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No studies have evaluated the impact of tracking resting energy expenditure (REE) and modifiable health behaviors on gestational weight gain (GWG). In this controlled trial, pregnant women aged >18 years (X=29.8±4.9 years) with a gestational age (GA) <17 weeks were randomized to Breezing™ (N=16) or control (N=12) for 13 weeks.

No studies have evaluated the impact of tracking resting energy expenditure (REE) and modifiable health behaviors on gestational weight gain (GWG). In this controlled trial, pregnant women aged >18 years (X=29.8±4.9 years) with a gestational age (GA) <17 weeks were randomized to Breezing™ (N=16) or control (N=12) for 13 weeks. The Breezing™ group used a real-time metabolism tracker to obtain REE. Anthropometrics, diet, and sleep data were collected every 2 weeks. Rate of GWG was calculated as weight gain divided by total duration. Early (GA weeks 14-21), late (GA weeks 21-28), and overall (GA week 14-28) changes in macronutrients, sleep, and GWG were calculated. Mediation models were constructed using SPSS PROCESS macro using a bootstrap estimation approach with 10,000 samples. The majority of women were non-Hispanic Caucasian (78.6%). A total of 35.7% (n=10), 35.7% (n=10), and 28.6% (n=8) were normal weight, overweight, and obese, respectively, with 83.3% (n=10) and 87.5% (n=14) of the Control and Breezing™ groups gaining above IOM GWG recommendations. At baseline, macronutrient consumption did not differ. Overall (Breezing™ vs. Control; M diff=-349.08±150.77, 95% CI: -660.26 to -37.90, p=0.029) and late (M diff=-379.90±143.89, 95% CI:-676.87 to -82.93, p=0.014) changes in energy consumption significantly differed between the groups. Overall (M diff=-22.45±11.03, 95% CI: -45.20 to 0.31, p=0.053), late (M diff=-23.16±11.23, 95% CI: -46.33 to 0.01, p=0.05), and early (M diff=20.3±10.19, 95% CI: -0.74 to 41.34, p=0.058) changes in protein differed by group. Nocturnal total sleep time differed by study group (Breezing vs. Control; M diff=-32.75, 95% CI: -68.34 to 2.84, p=0.069). There was a 11.5% increase in total REE throughout the study. Early changes in REE (72±211 kcals) were relatively small while late changes (128±294 kcals) nearly doubled. Interestingly, early changes in REE demonstrated a moderate, positive correlation with rates of GWG later in pregnancy (r=0.528, p=0.052), suggesting that REE assessment early in pregnancy may help predict changes in GWG. Changes in macronutrients did not mediate the relationship between the intervention and GWG, nor did sleep mediate relationships between dietary intake and GWG. Future research evaluating REE and dietary composition throughout pregnancy may provide insight for appropriate GWG recommendations.
ContributorsVander Wyst, Kiley Bernhard (Author) / Whisner, Corrie M (Thesis advisor) / Reifsnider, Elizabeth G. (Committee member) / Petrov, Megan E (Committee member) / Buman, Matthew (Committee member) / Shaibi, Gabriel Q (Committee member) / Arizona State University (Publisher)
Created2019
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Description
Sleep is an extremely important component of living a healthy life than can impact development and behavior starting in childhood. We expanded on past research regarding this topic to determine the role of childhood sleep and the onset of problem behaviors (externalizing and internalizing behaviors) among a sample of school-aged

Sleep is an extremely important component of living a healthy life than can impact development and behavior starting in childhood. We expanded on past research regarding this topic to determine the role of childhood sleep and the onset of problem behaviors (externalizing and internalizing behaviors) among a sample of school-aged children. We predicted that lower sleep duration, decreased sleep efficiency, and prolonged sleep latency along with negative sleep habits would be associated with problem behaviors. Our sample was made up of 381 school-aged children (M = 8.49 years old, 49.6% female, 56% Caucasian) who were recruited through the Arizona Twin Study when the children were 12 months old. Mixed-model regressions included sex, socioeconomic status, and zygosity as covariates. Correlations and mixed-model regressions showed a significant relationship between negative sleep habits and problem behaviors (both externalizing and internalizing). Our results revealed that those who experience higher amounts of parent-reported negative sleep habits also demonstrate externalizing behaviors (aggression) and internalizing behaviors (anxiety). The findings in the current study are consistent with past research on this topic and suggest that poor sleep impacts daytime functioning and behavior.
ContributorsLee, Jenna Nicole (Author) / Valiente, Carlos (Thesis director) / Doane, Leah (Committee member) / Department of Psychology (Contributor) / School of International Letters and Cultures (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
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Description
Academic success in childhood is crucial for later academic, occupational, and life success (Heckman, 2006; Kuncel, Hezlett, & Ones, 2004; Spengler, Brunner, Damian, Lüdtke, Martin, & Roberts, 2015). Recent research suggests sleep is important for academic success but lacks objective measures of sleep (Buckhalt, El-Sheikh, Keller, & Kelly, 2009; Curcio,

