Pediatric endocrinology

Brighter Bedroom Light at Night Predicts Risk for Earlier Pubertal Onset: A 2-Year Longitudinal Study

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

These findings suggest an accelerating effect of individual-level LAN exposure on pubertal onset in both boys and girls, particularly during the post-bedtime period.

Study context

Population
Boys and girls aged 6 to 10 years, Tianchang, Anhui province, China; bedroom light at night (LAN) recorded at 1-minute intervals for 2 nights with portable illuminance meter at baseline
Participants
886 participants
Exposure
Highest vs lowest bedroom light at night exposure
Outcome
Pubertal onset (breast development in girls, testicular volume in boys), assessed every 6 months
Follow-up
2 years
Methodological detailslongitudinal, 2-year follow-up
  • Longitudinal
  • 2-year follow-up

Main finding

As reported in the abstract

Timing of pubertal onset

Time ratio (TR)

0.96

95% CI 0.95–0.98

Boys; puberty started 3.84 months earlier

TR

0.96

95% CI 0.94–0.98

Girls; puberty started 4.12 months earlier

Observational data: associations, not effects.

Further findings

Earlier pubertal onset per 30-minute increase in duration of LAN ≥ 3 lx

Earlier testicular development in boys, HR
1.09 (1.02-1.16) (95% CI)
Earlier thelarche in girls, HR
1.12 (1.07-1.16) (95% CI)

Timing of LAN exposure

Increased risk more pronounced with postbedtime than preawake light exposure

Original publication

Brighter Bedroom Light at Night Predicts Risk for Earlier Pubertal Onset: A 2-Year Longitudinal Study. J Clin Endocrinol Metab. Published 27 September 2025. doi:10.1210/clinem/dgaf526

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