Daily Southtown

Changing the clocks is no help when COVID-19 anxiety is already disrupting our sleep

- By Michael S. Jaffee Michael S. Jaffee is vice chair of the Department of Neurology at the University of Florida.

The clock sprung forward one hour on Sunday morning for most people in the U.S. That is not an appealing thought for those who have suffered sleep problems because of the pandemic.

Sleep this past year has been affected by a variety of factors, including anxiety, inconsiste­nt schedules and increased screen time. This affects our health, as getting adequate sleep is important to assure our immune system can fend off and fight infections.

Even before the pandemic, about 40% of adults — 50 to 70 million Americans — got less than the recommende­d minimum seven hours per night.

And, many researcher­s were already concerned about how the twice-a-year switch affects our body’s physiology. The American Academy of Sleep Medicine, the largest scientific organizati­on that studies sleep, in October 2020 suggested nixing daylight saving time and moving to a yearround 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 saving 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.

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, 6- 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 affects 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.

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.

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 saving time.

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.

 ?? TERRENCE ANTONIO JAMES/CHICAGO TRIBUNE ?? Sunset in Bourbonnai­s on March 9.
TERRENCE ANTONIO JAMES/CHICAGO TRIBUNE Sunset in Bourbonnai­s on March 9.

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