Academic success in childhood is crucial for later academic, occupational, and life success (Heckman, 2006; Kuncel, Hezlett, & Ones, 2004; Spengler, Brunner, Damian, Lüdtke, Martin, & Roberts, 2015). Recent research suggests sleep is important for academic success but lacks objective measures of sleep (Buckhalt, El-Sheikh, Keller, & Kelly, 2009; Curcio, Ferrara, & De Gennaro, 2006; Dewald, Meijer, Oort, Kerkhof, & Bögels, 2010; Philbrook, Hinnant, Elmore-Staton, Buckhalt, & El-Sheikh, 2017). The purpose of this study was to examine the relations between sleep and academic success among children through objective measures of sleep in order to expand on the literature. Our sample consisted of 381 twins (50.4% male; 56% Caucasian; 36.5% same sex dizygotic) participating in an 8-year assessment from a longitudinal twin study. Actigraphy was used to assess sleep while various measures were used to assess academic success. A series of mixed model regressions were used to test the main predictions, with family entered as a random effect. Sex, age, Hispanic, SES, and zygosity were controlled for. Significant negative relations were revealed between sleep latency and reading and sleep latency and school liking. Additionally, SES was the most consistent significant positive predictor of our measures of academic success. These results suggest sleep and effects of SES should be considered when developing ways to help children’s school performance.
ContributorsAlvarez, Rachel Marie (Author) / Valiente, Carlos (Thesis director) / Doane, Leah (Committee member) / School of Criminology and Criminal Justice (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
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Description
Humans have greatly altered the night-time photic environment via the production of artificial light at night (ALAN; e.g. street lights, car traffic, billboards, lit buildings). ALAN is problematic because it may significantly alter the seasonal/daily physiological rhythms or behaviors of animals. There has been considerable interest in the impacts of

Humans have greatly altered the night-time photic environment via the production of artificial light at night (ALAN; e.g. street lights, car traffic, billboards, lit buildings). ALAN is problematic because it may significantly alter the seasonal/daily physiological rhythms or behaviors of animals. There has been considerable interest in the impacts of ALAN on health in humans and lab animals, but most such work has centered on adults and we know comparatively little about effects on young animals. We exposed 3-week-old king quail (Excalfactoria chinensis) to a constant overnight blue-light regime for 6 weeks and assessed weekly bactericidal activity of plasma against Escherichia coli - a commonly employed metric of innate immunity in animals. We found that chronic ALAN exposure significantly increased immune function, and that this elevation in immune performance manifested at different developmental time points in males and females. These results counter the pervasive notion that overnight light exposure is universally physiologically harmful to diurnal organisms and indicate that ALAN can provide sex-specific, short-term immunological boosts to developing animals.
ContributorsSaini, Chandan (Author) / McGraw, Kevin (Thesis director) / Hutton, Pierce (Committee member) / Sweazea, Karen (Committee member) / Department of Psychology (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2017-12
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Description
Sleep diaries and actigraphy are two common methods used to assess sleep subjectively and objectively, respectively. Compared to the gold standard of sleep assessment, polysomnography, sleep diaries and actigraphic methods are more cost-effective and simpler to use. This study aimed to compare the sleep parameters derived from actigraphy and slee

