Circadian Health After 45: How Timing Shapes Energy, Metabolism, and Sleep

September 6, 2026
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Longevity Science & Optimization

Waking up before dawn is often praised as the ultimate mark of discipline. Many men view a 4:30 a.m. wake-up time as proof of drive and focus. The biological reality after midlife is often quite different. For many men over 45, waking early is not a chosen habit. It is driven by an underlying shift in the body clock known as a circadian phase advance.

The human body runs on internal rhythms that repeat roughly every 24 hours. These rhythms control when you feel alert, when you feel tired, and how your body handles food. They dictate how your liver processes nutrients, how your heart regulates blood pressure, and how your muscles repair after a hard workout.

As you move past 45, these internal timers change. Research into longevity science guides shows that aging alters both the timing and the strength of our daily biological signals. When daily habits clash with these biological rhythms, the result is often poor sleep, sluggish recovery, and low energy.

Understanding circadian biology allows you to work with your body rather than fighting it. Managing your light exposure, meal times, workouts, and sleep schedules creates a stable daily rhythm. This guide examines what the research actually says about circadian timing after 45, separating verified science from popular trends.

  • Visualizing Circadian Synchronization in the Body
  • Master Clock (Brain) --Light-- SCN Pacemaker
  • Peripheral Clocks (Organs) --Food & Activity-- Liver, Muscle, Pancreas, Fat
  • Unified Entrainment Stable Energy, Deep Sleep, Metabolic Balance

(Note: Visual representation expressed through plain structure below.)

Understand the Central Clock and Peripheral Systems

Your body contains trillions of cells, and nearly all of them keep time. At the center of this network sits a tiny region in the brain called the suprachiasmatic nucleus. Located within the hypothalamus, this structure serves as the master biological clock. It synchronizes your entire physiology to the 24-hour cycle of day and night on Earth.

The master clock receives its strongest signals directly from your eyes. Specialized light-sensitive cells in the retina detect ambient light and send electrical impulses straight to the brain. This signal tells your brain whether it is daytime or nighttime. In response, the master clock adjusts your core body temperature, releases hormones, and sets your baseline alertness.

Your organs also have their own internal clocks. These are known as peripheral clocks. Peripheral clocks exist in your liver, pancreas, skeletal muscle, gut, and fat tissue. While the brain responds primarily to light, peripheral clocks take strong cues from food intake and muscular activity.

When your master clock and peripheral clocks run on the same schedule, your body operates smoothly. Your digestive tract expects food when your metabolic rate is high. Your muscles absorb glucose efficiently when you are active. Your brain produces melatonin when the environment is dark, preparing you for restorative rest.

Problems occur when these internal clocks lose coordination. For example, if you sit in bright light at midnight and eat a heavy meal, your brain and liver receive contradictory cues. The brain may sense light, while your digestive organs must suddenly process calories during their biological night. Chrononutrition researchers refer to this state as internal circadian desynchrony.

Environmental and behavioral time cues that set these clocks are called zeitgebers, a German term meaning time-givers. The most powerful zeitgeber is natural sunlight. Other important zeitgebers include food timing, physical activity, social interactions, and regular bedtimes. When your zeitgebers are consistent, your internal rhythms remain strong and synchronized.

Track Key Circadian Concepts

Evaluating your circadian health requires looking beyond simple sleep duration. Getting seven or eight hours of sleep is helpful, but the timing and structure of those hours matter just as much. Circadian science focuses on six distinct elements of biological timing:

  • Sleep quantity: The total number of hours you sleep across a 24-hour day.
  • Sleep continuity: How consolidated and uninterrupted your sleep is from beginning to end.
  • Circadian phase: The position of your internal biological clock relative to the solar day and local clock time.
  • Circadian amplitude: The strength and contrast between your peak daytime activity and nighttime rest.
  • Circadian alignment: How well your daily behaviors match the biological timing of your internal organs.
  • Circadian regularity: The consistency of your daily schedule across workdays and free days.

Circadian phase answers the question of when events happen. Your core body temperature drops to its lowest point in the second half of the biological night. Your natural melatonin secretion begins a few hours before you fall asleep in dim light. If your phase shifts earlier, you feel tired early in the evening and wake early in the morning.

