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蓝光阻断眼镜作为应对男性青少年夜间发光二极管屏幕暴露警示效应的一种对策。

Blue blocker glasses as a countermeasure for alerting effects of evening light-emitting diode screen exposure in male teenagers.

作者信息

van der Lely Stéphanie, Frey Silvia, Garbazza Corrado, Wirz-Justice Anna, Jenni Oskar G, Steiner Roland, Wolf Stefan, Cajochen Christian, Bromundt Vivien, Schmidt Christina

机构信息

Centre for Chronobiology, Psychiatric Hospital of the University of Basel, Basel, Switzerland.

Child Development Center, University Children's Hospital Zürich, Zürich, Switzerland.

出版信息

J Adolesc Health. 2015 Jan;56(1):113-9. doi: 10.1016/j.jadohealth.2014.08.002. Epub 2014 Oct 3.

Abstract

PURPOSE

Adolescents prefer sleep and wake times that are considerably delayed compared with younger children or adults. Concomitantly, multimedia use in the evening is prevalent among teenagers and involves light exposure, particularly in the blue-wavelength range to which the biological clock and its associated arousal promotion system is the most sensitive. We investigated whether the use of blue light-blocking glasses (BB) during the evening, while sitting in front of a light-emitting diode (LED) computer screen, favors sleep initiating mechanisms at the subjective, cognitive, and physiological level.

METHODS

The ambulatory part of the study comprised 2 weeks during which the sleep-wake cycle, evening light exposure, and multimedia screen use were monitored in thirteen 15- to 17-year-old healthy male volunteers. BB or clear lenses as control glasses were worn in a counterbalanced crossover design for 1 week each, during the evening hours while using LED screens. Afterward, participants entered the laboratory and underwent an evening blue light-enriched LED screen exposure during which they wore the same glasses as during the preceding week. Salivary melatonin, subjective sleepiness, and vigilant attention were regularly assayed, and subsequent sleep was recorded by polysomnography.

RESULTS

Compared with clear lenses, BB significantly attenuated LED-induced melatonin suppression in the evening and decreased vigilant attention and subjective alertness before bedtime. Visually scored sleep stages and behavioral measures collected the morning after were not modified.

CONCLUSIONS

BB glasses may be useful in adolescents as a countermeasure for alerting effects induced by light exposure through LED screens and therefore potentially impede the negative effects modern lighting imposes on circadian physiology in the evening.

摘要

目的

与年幼儿童或成年人相比,青少年更喜欢明显延迟的睡眠时间和起床时间。与此同时,青少年晚上使用多媒体的情况很普遍,这涉及光线照射,尤其是在生物钟及其相关的唤醒促进系统最为敏感的蓝光波长范围内。我们研究了晚上坐在发光二极管(LED)电脑屏幕前时使用蓝光阻挡眼镜(BB)是否有助于在主观、认知和生理层面启动睡眠机制。

方法

该研究的动态部分为期2周,在此期间,对13名15至17岁的健康男性志愿者的睡眠-觉醒周期、夜间光线照射和多媒体屏幕使用情况进行了监测。在使用LED屏幕的晚上,以平衡交叉设计佩戴BB眼镜或作为对照的透明镜片,每种镜片佩戴1周。之后,参与者进入实验室,在晚上接受富含蓝光的LED屏幕照射,在此期间他们佩戴与前一周相同的眼镜。定期检测唾液褪黑素、主观嗜睡程度和警觉注意力,并通过多导睡眠图记录随后的睡眠情况。

结果

与透明镜片相比,BB眼镜在晚上显著减弱了LED诱导的褪黑素抑制作用,并降低了睡前的警觉注意力和主观警觉性。次日早晨视觉评分的睡眠阶段和行为指标没有改变。

结论

BB眼镜可能对青少年有用,可作为一种对策来对抗LED屏幕光线照射引起的警觉效应,因此有可能减轻现代照明在晚上对昼夜生理产生的负面影响。

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