Supplementary Information

The health-relevant architecture of the everyday light exposome

The manuscript places these figures and tables in context. The analysis pages show how each display is produced.

Supplementary materials

Supplementary Methods: Preregistration deviations is supplied as a separate Word document (preregistration-deviations.docx). It describes all departures from the registered plan and the associated qualifications.

Download Supplementary Methods: Preregistration deviations, or read the deviations online.

Near-eye and complementary chest measurements remain separate sensor-position estimands. Common-sample analyses use the same participants and participant-days at both positions and fit the positions separately. They do not pool positions, test equivalence, or establish a universal correction. Detailed model checks, sensitivities, exact formulas, and package versions are documented in the analysis pages. The project repository provides the data, code and reproduction instructions.

Supplementary figures

Supplementary Figure S1. Near-eye metric distributions

Distributions of near-eye light-exposure metrics by country-coded study site.
Supplementary Figure S1. Detailed near-eye metric distributions by country-coded study site.

Supplementary Figure S2. Worked metric derivation

Example time series linked to the daily time-above-250-lx metric.
Supplementary Figure S2. Examples linking 30-minute time series to the daily time-above-250-lx metric.

Supplementary Figure S3. Latitude and civil-photoperiod measurement range

Observed civil photoperiod and theoretical bounds by absolute latitude.
Supplementary Figure S3. Observed civil photoperiod and theoretical bounds by absolute latitude.

Supplementary Figure S4. Site-average recommendation adherence

Six modelled recommendation-adherence levels with 95% confidence intervals across the Daytime, Pre-sleep and Sleep windows. Colours and point shapes distinguish work and free days. The primary free-day estimates are lower for daytime and sleep and higher for pre-sleep. Sleep describes the device-recorded bedside environment.
Supplementary Figure S4. Site-average recommendation adherence on work and free days. Daytime, Pre-sleep and Sleep identify the Brown et al. recommendation windows. Each point gives equal weight to nine sites; bars are 95% confidence intervals. The wake-start date labels the preceding sleep, daytime and following pre-sleep windows. Sleep describes the device-recorded bedside environment, not ocular exposure or a whole-bedroom measurement. The pre-sleep contrast remains positive but its interval includes zero under the 80% coverage restriction; temporal dependence remains unresolved. The coverage sensitivity is reported in the Results and Methods.

Supplementary Figure S5. Site-specific adherence and day-type differences

Supplementary Figure S5A. Work-day adherence for all nine country-coded sites in three recommendation-window panels. Filled diamonds identify FDR-retained site-minus-average comparisons; open circles do not. Bars are 95% confidence intervals and the long-dashed blue line is the equal-site work-day mean, including the indexed site.
Supplementary Figure S5A. Site-specific work-day recommendation adherence. Filled diamonds identify site-minus-average comparisons retained after FDR adjustment; bars are 95% confidence intervals. The full explanation accompanies part B.
Supplementary Figure S5B. All 27 site-specific free-minus-work differences with 95% confidence intervals. Filled diamonds identify FDR-retained differences from zero. Asterisks identify departures from the window-specific equal-site difference in a separate FDR family. Dotted lines mark zero and long-dashed blue lines mark the equal-site reference.
Supplementary Figure S5. Site-specific recommendation adherence, shown as two separate images. A, Work-day adherence, with filled diamonds identifying site-minus-average differences that met their FDR criterion. B, Free-minus-work differences, with filled diamonds identifying differences from zero and asterisks identifying departures from the window-specific equal-site difference in a separate 27-comparison FDR family. Daytime, Pre-sleep and Sleep identify the Brown et al. recommendation windows. Points are estimates and bars are 95% confidence intervals. Each equal-site reference includes the indexed site. Sites are components of one pooled observational model, not independent replications or causal effects of location. Day type follows the wake-start date; sleep is the preceding bedside sleep-environment window. Temporal dependence remains unresolved, and the pre-sleep coverage qualification applies.

Supplementary Figure S6. Anonymous participant recommendation-adherence profiles

Participant-average recommendation adherence across the Daytime, Pre-sleep and Sleep Brown et al. recommendation windows. Colored points show anonymous participants' equal-cycle means, faint lines connect the same participant across windows, half-violin shapes show the window distributions, and dark bars with white points show interquartile ranges and medians. The lines are not time trajectories or ranks.
Supplementary Figure S6. Participant-average recommendation adherence across the Brown et al. recommendation windows. Daytime, Pre-sleep, and Sleep are the window labels. Each colored point is one anonymous participant’s equal-cycle mean within that window. Faint lines connect the same anonymous participant across the three window summaries; they are not time trajectories or ranks. Half-violin shapes show the window distributions, and dark bars with white points show interquartile ranges and medians. Because each window has its own Brown et al. threshold and direction, absolute percentages should be interpreted within window.

Supplementary Figure S7. Geographic and civil-photoperiod support

FDR support matrix for site, civil photoperiod, latitude and site-versus-latitude adequacy across near-eye exposure metrics.
Supplementary Figure S7. Geographic and civil-photoperiod associations across near-eye personal light-exposure metrics. Evidence retained after FDR adjustment for overall site, civil photoperiod, latitude, and site-versus-linear-latitude adequacy. These descriptive associations do not identify a mechanism.

Supplementary Figure S8. Nonlinear civil-photoperiod associations and fitted slopes

Near-eye metric response smooths and their fitted slopes across observed civil photoperiod, arranged as paired panels.
Supplementary Figure S8. Nonlinear civil-photoperiod associations and their fitted slopes. A qualifying transition denotes an increase followed by a sustained near-flat tail under the specified slope rule. These descriptive associations do not identify a mechanism, and no physiological or environmental ceiling was identified.

Supplementary Figure S9. Light-source category and local-clock pattern of near-eye melanopic EDI

Four-panel display of fitted near-eye melanopic EDI, light-source ratios, participant-hour support across local clock time, and light-source-by-site estimates.
Supplementary Figure S9. Near-eye light exposure by reported light source across time of day and study site. A–C, Exploratory time-of-day analysis. Panel A shows expected one-hour melanopic EDI with clock-specific 95% confidence intervals; the dashed line is the site-average local-clock smooth. Panel B shows each light-source curve relative to that smooth, with 1 as the reference. Panel C shows available participant-hours; open circles indicate locally sparse support and grey gaps indicate no observations. D, Site-average category estimates and site-specific deviation ratios from the light-source-by-site interaction model, with participant-cluster-robust 95% confidence intervals, FDR-adjusted p values, and exact support. The analysis includes 17,935 participant-hours from 140 participants, covering 801 participant-days and nine sites. Panels A–C and panel D answer different questions and are not numerically interchangeable. Estimates are observational. During reported sleep, measurements describe the bedside sleep environment.

Supplementary Figure S10. Paired sensor-position hourly associations

Paired near-eye and chest hourly associations estimated separately in the same participants and participant-days.
Supplementary Figure S10. Near-eye and complementary chest associations estimated separately for the same participants and participant-days. The sets of supported participant-hours differ between sensor positions, so the display is not an observation-level identity comparison and does not test equivalence.

Supplementary Figure S11. Free-versus-Work hourly timing

Exploratory Free-versus-Work hourly fitted exposure and response-scale ratio curves with participant-hour support.
Supplementary Figure S11. Exploratory Free-versus-Work hourly fitted exposure and response-scale ratio curves with 95% confidence intervals and participant-hour support.

Supplementary Figure S12. Active-versus-Sedentary hourly timing

Exploratory Active-versus-Sedentary hourly fitted exposure and response-scale ratio curves with participant-hour support.
Supplementary Figure S12. Exploratory Active-versus-Sedentary hourly fitted exposure and response-scale ratio curves with 95% confidence intervals and participant-hour support.

Supplementary Figure S13. Site-specific hourly routine associations

Three aligned site-specific forest-plot panels show Free versus Work day, Active versus Sedentary daily activity status, and previous-sleep ratios with 95% confidence intervals across nine country-coded study sites. Filled points mark associations retained after a separate nine-site FDR adjustment within each predictor, and dashed lines mark site-average estimates.
Supplementary Figure S13. Site-specific estimates from the predictor-by-site interaction model. Filled and hollow points distinguish associations that did and did not meet the 0.050 criterion after a separate nine-site FDR adjustment within each predictor. The 95% confidence intervals are unadjusted; dashed lines show site-average estimates calculated with equal weight for each of the nine sites. Sites are components of one pooled model, not independent replications or causal effects of location.

