Skip to main content
SpringerLink
Log in

Night eating status and influence on body weight, body image, hunger, and cortisol pre-and post-Roux-en-Y Gastric Bypass (RYGB) surgery

  • Brief Report
  • Published:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Night Eating Syndrome is a common disorder in severely obese individuals and may be associated with hypothalamic pituitary adrenal (HPA) axis dysregulation. This study compared night eaters (NE) and comparably obese controls (C) pre- and post-Roux-en- Y Gastric Bypass surgery at 2 and 5 months, following an overnight fast on hormonal measures associated with HPA axis and related appetite and psychological measures. There were 24 (10 NE, 14 C) clinically severely obese participants (body mass index =47.0±8.4 SD). At pre-surgery baseline, afternoon fasting hunger ratings differed significantly and were lower for NE than for C (p=0.01). Eight of the participants (4 NE, 4C) returned for all 3 study visits. At 5 months post-surgery, NE and C did not differ in weight loss, reductions in waist circumference, insulin levels, and insulin resistance (homeostasis model assessment). However, NE as compared to C, did not improve in self ratings of body image (p<0.05), and had significant increases in fasting afternoon cortisol levels 5 months after surgery (p=0.01).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Geliebter A.: Night-eating syndrome in obesity. Nutrition, 17, 483–484, 2001.

    Article  PubMed  CAS  Google Scholar 

  2. Birketvedt G.S., Florholmen J., Sundsfjord J., Osterud B., Dinges D., Bilker W., Stunkard A.: Behavioral and neuroendocrine characteristics of the night-eating syndrome. J.A.M.A., 282, 657–663, 1999.

    Article  PubMed  CAS  Google Scholar 

  3. Gluck M.E., Geliebter A., Hung J., Yahav E.: Cortisol, hunger, and desire to binge eat following a cold stress test in obese women with binge eating disorder. Psychosom. Med., 66, 876–881, 2004.

    Article  PubMed  CAS  Google Scholar 

  4. Tataranni P.A., Larson D.E., Snitker S., Young J.B., Flatt J.P., Ravussin E.: Effects of glucocorticoids on energy metabolism and food intake in humans. Am. J. Physiol., 271, E317–E325, 1996.

    PubMed  CAS  Google Scholar 

  5. Epel E., Lapidus R., McEwen B., Brownell K.: Stress may add bite to appetite in women: a laboratory study of stress-induced cortisol and eating behavior. Psychoneuroendocrinology, 26, 37–49, 2001.

    Article  PubMed  CAS  Google Scholar 

  6. Dallman M.F., Akana S.F., Strack A.M., Hanson E.S., Sebastian R.J.: The neural network that regulates energy balance is responsive to glucocorticoids and insulin and also regulates HPA axis responsivity at a site proximal to CRF neurons. Ann. N. Y. Acad. Sci., 771, 730–742, 1995.

    Article  PubMed  CAS  Google Scholar 

  7. Jayo J.M., Shively C.A., Kaplan J.R., Manuck S.B.: Effects of exercise and stress on body fat distribution in male cynomolgus monkeys. Int. J. Obes. Relat. Metab. Disord., 17, 597–604, 1993.

    PubMed  CAS  Google Scholar 

  8. Björntorp P., Rosmond R.: Neuroendocrine abnormalities in visceral obesity. Int. J. Obes. Relat. Metab. Disord., 24, Suppl. 2, S80–S85, 2000.

    Article  PubMed  Google Scholar 

  9. Björntorp P.: Abdominal fat distribution and disease: an overview of epidemiological data. Ann. Med., 24, 15–18, 1992.

    Article  PubMed  Google Scholar 

  10. Powers P.S., Perez A., Boyd F., Rosemurgy A.: Eating pathology before and after bariatric surgery: a prospective study. Int. J. Eat. Disord., 25, 293–300, 1999.

    Article  PubMed  CAS  Google Scholar 

  11. Stunkard A.J., Grace W.J., Wolff H.G.: The night-eating syndrome; a pattern of food intake among certain obese patients. Am. J. Med., 19, 78–86, 1955.

    Article  PubMed  CAS  Google Scholar 

  12. Gluck M.E., Geliebter A., Satov T.: Night eating syndrome is associated with depression, low self-esteem, reduced daytime hunger, and less weight loss in obese outpatients. Obes. Res. 9, 264–267, 2001.

    Article  PubMed  CAS  Google Scholar 

  13. Adami G.F., Gandolfo P., Dapueto R., Jurich D., Scopinaro N.: Eating behavior following biliopancreatic diversion for obesity: study with a three-factor eating questionnaire. Int. J. Eat. Disord., 14, 81–86, 1993.

    Article  PubMed  CAS  Google Scholar 

  14. Rand C.S., Macgregor A.M., Stunkard A.J.: The night eating syndrome in the general population and among postoperative obesity surgery patients. Int. J. Eat. Disord., 22, 65–69. 1997.

    Article  PubMed  CAS  Google Scholar 

  15. Stunkard A.J., Sørensen T., Schulsinger F.: Use of the Danish Adoption Register for the study of obesity and thinness. Res. Publ. Assoc. Res. Nerv. Ment. Dis. 60, 115–120, 1983.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. New York Obesity Research Center, St. Luke’s-Roosevelt Hospital Center, Columbia University, College of Physicians and Surgeons, 1111 Amsterdam Ave., New York, NY, 10025, USA

    J. Morrow Ph.D., M. Gluck, L. Flancbaum & A. Geliebter

  2. Obesity & Diabetes Clinical Research Section, Phoenix Epidemiology & Clinical Research Branch, NIH/NIDDK, Phoenix, AZ, USA

    M. Lorence

Authors
  1. J. Morrow Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Gluck
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Lorence
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. L. Flancbaum
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. A. Geliebter
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to J. Morrow Ph.D..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Morrow, J., Gluck, M., Lorence, M. et al. Night eating status and influence on body weight, body image, hunger, and cortisol pre-and post-Roux-en-Y Gastric Bypass (RYGB) surgery. Eat Weight Disord 13, e96–e99 (2008). https://doi.org/10.1007/BF03327512

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03327512

Key words

Search

Navigation