Artificial Light At Night Research Articles

Exposure to constant artificial light alters honey bee sleep rhythms and disrupts sleep.

Artificial light at night (ALAN) changes animal behavior in multiple invertebrates and vertebrates and can result in decreased fitness. However, ALAN effects have not been studied in European honey bees (Apis mellifera), an important pollinator in which foragers show strong circadian rhythmicity. Colonies can be exposed to ALAN in swarm clusters, when bees cluster outside the nest on hot days and evenings, and, in limited cases, when they build nests in the open. We captured and maintained foragers in incubated cages and subjected them to constant light (LL), constant dark (DD), or 12h light:12h dark (LD) cycle, and observed them with infrared cameras. After 79h, there was a significant interaction of treatment and time because LL bees slept less. In detail, the bees maintained a regular sleep pattern for three days but LL bees showed a shift on the fourth day. LL bees had the largest sleep differences from LD controls, with trends of lengthened periods and increased phase misalignment from both LD and DD bees. LL bees also experienced significantly more disturbances from their nestmates and preferred to sleep in the lower portion of the cages, which had significantly lower light intensity. These findings suggest that ALAN can disrupt the sleep of honey bee foragers, which has implications for their behavior and overall colony health.

Artificial Light at Night Advances the Onset of Vocal Activity in Both Male and Female Great Tits During the Breeding Season, While Noise Pollution Has Less Impact and Only in Females

Artificial light at night (ALAN) and noise pollution are two important stressors associated with urbanisation that can have a profound impact on animal behaviour and physiology, potentially disrupting biological rhythms. Although the influence of ALAN and noise pollution on daily activity patterns of songbirds has been clearly demonstrated, studies often focus on males, and the few that examined females have not included the potential influence of males on female activity patterns. Using free-living pairs of great tits (Parus major) as a model, we examined for the first time the effects of ALAN and noise pollution and their interaction on the onset of (vocal) activity in both members of a pair. We focused on the egg-laying phase, when both sexes are most vocally active. The onset of male dawn song, female emergence time from the nest box and the onset of female calling in the nest box were measured and used as a proxy for the chronotype. The repeatabilities for all chronotype proxies were high, with higher repeatabilities for males. Consistent with previous studies, ALAN advanced the onset of male dawn song, while it did not elicit a strong response in female emergence time. Additionally, our results suggest an indirect effect of ALAN on the onset of female vocal activity via acoustic interaction with the male. Noise pollution advanced the emergence time in females, while an interaction between ALAN and noise pollution was found for the onset of female calling. In agreement with previous studies, several covariables were shown to have an influence on the activity onset. Taking several proxies for chronotype into account, this study has provided robust evidence of effects of ALAN on male and female cavity-nesting songbirds during the egg-laying period.

Nocturnal Artificial Light Exposure in Expectant Mothers and Risk of Congenital Glaucoma

Abstract Background While the impact of light pollution on human health is gaining recognition, its role in transmitting the effects of maternal exposure to the fetus remains unclear. This study is to investigate the association between exposure to artificial light at night (ALAN) during pregnancy and risk of congenital glaucoma. Methods All birth cohorts spanning from 2008 to 2011 in urban areas of South Korea, comprising over 90% of the total population, were identified in the Korean National Health Insurance database. Average levels of ALAN at the residential addresses of mothers during pregnancy were estimated using time-varying satellite data for a composite view of persistent night-time illumination at ∼1 km2 scale.The odd ratios (ORs) and 95% confidence intervals (CIs) of the association between residential ALAN and risk of congenital glaucoma - was computed using logistic regression. These calculations were adjusted for socio-demographic factors and area-level risk factors (night-time traffic noise and particulate matter with an aerodynamic diameter ≤ 10 μm). Results A total of 745,458 mother-father-child trios (mean [SD] age of the mothers, 32.4 [3.8] years; 387,275 [52.0%] boy) were included in the study. In fully adjusted models, an IQR (21.8 nW/cm2/sr) increase in ALAN level was associated with an OR of 1.12 (95% CI: 1.05, 1.19) for incident congenital glaucoma. The exposure-response curve demonstrated an upward slope with a threshold at approximately 62 nW/cm2/sr. Conclusions In this nationwide population-based case-control study, higher levels of residential ALAN during pregnancy were associated with increased risk of congenital glaucoma. Future studies with more detailed information on exposure, individual adaptive behaviors and potential mediators are warranted. Key messages • This study indicates an association between elevated levels of ALAN exposure in pregnant women and a heightened risk of congenital glaucoma in their offspring. • These results are consistent with a growing body of evidence underscoring the detrimental effects of ALAN on health, reinforcing its potential role as a risk factor for congenital glaucoma.

