Objective
Examine, in a field study, circadian phase changes associated with
two different light–dark exposures patterns, one that was congruent
with a phase advanced sleep schedule and the other that was incongruent with
an advanced schedule.
Methods
Twenty-one adults (mean age ± SD = 22.5 ± 3.9
years; 11 women) participated in the 12 day study. After a five day baseline
period, participants were all given individualized, fixed, 90 minute
advanced sleep schedules for one week. Participants were randomly assigned
to one of two groups, an advance group with a light–dark exposure
prescription designed to advance circadian phase or a delay group with
light–dark exposure prescription designed to delay circadian phase.
The advance group received two morning hours of short-wavelength (blue)
light (λmax ≈ 476 ± 1
nm, full-width-half-maximum ≈ 20 nm) exposure and three evening
hours of light restriction (orange-filtered light,
λ < 525 nm = 0). The delay
group received blue light for three hours in the evening and light
restriction for two hours in the morning. Participants led their normal
lives while wearing a calibrated wrist-worn light exposure and activity
monitor.
Results
After seven days on the 90 minute advanced sleep schedule, circadian
phase advanced 132 ± 19 minutes for the advance group and delayed 59
± 7.5 minutes for the delay group.
Conclusions
Controlling the light–dark exposure pattern shifts circadian
phase in the expected direction irrespective of the fixed advanced sleep
schedule.
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