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Sleep deficits in the High Arctic summer in relation to light exposure and behaviour: use of melatonin as a countermeasure.

Sleep medicine
March 1, 2015
Michel A Paul et al. (6 authors)
Clinical TrialJournal ArticleHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the effects of exogenous melatonin on preventing/treating circadian phase delay due to nocturnal light exposure in polar regions.

Results Summary

Melatonin treatment improved subjective sleep difficulty in Trial 2, but no significant differences were observed in objective sleep measures. The study attributed differences in sleep and melatonin rhythms between trials to varying levels of nocturnal light exposure.

Population

Subjects at Canadian Forces Station Alert (82.5°N) during summer trials in 2012 and 2014.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (3)
InterventionDirectionEndpointPopulationDosageImpactClaim #
exogenous melatonin
decrease
subjective sleep difficulty
individuals who reported difficulty sleeping
-
led to an improvement in
#1
exogenous melatonin
no change
objective measures of sleep
individuals who reported difficulty sleeping
no significant differences
no significant differences in
#2
avoidance of nocturnal light
increase
sleep
research participants
-
likely to improve
#3
Abstract

BACKGROUND: There are conflicting reports regarding seasonal sleep difficulties in polar regions. Herein we report differences in actigraphic sleep measures between two summer trials (collected at Canadian Forces Station Alert, 82.5°N, in 2012 and 2014) and evaluate exogenous melatonin for preventing/treating circadian phase delay due to nocturnal light exposure. METHODS: Subjects wore actigraphs continuously to obtain sleep data. Following seven days of actigraphic recording the subjects filled out questionnaires regarding sleep difficulty and psychosocial parameters and subsequently remained in dim light conditions for 24 hours, during which saliva was collected bihourly to measure melatonin. During Trial 2, individuals who reported difficulty sleeping were prescribed melatonin, and a second saliva collection was conducted to evaluate the effect of melatonin on the circadian system. RESULTS: Trial 1 subjects collectively had late dim light melatonin onsets and difficulty sleeping; however, the Trial 2 subjects had normally timed melatonin rhythms, and obtained a good quantity of high-quality sleep. Nocturnal light exposure was significantly different between the trials, with Trial 1 subjects exposed to significantly more light between 2200 and 0200h. Melatonin treatment during Trial 2 led to an improvement in the subjective sleep difficulty between the pre- and post-treatment surveys; however there were no significant differences in the objective measures of sleep. CONCLUSIONS: The difference in sleep and melatonin rhythms between research participants in June 2012 and June 2014 is attributed to the higher levels of nocturnal light exposure in 2012. The avoidance of nocturnal light is likely to improve sleep during the Arctic summer.

Medical Subject Headings (MeSH)
ActigraphyAdultArctic RegionsCanadaCentral Nervous System DepressantsCircadian RhythmFemaleHumansMaleMelatoninMiddle AgedSeasonsSleep Disorders, Circadian RhythmSunlightTime FactorsYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations13
Citations/Year1.3
Relative Citation Ratio0.70
NIH Percentile37.3%
Research Impact Scores
APT Score0.50
Weight Score1.62
Normalized Score0.61
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