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Chang, A. - M., Scheer, F. A. J. L., Czeisler, C. A., & Aeschbach, D. (2013). Direct effects of light on alertness, vigilance, and the waking electroencephalogram in humans depend on prior light history. Sleep, 36(8), 1239–1246.
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.
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
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Chellappa, S. L., Steiner, R., Blattner, P., Oelhafen, P., Gotz, T., & Cajochen, C. (2011). Non-visual effects of light on melatonin, alertness and cognitive performance: can blue-enriched light keep us alert? PLoS One, 6(1), e16429.
Abstract: BACKGROUND: Light exposure can cascade numerous effects on the human circadian process via the non-imaging forming system, whose spectral relevance is highest in the short-wavelength range. Here we investigated if commercially available compact fluorescent lamps with different colour temperatures can impact on alertness and cognitive performance. METHODS: Sixteen healthy young men were studied in a balanced cross-over design with light exposure of 3 different light settings (compact fluorescent lamps with light of 40 lux at 6500K and at 2500K and incandescent lamps of 40 lux at 3000K) during 2 h in the evening. RESULTS: Exposure to light at 6500K induced greater melatonin suppression, together with enhanced subjective alertness, well-being and visual comfort. With respect to cognitive performance, light at 6500K led to significantly faster reaction times in tasks associated with sustained attention (Psychomotor Vigilance and GO/NOGO Task), but not in tasks associated with executive function (Paced Visual Serial Addition Task). This cognitive improvement was strongly related with attenuated salivary melatonin levels, particularly for the light condition at 6500K. CONCLUSIONS: Our findings suggest that the sensitivity of the human alerting and cognitive response to polychromatic light at levels as low as 40 lux, is blue-shifted relative to the three-cone visual photopic system. Thus, the selection of commercially available compact fluorescent lights with different colour temperatures significantly impacts on circadian physiology and cognitive performance at home and in the workplace.
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Mortazavi, S. A. R., Faraz, M., Laalpour, S., Kaveh Ahangar, A., Eslami, J., Zarei, S., et al. (2019). Exposure to Blue Light Emitted from Smartphones in an Environment with Dim Light at Night Alters the Reaction Time of University Students. Shiraz E-Med J, , e88230.
Abstract: Background: Substantial evidence now indicates that exposure to visible light at night can be linked to a wide spectrum of disorders ranging from obesity to cancer. More specifically, it has been shown that exposure to short wavelengths in the blue region at night is associated with adverse health effects, such as sleep problems.
Objectives: This study aimed at investigating if exposure to blue light emitted from common smartphones in an environment with dim light at night alters human reaction time. Methods: Visual reaction time (VRT) of 267 male and female university students were recorded using a simple blind computer-assisted VRT test, respectively. Volunteer university students, who provided their informed consent were randomly divided to two groups of control (N = 126 students) and intervention (N = 141 students). All participants were asked to go to bed at 23:00. Participants in the intervention group were asked to use their smartphones from 23:00 to 24:00 (watching a natural life documentary movie for 60 minutes), while the control group only stayed in bed under low lighting condition, i.e. dim light. Before starting the experiment and after 60 minutes of smartphone use, reaction time was recorded in both groups. Results: The mean reaction times in the intervention and the control groups before the experiment (23:00) did not show a statistically difference (P = 0.449). The reaction time in the intervention group significantly increased from 412.64 ± 105.60 msec at 23:00 to 441.66 ± 125.78 msec at 24:00 (P = 0.0368) while in the control group, there was no statistically significant difference between the mean reaction times at 23:00 and 24:00. Conclusions: To the best of the author’s knowledge, this is the first study, which showed that exposure to blue-rich visible light emitted from widely used smartphones increases visual reaction time, which would eventually result in a delay in human responses to different hazards. These findings indicate that people, such as night shift or on call workers, who need to react to stresses rapidly should avoid using their smartphones in a dim light at night. Keywords: Human Health; Blue light; smartphone; Reaction Time; shift work
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Schmoll, C., Khan, A., Aspinall, P., Goudie, C., Koay, P., Tendo, C., et al. (2014). New light for old eyes: comparing melanopsin-mediated non-visual benefits of blue-light and UV-blocking intraocular lenses (Vol. 98).
Abstract: BACKGROUND/AIMS: Melanopsin-expressing photosensitive retinal ganglion cells form a blue-light-sensitive non-visual system mediating diverse physiological effects including circadian entrainment and cognitive alertness. Reduced blue wavelength retinal illumination through cataract formation is thought to blunt these responses while cataract surgery and intraocular lens (IOL) implantation have been shown to have beneficial effects on sleep and cognition. We aimed to use the reaction time (RT) task and the Epworth Sleepiness Score (ESS) as a validated objective platform to compare non-visual benefits of UV- and blue-blocking IOLs. METHODS: Patients were prospectively randomised to receive either a UV- or blue-blocking IOL, performing an RT test and ESS questionnaire before and after surgery. Optical blurring at the second test controlled for visual improvement. Non-operative age-matched controls were recruited for comparison. RESULTS: 80 participants completed the study. Those undergoing first-eye phacoemulsification demonstrated significant improvements in RT over control (p=0.001) and second-eye surgery patients (p=0.03). Moreover, reduced daytime sleepiness was measured by ESS for the first-eye surgery group (p=0.008) but not for the second-eye group (p=0.09). Choice of UV- or blue-blocking IOL made no significant difference to magnitude of cognitive improvement (p=0.272). CONCLUSIONS: Phacoemulsification, particularly first-eye surgery, has a strong positive effect on cognition and daytime alertness, regardless of IOL type.
Keywords: Aged; Cataract/*physiopathology; Circadian Rhythm/physiology; Cognition/*physiology; Female; Humans; Lens Implantation, Intraocular; *Lenses, Intraocular; Light; Male; Phacoemulsification; Prospective Studies; Questionnaires; Reaction Time/physiology; Regression Analysis; Rod Opsins/*physiology; Sleep/*physiology; Physiology; Retina; blue blocker; blue light
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Wood, J. M., Tyrrell, R. A., & Carberry, T. P. (2005). Limitations in drivers' ability to recognize pedestrians at night. Hum Factors, 47(3), 644–653.
Abstract: This study quantified drivers' ability to recognize pedestrians at night. Ten young and 10 older participants drove around a closed road circuit and responded when they first recognized a pedestrian. Four pedestrian clothing and two beam conditions were tested. Results demonstrate that driver age, clothing configuration, headlamp beam, and glare all significantly affect performance. Drivers recognized only 5% of pedestrians in the most challenging condition (low beams, black clothing, glare), whereas drivers recognized 100% of the pedestrians who wore retroreflective clothing configured to depict biological motion (no glare). In the absence of glare, mean recognition distances varied from 0.0 m (older drivers, low beam, black clothing) to 220 m (722 feet; younger drivers, high beam, retroreflective biomotion). These data provide new motivation to minimize interactions between vehicular and pedestrian traffic at night and suggest garment designs to maximize pedestrian conspicuity when these interactions are unavoidable.
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