Supplementary Figure S14. Light-exposure behaviour and awareness

Near-eye associations across Light Exposure Behaviour Assessment factors and personal light-exposure metrics.
Supplementary Figure S14. Near-eye associations per one participant-level standard deviation of each Light Exposure Behaviour Assessment factor. None of the 68 tests retained FDR-adjusted support. Four sleep-environment cells were unfit for inference and are labelled Unfit with estimates suppressed. Lack of adjusted support is inconclusive rather than proof of no association.

Supplementary Figure S15. Visual light sensitivity

Near-eye site-average associations between VLSQ-8 and nine light-exposure metrics.
Supplementary Figure S15. Near-eye site-average associations between the Visual Light Sensitivity Questionnaire-8 and nine personal light-exposure metrics. Associations compare scores separated by one participant-level standard deviation. Horizontal bars are 95% Wald confidence intervals. None of the nine associations retained FDR-adjusted support.

Supplementary Figure S16. Adjusted chronotype associations

Study-site-adjusted chronotype associations with the analysed timing metrics, with estimates and confidence intervals.
Supplementary Figure S16. Chronotype and timing of personal light exposure. Study-site-adjusted associations of sleep-timing-based corrected midsleep on Free days and questionnaire-based morningness-eveningness with the analysed timing metrics. Points are estimates and bars are 95% confidence intervals; the two chronotype instruments remain separate. Near-eye estimates provide ocular-exposure evidence; chest estimates, where shown, are complementary non-ocular evidence.

Supplementary Figure S17. Observed timing across chronotype and study sites

Observed timing across chronotype and study sites. Observed participant-day timing values across chronotype and country-coded study sites in the corresponding model samples, arranged by timing metric.
Supplementary Figure S17. Observed timing across chronotype and study sites. Observed participant-day timing values across chronotype and country-coded study sites for the samples used in the corresponding models. Each point represents one participant-day in a fitted sample. This figure is descriptive and does not replace the adjusted models or estimate independent site effects. Near-eye estimates provide ocular-exposure evidence; chest estimates, where shown, are complementary non-ocular evidence.

Supplementary Figure S18. Age and biological sex

Three-panel figure with uppercase left-side panel tags showing age distributions, FDR-retained associations, and descriptive site-specific age-by-site estimates.
Supplementary Figure S18. Participant age distributions, the 11 main associations retained after FDR adjustment, and descriptive site-specific estimates for two retained age-by-site interactions in the complementary chest analysis. The site-specific interaction estimates are descriptive model contrasts, not independent site tests. Biological sex, coded Female or Male, was analysed; gender was recorded separately and was not analysed.

Supplementary Figure S19. Biological-sex-specific daily curves

Biological-sex-specific near-eye fitted curves and Female-to-Male ratio with 95% confidence intervals.
Supplementary Figure S19. Near-eye biological-sex-specific fitted melanopic equivalent daylight illuminance curves and Female-to-Male shifted-value ratio. Ribbons and contrast intervals are participant-cluster-robust 95% confidence intervals at the displayed clock times. Grey shading gives site-average civil-night context with each site weighted equally and is not a model covariate. Biological sex, coded Female or Male, was analysed; gender was recorded separately and was not analysed.

Supplementary tables

Supplementary Table S1. Descriptive sample flow

Participants Participant-days One-minute real observations
participant roster
Available normalized participant metadata 191 Not applicable Not applicable
near_eye
At least 80% complete before all-zero screen Not applicable 818 Not applicable
Exact all-zero days excluded Not applicable 2 Not applicable
Main dataset after all-zero screen 141 816 1,175,160
chest
At least 80% complete before all-zero screen Not applicable 905 Not applicable
Exact all-zero days excluded Not applicable 3 Not applicable
Main dataset after all-zero screen 154 902 1,298,880
paired
Paired main subset 112 643 Not applicable

Supplementary Table S1. Participant, participant-day, and one-minute observation counts across the roster, sensor-specific completeness and all-zero screens, final descriptive datasets, and paired main subset. Each row names its denominator explicitly. An excluded participant-day is not necessarily an excluded participant.

