July 15, 2019Weight Control
According to an article published online in JAMA Internal Medicine (10 June 2019), sleeping with a television or light on in the room may be a risk factor for gaining weight or developing obesity. This is the first study to find an association between any exposure to artificial light at night while sleeping and weight gain in women. The results suggest that cutting off lights at bedtime could reduce women's chances of becoming obese.
The study used questionnaire data from 43,722 women in the Sister Study, a cohort study that examines risk factors for breast cancer and other diseases. The participants, aged 35-74 years, had no history of cancer or cardiovascular disease and were not shift workers, daytime sleepers, or pregnant when the study began. The study questionnaire asked whether the women slept with no light, a small nightlight, light outside of the room, or a light or television on in the room. The authors used weight, height, waist and hip circumference, and body mass index measurements taken at baseline, as well as self-reported information on weight at baseline and follow-up five years later. Using this information, the authors were able to study obesity and weight gain in women exposed to artificial light at night with women who reported sleeping in dark rooms.
The results varied with the level of artificial light at night exposure. For example, using a small nightlight was not associated with weight gain, whereas women who slept with a light or television on were 17% more likely to have gained 5 kilograms, approximately 11 pounds, or more over the follow-up period. The association with having light coming from outside the room was more modest. The authors also wondered if not getting enough rest factored into the findings.
According to the authors, for many who live in urban environments, light at night is more common and should be considered. Streetlights, store front neon signs, and other light sources can suppress the sleep hormone melatonin and the natural 24-hour light-dark cycle of circadian rhythms. The authors added that humans are genetically adapted to a natural environment consisting of sunlight during the day and darkness at night and that exposure to artificial light at night may alter hormones and other biological processes in ways that raise the risk of health conditions like obesity. The authors also acknowledge that other confounding factors could explain the associations between artificial light at night and weight gain. However, their findings did not change when analyses controlled for characteristics that may be associated with exposure to light at night. These factors included age, having an older spouse or children in the home, race, socioeconomic status, calories consumed, and physical activity. Also, the study did not include men.