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Blue Light Therapy for Better Sleep in Seniors

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Posted 3 hours ago by inuno.ai


A sleepless senior woman with sleeping pills on her nightstandA sleepless senior woman with sleeping pills on her nightstand

Researchers say blue light exposure in the morning may be a healthier alternative to taking sleep medications. (amenic181/Shutterstock)

In a nutshell

  • Morning exposure to blue-enriched light significantly improves sleep quality and stability of daily activity patterns in older adults, while evening exposure to the same light can disrupt sleep.
  • Spending more time in bright daylight (above 2500 lux) leads to more active days, stronger daily rhythms, and earlier bedtimes, highlighting the importance of outdoor time for seniors.
  • Light therapy offers a promising non-pharmacological approach to address age-related sleep problems, with participants reporting meaningful improvements in sleep quality during the 11-week study.

GUILDFORD, England — Getting older brings many changes, and unfortunately, worse sleep is often one of them. Many seniors struggle with falling asleep, waking up frequently during the night, and generally feeling less rested. But what if something as simple as changing your light exposure could help?

A new study from the University of Surrey has found that the right light, at the right time, might make a significant difference in older adults’ sleep and daily activity patterns. This research, published in GeroScience, reveals that morning exposure to blue-enriched light can be beneficial, while that same light in the evening can actually make sleep problems worse.

“Our research shows that carefully timed light intervention can be a powerful tool for improving sleep and day-to-day activity in healthy older adults,” explains study author Daan Van Der Veen from the University of Surrey, in a statement. “By focusing on morning blue light and maximizing daylight exposure, we can help older adults achieve more restful sleep and maintain a healthier, more active lifestyle.”

Why light timing matters

So why do older adults have more sleep troubles in the first place? Part of the problem lies in the aging eye. As we get older, our eyes undergo natural changes—the lens yellows, pupils get smaller, and we have fewer photoreceptor cells. All these changes mean less light reaches the brain’s master clock, located in a tiny region called the hypothalamic suprachiasmatic nuclei (SCN).

That yellowing lens is particularly problematic because it filters out blue light wavelengths specifically. It’s like wearing subtle yellow sunglasses all the time. This matters because blue light (wavelengths between 420 and 480 nanometers) is especially powerful at regulating our body clocks. With less blue light reaching their brains, older adults’ internal clocks can become weaker and more prone to disruption.

Many seniors also spend less time outdoors and have fewer social engagements, further reducing their exposure to bright natural light. Meanwhile, they might be getting too much artificial light at night, which can confuse the body’s natural rhythms.

Elderly Man Sleeping in Bed.Elderly Man Sleeping in Bed.
Blue light exposure can make for better sleep if it is in the morning. (Photo by SHVETS production from Pexels)

The Surrey researchers wanted to see if they could improve sleep for older adults living independently at home by tweaking their light exposure. They recruited 36 people aged 60 and over who reported having sleep problems. None were in full-time employment, and all were free from eye disorders or other conditions that might complicate the study.

Over an 11-week period during fall and winter (when natural daylight is limited in the UK), participants followed a carefully designed protocol. They spent one week establishing baseline measurements, followed by three weeks using either blue-enriched white light (17,000 K) or standard white light (4,000 K) for two hours each morning and evening. After a two-week break, they switched to the other light condition for three weeks, followed by another two-week washout period.

Participants used desktop light boxes while going about normal activities like reading or watching TV. They wore activity monitors on their wrists around the clock and light sensors around their necks during the day. They kept sleep diaries and collected urine samples to measure melatonin metabolites, markers indicating how their internal clocks were functioning.

Morning light helps, evening light hurts

The results were telling. Longer morning exposure to the blue-enriched light significantly improved the stability of participants’ daily activity patterns and reduced sleep fragmentation. By contrast, evening exposure to that same light made it harder to fall asleep and reduced overall sleep quality.

Another key discovery was that participants who spent more time in bright light (above 2,500 lux, roughly the brightness you’d experience outdoors on a cloudy day) had more active days, stronger daily rhythms, and tended to go to bed earlier. This finding reinforces long-standing advice from sleep experts: getting outside during the day is really important for good sleep.

Woman looking at phone in bed, blue light in faceWoman looking at phone in bed, blue light in face
Evening blue light exposure should be limited to have a better sleep. (© leungchopan – stock.adobe.com)

Morning people (early birds) naturally started their morning light sessions earlier than night owls. However, most participants used their evening light sessions at similar times, suggesting that social habits might influence evening routines more than biological clocks.

The women in the study showed more variable activity patterns throughout the day than men, and those who took more daytime naps had less stable daily rhythms and were generally less active.

Practical tips

By the end of the study, participants reported meaningful improvements in their sleep quality. This means light therapy could be a potential alternative to sleep medications, which often come with side effects.

“We believe that this is one of the first studies that have looked into the effects of self-administered light therapy on healthy older adults living independently to aid their sleep and daily activity,” says study author Débora Constantino, a postgraduate research student. “It highlights the potential for accessible and affordable light-based therapies to address age-related sleep issues without the need for medication.”

For older adults seeking better rest, the advice is clear:

  • Get bright, blue-enriched light in the morning: Use a light box or spend time outdoors after waking up.
  • Dim the lights in the evening: Reduce exposure to phones, tablets, and bright overhead lights.
  • Stay consistent: Establishing regular morning and evening routines can further support healthy sleep patterns.

This approach isn’t just for people in care homes or those with cognitive impairments; it can also benefit healthy, independent older adults. With an aging population worldwide, finding simple and effective strategies to improve sleep has never been more important. The right light at the right time might be a key part of aging well.

Paper Summary

Methodology

The researchers used a randomized crossover design where each participant tried both light conditions in random order. The 11-week protocol included baseline measurements, three-week light exposure periods separated by two-week “washout” periods. Participants self-administered light using desktop light boxes while researchers tracked their activity, sleep, and light exposure through wearable monitors, diaries, and biological samples.

Results

Morning blue-enriched light exposure improved daily rhythm stability and reduced sleep fragmentation, while evening exposure to the same light disrupted sleep. Participants who spent more time in bright daylight showed stronger daily rhythms, higher daytime activity, and earlier bedtimes. Evening light exposure increased the time to fall asleep and reduced sleep efficiency. Overall sleep quality improved significantly by the end of the study.

Limitations

The relatively small sample size (36 participants), reliance on self-administered light therapy, seasonal timing (fall/winter in the UK), and use of wrist activity monitors rather than clinical sleep measurement tools limit the study’s broad applicability. The research focused only on healthy older adults with self-reported sleep problems, so findings may not apply to those with diagnosed sleep disorders or cognitive impairments.

Discussion and Takeaways

This research suggests that properly timed light exposure can improve sleep and daily rhythms in older adults living independently. The findings support a non-pharmaceutical approach: increase morning exposure to bright, blue-enriched light (either through light boxes or outdoor time) and minimize evening light exposure, particularly from blue-rich sources like electronic screens and bright overhead lighting.

Funding and Disclosures

The research was supported by EU grants and UK research initiatives. Dr. Victoria Revell disclosed serving as a scientific advisor to Lumie, a light therapy product manufacturer. Study sponsors had no role in the research design or execution.

Publication Information

This study, titled “The bright and dark side of blue-enriched light on sleep and activity in older adults,” was published online on January 17, 2025, in the journal GeroScience. The research was conducted by a team from the University of Surrey in the UK, led by Débora Barroggi Constantino, Katharina A. Lederle, and Daan R. van der Veen, along with colleagues Benita Middleton, Victoria L. Revell, Tracey L. Sletten, Peter Williams, and Debra J. Skene.

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