Supplementary Table S2. Full near-eye metric dictionary and distributions

Metric descriptive summary (near eye)
Metric1 Unit Overall Borås (SE) Delft (NL) Dortmund (DE) Tübingen (DE) Munich (DE) Madrid (ES) Izmir (TR) San José (CR) Kumasi (GH) Scaling2 Distribution3
Duration
Time above 1,000 lx melEDI
Bright-light exposure duration; relevant to daytime alerting and circadian entrainment.
HH:MM 00:41
(00:11, 01:34)
01:10 ± 01:28
N=141; d=816
01:18
(00:31, 03:24)
02:00 ± 01:54
N=13; d=78
01:18
(00:29, 02:12)
01:33 ± 01:28
N=13; d=78
01:03
(00:20, 02:32)
01:48 ± 02:14
N=18; d=107
00:40
(00:07, 01:25)
01:06 ± 01:22
N=26; d=150
00:39
(00:10, 01:46)
01:09 ± 01:18
N=10; d=60
00:27
(00:06, 00:53)
00:38 ± 00:47
N=23; d=129
00:30
(00:06, 01:04)
00:44 ± 00:51
N=17; d=101
00:19
(00:09, 00:43)
00:32 ± 00:33
N=6; d=32
00:43
(00:17, 01:14)
00:58 ± 00:57
N=15; d=81
Symlog (base 10; threshold 1) Time above 1,000 lx melEDI distribution by site. Exact numerical summaries are in the adjacent cells.
Time above 250 lx melEDI during wake
Waking time in recommended daytime light; relevant to alertness, entrainment, and subsequent sleep.
HH:MM 02:25
(00:51, 04:37)
03:00 ± 02:29
N=141; d=737
04:06
(02:30, 06:15)
04:21 ± 02:24
N=13; d=73
03:29
(02:03, 05:16)
03:39 ± 02:25
N=13; d=64
03:42
(02:05, 05:58)
04:05 ± 02:51
N=18; d=90
02:01
(00:47, 04:20)
02:52 ± 02:39
N=26; d=141
02:38
(00:55, 04:19)
02:57 ± 02:19
N=10; d=54
02:43
(00:54, 04:43)
03:02 ± 02:19
N=23; d=113
01:30
(00:41, 03:26)
02:09 ± 01:57
N=17; d=94
01:39
(00:32, 02:40)
01:48 ± 01:21
N=6; d=30
01:14
(00:25, 02:37)
01:45 ± 01:46
N=15; d=78
Symlog (base 10; threshold 1) Time above 250 lx melEDI during wake distribution by site. Exact numerical summaries are in the adjacent cells.
Time below 10 lx melEDI before sleep
Low-light time before bed; limits evening melatonin suppression and circadian delay.
HH:MM 01:53
(01:02, 02:35)
01:51 ± 01:02
N=139; d=655
02:16
(01:30, 02:39)
02:05 ± 00:53
N=13; d=67
01:50
(01:21, 02:52)
01:59 ± 00:57
N=12; d=50
01:42
(00:53, 02:17)
01:41 ± 00:58
N=18; d=84
01:52
(01:04, 02:25)
01:52 ± 01:06
N=26; d=132
01:43
(00:42, 02:32)
01:45 ± 01:10
N=10; d=52
01:43
(00:58, 02:50)
01:50 ± 01:05
N=23; d=105
01:31
(00:48, 02:15)
01:38 ± 01:00
N=17; d=82
02:16
(01:15, 02:39)
01:56 ± 01:00
N=6; d=25
02:30
(01:28, 02:52)
02:09 ± 00:57
N=14; d=58
Symlog (base 10; threshold 1) Time below 10 lx melEDI before sleep distribution by site. Exact numerical summaries are in the adjacent cells.
Time below 1 lx melEDI during sleep
Darkness during sleep; supports nocturnal melatonin and an undisturbed sleep environment.
HH:MM 07:08
(05:58, 08:15)
07:04 ± 01:57
N=141; d=778
07:08
(06:03, 08:18)
07:12 ± 01:46
N=13; d=76
07:14
(05:56, 08:06)
07:01 ± 01:50
N=13; d=68
07:08
(05:56, 08:16)
07:05 ± 01:50
N=18; d=95
06:54
(05:52, 07:46)
06:47 ± 01:30
N=26; d=150
05:52
(04:41, 07:03)
05:58 ± 01:58
N=10; d=60
08:06
(07:10, 09:10)
08:02 ± 01:57
N=23; d=118
06:45
(05:08, 08:15)
06:40 ± 02:07
N=17; d=99
06:56
(06:06, 07:36)
06:39 ± 01:43
N=6; d=31
07:31
(06:31, 09:00)
07:35 ± 02:15
N=15; d=81
Symlog (base 10; threshold 1) Time below 1 lx melEDI during sleep distribution by site. Exact numerical summaries are in the adjacent cells.
Longest period above 250 lx melEDI
Longest sustained bright-light bout; captures continuity of daytime circadian stimulation.
HH:MM 00:38
(00:17, 01:12)
00:55 ± 01:00
N=141; d=816
00:56
(00:28, 01:27)
01:12 ± 01:02
N=13; d=78
00:48
(00:23, 01:20)
01:09 ± 01:15
N=13; d=78
01:00
(00:21, 01:40)
01:20 ± 01:31
N=18; d=107
00:35
(00:13, 01:06)
00:50 ± 00:54
N=26; d=150
00:38
(00:18, 01:32)
01:01 ± 01:02
N=10; d=60
00:38
(00:16, 01:04)
00:45 ± 00:36
N=23; d=129
00:34
(00:14, 00:55)
00:43 ± 00:41
N=17; d=101
00:28
(00:16, 00:43)
00:30 ± 00:20
N=6; d=32
00:23
(00:15, 00:49)
00:38 ± 00:45
N=15; d=81
Symlog (base 10; threshold 1) Longest period above 250 lx melEDI distribution by site. Exact numerical summaries are in the adjacent cells.
Dynamics
Interdaily stability
Day-to-day regularity of the light–dark pattern; higher regularity supports circadian stability.
dimensionless 0.308
(0.248, 0.38)
0.318 ± 0.095
N=141; d=816
0.311
(0.272, 0.367)
0.315 ± 0.078
N=13; d=78
0.258
(0.239, 0.389)
0.288 ± 0.094
N=13; d=78
0.264
(0.219, 0.319)
0.274 ± 0.074
N=18; d=107
0.329
(0.263, 0.424)
0.344 ± 0.107
N=26; d=150
0.244
(0.218, 0.277)
0.252 ± 0.058
N=10; d=60
0.352
(0.321, 0.455)
0.368 ± 0.092
N=23; d=129
0.278
(0.254, 0.394)
0.323 ± 0.104
N=17; d=101
0.342
(0.315, 0.473)
0.37 ± 0.118
N=6; d=32
0.293
(0.255, 0.354)
0.299 ± 0.062
N=15; d=81
Identity Interdaily stability distribution by site. Exact numerical summaries are in the adjacent cells.
Intradaily variability
Within-day fragmentation of light exposure; higher values indicate less consolidated light–dark input.
dimensionless 1.253
(0.93, 1.502)
1.229 ± 0.389
N=141; d=816
0.997
(0.818, 1.388)
1.088 ± 0.343
N=13; d=78
1.193
(0.96, 1.389)
1.238 ± 0.345
N=13; d=78
1.182
(0.928, 1.49)
1.177 ± 0.407
N=18; d=107
1.154
(0.801, 1.442)
1.125 ± 0.354
N=26; d=150
1.48
(0.869, 1.642)
1.332 ± 0.477
N=10; d=60
1.251
(0.999, 1.497)
1.251 ± 0.413
N=23; d=129
1.359
(0.95, 1.546)
1.307 ± 0.415
N=17; d=101
1.399
(1.282, 1.483)
1.355 ± 0.256
N=6; d=32
1.324
(1.029, 1.595)
1.344 ± 0.413
N=15; d=81
Identity Intradaily variability distribution by site. Exact numerical summaries are in the adjacent cells.
Exposure history
melEDI dose
Intensity–duration-weighted melanopic exposure; summarizes cumulative non-visual retinal light input.
klx·h 4.96
(1.936, 12.313)
10.358 ± 16.216
N=141; d=761
9.296
(3.892, 21.895)
19.923 ± 27.784
N=13; d=71
10.495
(3.855, 17.395)
15.881 ± 20.395
N=13; d=74
6.751
(2.469, 14.435)
13.809 ± 23.711
N=18; d=97
3.862
(1.411, 10.217)
7.719 ± 9.847
N=26; d=137
7.11
(1.897, 15.789)
10.055 ± 11.237
N=10; d=55
3.317
(1.703, 6.29)
6.115 ± 8.79
N=23; d=125
4.35
(1.791, 10.625)
7.49 ± 8.898
N=17; d=96
2.195
(1.339, 4.117)
3.281 ± 2.573
N=6; d=30
6.045
(2.49, 14.907)
10.016 ± 10.799
N=15; d=76
Symlog (base 10; threshold 1) melEDI dose distribution by site. Exact numerical summaries are in the adjacent cells.
Level
Mean melEDI
Geometric average of daily melEDI values, including zeros; summarizes overall exposure while reducing peak influence.
lx 5.154
(2.831, 9.225)
7.587 ± 9.496
N=141; d=816
7.569
(4.55, 11.613)
9.171 ± 7.111
N=13; d=78
6.659
(4.18, 11.674)
8.274 ± 6.558
N=13; d=78
7.704
(3.081, 13.924)
12.017 ± 18.865
N=18; d=107
5.232
(3.224, 8.188)
7.221 ± 6.33
N=26; d=150
9.013
(4.011, 15.089)
12.102 ± 12.013
N=10; d=60
3.505
(1.469, 6.211)
4.166 ± 3.272
N=23; d=129
5.857
(3.726, 7.986)
7.778 ± 6.946
N=17; d=101
4.325
(3.585, 6.77)
5.248 ± 2.85
N=6; d=32
2.144
(0.744, 4.042)
3.019 ± 2.896