Outdoor artificial light at night and risk of conversion from mild cognitive impairment to dementia

Abstract Background A few studies have suggested that exposure to lighting during night hours, i.e. light at night (LAN), may increase the risk of dementia. In this study, we aimed to evaluate the association between exposure to outdoor artificial LAN and risk of conversion to dementia in an Italian cohort of subjects with mild cognitive impairment (MCI). Methods We recruited subjects with a diagnosis of MCI at the Cognitive Neurology Clinic of Modena Hospital in the period 2008-2014, and we followed these subjects up to 2021 for conversion to dementia. We collected their residential history and we assessed LAN exposure at subjects’ residences using satellite imagery data available from the Visible Infrared Imaging Radiometer Suite (VIIRS) for the period 2014-2022. Using a Cox-proportional hazards model adjusted for relevant confounders, we computed the hazard ratio (HR) of dementia with 95% confidence interval (CI) according to increasing LAN exposure through linear, categorical, and non-linear restricted-cubic spline models. Results Out of 53 recruited subjects, 34 converted to dementia of any type including 26 Alzheimer’s dementia. In linear regression analysis, LAN exposure was positively associated with dementia conversion (HR 1.03, 95% CI 1.00-1.06 for 1-unit increase). Using as reference the lowest tertile, subjects at both intermediate and highest tertiles of LAN exposure showed increased risk of dementia conversion (HRs 2.26, 95% CI 0.88-5.85, and 2.89, 95% CI 1.10-7.58). In spline regression analysis, the risk linearly increased up to a LAN exposure of 30 nW/cm2/sr, above which a plateau seemed to be reached. Results were almost confirmed when limited to conversion to Alzheimer’s dementia, except for an almost linear relation. Conclusions Our findings suggest that exposure to outdoor artificial LAN may increase conversion from MCI to any type of dementia, especially above 30 nW/cm2/sr, while such relation appears to be almost linear for Alzheimer’s dementia. Key messages • Light at night exposure above 30 nW/cm2/sr was associated with risk of conversion to dementia. • Light at night showed almost linear association with risk of conversion to Alzheimer’s dementia.

Artificial light at night reveals hotspots and rapid development of industrial activity in the Arctic

Climate warming enables easier access and operation in the Arctic, fostering industrial and urban development. However, there is no comprehensive pan-Arctic overview of industrial and urban development, which is crucial for the planning of sustainable development of the region. In this study, we utilize satellite-derived artificial light at night (ALAN) data to quantify the hotspots and the development of light-emitting human activity across the Arctic from 1992 to 2013. We find that out of 16.4 million km2 analyzed a total area of 839,710 km2 (5.14%) is lit by human activity with an annual increase of 4.8%. The European Arctic and the oil and gas extraction regions in Russia and Alaska are hotspots of ALAN with up to a third of the land area lit, while the Canadian Arctic remains dark to a large extent. On average, only 15% of lit area in the Arctic contains human settlement, indicating that artificial light is largely attributable to industrial human activity. With this study, we provide a standardized approach to spatially assess human industrial activity across the Arctic, independent from economic data. Our results provide a crucial baseline for sustainable development and conservation planning across the highly vulnerable Arctic region.

