The DOI matches its Crossref record; 63 of the 63 references it cites were found in a registry or an index.
Effects of Cycled Lighting Versus Continuous Near Darkness on Physiological Stability and Motor Activity Level in Preterm Infants
Abstract
Background: Preterm infants generally spend weeks in the neonatal intensive care unit where light intensity can fluctuate as well as be high, leading to physiological instability and increased motor activity in these infants. To date, 2 lighting control methods have been studied: cycled lighting and continuous near darkness. The most appropriate method of lighting is still unknown due to ambivalent results from the studies that have assessed these 2 interventions. Objective: To compare the effects of cycled lighting versus continuous near darkness on physiological stability and motor activity level in preterm infants born between 28 and 32 weeks of gestation. Methods: A randomized clinical trial was conducted to compare physiological stability and motor activity level in preterm infants assigned to cycled lighting or continuous near darkness. Thirty-eight participants were recruited and randomly assigned to one of the lighting conditions for 24 hours. Physiological stability was measured using the Stability of the Cardiorespiratory System in Premature Infants (SCRIP) score, the means, and the coefficient of variation of each physiological parameter measured. The level of motor activity was measured with an accelerometer. Results: There were no significant differences between the 2 groups with regard to physiological stability measured by the SCRIP score, means, and coefficient of variation as well as motor activity level. Participants in both groups were physiologically stable and their motor activity level was comparable. Implications for Practice and Research: Neither cycled lighting nor continuous near darkness negatively impacted infant's physiologic stability and motor activity level. Further research is required to identify the most appropriate lighting control method for preterm infants born between 28 and 32 weeks of gestation.
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“Premature infants kept in regular light–dark conditions also fed orally sooner and spent fewer days on ventilator assistance, but had similar motor coordination compared with infants under continuous near darkness in the NICU (28–32 weeks of gestation)79–85.”
From Rhythms of life: circadian disruption and brain disorders across the lifespan (2019) · cites this paper as [83]
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Sorted by citations
Rhythms of life: circadian disruption and brain disorders across the lifespan
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Metadata
- Authors
- Lebel, V., Aita, M., Johnston, C., Héon, M., & Dupuis, F.
- Affiliations
- McGill University (CA)
- Corresponding author
- Lebel, Valérie
- Venue
- Advances in Neonatal Care
- Published
- 2017-08
- Volume
- 17
- Issue
- 4
- Pages
- 282-291
- ISSN
- 1536-0903 (ISSN-L)
- OpenAlex
- W2566885849
- Cited by
- 18
- References
- 63
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 5 · 2022: 2 · 2021: 3 · 2019: 3 · 2018: 2
- FWCI
- 1.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Advances in Neonatal Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal Health and Biochemistry
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
- Keywords
- preterm infants, physiological stability, motor activity, neonatal intensive care, light intensity
- MeSH terms
- Child Development, Humans, Infant, Low Birth Weight, Infant, Newborn, Infant, Premature, Intensive Care Units, Neonatal, Motor Activity, Photoperiod, Infant Behavior
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