Theses and Dissertations
This collection includes both ASU Theses and Dissertations, submitted by graduate students, and the Barrett, Honors College theses submitted by undergraduate students.
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- All Subjects: Physical Activity
Description
Chronic pain is common during childhood and has negative immediate and long-term implications for physical and mental health. Prior research points to physical activity and sleep as protective health-promoting behaviors predicting lower chronic pain intensity and disability during adulthood. No study has yet examined the interaction of physical activity and sleep parameters in prediction of chronic pain in a community sample of children. Guided by the biopsychosocial model of pediatric chronic pain, this study explored objectively assessed physical activity and sleep patterns at age 8 as predictors of childhood chronic pain at age 9 in a racially/ethnically and socioeconomically diverse sample of 896 twins participating in the longitudinal Arizona Twin Project. It was hypothesized that parameters of physical activity levels and sleep health would independently predict chronic pain one year later, and that sleep parameters would moderate the association between physical activity and chronic pain. Monthly chronic pain was common, with 57.1% of participants reporting at least one pain location. Headaches, stomachaches, and backaches were the most frequent chronic pain presentations. Participants exceeded physical activity guidelines but did not meet sleep recommendations for their age group. Multilevel modeling analyses revealed that physical activity and sleep parameters at age 8 did not predict chronic pain one year later, and that sleep parameters did not moderate the associations between physical activity and chronic pain. The present study provides evidence that the associations between objectively assessed physical activity and sleep and chronic pain are not yet evident during middle childhood in this community sample compared to patient samples who have existing pain, suggesting that these health behaviors may play distinct roles in pain development versus pain management. They also point to the need to pinpoint the time frame during which these health behaviors become relevant and potentially interact to predict chronic pain development and maintenance. Longitudinal research tracking these health behaviors and pain using both subjective and objective methods as children transition into and through adolescence can help to identify optimal developmental stages at which to target prevention and intervention efforts to promote long term health.
ContributorsBartsch, Eva Marie (Author) / Davis, Mary C (Thesis advisor) / Doane, Leah D (Committee member) / Lemery-Chalfant, Kathryn (Committee member) / Arizona State University (Publisher)
Created2023
Description
Adverse neighborhood environments have been found to negatively influence children’s sleep and physical activity outcomes (Pabayo et al., 2014; Aguilar-Farias et al., 2020). Previous literature suggests that positive parenting and familism values may play protective roles in high-risk neighborhood contexts (Romero et al., 2020). This study utilized a strengths-based approach to examine relations between neighborhood opportunities and sleep and physical activity in children, and whether positive parenting and familism values buffered these associations. This study utilized a racially and socioeconomically diverse sample of 710 twin children (Mage=8.44 years, SD=.69; 51.4% female; 58.5% non-Hispanic White, 23.7% Hispanic). Children wore actigraphy watches for 7 nights (M=6.79, SD=.71) to capture sleep (duration, efficiency, midpoint, midpoint variability) and physical activity (MVPA and sedentary behaviors) parameters. Objective neighborhood opportunity was evaluated using the Child Opportunity Index 2.0 (COI; Noelke et al., 2020). Positive parenting behaviors were observed and coded in the context of a parent-child interaction task. Primary caregivers reported on their children’s sleep problems and their familism values. Results revealed that higher COI predicted earlier sleep midpoint and less midpoint variability. Interactions between COI and positive parenting were nonsignificant. Though marginal, associations between the COI and midpoint variability were most negatively related in children whose primary caregiver reported high familism values. Future research should look at children’s engagement in family activities to better understand whether children who reside in low opportunity neighborhoods and experience high familism values have to face additional competing family demands, leading to greater individual variation in sleep timing.
ContributorsGutierrez, Valeria (Author) / Doane, Leah (Thesis director) / Lemery-Chalfant, Kathryn (Committee member) / Cruz, Rick (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor) / School of Criminology and Criminal Justice (Contributor)
Created2022-12