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Author Boivin, D.B.; Boudreau, P.; James, F.O.; Kin, N.M.K.N.Y.
Title Photic resetting in night-shift work: impact on nurses' sleep Type (down) Journal Article
Year 2012 Publication Chronobiology International Abbreviated Journal Chronobiol Int
Volume 29 Issue 5 Pages 619-628
Keywords Adaptation, Physiological; Adult; *Circadian Rhythm; *Darkness; Female; Humans; *Light; Male; Melatonin/metabolism; Middle Aged; *Nurses; Sleep/*physiology; Work Schedule Tolerance/*physiology
Abstract The objective of this study was to quantify daytime sleep in night-shift workers with and without an intervention designed to recover the normal relationship between the endogenous circadian pacemaker and the sleep/wake cycle. Workers of the treatment group received intermittent exposure to full-spectrum bright light during night shifts and wore dark goggles during the morning commute home. All workers maintained stable 8-h daytime sleep/darkness schedules. The authors found that workers of the treatment group had daytime sleep episodes that lasted 7.1 +/- .1 h (mean +/- SEM) versus 6.6 +/- .2 h for workers in the control group (p = .04). The increase in total sleep time co-occurred with a larger proportion of the melatonin secretory episode during daytime sleep in workers of the treatment group. The results of this study showed reestablishment of a phase angle that is comparable to that observed on a day-oriented schedule favors longer daytime sleep episodes in night-shift workers. (Author correspondence: diane.boivin@douglas.mcgill.ca ).
Address Centre for Study and Treatment of Circadian Rhythms, Douglas Mental Health University Institute, Department of Psychiatry, McGill University, Montreal, Quebec, Canada. diane.boivin@douglas.mcgill.ca
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0742-0528 ISBN Medium
Area Expedition Conference
Notes PMID:22621359 Approved no
Call Number IDA @ john @ Serial 144
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Author Chang, A.-M.; Scheer, F.A.J.L.; Czeisler, C.A.; Aeschbach, D.
Title Direct effects of light on alertness, vigilance, and the waking electroencephalogram in humans depend on prior light history Type (down) Journal Article
Year 2013 Publication Sleep Abbreviated Journal Sleep
Volume 36 Issue 8 Pages 1239-1246
Keywords Arousal/*radiation effects; Attention/radiation effects; Cross-Over Studies; *Electroencephalography; Female; Humans; *Light; Male; Melatonin/blood/physiology; Psychomotor Performance/radiation effects; Reaction Time; Wakefulness/*radiation effects; Young Adult; Light history; alertness and performance; light exposure
Abstract STUDY OBJECTIVES: Light can induce an acute alerting response in humans; however, it is unknown whether the magnitude of this response is simply a function of the absolute illuminance of the light itself, or whether it depends on illuminance history preceding the stimulus. Here, we compared the effects of illuminance history on the alerting response to a subsequent light stimulus. DESIGN: A randomized, crossover design was used to compare the effect of two illuminance histories (1 lux vs. 90 lux) on the alerting response to a 6.5-h 90-lux light stimulus during the biological night. SETTING: Intensive Physiologic Monitoring Unit, Brigham and Women's Hospital, Boston, MA. PARTICIPANTS: Fourteen healthy young adults (6 F; 23.5 +/- 2.9 years). INTERVENTIONS: Participants were administered two 6.5-h light exposures (LE) of 90 lux during the biological night. For 3 days prior to each LE, participants were exposed to either 1 lux or 90 lux during the wake episode. MEASUREMENTS AND RESULTS: The alerting response to light was assessed using subjective sleepiness ratings, lapses of attention, and reaction times as measured with an auditory psychomotor vigilance task, as well as power density in the delta/theta range of the waking EEG. The alerting response to light was greater and lasted longer when the LE followed exposure to 1 lux compared to 90 lux light. CONCLUSION: The magnitude and duration of the alerting effect of light at night depends on the illuminance history and appears to be subject to sensitization and adaptation.
