces. Do any of them report any indications of night eating? Do you recall any behaviors that you now understand might indicate that they suffer from Night Eating Syndrome?
There are families in which more than one person is a night eater; and the more we learn about the condition, the more families we find with multiple sufferers. If you have a family member who is a night eater, or two or three family members with the condition, you may now better understand your reasons for developing NES. Your habits and the feeling of being out of control are not your fault – you may have been programmed to experience these difficulties.
Exercise: Find Others Who Have Night Eating Syndrome
Although you need to aim at taking control, it could be that your family’s heredity predisposed you, or put you at higher risk, for developing Night Eating Syndrome. Understanding how much genetic pressure drives you to this behavior could help give you some insight and cause you to feel less responsible for your night eating.
1. Go out and find other people who suffer from this problem.
2. Get in touch with all the members of your immediate and distant family.
3. Interview them about their eating habits.
4. You may be surprised to find that there are others like you in your family.
5. And, even if no one in your family has NES, interview everyone you know who is overweight. You may be surprised to discover there are many others like you.
As one night eater told us, “Finding out that there were other people like me made me feel much better about myself. It made me feel like I wasn’t a freak.”
Genes and the Environment of Night Eating Syndrome
Posted by: | CommentsDoes the fact that a defective ob/ob gene is only a very rare cause of human obesity mean that genetics plays almost no role in obesity? The answer is no. The study of twins introduced by Galton 150 years ago helped scientists to estimate the extent of genetic influences on a wide variety of human diseases. Among these conditions, obesity probably has one of the largest genetic contributions. When Swedish twins who were separated at birth, and thus had no environmental influences in common, were studied, it was estimated that 70 percent of their body weight was genetically determined (Stunkard et al. 1990).
Obesity and overweight are rapidly increasing in the American population and now affect 65 percent of the adult population (Flegal et al. 2002), so detecting and countering the contributing genetic factors is an important challenge. Yet, you must be well aware that heredity is not the only factor that causes obesity. In many health conditions, genes are only one part of the cause. The other is environment, which brings us to the idea of gene-by-environment interactions.
Genes completely determine the color of eyes and hair. The environment has no effect, and thus for hair and eye color there is no gene-by-environment interaction. Heredity, however, does not completely determine human behavior; the environment also exerts an important influence. The 70 percent genetic influence on body weight means only that some people are very vulnerable to becoming obese. They, like you, do not become obese in a vacuum, however.
To become obese, you must consume more calories than you expend. If you do not have a genetic vulnerability to obesity, it is likely that you will not overeat and become obese. The converse, of course, is also true. If you do have a genetic vulnerability, it is more likely that you will overeat and become obese.
All human behavior is determined by this interaction between genes and environment. This gene-by-environment interaction is as true of Night Eating Syndrome as of obesity or any of the behavioral disorders that afflict us. Given this understanding, let us turn to what we have learned about genetic influences on Night Eating Syndrome.
The Genetics of Night Eating Syndrome
Posted by: | CommentsYou may feel that your night eating is a personal problem that none of your friends and family can ever understand. Yet, you may be surprised to learn that recent research suggests that Night Eating Syndrome runs in families. This condition may actually be inherited. What does this mean for you?
Before you can understand how Night Eating Syndrome may be passed from a parent to a child, let’s refresh your understanding of the science of genetics. Early attempts to figure out the role of heredity in humans include reports from about 500 A.D. in the authoritative book of Jewish tradition, the Talmud. There is a description in the Talmud of the bleeding disorder, hemophilia, which, it was noted, ran in families. Despite this and other rare examples, most of what was known about human heredity was highly speculative until recent times.
An Eye for an Eye; A Pea for a Pea
A basic understanding of heredity remained elusive until 1866, when the studies of the Moravian monk, Gregor Mendel, were published. That publication ushered in our modern understanding of genetics. Yet, at the time, his research attracted little or no attention, because it seemed far removed from practical applications to human disease. Why was there such lack of interest? Perhaps because Mendel’s study participants were garden peas.
Although Mendel’s research was with plants, the basic underlying principles of heredity that he discovered also apply to people and other animals because the mechanisms of heredity are essentially the same for all complex life forms. You may have a vague recollection of this research from your high school freshman biology course.
Among Mendel’s key findings was the discovery of the laws governing the color of peas produced by crossing peas of two different colors. He demonstrated that the color of the peas resulting from crossing yellow peas with green peas was not an in-between shade, as you might expect. Instead, all of the first generation of these crosses were of the same color, yellow. Then, when he crossed the second generation yellow peas with each other, Mendel discovered that the original green reappeared in some of the peas of the third generation.