Effects of Urban Lighting at Night on Daytime Songbird Aggression

Many animals require sleep for daily functions. In spring, songbirds expend a great deal of energy early in the day by singing to attract mates and aggressively protecting territory. Some evidence suggests that artificial lighting at night (ALAN) in the environment of wild birds increases their nighttime activity that, in turn, contributes to sleep loss. This study investigated how ALAN affects northern cardinal (Cardinalis cardinalis) response to experimental aggressive intrusion by conspecifics. The hypothesis tested is that high ALAN near cardinal roosting spots would cause those individuals to have less energy for daytime aggressive behaviors. After selecting known dark and bright urban roosting locations, ALAN was measured at specific sites with active cardinal territories during nighttime hours. Observers returned in the morning to present cardinal territorial songs using standardized call playback protocols. Aggressive behaviors of responding cardinals were recorded and used to quantify aggression intensity. Standard aggression measures included response latency, distance from bird to speaker, number of songs, hops, and flip flops. An aggression index was obtained using factor analysis which confirmed that aggressive responses featured short latency and approach distances, few chips, and many songs, flip flops, and hops. Analysis of variance revealed that cardinals roosting in high ALAN engaged in significantly more aggressive morning responses; directly contradicting predictions and previously published findings. One possible explanation for this result is that high ALAN might improve sleep in cardinals. To test this, autonomous recording units (ARUs) were placed in study locations to record nighttime calling behaviors in high and low ALAN. Insufficient data were obtained to clarify whether nighttime activity was reduced significantly by ALAN exposure. However, results showed that nighttime activity by cardinals is strongly influenced by moonlight, and that determination of the influence of ALAN on nighttime and daytime avian behavior must include measures of lunar illumination.

Association between outdoor artificial light at night and low birth weight in California.

Artificial light at night (ALAN) is a growing environmental issue associated with adverse health consequences, but the association with low birth weight remains unknown. We aim to explore associations between outdoor ALAN and low birth weight across 7,808 census tracts in California. We use data from the California Communities Environmental Health Screening Tool (CalEnviroScreen) at the census tract level. VIIRS Nighttime Day/Night Band Composites Version 1 dataset within the Google Earth Engine platform was used to assess outdoor ALAN. Multivariable linear regression was used to analyze the data. Our findings showed that an interquartile range increase in outdoor ALAN resulted in an increase of 0.42% (95% CI: 0.37, 0.46) in low birth weight rate on average, after adjusting for all potential covariates. The results demonstrate a significant association between outdoor ALAN and low birth weight. These associations remained consistent in sensitivity analyses.

Anthropogenic double jeopardy: Urban noise and artificial light at night interact synergistically to influence abundance

Artificial light at night (ALAN) and urban noise are increasing globally and can have a range of impacts on wildlife. While ALAN and noise often co-occur and can affect wildlife in similar ways, their impacts have generally been studied in isolation. Information about possible interactive impacts, which can be more serious, is critical to guide conservation.We studied how noise and ALAN impact a common urban waterbird (Eurasian coot Fulica atra) around the city of Melbourne in south-eastern Australia. We aimed to examine: (1) the individual and (2) interactive impacts of noise and ALAN on abundance, and (3) the relative influence of these stressors and other environmental predictors. To do so, we used data from a large-scale (1,463 surveys across an area of 9,250 km2 with significant heterogeneity in noise and ALAN conditions), long-term (2008–2018) monitoring program, overlaid with georeferenced noise and light data. We used generalized linear mixed effects models and boosted regression trees to model individual and interactive effects of ALAN and noise on abundance.Abundance was negatively correlated with noise and ALAN individually. Furthermore, the two stressors had a negative synergistic effect, ultimately resulting in the absence of coots at the highest observed ALAN and noise levels. We also estimate that the combined influence of the two stressors on abundance was larger than that of other examined environmental factors.Our findings that noise and ALAN have detrimental interactive impacts is worrying for two reasons. First, Eurasian coots are thought to be tolerant to urbanisation, so impacts may be more severe for less tolerant species. Second, noise and ALAN commonly co-occur around cities, so similar impacts are likely elsewhere. By adopting more biologically and ecologically realistic analytical frameworks, future studies can better estimate the cumulative impacts of multiple stressors to facilitate improved conservation and management.

