Volume 17, Issue 2 e12851
ORIGINAL RESEARCH

Associations of sleep with food cravings and loss-of-control eating in youth: An ecological momentary assessment study

Megan N. Parker

Megan N. Parker

Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland, USA

Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Division of Intramural Research, National Institutes of Health (NIH), Bethesda, Maryland, USA

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Sarah LeMay-Russell

Sarah LeMay-Russell

Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland, USA

Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Division of Intramural Research, National Institutes of Health (NIH), Bethesda, Maryland, USA

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Natasha A. Schvey

Natasha A. Schvey

Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland, USA

Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Division of Intramural Research, National Institutes of Health (NIH), Bethesda, Maryland, USA

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Ross D. Crosby

Ross D. Crosby

Sanford Center for Biobehavioral Research, Fargo, North Dakota, USA

Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota, USA

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Eliana Ramirez

Eliana Ramirez

Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Division of Intramural Research, National Institutes of Health (NIH), Bethesda, Maryland, USA

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Nichole R. Kelly

Nichole R. Kelly

Department of Counseling Psychology and Human Services, College of Education, Prevention Science Institute, University of Oregon, Eugene, Oregon, USA

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Lisa M. Shank

Lisa M. Shank

Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland, USA

Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Division of Intramural Research, National Institutes of Health (NIH), Bethesda, Maryland, USA

Department of Medicine, Military Cardiovascular Outcomes Research (MiCOR) Program, USU, Bethesda, Maryland, USA

Metis Foundation, San Antonio, Texas, USA

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Meghan E. Byrne

Meghan E. Byrne

Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland, USA

Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Division of Intramural Research, National Institutes of Health (NIH), Bethesda, Maryland, USA

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Scott G. Engel

Scott G. Engel

Sanford Center for Biobehavioral Research, Fargo, North Dakota, USA

Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota, USA

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Taylor N. Swanson

Taylor N. Swanson

Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Division of Intramural Research, National Institutes of Health (NIH), Bethesda, Maryland, USA

Metis Foundation, San Antonio, Texas, USA

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Kweku G. Djan

Kweku G. Djan

Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Division of Intramural Research, National Institutes of Health (NIH), Bethesda, Maryland, USA

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Esther A. Kwarteng

Esther A. Kwarteng

Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Division of Intramural Research, National Institutes of Health (NIH), Bethesda, Maryland, USA

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Loie M. Faulkner

Loie M. Faulkner

Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Division of Intramural Research, National Institutes of Health (NIH), Bethesda, Maryland, USA

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Anna Zenno

Anna Zenno

Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Division of Intramural Research, National Institutes of Health (NIH), Bethesda, Maryland, USA

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Sheila M. Brady

Sheila M. Brady

Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Division of Intramural Research, National Institutes of Health (NIH), Bethesda, Maryland, USA

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Susan Z. Yanovski

Susan Z. Yanovski

Office of Obesity Research, Division of Digestive Diseases and Nutrition, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institutes of Health (NIH), Bethesda, Maryland, USA

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Marian Tanofsky-Kraff

Corresponding Author

Marian Tanofsky-Kraff

Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland, USA

Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Division of Intramural Research, National Institutes of Health (NIH), Bethesda, Maryland, USA

Department of Medicine, Military Cardiovascular Outcomes Research (MiCOR) Program, USU, Bethesda, Maryland, USA

Correspondence

Marian Tanofsky-Kraff, Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), Bethesda, MD, USA.

Email: [email protected]

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Jack A. Yanovski

Jack A. Yanovski

Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Division of Intramural Research, National Institutes of Health (NIH), Bethesda, Maryland, USA

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First published: 08 September 2021
Citations: 5

Megan N. Parker and Sarah LeMay-Russell contributed equally to this work.

Funding information: Intramural Research Program of the Eunice Kennedy Shriver National Institute of Child Health and Human Development, Grant/Award Number: ZIA-HD00641

Summary

Background

Inconsistent sleep patterns may promote excess weight gain by increasing food cravings and loss-of-control (LOC)-eating; however, these relationships have not been elucidated in youth.

Objective

We tested whether sleep duration and timing were associated with food cravings and LOC-eating.

Method

For 14 days, youths wore actigraphy monitors to assess sleep and reported severity of food cravings and LOC-eating using ecological momentary assessment. Generalized linear mixed models tested the associations between weekly and nightly shifts in facets of sleep (i.e., duration, onset, midpoint, and waketime) and next-day food cravings and LOC-eating. Models were re-run adjusting for relevant covariates (e.g., age, sex, adiposity).

Results

Among 48 youths (12.88 ± 2.69 years, 68.8% female, 33.3% with overweight/obesity), neither weekly nor nightly facets of sleep were significantly associated with food cravings (ps = 0.08–0.93). Youths with shorter weekly sleep duration (est. ß = −0.31, p = 0.004), earlier weekly midpoints (est. ß = −0.47, p = 0.010) and later weekly waketimes (est. ß = 0.49, p = 0.010) reported greater LOC-eating severity; findings persisted in adjusted models.

Conclusions

In youth, weekly, but not nightly, shifts in multiple facets of sleep were associated with LOC-eating severity; associations were not significant for food cravings. Sleep should be assessed as a potentially modifiable target in paediatric LOC-eating and obesity prevention programs.

CONFLICT OF INTEREST

The authors have no conflict to declare. The opinions and assertions expressed herein are those of the authors and are not to be construed as reflecting the views of the Uniformed Services University of the Health Sciences (USU), or the U.S. Department of Defense.

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