Evidence map›Paper›PMID 36415902›Full record

Trial reportJournal of biological rhythms2023

Evening Light Intensity and Phase Delay of the Circadian Clock in Early Childhood.

Lauren E Hartstein, Cecilia Diniz Behn, Kenneth P Wright, Lameese D Akacem, Shelby R Stowe, Monique K LeBourgeois

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of biological rhythms, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07391852 (Circadian Light Exposure Adjustment for Restfulness), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07391852 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Circadian Light Exposure Adjustment for Restfulness

TypeinterventionalSponsorUniversity of ArizonaRan2026 to 2030Enrolled60ConditionsSleep Onset LatencyArmsAmber Tinted Glasses, Clear Glasses, Smart Lightbulbs
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  7. Review
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  10. [Performance of a prompt engineering method for extracting individual risk factors of precocious puberty from electronic medical records].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Article
  11. Article
  12. Sleep Across the Lifespan: A Neurobehavioral Perspective.Current sleep medicine reports · 2025
    Review
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  15. Review
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  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Lauren E HartsteinDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado.ORCID 0000-0002-3643-8894
Cecilia Diniz BehnDepartment of Applied Mathematics and Statistics, Colorado School of Mines, Golden, Colorado.ORCID 0000-0002-8078-5105
Kenneth P WrightDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado.
Lameese D AkacemDivision of Preclinical Innovation, National Center for Advancing Translational Sciences, Rockville, Maryland.
Shelby R StoweDepartment of Applied Mathematics and Statistics, Colorado School of Mines, Golden, Colorado.
Monique K LeBourgeoisDepartment of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado.
University of Colorado Boulder · USColorado School of Mines · USNational Center for Advancing Translational Sciences · US

Funding

Sensitivity of the Circadian Clock to Light in Early ChildhoodR01HD087707 · NICHD · UNIVERSITY OF COLORADO · PI WRIGHT, KENNETH P · 2017 to 2021
$2.9M
Transdisciplinary Training in Sleep and Circadian RhythmsT32HL149646 · NHLBI · UNIVERSITY OF COLORADO · PI Kenneth P Wright · 2020 to 2026
$1.6M
NHLBI NIH HHS T32 HL149646NICHD NIH HHS R01 HD087707
6 · The paper itself

Abstract

Late sleep timing is prevalent in early childhood and a risk factor for poor behavioral and health outcomes. Sleep timing is influenced by the phase of the circadian clock, with later circadian timing linked to delayed sleep onset in young children. Light is the strongest zeitgeber of circadian timing and, in adults, evening light produces circadian phase delay in an intensity-dependent manner. The intensity-dependent circadian phase-shifting response to evening light in children, however, is currently unknown. In the present study, 33 healthy, good-sleeping children aged 3.0 to 4.9 years (M = 4.14 years, 39% male) completed a 10-day between-subjects protocol. Following 7 days of a stable sleep schedule, an in-home dim-light circadian assessment was performed. Children remained in dim-light across 3 days (55 h), with salivary melatonin collected in regular intervals throughout each evening. Phase-shifting effects of light exposure were determined via changes in the timing of the dim-light melatonin onset (DLMO) prior to (Day 8) and following (Day 10) a light exposure stimulus. On Day 9, children were exposed to a 1 h light stimulus in the hour before their habitual bedtime. Each child was randomly assigned to one intensity between 5 and 5000 lux (4.5-3276 melanopic EDI). Across light intensities, children showed significant circadian phase delays, with an average phase delay of 56.1 min (SD = 33.6 min), and large inter-individual variability. No relationship between light intensity and magnitude of the phase shift was observed. However, a greater percentage of melatonin suppression during the light exposure was associated with a greater phase delay (

Indexed as

Circadian ClocksMelatoninSleep Disorders, Circadian RhythmChild, PreschoolCircadian RhythmFemaleHumansMaleSleepMelatoninchild developmentcircadian rhythmlightphase delaypreschoolsleep

Identifiers

PMID36415902
PMCPMC11302507
OpenAlexW4309714990

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.