Artificial light at night alters foraging behavior of freshwater amphipods depending on the light spectrum and the presence of predation cues

Abstract Artificial light at night (ALAN) is a common anthropogenic disturbance, which alters animal behavior. However, little is known about the impact of the spectral composition of ALAN and co-occurring predation risk on the behavior of aquatic organisms. We experimentally investigated how ALAN of different spectra (cool white LED and HPS light) affects the behavior and foraging of Gammarus jazdzewskii (Amphipoda) on chironomid prey, both as a single stressor and in combination with an olfactory predation cue. Gammarids exposed to ALAN in the absence of predation cues consumed less, compared with darkness, mainly due to their lower activity. Moreover, gammarids showed a stronger response to LED light, spending more time in the shelter and increasing prey handling time in this treatment. The addition of predation cues did not enhance the negative impact of ALAN on the foraging success. Gammarids maintained similar consumption levels as in the ALAN treatment without predation cues and in darkness with predation cues. However, gammarids in LED light altered their behavior in response to predation threat: they decreased prey handling time and consumed prey faster, which may have compensated for the higher food demand in stressful conditions. They also tended to exhibit risky behavior, leaving the shelter and moving towards the lit area, presumably to escape and avoid the combined effects of light and predation cues. Therefore, when assessing the effects of ALAN on organisms, light quality and co-occurring biotic factors should be considered, as predator pressure is common in natural environments.

Antagonistic Effects of Light Pollution and Warming on Habitat-Forming Seaweeds.

Artificial Light at Night (ALAN) is an emerging global stressor that is likely to interact with other stressors such as warming, affecting habitat-forming species and ecological functions. Seaweeds are dominant habitat-forming species in temperate marine ecosystems, where they support primary productivity and diverse ecological communities. Warming is a major stressor affecting seaweed forests, but effects of ALAN on seaweeds are largely unknown. We manipulated ALAN (0 lx vs. 25 lx at night) and temperature (ambient vs. +1.54°C warming) to test their independent and interactive effects on the survival, growth (biomass, total-, blade- and stipe-length) and function (photosynthesis, primary productivity and respiration) on the juveniles of two habitat-forming seaweeds, the kelp Ecklonia radiata and the fucoid Sargassum sp. Warming significantly increased Ecklonia mortality; however, ALAN did not affect mortality. ALAN had positive effects on Ecklonia biomass, total and blade growth rates and gross primary productivity; however, warming largely counterbalanced these effects. We found no significant effects of warming or ALAN on Ecklonia photosynthetic yield, stipe length, net primary productivity or respiration rates. We found no effects of ALAN or warming on Sargassum for any of the measured variables. Synthesis. Our findings indicate that ALAN can have positive effects on seaweed growth and functioning, but such effects are likely species-specific and can be counterbalanced by warming, suggesting an antagonistic interaction between these global stressors. These findings can help us to predict and manage the effects of these stressors on seaweeds, which underpin coastal biodiversity.

Interactive correlations between artificial light at night, health risk behaviors, and cardiovascular health among patients with diabetes: A cross-sectional study.

Artificial light at night (ALAN) is a common phenomenon and contributes to the severe light pollution suffered by more than 80% of the world's population. This study aimed to evaluate the relationship between outdoor ALAN exposure and cardiovascular health (CVH) in patients with diabetes and the influence of various modifiable factors. A survey method based on the China Diabetes and Risk Factor Monitoring System was adopted. Study data were extracted for 1765 individuals with diabetes in Anhui Province. Outdoor ALAN exposure (nW/cm2/sr) within 1000 m of each participant's residential address was obtained from satellite imagery data, with a resolution of ~1000 m. Health risk behaviors (HRBs) were measured via a standardized questionnaire. A linear regression model was employed to estimate the relationship between outdoor ALAN, HRBs, and CVH. Participants' mean age was 59.10 ± 10.0 years. An association was observed between ALAN and CVH in patients with diabetes (β = 0.205) and exercise (β = -1.557), moderated by HRBs, or metabolic metrics. There was an association between ALAN, ALAN, vegetable intake, and CVH. Exploring the relationship between ALAN exposure and cardiovascular and metabolic health provides policy data for improving light pollution strategies and reducing the risk of cardiovascular and metabolic disease in patients with diabetes.

