Tween Sleep Patterns, Appetite Control, and Environment (TweenSPACE)

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

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.

Study Overview

• Status: Completed
• Conditions: Sleep; Child Obesity; Eating Behavior

Detailed Description

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.

• Study Type: Observational
• Enrollment (Actual): 112

Contacts and Locations

Study Locations

• United States
  • Pennsylvania
    • University Park, Pennsylvania, United States, 16802
      • Pennyslvania State University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

Children 8-12 years old and a parent/guardian (n=64 parent-child dyads for a total of 128 individuals)

Description

Child Inclusion Criteria:

1. Age 8 to 12 years
2. Primary residence is in a rural ZIP code in the United States, as defined by Health Resources & Services Administration
3. BMI for age ≥ 85th percentile OR BMI ≥ 15th percentile plus at least one biological parent with BMI ≥ 25 kg/m2
4. Able to read and answer questions in English

Parent Inclusion criteria:

1. Parent or caregiver of an eligible child
2. Age 18 years or older
3. Able to read and answer questions in English

Exclusion Criteria:

1. 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)
2. Unable to connect to a Zoom session via internet or cell-phone data from home
3. Unable to receive and sign for package with study supplies

Study Plan

How is the study designed?

What is the study measuring?

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

Collaborators and Investigators

• Sponsor: Penn State University
• Investigators: Principal Investigator: Emily E Hohman, PhD, Penn State University

Study record dates

Study Major Dates

• Study Start (Actual): April 20, 2023
• Primary Completion (Actual): June 30, 2024
• Study Completion (Actual): July 30, 2024

Study Registration Dates

• First Submitted: April 21, 2023
• First Submitted That Met QC Criteria: May 9, 2023
• First Posted (Actual): May 10, 2023

Study Record Updates

• Last Update Posted (Actual): November 6, 2024
• Last Update Submitted That Met QC Criteria: November 4, 2024
• Last Verified: November 1, 2024

More Information

Terms related to this study

• Keywords: sleep; eating; rural; actigraphy; ecological momentary assessment; eating in the absence of hunger; preadolescent
• Additional Relevant MeSH Terms: Nutrition Disorders; Overnutrition; Body Weight; Overweight; Obesity; Pediatric Obesity
• Other Study ID Numbers: STUDY00020663

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED
• IPD Plan Description: De-identified participant data may be made available at the conclusion of the study by request to the PI

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No