Circadian amplitude answers how strongly your rhythms fluctuate. A healthy, high-amplitude rhythm shows a clear difference between day and night. Daytime alertness is sharp, body temperature is elevated, and energy is steady. At night, core temperature drops noticeably, melatonin rises sharply, and sleep is deep.

Circadian regularity answers how consistently your schedule repeats. If you wake at 6:00 a.m. on weekdays but sleep until 9:30 a.m. on weekends, your internal clocks experience schedule shifts similar to crossing time zones. Researchers call this pattern social jet lag. Keeping these definitions clear helps pinpoint the true cause of low energy or broken sleep.

Examine Why Rhythms Change After 45

Circadian rhythms do not remain static across your life. As men reach their late 40s and 50s, physical changes alter how biological clocks operate. These changes are a natural part of aging rather than a disease, but they significantly impact daily life.

One prominent change is the forward shift of circadian phase. Older adults naturally tend to go to bed earlier and wake earlier than younger men. The internal timing of core body temperature drops and melatonin release moves forward on the clock. A man who easily stayed up until 11:30 p.m. in his 30s may find his eyelids drooping by 9:00 p.m. at age 55.

A second major shift involves a reduction in circadian amplitude. Research indicates that the amplitude of daily rhythms flattens with age. Peak daytime body temperature becomes slightly lower, while nighttime body temperature does not drop as deeply. Melatonin production by the pineal gland also tends to decrease over time.

With lower amplitude, the boundary between biological day and biological night becomes less distinct. You may experience lower daytime alertness and more frequent nighttime awakenings. Sleep naturally becomes lighter, with less time spent in deep slow-wave stages.

Changes within the visual system also play a role in circadian aging. As the eyes age, the lens gradually yellows and thickens, and the pupil tends to become smaller. These changes reduce the amount of short-wavelength blue light reaching the specialized retinal ganglion cells. As a result, older adults receive a weaker environmental light cue from ordinary indoor room lighting.

Living mostly indoors compounds this issue. Indoor lighting typically provides between 100 and 500 lux, while direct outdoor sunlight ranges from 10,000 to over 100,000 lux. When an aging visual system is exposed only to dim indoor rooms, the master clock lacks the bright signal it needs to set itself firmly each morning.

  • Key Age-Related Circadian Changes After 45
  • Earlier biological phase (phase advance)
  • Lower melatonin and temperature amplitude
  • Reduced ocular light transmission to the brain
  • Lighter, more easily fragmented sleep
  • Reduced tolerance for schedule shifts

Understanding these physiological changes helps you adapt your habits. Rather than forcing yourself to match the late-night habits of your 20s, you can adjust your lighting, meals, and exercise to support your current biology.

Evaluate What Timing Means for Real-Life Performance

Circadian shifts directly affect daily capability, cognitive focus, physical strength, and metabolic health. Recognizing these connections helps you structure your days for steady energy and better health.

Metabolism changes substantially across the 24-hour cycle. In the morning and early afternoon, your body is primed to handle food. Insulin sensitivity in muscle tissue is higher, and the thermic effect of food is elevated. As the biological evening approaches, insulin sensitivity drops, and glucose clearance slows down.

When you eat large, carbohydrate-dense meals late in the evening, your body must process glucose when metabolic organs are preparing for rest. This can lead to prolonged blood sugar spikes, elevated triglycerides, and disrupted sleep. Aligning your nutrition with your daily energy needs supports both daily energy and metabolic health over the long haul.

Physical performance and joint comfort also follow circadian patterns. Core body temperature, nerve conduction speed, and muscle flexibility peak in the late afternoon and early evening. Many men find that their peak strength occurs between 3:00 p.m. and 6:00 p.m. Training during this window can feel smoother on stiff joints and support heavier lifting.

Timing also affects recovery and physical conditioning after tough workouts. Deep slow-wave sleep is when the body releases growth hormone and repairs tissue. If circadian misalignment causes fragmented sleep, muscular recovery slows down. Chronic schedule disruption can leave you feeling chronically sore, stiff, and drained.

Cognitive stamina follows distinct daily peaks. For men over 45 with an advanced circadian phase, mental clarity and working memory are often highest during the morning hours. Complex analytical work, strategic decisions, and demanding tasks are best scheduled before midday. Late afternoons may bring a natural dip in focus, making that time better suited for routine tasks or physical training.

