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  1. <sc>A</sc>bstract Objective

    This study examined the validity of a novel metric of circadian health, the Entrainment Signal Regularity Index (ESRI), and its relationship to changes in BMI during the school year and summer.

    Methods

    In a longitudinal observational data set, this study examined the relationship between ESRI score and children's (n = 119, 5‐ to 8‐year‐olds) sleep and physical activity levels during the school year and summer, differences in ESRI score during the school year and summer, and the association of ESRI score during the school year and summer with changes in BMI across those time periods.

    Results

    The ESRI score was higher during the school year (0.70 ± 0.10) compared with summer (0.63 ± 0.11);t(111) = 5.484,p < 0.001. Whereas the ESRI score at the beginning of the school year did not significantly predict BMI change during the school year (β = 0.05 ± 0.09 SE,p = 0.57), having a higher ESRI score during summer predicted smaller increases in BMI during summer (β = −0.22 ± 0.10 SE,p = 0.03).

    Conclusions

    Overall, children demonstrated higher entrainment regularity during the school year compared with the summer. During summer, having a higher entrainment signal was associated with smaller changes in summertime BMI. This effect was independent of the effects of children's sleep midpoint, sleep regularity, and physical activity on children's BMI.

     
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  2. Abstract Study Objectives

    Examine the ability of a physiologically based mathematical model of human circadian rhythms to predict circadian phase, as measured by salivary dim light melatonin onset (DLMO), in children compared to other proxy measurements of circadian phase (bedtime, sleep midpoint, and wake time).

    Methods

    As part of an ongoing clinical trial, a sample of 29 elementary school children (mean age: 7.4 ± .97 years) completed 7 days of wrist actigraphy before a lab visit to assess DLMO. Hourly salivary melatonin samples were collected under dim light conditions (<5 lx). Data from actigraphy were used to generate predictions of circadian phase using both a physiologically based circadian limit cycle oscillator mathematical model (Hannay model), and published regression equations that utilize average sleep onset, midpoint, and offset to predict DLMO. Agreement of proxy predictions with measured DLMO were assessed and compared.

    Results

    DLMO predictions using the Hannay model outperformed DLMO predictions based on children’s sleep/wake parameters with a Lin’s Concordance Correlation Coefficient (LinCCC) of 0.79 compared to 0.41–0.59 for sleep/wake parameters. The mean absolute error was 31 min for the Hannay model compared to 35–38 min for the sleep/wake variables.

    Conclusion

    Our findings suggest that sleep/wake behaviors were weak proxies of DLMO phase in children, but mathematical models using data collected from wearable data can be used to improve the accuracy of those predictions. Additional research is needed to better adapt these adult models for use in children.

    Clinical Trial

    The i Heart Rhythm Project: Healthy Sleep and Behavioral Rhythms for Obesity Prevention https://clinicaltrials.gov/ct2/show/NCT04445740.

     
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    Abstract We study the impact of light on the mammalian circadian system using the theory of phase response curves. Using a recently developed ansatz we derive a low-dimensional macroscopic model for the core circadian clock in mammals. Significantly, the variables and parameters in our model have physiological interpretations and may be compared with experimental results. We focus on the effect of four key factors which help shape the mammalian phase response to light: heterogeneity in the population of oscillators, the structure of the typical light phase response curve, the fraction of oscillators which receive direct light input and changes in the coupling strengths associated with seasonal day-lengths. We find these factors can explain several experimental results and provide insight into the processing of light information in the mammalian circadian system. In particular, we find that the sensitivity of the circadian system to light may be modulated by changes in the relative coupling forces between the light sensing and non-sensing populations. Finally, we show how seasonal day-length, after-effects to light entrainment and seasonal variations in light sensitivity in the mammalian circadian clock are interrelated. 
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  7. Mathematical models have a long and influential history in the study of human circadian rhythms. Accurate predictive models for the human circadian light response have been used to study the impact of a host of light exposures on the circadian system. However, generally, these models do not account for the physiological basis of these rhythms. We illustrate a new paradigm for deriving models of the human circadian light response. Beginning from a high-dimensional model of the circadian neural network, we systematically derive low-dimensional models using an approach motivated by experimental measurements of circadian neurons. This systematic reduction allows for the variables and parameters of the derived model to be interpreted in a physiological context. We fit and validate the resulting models to a library of experimental measurements. Finally, we compare model predictions for experimental measurements of light levels and discuss the differences between our model’s predictions and previous models. Our modeling paradigm allows for the integration of experimental measurements across the single-cell, tissue, and behavioral scales, thereby enabling the development of accurate low-dimensional models for human circadian rhythms. 
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