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Stefani, O.

Publications and source records attributed to Stefani, O..

7 recordsLinked to original sources

Individual, behavioural, and environmental determinants of personal light exposure in daily life: A multi-country wearable and experience-sampling study

Light supports circadian regulation and is associated with non-communicable diseases, yet ocular exposure patterns remain poorly understood. We recruited 191 adults across nine sites in seven countries, combining diaries and contextual reports with near-eye (141 participants; 816 participant-days) and complementary chest-level measurements (154 participants; 902 participant-days). In near-eye analyses, only 24.0% of recorded daytime minutes met the recommendation of at least 250 lx melanopic equivalent daylight illuminance; 63.3% of pre-sleep and 87.7% of bedside sleep-environment minutes met their respective limits. Variation among people and days within sites exceeded that among sites (ratio 1.99; 95%-CI, 1.29-4.77). In hourly models, light source and setting contributed the largest shares of fitted variation after time of day. Site-average outdoor exposure was 9.35 times that while awake at home (95%-CI, 6.95-12.59; 714.2 versus 76.4 lx). This baseline identifies a daytime exposure gap and supports testing interventions in everyday settings to improve light exposure and health.

physiology↗

Improving the utility and accuracy of wearable light loggers and optical radiation dosimeters through auxiliary data, quality assurance, and quality control

Wearable light loggers and optical radiation dosimeters are increasingly used in chronobiology and circadian health research, yet their data often lack contextual information (e.g., sleep, activity, environmental conditions) and may be compromised by non-wear periods, compliance issues, or technical faults. To address these limitations, we conducted interviews (n=21) and a survey (n=16) with domain experts to distill and iteratively develop auxiliary data and quality-control strategies aimed at improving the accuracy and interpretability of wearable light measurements. From this process, we established a six-domain auxiliary data framework encompassing wear/non-wear logging, sleep monitoring, light-source context, participant behaviour, user experience, and environmental light levels. Survey responses showed strong consensus on the value of auxiliary information (mean importance 4.0/5), with sleep and wear-time tracking rated as the most essential additions. To support practical adoption, we provide implementation tools, including extensions to the open-source R package LightLogR, enabling streamlined integration of wearable and auxiliary data as well as systematic quality assurance and control. Experts agreed that combining contextual records with rigorous QA/QC procedures substantially improves the reliability of field-collected light-exposure data. These recommendations and tools aim to help researchers in chronobiology, wearable sensing, and health sciences maximise data quality and enhance interpretation in real-world light-exposure studies.

neuroscience↗

Physiologically-relevant light exposure and light behaviour in Switzerland and Malaysia

Light synchronises the internal clock with the external light-dark cycle. Keeping this alignment benefits health and prevents diseases. Quantifying light exposure is, therefore, vital for effective prevention. Since light exposure depends on photoperiod, culture, and behaviour, we investigated objective light exposure and individual light-related behaviour in Switzerland and Malaysia. In this observational field study, participants (N=39) wore a calibrated melanopic light logger at chest level for 30 consecutive days. At baseline and study end, the Pittsburgh Sleep Quality Index was assessed, and every 3 to 4 days, the Light Exposure Behaviour Assessment (LEBA) was filled. Our pre-registered analyses reveal that participants in Switzerland experienced brighter days (+3.16 times the average mel EDI) and spent more time (x1.9 times the duration) in daylight levels per hour of daylight, had [~]1.5h later bright light exposure in the afternoon, and stayed over 1h longer in dim light conditions before bedtime. LEBA scores did not differ between Malaysia and Switzerland, and LEBA items were stable over time. LEBA items also correlated with objective light exposure variables in Switzerland but not Malaysia, with a medium effect size (range of absolute r=0.32-0.48). These results highlight cultural and geographical differences in light exposure. We showed that LEBA can be related to actual light exposure and is ecologically informative, but this varies by culture.

neuroscience↗

Sex and seasonal variations in melatonin suppression, and alerting response to light

