Daytime sleepiness and BMI exhibit gender and age differences in patients with central disorders of hypersomnolence.

excessive daytime sleepiness hypersomnia impulsive eating behaviour obesity sex

Journal

Journal of sleep research
ISSN: 1365-2869
Titre abrégé: J Sleep Res
Pays: England
ID NLM: 9214441

Informations de publication

Date de publication:
21 Oct 2024
Historique:
revised: 12 09 2024
received: 18 06 2024
accepted: 15 09 2024
medline: 21 10 2024
pubmed: 21 10 2024
entrez: 21 10 2024
Statut: aheadofprint

Résumé

The aim of the present study was to examine gender and age-specific effects on subjective daytime sleepiness (as measured by the Epworth Sleepiness Scale), body weight and eating behaviour in patients with central disorders of hypersomnolence. Based on the European Narcolepsy Network database, we compared 1035 patients with narcolepsy type I and 505 patients with other central disorders of hypersomnolence ("narcoleptic borderland"), including narcolepsy type II (N = 308) and idiopathic hypersomnia (N = 174), using logistic regression and general linear models. In the entire study population, the Epworth Sleepiness Scale was higher in women (N = 735, mean age = 30 years, mean Epworth Sleepiness Scale = 16.6 ± SD 3.9) than in men (N = 805, mean age = 32 years, mean Epworth Sleepiness Scale = 15.8 ± SD 4.4). In women with narcolepsy type I (N = 475), both Epworth Sleepiness Scale and body mass index increased in parallel with age. In women of the narcoleptic borderland (N = 260), the Epworth Sleepiness Scale markedly peaked in their early 30s, while body mass index only started to rise at that age. This rise in body mass index following the Epworth Sleepiness Scale peak cannot be explained by sleepiness-induced uncontrolled eating, as self-reported uncontrolled eating was negatively associated with the Epworth Sleepiness Scale in this group. We propose that the narcoleptic borderland harbours a unique cluster of women in their fertile years with an unexplored aetiology requiring further investigation towards tailored interventions.

Identifiants

pubmed: 39428908
doi: 10.1111/jsr.14365
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e14365

Informations de copyright

© 2024 The Author(s). Journal of Sleep Research published by John Wiley & Sons Ltd on behalf of European Sleep Research Society.

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Auteurs

Laura Ferrazzini (L)

Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Markus Schmidt (M)

Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Ohio Sleep Medicine Institute, Dublin, Ohio, USA.

Zhongxing Zhang (Z)

Center for Sleep Medicine, Sleep Research and Epileptology, Klinik Barmelweid AG, Barmelweid, Switzerland.

Ramin Khatami (R)

Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Center for Sleep Medicine, Sleep Research and Epileptology, Klinik Barmelweid AG, Barmelweid, Switzerland.

Yves Dauvilliers (Y)

Sleep-Wake Disorders Unit, Department of Neurology, Gui-de-Chauliac University Hospital, Montpellier, France.
National Reference Centre for Narcolepsy and Rare Hypersomnias, Montpellier, France.
Institute of Neurosciences of Montpellier, University of Montpellier, INSERM, Montpellier, France.

Lucie Barateau (L)

Sleep-Wake Disorders Unit, Department of Neurology, Gui-de-Chauliac University Hospital, Montpellier, France.
National Reference Centre for Narcolepsy and Rare Hypersomnias, Montpellier, France.
Institute of Neurosciences of Montpellier, University of Montpellier, INSERM, Montpellier, France.

Geert Mayer (G)

Neurology Department, Hephata Klinik, Schwalmstadt, Germany.

Fabio Pizza (F)

Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Blogna, Bologna, Italy.
RCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.

Giuseppe Plazzi (G)

Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Blogna, Bologna, Italy.
Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.

Jari K Gool (JK)

Stichting Epilepsie Instellingen Nederlands (SEIN), Sleep-wake Center, Heemstede, the Netherlands.
Leiden University Medical Center, Department of Neurology, Leiden, the Netherlands.
Anatomy & Neurosciences, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Compulsivity, Impulsivity and Attention, Amsterdam Neuroscience, Amsterdam, the Netherlands.

Rolf Fronczek (R)

Stichting Epilepsie Instellingen Nederlands (SEIN), Sleep-wake Center, Heemstede, the Netherlands.
Leiden University Medical Center, Department of Neurology, Leiden, the Netherlands.

Gert Jan Lammers (GJ)

Stichting Epilepsie Instellingen Nederlands (SEIN), Sleep-wake Center, Heemstede, the Netherlands.

Rafael Del Rio-Villegas (R)

Neurophysiology and Sleep Disorders Unit, Hospital Universitario Vithas Madrid Arturo Soria, Universidad CEU San Pablo, CEU Universities, Madrid, Spain.

Rosa Peraita-Adrados (R)

Sleep and Epilepsy Unit - Clinical Neurophysiology Service, University General Hospital Gregorio Marañón, Research Institute Gregorio Marañón, University Complutense of Madrid, Madrid, Spain.

Markku Partinen (M)

Department of Clinical Neurosciences, Clinicum, University of Helsinki, and Helsinki Sleep Clinic, Terveystalo Healthcare, Helsinki, Finland.

Sebastiaan Overeem (S)

Sleep Medicine Center Kempenhaeghe, Heeze, the Netherlands.

Karel Sonka (K)

Neurology Department and Centre of Clinical Neurosciences, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.

Joan Santamaria (J)

Neurology Service, Institut de Neurociències Hospital Clínic, University of Barcelona, Barcelona, Spain.

Raphael Heinzer (R)

Center for Investigation and Research in Sleep, Lausanne University Hospital, Lausanne, Switzerland.

Francesca Canellas (F)

Psychiatry Department, University Hospital Son Espases, Health Research Institute of the Balearic Islands (IdISBa), Mallorca, Spain.

Antonio Martins da Silva (AM)

Serviço de Neurofisiologia, Centro Hospitalar Universitário de Santo António - Porto and UMIB/Instituto Ciências Biomédicas Abel Salazar and ITR, Universidade do Porto, Porto, Portugal.

Birgit Högl (B)

Neurology Department, Sleep Disorders Clinic, Innsbruck Medical University, Innsbruck, Austria.

Christian Veauthier (C)

Charité - Medical University Berlin, Interdisciplinary Center for Sleep Medicine, Berlin, Germany.

Aleksandra Wierzbicka (A)

Department of Clinical Neurophysiology, Institute of Psychiatry and Neurology, Warsaw, Poland.

Eva Feketeova (E)

Neurology Department, Medical Faculty of P. J. Safarik University, University Hospital of L. Pasteur Kosice, Kosice, Slovak Republic.

Jitka Buskova (J)

Department of Sleep Medicine, National Institute of Mental Health, Klecany and 3rd Faculty of Medicine, Charles University, Prague, Czech Republic.

Michel Lecendreux (M)

Pediatric Sleep Center, Hospital Robert-Debré, Paris, France.

Silvia Miano (S)

Neurocenter of Southern Switzerland, Faculty of Biomedical Sciences, Università della Svizzera Italiana, Sleep Medicine Unit, EOC, Lugano, Switzerland.

Ulf Kallweit (U)

Center for Narcolepsy and Hypersomnias, Professorship for Narcolepsy and Hypersomnolence Research, Department of Medicine, University Witten/Herdecke, Witten, Germany.

Anna Heidbreder (A)

Department of Sleep Medicine and Neuromuscular Disorders (A.H.), University of Münster, Münster, Germany.

Claudio L A Bassetti (CLA)

Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Julia van der Meer (J)

Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Classifications MeSH