Cornelia Sauter

Do mobile phone base stations affect sleep of residents? Results from an experimental double‐blind sham‐controlled field study

The aim of the present double‐blind, sham‐controlled, balanced randomized cross‐over study was to disentangle effects of electromagnetic fields (EMF) and non‐EMF effects of mobile phone base stations on objective and subjective sleep quality.

The pupillographic sleepiness test in adults: Effect of age, gender, and time of day on pupillometric variables

The Pupillographic Sleepiness Test (PST) measures the level of alertness based on spontaneous oscillations in pupillary size. Reference data are available for male and female adults within the age range 20–60 years. The aim of the present multicenter study was to extend the age range for reference data from 20 to 79 years.

Effects of electromagnetic fields emitted by mobile phones (GSM 900 and WCDMA/UMTS) on the macrostructure of sleep

In the present double‐blind, randomized, sham‐controlled cross‐over study, possible effects of electromagnetic fields emitted by Global System for Mobile Communications (GSM) 900 and Wideband Code‐Division Multiple Access (WCDMA)/Universal Mobile Telecommunications System (UMTS) cell‐phones on the macrostructure of sleep were investigated in a laboratory environment. An adaptation night, which served as screening night for sleep disorders and as an adjustment night to the laboratory environment, was followed by 9 study nights (separated by a 2‐week interval) in which subjects were exposed to three exposure conditions (sham, GSM 900 and WCDMA/UMTS). The sample comprised 30 healthy male subjects within the age range 18–30 years (mean ± standard deviation: 25.3 ± 2.6 years). A cell‐phone usage at maximum radio frequency (RF) output power was simulated and the transmitted power was adjusted in order to approach, but not to exceed, the specific absorption rate (SAR) limits of the International Commission on Non‐Ionizing Radiation Protection (ICNIRP) guidelines for general public exposure (SAR10g = 2.0 W kg−1). In this study, possible effects of long‐term (8 h) continuous RF exposure on the central nervous system were analysed during sleep, because sleep is a state in which many confounding intrinsic and extrinsic factors (e.g. motivation, personality, attitude) are eliminated or controlled. Thirteen of 177 variables characterizing the initiation and maintenance of sleep in the GSM 900 and three in the WCDMA exposure condition differed from the sham condition. The few significant results are not indicative of a negative impact on sleep architecture. From the present results there is no evidence for a sleep‐disturbing effect of GSM 900 and WCDMA exposure.

Effects of exposure to electromagnetic fields emitted by GSM 900 and WCDMA mobile phones on cognitive function in young male subjects

Results of studies on the possible effects of electromagnetic fields emitted by mobile phones on cognitive functions are contradictory, therefore, possible effects of long-term (7 h 15 min) electromagnetic field (EMF) exposure to handset-like signals of Global System for Mobile Communications (GSM) 900 and Wideband Code-Division Multiple Access (WCDMA) on attention and working memory were studied. The sample comprised 30 healthy male subjects (mean ± SD: 25.3 ± 2.6 years), who were tested on nine study days in which they were exposed to three exposure conditions (sham, GSM 900 and WCDMA) in a randomly assigned and balanced order. All tests were presented twice (morning and afternoon) on each study day within a fixed timeframe. Univariate comparisons revealed significant changes when subjects were exposed to GSM 900 compared to sham, only in the vigilance test. In the WCDMA exposure condition, one parameter in the vigilance and one in the test on divided attention were altered compared to sham. Performance in the selective attention test and the n-back task was not affected by GSM 900 or WCDMA exposure. Time-of-day effects were evident for the tests on divided and selective attention, as well as for working memory. After correction for multiple testing, only time-of-day effects remained significant in two tests, resulting in faster reactions in the afternoon trials. The results of the present study do not provide any evidence of an EMF effect on human cognition, but they underline the necessity to control for time of day.

