■与睡眠有关的进食障碍(SRED)包括反复发作的不受控制,入睡后1-3小时不自主地进食和饮酒,部分或完全无意识。根据对受影响患者的访谈和国际睡眠障碍分类的诊断标准来诊断这种情况。然而,多导睡眠图(PSG)是没有必要确认这种疾病。本系统评价旨在评估PSG在SRED患者中的发现。
■对于本系统综述,PubMed,Embase,和Scopus数据库在2023年2月进行了搜索,产生了219条记录。删除重复项后,我们选择了包含SRED患者PSG结果的英文文章.此外,只考虑了原始研究。使用JoannaBriggs研究所的关键评估工具和非随机干预研究中的偏倚风险(ROBINS-I)工具评估了使用病例报告和描述性研究的偏倚风险。此外,纳入一例66岁女性SRED患者的病例报告.
■总共选择了15篇论文进行进一步分析,其中7项是描述性研究,6是病例报告,和2个是观察性研究。在大多数研究中,偏倚的风险是中等或高的。出乎意料的是,如果进食事件发生在PSG期间,在大多数情况下,在深度睡眠(N3睡眠阶段)期间没有观察到。此外,研究未报告使用PSG测量的睡眠参数存在显著偏差.在SRED患者中,梦游的患病率远高于普通人群。我们的病例报告显示了一个可能危及生命的事件,将苹果放在嘴里可能会导致窒息,这是使用PSG捕获的。
■诊断SRED不需要多导睡眠图。然而,它可以促进SRED与其他饮食失调的诊断和鉴别。PSG在捕捉进食事件方面也有局限性,此外,在诊断过程中应考虑其成本效益。需要对SRED的病理生理学进行更多的研究,因为将SRED分类为非快速眼动失眠症可能是不合适的,因为它并不总是在深度睡眠期间发生。
UNASSIGNED: Sleep-related eating disorder (SRED) consists of recurrent episodes of uncontrolled, involuntary eating and drinking 1-3 h after falling asleep with partial or full unconsciousness. This condition is diagnosed based on interviews with the patients affected and the diagnostic criteria of the International Classification of Sleep Disorders. However, polysomnography (PSG) is not necessary to confirm this disease. This systematic review aims to evaluate the findings of PSG in SRED patients.
UNASSIGNED: For this systematic review, PubMed, Embase, and Scopus databases were searched in February 2023, which resulted in 219 records. After removing duplicates, the articles that included the presentation of PSG results of SRED patients in English were selected. In addition, only original studies were considered. The risk of bias by using case reports and descriptive studies was assessed using the Joanna Briggs Institute critical appraisal tools and the Risk of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool. Furthermore, a case report of a 66-year-old woman with SRED was included.
UNASSIGNED: A total of 15 papers were selected for further analysis, of which 7 were descriptive studies, 6 were case reports, and 2 were observational studies. The risk of bias in the majority of the studies was moderate or high. Unexpectedly, if the eating episode occurred during PSG, in most cases it was not observed during deep sleep (the N3 sleep stage). Moreover, studies did not report significant deviations in the sleep parameters measured using PSG. Among SRED patients, the prevalence of sleepwalking was much higher than the general population. Our case report presented a potentially life-threatening episode of holding an apple in the mouth that might result in choking, which was captured using PSG.
UNASSIGNED: Polysomnography is not necessary for the diagnosis of SRED. However, it could facilitate the diagnosis and differentiation of SRED from other eating disorders. PSG also has limitations in capturing eating episodes and in addition, its cost effectiveness should be considered during the diagnostic process. More studies into the pathophysiology of SRED are needed because classifying SRED as non-rapid eye movement parasomnias can be inappropriate as it does not always occur during deep sleep.