Abstract
Low indoor light in urban housing can dis-
rupt health and wellbeing, especially in older adults
who experience reduced light sensitivity and sleep/cir-
cadian disruptions with natural aging. While controlled
studies suggest that enhancing indoor lighting may
alleviate the negative effects of reduced light sensitiv-
ity, evidence for this to be effective in the real world is
lacking. This study investigates the effects of two light
conditions on actigraphic rest-activity rhythms and sub-
jective sleep in healthy older adults (≥ 60 years) living
at home. Two photon-matched lights were compared; a
control white light (4000 K) and a blue-enriched white
light (17000 K) at two different intensities (300–450 lx
and 1100–1200 lx respectively). Participants (n = 36, 25
female) completed an 11-week randomized, cross-over
study, comprising 1 week of baseline, 3 weeks of self-
administered light exposure (2 h in the morning and 2 h
in the evening), and 2 weeks of washout for each light
condition. Participants completed sleep diaries, wore
a wrist actigraph and a light sensor necklace, and col-
lected urine to measure 6-sulphatoxymelatonin. Longer
duration of morning blue-enriched light significantly
improved rest-activity rhythm stability and decreased
sleep fragmentation. More time spent above 2500 lx
increased actigraphy amplitude, daytime activity, and
advanced bedtime. Evening light exposure, however,
increased sleep latency and lowered sleep efficiency.
Our findings show morning blue-enriched light is ben-
eficial whereas evening light should be avoided. Optimal
timing of self-administered light interventions thus may
offer a promising strategy to improve sleep and rest-
activity rhythms in older adults in real-world settings.