Obstructive sleep apnea as a cause of nocturnal eating.

摘要

Sleep-related eating disorder (SRED) and nocturnal eating syndrome are part of the nocturnal eating disorders [1]. Surprisingly, there are few patients described with OSA and concurrent sleep-related eating, despite the common occurrence of nocturnal eating and consequent obesity [1,2]. Our patient is a 65-year-old morbidly obese white female with chronic obstructive pulmonary disease (COPD) and asthma wrlo presented with complaints of daytime somnolence, tiredness and a 14-18 kg weight gain. Her roommate witnessed intermittent heavy snoring, which was frequently terminated by gasping. Many of these awakenings were associated with sleepwalking to the kitchen and gorging herself on food. She would then return to bed and fall asleep, with no recollection of nocturnal eating. Gastric bypass surgery did not change the nocturnal eating habits or weight gain.