Sleeping in rooms with even a little light can increase risk of depression: Study

Authored by abcnews.go.com and submitted by Plainchant
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Exposure to light at night, even at very low levels, has been linked to an increased risk of depression, according to a study published this month in the American Journal of Epidemiology.

In general, nighttime light has been shown to disrupt internal sleep/wake cycles, which is an ever-growing concern as more people are using their phones and tablets in bed, or leaving the TV on as they sleep.

But the new report goes further, measuring bedroom exposure to low levels of nighttime light using a portable light meter attached to the bed. Researchers followed nearly 900 elderly people in Japan for two years and assessed symptoms of depression and tested sleep/wake patterns throughout the night.

They took into account weight, smoking or drinking habits, income level and medication use. Histories of high blood pressure, diabetes and physical activity level were also noted.

Checking in two years after their baseline measurements, those exposed to more than five “lux” of light each night had higher rates of depression. That standard measure, one “lux,” is the amount of light that shines from a candle if you are sitting 1 meter away.

By comparison, a nighttime family room with the lights on measures about 50 lux, while standing outdoors in daylight is 10,000 to 25,000 lux. The equivalent of 5 lux is equivalent to the brightness of a street light shining through the window into a darkened bedroom.

Only about 150 people in the study had nighttime bedrooms with more than 5 lux of light, but that group showed a 65 percent increased chance of developing depression after two years.

Even factoring in high blood pressure, diabetes or sleep/wake patterns, there was still a 63 percent increased chance of becoming depressed. Those with light at night also tended to go to sleep earlier, wake up later and spend more time in bed overall than counterparts who slept in darker rooms.

“Previous studies have suggested the possibility that LAN [light-at-night] induces sleep disturbances, impaired melatonin secretion and misalignments between sleep/wake behavior ... and depression is frequently accompanied by these conditions,” the study said.

As a way to improve sleep hygiene and mental health, making sure a bedroom is truly dark is one of the easier interventions.

Najibah Rehman, MD, MPH, is a third-year Preventive Medicine Resident at the University of Michigan working in the ABC News Medical Unit.

Mitten5 on March 11st, 2018 at 18:12 UTC »

I wonder how this would look if they separated out sources of "light at night (LAN)." If artificial light source is different than natural light source IE open shades with visible stars and moon.

Something tells me we (humans) didn't evolve by sleeping so deeply recessed in remove caves that there were no visible stars and moon, so I can't see a mechanism by which light-at-night is universally bad for our physiology. Perhaps some other aspect of our physiology is necessitating the no-LAN issue. Also, this was performed in an elderly population, who probably have completely different needs when it comes to maintaining circadian rhythms.

Ninja edit: I just looked at a brightness scale. 5 lux is really damn bright. Full moon is still 0.1 lux. 10 lux is an illuminated city street at night.

EngineeringPeace on March 11st, 2018 at 10:11 UTC »

Link to study.

Abstract below:

Previous studies have indicated that minimal exposure to light at night (LAN) increases depression risk, even at 5 lux, in nocturnal and diurnal mammals. Although such low-level LAN may affect human circadian physiology, the association between exposure to LAN and depressive symptoms remains uncertain. In the present study, bedroom light intensity was measured objectively, and depressive symptoms were assessed, during 2010–2014 in Nara, Japan. Of 863 participants (mean age = 71.5 years) who did not have depressive symptoms at baseline, 73 participants reported development of depressive symptoms during follow-up (median, 24 months). Compared with the “dark” group (average of <5 lux; n = 710), the LAN group (average of ≥5 lux; n = 153) exhibited a significantly higher depression risk (hazard ratio = 1.89; 95% CI: 1.13, 3.14), according to a Cox proportional hazards model adjusting for age, sex, body mass index, and economic status. Further, the significance remained in a multivariable model adjusting for hypertension, diabetes, and sleep parameters (hazard ratio = 1.72; 95% CI: 1.03, 2.89). Sensitivity analyses using bedroom light data with a cutoff value of ≥10 lux suggested consistent results. In conclusion, these results indicated that exposure to LAN in home settings was independently associated with subsequent depression risk in an elderly general population.

ShiraCheshire on March 11st, 2018 at 09:42 UTC »

If this is true, I have to wonder what impact various indicator lights (like computers, TVs, and game consoles often have even when off) in people's rooms might be having.