Sleep continuity is often the first thing men notice changing. An early wake-up time of 4:00 a.m. can mean two entirely different things:

Scenario A: The Balanced Phase Advance

A 56-year-old man goes to bed at 9:00 p.m. falls asleep quickly, and wakes up naturally at 4:30 a.m. He feels refreshed, has steady daytime energy, and experiences no afternoon crashes. This represents a normal, healthy phase advance. His behavior matches his internal clock.

Scenario B: Sleep Fragmentation

A 56-year-old man goes to bed at 11:00 p.m. struggles to fall asleep, and wakes at 4:00 a.m. feeling exhausted. He cannot get back to sleep and relies on heavy caffeine to get through the day. This is sleep fragmentation or insomnia, not a healthy phase shift.

Recognizing which scenario you are experiencing prevents you from applying the wrong solution.

Regulate Light to Anchor Your Master Clock

Light is the single most powerful tool you have to set your master biological clock. It acts as an environmental anchor that keeps your internal timing locked to the 24-hour day. However, light affects your biology differently depending on when your eyes receive it.

Scientists map this relationship using a tool called the Phase Response Curve. This biological curve illustrates a simple rule:

  • Light in the biological morning: Advances your clock, making you want to sleep and wake earlier.
  • Light in the biological evening: Delays your clock, making you want to sleep and wake later.
  • Light in the middle of the day: Strengthens your circadian amplitude without shifting your timing.
  • Light during the biological night: Disrupts melatonin, delays sleep, and fragments sleep architecture.
  • The Circadian Phase Response to Light
  • Biological Morning Light Shifts Clock Earlier (Phase Advance)
  • Midday Bright Light Boosts Rhythm Amplitude and Alertness
  • Biological Evening Light Shifts Clock Later (Phase Delay)
  • Biological Night Light Suppresses Melatonin, Breaks Sleep

Using this framework helps you apply light correctly. If you struggle to wake up in the morning and feel wide awake late at night, morning light is your primary solution. Getting outside into direct sunlight for 20 to 30 minutes shortly after waking will advance your internal clock. Natural outdoor light provides thousands of lux, signaling your brain that the day has begun.

If you are already waking up too early at 3:30 or 4:00 a.m. blast yourself with bright light at 4:30 a.m. could lock your clock into that early schedule. In that situation, getting outdoor light in the late afternoon and early evening can help delay your rhythm slightly. This allows you to stay up comfortably until a reasonable bedtime and wake at a later hour.

Protecting the biological night is equally important. Dim household lighting by turning off overhead fixtures two hours before bed. Use warm, low-placed lamps instead. Dimming screens and avoiding bright, close-range illumination late at night prevents your brain from suppressing melatonin.

A practical light protocol for men over 45 involves four daily habits:

  1. Morning outdoor exposure: Spend 15 to 30 minutes outside within an hour of waking.
  2. Midday movement: Take a 20-minute walk outside around lunchtime to capture high-lux daylight.
  3. Afternoon daylight: Spend time near windows or outside in the late afternoon to support evening alertness.
  4. Evening dimming: Lower indoor lighting levels two hours before sleep and keep the bedroom completely dark.

When using therapeutic light boxes for specific circadian rhythm issues, proceed thoughtfully. Men with retinal conditions, eye disease, or those taking photosensitizing medications should consult an eye care professional before using high-intensity light therapy devices.

Align Meal Timing with Metabolic Clocks

Food is the primary synchronizer for your digestive organs, liver, and metabolic machinery. Every time you eat, your peripheral clocks adjust to process incoming nutrients. Chrononutrition studies show that when you eat matters just as much as what you eat.

Glucose tolerance and insulin sensitivity naturally follow a circadian rhythm. In humans, insulin sensitivity is highest in the morning and early afternoon, declining toward the biological night. Eating the majority of your daily carbohydrates and calories earlier in the day works with this natural metabolic peak.

Clinical trials examining early time-restricted feeding have shown promising results. When adults consume their daily food within an early window, such as 7:00 a.m. to 3:00 p.m. or 8:00 a.m. to 4:00 p.m. researchers frequently observe improvements in insulin sensitivity, lower blood pressure, and reduced oxidative stress.

Conversely, consuming large meals late in the evening creates metabolic friction. Late-night eating forces the pancreas and liver to manage carbohydrates and fats when melatonin levels are rising. Melatonin suppresses insulin release from the pancreas, meaning a late-night meal results in higher, more prolonged blood sugar levels.