N=15; d=81
Symlog (base 10; threshold 1) Mean melEDI distribution by site. Exact numerical summaries are in the adjacent cells.
Brightest 10 h mean
Mean of the brightest 10 hours; reflects the strength of the main daytime light episode.
lx 110.566
(41.513, 243.212)
214.866 ± 508.56
N=141; d=816
252.689
(104.514, 461.953)
399.302 ± 518.102
N=13; d=78
175.974
(78.625, 299.106)
262.206 ± 329.201
N=13; d=78
156.184
(67.783, 339.731)
422.54 ± 1,209.616
N=18; d=107
100.057
(33.255, 209.904)
179.372 ± 241.53
N=26; d=150
130.78
(54.044, 259.726)
201.947 ± 194.042
N=10; d=60
101.102
(24.355, 218.457)
136.312 ± 134.07
N=23; d=129
83.24
(53.17, 151.786)
120.172 ± 101.545
N=17; d=101
68.143
(45.331, 132.458)
96.735 ± 72.311
N=6; d=32
46.66
(9.242, 103.175)
82.489 ± 115.07
N=15; d=81
Symlog (base 10; threshold 1) Brightest 10 h mean distribution by site. Exact numerical summaries are in the adjacent cells.
Darkest 10 h mean
Mean of the darkest 10 hours; lower values during the biological night favour melatonin preservation and sleep.
lx 0.103
(0.02, 0.253)
0.243 ± 0.513
N=141; d=816
0.08
(0.016, 0.191)
0.183 ± 0.299
N=13; d=78
0.1
(0.035, 0.23)
0.2 ± 0.332
N=13; d=78
0.14
(0.036, 0.282)
0.223 ± 0.299
N=18; d=107
0.149
(0.074, 0.309)
0.273 ± 0.465
N=26; d=150
0.325
(0.119, 0.71)
0.515 ± 0.653
N=10; d=60
0.022
(0, 0.08)
0.054 ± 0.075
N=23; d=129
0.152
(0.052, 0.481)
0.475 ± 0.882
N=17; d=101
0.133
(0.055, 0.309)
0.411 ± 1.044
N=6; d=32
0.01
(0, 0.092)
0.059 ± 0.104
N=15; d=81
Symlog (base 10; threshold 1) Darkest 10 h mean distribution by site. Exact numerical summaries are in the adjacent cells.
Spectrum
Melanopic daylight efficacy ratio
Mean of viable one-minute melEDI/illuminance ratios; indicates melanopic efficacy relative to visual light.
dimensionless 0.724
(0.643, 0.795)
0.724 ± 0.116
N=137; d=687
0.788
(0.725, 0.872)
0.796 ± 0.162
N=13; d=74
0.743
(0.699, 0.796)
0.743 ± 0.077
N=13; d=65
0.781
(0.675, 0.853)
0.768 ± 0.118
N=18; d=97
0.65
(0.592, 0.728)
0.667 ± 0.098
N=26; d=144
0.724
(0.652, 0.773)
0.72 ± 0.093
N=10; d=55
0.668
(0.629, 0.721)
0.673 ± 0.07
N=22; d=83
0.747
(0.634, 0.834)
0.735 ± 0.122
N=17; d=91
0.719
(0.661, 0.761)
0.706 ± 0.067
N=6; d=30
0.755
(0.729, 0.82)
0.758 ± 0.097
N=12; d=48
Identity Melanopic daylight efficacy ratio distribution by site. Exact numerical summaries are in the adjacent cells.
Timing
Midpoint of the brightest 10 hours
Centre time of the brightest 10 hours; indexes the main daily circadian light cue.
HH:MM
clock time
13:44
(12:48, 15:00)
13:56 ± 01:51
N=141; d=816
13:16
(12:28, 14:10)
13:20 ± 01:33
N=13; d=78
14:12
(13:23, 15:18)
14:22 ± 01:51
N=13; d=78
13:52
(12:54, 15:04)
14:00 ± 01:42
N=18; d=107
13:38
(12:47, 14:44)
13:52 ± 01:42
N=26; d=150
14:54
(12:50, 16:03)
14:31 ± 02:14
N=10; d=60
13:44
(13:06, 15:20)
14:10 ± 01:51
N=23; d=129
14:10
(13:32, 15:21)
14:25 ± 01:37
N=17; d=101
12:34
(11:49, 14:02)
12:55 ± 01:44
N=6; d=32
12:49
(12:06, 13:39)
13:03 ± 01:58
N=15; d=81
Circular clock Midpoint of the brightest 10 hours distribution by site. Exact numerical summaries are in the adjacent cells.
Midpoint of the darkest 10 hours
Centre time of the darkest 10 hours; indexes the main daily darkness cue.
HH:MM
clock time
02:54
(02:01, 03:50)
02:58 ± 01:41
N=141; d=816
02:02
(01:24, 02:48)
02:03 ± 01:07
N=13; d=78
02:55
(02:01, 03:28)
02:50 ± 02:05
N=13; d=78
02:32
(01:45, 03:22)
02:37 ± 01:19
N=18; d=107
03:08
(02:11, 04:10)
03:16 ± 01:34
N=26; d=150
02:37
(01:54, 04:17)
03:10 ± 02:00
N=10; d=60
03:39
(02:43, 04:34)
03:34 ± 01:49
N=23; d=129
03:31
(02:33, 04:14)
03:26 ± 01:25
N=17; d=101
01:45
(01:05, 03:01)
02:10 ± 01:27
N=6; d=32
02:33
(02:04, 03:17)
02:36 ± 01:36
N=15; d=81
Circular clock Midpoint of the darkest 10 hours distribution by site. Exact numerical summaries are in the adjacent cells.
First light timing above 250 lx melEDI
First waking bright-light exposure; morning timing can advance circadian phase and promote alertness.
HH:MM
clock time
09:08
(08:02, 10:40)
09:26 ± 02:22
N=140; d=727
07:57
(06:56, 08:33)
08:03 ± 01:32
N=13; d=74
09:04
(08:18, 09:52)
09:17 ± 01:56
N=13; d=68
08:36
(07:10, 10:13)
08:45 ± 02:21
N=18; d=93
09:43
(08:13, 10:53)
09:45 ± 02:21
N=25; d=133
09:36
(07:58, 10:53)
09:39 ± 03:12
N=10; d=56
09:32
(08:40, 11:21)
10:05 ± 02:18
N=23; d=118
10:01
(09:06, 11:52)
10:26 ± 02:28
N=17; d=95
08:11
(07:26, 09:57)
08:36 ± 01:30
N=6; d=29
08:43
(08:01, 10:10)
09:19 ± 01:52
N=15; d=61
Circular clock First light timing above 250 lx melEDI distribution by site. Exact numerical summaries are in the adjacent cells.
Last light timing above 250 lx melEDI
Last bright-light exposure; later timing may delay circadian phase and sleep onset.
HH:MM
clock time
18:08
(16:27, 19:42)
18:03 ± 02:36
N=141; d=687
18:41
(17:38, 19:38)
18:39 ± 01:38
N=13; d=73
18:30
(17:37, 19:59)
18:37 ± 02:08
N=13; d=62
19:34
(18:04, 20:42)
19:16 ± 02:28
N=18; d=89
17:37
(15:35, 19:09)
17:18 ± 02:44
N=26; d=121
19:50
(18:37, 20:50)
19:33 ± 02:11
N=10; d=53
17:48
(16:46, 19:19)
18:01 ± 02:21
N=23; d=106
18:45
(17:02, 19:38)
18:23 ± 02:15
N=17; d=89
15:45
(13:20, 16:38)
15:22 ± 02:38
N=6; d=28
15:54
(14:34, 17:25)
15:46 ± 02:13
N=15; d=66
Circular clock Last light timing above 250 lx melEDI distribution by site. Exact numerical summaries are in the adjacent cells.
Mean timing of exposure above 250 lx melEDI
Average bright-light timing; summarizes the phase of daily circadian stimulation.
HH:MM
clock time
13:29
(12:29, 14:39)
13:31 ± 01:52
N=141; d=742
13:20
(12:29, 14:24)
13:21 ± 01:25
N=13; d=72
13:52
(13:13, 15:06)
14:02 ± 01:41
N=13; d=71
13:44
(12:28, 14:55)
13:51 ± 01:56
N=18; d=93
13:17
(12:17, 14:31)
13:24 ± 01:45
N=26; d=138
14:04
(12:58, 15:25)
14:09 ± 02:22
N=10; d=55
13:43
(12:55, 14:29)
13:47 ± 01:33
N=23; d=117
13:58
(12:54, 14:58)
14:04 ± 01:39
N=17; d=94
11:30
(10:28, 12:38)
11:26 ± 01:36
N=6; d=31
12:17
(11:04, 13:04)
12:11 ± 01:36
N=15; d=71
Circular clock Mean timing of exposure above 250 lx melEDI distribution by site. Exact numerical summaries are in the adjacent cells.
Median (25th percentile, 75th percentile), circular or arithmetic mean ± standard deviation, N=participants; d=participant-days with a finite value for that metric.
1 The brief meaning and relevance notes describe established physiological constructs; this descriptive table does not estimate individual health effects.
2 Scaling describes the distribution column only; printed values remain on their stated scale. Symlog uses base 10 with a linear region through 1 in the stated unit; Identity is linear; Circular clock unwraps values around the metric-specific clock centre.
3 Red lines indicate site medians. Symlog and circular-clock rows are transformed only for plotting.

