Electric lighting, adolescent sleep and circadian outcomes, and recommendations for improving light health.

Electric lighting, adolescent sleep and circadian outcomes, and recommendations for improving light health.
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电照明、青少年睡眠和昼夜节律结果,以及改善光健康的建议。

DOI:
10.1016/j.smrv.2022.101667
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发表时间:
2022-08
影响因子:
10.5
通讯作者:
Gradisar, Michael
Gradisar, Michael
中科院分区:
医学1区
文献类型:
--
作者:
Ricketts, Emily J.;Joyce, Daniel S.;Rissman, Ariel J.;Burgess, Helen J.;Colwell, Christopher S.;Lack, Leon C.;Gradisar, Michael

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光是一种有效的昼夜节律携带剂。对于许多人来说,每天的光线暴露从根本上说是失调的,白天光线减少,深夜光线增加。这种照明时间表促进了对昼夜生理的慢性破坏,导致了无数的损伤。睡眠-觉醒生理学的发育变化表明,这种光线暴露模式可能对青少年特别有害,而且生活方式因素,如早期开学时间,进一步加剧了这种模式。这篇叙述性的综述描述了有证据表明,白天减少光照会推迟生物钟,而晚上长时间接触发光电子设备会抑制褪黑激素。虽然晚上的家庭照明会抑制褪黑激素的分泌,推迟昼夜节律,但白天和晚上的光照模式可能会起到缓和作用。光对策可以灵活和可扩展地实施以支持睡眠-觉醒健康;包括跨多个上下文的光强度、光谱、持续时间和传递方式的操作。一种针对生理、态度和行为的综合方法将支持优化青少年的光驱动睡眠-觉醒结果。
Light is a potent circadian entraining agent. For many people, daily light exposure is fundamentally dysregulated with reduced light during the day and increased light into the late evening. This lighting schedule promotes chronic disruption to circadian physiology resulting in a myriad of impairments. Developmental changes in sleep-wake physiology suggest that such light exposure patterns may be particularly disruptive for adolescents and further compounded by lifestyle factors such as early school start times. This narrative review describes evidence that reduced light exposure during the school day delays the circadian clock, and longer exposure durations to light-emitting electronic devices in the evening suppress melatonin. While home lighting in the evening can suppress melatonin secretion and delay circadian phase, the patterning of light exposure across the day and evening can have moderating effects. Photic countermeasures may be flexibly and scalably implemented to support sleep-wake health; including manipulations of light intensity, spectra, duration and delivery modality across multiple contexts. An integrative approach addressing physiology, attitudes, and behaviors will support optimization of light-driven sleep-wake outcomes in adolescents.
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期刊: SLEEP MEDICINE
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