Evidence map›Paper›PMID 42015088›Full record

ArticleBMC geriatrics2026

Effects of bright light therapy on cognition, sleep and psychological stress in older adults with mild-to-moderate cognitive impairment: a pilot study in long-term care facilities.

Shizhao Cheng, Jinlong Zhang, Runzhi Li, Yuzhao Cheng, Li Cheng

Abstract read
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Shizhao Cheng *Toyo University Graduate School of Human Life Design, kabanedai Campus 1-7-11 Akabanedai, Kita-ku, Tokyo, 115-8650, Japan.
Jinlong Zhang *Central Laboratory, Shanxi Provincial People's Hospital, Shanxi Medical University, Taiyuan, 030012, China.
Runzhi LiDepartment of Neurology, Shanxi Provincial People's Hospital, Shanxi Medical University, Taiyuan, 030012, China.
Yuzhao ChengDepartment of Stomatology, Shanxi Provincial People's Hospital, Shanxi Medical University, Taiyuan, 030012, China.
Li ChengCentral Laboratory, Shanxi Provincial People's Hospital, Shanxi Medical University, Taiyuan, 030012, China. cheyuan80123@163.com.

Funding

Fundamental Research Program of Shanxi Province 202103021224376
6 · The paper itself

Abstract

backgroundThis study aimed to investigate the effects of morning bright light therapy (BLT) on cognitive function, sleep and psychological stress levels in older adults with mild-to-moderate cognitive impairment (MMCI) residing in long-term care facilities in China.

methodsTwenty older adults with MMCI completed a 35-day trial, the initial 7-day adaptation period was classified as pre-BLT. Subsequently, participants received daily 60-minute BLT sessions at 10,000 lx starting at 9:00 AM. The intervention period was divided into three phases: post-BLT1 (9-day), post-BLT2 (9-day) and post-BLT3 (10-day). Cognitive function was evaluated using the Chinese Mini-Mental State Examination (MMSE). Sleep parameters were measured objectively using the non-wearable mattress-type sleep monitor and psychological stress was assessed via salivary chromogranin A (CgA). Statistical analyses were conducted across these four phases using repeated-measures ANOVA and paired t-tests.

resultsMMSE scores increased significantly from pre to post-intervention (Δ = +0.85; p = 0.002). Total sleep time and deep sleep time were significantly higher at post-BLT2 and post-BLT3 compared to pre-BLT (p < 0.05). Body movement frequency was significantly lower at all post-BLT assessments (p < 0.05). Salivary CgA levels exhibited small, non-significant changes at the end of the intervention (p = 0.085).

conclusionsFollowing a 28-day BLT intervention, participants with MMCI showed a modest increase in MMSE scores and increases in total sleep time and deep sleep time, along with reduced body movement frequency. No significant change in salivary CgA levels was observed. These preliminary findings suggest that BLT may hold promise as a non-pharmacological approach to support sleep and cognitive health in long-term care settings.

Indexed as

CognitionCognitive DysfunctionLong-Term CarePhototherapySleepStress, PsychologicalAgedAged, 80 and overFemaleHumansMalePilot ProjectsSleep DurationBright light therapyCognitive functionMild-to-moderate cognitive impairmentPsychological stressSleep

Identifiers

PMID42015088
PMCPMC13227767

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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.