Eventually, this result led to our current knowledge of dominant and recessive genes. Mendel explained his findings by proposing that yellow was the dominant color, while green was recessive. He proposed the theory that each individual pea possesses two factors that determine a specific characteristic such as color, and that each parent transmits only one of these two factors to any particular offspring. It took many years before the significance of these factors became known. But they are recognized today as genes, the agents responsible for the transmission of all heritable characteristics from parents to children.
Think of these findings in terms of human eye color. As with the yellow peas, the gene for brown eyes is dominant. Say, for example, your mother has brown eyes, and your father blue. Your mother may have either two dominant genes (two brown genes), or she may have one dominant and one recessive (a brown and a blue). Your father, having blue eyes, has two recessive genes. If your mother has two dominant genes, you will have brown eyes since her gene will be dominant over the recessive gene from your father. If your mother has one dominant and one recessive gene, you have a fifty-fifty chance of having brown eyes. If your mother passes her dominant gene on to you, you will have brown eyes. If your mother passes her recessive gene on to you, when it is crossed with the recessive gene your father passed on to you, you will have blue eyes.
Do You Have an Eating, Sleeping, or Mood Disorder?
Posted by: | CommentsYou have just read about some of the other disorders that may be similar or related to NES. Do you think that you may suffer from any of these? Some of you may have had other eating disorders in the past, and some of you may currently suffer from sleep disorders or mood disorders. To determine whether you have one of these disorders, ask yourself the following questions.
- Do the symptoms described for any of these disorders seem to fit your own experience?
- Do those symptoms interfere with your ability to function, or do they cause you problems in your work or your relationships?
- Do those symptoms cause you any health problems?
- If you answered yes to any of these, you may want to consult your health care provider or a mental health specialist to see if you can obtain relief from the distress you are experiencing.
Mood Disorders and Night Eating Syndrome
Posted by: | CommentsMany night eaters feel depressed. You will remember that depression can occur with different intensities and with many different symptoms. Some people feel worse in the morning; others, especially night eaters, feel worse in the evening. Some people eat and sleep more than usual, others eat and sleep less. Some people are not able to get out of bed; others can still function, but they have difficulty concentrating or summoning the energy and interest to work or to go out with friends.
All of these symptoms are characteristic of depression. The disorder manifests in different ways in different people. Major depressive disorder differs from night eating syndrome in some important ways. First, one of the symptoms of depression is early morning awakenings, where people wake up an hour or two before they are supposed to and they are unable to fall back to sleep. Most of the awakenings in people with night eating syndrome occur during the first half of the night, so this represents an important distinction. Second, lack of appetite in the morning is not characteristic of major depressive disorder. Instead, appetite is usually lacking throughout the entire day, or the opposite, it is increased throughout the entire day. These two distinctions help to differentiate these two disorders.
With that said, many people who have night eating syndrome also have had major depression at some point in their lives. If you suspect that you are depressed, and it is interfering with your ability to function throughout the day, you should consult a mental health professional or your physician. This is especially true if you have feelings of wanting to hurt yourself or someone else. Perhaps your depressed feelings are linked to your night eating and could be relieved, at least in part, by changes we will suggest that you make.
What is Restless Leg Syndrome?
Posted by: | CommentsRestless leg syndrome (RLS) is not simply a sleeping disorder; however, many people experience RLS problems while trying to fall asleep. If you have RLS, you have the urge to move or rub your legs frequently. This urge is stronger when your legs are still or at rest. This genetically inherited condition can become more frequent with extreme temperatures, excessive tiredNESs, and consumption of alcohol or caffeine. Similar to PLM, the cause of RLS is not well-defined, and it does not seem to be related to NES (Dinges et al., unpublished observations, 2003).
Sleep Apnea and Night Eating Syndrome
Posted by: | CommentsIn Greek, apnea literally means “without breath.” If you have sleep apnea, basically, you may stop and start breathing several hundred times per night. There are three types of sleep apnea (the latter two types are the most common):
1. Central sleep apnea occurs when the brain fails to signal the body to breathe.
2. Obstructive sleep apnea is caused by a blockage of soft tissue near the back of the throat that collapses and closes off the windpipe during sleep.
3. Mixed sleep apnea is a combination of the other two types of apnea.
If you have sleep apnea, usually you will be without breath for more than ten seconds many times every hour, before your brain will arouse you from sleep to breathe again. Each time you stop breathing, it is called an apnea event.
