Cited by 1,430Circadian rhythm and melatoninSleep and related disordersSleep and Work-Related Fatigue

The DOI matches its Crossref record; 41 of the 41 references it cites were found in a registry or an index; 18 of the 46 sources its claims cite were checked for support.

Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness.

Open access
Chang, Anne-Marie, Aeschbach, Daniel, Duffy, Jeanne F., Czeisler, Charles A.·2015·Proceedings of the National Academy of Sciences

Abstract

In the past 50 y, there has been a decline in average sleep duration and quality, with adverse consequences on general health. A representative survey of 1,508 American adults recently revealed that 90% of Americans used some type of electronics at least a few nights per week within 1 h before bedtime. Mounting evidence from countries around the world shows the negative impact of such technology use on sleep. This negative impact on sleep may be due to the short-wavelength-enriched light emitted by these electronic devices, given that artificial-light exposure has been shown experimentally to produce alerting effects, suppress melatonin, and phase-shift the biological clock. A few reports have shown that these devices suppress melatonin levels, but little is known about the effects on circadian phase or the following sleep episode, exposing a substantial gap in our knowledge of how this increasingly popular technology affects sleep. Here we compare the biological effects of reading an electronic book on a light-emitting device (LE-eBook) with reading a printed book in the hours before bedtime. Participants reading an LE-eBook took longer to fall asleep and had reduced evening sleepiness, reduced melatonin secretion, later timing of their circadian clock, and reduced next-morning alertness than when reading a printed book. These results demonstrate that evening exposure to an LE-eBook phase-delays the circadian clock, acutely suppresses melatonin, and has important implications for understanding the impact of such technologies on sleep, performance, health, and safety.

Overview

Integrity signals

Registry

Crossref · 10.1073/pnas.1418490112

Cites

41 of 41 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

14 Own method · 13 Own result · 10 Own interpretation · 6 Partly supported · 5 Supported · 5 No full text of the sources · 2 Not checked yet · 1 Supported so far · 1 No basis given · accuracy not yet measured

Verify all 2 references — free account

Show all 25 claims

  • It may state two separate claims as one. 21
  • Probably not a substantial claim. 18
  • The quote only partly states this claim. 3
32 of 32
  • The paper relies on this without support.

    Little was known about the effects of light-emitting devices on circadian phase or the subsequent sleep episode.

    “A few reports have shown that these devices suppress melatonin levels, but little is known about the effects on circadian phase or the following sleep episode, exposing a substantial gap in our knowledge of how this increasingly popular technology affects sleep.”
  • The paper relies on this without support.

    For optimal sleep duration and quality, sleep timing must be aligned with the circadian clock.

    “For optimal sleep duration and quality, the timing of the sleep episode must be appropriately aligned with the timing of the circadian clock.”
  • The paper relies on this without support.

    Newer models of light-emitting devices are brighter than the one used in the study.

    “However, a number of newer models of light-emitting devices are even brighter than those used in this study.”
  • The paper relies on this without support.

    Many people hold light-emitting devices closer to the eyes than the 30-45 cm fixed distance used in the study.

    “Moreover, in this study, the LE-eBook reader was held at a fixed distance (30 -45 cm) from the eye, further from the eye than many people might have chosen (therefore reducing retinal light exposure), particularly for users of smaller devices who may hold the smaller screens closer to the eyes.”
  • The paper relies on this without support.

    Little was known about how evening light exposure affects alertness the following day.

    “Light exposure in the biological evening/night also acutely increases alertness (7, 8), but not much is known about its impact on alertness the following day.”
  • The paper relies on this without support.

    The effect size of eszopiclone on sleep latency in patients with primary insomnia is comparable to the effect of LE-eBook versus print book on sleep latency in young healthy adults.

    “The 10-min-shorter sleep latency after the print-book condition compared with sleep latency after the LE-eBook condition is similar to the effect size of eszopiclone treatment on sleep latency in patients with primary insomnia (37).”
  • The paper relies on this without support.

    The light exposure from the LE-eBook at maximum brightness in the study is representative of typical evening use of light-emitting electronic devices.

    “This study demonstrates that use of a light-emitting electronic device in the hours before bedtime can have significant impact on sleep, alertness, and the circadian clock.”
    “The LE-eBook was set to the maximum brightness setting.”
7 of 7

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Citations

Cites

Show all 41 references

Research works printed but not linked: 1

  1. ED Weitzman, CA Czeisler, JC Zimmerman, JM Ronda, The timing of REM sleep and its relation to spontaneous awakening during temporal isolation in man. Sleep Res 9, 280 (1980).

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Metadata

Authors
Chang, A.-M., Aeschbach, D., Duffy, J. F., & Czeisler, C. A.
Affiliations
Brigham and Women's Hospital (US)
Venue
Proceedings of the National Academy of Sciences
Published
2014-12-22
Volume
112
Issue
4
Pages
1232-1237
ISSN
  • 0027-8424 (ISSN-L)
  • 1091-6490
OpenAlex
W2103257619
Cited by
1,430
References
41
Citations by year
2026: 182 · 2025: 170 · 2024: 139 · 2023: 127 · 2022: 119 · 2021: 116 · 2020: 113 · 2019: 127 · 2018: 121 · 2017: 88 · 2016: 67 · 2015: 58 · 2014: 1
FWCI
34.71
Type
journal article
Language
en
Open access
Locations
  • Proceedings of the National Academy of Sciences (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • elib (German Aerospace Center) (acceptedVersion)
Funders
HHS | NIH | National Heart, Lung, and Blood Institute (R01HL77453, K01HL115458)
Topics
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
Keywords
sleep, circadian rhythm, melatonin suppression, circadian phase delay, alertness, evening light exposure, printed books, bedtime, sleep latency, sleepiness
MeSH terms
Adult, Circadian Rhythm, Female, Humans, Lighting, Male, Melatonin, Reading, Sleep, Sleep Wake Disorders

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