Address Division of Sleep Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA. amchang@rics.bwh.harvard.edu
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0161-8105 ISBN Medium
Area Expedition Conference
Notes PMID:23904684; PMCID:PMC3700721 Approved no
Call Number IDA @ john @ Serial 145
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Author Lowden, A.; Akerstedt, T.
Title Assessment of a new dynamic light regimen in a nuclear power control room without windows on quickly rotating shiftworkers--effects on health, wakefulness, and circadian alignment: a pilot study Type (down) Journal Article
Year 2012 Publication Chronobiology International Abbreviated Journal Chronobiol Int
Volume 29 Issue 5 Pages 641-649
Keywords Adaptation, Physiological; Adult; *Circadian Rhythm; Darkness/adverse effects; *Environment, Controlled; Female; Humans; *Light; Male; Melatonin/metabolism; Middle Aged; Photic Stimulation; Pilot Projects; Saliva/chemistry; Sleep/*physiology; *Wakefulness; *Work Schedule Tolerance
Abstract The aim of the study was to test whether a new dynamic light regime would improve alertness, sleep, and adaptation to rotating shiftwork. The illumination level in a control room without windows at a nuclear power station was ~200 lux (straight-forward horizontal gaze) using a weak yellow light of 200 lux, 3000 K (Philips Master TLD 36 W 830). New lighting equipment was installed in one area of the control room above the positions of the reactor operators. The new lights were shielded from the control group by a distance of >6 m, and the other operators worked at desks turned away from the new light. The new lights were designed to give three different light exposures: (i) white/blue strong light of 745 lux, 6000 K; (ii) weak yellow light of 650 lux, 4000 K; and (iii) yellow moderate light of 700 lux, 4000 K. In a crossover design, the normal and new light exposures were given during a sequence of three night shifts, two free days, two morning shifts, and one afternoon shift (NNN + MMA), with 7 wks between sessions. The operators consisted of two groups; seven reactor operators from seven work teams were at one time exposed to the new equipment and 16 other operators were used as controls. The study was conducted during winter with reduced opportunities of daylight exposure during work, after night work, or before morning work. Operators wore actigraphs, filled in a sleep/wake diary, including ratings of sleepiness on the Karolinska Sleepiness Scale (KSS) every 2 h, and provided saliva samples for analysis of melatonin at work (every 2nd h during one night shift and first 3 h during one morning shift). Results from the wake/sleep diary showed the new light treatment increased alertness during the 2nd night shift (interaction group x light x time, p < .01). Time of waking was delayed in the light condition after the 3rd night shift (group x light, p < .05), but the amount of wake time during the sleep span increased after the 2nd night shift (p < .05), also showing a tendency to affect sleep efficiency (p < .10). Effects on circadian phase were difficult to establish given the small sample size and infrequent sampling of saliva melatonin. Nonetheless, it seems that appropriate dynamic light in rooms without windows during the dark Nordic season may promote alertness, sleep, and better adaptation to quickly rotating shiftwork.
Address Stress Research Institute, Stockholm University, Stockholm, Sweden. arne.lowden@stress.su.se
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0742-0528 ISBN Medium
Area Expedition Conference
Notes PMID:22621361 Approved no
Call Number IDA @ john @ Serial 148
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Author Vollmer, C.; Michel, U.; Randler, C.
