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Author Mindel, J.W.; Rojas, S.L.; Kline, D.; Bao, S.; Rezai, A.; Corrigan, J.D.; Nelson, R.J.; D, P.; Magalang, U.J. url  doi
openurl 
  Title 0038 Sleeping with Low Levels of Artificial Light at Night Increases Systemic Inflammation in Humans Type Journal Article
  Year 2019 Publication Sleep Abbreviated Journal  
  Volume 42 Issue Supplement_1 Pages A15-A16  
  Keywords Human Health  
  Abstract (up) Introduction

Artificial light at night (ALAN) has become a ubiquitous part of our society. Animal studies have shown that ALAN exposure promotes a depressive-like mood and increases peripheral inflammation likely due to circadian disruption. We hypothesized that sleeping with ALAN will increase systemic inflammation in humans.

Methods

We enrolled 64 subjects [32 with obstructive sleep apnea (OSA) adherent to treatment and 32 without sleep disorders] in a randomized, crossover study to determine the effects of sleeping with ALAN (40 lux) or the usual dark condition (control) for 7 nights at home. Sleeping with ALAN was confirmed by an actigraph with an ambient light sensor. Outcome measurements were done at baseline and after sleeping in each condition. The primary outcome was changes in the high-sensitivity C-reactive protein (hsCRP) levels. Secondary outcomes include scores on the Pittsburgh Sleep Quality Index (PSQI), Center for Epidemiologic Studies Depression Scale (CES-D), Functional Outcomes of Sleep Questionnaire-10 (FOSQ-10), and Epworth Sleepiness Scale (ESS); Psychomotor Vigilance Testing (PVT); actigraphic sleep measures; and homeostatic model assessment of insulin resistance (HOMA-IR). A random effects linear regression model was used to assess differences adjusting for schedule, visit, and baseline levels. Post-hoc analyses combined results from OSA and non-OSA subjects.

Results

Fifty-eight (30 OSA and 28 non-OSA) subjects, aged 38.4±14.9 years, 33 of whom are male completed the protocol. A log transformation was used so the difference in hsCRP was expressed as a mean ratio. In the combined analysis, the mean hsCRP was 39% higher with ALAN than control (mean ratio=1.39; 95% CI: 1.08-1.80; p=0.012). The effects of ALAN for OSA and non-OSA subjects were not different. ALAN increased the CES-D score by 1.81 (p=0.017) and ESS score by 0.62 (p=0.071) points, and decreased the FOSQ-10 score by 0.36 (p=0.038) points while the PSQI score was unchanged (p=0.860). There were no significant differences in the PVT values, actigraphic sleep measures, or HOMA-IR.

Conclusion

Sleeping with ALAN for seven days significantly increased hsCRP levels and modestly increased depression scores in humans.
 
  Address  
  Corporate Author Thesis  
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  Language 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 Approved no  
  Call Number GFZ @ kyba @ Serial 2322  
Permanent link to this record
 

 
Author Dhaliwal, S.S.; Keller, J.; Le, H.-N.; Lewin, D.S. url  doi
openurl 
  Title Sleep Disturbance among Pregnant Women: The Influence of Environmental and Contextual Factors Type Journal Article
  Year 2019 Publication Sleep Abbreviated Journal  
  Volume 42 Issue Supplement_1 Pages A270-A271  
  Keywords Human Health  
  Abstract (up) Introduction

Disrupted sleep during pregnancy affects nearly 85% of women. This can contribute to psychological distress and antenatal depression. The aims of the current project were to test whether (a) poorer subjective sleep quality contributed to greater depression and anxiety symptoms, and (b) contextual factors predicted clinically significant sleep disturbance after adjusting for socioeconomic status (SES).

Methods

In a mixed-methods study, 418 pregnant women (age: M=32.4 years; gestation: M=28.4 weeks, SD=8.4 weeks; 58% Black) completed the Pittsburgh Sleep Quality Index (PSQI), measures of pregnancy-related physiological factors, and provided details about their sleep environment. They also rated perinatal depression, anxiety, and SES (Hollingshead and MacArthur Ladder). Sixty-two women completed these measures again later in pregnancy (gestation M = 34.2 weeks). A subset of seven women underwent actigraphy (9-nights) during their third trimester. Logistic regressions adjusted for age, BMI, race, sleep disordered breathing, and gestational week.

