1999
DOI: 10.3109/07420529908998724
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Bright Light Therapy: Improved Sensitivity to Its Effects on Rest-Activity Rhythms in Alzheimer Patients by Application of Nonparametric Methods

Abstract: Sleep-wake rhythm disturbances in patients with Alzheimer's disease (AD) make a strong demand on caregivers and are among the most important reasons for institutionalization. Several previous studies reported that the disturbances improve with increased environmental light, which, through the retinohypothalamic tract, activates the suprachiasmatic nucleus (SCN), the biological clock of the brain. The data of recently published positive and negative reports on the effect of bright light on actigraphically asses… Show more

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Cited by 522 publications
(459 citation statements)
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“…However, phase advancing was paused by a phase delay in a point between the 6-month-old babies and young adults that presumably could occur during the adolescence (Roenneberg et al 2007). Regarding the enhancing of the first harmonic, it was consistently increased in all the groups with the exception of older people, probably due to the disruption of the CS by rhythm fragmentation as described for sleep and activity (Van Someren et al 1999).…”
Section: Discussionmentioning
confidence: 84%
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“…However, phase advancing was paused by a phase delay in a point between the 6-month-old babies and young adults that presumably could occur during the adolescence (Roenneberg et al 2007). Regarding the enhancing of the first harmonic, it was consistently increased in all the groups with the exception of older people, probably due to the disruption of the CS by rhythm fragmentation as described for sleep and activity (Van Someren et al 1999).…”
Section: Discussionmentioning
confidence: 84%
“…Because the wrist temperature (WT) rhythm has a shape that is far from sinusoidal in many subjects, a nonparametric analysis was performed as described by Van Someren et al (1999). This analysis permits the calculation of interdaily stability (IS, the consistency of the 24-h rhythmic pattern over days), intradaily variability (IV, the rhythm fragmentation), the hourly average during 2 consecutive hours, along with the minimum temperature (L2) and its timing (TL2), the hourly average during 5 consecutive hours, along with the maximum temperature (M5) and its timing (TM5), the hourly average during 10 consecutive hours, along with the minimum temperature (L10) and its respective timing (TL10), and the relative amplitude (RA) determined as the difference between M5 and L10, divided by the sum of M5 and L10, and the circadian function index or CFI, as previously described .…”
Section: Discussionmentioning
confidence: 99%
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“…Actograms were performed using the Clocklab software (Actimetrics Inc., Evanston, IL). Quantitative characteristics of the locomotor activity rhythm were determined with non-parametric methods as previously described (Van Someren et al, 1999;Huang et al, 2002). Briefly, the following variables were calculated from the locomotor activity data.…”
Section: Discussionmentioning
confidence: 99%
“…Eleven activity variables were created for each person using parametric cosinor analysis [52; 53] and non-parametric circadian rhythm analysis (NPCRA) [54]. Cosinor analysis provided values for amplitude, mesor and acrophase (peak time) of the rest-activity rhythm.…”
Section: Study Protocolmentioning
confidence: 99%