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  3. Shelly’s snack shop was the name that Brian Egemo of Badger, Iowa, applied t

Shelly’s snack shop was the name that Brian Egemo of Badger, Iowa, applied t

游客2023-12-14  29
问题     Shelly’s snack shop was the name that Brian Egemo of Badger, Iowa, applied to his wife’s side of the bed. In 1994 Shelly, who had been a sleepwalker as a child, began sleepwalking again. But this time, her nightly rambles took her to the kitchen for cookies, candies and potato chips, which she would bring back to bed and devour while still asleep. "In the morning, there would be frosting in my hair and M&M’s stuck to my husband’s back," she says. Worse yet, she woke up feeling exhausted and sick from all the junk food. After years of this "sleep eating," her nerves were so jangled that she became unglued at the slightest upset. "Someone would knock over the salt shaker and I’d go into orbit," she says. It wasn’t until 2001 that Egemo, now 37, found a doctor who could tell her what her problem was and how to treat it.
    Egemo’s condition is called sleep-related eating disorder (SRFD), and it’s one of two night eating problems that doctors are just beginning to take seriously. The other is night eating syndrome (NES), in which patients wake multiple times during the night and are unable to fall asleep again unless they eat something. Although the two differ in some important ways—most notably, whether the person is conscious or not—they share many similarities. Both are hybrids of sleep and eating disorders. And both take over the lives of patients, destroying good nutrition, instilling deep shame and often causing depression and weight gain. According to psychiatrist John Winkelman of Harvard Medical School, the two conditions may affect 1 percent of the population— nearly 3 million Americans. "People who suffer from this think they’re alone," says Dr. Albert Stunkard of the University of Pennsylvania Weight and Eating Disorders Program, who identified both NES and binge eating in the 1950s. "They need to know that it’s a real disorder and there are treatments." With psychologist Kelly Allison, Stunkard has written a book called "Overcoming Night Eating Syndrome," due out in early May.
    The consequences of night eating disorders are profound. In addition to sabotaging good-quality sleep, both conditions can seriously undermine attempts to maintain a well-balanced diet. People with SRED occasionally try to eat such bizarre concoctions as buttered cigarettes or smoothies of egg shells, coffee grounds and soda. But the real problem is that in the middle of the night, no one gets up and fixes healthful salads, fish or vegetables. Instead, people reach for food that’s ready to eat—most often, junk food. "It sets up a vicious cycle, where they feel bloated so they don’t want to eat during the day," says Dr. Carlos Schenck of the Minnesota Regional Sleep Disorders Center, who identified SRED in 1993. Not surprisingly, night eating often contributes to weight gain. Stunkard has found NES in 6 to 7 percent of people in weight-loss programs and up to 28 percent of those seeking gastric -bypass surgery.
    Frustrated patients say their behavior seems totally beyond their control. "I wasn’t even hungry," says pediatrician Edward Rosof, 58, of Cherry Hill, N.J., who suffered from NES for 35 years. "It was a craving, like being an alcoholic. Every night I promised myself it was the last time." But even when he tried to resist the impulse, he’d lose the battle after 10 or 15 minutes because he feared that he wouldn’t get back to sleep. Other desperate patients have asked spouses to put locks on the refrigerator or even lock the bedroom door at night.
    At last, new treatments are helping them unlock those doors. In a pilot study, Stunkard and psychiatrist John O’Reardon have discovered that the antidepressant Zoloft may help NES patients like Rosof, who’s dropped 40 pounds since he started taking it a year ago. And Schneck and Winkelman have found two drug cocktails that appear to help 70 percent of SRED patients. Within two weeks of starting one of them, Shelly Egemo was feeling better. Her good humor is back. Best of all, Shelly’s Snack Shop is out of business. [br] What’s the biggest difference between SRED and NES?
选项 A、The patients can’t fall asleep without eating anything.
B、NES patients are conscious when they are suffering from NES while SRED patients are not.
C、The patients suffer from both sleep and eating disorders.
D、Both may have similar harmful consequences.
答案 B
解析 本题考察对第二段的理解。SRED和NES最大的区别是NES患者晚上吃东西时处于清醒状态，而SRED患者则处于睡眠状态。故选项B为正确答案。
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