Results

Subjective sleep quality was significantly poorer among Black women and those with higher BMI. Physiological factors (i.e., restless leg syndrome, nocturnal urination, and acid reflux) explained subjective sleep disturbance after accounting for gestational week (ps<.01). Among women with history of psychopathology (n=221), sleep disturbance was significantly related to anxiety and depression symptoms (ps<.01), with greater sleep disturbance (PSQI score >5) predicting clinically significant antenatal depression (B = .38, p<.05). However, those who rated their social standing as higher reported lower sleep disturbance throughout pregnancy, even after adjusting for mood and anxiety (B= .86, SE =.41; p<.05). There was a dose-response positive association between sleep disturbance and depression severity among Black women only (B = .89; p<.05). Among lower SES Black women, environmental factors (greater ambient noise and light pollution) partially mediated this effect (B= .45, SE =.17; p<.01).

Conclusion

Sociocontextual factors may explain sleep disturbance severity among low-income pregnant Black women, above and beyond traditional metrics of SES. Higher subjective SES may be protective against sleep disturbance and psychiatric distress. Assessments of sleep during pregnancy should account for physiological considerations and environmental disruptions, alongside mood and anxiety.
 
  Address  
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  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0161-8105 ISBN Medium  
  Area Expedition Conference  
  Notes Approved no  
  Call Number GFZ @ kyba @ Serial 2323  
Permanent link to this record
 

 
Author Kayaba, M.; Iwayama, K.; Ogata, H.; Seya, Y.; Tokuyama, K.; Satoh, M. url  doi
openurl 
  Title Drowsiness and low energy metabolism in the following morning induced by nocturnal blue light exposure Type Journal Article
  Year 2013 Publication Sleep Medicine Abbreviated Journal Sleep Medicine  
  Volume 14 Issue Pages e166-e167  
  Keywords blue light; light exposure; light at night; circadian disruption; drowsiness; melatonin; metabolism; sleep  
  Abstract (up) Introduction

Evening light exposure debilitates the circadian rhythm and elicits sleep disturbance. Blue light peak wavelengths, around 460 nm, suppress melatonin secretion via the non-image-forming system. The effects of nocturnal blue light exposure on sleep have been reported to be specific but rather small (Münch, 2008). This study was designed to assess the effect of nocturnal blue light exposure on sleep and energy metabolism until noon the next day.

Materials and methods

Nine healthy male volunteers aged between 21 and 25 participated in this study which had a balanced cross-over design with intrasubject comparisons. After 2 h dark adaptation, the subjects were exposed to blue light or no light for 2 h. The peak wavelength of the blue LED was 465 nm, and the horizontal irradiance of the blue light at the height of eye was at 7.02fÊW/cm2. Sleep was recorded polysomnographically, and energy metabolism was measured with a whole body indirect calorimeter.

Results

There were no significant differences in sleep architecture and energy metabolism during the night. However, dozing (stages 1 and 2) was significantly higher (26.0 < 29.4 vs 6.3 < 8.1 min, P < 0.05), and energy expenditure, O2 consumption, CO2 production and the thermic effect of food (increase in energy expenditure after breakfast) were significantly lower the following morning in the blue light exposure subjects.

Conclusion

Contrary to our expectation, sleep architecture and energy metabolism during sleep were not affected by evening exposure to blue light. It might be due to our milder intervention by which subjects in a sitting position did not gaze at the light source set on the ceiling, while the subjects in previous studies directly received brighter light via custom built goggles (Cajochen, 2005; Münch, 2008) or gazed at a light source under the influence of mydriatic agents to dilate pupils (Brainard, 2001). New findings of the present study were that dozing (stages 1 and 2) was significantly increased, and energy metabolism was significantly lower the following morning in blue light exposed subjects. This suggests that modulation of the circadian rhythm is affected by nocturnal blue light exposure and the effect continues in the following daytime even if the intervention was mild.
 
