PDF(Pubmed)
Abstract：
BACKGROUND: Night eating syndrome (NES) is a kind of eating disorder. NES association with gastroesophageal reflux disease (GERD) symptoms among university students is still not fully understood. We aimed to determine the relationship between NES and the presence of GERD symptoms among university students at An-Najah National University in Palestine.
METHODS: This study involved undergraduate students from An-Najah National University. The data were collected through online surveys from November to December 2023. The sampling frame involved voluntary sampling, as the data were collected using a structured questionnaire to collect data on sociodemographic variables, medical history, lifestyle habits, nutritional status, GERD risk, and NES. The GERD questionnaire (GerdQ) was used to assess symptoms, while the Arabic version of the validated Night Eating Questionnaire (NEQ) was used to assess night eating. Physical activity was assessed using the short form of the International Physical Activity Questionnaire (SF-IPAQ), and adherence to a Mediterranean diet was assessed using the validated Arabic version of the MEDAS. Both univariate and multivariate analyses were also conducted to assess the study hypotheses.
RESULTS: The study involved 554 participants, 59.9% female. A total of 33.4% reported GERD symptoms, with 10.3% having NES. A strong association was observed between GERD and NES and between GERD and physical activity. Night eating syndrome (AOR = 2.84, CI = 1.07-3.19), high physical activity (AOR = 0.473, CI = 1.05-3.19), and non-smoking (AOR = 0.586, CI = 1.27-7.89) were identified as independent predictors of GERD symptoms.
CONCLUSIONS: This study revealed that 33.4% of undergraduate students were at risk of GERD, with night eaters having a greater risk. GERD risk was negatively associated with physical activity level and smoking status. No associations were found between GERD risk and weight status, Mediterranean diet adherence, sociodemographic factors, or sleep disturbances.
METHODS: This study involved undergraduate students from An-Najah National University. The data were collected through online surveys from November to December 2023. The sampling frame involved voluntary sampling, as the data were collected using a structured questionnaire to collect data on sociodemographic variables, medical history, lifestyle habits, nutritional status, GERD risk, and NES. The GERD questionnaire (GerdQ) was used to assess symptoms, while the Arabic version of the validated Night Eating Questionnaire (NEQ) was used to assess night eating. Physical activity was assessed using the short form of the International Physical Activity Questionnaire (SF-IPAQ), and adherence to a Mediterranean diet was assessed using the validated Arabic version of the MEDAS. Both univariate and multivariate analyses were also conducted to assess the study hypotheses.
RESULTS: The study involved 554 participants, 59.9% female. A total of 33.4% reported GERD symptoms, with 10.3% having NES. A strong association was observed between GERD and NES and between GERD and physical activity. Night eating syndrome (AOR = 2.84, CI = 1.07-3.19), high physical activity (AOR = 0.473, CI = 1.05-3.19), and non-smoking (AOR = 0.586, CI = 1.27-7.89) were identified as independent predictors of GERD symptoms.
CONCLUSIONS: This study revealed that 33.4% of undergraduate students were at risk of GERD, with night eaters having a greater risk. GERD risk was negatively associated with physical activity level and smoking status. No associations were found between GERD risk and weight status, Mediterranean diet adherence, sociodemographic factors, or sleep disturbances.
摘要：
背景：夜食综合征（NES）是一种进食障碍。大学生中NES与胃食管反流病（GERD）症状的关系仍未完全了解。我们旨在确定NES与巴勒斯坦An-Najah国立大学大学生GERD症状之间的关系。
方法：本研究涉及来自An-Najah国立大学的本科生。数据是通过2023年11月至12月的在线调查收集的。抽样框架涉及自愿抽样，由于数据是使用结构化问卷收集的，以收集有关社会人口统计学变量的数据，病史,生活习惯,营养状况,GERD风险,和NES。GERD问卷（GerdQ）用于评估症状，而经过验证的夜间饮食问卷（NEQ）的阿拉伯语版本用于评估夜间饮食。身体活动使用国际身体活动问卷（SF-IPAQ）的简短形式进行评估，并使用经过验证的阿拉伯文版MEDAS评估地中海饮食的依从性.还进行了单变量和多变量分析以评估研究假设。
结果：该研究涉及554名参与者，59.9%为女性。总共有33.4%的人报告了GERD症状，10.3%有NES。在GERD和NES之间以及GERD和身体活动之间观察到强烈的关联。夜食综合征（AOR=2.84，CI=1.07-3.19），高体力活动(AOR=0.473，CI=1.05-3.19)，和不吸烟（AOR=0.586，CI=1.27-7.89）被确定为GERD症状的独立预测因子。
结论：这项研究显示，33.4%的本科生有GERD的风险，夜食者有更大的风险。GERD风险与体力活动水平和吸烟状况呈负相关。没有发现GERD风险和体重状态之间的关联，坚持地中海饮食，社会人口因素，或睡眠障碍。
方法：本研究涉及来自An-Najah国立大学的本科生。数据是通过2023年11月至12月的在线调查收集的。抽样框架涉及自愿抽样，由于数据是使用结构化问卷收集的，以收集有关社会人口统计学变量的数据，病史,生活习惯,营养状况,GERD风险,和NES。GERD问卷（GerdQ）用于评估症状，而经过验证的夜间饮食问卷（NEQ）的阿拉伯语版本用于评估夜间饮食。身体活动使用国际身体活动问卷（SF-IPAQ）的简短形式进行评估，并使用经过验证的阿拉伯文版MEDAS评估地中海饮食的依从性.还进行了单变量和多变量分析以评估研究假设。
结果：该研究涉及554名参与者，59.9%为女性。总共有33.4%的人报告了GERD症状，10.3%有NES。在GERD和NES之间以及GERD和身体活动之间观察到强烈的关联。夜食综合征（AOR=2.84，CI=1.07-3.19），高体力活动(AOR=0.473，CI=1.05-3.19)，和不吸烟（AOR=0.586，CI=1.27-7.89）被确定为GERD症状的独立预测因子。
结论：这项研究显示，33.4%的本科生有GERD的风险，夜食者有更大的风险。GERD风险与体力活动水平和吸烟状况呈负相关。没有发现GERD风险和体重状态之间的关联，坚持地中海饮食，社会人口因素，或睡眠障碍。