Sleep diaries and actigraphy are two common methods used to assess sleep subjectively and objectively, respectively. Compared to the gold standard of sleep assessment, polysomnography, sleep diaries and actigraphic methods are more cost-effective and simpler to use. This study aimed to compare the sleep parameters derived from actigraphy and sleep diaries (total sleep time, sleep onset latency, number of awakenings, wake after sleep onset, percentage of time awake, and sleep efficiency). Based on results from previous similar studies, it was hypothesized that the sleep diaries would overestimate the total sleep time parameter and underestimate wake parameters. Twenty healthy young adults without sleep problems volunteered to participate. The participants wore an Actiwatch 2 on their wrist and filled out a sleep diary every morning for the duration of six days. A high intraclass correlation coefficient value between subjective and objective sleep was found for the parameter total sleep time, even though total sleep time was found to be slightly overestimated by the sleep diaries. Sleep onset latency, wake after sleep onset, number of awakenings, percentage of time awake, and sleep efficiency were underestimated by the sleep diaries and did not have high correlation values. Based off of the ICC results, there does not seem to be a strong correlation between the Actiwatch 2 and the sleep diaries, but looking at the Bland Altman plots, there seems to be agreement between the methods.
ContributorsRameshkumar, Aarthi (Author) / Buman, Matthew (Thesis director) / Petrov, Megan (Committee member) / Diaz-Piedra, Carolina (Committee member) / School of Molecular Sciences (Contributor) / Barrett, The Honors College (Contributor) / School of Nutrition and Health Promotion (Contributor)
Created2016-12
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Description
Physical activity, sedentary behaviors, and sleep are often associated with cardiometabolic biomarkers commonly found in metabolic syndrome. These relationships are well studied, and yet there are still questions on how each activity may affect cardiometabolic biomarkers. The objective of this study was to examine data from the BeWell24 studies to

Physical activity, sedentary behaviors, and sleep are often associated with cardiometabolic biomarkers commonly found in metabolic syndrome. These relationships are well studied, and yet there are still questions on how each activity may affect cardiometabolic biomarkers. The objective of this study was to examine data from the BeWell24 studies to evaluate the relationship between objectively measured physical activity and sedentary behaviors and cardiometabolic biomarkers in middle age adults, while also determining if sleep quality and duration mediates this relationship. A group of inactive participants (N = 29, age = 52.1 ± 8.1 years, 38% female) with increased risk for cardiometabolic disease were recruited to participate in BeWell24, a trial testing the impact of a lifestyle-based, multicomponent smartphone application targeting sleep, sedentary, and more active behaviors. During baseline, interim (4 weeks), and posttest visits (8 weeks), biomarker measurements were collected for weight (kg), waist circumference (cm), glucose (mg/dl), insulin (uU/ml), lipids (mg/dl), diastolic and systolic blood pressures (mm Hg), and C reactive protein (mg/L). Participants wore validated wrist and thigh sensors for one week intervals at each time point to measure sedentary behavior, physical activity, and sleep outcomes. Long bouts of sitting time (>30 min) significantly affected triglycerides (beta = .15 (±.07), p<.03); however, no significant mediation effects for sleep quality or duration were present. No other direct effects were observed between physical activity measurements and cardiometabolic biomarkers. The findings of this study suggest that reductions in long bouts of sitting time may support reductions in triglycerides, yet these effects were not mediated by sleep-related improvements.
ContributorsLanich, Boyd (Author) / Buman, Matthew (Thesis advisor) / Ainsworth, Barbara (Committee member) / Huberty, Jennifer (Committee member) / Arizona State University (Publisher)
Created2017
Description

The transition from high school to college (TTC) is a critical period of change, the effects of which may be exacerbated for Latino students, who often face additional minority-specific stressors, such as ethnic/racial discrimination (ERD). Research has documented links between ERD and sleep outcomes in adolescents, but less is known

The transition from high school to college (TTC) is a critical period of change, the effects of which may be exacerbated for Latino students, who often face additional minority-specific stressors, such as ethnic/racial discrimination (ERD). Research has documented links between ERD and sleep outcomes in adolescents, but less is known regarding the longitudinal impacts of ERD experiences during unique risk periods (e.g., TTC). Further, despite the central role of family in Latino adolescents’ lives, less research has explored the protective role of family factors (e.g., familism, family support) in links between ERD and Latino students’ sleep health. Thus, this study examined: 1) longitudinal associations between peer- and adult-perpetrated ERD in high school and actigraphy-measured (e.g., duration, efficiency, midpoint) and subjective sleep (e.g., problems) during the first year of college among Latino adolescents, accounting for college ERD experiences, and 2) familism and family support as potential moderators of these associations. Participants were 209 Hispanic/Latino adolescents (Mage=18.10; 64.4% female; 84.7% Mexican descent; 67.9% first-generation students) assessed at two time points (i.e., last semester of high school and second semester of college). There were no longitudinal associations between high school ERD and college sleep. However, there were concurrent associations between ERD and sleep in college. Specifically, greater college peer- and adult-perpetrated ERD were associated with less duration and lower efficiency at the same time point. Further, more college adult-based ERD was additionally linked with greater sleep problems. There were no significant moderation findings; however, the interaction between high school adult-based ERD and family support predicting college sleep problems suggested that adolescents reporting low levels of adult ERD in conjunction with higher levels of family support had the fewest sleep problems. Study findings provide additional evidence that ERD from both adults and peers is associated with reduced sleep duration and quality among Latino college students and suggest that current cultural stressors may be particularly influential on sleep during major socio-contextual shifts. These findings can inform future programs (e.g., sleep interventions) that provide support for students experiencing race-based stressors, such as ERD, to promote Latino student health and well-being.