Only incandescent light significantly decreases feeding of Anopheles funestus s.s. (Diptera: Culicidae) mosquitoes under laboratory conditions

Recent work has demonstrated that exposure to artificial light at night (ALAN) may alter mosquito feeding behavior and so must be considered a moderator of vector-borne disease transfer. Anopheles funestus mosquitoes are a primary malaria vector in sub-Saharan Africa, but no study to date has tested the impact of ALAN on their feeding behavior. Here we test if the exposure to commonly used household lights (compact fluorescent lights, light-emitting diodes, and incandescent lights) alters Anopheles funestus feeding. Mated, unfed female mosquitoes were exposed to a light treatment, at the onset of darkness, followed by a blood-feeding assay. The light treatments consisted of a 30-min light pulse of one of the three household lights, each in individual experimental containers, versus controls. All three household lights resulted in a reduction in the percentage of females taking a blood meal, but only mosquitoes exposed to incandescent light showed a statistically significant reduction in feeding of 19.6% relative to controls which showed a 42.8% feeding rate. Our results suggest that exposure to some household lights during the night may have an immediate inhibitory effect on Anopheles funestus feeding. By helping identify which light types lead to a suppression of feeding, the findings of this study could provide insight necessary to design household lights that can help minimize mosquito feeding on humans.

Artificial Light at Night and Type 2 Diabetes Mellitus.

The widespread and pervasive use of artificial light at night (ALAN) in our modern 24-hour society has emerged as a substantial disruptor of natural circadian rhythms, potentially leading to a rise in unhealthy lifestyle-related behaviors (e.g., poor sleep; shift work). This phenomenon has been associated with an increased risk of type 2 diabetes mellitus (T2DM), which is a pressing global public health concern. However, to date, reviews summarizing associations between ALAN and T2DM have primarily focused on the limited characteristics of exposure (e.g., intensity) to ALAN. This literature review extends beyond prior reviews by consolidating recent studies from 2000 to 2024 regarding associations between both indoor and outdoor ALAN exposure and the incidence or prevalence of T2DM. We also described potential biological mechanisms through which ALAN modulates glucose metabolism. Furthermore, we outlined knowledge gaps and investigated how various ALAN characteristics beyond only light intensity (including light type, timing, duration, wavelength, and individual sensitivity) influence T2DM risk. Recognizing the detrimental impact of ALAN on sleep health and the behavioral correlates of physical activity and dietary patterns, we additionally summarized studies investigating the potential mediating role of each component in the relationship between ALAN and glucose metabolism. Lastly, we proposed implications of chronotherapies and chrononutrition for diabetes management in the context of ALAN exposure.

Anthropogenic noise and light pollution decrease the repeatability of activity patterns and dampen expression of chronotypes in a free-living songbird

Anthropogenic environmental change is introducing a suite of novel disturbance factors, which can have wide-ranging effects on mean behavior and behavioral repeatability. For example, exposure to sensory pollutants, such as anthropogenic noise and artificial light at night (ALAN), may affect consistent and repeatable individual-level timing of daily activity, which is referred to as chronotypes. Although chronotypes have been increasingly documented in wild animal populations and may affect fitness, evidence for long-term stability across life-history stages and seasons is notably lacking. Furthermore, how multiple anthropogenic stressors may interact to erode or magnify the expression of chronotypes remains unclear. We tested for existence of chronotypes across life-history stages and seasons in suburban female great tits (Parus major), using emergence time from nest boxes in the morning as a proxy for activity onset. We then examined joint effects of noise pollution and ALAN on expression of chronotypes, and tested for effects of noise, ALAN, and weather conditions on mean emergence time. We found repeatability of daily activity patterns (emergence times) across life-history stages and seasons, providing evidence of chronotypes, as well as interactive effects of anthropogenic disturbance factors and weather conditions on population mean behavior. Furthermore, across-season repeatability of emergence times was approximately double in magnitude in low light and low noise conditions, relative to in conditions with higher light and/or noise pollution. Thus, joint exposure to these sensory pollutants tends to erode expression of chronotypes. This effect was driven by higher among-individual variance in the relatively undisturbed environment and collapse of this variance in the more disturbed environments. Decreased repeatability in environments with high disturbance levels may reduce potential for behavioral traits, such as chronotype, to be the target of selection and limit adaptability.

