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