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Effects of artificial light on the processing of stimuli during wakefulness and sleep

Organizational Data

DRKS-ID:
DRKS00023602
Recruitment Status:
Recruiting stopped (after recruiting started)
Date of registration in DRKS:
2020-12-08
Last update in DRKS:
2020-12-08
Registration type:
Retrospective

Acronym/abbreviation of the study

LIGHT.Sleep

URL of the study

No Entry

Brief summary in lay language

Electric light is one of the most important achievements of modern society. At the same time, the artificial illumination of the environment is also a great challenge for our organism. Blue light in particular plays a decisive role in this respect and it is now known that this also affects sleep. However, we know very little about how artificial light in the evening alters brain processes that underlie these negative effects. The aim of this research project is to find out. To do this, healthy volunteers will be exposed to two different light sources, one with a high and one with a low blue light component, on two days before going to bed. It will then be investigated how the two light sources affect sleep quality and how they change the interaction between the brain and environmental stimuli during waking, i.e. during light exposure, and in subsequent sleep, and whether differences are still present after waking the next morning. Specifically, we will investigate how light exposure affects the brain's ability to learn and thus predict the occurrence of environmental stimuli and how light alters the processing of relevant linguistic stimuli such as one's own first name compared to other first names or a very familiar voice (e.g. one's own parents) compared to an unknown voice. Comparison of the two lighting conditions will generate knowledge about how artificial light alters the interaction between the brain and environmental stimuli in waking and sleeping. We expect blue light to make the processing of stimuli more awake-like even during sleep, which could be the reason for the negative effects on sleep quality. Findings in this respect are highly relevant, for example, for recommendations on how to design the evening lighting environment for good sleep.

Brief summary in scientific language

It is well-known that artificial light exposure in the evening can increase alertness, decrease fatigue and alter sleep. That is particularly true for back-lit screens as used in e.g. smartphones or e-readers as they emit light with a peak in the blue light spectrum, which our circadian system is especially sensitive to. More precisely, intrinsically photosensitive retinal ganglion cells (ipRGCs) with peak sensitivity at wavelengths between 460 and 480nm, i.e. in the blue spectrum, relay information about the spectral composition of light to the biological clock in the suprachiasmatic nuclei of the hypothalamus, which regulates manifold processes according to the circadian phase. Little is however known about why and how exactly artificial light in the evening alters sleep. We, Dr Blume and Prof Cajochen, believe that two paradigms that have previously been used to study cognitive processing during wakefulness and sleep can be used to investigate this question. In particular, we will use a variant of the classic oddball paradigm that allows investigating predictive coding, a basic form of learning, on two levels of complexity. In a second paradigm we will investigate how more ecologically valid linguistic stimuli of varying subjective and emotional relevance (i.e. one’s own vs. unfamiliar names uttered by a highly familiar vs. unfamiliar voice) are processed. Crucially, to investigate the effects of artificial light on processing acutely during wakefulness as well as subsequent sleep, participants will undergo two light exposure conditions. In each of these, participants will be exposed to 40min of light in the evening. In one condition the light spectrum will be modulated such that it exhibits a spectral peak between 460 and 480nm (melanopic high) whereas in the other light proportions in this wavelength range will be decreased (melanopic low). We will use electroencephalography (EEG) to investigate differences in cognitive processing between the two light exposure conditions by means of event-related potentials and evoked oscillatory responses. Beyond this, we will also investigate previously proposed genetic differences in the sensitivity to blue light and how they interact with cognitive processing following light exposure. Evening profiles of salivary melatonin levels will serve as an additional control for the non-visual impact of the light conditions on circadian physiology. Ultimately, the knowledge gained in this research project will help to better understand how the use of light-emitting devices in the evening changes cognitive processing and sleep. It thus has a high relevance for understanding the specific effects artificial light as a major technological achievement has on a state critical for health and well-being. Eventually, this may inform about how to best design light environments in the evening, which may be especially relevant with regard to shift work, i.e. work in a light environment that is at odds with the time of day.

Health condition or problem studied

Free text:
healthy volunteers
Healthy volunteers:
Yes

Interventions, Observational Groups

Arm 1:
Volunteers are exposed to a high-melanopic light source (i.e., with a spectral peak at 465nm) from 1h50min to 50min prior to habitual bed time for a total duration of 1 hour. Photopic lux are equal in both intervention groups and about 58 lux in the direction of gaze. The two light conditions are metamers, i.e. they only differ in their effects on intrinsically photosensitive retinal ganglion cells. The order of the intervention (light conditions) was counterbalanced across participants.
Arm 2:
Volunteers are exposed to a low-melanopic light source (i.e., without a spectral peak at 465nm) from 1h50min to 50min prior to habitual bed time for a total duration of 1 hour. Photopic lux are equal in both intervention groups and about 58 lux in the direction of gaze. The two light conditions are metamers, i.e. they only differ in their effects on intrinsically photosensitive retinal ganglion cells. The order of the intervention (light conditions) was counterbalanced across participants.

Endpoints

Primary outcome:
The primary outcomes are EEG-derived parameters of event-related oscillatory activity (event-related de-/synchronisation in the 1-15 Hz range) as well as event-related potentials (mismatch negativity, P3, K-complex-like responses). The outcomes are assessed using an acoustic stimulation paradigm (i.e., an oddball task) participants undergo during the light exposure in the evening as well as during the whole night.
Secondary outcome:
Secondary outcomes are sleep quality indexes, salivary melatonin levels as well as the spectral composition of the EEG signal during resting-state recordings (wakefulness) and stimulation-free periods during sleep. Moreover, also subjective sleepiness (assessed by a questionnaire) is a secondary outcome.