Nobiletin, an activator of the pyruvate kinase isozyme M1/M2 protein, upregulated the glycolytic signalling pathway and alleviated depressive-like behaviour caused by artificial light exposure at night in zebrafish

We established a zebrafish model of depression-like behaviour induced by exposure to artificial light at night (ALAN) and found that nobiletin (NOB) alleviated depression-like behaviour. Subsequently, based on the results of a 24-h free movement assay, clock gene expression and brain tissue transcriptome sequencing, the glycolysis signalling pathway was identified as a potential target through which NOB exerted antidepressant effects. Using the ALAN zebrafish model, we found that supplementation with exogenous L-lactic acid alleviated depressive-like behaviour. Molecular docking and molecular dynamics simulations revealed an inter-molecular interaction between NOB and the pyruvate kinase isozyme M1/M2 (PKM2) protein. We then used compound 3 k to construct a zebrafish model in which PKM2 was inhibited. Our analysis of this model suggested that NOB alleviated depression-like behaviour via inhibition of PKM2. In summary, NOB alleviated depressive-like behaviour induced by ALAN in zebrafish via targeting of PKM2 and activation of the glycolytic signalling pathway.

Maltese Coastline Never Sleeps: The Effects of Artificial Light at Night (ALAN) on the Local Infralittoral Assemblages—A Case Study

Aside from the most notorious threats, the Mediterranean Sea faces novel and poorly explored impacts from artificial light at night (ALAN), which influences natural light–dark cycles and affects marine ecosystems. This study investigates the impact of ALAN on coastal infralittoral assemblages in Malta, where such effects remain unexplored. Using Baited Remote Underwater Videos (BRUVs), we examined the influence of different light intensities on species assemblages and behaviour at two sites: a light-polluted harbour and a darker reef area. Our findings reveal significant differences in fish community composition between light treatments and habitats. Among the 23,955 individuals recorded across multiple taxa, Boops boops accounted for 80% of observations. From our results, light intensity had a more substantial impact on community structure than habitat type, with species-specific responses to light. Predatory species such as Trachurus trachurus displayed increased activity under high-intensity white light, while Apogon imberbis and Serranus scriba were more abundant under red light, irrespective of habitat. These results underscore the role of ALAN in altering marine community dynamics and emphasise the need for sustainable management strategies to mitigate its impact on the biodiversity of the Mediterranean. This study provides initial empirical evidence of ALAN’s effects in Maltese waters, contributing to broader efforts to understand and manage light pollution in marine ecosystems.

The effects of artificial light at night on spider brains.

Artificial light at night (ALAN) is an increasingly pervasive pollutant that alters animal behaviour and physiology, with cascading impacts on development and survival. Recent evidence links exposure to ALAN with neural damage, potentially due to its action on melatonin synthesis, a powerful antioxidant. However, these data are scarce and taxonomically limited. Here, we used micro-CT to test the effects of short-term ALAN exposure on brain volumes in the Australian garden orb-weaving spider (Hortophora biapicata), a species commonly found in urban areas and, specifically, around street lights. We found that short-term ALAN exposure was linked to reductions in the volumes of brain structures in the primary eye visual pathway, potentially as a consequence of oxidative stress or plastic shifts in neural investment. Although the effects of ALAN were subtle, they provided new insights into potential mechanisms underpinning the behavioural and physiological impacts of ALAN in this important urban predator.

