Naturalistic lighting
At Rigshospitalet Glostrup, in Copenhagen, Dr. Anders Sode West and his colleagues set out to evaluate the effect of naturalistic, or circadian, lighting on post-stroke patients admitted for rehabilitation: the first study of its kind to investigate the influence of systematic, sunlight-based light on recovering patients. In simple terms, “naturalistic light” is artificial light that replicates nature’s own rhythm of darkness and light. It also supports our circadian rhythm: the human brain’s 24-hour internal clock for cycling through sleepiness and alertness at regular intervals.
The predictability of the natural rhythm of light optimises our physiology, health and behaviour. But for the majority of us, who might spend as much as 90% of our time indoors, that natural daily rhythm can be elusive.
Getting sufficient daylight under modern living conditions is challenging enough. But in a controlled environment, such as a hospital or rehabilitation centre, maintaining a healthy circadian rhythm becomes particularly challenging, especially for long-term patients.
So, what can healthcare institutions do to create an environment that supports a healthy biorhythm and reduces complications? And, on a broader scale, what can all our interiors – from our homes and workplaces to our schools and public spaces – do to compensate for our severed connection to nature?

Illumination that mimics nature
To best support the human circadian rhythm, naturalistic indoor lighting copies the rhythm of sunlight, replicating natural fluctuations in darkness and light (lux), colour (kelvin), and spectrum (wavelength).
“Our brains read the light to estimate the time of the day,” explains Dr. West. “It is therefore crucial to get the right light at the right time, so the organs and the brain can speed up or slow down their activity at the right time. We know that all cells in our body are circadian-controlled – and that 10-15% of our genes are directly controlled by the master clock in the brain’s hypothalamus. And we know that a disturbed circadian rhythm is associated with endocrinological disturbances (for instance, Type 2 diabetes), cognitive impairment, sleep problems, depression, and cancer, among other things.”