Night eating syndrome in individuals with Mediterranean eating-style

  • Gian Franco Adami
  • A. Meneghelli
  • N. Scopinaro
Brief Report and New Hypotheses


Night eating syndrome is identified with no appetite for breakfast, 50% or more of food intake after 7 p.m. and trouble getting to sleep and/or staying asleep. In a population with a Mediterranean eating style more than 25% of lean healthy subjects should be considered as affected by night eating syndrome, thus making the definition criteria and even the syndrome itself clinically meaningless. Therefore, to assess the presence of night eating syndrome in a population with Mediterranean eating and lifestyle, the following definition criteria were employed: no food or only a little food for breakfast, sleep disturbances and usual consumption of some food just before going to sleep or waking up during sleeptime. According to these criteria, 3.5% of lean subjects should be considered as affected by night eating syndrome, without any relationship between reported psychological distress or tendency to lose control over food intake. Further studies in populations with Mediterranean eating style are mandatory to assess the true clinical significance of night eating syndrome.

Key words

Lifestyle eating behavior sleep disturbances psychological distress 


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  1. 1.
    Stunkard A.J., Grace W.J., Wolff H.G.: The night-eating syndrome. Am. J. Med., 19, 78–86, 1955.PubMedCrossRefGoogle Scholar
  2. 2.
    Kuldau J.M., Rand C.S.W.: The night eating syndrome and bulimia in the morbidly obese. Int. J. Eating Disord., 5, 143–149, 1986.CrossRefGoogle Scholar
  3. 3.
    Rand C.S.W., Kuldau J.M.: Eating patterns in normal weight individuals: bulimia, restrained eating, and the night eating syndrome. Int. J. Eating Disord., 5, 75–84, 1986.CrossRefGoogle Scholar
  4. 4.
    Rand C.S.W., Kuldau J.M.: Morbid obesity: a comparison between a general population and obesity surgery patient. Int. J. Obes., 17, 657–661, 1993.Google Scholar
  5. 5.
    Stunkard A.J., Berkowitz R., Wadden T., Tanrikut C., Reiss, E., Young L.: Binge eating disorder and the night-eating syndrome. Int. J. Obes., 20, 1–8, 1996.Google Scholar
  6. 6.
    Rand C.S.W., MacGregor A.M., Stunkard A.J.: The night eating syndrome in the general population and among postoperative obesity surgery patients. Int. J. Eating Disord., 22, 65–69, 1997.CrossRefGoogle Scholar
  7. 7.
    Spitzer R.L., Yanovski S.Z., Wadden T.A., Wing R.R., Marcus M.D., Stunkard A.J., Devlin M., Mitchell J.E., Hasin D., Horne R.L.: Binge Eating Disorder: its further validation in a multisite study. Int. J. Eating Disord., 13, 137–153, 1993.CrossRefGoogle Scholar
  8. 8.
    Lehmann H.E.: Affective disorders: clinical features. In Kaplan H.I., Sadock B.J. (Eds.), Comprehensive Textbook of Psychiatry. Baltimore, Williams and Wilkins, 1985.Google Scholar

Copyright information

© Editrice Kurtis 1997

Authors and Affiliations

  • Gian Franco Adami
    • 1
  • A. Meneghelli
    • 2
  • N. Scopinaro
    • 2
  1. 1.Dipartimento di Discipline Chirurgiche e Metodologie Integrate, Istituto di Clinica Chirurgica IUniversità degli Studi di GenovaGenovaItaly
  2. 2.Dipartimento di Discipline Chirurgiche e Metodologie IntegrateASPSEMilanoItaly

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