Late heavy dinners also interfere with sleep quality. Digesting a large meal raises your core body temperature and increases heart rate, directly opposing the physical cooldown required for deep sleep. The National Institute on Aging advises finishing large meals at least two to three hours before going to bed.

  • Optimal Daily Meal Distribution
  • Breakfast: Substantial protein and complex carbohydrates
  • Lunch: Balanced meal supporting sustained daytime energy
  • Dinner: Moderate, easily digested meal finished 2-3 hours before bed
  • Night: Fasting period supporting cellular repair and sleep

Structuring your nutrition after 45 does not require extreme fasting windows. A reliable, sustainable approach focuses on these core practices:

  • Front-load your intake: Eat a substantial breakfast rich in protein and complex carbohydrates to kickstart daytime metabolism.
  • Establish a consistent eating window: Keep your daily food intake within a predictable 10-to-12-hour window, such as 7:30 a.m. to 6:30 p.m.
  • Keep dinner moderate: Make your evening meal lighter than your lunch and finish it well before sleep.
  • Avoid midnight snacking: Keep the hours between dinner and breakfast entirely free of calories to allow your gut and liver to rest.
  • Maintain schedule consistency: Eat your meals at roughly the same times every day to give your peripheral clocks a predictable rhythm.

Protecting total protein intake remains a priority for men past 45 to preserve lean muscle mass. Ensure your daily eating window easily accommodates your protein requirements without forcing aggressive restrictions that compromise recovery.

Schedule Workouts to Support Strength and Sleep

Physical training acts as a powerful secondary zeitgeber for skeletal muscle. Exercise elevates body temperature, stimulates hormone release, and increases muscular metabolism. Timing your workouts correctly helps you build strength while supporting solid sleep.

Demanding strength sessions require coordination, muscle power, and joint suppleness. Research indicates that physical performance peaks in the late afternoon. During this time, core body temperature reaches its daily high, joint stiffness is minimal, and muscle activation is optimal. Scheduling heavy lifting sessions between 2:00 p.m. and 6:00 p.m. often leads to productive sessions for men balancing joint health and heavy loads.

Morning exercise offers distinct circadian benefits as well. Completing a workout outdoors in the morning combines movement with bright natural light, reinforcing a strong morning phase signal. Morning training can elevate mood and sharpen mental focus and cognitive performance for the workday ahead.

The main timing risk involves vigorous, high-intensity workouts late in the evening. Hard training elevates core body temperature, spikes adrenaline, and stimulates the central nervous system. It can take several hours for body temperature and heart rate to return to resting baseline.

The National Institute on Aging suggests completing vigorous exercise at least three hours before bedtime. This buffer gives your nervous system time to shift into a parasympathetic state and allows your core body temperature to drop for sleep.

Different exercise goals align with different times of day:

Morning Training (6:30 a.m. to 9:00 a.m.)

Ideal for cardiovascular conditioning, outdoor running, or brisk walking. Combines natural sunlight with movement to anchor your morning clock and boost daytime alertness.

Afternoon Training (2:00 p.m. to 6:00 p.m.)

Ideal for heavy resistance training, power movements, and demanding sports. Takes advantage of peak body temperature, optimal joint mobility, and maximum muscular strength.

Evening Movement (After 7:00 p.m.)

Best limited to light mobility work, restorative stretching, or an easy post-dinner walk. Avoids overstimulating the nervous system or elevating body temperature right before bed.

Individual responses to exercise timing vary. Some men can complete a hard workout at 8:00 p.m. and fall asleep an hour later without issue. Others find that late exercise leaves them tossing and turning until midnight. Track your sleep after evening workouts to find what fits your physiology.

Manage Shift Patterns, Jet Lag, and Social Schedules

Modern life frequently disrupts biological timing. Business travel across time zones, shift work, on-call duties, and irregular social commitments pull our internal clocks away from the solar day.

Social jet lag occurs when your work schedule and weekend schedule are significantly different. For instance, waking up at 5:30 a.m. Monday through Friday and sleeping in until 9:30 a.m. on Saturday and Sunday creates a four-hour schedule shift every week. This constant back-and-forth keeps your circadian system in a perpetual state of readjustment, leading to sluggishness and poor focus on Monday mornings.

