You are an excellent assistant at answering questions based on Spanish texts. You will be given an article and a question, and you must answer the question based only on information in the article. The response should be extracted from the context verbatim.

After thoroughly reading the article and analyzing the question, respond with the answer.

Title:
Lighting

Context:
Beyond the energy factors being considered, it is important not to over-design illumination, lest adverse health effects such as headache frequency, stress, and increased blood pressure be induced by the higher lighting levels. In addition, glare or excess light can decrease worker efficiency.

Question:
What can cause health effects such headache frequency?

higher lighting levels