ContributorsLi, Crystal (Author) / Doane, Leah (Thesis director) / Su, Jinni (Committee member) / Ha, Thao (Committee member) / Sasser, Jeri (Committee member) / Barrett, The Honors College (Contributor) / School of International Letters and Cultures (Contributor) / Department of Psychology (Contributor)
Created2022-12
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Description
Introduction: There is currently a lack of industry-wide gold standardization in accelerometer study
protocols, including within sleep-focused studies. This study seeks to address accuracy of
accelerometer data in detection of the beginnings and ends of sleep bouts in young adults with
polysomnography (PSG) corroboration. An existing algorithm used to differentiate

Introduction: There is currently a lack of industry-wide gold standardization in accelerometer study
protocols, including within sleep-focused studies. This study seeks to address accuracy of
accelerometer data in detection of the beginnings and ends of sleep bouts in young adults with
polysomnography (PSG) corroboration. An existing algorithm used to differentiate valid/invalid wear
time and detect bouts of sleep has been modified with the goal of maximizing accuracy of sleep bout
detection. Methods: Three key decisions and thresholds of the algorithm have been modified with three
experimental values each being tested. The main experimental variable Sleepwindow controls the
amount of time before and after a determined bout of sleep that is searched for additional sedentary
time to incorporate and consider part of the same sleep bout. Results were compared to PSG and sleep
diary data for absolute agreement of sleep bout start time (START), end time (END) and time in bed
(TIB). Adjustments were made for outliers as well as sleep latency, snooze time, and the sum of both.
Results: Only adjustments made to a sleep window variable yielded altered results. Between a 5-, 15-,
and 30-minute window, a 15-minute window incurred the least error and most agreement to
comparisons for START, while a 5-minute window was best for END and TIB. Discussion: Contrary
to expectation, corrections for snooze, latency, and both did not substantially improve agreement to
PSG. Algorithm-derived estimates of START and END always fell after sleep diary and PSG both,
suggesting either participants’ sedentary behavior beginning and ends were at a delay from sleep and
wake times, or the algorithm estimates consistently later times than appropriate. The inclusion of a
sleep window variable yields substantial variety in results. A 15-minute window appears best at
determining START while a 5-minute window appears best for END and TIB. Further investigation on
the optimal window length per demographic and condition is required.
ContributorsMartin, Logan Rhett (Author) / Buman, Matthew (Thesis director) / Toledo, Meynard John (Committee member) / Kurka, Jonathan (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2019-12
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Description
As science has progressed, sleep deficiency has been discovered to be associated with declines in both mental and physical health, and similarly, sleep deficiency has been noted as a public safety concern with 20 percent of motor vehicle crashes linked to driving while drowsy. The National Sleep Foundation has identified

As science has progressed, sleep deficiency has been discovered to be associated with declines in both mental and physical health, and similarly, sleep deficiency has been noted as a public safety concern with 20 percent of motor vehicle crashes linked to driving while drowsy. The National Sleep Foundation has identified that 62 percent of Americans do nothing to address their sleep deficiency, and with a society that normalizes coping mechanisms such as napping and caffeine consumption, it is easy to see why nothing has been done to resolve this issue. Nevertheless, with sleep technology falling in the hands of more and more Americans this thesis aims to explore how these technologies are being adopted and how the introduction of sleep-oriented features for established products may lead to more sleep conscious consumers.
ContributorsSmith, Keaton (Author) / Burgman, Roland (Thesis director) / Buman, Matthew (Committee member) / Department of Management and Entrepreneurship (Contributor) / Barrett, The Honors College (Contributor)
Created2020-12
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

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