To minimize social jet lag, keep your wake-up time consistent throughout the week. Try to keep your weekend wake time within 60 minutes of your weekday schedule. If you stay up late on a weekend night, get up near your normal time and use a short 20-minute nap in the early afternoon to manage tiredness rather than sleeping away the morning.

  • Managing Schedule Transitions
  • Keep weekend wake times within 60 minutes of weekdays
  • Seek bright light upon waking in your destination time zone
  • Shift meal times to local clock time immediately upon arrival
  • Keep travel naps under 30 minutes to preserve nighttime sleep

Long-distance travel across multiple time zones creates true jet lag. When you travel rapidly across time zones, your central clock remains set to your departure city while local clocks demand an immediate shift.

To adapt faster when traveling, adjust your light exposure based on your travel direction:

  • Traveling East (advancing your clock): Seek bright light in the morning at your destination. Avoid bright light in the late afternoon and evening to encourage your clock to shift earlier.
  • Traveling West (delaying your clock): Seek bright daylight in the late afternoon and early evening at your destination. Avoid bright morning light immediately upon arrival to help your clock shift later.
  • Shift meals immediately: Switch your meal times to match the local clock as soon as you board the plane or arrive at your destination.

Shift work and on-call schedules present serious circadian challenges. For men working night or rotating shifts, the Centers for Disease Control and Prevention recommends creating a protected sleep environment during the day. Use blackout curtains, run a white noise machine, and wear sunglasses on the morning drive home to prevent bright sunlight from resetting your clock before daytime sleep.

Eating during night shifts should be carefully managed. Avoid large, heavy meals between midnight and 6:00 a.m. when your digestive system is dormant. Instead, consume small, protein-focused snacks if necessary, and eat your primary meals during normal daytime hours.

Clarify Common Circadian Misunderstandings

Circadian health is surrounded by many oversimplified claims. Examining the facts behind these popular ideas helps prevent wasted effort and poor results.

Misconception 1: Early Waking Always Means You Have Insomnia

Waking up early is often treated as a sleep disorder. After age 45, waking at 4:30 or 5:00 a.m. is often simply a natural circadian phase advance. If you fall asleep easily at 9:30 p.m. sleep soundly, and wake feeling energetic, your sleep is healthy. It becomes a problem only if you wake early feeling exhausted or if it interferes with your daily responsibilities.

Misconception 2: Blue-Light Glasses Fix All Nighttime Light Problems

Blue-light-blocking glasses are widely marketed as a total solution for late-night screen use. While filtering blue light can help reduce melatonin suppression, total light intensity and mental stimulation still matter. Staring at a bright screen with high cognitive engagement late at night will keep your brain alert regardless of your eyewear. Dimming the overall light level in your home is far more effective.

  • Common Misunderstandings vs Biological Realities
  • Myth: Waking early is always a sign of insomnia.
  • Reality: It is often a normal, healthy age-related phase advance.
  • Myth: Blue-light glasses fully protect nighttime sleep.
  • Reality: Total light brightness and mental stimulation still delay rest.
  • Myth: Morning sunlight always cures early awakenings.
  • Reality: Morning light shifts clocks earlier, worsening early waking.
  • Myth: Fasting works regardless of what or when you eat.
  • Reality: Caloric balance, food quality, and protein intake remain vital.

Misconception 3: Morning Sunlight Always Fixes Early Waking

Morning light is frequently recommended as a universal sleep remedy. If your internal clock is already shifted too early and you wake at 4:00 a.m. getting intense light at 4:30 a.m. will shift your clock even earlier. If you want to wake up later, you need light in the late afternoon and early evening to shift your rhythm back.

Misconception 4: Fasting Windows Matter More Than Food Quality

Time-restricted eating has become popular, but it is not a magic fix. Compressing poor-quality food into an eight-hour window will not optimize metabolic health. Total caloric intake, nutrient density, and adequate protein for maintaining training for strength and muscle remain foundational. Meal timing supports a healthy diet; it cannot replace one.

Misconception 5: Melatonin Functions as a Standard Sleeping Pill

Melatonin is not a sedative. It does not knock you out like a sleeping pill. Melatonin is a chronobiotic, a compound that signals the time of day to your brain. Taking large doses right before bed can cause vivid dreams, morning grogginess, and daytime fatigue. When used for circadian shifts, it is most effective in small doses taken several hours before intended sleep under professional guidance.

