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Author Obayashi, K.; Saeki, K.; Iwamoto, J.; Ikada, Y.; Kurumatani, N. url  doi
openurl 
  Title Exposure to light at night and risk of depression in the elderly Type Journal Article
  Year 2013 Publication Journal of Affective Disorders Abbreviated Journal J Affect Disord  
  Volume 151 Issue 1 Pages 331-336  
  Keywords Aged; Circadian Rhythm; Cross-Sectional Studies; Depression/*etiology; Female; Humans; Light/*adverse effects; Male; Melatonin/urine; Psychiatric Status Rating Scales; Risk Factors; Circadian rhythm; Daytime light; Depression; Elderly; Light at night; Melatonin; Mental Health  
  Abstract BACKGROUND: Recent advances in understanding the fundamental links between chronobiology and depressive disorders have enabled exploring novel risk factors for depression in the field of biological rhythms. Increased exposure to light at night (LAN) is common in modern life, and LAN exposure is associated with circadian misalignment. However, whether LAN exposure in home settings is associated with depression remains unclear. METHODS: We measured the intensities of nighttime bedroom light and ambulatory daytime light along with overnight urinary melatonin excretion (UME) in 516 elderly individuals (mean age, 72.8). Depressive symptoms were assessed using the Geriatric Depression Scale. RESULTS: The median nighttime light intensity was 0.8lx (interquartile range, 0.2-3.3). The depressed group (n=101) revealed significantly higher prevalence of LAN exposure (average intensity, >/= 5 lx) compared with that of the nondepressed group (n=415) using a multivariate logistic regression model adjusted for daytime light exposure, insomnia, hypertension, sleep duration, and physical activity [adjusted odds ratio (OR): 1.89; 95% confidence interval (CI), 1.10-3.25; P=0.02]. Consistently, another parameter of LAN exposure (duration of intensity >/= 10 lx, >/= 30 min) was significantly more prevalent in the depressed than in the nondepressed group (adjusted OR: 1.71; 95% CI, 1.01-2.89; P=0.046). In contrast, UME was not significantly associated with depressive symptoms. LIMITATION: Cross-sectional analysis. CONCLUSION: These results suggested that LAN exposure in home settings is significantly associated with depressive symptoms in the general elderly population. The risk of depression may be reduced by keeping nighttime bedroom dark.  
  Address Department of Community Health and Epidemiology, Nara Medical University School of Medicine, Nara, Japan. obayashi@naramed-u.ac.jp  
  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 0165-0327 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:23856285 Approved no  
  Call Number IDA @ john @ Serial 165  
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Author Peplonska, B.; Bukowska, A.; Sobala, W.; Reszka, E.; Gromadzinska, J.; Wasowicz, W.; Lie, J.A.; Kjuus, H.; Ursin, G. url  doi
openurl 
  Title Rotating night shift work and mammographic density Type Journal Article
  Year 2012 Publication Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology Abbreviated Journal Cancer Epidemiol Biomarkers Prev  
  Volume 21 Issue 7 Pages 1028-1037  
  Keywords Adult; Breast/*pathology; Breast Neoplasms/*etiology/*pathology; Circadian Rhythm/*physiology; Cross-Sectional Studies; Female; Humans; Melatonin/urine; Middle Aged; *Midwifery; *Nursing Staff; Questionnaires; Risk Factors; *Work Schedule Tolerance; oncogenesis  
  Abstract BACKGROUND: An increased risk of breast cancer has been observed in night shift workers. Exposure to artificial light at night and disruption of the endogenous circadian rhythm with suppression of the melatonin synthesis have been suggested mechanisms. We investigated the hypothesis that rotating night shift work is associated with mammographic density. METHODS: We conducted a cross-sectional study on the association between rotating night shift work characteristics, 6-sulfatoxymelatonin (MT6s) creatinine adjusted in a spot morning urine sample, and a computer-assisted measure of mammographic density in 640 nurses and midwives ages 40 to 60 years. The associations were evaluated using regression models adjusted for age, body mass index, menopausal status, age at menopause, age at menarche, smoking, and the calendar season of the year when mammography was conducted. RESULTS: The adjusted means of percentage of mammographic density and absolute density were slightly higher among women working rotating night shifts but not statistically significant [percentage of mammographic density = 23.6%, 95% confidence interval (CI), 21.9%-25.4% vs. 22.5%, 95% CI, 20.8%-24.3%; absolute density = 23.9 cm(2), 95% CI, 21.4-26.4 cm(2) vs. 21.8 cm(2), 95% CI, 19.4-24.3 cm(2) in rotating night shift and day shift nurses, respectively). There were no significant associations between the current or cumulative rotating night shift work exposure metrics and mammographic density. No association was observed between morning MT6s and mammographic density. CONCLUSIONS: The hypothesis on the link between rotating night shift work, melatonin synthesis disruption, and mammographic density is not supported by the results of the present study. IMPACT: It is unlikely that the development of breast cancer in nurses working rotating night shifts is mediated by an increase in mammographic density.  
  Address Department of Environmental Epidemiology, Nofer Institute of Occupational Medicine, Lodz, Poland. beatap@imp.lodz.pl  
  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 1055-9965 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:22539602 Approved no  
  Call Number IDA @ john @ Serial 159  
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