Supplementary Table S2. Definitions, exact support, median (interquartile range) summaries, and density displays for the 17 near-eye personal light-exposure metrics overall and by site. Values use three decimal places where applicable. Metrics are distinct summaries and should not be interpreted as interchangeable outcomes.

Supplementary Table S3. Descriptive recommendation-range fractions

Site1
Minutes in the recommended range:2
Share of all eligible real minutes:3
Daytime Pre-sleep Sleep4 Total5 Wake Pre-sleep Sleep Unclassified6
Overall 24.0%
137,792 / 573,712
63.3%
81,894 / 129,390
87.7%
336,052 / 383,366
51.2%
555,738 / 1,086,468
51.6%
606,215 / 1,175,160
11.9%
140,152 / 1,175,160
32.6%
383,607 / 1,175,160
3.8%
45,186 / 1,175,160








Borås (SE) 33.2%
19,225 / 57,952
69.9%
8,914 / 12,759
93.4%
33,152 / 35,489
57.7%
61,291 / 106,200
54.0%
60,642 / 112,260
12.2%
13,704 / 112,260
31.7%
35,549 / 112,260
2.1%
2,365 / 112,260
Delft (NL) 29.6%
14,760 / 49,852
66.7%
7,181 / 10,774
86.4%
29,915 / 34,621
54.4%
51,856 / 95,247
47.0%
52,755 / 112,260
10.9%
12,283 / 112,260
30.9%
34,682 / 112,260
11.2%
12,540 / 112,260
Dortmund (DE) 32.4%
22,631 / 69,900
59.6%
9,749 / 16,361
87.5%
42,829 / 48,928
55.6%
75,209 / 135,189
48.1%
74,094 / 154,080
11.3%
17,409 / 154,080
31.8%
48,928 / 154,080
8.9%
13,649 / 154,080
Tübingen (DE) 22.5%
25,082 / 111,396
61.8%
15,623 / 25,283
87.1%
61,030 / 70,029
49.2%
101,735 / 206,708
55.1%
119,150 / 216,120
12.4%
26,881 / 216,120
32.4%
70,089 / 216,120
0.0%
0 / 216,120
Munich (DE) 25.0%
10,681 / 42,685
60.6%
5,963 / 9,833
71.7%
21,485 / 29,951
46.2%
38,129 / 82,469
53.0%
45,831 / 86,400
12.3%
10,618 / 86,400
34.7%
29,951 / 86,400
0.0%
0 / 86,400
Madrid (ES) 24.2%
21,067 / 87,030
62.7%
12,766 / 20,366
95.9%
58,374 / 60,891
54.8%
92,207 / 168,287
48.4%
89,948 / 185,880
11.7%
21,684 / 185,880
32.8%
60,891 / 185,880
7.2%
13,357 / 185,880
Izmir (TR) 17.8%
12,708 / 71,562
55.1%
9,221 / 16,736
79.0%
39,936 / 50,556
44.6%
61,865 / 138,854
51.5%
74,926 / 145,440
12.3%
17,883 / 145,440
34.8%
50,556 / 145,440
1.4%
2,075 / 145,440
San José (CR) 13.8%
3,266 / 23,640
64.6%
3,124 / 4,839
87.1%
12,438 / 14,275
44.0%
18,828 / 42,754
54.9%
25,285 / 46,080
11.5%
5,320 / 46,080
31.0%
14,275 / 46,080
2.6%
1,200 / 46,080
Kumasi (GH) 14.0%
8,372 / 59,695
75.2%
9,353 / 12,439
95.5%
36,893 / 38,626
49.3%
54,618 / 110,760
54.5%
63,584 / 116,640
12.3%
14,370 / 116,640
33.2%
38,686 / 116,640
0.0%
0 / 116,640
1 Near eye participant and participant-day sample sizes are reported in the participant table; every percentage cell gives its exact minute denominator.
2 Recommended ranges follow Brown et al. (2022): Daytime ≥250 lx melanopic EDI, Pre-sleep ≤10 lx melanopic EDI, and Sleep ≤1 lx melanopic EDI. Daytime, Pre-sleep, and Sleep identify the recommendation windows. Each grey numerator/denominator gives minutes within the applicable recommendation range over all valid one-minute observations in that window. Sleep describes the bedside sleep environment.
3 Each grey numerator/denominator gives minutes in the displayed diary state over all eligible real minutes before classification by diary state or measurement availability.
4 During diary-defined sleep the bedside sensor describes the sleep environment rather than direct ocular exposure.
5 Total pools all classified valid minutes.
6 Unclassified time can result from missing diary state, missing or removed melEDI measurements, or both.

Supplementary Table S3. Fractions of valid near-eye minutes meeting each Brown et al. recommendation range, with explicit numerators and denominators. Daytime, Pre-sleep, and Sleep identify the recommendation windows. The Sleep summaries use near-eye illuminance recorded during sleep and describe the bedside sleep environment rather than verified ocular exposure. These pooled-minute summaries are descriptive and differ from the modelled recommendation-window-period estimates in main Table 2.

Supplementary Table S4. Exploratory cross-window recommendation-adherence associations

Window Difference, percentage points (95% CI) FDR-adjusted p
Within participant
Sleep -0.26 (-0.95 to 0.43) 0.453
Pre-sleep -1.09 (-2.75 to 0.56) 0.258
Between participants
Sleep -2.52 (-3.55 to -1.48) <0.001
Pre-sleep -3.59 (-5.94 to -1.25) 0.005
Contrasts are per 10 percentage points higher daytime adherence. Within-participant contrasts concern deviations from each participant's monitoring-period average; between-participant contrasts concern those averages. The four associations form one FDR family. Unresolved temporal dependence precludes a within-participant day-level claim.

Supplementary Table S4. Exploratory within-participant and between-participant associations across Brown et al. recommendation windows. Results are percentage-point differences per 10 percentage points higher Daytime adherence. The four tests form one FDR family. The within-participant day-level claim is withheld because serial dependence remains unresolved. Between-participant results describe observed monitoring-period averages and do not establish rankings, stable traits, or causal effects.

Supplementary Table S5. Near-eye fitted-curve dispersion and full-model R² allocation

Fitted-curve result (95% CI) Shapley allocation (95% CI) Share of full-model R² (95% CI)
Shared local-clock curve Not applicable 0.611 (0.550 to 0.657) 78.9 (73.6 to 82.6)%
Site pattern 0.100 (0.041 to 0.139) 0.016 (0.007 to 0.026) 2.0 (0.9 to 3.5)%
Participant pattern 0.180 (0.126 to 0.214) 0.100 (0.079 to 0.125) 12.9 (10.1 to 16.4)%
Participant-day shift 0.019 (0.010 to 0.024) 0.048 (0.035 to 0.064) 6.2 (4.4 to 8.6)%
Participant pattern + day shift 0.200 (0.140 to 0.230) Not separately allocated Not applicable
Participant / site 1.797 (1.157 to 4.332) 6.41 (3.85 to 15.14) Not applicable
(Participant + day) / site 1.991 (1.291 to 4.767) 9.49 (5.77 to 21.81) 90.5 (85.2 to 95.6)%
Fitted-curve variation is in squared log10(melanopic EDI + 0.1 lx) prediction units; ratios are unitless. The shared local-clock curve remains the baseline in every component model. Intervals are conditional hierarchical cluster-bootstrap percentiles from 2,000 replicates. In the final row, the percentage is the participant-plus-day share of heterogeneity, excluding the shared local-clock contribution. Dispersion and R² allocation are distinct estimands.

Supplementary Table S5. Near-eye fitted-curve dispersion and Shapley allocation of full-model in-sample R². Fitted-curve variation is in squared log10(melanopic EDI + 0.1 lx) prediction units; dispersion and R²-share ratios are unitless. The allocation includes the shared local-clock curve in every component model as the baseline. Intervals are 95% hierarchical cluster-bootstrap percentile intervals from 2,000 replicates and are conditional on the fitted models. Dispersion and R² allocation describe different estimands and should not be added or interpreted causally.

Supplementary Table S6. Chest fitted-curve dispersion and full-model R² allocation

Fitted-curve result (95% CI) Shapley allocation (95% CI) Share of full-model R² (95% CI)
Shared local-clock curve Not applicable 0.583 (0.523 to 0.629) 79.1 (73.6 to 82.8)%
Site pattern 0.101 (0.049 to 0.116) 0.015 (0.008 to 0.024) 2.1 (1.1 to 3.3)%
Participant pattern 0.148 (0.100 to 0.199) 0.087 (0.071 to 0.110) 11.9 (9.5 to 15.3)%
Participant-day shift 0.035 (0.020 to 0.039) 0.051 (0.040 to 0.067) 7.0 (5.3 to 9.4)%
Participant pattern + day shift 0.183 (0.127 to 0.228) Not separately allocated Not applicable
Participant / site 1.465 (0.973 to 3.179) 5.69 (3.72 to 10.68) Not applicable
(Participant + day) / site 1.809 (1.219 to 3.736) 9.02 (6.01 to 17.03) 90.0 (85.7 to 94.5)%
Fitted-curve variation is in squared log10(melanopic EDI + 0.1 lx) prediction units; ratios are unitless. The shared local-clock curve remains the baseline in every component model. Intervals are conditional hierarchical cluster-bootstrap percentiles from 2,000 replicates. In the final row, the percentage is the participant-plus-day share of heterogeneity, excluding the shared local-clock contribution. Dispersion and R² allocation are distinct estimands.

Supplementary Table S6. Complementary chest fitted-curve dispersion and Shapley allocation of full-model in-sample R². The quantities, bootstrap intervals and interpretation follow Supplementary Table S5; chest and near-eye measurements remain distinct sensor-position estimands.

