Evidence map›Paper›PMID 41390380›Full record

SynthesisBMC public health2025

Impact of artificial light at night on obesity and overweight: a systematic review and meta-analysis.

Wenzheng Tang, Siying Dong, Yingshuai Li

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Wenzheng TangSchool of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, 100029, China.
Siying DongSchool of Traditional Chinese Medicine, Anhui University of Chinese Medicine, Hefei, 230038, China.
Yingshuai LiNational Institute of Traditional Chinese Medicine Constitution and Preventive Treatment of Diseases, Beijing University of Chinese Medicine, Beijing, 100029, China. liyingshuai2013@163.com.

Funding

Provincial-Ministerial Co-construction State Key Laboratory of Dampness Syndrome in Chinese Medicine No. SZ2022KF05
6 · The paper itself

Abstract

backgroundGlobal obesity rates are rising sharply, prompting interest in environmental drivers beyond diet and activity. Widespread artificial light at night disrupts circadian rhythms and metabolism. potentially elevating obesity risk, but evidence syntheses are outdated and limited.

methodsWe conducted a systematic search of databases including PubMed, EMbase, Cochrane Library, and Web of Science. Eligible observational studies (cohort or cross-sectional) were required to report adjusted risk estimates (odds ratio [OR], relative risk [RR], or hazard ratio [HR] with 95% confidence intervals [95% CI]) for obesity or overweight, with quantifiable LAN exposure. Study quality was evaluated using the Newcastle-Ottawa Scale (NOS) for cohort studies and the AHRQ criteria for cross-sectional studies. A random-effects model was applied for effect size pooling, alongside subgroup analyses stratified by geographic region, age, and sex, supported by sensitivity analyses and Egger's test for publication bias assessment.

resultsOur analysis included 13 studies involving 867,647 participants (9 cross-sectional and 4 cohort studies). A significant 14% increased risk of obesity was observed in the highest LAN exposure group compared to the lowest (OR = 1.14, 95% CI: 1.07-1.22; I² = 92.5%, P < 0.001). For overweight risk, a 7% increase was noted (OR = 1.07, 95% CI: 1.00-1.15; I² = 92.5%, P < 0.001). Regionally, the strongest association was in North America (OR = 1.21, 95% CI: 1.10-1.32; I² = 46.6%, P = 0.132) and significant in Asia (OR = 1.14, 95% CI: 1.06-1.21; I² = 85.5%, P < 0.001), but not in Europe. Age-wise, both adults (OR = 1.16) and adolescents (OR = 1.17) exhibited significant associations (P < 0.05), with no notable differences between sexes. All studies were deemed high quality (mean NOS score: 7.50; mean AHRQ score: 7.56), and sensitivity analyses confirmed the findings with no evidence of publication bias (P > 0.05).

conclusionsExposure to LAN significantly correlates with increased obesity and overweight risks, influenced by geographic and age-specific factors. These results highlight LAN as a noteworthy environmental risk factor for metabolic health, advocating for informed public health strategies, including region-specific lighting regulations and "screen curfews" for adolescents.

Indexed as

LightingObesityOverweightCross-Sectional StudiesFemaleHumansMaleArtificial light at nightMeta-analysisObesityOverweight

Identifiers

PMID41390380
PMCPMC12817692

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LicenceCC BY-NC-ND
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Registered trials

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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.