Elsevier

Physiology & Behavior

Volume 177, 1 August 2017, Pages 221-229
Physiology & Behavior

The effects of spectral tuning of evening ambient light on melatonin suppression, alertness and sleep

https://doi.org/10.1016/j.physbeh.2017.05.002Get rights and content

Highlight

  • Pre-bedtime light exposure disrupts sleep and circadian rhythms.

  • We tested whether these disruptions are attenuated under dim blue-depleted light.

  • Blue-depleted ambient light reduced melatonin suppression and alertness.

Abstract

We compared the effects of bedroom-intensity light from a standard fluorescent and a blue- (i.e., short-wavelength) depleted LED source on melatonin suppression, alertness, and sleep. Sixteen healthy participants (8 females) completed a 4-day inpatient study. Participants were exposed to blue-depleted circadian-sensitive (C-LED) light and a standard fluorescent light (FL, 4100 K) of equal illuminance (50 lx) for 8 h prior to a fixed bedtime on two separate days in a within-subject, randomized, cross-over design. Each light exposure day was preceded by a dim light (< 3 lx) control at the same time 24 h earlier. Compared to the FL condition, control-adjusted melatonin suppression was significantly reduced. Although subjective sleepiness was not different between the two light conditions, auditory reaction times were significantly slower under C-LED conditions compared to FL 30 min prior to bedtime. EEG-based correlates of alertness corroborated the reduced alertness under C-LED conditions as shown by significantly increased EEG spectral power in the delta-theta (0.5–8.0 Hz) bands under C-LED as compared to FL exposure. There was no significant difference in total sleep time (TST), sleep efficiency (SE%), and slow-wave activity (SWA) between the two conditions. Unlike melatonin suppression and alertness, a significant order effect was observed on all three sleep variables, however. Individuals who received C-LED first and then FL had increased TST, SE% and SWA averaged across both nights compared to individuals who received FL first and then C-LED. These data show that the spectral characteristics of light can be fine-tuned to attenuate non-visual responses to light in humans.

Introduction

Light is a direct stimulant which increases brain activation and alertness [21] and impedes the ability to fall asleep and reduces sleep quality [6]. Evening light exposure suppresses the pineal hormone melatonin, the biochemical signal of darkness [31], [39]. Ordinary room light (i.e., 100 lx or less) can induce these effects [5], [12], [39]. These ‘non-visual’ effects of light are mediated primarily by the non-rod, non-cone melanopsin-containing photoreceptors located in intrinsically photosensitive retinal ganglion cells (ipRGCs) and are maximally sensitive to short-wavelength blue light (λmax ~ 480 nm) [1], [4], [16], [17], [33]. We and others have shown that filtering out short-wavelength light from high intensity (> 1000 lx) broad-spectrum fluorescent white light can prevent melatonin suppression [14], [23], [24], [28], [29], [34], but whether this approach works under bedroom-light intensity [< 100 lx [2], [30]] is not known. The relative contribution of ipRGCs is less under dim lighting [13]; therefore, targeted reduction of short-wavelength light may be less effective under dim light conditions.

The effects of high CCT (blue-enriched lighting) and low CCT (blue-depleted) fluorescent lighting at bedroom-light intensity (40 lx) on melatonin suppression and alertness have been compared in one prior study [7]. The light sources used contained several peaks in the short-wavelength region (380–500 nm), even when blue-depleted [7], however. Using an LED source would enable more specific removal of these peaks in the short-wavelength region of the visible spectrum, which may further enhance the attenuation in melatonin suppression and other non-visual responses.

The effects of a custom-designed blue-depleted LED source on melatonin suppression, alertness and sleep has been compared in a comprehensive study with various different light sources varying in spectral composition and intensity [27], but light intensity for the blue-depleted condition (~ 240 lx) was higher than typical bedroom or pre-bedtime intensities [2], [30]. Therefore, in the current study, we compared the effects of bedroom-intensity (50 lx) light from a standard fluorescent and a blue-depleted LED source on melatonin suppression, alertness, and sleep. We hypothesized that an 8-h evening light exposure with short wavelengths selectively reduced (C-LED; a novel proprietary circadian photobiology-informed Light Emitting Diode) would cause less pre-sleep melatonin suppression than a commercially available fluorescent (FL) source. Moreover, we explored the effects of C-LED exposure on subjective and objective sleepiness prior to bedtime and nocturnal sleep.

Section snippets

Participants

Sixteen healthy participants [8 females; mean age (± SD): 24.2 ± 3.0 years] were studied in the Intensive Physiological Monitoring (IPM) Unit in the Center for Clinical Investigation at Brigham and Women's Hospital. The study was approved by the Partners Human Research Committee, and participants provided written informed consent. Clinical Trial Registration Number: NCT01586039. All had comprehensive but unremarkable physical, psychological and ophthalmologic exams, including a negative Ishihara

FM-100 chromatic discrimination

Binocular color discrimination was significantly worse under C-LED compared to FL [Farnsworth Munsell D-100 [11] median (± SD) score, FL: 42 ± 52.3; C-LED: 96 ± 57.5 units; p < 0.05 Mann-Whitney Test], although both median scores were within average range for color discrimination ability [11], [25].

Melatonin suppression

The mean melatonin profiles showed significant (p < 0.01) increase in melatonin levels with time under the dim-control, C-LED and FL condition. Levels were highest under dim light conditions followed by C-LED

Discussion

The results support our hypothesis that exposure to a 50-lx C-LED white light source spectrally tuned to reduce melanopic lux specifically will attenuate melatonin suppression between DLMO and bedtime compared to a 50-lx standard FL white light source. These results are consistent with previous studies from ours and other laboratories that have reduced melatonin suppression as well as disruption in other circadian phase markers by either entirely or almost entirely filtering short wavelengths

Funding

This work was supported by an investigator-initiated grant from Biological Illuminations LLC, a subsidiary of Lighting Science Group Corporation (LSGC), who also provided the study lights. SAR and MSH were supported in part by NIH/NHLBI T32-HL007901. The project described was supported by Grant Number 1 UL1 TR 001102 and Grant Number 8 UL1 TR000170-05, Harvard Clinical and Translational Science Center, from the National Center for Advancing Translational Sciences. The content is solely the

Competing interests

SAR holds a patent for Prevention of Circadian Rhythm Disruption by Using Optical Filters and Improving sleep performance in subject exposed to light at night; SAR owns equity in Melcort Inc., which owns a stake in Circadian ZircLight Inc., SAR is a co-investigator on studies sponsored by Biological Illuminations, LLC; Vanda Pharmaceuticals Inc. MSH has been a co-investigator on studies sponsored by Biological Illuminations, LLC and Philips HealthCare Solutions. SWL holds a consulting contract

Acknowledgements

We thank Alicia Foote, Wendy Chan, research staff, and research participants at the Division of Sleep and Circadian Disorders, Brigham and Women's Hospital (BWH); the technical, dietary, nursing and medical staff at the Center for Clinical Investigation at the BWH; Jonathan Williams M.D. for medical supervision; Core Laboratory staff (BWH) for melatonin assays; Robert Soler and Fred Maxik, Lighting Science Group Corporation for designing and providing the light sources.

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