A systematic review and meta-analysis on light therapy for sleep disorders in shift workers

Abstract Sleep disorders constitute a significant disruption for shift workers. Beyond medical interventions, phototherapy is recognized as an effective approach to significantly alleviate sleep disorders, particularly among individuals engaged in shift work. However, the effective dose and efficacy...

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Main Authors: Chenyao Zhao, Nuoyi Li, Wenqing Miao, Ying He, Yandan Lin
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-83789-3
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author Chenyao Zhao
Nuoyi Li
Wenqing Miao
Ying He
Yandan Lin
author_facet Chenyao Zhao
Nuoyi Li
Wenqing Miao
Ying He
Yandan Lin
author_sort Chenyao Zhao
collection DOAJ
description Abstract Sleep disorders constitute a significant disruption for shift workers. Beyond medical interventions, phototherapy is recognized as an effective approach to significantly alleviate sleep disorders, particularly among individuals engaged in shift work. However, the effective dose and efficacy evaluation of phototherapy have not yet been determined. This study conducted a systematic review across five databases from January 1, 1990, to December 31, 2023. A total of 11 articles were selected for meta-analysis using a random-effects model. The results showed that light therapy significantly improved the total sleep time (TST) (MD = 32.54, p < 0.00001) and sleep efficiency (SE) (MD = 2.91, p = 0.007) of shift workers compared to the control group. Subgroup analysis and regression analysis implied that medium illuminance (900–6000 lx) for a long treatment duration (≥ 1 h) during night was more effective in extending total sleep time, whereas higher-illuminance and increasing dose (lx*h) of light therapy was more beneficial for SE. In summary, light therapy has a degree of efficacy in increasing the overall sleep duration and efficiency for shift workers, the findings of the current study contribute reference and evidence for dose setting and experimental design of phototherapy on shift workers’ sleep in clinical and research.
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spelling doaj-art-488d47e041f04d40bf5fd87df9de8d972025-01-05T12:18:34ZengNature PortfolioScientific Reports2045-23222025-01-0115111110.1038/s41598-024-83789-3A systematic review and meta-analysis on light therapy for sleep disorders in shift workersChenyao Zhao0Nuoyi Li1Wenqing Miao2Ying He3Yandan Lin4Institute for Electric Light Sources, School of Information Science and Technology, Fudan UniversityInstitute for Electric Light Sources, School of Information Science and Technology, Fudan UniversityInstitute for Electric Light Sources, School of Information Science and Technology, Fudan UniversityNaval Medical Center, Naval Medical UniversityInstitute for Electric Light Sources, School of Information Science and Technology, Fudan UniversityAbstract Sleep disorders constitute a significant disruption for shift workers. Beyond medical interventions, phototherapy is recognized as an effective approach to significantly alleviate sleep disorders, particularly among individuals engaged in shift work. However, the effective dose and efficacy evaluation of phototherapy have not yet been determined. This study conducted a systematic review across five databases from January 1, 1990, to December 31, 2023. A total of 11 articles were selected for meta-analysis using a random-effects model. The results showed that light therapy significantly improved the total sleep time (TST) (MD = 32.54, p < 0.00001) and sleep efficiency (SE) (MD = 2.91, p = 0.007) of shift workers compared to the control group. Subgroup analysis and regression analysis implied that medium illuminance (900–6000 lx) for a long treatment duration (≥ 1 h) during night was more effective in extending total sleep time, whereas higher-illuminance and increasing dose (lx*h) of light therapy was more beneficial for SE. In summary, light therapy has a degree of efficacy in increasing the overall sleep duration and efficiency for shift workers, the findings of the current study contribute reference and evidence for dose setting and experimental design of phototherapy on shift workers’ sleep in clinical and research.https://doi.org/10.1038/s41598-024-83789-3Light therapyShift workerSleep disorderMeta-analysis
spellingShingle Chenyao Zhao
Nuoyi Li
Wenqing Miao
Ying He
Yandan Lin
A systematic review and meta-analysis on light therapy for sleep disorders in shift workers
Scientific Reports
Light therapy
Shift worker
Sleep disorder
Meta-analysis
title A systematic review and meta-analysis on light therapy for sleep disorders in shift workers
title_full A systematic review and meta-analysis on light therapy for sleep disorders in shift workers
title_fullStr A systematic review and meta-analysis on light therapy for sleep disorders in shift workers
title_full_unstemmed A systematic review and meta-analysis on light therapy for sleep disorders in shift workers
title_short A systematic review and meta-analysis on light therapy for sleep disorders in shift workers
title_sort systematic review and meta analysis on light therapy for sleep disorders in shift workers
topic Light therapy
Shift worker
Sleep disorder
Meta-analysis
url https://doi.org/10.1038/s41598-024-83789-3
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