Study Design

Purpose:
Basic research/physiological study
Allocation:
Randomized controlled study
Control:
  • Other
Phase:
N/A
Study type:
Interventional
Mechanism of allocation concealment:
No Entry
Blinding:
No
Assignment:
Crossover
Sequence generation:
No Entry
Who is blinded:
No Entry

Recruitment

Recruitment Status:
Recruiting stopped (after recruiting started)
Reason if recruiting stopped or withdrawn:
Target sample size reached

Recruitment Locations

Recruitment countries:
  • Switzerland
Number of study centers:
Monocenter study
Recruitment location(s):
  • University medical center Universitäre Psychiatrische Kliniken Basel Basel

Recruitment period and number of participants

Planned study start date:
No Entry
Actual study start date:
2019-04-01
Planned study completion date:
No Entry
Actual Study Completion Date:
2020-05-30
Target Sample Size:
30
Final Sample Size:
30

Inclusion Criteria

Sex:
All
Minimum Age:
18 Years
Maximum Age:
30 Years
Additional Inclusion Criteria:
• Age: 18-30 years • Body Mass Index: 18.5-24.9 (i.e. normal weight according to WHO criteria) • Informed consent as documented by signature of the participant

Exclusion Criteria

• Previous enrolment in the study’s project part • Investigator’s family members, employees or other dependent persons • Left-handedness • Pregnancy • Hearing difficulties/ a hearing aid • Chronic or debilitating medical conditions • Drug use • Shift work < 3 months prior to beginning of the study • Transmeridian travel (> 2 time zones) < 1 month prior to beginning of the study • Extreme chronotype (Munich Chronotype Questionnaire [MCTQ; 21] <2 or >7) • Short and long sleep duration (subjective sleep duration on workdays outside 6-10h according to the MCTQ) Exclusion criteria due to study requirements • Inability to understand and/or follow procedures • Mother tongue other than the project language (German) • Non-adherence to sleep/wake times during the ambulatory part

Addresses

Primary Sponsor

Address:
Universität Basel
Christine Blume
Wilhelm-Klein-Str. 27
4002 Basel
Switzerland
Telephone:
No Entry
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry
Investigator Sponsored/Initiated Trial (IST/IIT):
Yes

Contact for Scientific Queries

Address:
Universität Basel
Dr. Christine Blume
Wilhelm-Klein-Str. 27
4002 Basel
Switzerland
Telephone:
00491704154909
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Contact for Public Queries

Address:
Universität Basel
Dr. Christine Blume
Wilhelm-Klein-Str. 27
4002 Basel
Switzerland
Telephone:
00491704154909
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Principal Investigator

Address:
Universität Basel
Dr. Christine Blume
Wilhelm-Klein-Str. 27
4002 Basel
Switzerland
Telephone:
00491704154909
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Sources of Monetary or Material Support

Public funding institutions financed by tax money/Government funding body (German Research Foundation (DFG), Federal Ministry of Education and Research (BMBF), etc.)

Address:
Fonds zur Förderung der wissenschaftlichen Forschung (FWF)
Sensengasse 1
1090 Wien
Austria
Telephone:
No Entry
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Private sponsorship (foundations, study societies, etc.)

Address:
Freiwillige Akademische Gesellschaft (FAG)
Elisabethenstrasse 2 Postfach 130
4010 Basel
Switzerland
Telephone:
No Entry
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Private sponsorship (foundations, study societies, etc.)

Address:
Novartis Stiftung für Biologisch-Medizinische Forschung
Novartis International WKL-122.2.26
4002 Basel
Switzerland
Telephone:
No Entry
Fax:
No Entry
Contact per E-Mail:
Contact per E-Mail
URL:
No Entry

Ethics Committee

Address Ethics Committee

Address:
Ethikkomission Nordwest- und Zentralschweiz [Ethikkommission Nordwest- und Zentralschweiz]
Hebelstrasse 53
4056 Basel
Switzerland
Telephone:
+41 61 268 13 50
Fax:
+41 61 268 13 51
Contact per E-Mail:
Contact per E-Mail
URL:
https://www.eknz.ch/

Vote of leading Ethics Committee

Vote of leading Ethics Committee
Date of ethics committee application:
2018-11-08
Ethics committee number:
2018-02003
Vote of the Ethics Committee:
Approved
Date of the vote:
2018-11-23

Further identification numbers

Other primary registry ID:
No Entry
EudraCT Number:
No Entry
UTN (Universal Trial Number):
No Entry
EUDAMED Number:
No Entry

IPD - Individual Participant Data

Do you plan to make participant-related data (IPD) available to other researchers in an anonymized form?:
Yes
IPD Sharing Plan:
Upon reasonable request, anonymised data can be shared.

Study protocol and other study documents

Study protocols:
No Entry
Study abstract:
No Entry
Other study documents:
No Entry
Background literature:
No Entry
Related DRKS studies:
No Entry

Publication of study results

Planned publication:
No Entry
Publikationen/Studienergebnisse:
No Entry
Date of first publication of study results:
No Entry
DRKS entry published for the first time with results:
No Entry

Basic reporting

Basic Reporting / Results tables:
No Entry
Brief summary of results:
No Entry