Recognize Where the Evidence Remains Limited

While circadian biology has advanced rapidly, several areas of research remain limited. Being clear about what the science has and has not proven helps set realistic expectations.

Much of our understanding of light therapy for advanced sleep-wake phase disorder in older adults comes from small clinical studies. While the underlying biology of the phase response curve is well established, large-scale randomized trials demonstrating reliable, long-term sleep improvements from home light boxes in older adults remain limited. Results vary widely between individuals.

Chrononutrition research also faces practical research hurdles. In many human trials on time-restricted eating, participants naturally eat fewer total calories when their eating window is shortened. It can be difficult to separate the benefits of meal timing from the benefits of simple calorie restriction and weight loss.

  • Areas Where Current Science is Developing
  • Long-term clinical light therapy trials for older adults
  • Separating meal timing benefits from unintended calorie reduction
  • Individual genetic differences in circadian adaptiveness
  • The exact health impacts of minor weekend schedule shifts

Evidence linking minor social jet lag to chronic disease is largely observational. While shifting your schedule by an hour on weekends may cause temporary grogginess, current research does not prove that occasional, minor schedule changes cause long-term metabolic disease in healthy, active adults.

Individual genetic variation also plays a major role in circadian biology. Differences in clock genes influence whether someone is naturally a morning lark or a night owl. A schedule that works well for one 52-year-old man may feel unnatural to another. Personal experimentation and self-tracking remain necessary to find your ideal timing.

If you struggle with severe, chronic sleep disruption, non-circadian causes must be ruled out. Conditions like obstructive sleep apnea, benign prostatic hyperplasia causing frequent nighttime urination, chronic joint pain, and clinical depression frequently disrupt sleep after 45. Circadian lifestyle adjustments support medical treatments, but they cannot replace proper diagnosis and care.

Structure Your Daily Routine

Building a strong, reliable circadian rhythm does not require perfection. It requires setting clear biological anchors throughout the day. By aligning your light exposure, meals, training, and sleep with your natural biological rhythms, you can sustain steady energy and sharp focus.

  • Anchor your wake time: Get out of bed at a consistent time every day, keeping weekend variations within 60 minutes.
  • Get early daylight: Step outside into natural sunlight for 15 to 30 minutes shortly after waking to set your master clock.
  • Front-load your calories: Eat a substantial breakfast and a solid lunch, making dinner your lightest meal of the day.
  • Close the kitchen early: Finish your final meal at least two to three hours before bedtime to protect sleep quality.
  • Train with intent: Schedule heavy lifting sessions for the afternoon when strength peaks, and avoid intense workouts right before bed.
  • Dim evening lights: Turn off bright overhead lights two hours before sleep and eliminate light sources in the bedroom.
  • Match light to your timing goals: Use morning light to shift your schedule earlier, and use late afternoon light if you are waking up too early.

Aligning your daily habits with your internal biological clocks is one of the most effective, practical ways to preserve physical capability, metabolic balance, and mental clarity through midlife and beyond.

Key Takeaways

  • Circadian health depends on the alignment and amplitude of both your master brain clock and peripheral organ clocks.
  • After 45, internal clocks naturally advance toward earlier sleep and wake times, while rhythm amplitude and ocular light sensitivity decrease.
  • Light is the primary tool for setting your central clock, while meal timing and exercise serve as key cues for metabolic organs.
  • Morning light shifts your internal clock earlier, while late-afternoon and evening light delays it.
  • Consuming most of your calories earlier in the day matches your natural peak in insulin sensitivity and supports sleep quality.
  • Consistency in wake times and meal schedules provides the steady rhythm your body needs for long-term health and daily performance.

Paying attention to when you eat, move, and seek light allows you to work alongside your biology, keeping you strong, capable, and energized every day.

Sources

  1. Light, sleep and circadian rhythms in older adults with ... - PMC
  2. Circadian Rhythm Sleep–Wake Disorders in Older Adults - PMC
  3. Light as Therapy for Sleep Disorders and Depression in Older Adults - PMC
  4. Phase Response Curve (PRC) - Circadian Sleep Disorders Network
  5. Effects on subjective and objective alertness and sleep in response to evening light exposure in older subjects

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