Night eating syndrome subtypes: differences in binge eating and food addiction symptoms

Eat Weight Disord. 2023 Feb 8;28(1):3. doi: 10.1007/s40519-023-01534-7.

Abstract

Purpose: The purpose of the current study was to examine differences in binge eating and food addiction symptoms between Night Eating Syndrome (NES) latent subtypes: evening hyperphagia with nocturnal ingestions (EHNI), evening hyperphagia-only (EHO), and nocturnal ingestions-only (NIO). It was hypothesized that the EHNI group would report more binge eating behaviors and more food addiction symptoms than both the EHO and NIO groups. Further, it was hypothesized that the EHO and NIO groups would differ with the EHO group reporting more binge eating behaviors and the NIO group reporting more food addiction symptoms.

Methods: Participants completed measures online relating to night eating, binge eating, and food addiction. Average age of the final sample was 34.3 (SD = 10.5) and 62.0% were men. Responses to the Night Eating Questionnaire (NEQ; Allison et al., 2008) were used to create an EHNI group (n = 65), an EHO group (n = 32), and a NIO group (n = 69). ANOVAs were conducted to examine between-group differences on disordered eating symptoms.

Results: Participants in the EHNI group reported more severe binge eating and food addiction symptoms than those in the EHO and NIO groups. However, there were no significant differences in binge eating or food addiction between the EHO and NIO groups.

Conclusion: Individuals who meet both NES core criteria (evening hyperphagia and nocturnal ingestions) are likely at a higher risk for experiencing other, more severe disordered eating pathologies. Implications concerning assessment and future research on NES typology are discussed.

Level of evidence: Level V, cross-sectional descriptive study.

Keywords: Binge eating; Eating pathology; Evening hyperphagia; Food addiction; NES typology; Nocturnal ingestions.

MeSH terms

  • Binge-Eating Disorder*
  • Bulimia*
  • Cross-Sectional Studies
  • Feeding Behavior
  • Feeding and Eating Disorders*
  • Female
  • Food Addiction*
  • Humans
  • Hyperphagia
  • Male
  • Night Eating Syndrome*