ABSTRACT The health of shift workers is seriously compromised due to circadian rhythm disruption. Not only do these shift workers lack sufficient exposure to natural light, the main circadian rhythm synchronizer, but they are also exposed to static electric lighting environments with the same luminous flux intensity throughout the entire night. Advances in lighting design make the accurate control of flux and spectra of electric lighting possible, allowing settings to be optimized for the appropriate regulation of circadian rhythms while also ensuring task performance. This research aims to quantify the effect of advanced lighting systems on the biological clock of nurses working night shifts in intensive care units, by replacing the fluorescent fixtures with dimmable luminaires. Diurnal and nocturnal levels of the main urine metabolite of melatonin, 6-sulfatoximelatonin, were assayed and a perception test of sleep quality and work performance was also carried out. The results show that the use of LED dimmable lighting results in an improvement in melatonin and cortisol levels of night shift workers, as well as improved concentration and sleep quality.
Read full abstract