Personal light exposure patterns and incidence of type 2 diabetes: analysis of 13 million hours of light sensor data and 670,000 person-years of prospective observation

Authors: Daniel P. Windred, Angus C. Burns, Martin K. Rutter, Chris Ho Ching Yeung, Jacqueline M. Lane, Qian Xiao, Richa Saxena, Sean W. Cain, Andrew J. K. Phillips

Year: 2024

Category: Epidemiology

Journal: Lancet

Institution: UK Biobank

DOI: 10.1016/j.lanepe.2024.100943

URL: https://www.thelancet.com/pdfs/journals/lanepe/PIIS2666-7762(24)00110-8.pdf

Abstract

Overview

The study explores the connection between personal light exposure and the risk of developing type 2 diabetes among participants from the UK Biobank, utilizing approximately 13 million hours of light sensor data.

Methods

  • Participants: 84,790 individuals, aged 62.3 ± 7.9 years, 58% female.
  • Light sensors worn for one week to measure day and night light exposure.
  • Analysis of circadian amplitude and phase from weekly data.
  • Incident type 2 diabetes cases recorded over an average follow-up of 7.9 years.
  • Adjustments made for age, sex, ethnicity, socioeconomic status, lifestyle, and genetic risk.

Findings

Increased diabetes risk correlated incrementally with higher night light exposure. Specific details include:

  • 50-70th percentiles of night light: HR = 1.29 [95% CI: 1.14–1.46]
  • 70-90th percentiles: HR = 1.39 [95% CI: 1.24–1.57]
  • 90-100th percentiles: HR = 1.53 [95% CI: 1.32–1.77]
  • Lower circadian amplitude and deviant circadian phases also associated with higher risk.

Conclusion

The study suggests that avoidance of bright light at night may serve as a simple preventive measure against type 2 diabetes, which could be particularly beneficial even for those with high genetic predispositions towards the disease.

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