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Calugi S et al. - Diagnosing NES does not help identify obese individuals with specific medical complications, but indicates more severe psychological distress and depression.

Exclusive Author Commentary
R. Dalle Grave, 06/18/09

THe study shows that Night Eating Syndrome (NES) is present in 10% of morbid obese individuals seeking treatment. However, NES does not identify a cohort with specific somatic or psychological problems, with the notable exception of depression. Obese participants with NES do not have a higher frequency of metabolic complication associated with obesity and therefore do not require more intense medical treatment than those without NES. Longitudinal outcome data are needed to define whether patients with NES require specific strategies, complementary to the standard weight loss program. In general, the high prevalence of depressive symptoms, the poorer perceived impact of weight on quality of life, and the more disturbed eating pattern associated with NES, could be potential obstacles to weight loss.

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