For most of the U.S., the clock goes back one hour on Sunday morning, Nov. 1, the "fall back" for daylight saving time. Many of us appreciate the extra hour of sleep.
But for millions, that gain won't counter the inadequate sleep they get the rest of the year. About 40% of adults - 50 to 70 million Americans - get less than the recommended minimum seven hours per night.
Some researchers are concerned about how the twice-a-year switch impacts our body's physiology. The American Academy of Sleep Medicine, the largest scientific organization that studies sleep, now wants to replace daylight saving time with a move to a year-round fixed time. That way, our internal circadian clocks would not be misaligned for half the year. And it would eliminate the safety risk from sleep loss when transitioning to daylight savings time.
I am a neurologist at the University of Florida. I've studied how a lack of sleep can impair the brain. In the 1940s, most American adults averaged 7.9 hours of sleep a night. Today, it's only 6.9 hours. To put it another way: In 1942, 84% of us got the recommended seven to nine hours; in 2013, it was 59%. To break it down further, a January 2018 study from Fitbit reported that men got even less sleep per night than women, about 6.5 hours.
The case for sleep
Problems from sleep shortage go beyond simply being tired. Compared to those who got enough sleep, adults who are short sleepers - those getting less than seven hours per day - were more likely to report 10 chronic health conditions, including heart disease, diabetes, obesity, asthma and depression.
Children, who need more sleep than adults, face even more challenges. To promote optimal health, six- to 12-year-olds should sleep nine to 12 hours a day; teens from 13 to 18, eight to 10 hours. But a Sleep Foundation poll of parents says children are getting at least one hour less than that. And researchers have found that sleep deprivation of even a single hour can harm a child's developing brain, affecting memory encoding and attentiveness in school.
Sleep impacts every one of our biological systems. Serious consequences can result with poor sleep quality. Here's a short list: Blood pressure may increase. Risk of coronary heart disease could go up. Our endocrine system releases more cortisol, a stress hormone. We become more aroused by "fight or flight" syndrome. There's a reduction of growth hormone and muscle maintenance. There's a higher chance of increased appetite and weight gain. The body has less glucose tolerance and greater insulin resistance; in the long term, that means an increased risk for Type 2 diabetes.
Sleep deprivation is associated with increased inflammation and a decreased number of antibodies to fight infections. It may also cause a decrease in pain tolerance, reaction times and memory. Occupational studies show sleep loss can cause poor work performance, including more days missed and more car accidents.
Recent research suggests the body's waste removal process relies on sleep to get rid of harmful proteins from the brain, particularly abnormal variants of amyloid. These are the same proteins that are elevated in Alzheimer's patients. Studies show that older adults who sleep less have greater accumulation of these proteins in their brains.
On the other hand, getting enough sleep helps the body in many ways by protecting against some of these damaging effects and by boosting the immune system.
The problem with DST
Most of the risk associated with daylight saving time occurs in the spring, when we turn the clock forward and lose one hour of sleep. The idea of a national permanent year-round time has support, but disagreements exist on whether the fixed time should be standard time or daylight savings time.
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States advocating for permanent daylight saving time are typically those that rely on tourism. Environmentalists, favoring less energy consumption from morning heating and evening air conditioning, often support permanent standard time. Religious groups, whose prayer times are linked to sundown and sunrise, also tend to prefer permanent standard time. So do many educators, opposed to transporting children to school during mornings when it's still dark.
As you ponder what system is best for a national year-round standard, consider this: The American Academy of Sleep Medicine has recommended we go with permanent standard time - a better way to align with our natural circadian clock and minimize health and safety risks.
And just think: If we change to permanent standard time, then for the first time in decades, you won't lose an hour of sleep every spring.