The impact of Artificial Light at Night (ALAN) on biodiversity: flora and fauna at Kebun Raya Bogor

Background: Artificial light at night (ALAN) poses significant ecological challenges by altering the natural light environment. Plants and animals have evolved to depend on natural light cycles for their physiological and behavioral processes. This study investigates the impact of ALAN on the biodiversity of flora and fauna at Kebun Raya Bogor (KRB), a key site for understanding these effects. Methods: This research employs a literature review approach to analyze the effects of ALAN on flora and fauna. By examining existing studies and data, the review focuses on changes in plant physiology, including photosynthesis and growth patterns, as well as alterations in animal behavior, such as foraging, mating, and migration. The review synthesizes findings from various sources to assess the impact of ALAN on biodiversity at KRB. Results: Findings indicate that ALAN disrupts plant photosynthesis and growth, particularly affecting deciduous trees and altering reproductive and growth patterns. For fauna, ALAN significantly impacts the behavior of nocturnal species such as bats and birds, affecting their feeding, mating, and migratory patterns. The disruption in natural light cycles due to ALAN leads to ecological imbalances and may compromise the biodiversity of KRB.

Sleep problems mediate the association between outdoor nighttime light and symptoms of depression and anxiety: A cross-sectional, multi-city study in Bulgaria

BackgroundNighttime light is a growing anthropogenic health threat, particularly in urban areas. Limited evidence suggests that exposure to outdoor artificial light at night (ALAN) may be associated with people's mental health by disrupting sleep-wake cycles. AimsWe assessed 1) the association between ALAN exposure and adults’ symptoms of depression and anxiety, 2) whether the association was modified by sex, age, and income, and 3) the mediating role of sleep problems. MethodsWe obtained cross-sectional data from 4,068 adults from the five largest Bulgarian cities. Depression and anxiety symptoms were measured using the 4-item Patient Health Questionnaire (PHQ-4). Sleep problems were self-reported based on three items. Outdoor ALAN at residential addresses was assessed using annual radiance levels obtained from satellite imagery. Regression models were adjusted for person-level characteristics, green space, and nitrogen dioxide (NO2). We also assessed effect modification by sex, age, and income. Using mediation analyses, we tested sleep problems as a mediator of the ALAN-PHQ-4 association. ResultsGreater ALAN exposure in the fully adjusted model was marginally associated with higher PHQ-4 scores. We observed no effect modification. The mediator, sleep problems, was also positively associated with ALAN. The mediation of sleep problems was significantly positive. While the direct association was null, the total ALAN association was marginally and positively associated with PHQ-4 scores. ConclusionsOur findings suggest a positive association between outdoor nighttime light pollution and mental health. Poor sleep quality is a possible pathway relating ALAN exposure to mental health. Considering the increasing ubiquity and intensity of urban nighttime illumination, light pollution-reducing policies may provide significant health benefits for urban populations.

Outdoor artificial light-at-night and cardiometabolic disease risk: an urban perspective from the Catalan GCAT cohort study.

We investigated the association between outdoor artificial light-at-night (ALAN) exposure and cardiometabolic risk in the GCAT study. We included 9,752 participants from Barcelona (59% women). We used satellite images (30m resolution) and estimated photopic illuminance and the circadian-regulation relevant melanopic illuminance (melanopic EDI). We explored the association between ALAN exposure and prevalent obesity, hypertension, and diabetes with logistic regressions. We assessed the relationship with incident cardiometabolic diseases ascertained through electronic health records (mean follow-up 6.5 years) with Cox proportional hazards regressions. We observed an association between photopic illuminance and melanopic EDI and prevalent hypertension, Odds ratio (OR) = 1.09 (95% CI, 1.01-1.16) and 1.08 (1.01-1.14) per interquartile range increase (0.59 and 0.16 lux, respectively). Both ALAN indicators were linked to incident obesity (hazard ratio [HR] = 1.29, 1.11-1.48 and 1.19, 1.05-1.34) and haemorrhagic stroke (HR = 1.73, 1.00-3.02 and 1.51, 0.99-2.29). Photopic illuminance was associated with incident hypercholesterolemia in all participants (HR = 1.17, 1.05-1.31) and with angina pectoris only in women (HR = 1.55, 1.03-2.33). Further research in this area and increased awareness on the health impacts of light pollution are needed. Results should be interpreted carefully since satellite-based ALAN data do not estimate total individual exposure.