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Abstract
Little is known about the natural pattern of seasonal and diurnal illumination to which normal people are exposed, especially in northern latitudes. In this study, ambient illumination of normal volunteers living at a latitude of 45°31′ N was recorded with ambulatory photosensors worn for 5 to 6 days in winter and summer. Results from 12 normal subjects (6 men, 6 women) aged 18 to 35 years were included in the analyses. The mean daily duration of time awake was similar in both seasons: 14.6h in the summer and 14.9h in the winter. However, the phase of the sleep-wake cycle was advanced in the summer compared to the winter, as shown by an earlier average waketime and bedtime in the summer. Illumination recorded by the ambulatory monitor between waketime and bedtime was categorized according to four ranges of light intensities: very dim (< 1 lux), dim (1–100 lux), moderate (100–1000 lux), and bright (> 1000 lux) illumination. There was no seasonal difference for the time spent in illumination lower than 1000 lux, but the duration of daily exposure to bright light averaged 2.6h in the summer compared to only 0.4h in the winter (p = 0.0004). To evaluate the diurnal distribution of ambient illumination, time spent awake was divided into four time intervals: morning (waketime to 12:00), afternoon (12:00 to 16:00), early evening (16:00 to 20:00), and late evening (20:00 to bedtime). Except for late evening, the time spent in bright illumination was significantly longer during the summer for all time intervals, but the relative distribution of bright light exposure throughout the day was the same in both seasons. The subjects spent more than 50% of their time awake in illumination dimmer than 100 lux, even in the summer. More naturalistic studies are needed to determine whether very short exposure to bright light or longer exposure to light of moderate intensity (100–1000 lux) are sufficient to maintain circadian en-trainment and euthymia in normal young subjects.