Title Outdoor light at night (LAN) is correlated with eveningness in adolescents Type (down) Journal Article
Year 2012 Publication Chronobiology International Abbreviated Journal Chronobiol Int
Volume 29 Issue 4 Pages 502-508
Keywords Adolescent; *Adolescent Behavior/drug effects; Biological Clocks; Central Nervous System Stimulants/administration & dosage; *Circadian Rhythm/drug effects; Computers; Cross-Sectional Studies; Female; Germany; Humans; *Light; Lighting; Male; *Photic Stimulation; *Photoperiod; Questionnaires; *Sleep/drug effects; Television; Time Factors; Video Games; *Wakefulness/drug effects
Abstract External zeitgebers synchronize the human circadian rhythm of sleep and wakefulness. Humans adapt their chronotype to the day-night cycle, the strongest external zeitgeber. The human circadian rhythm shifts to evening-type orientation when daylight is prolonged into the evening and night hours by artificial light sources. Data from a survey of 1507 German adolescents covering questions about chronotype and electronic screen media use combined with nocturnal satellite image data suggest a relationship between chronotype and artificial nocturnal light. Adolescents living in brightly illuminated urban districts had a stronger evening-type orientation than adolescents living in darker and more rural municipalities. This result persisted when controlling for time use of electronic screen media, intake of stimulants, type of school, age, puberty status, time of sunrise, sex, and population density. Time spent on electronic screen media use-a source of indoor light at night-is also correlated with eveningness, as well as intake of stimulants, age, and puberty status, and, to a lesser degree, type of school and time of sunrise. Adequate urban development design and parents limiting adolescents' electronic screen media use in the evening could help to adjust adolescents' zeitgeber to early school schedules when they provide appropriate lighting conditions for daytime and for nighttime.
Address Department of Biology, University of Education Heidelberg, Germany. vollmer@ph-heidelberg.de
Corporate Author Thesis
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Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0742-0528 ISBN Medium
Area Expedition Conference
Notes PMID:22214237 Approved no
Call Number IDA @ john @ Serial 150
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Author Fritschi, L.; Erren, T.C.; Glass, D.C.; Girschik, J.; Thomson, A.K.; Saunders, C.; Boyle, T.; El-Zaemey, S.; Rogers, P.; Peters, S.; Slevin, T.; D'Orsogna, A.; de Vocht, F.; Vermeulen, R.; Heyworth, J.S.
Title The association between different night shiftwork factors and breast cancer: a case-control study Type (down) Journal Article
Year 2013 Publication British Journal of Cancer Abbreviated Journal Br J Cancer
Volume 109 Issue 9 Pages 2472-2480
Keywords Adult; Aged; Aged, 80 and over; Breast Neoplasms/*epidemiology/etiology; Case-Control Studies; Female; Humans; Life Style; Middle Aged; Questionnaires; Risk; Risk Factors; Western Australia/epidemiology; *Work Schedule Tolerance; Young Adult; oncogenesis
Abstract BACKGROUND: Research on the possible association between shiftwork and breast cancer is complicated because there are many different shiftwork factors, which might be involved including: light at night, phase shift, sleep disruption and changes in lifestyle factors while on shiftwork (diet, physical activity, alcohol intake and low sun exposure). METHODS: We conducted a population-based case-control study in Western Australia from 2009 to 2011 with 1205 incident breast cancer cases and 1789 frequency age-matched controls. A self-administered questionnaire was used to collect demographic, reproductive, and lifestyle factors and lifetime occupational history and a telephone interview was used to obtain further details about the shiftwork factors listed above. RESULTS: A small increase in risk was suggested for those ever doing the graveyard shift (work between midnight and 0500 hours) and breast cancer (odds ratio (OR)=1.16, 95% confidence interval (CI)=0.97-1.39). For phase shift, we found a 22% increase in breast cancer risk (OR=1.22, 95% CI=1.01-1.47) with a statistically significant dose-response relationship (P=0.04). For the other shiftwork factors, risks were marginally elevated and not statistically significant. CONCLUSION: We found some evidence that some of the factors involved in shiftwork may be associated with breast cancer but the ORs were low and there were inconsistencies in duration and dose-response relationships.
Address Western Australian Institute for Medical Research, The University of Western Australia, Nedlands, Western Australia, Australia
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0007-0920 ISBN Medium
Area Expedition Conference
Notes PMID:24022188; PMCID:PMC3817316 Approved no
Call Number IDA @ john @ Serial 153
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