{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T11:43:57Z","timestamp":1790163837517,"version":"4.1.0"},"reference-count":56,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,2,25]],"date-time":"2020-02-25T00:00:00Z","timestamp":1582588800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Hospital light may affect neonatal neurosensory development and the well\u2010being of parents and caregivers. We aimed to issue practical recommendations regarding the optimal light environment for neonatal units.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic evaluation was performed using PubMed to identify relevant papers published in English or French up to July 2018, and the different grades of evidence were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 89 studies and one meta\u2010analysis and examined 31 eligible studies. The major results were that natural or artificial light should not exceed 1000 lux and that all changes in light level should be gradual. Light protection should be used for infants of &lt;32\u00a0weeks of postmenstrual age and but must be individualised to each infant. Infants should not be exposed to continuous high light levels regardless of their term and postnatal age. Cycled light before discharge seemed to be safe and beneficial. For medical caregivers\u2019 well\u2010being, higher light levels and access to natural light are recommended. Special attention should be given to protecting neonatal patients from high light levels that may be necessary when performing specific care procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Consideration of general principles and practical applications can improve the neonatal light environment for newborn infants, parents and caregivers.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.15173","type":"journal-article","created":{"date-parts":[[2020,1,19]],"date-time":"2020-01-19T05:49:18Z","timestamp":1579412958000},"page":"1292-1301","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Recommendations on neonatal light environment from the French Neonatal Society"],"prefix":"10.1111","volume":"109","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7495-3416","authenticated-orcid":false,"given":"Claire","family":"Zores\u2010Koenig","sequence":"first","affiliation":[{"name":"M\u00e9decine et R\u00e9animation du Nouveau\u2010n\u00e9 H\u00f4pital de Hautepierre CHU Strasbourg Strasbourg France"},{"name":"Institut des Neurosciences Cellulaires et Int\u00e9gratives UPR 3212 CNRS et Universit\u00e9 de Strasbourg Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3132-481X","authenticated-orcid":false,"given":"Pierre","family":"Kuhn","sequence":"additional","affiliation":[{"name":"M\u00e9decine et R\u00e9animation du Nouveau\u2010n\u00e9 H\u00f4pital de Hautepierre CHU Strasbourg Strasbourg France"},{"name":"Institut des Neurosciences Cellulaires et Int\u00e9gratives UPR 3212 CNRS et Universit\u00e9 de Strasbourg Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3822-5136","authenticated-orcid":false,"given":"Laurence","family":"Caeymaex","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Centre Hospitalier Intercommunal de Cr\u00e9teil Cr\u00e9teil France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Group of Reflection\u00a0and\u00a0 Evaluation of the Environment of Newborns study group of the French Neonatology Society","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2014.3351"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511711848"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.14501"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/siny.2001.0077"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2004.04.010"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2011.08.006"},{"key":"e_1_2_9_8_1","first-page":"1897","article-title":"Brain growth gains and losses in extremely preterm infants at term","volume":"31","author":"Padilla N","year":"2014","journal-title":"Cereb Cortex"},{"key":"e_1_2_9_9_1","first-page":"204","volume-title":"The Visual System","author":"Penn AA","year":"2002"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004703-200012000-00007"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/dev.20506"},{"key":"e_1_2_9_12_1","first-page":"1","volume-title":"Spatial and Chromatic Visual Efficiency in Human Neonates. 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