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Obesity Overview - OMA Obesity 2021

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13 Eating Disorders and Obesity Night-eating Syndrome (NES) • At least 25% of daily food consumption (often >50%) consumed after evening meal • Recurrent awakenings f rom sleep that require eating to go back to sleep, often involving carbohydrate-rich snacks • Little interest in breakfast (morning anorexia) • NES may occur in as much as 5% of the U.S. population. • Awareness of evening or nocturnal ingestions help differentiate NES f rom sleep-related eating disorder (SRED). SRED is a parasomnia (undesired events accompanying sleep) with "sleep-walking" resulting in repeated episodes of compulsive binge eating and drinking after waking up at night. SRED usually occurs while partially awake and often with no memory of the event afterward. • Behavioral therapy regarding nutritional timing and content • While not an indicated use, selective serotonin re-uptake inhibitors (e.g., sertraline), or anti-migraine/seizure topiramate may be useful for NES. (cont'd)

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