Impact of Sleep Duration on Immune Balance in Urban Children With Asthma

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age7-11
SponsorRhode Island Hospital

About this trial

Urban children with asthma are at high risk for short sleep, due to an environment that jeopardizes both sleep and asthma management. Further, urban children with asthma suffer from altered immune balance, a key biological process contributing to individual differences in asthma morbidity and sleep health. In the proposed research, the researchers will examine the effects of shortened and recovery sleep on immune balance and associated changes in lung function in urban children with allergic asthma through an experimental design.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Children 7-11 years old

Has physician-diagnosed asthma, per parent and pediatrician report

Meets criteria for current persistent asthma with a current prescription for an asthma controller medicine

Obtains 9.0-11.0 h of sleep per 24 h day in the past month

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • Shortened Sleep

    Behavioral

    In this experimental condition, children go to bed 90 minutes later than their typical bedtime during Week 2 of the 4-week protocol.

  • Stabilized sleep

    Behavioral

    In this control condition, children go to bed at their usual time throughout the 4-week protocol.

Treatment groups

204 Participants
are divided into 2 treatment groups
Group A: Shortened SleepExperimental treatment 1 intervention
Group B: Usual Sleep ScheduleActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

10mL of heparinized blood

Changes in the immune biomarker profile related to lung function and asthma morbidity: CD4+IFNy+ Th1 cells; CD4+IL4+, CD4+IL5+, CD4+IL13+ Th2 cells; plasma IL-6

Time frame
Changes in immune function across Days 7, 11, 14, 21 and 28 of the 4-week sleep protocol

Secondary outcomes

1

Forced Expiratory Flow in 1 second (FEV1) % predicted

Asthma-related lung function

Time frame
Lung function over the 4-week sleep protocol

Other outcomes

1

Time in Bed actigraphy scores

Sleep Duration measured via actigraphy, to validate the prescribed sleep schedules

Time frame
Continuously throughout the 4-week sleep protocol

Sponsors and contacts

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Rhode Island Hospital

Lead sponsor

Brown University

Collaborator

University of Mississippi Medical Center

Collaborator