Supplementary Table S7. Geographic and photoperiod associations

Overall site FDR-adjusted p
Photoperiod
Latitude
Site-versus-latitude FDR-adjusted p Exact fitted sample
Photoperiod association (95% CI) Photoperiod FDR-adjusted p Latitude association per 10° (95% CI) Latitude FDR-adjusted p
Dynamics
Interdaily stability 0.228 ×0.98 [0.94–1.02] 0.401 ×1.01 [0.96–1.06] 0.903 0.175 nparticipants = 141; nparticipant-days = 816
Intradaily variability 0.483 -0.02 [-0.06–0.02] 0.327 -0.04 [-0.08–0.01] 0.139 0.723 nparticipants = 141; nparticipant-days = 816
Level
Mean melEDI <0.001 ×1.18 [1.11–1.26] <0.001 ×1.15 [1.07–1.25] 0.002 0.032 nparticipants = 141; nparticipant-days = 816
Brightest 10 h mean 0.011 ×1.24 [1.13–1.36] <0.001 ×1.24 [1.11–1.39] 0.001 0.325 nparticipants = 141; nparticipant-days = 816
Darkest 10 h mean <0.001 ×1.09 [1.03–1.14] 0.002 ×1.04 [0.97–1.11] 0.400 <0.001 nparticipants = 141; nparticipant-days = 816
Duration
Time above 1,000 lx melEDI 0.071 ×1.21 [1.13–1.29] <0.001 ×1.03 [0.94–1.12] 0.769 0.053 nparticipants = 141; nparticipant-days = 816
Time above 250 lx melEDI during wake 0.007 ×1.14 [1.07–1.20] <0.001 ×1.12 [1.04–1.20] 0.013 0.053 nparticipants = 141; nparticipant-days = 737
Time below 10 lx melEDI before sleep 0.049 -0.13 [-0.20–-0.07] h <0.001 0.00 [-0.09–0.09] h 0.962 0.040 nparticipants = 139; nparticipant-days = 655
Time below 1 lx melEDI during sleep 0.058 ×0.99 [0.97–1.01] 0.227 ×1.00 [0.97–1.02] 0.903 0.043 nparticipants = 141; nparticipant-days = 778
Longest continuous period above 250 lx melEDI 0.398 ×1.12 [1.07–1.19] <0.001 ×1.06 [0.99–1.13] 0.139 0.626 nparticipants = 141; nparticipant-days = 816
Timing
Midpoint of the brightest 10 hours <0.001 0.05 [-0.05–0.15] h 0.305 0.19 [0.06–0.32] h 0.013 0.010 nparticipants = 141; nparticipant-days = 816
Midpoint of the darkest 10 hours 0.020 -0.15 [-0.25–-0.05] h 0.004 0.12 [-0.00–0.24] h 0.114 0.043 nparticipants = 141; nparticipant-days = 816
Mean timing of exposure above 250 lx melEDI <0.001 0.12 [0.03–0.21] h 0.013 0.33 [0.21–0.46] h <0.001 <0.001 nparticipants = 141; nparticipant-days = 742
First light timing above 250 lx melEDI 0.112 -0.10 [-0.25–0.05] h 0.227 0.02 [-0.17–0.21] h 0.903 0.077 nparticipants = 140; nparticipant-days = 727
Last light timing above 250 lx melEDI <0.001 0.32 [0.19–0.46] h <0.001 0.46 [0.27–0.64] h <0.001 <0.001 nparticipants = 141; nparticipant-days = 687
Exposure history
melEDI dose 0.209 ×1.28 [1.17–1.39] <0.001 ×1.02 [0.91–1.13] 0.903 0.156 nparticipants = 141; nparticipant-days = 761
Spectrum
Melanopic daylight efficacy ratio <0.001 0.02 [0.02–0.03] <0.001 -0.01 [-0.02–-0.00] 0.013 0.010 nparticipants = 137; nparticipant-days = 702
This summary combines the model-level decisions, photoperiod and latitude associations, 95% CIs, and exact fitted samples. Each displayed p-value is FDR-adjusted within its explicitly labelled complete 17-test family; bold values meet the FDR-adjusted p < 0.050 rule. Full raw p-values and test statistics remain in the detailed tables below. Exact fitted samples use italic n with participant and participant-day subscripts. For the 15 participant-day models, the participant-day count equals the number of fitted observations. The two participant-level dynamics models use one fitted observation per participant and retain the participant-day count as contributing repeated-day support. All models include nine sites.

Supplementary Table S7. Overall-site, civil-photoperiod and absolute-latitude associations for the 17 near-eye personal light-exposure metrics. Each displayed p value is FDR-adjusted within its stated 17-test family. Site and latitude were evaluated in separate models because absolute latitude is fixed within and confounded with study site.

Supplementary Table S8. Nonlinear civil-photoperiod classifications

Qualifying transition Qualifying transition bracket (h) Endpoint derivative Interpretation
Light level
Mean melEDI Yes 16.10–16.20 0.008 (95% CI -0.111 to 0.127) Detected increase followed by a sustained zero-compatible tail
Brightest 10 h mean Yes 15.17–15.27 0.059 (95% CI -0.083 to 0.201) Detected increase followed by a sustained zero-compatible tail
Darkest 10 h mean Yes 14.86–14.96 -0.086 (95% CI -0.216 to 0.044) Detected increase followed by a sustained zero-compatible tail
Duration and continuous period
Time above 1,000 lx melEDI Yes 14.86–14.96 0.098 (95% CI -0.176 to 0.371) Detected increase followed by a sustained zero-compatible tail
Time above 250 lx melEDI during wake Yes 14.35–14.45 0.060 (95% CI -0.159 to 0.279) Detected increase followed by a sustained zero-compatible tail
Time below 10 lx melEDI before sleep No Not applicable -0.085 (95% CI -0.154 to -0.016) No preceding detected increase
Time below 1 lx melEDI during sleep No Not applicable 0.062 (95% CI -0.042 to 0.165) No preceding detected increase
Longest continuous period above 250 lx melEDI No Not applicable 0.041 (95% CI 0.025 to 0.058) Increase remained detected at the recorded maximum
Exposure history
melEDI dose Yes 14.24–14.35 0.070 (95% CI -0.069 to 0.209) Detected increase followed by a sustained zero-compatible tail
A ‘Yes’ is the formal derivative-defined classification: the immediately preceding point has an interval wholly above zero, the next contains zero, and every later interval through the recorded maximum remains zero-compatible. Endpoint derivatives and 95% confidence intervals are on each model’s linear-predictor scale, in model-scale units per hour of civil photoperiod.

Supplementary Table S8. Derivative-based classifications for nine near-eye personal light-exposure metrics across the observed civil-photoperiod range. A qualifying transition required the preceding fitted-slope interval to be wholly above zero, the next interval to include zero and every later interval through the recorded maximum to remain zero-compatible. These classifications are descriptive and do not identify a physiological or environmental ceiling.

Supplementary Table S9. Participant-hour routine associations

Predictor Ratio (95% CI) FDR-adjusted p
Free day versus work day 1.45 × (1.14–1.85) 0.004
Active versus sedentary 2.06 × (1.54–2.76) <0.001
Previous sleep duration (per hour) 0.98 × (0.85–1.12) 0.745
Directions are free versus work day, active versus sedentary day status, and the ratio per one additional hour of previous sleep. Participant-cluster-robust 95% CIs use HC3 with 137 participants. The three p-values form one FDR-adjusted family; the null ratio is 1.

Supplementary Table S9. Common-association estimates from the participant-hour analysis of Free versus Work day, Active versus Sedentary daily activity status and each additional hour of previous-night sleep duration. Ratios and participant-cluster-robust 95% confidence intervals come from the fixed-site model; the three p values form one FDR-adjusted family. Predictor-by-site differences are shown in Supplementary Figure S13.

Supplementary Table S10. Person-level evidence synthesis

Scale Result FDR family Decision Sample Qualification
Light-exposure behaviour and awareness Metric associations per participant-level factor SD None retained; 4 cells were unfit for inference 68 factor-by-metric tests None retained Metric-specific samples in Supplementary Table S11 Non-retention is inconclusive rather than evidence of no association.
Visual light sensitivity Metric associations per VLSQ-8 SD Melanopic EDI dose ratio: 0.846 (0.716 to 0.999) 9 metric tests None retained; dose adjusted p = 0.160 141 participants; 761 participant-days; 9 sites Confidence intervals and FDR decisions are separate summaries.
Corrected midsleep on free days Timing per one-hour later corrected midsleep First light timing above 250 lx melEDI: 0.381 (0.146 to 0.616) h; Midpoint of the darkest 10 hours: 0.276 (0.118 to 0.435) h; Midpoint of the brightest 10 hours: 0.205 (0.045 to 0.366) h 5 MCTQ timing outcomes 3 associations retained 139 to 140 participants; 722 to 810 participant-days; 9 sites The two chronotype instruments are analysed separately; associations do not identify causal direction.
Morningness-eveningness preference Timing per 10 points greater morning preference First light timing above 250 lx melEDI: -0.444 (-0.699 to -0.189) h; Midpoint of the darkest 10 hours: -0.314 (-0.487 to -0.142) h; Midpoint of the brightest 10 hours: -0.278 (-0.451 to -0.105) h 5 MEQ timing outcomes 3 associations retained 140 to 141 participants; 727 to 816 participant-days; 9 sites The two chronotype instruments are analysed separately; associations do not identify causal direction.
Age Metric associations per 10 years Brightest 10 h mean: 1.31× (1.09–1.58); Time above 1,000 lx melEDI: 1.27× (1.11–1.45); melEDI dose: 1.31× (1.09–1.56) 17 near-eye metric tests 3 associations retained 141 participants; 761 to 816 participant-days; 9 sites Cross-sectional associations may reflect cohort, occupation, behaviour or other confounding.
Metric-level biological sex Female minus Male None retained 17 near-eye metric tests None retained Metric-specific samples in Supplementary Table S14 Biological sex and gender were recorded separately; gender was not analysed.
Biological-sex-specific daily curve Complete curve and activity-complete sensitivity Complete available-data curve: FDR-adjusted p = 0.028. Activity-complete adjusted curve: exploratory global curve not supported. Global complete-curve tests and separate sensitivity decisions Analysis-specific global decisions 141 participants; 816 participant-days; 9 sites; 37,756 observations Restriction and activity adjustment cannot be disentangled as mechanisms. Clock-specific intervals are pointwise.

