It is now well established that the spectral, spatial, temporal and absolute sensitivities of the human circadian system are very different from those of the human visual system. Although qualitative comparisons between the human circadian and visual systems can be made, there still remains some uncertainty in quantitatively predicting exactly how the circadian system will respond to different light exposures reaching the retina. This paper discusses attempts to model the spectral sensitivity of the circadian system. Each of the models discussed here varies in terms of its complexity and its consideration of retinal neuroanatomy and neurophysiology. Future testing to validate or improve any of these computational models will require a targeted hypothesis, as well as a suitably high level of experimental control before one model can be rejected in favour of another. Until specific hypotheses are formulated and tested, it would be premature to recommend international acceptance of any model or system of circadian photometry.

This paper documents the spectral and spatial performance characteristics of two new versions of the Daysimeter, devices developed and calibrated by the Lighting Research Center to measure and record personal circadian light exposure and activity levels, and compares them to those of the Actiwatch Spectrum (Philips Healthcare). Photometric errors from the Daysimeters and the Actiwatch Spectrum were also determined for various types of light sources. The Daysimeters had better photometric performance than the Actiwatch Spectrum. To assess differences associated with measuring light and activity levels at different locations on the body, older adults wore four Daysimeters and an Actiwatch Spectrum for five consecutive days. Wearing the Daysimeter or Actiwatch Spectrum on the wrist compromises accurate light measurements relative to locating a calibrated photosensor at the plane of the cornea.

The absence of daily robust light-dark exposure patterns may contribute to sleep disturbances in persons with Alzheimer’s disease and related dementias (ADRD). Personal light-dark and activity-rest patterns were measured for healthy older adults and for persons with ADRD. Persons with ADRD experienced lower light levels, exhibited lower activity levels, and had greater levels of circadian disruption than healthy older adults during winter. Seasonal differences were observed for persons with ADRD; lower levels of light exposure and greater levels of circadian disruption were seen during the winter than during the summer, although activity levels did not differ for the two seasons.