暴露在夜间人工光线 (ALAN) 对睡眠障碍的影响:系统性审查和元分析
Julia Kretzschmar1, Natalie Rath2, Karla Romero Starke1
1Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, Technische Universität Dresden, Fetscherstraße 74, Dresden 01307, Germany.
Environmental research
|January 7, 2026
概括
夜间人工光 (ALAN) 暴露与更高的睡眠障碍风险有关. 建议减少夜间照明以减轻这些影响.
科学领域:
- 环境健康 环境健康
- 睡眠医学 睡眠医学
- 流行病学 流行病学
背景情况:
- 夜间人工照明 (ALAN) 是一个日益严重的环境问题.
- 艾伦扰乱了人类和其他生物体的自然昼夜节律.
- 了解ALAN对睡眠的影响对于公众健康至关重要.
研究的目的:
- 系统地审查和分析有关ALAN暴露和睡眠障碍的流行病学研究.
- 在一般人群中量化ALAN暴露与睡眠障碍之间的关联.
主要方法:
- 观察性研究的系统审查和元分析.
- 在 MEDLINE,Embase,PsycINFO 和 Web of Science 搜索了这些网站.
- 使用随机效应元分析和计算的流行率计算的聚合效应估计.
- 使用GRADE方法评估偏差风险和证据确定性.
主要成果:
- 包括15项涉及765,838名参与者的研究;元分析包括10项研究 (691,851名参与者).
- 最高的ALAN暴露组显示,睡眠障碍的风险增加了27% (聚合PR:1.27).
- 尽管暴露评估中存在偏差的高风险,但证据的确定性很高.
结论:
- 证据支持ALAN暴露与睡眠障碍之间的关联.
- 目前的研究方法的局限性仍然存在.
- 需要采取预防策略,包括减少夜间照明和提高认识.
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