Tween Sleep Patterns, Appetite Control, and Environment

Study Overview
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Brief Summary
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The goal of this study is to learn about how children's sleep is related to their eating behaviors the next day, and to learn about factors that relate to eating behaviors and sleep health that are specific to preadolescent children living in rural communities.

Detailed Description
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The aims of this study are to a) describe the prevalence and characteristics of eating in the absence of hunger (EAH) in rural preadolescent children using a novel methodology, ecological momentary assessment (EMA); b) to examine the within-person temporal relationship between daily changes in sleep health (i.e., duration and quality) and EAH; and c) examine associations between family, child, and environmental characteristics, sleep, and eating behaviors in rural preadolescent children. Parent-child dyads will participate in the study via remote data collection methods including Zoom interviews, online surveys, EMA survey completed by smartphone, and actigraphy.

Official Title
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Sleep and Eating Behaviors in Rural Preadolescent Children (Tween SPACE [Sleep Patterns, Appetite Control, and Environment])

Conditions
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Child Obesity, Eating Behavior, Sleep

Participation Criteria
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Eligibility Criteria
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Child Inclusion Criteria: Age 8 to 12 years Primary residence is in a rural ZIP code in the United States, as defined by Health Resources & Services Administration BMI for age ≥ 85th percentile OR BMI ≥ 15th percentile plus at least one biological parent with BMI ≥ 25 kg/m2 Able to read and answer questions in English Parent Inclusion criteria: Parent or caregiver of an eligible child Age 18 years or older Able to read and answer questions in English Exclusion Criteria: Any medical condition that significantly impacts eating, sleep, growth, or ability to operate the mEMA smartphone platform (e.g., eating disorder, Type I diabetes, blindness) (Child participants only) Unable to connect to a Zoom session via internet or cell-phone data from home Unable to receive and sign for package with study supplies

Ages Eligible for Study
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Minimum Age: 8 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Occurrence of eating in the absence of hunger (EAH) episodes | Eating events where pre-meal hunger is less than 35 on a 100 point visual analogue scale, as reported on smartphone surveys that are completed multiple times a day over a 2 week period. | Multiple measurements per day for 2 weeks starting at enrollment through 2 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual analogue scale rating of hunger | Collected via EMA | Multiple measurements per day for 2 weeks | 
| Visual analogue scale rating of fullness | Collected via EMA | Multiple measurements per day for 2 weeks | 
| Visual analogue scale rating of desire to eat | Collected via EMA | Multiple measurements per day for 2 weeks | 
| Child appetitive traits | Measured by parent report questionnaire (Child Eating Behavior Questionnaire) | At enrollment | 
| Child mindful eating | Measured by child self report questionnaire (Mindful Eating Questionnaire) | At enrollment | 
| Child eating motivations | Measured by child self report questionnaire (Palatable Eating Motives Questionnaire) | At enrollment | 
| Child restrained and disinhibited eating | Measured by child self report questionnaire (Dutch Eating Behavior Questionnaire) | At enrollment | 
| Sleep duration | Measured by actigraphy | Daily over 2 weeks | 
| Sleep maintenance efficiency | Measured by actigraphy | Daily over 2 weeks | 
| Body mass index z-score | Calculated from measured height and weight | At enrollment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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sleep, eating in the absence of hunger, eating, preadolescent, rural, actigraphy, ecological momentary assessment