Snoring is one of the signs of sleep apnea. Sleep apnea affects more than twelve million Americans. Its risk factors include being male, overweight, and over forty, but anyone can have problems with sleep apnea. Unlike night eating syndrome, where you awaken from sleep and get up to eat, sleep apnea causes your brain simply to arouse your body to trigger breathing again. Sometimes you will awaken, but most often you will fall back to sleep, and the next day you will not recall your fitful night’s sleep.
When you have night eating syndrome, you may feel tired during the day from having had problems falling and staying asleep. When you have sleep apnea, you will feel tired from your fitful sleep, but you also will feel tired from the reduced amount of oxygen in your body caused by your apnea events. Sleep apnea also can lead to other serious health problems like high blood pressure, heart attack, and even lung failure. Sleep apnea is quite different from night eating syndrome, but the two can occur together.
If you have reason to think that you may have sleep apnea, it’s important to be properly diagnosed because of its serious health consequences. There are very effective treatments for sleep apnea and, if you have it, you should get treatment without delay. Our own research with inpatient sleep studies has not linked night eating syndrome and sleep apnea, but the night awakenings, association with obesity, and daytime sleepiness provide the potential for some people to experience both of these conditions together.
Binge-Eating Disorder and Night Eating Syndrome
Posted by: | CommentsBinge-eating disorder (BED) consists of eating very large amounts of food in a hurried and ashamed manner. These binges take place along with feeling a loss of control, as if you cannot stop yourself from eating, and as if all of the available food must be consumed before you can stop eating. Binge-eating disorder differs from bulimia nervosa because it does not involve purging by vomiting or by laxative abuse. Therefore, most people with BED, more than half of whom are women, are overweight or even severely obese.
Binge-eating disorder coexists with Night Eating Syndrome more often than with either anorexia or bulimia. Perhaps this is so because so many people with Night Eating Syndrome are overweight, as are most of those with BED. Among people seeking treatment for weight loss or help with their eating problems, it has been reported that as many as 10 to 15 percent of those with BED also have Night Eating Syndrome (Adami, Meneghelli, and Scopinaro 1999; Powers et al. 1999).
Even though they may occur together, there are important differences between BED and Night Eating Syndrome. First, the typical amount that a night eater consumes at one sitting during the night is much more like a snack than a meal: on average, between 200 and 400 calories is consumed. This amount is much less than the caloric intake of a binge that might be eaten by a person with BED, which can add up to 2000, 3000, or even more calories. A second difference between Night Eating Syndrome and BED is that, as a general rule, binges do not take place during the night, in sharp distinction to the regular nighttime eating of a night eater. The third difference is the presence of a serious sleep disorder in persons with Night Eating Syndrome, demonstrated by their frequent awakenings. Sleep disturbance is not a usual feature of BED.
Exercise: Do You Have Binge-Eating Disorder?
To determine whether you may have a problem with BED, ask yourself the following questions:
Do you
- frequently eat large quantities of food in short periods of time, often secretly, without regard to feelings of hunger or fullness?
- feel out of control during binges?
- eat large quantities of food rapidly, without really tasting the food?
- eat alone?
- feel shame, disgust, or guilt after a binge?
If you answered yes to the first two questions, and to one or more of the last three questions, you may have BED in addition to Night Eating Syndrome.
What Night Eating Syndrome Is Not?
Posted by: | CommentsAlthough the patterns and emotions of night eating syndrome may be very familiar to you, this syndrome is still relatively new to health care providers, as well as to the general public. Examined separately, the signs and symptoms of night eating syndrome may look like other conditions. It is important for you to be aware of these other conditions, since you may be experiencing some of the problems caused by these other conditions together with night eating syndrome. As you will see, some of the symptoms and stressors of these other conditions may even contribute to the problems you are having with night eating syndrome.
Eating Disorders
You have probably seen television news stories or read newspaper or magazine articles on other eating disorders, such as anorexia, bulimia, and binge-eating disorder. These conditions receive more publicity than night eating syndrome does because they were more clearly defined as conditions a lot longer. Anorexia nervosa, for example, was described at the end of the seventeenth century, and generations of doctors have been raised on the description of the emaciated, skeleton-like woman reported by the physician Richard Morton (1694). It was formally recognized as a disease in both Paris and London in 1874 at almost the same time.
For more than 100 years, doctors have struggled to help patients with anorexia nervosa, and the disorder has had the attention of the lay public for many years. Hardly a month goes by without a national magazine rurining a story about the curious behavior of young women who starve themselves.