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Sleep is an important factor for overall health. This study will see how different light exposure patterns and food intake impact a person's metabolism (how the body breaks down food) when sleeping is reduced.
Participants will attend 6 to 8 in-person visits to the study clinic, including three overnight stays. People will complete surveys and medical tests. The study will last about 4 to 6 months.
This study is a randomized in-lab, cross-over trial. Each participant will complete all three arms in either condition order #1 (A-B-C) or order #2 (A-C-B). Each arm will consist of 5 nights of experimental sleep restriction followed by a constant routine protocol for assessment of 24-h rhythms. Sleep restriction in the three arms will occur under the following conditions: (A-control condition) Sleep Restriction with Central and Peripheral Alignment; (B) Sleep Restriction with Central Clock Misalignment; and (C) Sleep Restriction with Peripheral Misalignment. Prior to enrollment participants will complete a comprehensive medical history and clinical overnight sleep disorders screening. Baseline consists of a ~2-week ambulatory real-world monitoring segment that will occur immediately prior to each in-lab sleep restriction condition. Following the 5 days of sleep restriction in each arm, participants will complete an intravenous glucose tolerance test to analyze insulin sensitivity, prior to completing the constant routine.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sleep Restriction with Central and Peripheral Alignment | No Intervention | (Arm "A")-Control condition with central and peripheral aligned circadian rhythms | |
| Sleep Restriction with Central Clock Misalignment | Experimental | (Arm "B")-Misalignment of the central clock by nighttime electrical light exposure and dim-light in morning hours. |
|
| Sleep Restriction with Peripheral Misalignment | Experimental | (Arm "C")-Misalignment of peripheral oscillators by shifting the majority of food intake to the nighttime hours. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Central Clock Misalignment | Behavioral | Light exposure will be dimmed during the first 4 hours of scheduled wakefulness, with bright light exposure during the nighttime hours of extended wakefulness. |
| Measure | Description | Time Frame |
|---|---|---|
| Insulin Sensitivity | Insulin sensitivity will be measured by intravenous glucose tolerance tests. | Immediately following the 5-day sleep restriction segment |
| Internal Circadian Misalignment (Uridine and Isobutyryl-L-carnitine) | Phase angle between DLMO and acrophase of uridine and isobutyryl-L-carnitine during constant routine. | During the constant routine, following the 5-day sleep restriction segment |
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| Measure | Description | Time Frame |
|---|---|---|
| Timing of DLMO and DLMOff | The phase angle between dim-light melatonin offset (DLMOff) scheduled waketime using hourly saliva samples collected during a constant routine. | During the constant routine, following the 5-day sleep restriction segment |
| Hunger and Satiety Visual Analog Scales |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Victoria Miranda, MS | Contact | 385-309-0551 | SleepStudyParticipant@utah.edu | |
| Grace Zimmerman, PhD | Contact | 385-309-0551 | SleepStudyParticipant@utah.edu |
| Name | Affiliation | Role |
|---|---|---|
| Christopher Depner, PhD | University of Utah | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| College of Health Research Complex - University of Utah, Salt Lake City 84112 | Recruiting | Salt Lake City | Utah | 84112 | United States |
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Randomization to condition order will be concealed to research staff and participants until the conclusion of the condition "A", which all participants will complete first.
| Peripheral Misalignment | Behavioral | Most daily calories will be given later in the day to shift eating patterns toward the nighttime hours. |
|
Self-reported ratings of hunger, satiety, and prospective food intake will be quantified by 100mm visual analog scales ranging from 0 to 100. For each scale, 0 represents low hunger, satiety, or prospective food intake, with 100 representing the highest hunger, satiety, or prospective food intake. |
| During the constant routine, following the 5-day sleep restriction segment |
| ID | Term |
|---|---|
| D000070263 | Sleep Hygiene |
| D012892 | Sleep Deprivation |
| D021081 | Chronobiology Disorders |
| ID | Term |
|---|---|
| D015438 | Health Behavior |
| D001519 | Behavior |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001523 | Mental Disorders |
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