Home Hemorrhagic and Ischemic Stroke High exposure to outdoor light at night may be a risk factor for cerebrovascular diseases

High exposure to outdoor light at night may be a risk factor for cerebrovascular diseases

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High exposure to outdoor light at night may be a risk factor for cerebrovascular diseases

A study published today within the journal Research shows that individuals continually exposed to vivid artificial light at night could also be at increased risk of diseases that affect blood flow to the brain and stroke. Strokea peer-reviewed scientific journal of the American Stroke Association, a division of the American Heart Association.

Shiny outdoor lights are used at night to enhance visibility of surroundings, improving people’s safety and luxury. Nevertheless, in keeping with the study’s authors, excessive use of artificial light has resulted in roughly 80% of the world’s population living in light-polluted environments.

Although previous research has linked increased exposure to vivid, artificial light at night with the event of heart problems, that is one among the primary studies to look at the link between exposure to light pollution at night and potential risk for brain health and stroke.

“Despite significant progress in reducing traditional risk aspects for heart problems, similar to smoking, obesity and kind 2 diabetes, it will be significant to think about environmental aspects in our efforts to cut back the worldwide burden of heart problems,” said one among the corresponding authors, Jian -Bing Wang. Ph.D., a researcher within the Department of Public Health and Department of Endocrinology of Kid’s Hospital, Zhejiang University School of Medicine and National Clinical Research Center for Kid’s Health, Hangzhou, China.

In a review of 28,302 adults in China, exposure to outdoor residential lighting at night was assessed using satellite imagery that mapped light pollution. Stroke cases were confirmed by hospital medical records and death certificates.

Evaluation of information covering six years of participant statement showed that:

  • 1,278 people had cerebrovascular disease, including 777 cases of ischemic stroke (attributable to clots) and 133 cases of hemorrhagic stroke (bleeding).
  • Individuals with the very best levels of exposure to outdoor light at night had a 43% higher risk of developing cerebrovascular disease in comparison with individuals with the bottom levels of exposure.
  • Individuals with the very best levels of exposure to particulate matter 2.5 (PM2.5 is primarily emissions from the combustion of gasoline, diesel oil or wood), the chance of cerebrovascular disease was 41% higher in comparison with participants with the bottom level of exposure to PM2.5.
  • Participants with the very best levels of PM exposure10 (IN THE AFTERNOON10 comes mainly from dust and smoke) had a 50% higher risk of developing cerebrovascular disease in comparison with people least exposed to PM10.
  • Participants with the very best exposure to nitric oxide (emissions from cars, trucks and buses, power plants and off-road equipment) had a 31% higher risk of developing cerebrovascular disease in comparison with those with the bottom exposure.

Of note, a further evaluation that included each outdoor light at night and pollution showed that the association with increased risk of cerebrovascular disease endured, except for ischemic stroke.

Our study suggests that higher levels of exposure to artificial outdoor light at night could also be a risk factor for cerebrovascular disease. We subsequently advise people, especially those living in urban areas, to think about reducing this exposure to guard themselves from its potential harmful effects.”

Jian-Bing Wang, Ph.D., Researcher, Department of Public Health and Department of Endocrinology, Kid’s Hospital, Zhejiang University School of Medicine and National Clinical Research Center for Kid’s Health, Hangzhou, China

Artificial light sources include fluorescent, incandescent and LED light sources. Continued exposure to those light sources at night can inhibit the production of melatonin, a hormone that promotes sleep. This may disrupt an individual’s 24-hour internal clock and disrupt sleep. The study shows that individuals who sleep poorly, in comparison with individuals who sleep well, are at greater risk of declining cardiovascular health over time. The American Heart Association’s Life’s Essential 8 includes healthy sleep as one among eight healthy lifestyle behaviors and health measures for optimal cardiovascular health.

“We’d like to develop more practical preventive policies and methods to cut back the burden of disease attributable to environmental aspects similar to light and air pollution, especially for people living in essentially the most densely populated and polluted areas all over the world,” Wang said.

Study background and details:

  • The evaluation was conducted between 2015 and 2021 and included adults without heart problems living in Ningbo, a significant port and industrial city on China’s east coast with a population of over 8.2 million people in keeping with the 2020 China Census.
  • The common age of the study participants was 62 years, and roughly 60% were women.
  • The study enrolled participants between 2015 and 2018 and followed them for as much as six years for cerebrovascular disease, ischemic stroke and hemorrhagic stroke.
  • Individuals with unavailable addresses or error records, missing co-data (data not included in the unique study which will alter results), extreme levels of exposure to external light at night, previously diagnosed cerebrovascular disease at study entry and inside 1 12 months of entry were excluded . from evaluation.

The study had several limitations, including an absence of information on indoor lighting products and shading agents, similar to blackout curtains, utilized by participants at night. Moreover, satellite products rarely capture blue light sources, which can result in an underestimated association between ambient light at night and cerebrovascular disease; and the study population was from one city in China, so the findings may not apply to residents of other communities with different exposure to outdoor light at night. Larger prospective studies are needed to verify these findings.

Source:

Magazine number:

Wu, Y., et al. (2024) Outdoor light at night, air pollution and the chance of cerebrovascular disease: a cohort study in China. Stroke. doi.org/10.1161/STROKEAHA.123.044904.

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