Supplementary Table S10. Summary of person-level results in the near-eye analyses. Each row identifies the analysis-specific FDR-correction set or decision structure applied to that result. Results that did not meet the applicable FDR criterion are inconclusive rather than evidence of no association. Four light-behaviour sleep-environment cells were unfit for inference. The two chronotype instruments were analysed separately. Biological sex and gender were recorded separately; gender was not analysed. The complete available-data curve difference was attenuated and not retained in the activity-complete near-eye analysis.

Supplementary Table S11. Light-exposure behaviour and awareness

F2 F3 F4 F5
Interdaily stability OR 1.028 (0.956–1.106)
Raw p = 0.445; FDR-adjusted p = 0.658
OR 0.931 (0.868–0.999)
Raw p = 0.042; FDR-adjusted p = 0.260
OR 0.975 (0.906–1.050)
Raw p = 0.489; FDR-adjusted p = 0.679
OR 1.089 (1.011–1.174)
Raw p = 0.021; FDR-adjusted p = 0.202
Intradaily variability -0.057 (-0.124–+0.009)
Raw p = 0.083; FDR-adjusted p = 0.351
-0.001 (-0.068–+0.065)
Raw p = 0.971; FDR-adjusted p = 0.978
+0.001 (-0.068–+0.069)
Raw p = 0.978; FDR-adjusted p = 0.978
+0.057 (-0.013–+0.127)
Raw p = 0.099; FDR-adjusted p = 0.362
Mean melEDI ×1.092 (0.965–1.235)
Raw p = 0.150; FDR-adjusted p = 0.379
×0.917 (0.813–1.034)
Raw p = 0.146; FDR-adjusted p = 0.379
×0.891 (0.787–1.009)
Raw p = 0.060; FDR-adjusted p = 0.313
×0.941 (0.827–1.070)
Raw p = 0.336; FDR-adjusted p = 0.585
Brightest 10 h mean ×1.204 (1.008–1.439)
Raw p = 0.035; FDR-adjusted p = 0.260
×0.888 (0.745–1.058)
Raw p = 0.169; FDR-adjusted p = 0.384
×0.906 (0.756–1.087)
Raw p = 0.272; FDR-adjusted p = 0.545
×0.931 (0.772–1.123)
Raw p = 0.436; FDR-adjusted p = 0.658
Darkest 10 h mean ×0.995 (0.905–1.094)
Raw p = 0.917; FDR-adjusted p = 0.958
×0.956 (0.871–1.049)
Raw p = 0.322; FDR-adjusted p = 0.577
×0.921 (0.838–1.013)
Raw p = 0.080; FDR-adjusted p = 0.351
×0.970 (0.879–1.070)
Raw p = 0.526; FDR-adjusted p = 0.716
Time above 1,000 lx melEDI ×1.234 (1.084–1.405)
Raw p = 0.002; FDR-adjusted p = 0.124
×0.895 (0.785–1.020)
Raw p = 0.097; FDR-adjusted p = 0.362
×0.911 (0.797–1.043)
Raw p = 0.178; FDR-adjusted p = 0.390
×0.831 (0.725–0.953)
Raw p = 0.009; FDR-adjusted p = 0.169
Time above 250 lx melEDI during wake ×1.122 (1.006–1.252)
Raw p = 0.041; FDR-adjusted p = 0.260
×0.907 (0.814–1.010)
Raw p = 0.075; FDR-adjusted p = 0.351
×0.953 (0.852–1.065)
Raw p = 0.397; FDR-adjusted p = 0.614
×0.946 (0.843–1.061)
Raw p = 0.345; FDR-adjusted p = 0.586
Time below 10 lx melEDI before sleep -0.005 h (-0.135–+0.124 h)
Raw p = 0.930; FDR-adjusted p = 0.958
+0.052 h (-0.073–+0.177 h)
Raw p = 0.392; FDR-adjusted p = 0.614
+0.028 h (-0.104–+0.159 h)
Raw p = 0.654; FDR-adjusted p = 0.781
-0.031 h (-0.167–+0.105 h)
Raw p = 0.646; FDR-adjusted p = 0.781
Time below 1 lx melEDI during sleep Unfit for inference
Estimate and p-values suppressed from the reader display
Unfit for inference
Estimate and p-values suppressed from the reader display
Unfit for inference
Estimate and p-values suppressed from the reader display
Unfit for inference
Estimate and p-values suppressed from the reader display
Longest continuous period above 250 lx melEDI ×1.117 (1.007–1.238)
Raw p = 0.031; FDR-adjusted p = 0.260
×0.924 (0.835–1.023)
Raw p = 0.117; FDR-adjusted p = 0.375
×0.933 (0.840–1.037)
Raw p = 0.185; FDR-adjusted p = 0.393
×0.945 (0.847–1.053)
Raw p = 0.287; FDR-adjusted p = 0.557
Associations are reported per one participant-level SD of the LEBA score with 95% CIs. Raw p has no separate bolding rule; FDR-adjusted p is bold only at alpha = 0.050 across all 68 tests. Sleep-environment cells are unfit for inference and suppressed.
F2 F3 F4 F5
Midpoint of the brightest 10 hours +0.049 h (-0.132–+0.229 h)
Raw p = 0.584; FDR-adjusted p = 0.747
+0.133 h (-0.042–+0.309 h)
Raw p = 0.124; FDR-adjusted p = 0.375
+0.030 h (-0.153–+0.213 h)
Raw p = 0.740; FDR-adjusted p = 0.868
-0.083 h (-0.270–+0.105 h)
Raw p = 0.371; FDR-adjusted p = 0.601
Midpoint of the darkest 10 hours -0.136 h (-0.317–+0.044 h)
Raw p = 0.127; FDR-adjusted p = 0.375
+0.080 h (-0.097–+0.258 h)
Raw p = 0.358; FDR-adjusted p = 0.594
-0.020 h (-0.204–+0.164 h)
Raw p = 0.825; FDR-adjusted p = 0.935
+0.132 h (-0.056–+0.320 h)
Raw p = 0.156; FDR-adjusted p = 0.379
Mean timing of exposure above 250 lx melEDI +0.020 h (-0.152–+0.192 h)
Raw p = 0.819; FDR-adjusted p = 0.935
+0.086 h (-0.081–+0.253 h)
Raw p = 0.295; FDR-adjusted p = 0.558
-0.097 h (-0.267–+0.074 h)
Raw p = 0.247; FDR-adjusted p = 0.510
-0.166 h (-0.339–+0.008 h)
Raw p = 0.053; FDR-adjusted p = 0.301
First light timing above 250 lx melEDI -0.219 h (-0.489–+0.052 h)
Raw p = 0.101; FDR-adjusted p = 0.362
+0.324 h (+0.062–+0.585 h)
Raw p = 0.013; FDR-adjusted p = 0.179
+0.019 h (-0.252–+0.291 h)
Raw p = 0.887; FDR-adjusted p = 0.958
-0.097 h (-0.380–+0.185 h)
Raw p = 0.486; FDR-adjusted p = 0.679
Last light timing above 250 lx melEDI +0.308 h (+0.043–+0.573 h)
Raw p = 0.020; FDR-adjusted p = 0.202
-0.066 h (-0.328–+0.196 h)
Raw p = 0.615; FDR-adjusted p = 0.760
-0.011 h (-0.280–+0.259 h)
Raw p = 0.927; FDR-adjusted p = 0.958
-0.081 h (-0.361–+0.200 h)
Raw p = 0.558; FDR-adjusted p = 0.743
melEDI dose ×1.278 (1.079–1.514)
Raw p = 0.004; FDR-adjusted p = 0.124
×0.885 (0.748–1.048)
Raw p = 0.143; FDR-adjusted p = 0.379
×0.872 (0.732–1.038)
Raw p = 0.112; FDR-adjusted p = 0.375
×0.881 (0.736–1.054)
Raw p = 0.153; FDR-adjusted p = 0.379
Melanopic daylight efficacy ratio +0.004 (-0.011–+0.019)
Raw p = 0.586; FDR-adjusted p = 0.747
-0.004 (-0.019–+0.011)
Raw p = 0.593; FDR-adjusted p = 0.747
-0.010 (-0.026–+0.005)
Raw p = 0.162; FDR-adjusted p = 0.380
-0.020 (-0.035–-0.004)
Raw p = 0.010; FDR-adjusted p = 0.169
Associations are reported per one participant-level SD of the LEBA score with 95% CIs. Raw p has no separate bolding rule; FDR-adjusted p is bold only at alpha = 0.050 across all 68 tests. Sleep-environment cells are unfit for inference and suppressed.