Light influences human physiology and behaviour by regulating circadian rhythms, melatonin secretion, and alertness. Previous research has reported sex differences in melatonin secretion and circadian rhythms, possibly related to womens greater sensitivity to bright light. Other studies have suggested reduced photosensitivity and earlier circadian phases in summer than in winter in mid-latitude regions. This study explores the effects of sex, seasonality, and their combination on melatonin suppression and subjective sleepiness in response to moderate light exposure, considering prior light history and menstrual phases in females. We conducted a controlled, within-subject experiment with 48 healthy adults (18-35 years, 50% female) across different seasons. The study design included two 9-h laboratory sessions, with at least 5-day washout in between. Participants were exposed to dim and moderate light through a screen for 2 hours after their habitual bedtime. Female participants exhibited greater melatonin suppression (+4.69 %) but a lower alerting response (-6.00%) to moderate light compared to males. Both sexes demonstrated increased sensitivity to the NIF effects of light in winter, with stronger melatonin suppression (+18.05 %) and increased alertness (+7.60 %) compared to summer. While prior light history did not significantly impact melatonin suppression or alertness, it was associated with an earlier dim light melatonin onset (DLMO). Females during their luteal phase had earlier DLMO than those in their follicular phase. Our findings indicate an interaction between sex, seasonality, and light exposure in modulating melatonin suppression, emphasising the need for personalised light exposure recommendations according to individual biological and environmental contexts.

physiology↗

Lack of evidence for the contribution of cone photoreceptors to human melatonin suppression and alerting response to light at night

Light exposure at night can suppress melatonin production and increase alertness, primarily through the action of melanopsin-containing intrinsically photosensitive retinal ganglion cells (ipRGCs). This study investigated whether cone photoreceptors also influence melatonin suppression and subjective alertness using non-visual metameric light emitted from a display. Forty-eight participants with normal trichromatic vision were exposed to three lighting conditions: a baseline (9 lxmEDI), constant background (149 lxmEDI), and cone-modulated flickering light targeting different cone combinations and post-receptoral channels (149 lxmEDI) for 2 hours after their habitual bedtime. Salivary melatonin levels and subjective alertness were measured throughout a 9-h protocol. Bayesian analysis showed that cone-modulated flickering light did not significantly affect melatonin suppression or alertness, providing evidence against the hypothesis that cone photoreceptors contribute to these non-visual effects of light. In conclusion, our results suggest cone photoreceptors do not play a measurable role in lights effects on melatonin suppression and subjective alertness at night.

physiology↗

Afternoon to early evening bright light exposure reduces later melatonin production in adolescents

Whether light exposure during the day reduces non-visual light effects later in the evening has not been studied in adolescents. We investigate whether afternoon-early evening (AEE) light interventions (130 lx, 2500 lx, 4.5 hours, compared to 6.5 lx) would increase melatonin levels during later evening light exposure (130 lx) in a counterbalanced crossover study with 22 adolescents (14-17 years, 11 female). Contrary to our hypothesis, evening melatonin levels decreased after AEE bright light exposure, while sleepiness and vigilance were unaffected, and skin temperature showed no clear changes. The AEE light had acute alerting effects and bright light exposure in the 32 hours before laboratory entry was associated with higher evening melatonin and sleepiness. These findings suggest that bright AEE light increases alertness but may delay melatonin production by interfering with circadian rhythms. The study highlights the complex effects of light timing and its implications for managing adolescents light exposure.

neuroscience↗

Changing color and intensity of LED lighting across the day impacts on human circadian physiology, sleep, visual comfort and cognitive performance

We examined whether dynamic light across a scheduled 16-h waking day influences cognitive performance, visual comfort, melatonin secretion, sleepiness and sleep under strictly controlled laboratory conditions of 49-h duration. Participants spent the first 5-h in the evening under standard lighting, followed by an 8-h nocturnal sleep episode at habitual bedtimes. Thereafter volunteers either woke up with static daylight LED (100 lux and 4000 Kelvin) or with a dynamic daylight LED that changed color (2700 - 5000 Kelvin) and intensity (0 - 100 lux) across the scheduled 16-h waking day. This was followed by an 8-h nocturnal treatment sleep episode at habitual bedtimes. Thereafter, volunteers spent another 12-h either under static or dynamic light during scheduled wakefulness. Under dynamic light, evening melatonin levels were less suppressed 1.5hours prior to usual bedtime, and participants felt less vigilant in the evening compared to static light. Sleep latency was significantly shorter in both the baseline and treatment night compared to the static light condition while sleep structure, sleep quality, cognitive performance and visual comfort did not significantly change. Our results support the recommendation of using blue-depleted light and low illuminances in the late evening, which can be achieved by a dynamically changing daylight LED solution.

physiology↗