  Address University of Tsukuba, Graduate School of Comprehensive Human Sciences, Japan  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1389-9457 ISBN Medium  
  Area Expedition Conference  
  Notes Approved no  
  Call Number IDA @ john @ Serial 349  
Permanent link to this record
 

 
Author Savarese, M.; Di Perri, M.C. url  doi
openurl 
  Title Excessive sleepiness in shift work disorder: a narrative review of the last 5 years Type Journal Article
  Year 2019 Publication Sleep & Breathing = Schlaf & Atmung Abbreviated Journal Sleep Breath  
  Volume Issue Pages 1-14  
  Keywords Human Health; Alertness; Armodafinil; Insomnia; Performance; Shift work disorder; excessive sleepiness; StimulaCentral Nervous System Stimulants; Review  
  Abstract (up) INTRODUCTION: Shift work sleep disorder (SWSD), also known as shift work disorder (SWD), is a circadian rhythm sleep disorder characterized by insomnia and/or excessive sleepiness, associated with a recurring work schedule that overlaps the usual time designated for sleeping. PURPOSE: This article aims to provide a narrative review of the pharmacological trials conducted on SWD in the last 5 years, to better address safety and health issues inherent to this disorder. METHODS: An electronic literature search was conducted using PubMed. All eligible randomized controlled trials (RCTs) and cross-over RCTs with employees undertaking shift work (including night shifts) were considered, yielding three articles. RESULTS: All three studies showed the efficacy of armodafinil in improving subjective and objective sleepiness, clinical conditions, and global functioning regardless of shift duration. Both performance and driving simulator performance tests administered during the night shift bore better results following armodafinil administration than after placebo. However, armodafinil only reduced subjective disability in individuals working more than 9 h; furthermore, even after armodafinil, alertness was reduced but not normalized. CONCLUSION: These studies underscore the importance of preventing and/or minimizing disturbances due to shift work. This may be achieved through various strategies, such as the employer's commitment to adopt ergonomic criteria in shift design and to implement work-environment interventions like controlled bright light. Health personnel is of pivotal importance to detect potential factors of intolerance to shift work or early symptoms of SWD. Additional and improved studies are needed to further evaluate the effectiveness and safety of both pharmacological and non-pharmacological interventions.  
  Address Center of Sleep Medicine, UOSD of Neurophysiopathology and Disorders of Movement, AOU G Martino, Department of Clinical and Experimental Medicine, University of Messina, 98121, Messina, Italy. mdiperri@wesleyan.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 1520-9512 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:31471831 Approved no  
  Call Number GFZ @ kyba @ Serial 2662  
Permanent link to this record
 

 
Author Akacem, L.D.; Wright, K.P.J.; LeBourgeois, M.K. url  doi
openurl 
  Title Bedtime and evening light exposure influence circadian timing in preschool-age children: A field study Type Journal Article
  Year 2016 Publication Neurobiology of Sleep and Circadian Rhythms Abbreviated Journal Neurobiol Sleep Circadian Rhythms  
  Volume 1 Issue 2 Pages 27-31  
  Keywords Human Health  
  Abstract (up) Light exposure and sleep timing are two factors that influence inter-individual variability in the timing of the human circadian clock. The aim of this study was to quantify the degree to which evening light exposure predicts variance in circadian timing over and above bedtime alone in preschool children. Participants were 21 children ages 4.5-5.0 years (4.7 +/- 0.2 years; 9 females). Children followed their typical sleep schedules for 4 days during which time they wore a wrist actigraph to assess sleep timing and a pendant light meter to measure minute-by-minute illuminance levels in lux. On the 5th day, children participated in an in-home dim-light melatonin onset (DLMO) assessment. Light exposure in the 2 h before bedtime was averaged and aggregated across the 4 nights preceding the DLMO assessment. Mean DLMO and bedtime were 19:22 +/- 01:04 and 20:07 +/- 00:46, respectively. Average evening light exposure was 710.1 +/- 1418.2 lux. Children with later bedtimes (lights-off time) had more delayed melatonin onset times (r=0.61, p=0.002). Evening light exposure was not independently associated with DLMO (r=0.32, p=0.08); however, a partial correlation between evening light exposure and DLMO when controlling for bedtime yielded a positive correlation (r=0.46, p=0.02). Bedtime explained 37.3% of the variance in the timing of DLMO, and evening light exposure accounted for an additional 13.3% of the variance. These findings represent an important step in understanding factors that influence circadian phase in preschool-age children and have implications for understanding a modifiable pathway that may underlie late sleep timing and the development of evening settling problems in early childhood.  
  Address Sleep and Development Laboratory, Department of Integrative Physiology, University of Colorado Boulder, Boulder, CO, USA  
  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 2451-9944 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:28042611; PMCID:PMC5193478 Approved no  
  Call Number LoNNe @ kyba @ Serial 1755  
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