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光的急性警觉效应的昼夜光谱敏感性。

Diurnal spectral sensitivity of the acute alerting effects of light.

作者信息

Rahman Shadab A, Flynn-Evans Erin E, Aeschbach Daniel, Brainard George C, Czeisler Charles A, Lockley Steven W

机构信息

Division of Sleep Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA ; Division of Sleep Medicine, Department of Medicine, Harvard Medical School, Boston, MA.

Division of Sleep Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA ; Division of Sleep Medicine, Department of Medicine, Harvard Medical School, Boston, MA ; Institute of Aerospace Medicine, German Aerospace Center, Cologne, Germany.

出版信息

Sleep. 2014 Feb 1;37(2):271-81. doi: 10.5665/sleep.3396.

Abstract

STUDY OBJECTIVES

Previous studies have demonstrated short-wavelength sensitivity for the acute alerting response to nocturnal light exposure. We assessed daytime spectral sensitivity in alertness, performance, and waking electroencephalogram (EEG).

DESIGN

Between-subjects (n = 8 per group).

SETTING

Inpatient intensive physiologic monitoring unit.

PARTICIPANTS

Sixteen healthy young adults (mean age ± standard deviation = 23.8 ± 2.7 y).

INTERVENTIONS

Equal photon density exposure (2.8 × 10(13) photons/cm(2)/s) to monochromatic 460 nm (blue) or 555 nm (green) light for 6.5 h centered in the middle of the 16-h episode of wakefulness during the biological day. Results were compared retrospectively to 16 individuals who were administered the same light exposure during the night.

MEASUREMENTS AND RESULTS

Daytime and nighttime 460-nm light exposure significantly improved auditory reaction time (P < 0.01 and P < 0.05, respectively) and reduced attentional lapses (P < 0.05), and improved EEG correlates of alertness compared to 555-nm exposure. Whereas subjective sleepiness ratings did not differ between the two spectral conditions during the daytime (P > 0.05), 460-nm light exposure at night significantly reduced subjective sleepiness compared to 555-nm light exposure at night (P < 0.05). Moreover, nighttime 460-nm exposure improved alertness to near-daytime levels.

CONCLUSIONS

The alerting effects of short-wavelength 460-nm light are mediated by counteracting both the circadian drive for sleepiness and homeostatic sleep pressure at night, but only via reducing the effects of homeostatic sleep pressure during the day.

摘要

研究目的

先前的研究已证明夜间光照暴露引发急性警觉反应存在短波长敏感性。我们评估了白天在警觉性、表现及清醒脑电图(EEG)方面的光谱敏感性。

设计

组间研究(每组n = 8)。

地点

住院患者强化生理监测单元。

参与者

16名健康的年轻成年人(平均年龄±标准差 = 23.8 ± 2.7岁)。

干预措施

在生物日16小时清醒时段的中间6.5小时内,以相等的光子密度(2.8×10¹³个光子/cm²/秒)暴露于单色460纳米(蓝色)或555纳米(绿色)光下。将结果与16名在夜间接受相同光照暴露的个体进行回顾性比较。

测量与结果

与555纳米光照暴露相比,白天和夜间460纳米光照暴露均显著改善了听觉反应时间(分别为P < 0.01和P < 0.05),减少了注意力不集中(P < 0.05),并改善了与警觉性相关的脑电图。虽然白天两种光谱条件下主观嗜睡评分无差异(P > 0.05),但与夜间555纳米光照暴露相比,夜间460纳米光照暴露显著降低了主观嗜睡程度(P < 0.05)。此外,夜间460纳米光照暴露将警觉性提高到接近白天的水平。

结论

短波长460纳米光的警觉作用是通过在夜间抵消昼夜节律性嗜睡驱动力和稳态睡眠压力来介导的,但在白天仅通过降低稳态睡眠压力的影响来实现。

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