Supplementary Table S12. Visual light sensitivity

Metric Scale Association per VLSQ-8 SD (95% CI) Raw p FDR-adjusted p Participants / participant-days / sites
Mean melEDI Ratio (percentage change) ×0.915 (0.811–1.031) 0.147 0.221 141 / 816 / 9
Brightest 10 h mean Ratio (percentage change) ×0.851 (0.716–1.013) 0.071 0.160 141 / 816 / 9
Darkest 10 h mean Ratio (percentage change) ×1.024 (0.934–1.123) 0.612 0.689 141 / 816 / 9
Time above 1,000 lx melEDI Ratio (percentage change) ×0.876 (0.765–1.002) 0.056 0.160 141 / 816 / 9
Time above 250 lx melEDI during wake Ratio (percentage change) ×0.900 (0.806–1.005) 0.063 0.160 141 / 737 / 9
Time below 10 lx melEDI before sleep Difference in hours +0.063 h (-0.062–+0.188 h) 0.328 0.422 139 / 655 / 9
Time below 1 lx melEDI during sleep Ratio (percentage change) ×0.998 (0.964–1.033) 0.903 0.903 141 / 778 / 9
Longest continuous period above 250 lx melEDI Ratio (percentage change) ×0.917 (0.828–1.014) 0.093 0.167 141 / 816 / 9
melEDI dose Ratio (percentage change) ×0.846 (0.716–0.999) 0.051 0.160 141 / 761 / 9
Associations compare scores separated by one participant-level SD (5.540 VLSQ-8 points). The hour-scale row is an absolute difference; ratio rows can be read as percentage changes. Intervals are two-sided 95% Wald CIs. FDR adjustment is across all nine metrics; adjusted p-values would be bold at 0.050.

Supplementary Table S13. Chronotype and timing

Metric Instrument Signed association, h (95% CI) Raw p FDR-adjusted p Fitted sample: participants / days / observations / hours / sites
Midpoint of the brightest 10 hours MCTQ MSFsc +0.205 (+0.045 to +0.366) 0.010 0.017 140 / 810 / 810 / 18711.7 h / 9
Midpoint of the brightest 10 hours MEQ -0.278 (-0.451 to -0.105) 0.001 0.002 141 / 816 / 816 / 18851.0 h / 9
Midpoint of the darkest 10 hours MCTQ MSFsc +0.276 (+0.118 to +0.435) <0.001 0.003 140 / 810 / 810 / 18711.7 h / 9
Midpoint of the darkest 10 hours MEQ -0.314 (-0.487 to -0.142) <0.001 0.001 141 / 816 / 816 / 18851.0 h / 9
First light timing above 250 lx melEDI MCTQ MSFsc +0.381 (+0.146 to +0.616) 0.001 0.003 139 / 722 / 722 / 16716.3 h / 9
First light timing above 250 lx melEDI MEQ -0.444 (-0.699 to -0.189) <0.001 0.001 140 / 727 / 727 / 16832.5 h / 9
Last light timing above 250 lx melEDI MCTQ MSFsc -0.025 (-0.264 to +0.214) 0.811 0.811 140 / 683 / 683 / 15900.8 h / 9
Last light timing above 250 lx melEDI MEQ +0.029 (-0.236 to +0.294) 0.814 0.814 141 / 687 / 687 / 15995.0 h / 9
Midpoint of the longest continuous period above 250 lx melEDI MCTQ MSFsc +0.161 (-0.113 to +0.434) 0.227 0.284 131 / 478 / 478 / 11325.5 h / 9
Midpoint of the longest continuous period above 250 lx melEDI MEQ -0.228 (-0.521 to +0.064) 0.108 0.135 132 / 482 / 482 / 11419.8 h / 9
MCTQ associations are per one-hour later MSFsc; MEQ associations are per 10 points greater morning preference. Positive associations indicate later timing and negative associations earlier. Intervals are 95% Wald CIs. Raw p-values are bold when raw p < 0.050; adjusted p-values are bold when FDR-adjusted p < 0.050 within the instrument-specific five-outcome family.

Supplementary Table S14. Age and biological sex

Placement and role Predictor Metric Practical association (95% CI) Raw p FDR-adjusted p Sample
Near eye (primary) Age, per 10 years Brightest 10 h mean 1.31× (1.09–1.58) 0.003 0.018 141 participants; 816 participant-days/observations
Near eye (primary) Age, per 10 years Time above 1,000 lx melEDI 1.27× (1.11–1.45) <0.001 0.009 141 participants; 816 participant-days/observations
Near eye (primary) Age, per 10 years melEDI dose 1.31× (1.09–1.56) 0.003 0.018 141 participants; 761 participant-days/observations
Chest (complementary) Age, per 10 years Mean melEDI 1.16× (1.04–1.30) 0.006 0.017 154 participants; 902 participant-days/observations
Chest (complementary) Age, per 10 years Brightest 10 h mean 1.35× (1.15–1.57) <0.001 <0.001 154 participants; 902 participant-days/observations
Chest (complementary) Age, per 10 years Time above 1,000 lx melEDI 1.31× (1.18–1.46) <0.001 <0.001 154 participants; 902 participant-days/observations
Chest (complementary) Age, per 10 years Time above 250 lx melEDI during wake 1.16× (1.06–1.26) 0.001 0.004 154 participants; 818 participant-days/observations
Chest (complementary) Age, per 10 years Longest continuous period above 250 lx melEDI 1.18× (1.09–1.27) <0.001 <0.001 154 participants; 902 participant-days/observations
Chest (complementary) Age, per 10 years melEDI dose 1.40× (1.21–1.61) <0.001 <0.001 154 participants; 851 participant-days/observations
Chest (complementary) Measured biological sex, Female minus Male Mean melEDI 0.74× (0.60–0.92) 0.006 0.048 154 participants; 902 participant-days/observations
Chest (complementary) Measured biological sex, Female minus Male Darkest 10 h mean 0.76× (0.65–0.90) <0.001 0.016 154 participants; 902 participant-days/observations
Associations are site-adjusted estimates per 10-year age increase or Female minus Male. Ratios are back-transformed to the practical scale. Each FDR-adjusted p-value belongs to its sensor-position- and predictor-specific complete 17-test family; bold values meet the FDR-adjusted p < 0.050 rule. Samples give the exact fitted participants and participant-day observations for these retained daily-response results.

Supplementary Table S15. Biological-sex-specific daily curves

Role Test F statistic Numerator df Denominator df Raw p FDR-adjusted p Support
Near eye Primary Complete Female-minus-Male 24-hour curve 20.946 9.692 131 0.028 0.028 Supported
Chest Complementary Complete Female-minus-Male 24-hour curve 4.876 1.003 152 0.029 0.029 Supported
Primary near-eye fitted sample: 141 participants, 816 participant-days, 37,756 30-minute observations, and 9 sites. Complementary chest fitted sample: 154 participants, 902 participant-days, 41,842 30-minute observations, and 8 sites.
Each row is one joint complete-curve test. Raw p is bold at raw p < 0.050; FDR-adjusted p is bold independently at adjusted p < 0.050. Each labelled global family contains one test, so the stored raw and adjusted values coincide.