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一小时的明亮或短波长过滤平板屏幕光对青少年睡前警觉性、睡眠和日间功能有显著影响吗?

Does one hour of bright or short-wavelength filtered tablet screenlight have a meaningful effect on adolescents' pre-bedtime alertness, sleep, and daytime functioning?

作者信息

Heath Melanie, Sutherland Cate, Bartel Kate, Gradisar Michael, Williamson Paul, Lovato Nicole, Micic Gorica

机构信息

School of Psychology, Flinders University , Adelaide, South Australia , Australia.

出版信息

Chronobiol Int. 2014 May;31(4):496-505. doi: 10.3109/07420528.2013.872121. Epub 2014 Jan 7.

Abstract

Electronic media use is prevalent among adolescent populations, as is the frequency of sleeplessness. One mechanism proposed for technology affecting adolescents' sleep is the alerting effects from bright screens. Two explanations are provided. First, screens emit significant amounts of short-wavelength light (i.e. blue), which produces acute alertness and alters sleep timing. Second, later chronotypes are hypothesised to be hypersensitive to evening light. This study analysed the pre-sleep alertness (GO/NOGO task speed, accuracy; subjective sleepiness), sleep (sleep diary, polysomnography), and morning functioning of 16 healthy adolescents (M = 17.4 ± 1.9 yrs, 56% f) who used a bright tablet screen (80 lux), dim screen (1 lux) and a filtered short-wavelength screen (f.lux; 50 lux) for 1 hr before their usual bedtime in a within-subjects protocol. Chronotype was analysed as a continuous between-subjects factor; however, no significant interactions occurred. Significant effects occurred between bright and dim screens for GO/NOGO speed and accuracy. However, the magnitude of these differences was small (e.g. GO/NOGO speed = 23 ms, accuracy = 13%), suggesting minimal clinical significance. No significant effects were found for sleep onset latency, slow-rolling eye movements, or the number of SWS and REM minutes in the first two sleep cycles. Future independent studies are needed to test short (1 hr) vs longer (>2 hrs) screen usage to provide evidence for safe-to-harmful levels of screenlight exposure before adolescents' usual bedtime.

摘要

电子媒体的使用在青少年群体中很普遍,失眠的频率也是如此。一种关于科技影响青少年睡眠的机制是亮屏幕产生的刺激作用。对此有两种解释。首先,屏幕会发出大量短波长光(即蓝光),这会产生急性警觉并改变睡眠时间。其次,晚睡型被假设对夜间光线高度敏感。本研究分析了16名健康青少年(平均年龄M = 17.4 ± 1.9岁,女性占56%)在睡前1小时使用亮平板电脑屏幕(80勒克斯)、暗屏幕(1勒克斯)和过滤短波长屏幕(f.lux;50勒克斯)后的睡前警觉性(Go/NoGo任务速度、准确性;主观嗜睡程度)、睡眠情况(睡眠日记、多导睡眠图)以及早晨的机能状况,采用的是被试内设计。昼夜节律类型被作为一个连续的被试间因素进行分析;然而,未出现显著的交互作用。亮屏幕和暗屏幕之间在Go/NoGo速度和准确性方面存在显著影响。然而,这些差异的幅度较小(例如,Go/NoGo速度 = 23毫秒,准确性 = 13%),表明临床意义极小。在入睡潜伏期、眼球慢滚动以及前两个睡眠周期中慢波睡眠和快速眼动睡眠的分钟数方面未发现显著影响。未来需要进行独立研究,以测试短时间(1小时)与长时间(>2小时)的屏幕使用情况,为青少年通常就寝时间之前屏幕光暴露的安全至有害水平提供证据。

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