Family-Based Meal Timing for Cancer Prevention Among Native Hawaiian and Other Pacific Islanders: FAMTIME

Native Hawaiian or other Pacific Islanders (NHPI) including those from Polynesia, Micronesia, and Melanesia, are the fastest growing racial/ethnic group in the U.S., but they are vastly underrepresented in health research. Compared with other racial/ethnic groups, NHPIs have higher risk of cancer, especially breast, colorectal and endometrial cancers. Moreover, NHPIs experience worse cancer-free survival, particularly among younger adults. There has been a concerning increase in incidence and deaths from cancer among NHPIs in recent years in parallel with persistent or widening health disparity gaps in cancer risk factors like poor diet quality, obesity, diabetes, and access to healthcare. Identifying culturally tailored ways to address these cancer risk factors in the NHPI community is therefore an urgent unmet need.

Sex

All

Minimum age

18 Years

Inclusion Criteria:

1. Native Hawaiian/Pacific Islander females aged 18 years or older
2. Have at least one cancer risk factor (BMI≥25kg/m2 OR have a history of non-insulin dependent diabetes OR have at least one metabolic syndrome criteria out of clinical range OR have a history of cancer precursors (e.g., atypical endometrial hyperplasia, colorectal adenoma, atypical ductal hyperplasia)
3. Have a working cell phone that can download an App
4. Able to use cell phone during day (e.g. at work)
5. Not a night shift worker
6. Able to attend study visits at the Huntsman Cancer Institute Center for HOPE
7. Not on a special diet
8. Fast \<14-hours per night (i.e., eat all calorie containing foods over \>10-hours/day)

Exclusion Criteria:

1. Unable to provide informed consent
2. Necessity of a special diet
3. Have a history of insulin dependent diabetes
4. Have a history of hysterectomy
5. Fast \>14-hours per night/\<10-hour eating window

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