Effects of mobile phone exposure (GSM 900 and WCDMA/UMTS) on polysomnography based sleep quality: An intra- and inter-individual perspective

BACKGROUND Studies on effects of radio frequency-electromagnetic fields (RF-EMF) on the macrostructure of sleep so far yielded inconsistent results. This study investigated whether possible effects of RF-EMF exposure differ between individuals. OBJECTIVE In a double-blind, randomized, sham-controlled cross-over study possible effects of electromagnetic fields emitted by pulsed Global System for Mobile Communications (GSM) 900 and Wideband Code-Division Multiple Access (WCDMA)/Universal Mobile Telecommunications System (WCDMA/UMTS) devices on sleep were analysed. METHODS Thirty healthy young men (range 18-30 years) were exposed three times per exposure condition while their sleep was recorded. Sleep was evaluated according to the American Academy of Sleep Medicine standard and eight basic sleep variables were considered. RESULTS Data analyses at the individual level indicate that RF-EMF effects are observed in 90% of the individuals and that all sleep variables are affected in at least four subjects. While sleep of participants was affected in various numbers, combinations of sleep variables and in different directions, showing improvements but also deteriorations, the only consistent finding was an increase of stage R sleep under GSM 900MHz exposure (9 of 30 subjects) as well as under WCDMA/UMTS exposure (10 of 30 subjects). CONCLUSIONS The results underline that sleep of individuals can be affected differently. The observations found here may indicate an underlying thermal mechanism of RF-EMF on human REM sleep. Nevertheless, the effect of an increase in stage R sleep in one third of the individuals does not necessarily indicate a disturbance of sleep.

Design and dosimetric analysis of a 385 MHz TETRA head exposure system for use in human provocation studies

A new head exposure system for double-blind provocation studies investigating possible effects of terrestrial trunked radio (TETRA)-like exposure (385 MHz) on central nervous processes was developed and dosimetrically analyzed. The exposure system allows localized exposure in the temporal brain, similar to the case of operating a TETRA handset at the ear. The system and antenna concept enables exposure during wake and sleep states while an electroencephalogram (EEG) is recorded. The dosimetric assessment and uncertainty analysis yield high efficiency of 14 W/kg per Watt of accepted antenna input power due to an optimized antenna directly worn on the subjects head. Beside sham exposure, high and low exposure at 6 and 1.5 W/kg (in terms of maxSAR10g in the head) were implemented. Double-blind control and monitoring of exposure is enabled by easy-to-use control software. Exposure uncertainty was rigorously evaluated using finite-difference time-domain (FDTD)-based computations, taking into account anatomical differences of the head, the physiological range of the dielectric tissue properties including effects of sweating on the antenna, possible influences of the EEG electrodes and cables, variations in antenna input reflection coefficients, and effects on the specific absorption rate (SAR) distribution due to unavoidable small variations in the antenna position. This analysis yielded a reasonable uncertainty of <±45% (max to min ratio of 4.2 dB) in terms of maxSAR10g in the head and a variability of <±60% (max to min ratio of 6 dB) in terms of mass-averaged SAR in different brain regions, as demonstrated by a brain region-specific absorption analysis.

The effect of daytime napping and full‐night sleep on the consolidation of declarative and procedural information

Many studies investigating sleep and memory consolidation have evaluated full‐night sleep rather than alternative sleep periods such as daytime naps. This multi‐centre study followed up on, and was compared with, an earlier full‐night study (Schabus et al., 2004) investigating the relevance of daytime naps for the consolidation of declarative and procedural memory. Seventy‐six participants were randomly assigned to a nap or wake group, and performed a declarative word‐pair association or procedural mirror‐tracing task. Performance changes from before to after a 90‐min retention interval filled with sleep or quiet wakefulness were evaluated between groups. Associations between performance changes, sleep architecture, spindles, and slow oscillations were investigated. For the declarative task we observed a trend towards stronger forgetting across a wake period compared with a nap period, and a trend towards memory increase over the full‐night. For the procedural task, accuracy was significantly decreased following daytime wakefulness, showed a trend to increase with a daytime nap, and significantly increased across full‐night sleep. For the nap protocol, neither sleep stages, spindles, nor slow oscillations predicted performance changes. A direct comparison of day and nighttime sleep revealed that daytime naps are characterized by significantly lower spindle density, but higher spindle activity and amplitude compared with full‐night sleep. In summary, data indicate that daytime naps protect procedural memories from deterioration, whereas full‐night sleep improves performance. Given behavioural and physiological differences between day and nighttime sleep, future studies should try to characterize potential differential effects of full‐night and daytime sleep with regard to sleep‐dependent memory consolidation.

