title: The effect of bright light on sleepiness among rapid-rotating 12-hour shift workers.
abstract: OBJECTIVE
  About 20% of workers in industrialized countries are shift workers and more than half of them work on night or rotating shifts. Most night workers complain of sleepiness due to lack of adjustment of the circadian rhythm. In simulated night-work experiments, scheduled exposure to bright light has been shown to reduce these complaints. Our study assessed the effects of bright light exposure on sleepiness during night work in an industrial setting.
  
  
  METHODS
  In a cross-over design, 94 workers at a ceramic factory were exposed to either bright (2500 lux) or normal light (300 lux) during breaks on night shifts. We initiated 20-minute breaks between 24.00 and 02.00 hours. Sleepiness ratings were determined using the Stanford Sleepiness Scale at 22.00, 24.00, 02.00 and 04.00 hours.
  
  
  RESULTS
  Under normal light conditions, sleepiness peaked at 02:00 hours. A significant reduction (22% compared to normal light conditions) in sleepiness was observed after workers were exposed to bright light.
  
  
  CONCLUSIONS
  Exposure to bright light may be effective in reducing sleepiness among night workers.
authors.affiliation: Baharloo Hospital, Occupational Medicine Department, Tehran University of Medical Science, Tehran, Iran.
authors.forename: Khosro
authors.initials: K
authors.lastname: Sadeghniiat-Haghighi
authors.forename: Zohreh
authors.initials: Z
authors.lastname: Yazdi
authors.forename: Hassan
authors.initials: H
authors.lastname: Jahanihashemi
authors.forename: Omid
authors.initials: O
authors.lastname: Aminian
mesh_terms: D000328:Adult; D018592:Cross-Over Studies; D006801:Humans; D008029:Lighting; D008297:Male; D008875:Middle Aged; D012890:Sleep; D014940:Work Schedule Tolerance