Terrestrial Trunked Radio (TETRA) exposure and its impact on slow cortical potentials

BACKGROUND Studies have shown that exposure to radiofrequency electromagnetic fields (RF-EMF) in the mobile communication frequency range may induce physiological modifications of both spontaneous as well as event-related human electroencephalogram. So far, there are very few peer-reviewed studies on effects of Terrestrial Trunked Radio (TETRA), which is a digital radio communication standard used by security authorities and organizations in several European countries, on the central nervous system. OBJECTIVES To analyze the impact of simulated TETRA handset signals at 385 MHz on slow cortical potentials (SCPs). METHODS 30 young healthy males (25.2±2.7 years) were exposed in a double-blind, counterbalanced, cross-over design to one of three exposure levels (TETRA with 10 g averaged peak spatial SAR: 1.5 W/kg, 6.0 W/kg and sham). Exposure was conducted with a body worn antenna (especially designed for this study), positioned at the left side of the head. Subjects had 9 test sessions (three per exposure condition) in which three SCPs were assessed: SCP related to a clock monitoring task (CMT), Contingent negative variation (CNV) and Bereitschaftspotential (BP). RESULTS Neither behavioral measures nor the electrophysiological activity was significantly affected by exposure in the three investigated SCP paradigms. Independent of exposure, significant amplitude differences between scalp regions could be observed for the CMT-related SCP and for the CNV. CONCLUSIONS The present results reveal no evidence of RF-EMF exposure-dependent brain activity modifications investigated at the behavioral and the physiological level.

Experimental investigation of possible warmth perception from a head exposure system for human provocation studies with TETRA handset-like signals.

An experimental investigation of warming and warmth perception caused by handset EMF exposure was performed in order to examine its possible impact on blinding. Healthy male participants (15) were exposed to three different exposure conditions: sham and Terrestrial Trunked Radio (TETRA) handsets with maximum 10 g averaged SAR values of 1.5 and 6 W/kg each on three days. The study followed a randomized, double-blind design. TETRA signals simulated exposure from a handheld device consisting of a 385 MHz carrier modulated with a pulse length of 14.17 ms and a pulse period of 56.67 ms (i.e., duty cycle 25%; 17.65 Hz pulse modulation). A body worn antenna was used and fixed at the left ear. In addition to subjective ratings, skin temperatures at two locations close to the radiating element of the body-worn antenna were measured. The measurements revealed a temperature rise proportional to the supplied RF power with an average temperature increase measured at the two locations of 0.8 °C following the high exposure level of 6 W/kg. However, subjects were not able to distinguish between exposure conditions based on their subjective perception and thus the double-blinding was ensured.

The assessment of vigilance: normative data on the Siesta sustained attention test ☆

OBJECTIVE In several modern society duties individuals have to maintain their attention or vigilance over prolonged periods of time, even if the monitoring task is monotonous. The aim of our study was to obtain reference data on the 60-minute monotonous Siesta sustained attention test. METHODS Normative data were gathered in an age-stratified sample of 234 healthy participants (118 men; 116 women) between the ages of 20 and 79 years. The impact of age, gender, time of day, and time on task during performance was analyzed. RESULTS At least 20 participants from each age group and gender group were tested either in the morning or in the afternoon. The sample sizes were only smaller in the age group of 70 to 79 years. There was a notable age effect on all performance measures, with an increase in reaction times and false response rates from the youngest to the oldest group as well as a decrease in correct reactions with increasing age. Statistical analysis revealed no differences in speed and accuracy measures between men and women participants. There was no notable time-of-day effect but a clear impact of time-on-task speed and of correct reactions during the course of the test. The vigilance decrement had already occurred during the first half of the test. CONCLUSIONS Our results provide a normative database of performance parameters for different age groups in healthy adult participants. As sustained attention is sensitive to sleep loss and nonrestorative sleep, our data can be used as a reference for performance-based assessment of daytime sleepiness in participants with hypersomnia.