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Daylight saving time and early school start times cost billions in lost productivity and health care expenses

Daylight saving time disrupts sleep, leading to increased heart attacks, accidents, and mental health issues. Advocating for permanent standard time and later school start times could significantly enhance public health and reduce economic costs.

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Daylight saving time
Daylight saving time kicks in on March 9, 2025, but some say it leads to more heart attacks, depression and car accidents. Lord Henri Voton/E+ via Getty Images

Joanna Fong-Isariyawongse, University of Pittsburgh

Investigations into the 1986 Space Shuttle Challenger disaster revealed that key decision-makers worked on little sleep, raising concerns that fatigue impaired their judgment. Similarly, in 1989, the Exxon Valdez oil spill resulted in a massive environmental catastrophe. The official investigation revealed the third mate, in charge of steering the ship, was running on too little sleep, among other problems.

While these specific disasters were not caused by daylight saving time, they are conclusively linked to fatigue, based on postaccident investigations and reports. They underscore the well-documented dangers of sleep deprivation and fatigue-related errors. Yet a vast body of research shows that every year, the shift to daylight saving time needlessly exacerbates these risks, disrupting millions of Americans’ sleep and increasing the likelihood of accidents, health issues and fatal errors.

Imagine a world where one simple decision – keeping our clocks aligned with the natural cycle of the Sun – could save lives, prevent accidents and improve mental well-being. It’s not just about an hour of lost sleep; it’s about how small disruptions ripple through our health, our workplaces and even our children’s futures.

I’m a neurologist who specializes in sleep health. I’ve seen firsthand the negative impacts of poor sleep; it has enormous personal and economic consequences.

Yet despite overwhelming research supporting better sleep policies – such as delaying school start times to align with adolescent biology and the adoption of permanent standard time – these issues remain largely overlooked in public policy discussions.

Sleep deprivation comes with real costs

Chronic sleep deprivation does more than leave people tired. It costs an estimated US$411 billion annually in lost productivity and health care costs. Poor sleep leads to workplace mistakes, car accidents and long-term health issues that strain businesses, families and the economy as a whole.

Fortunately, there’s a fix. Smarter sleep policies – such as permanent standard time and later school start times – can boost efficiency, improve health and save lives.

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In a classroom setting, students take an exam.
Sleep-deprived teens have lower test scores and graduation rates. skynesher/E+

Up before dawn

Teenagers are the most sleep-deprived age group in the U.S. Multiple studies and surveys show that anywhere from 71% to 84% of high school students report getting insufficient sleep.

This is largely due to early school start times, which force teens to wake up before their biological clocks are ready. If you have a teenager, you probably see it every day: The teen struggling to wake up before sunrise, rushing out the door without breakfast, then waiting in the dark for the school bus.

More than 80% of public middle and high schools in the U.S. start before 8:30 a.m., with 42% starting before 8 a.m. and 10% before 7:30 a.m. As a result, some districts have bus pickups as early as 5 a.m.

Teenagers are going through a natural shift in their circadian rhythms by about two hours. This shift, driven by hormones and biology, makes it hard for them to fall asleep before around 11 p.m. The bodies of teens aren’t wired for these schedules, yet schools and society have designed a system that forces them to function at their worst.

Declining scores, drowsy driving and depression

Sleep-deprived teens have lower grades and test scores, more car crashes caused by drowsy driving, more alcohol and drug use and higher rates of depression, anxiety suicide and aggressive behavior, including carrying weapons.

Along with the health benefits, studies have found that moving school start times to 8:30 am or later could add $8.6 billion to the economy within two years, partly by increased graduation rates.

While concerns about increased transportation costs exist, such as the need for additional buses or drivers due to staggered school start times, some districts have found that optimizing bus routes can offset expenses, making the change cost-neutral or even cost-saving. For instance, a study in Boston found that reorganizing bus schedules using advanced algorithms reduced the number of buses needed and improved efficiency, which allowed high school students to start later and better align with their natural sleep cycles. This change not only supported adolescent sleep health but also saved the district $5 million annually. https://www.youtube.com/embed/OR6il9otpqM?wmode=transparent&start=0 Studies show that daylight saving time does not reduce energy use.

More heart attacks, car wrecks and suicide

Every March, most Americans shift their clocks forward for daylight saving time. Studies show this change disrupts sleep and leads to measurable adverse outcomes, including a significant increase in heart attacks. These effects linger for days after the shift, as sleep-deprived workers struggle to adjust.

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The mental health impact is also severe. Suicide rates increase in the weeks following the switch, particularly for those already vulnerable to depression.

Unlike daylight saving time, standard time follows the body’s natural circadian rhythm, which is primarily regulated by exposure to sunlight. Our internal clocks are most stable when morning light exposure occurs early in the day, signaling the body to wake up and regulate key biological functions such as hormone production, alertness and metabolism. In contrast, daylight saving time artificially extends evening light, delaying the body’s release of melatonin and making it harder to fall asleep at a biologically appropriate time.

Studies have found that adopting permanent standard time could prevent up to 5,000 suicides annually by reducing seasonal depression, decrease errors, injuries and absenteeism in the workplace and make roads safer, potentially preventing 1,300 traffic deaths each year.

Times are changing

The U.S. tried permanent daylight saving time in 1974. It was so unpopular that Congress repealed it within nine months.

Russia tried it too, in 2011, but switched back three years later. The United Kingdom dropped permanent daylight saving time in 1971 after three years, and Portugal in 1996 after four. All of these countries found that the switch caused widespread public dissatisfaction, health concerns, more morning car accidents and disrupted work schedules. No country is currently on year-round daylight saving time.

These examples provide real-world evidence that permanent DST is undesirable due to public dissatisfaction, safety concerns and negative health effects – all three countries attempted it and ultimately reversed course. Since 2022, there has been renewed debate, largely driven by former U.S. Sen. Marco Rubio’s Sunshine Protection Act, which aims to make DST permanent.

However, the name is misleading because it doesn’t “protect” sunshine but rather eliminates critical morning light, which is essential for regulating circadian rhythms. Major health organizations, along with the National Safety Council, strongly oppose permanent DST due to its well-documented risks.

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There are signs that suggest the U.S. is finally waking up to these problems. Out of 13,000 school districts, 1,000 have independently adopted later school start times. California and Florida have enacted laws requiring high schools to start no earlier than 8:30 a.m. California’s mandate went into effect in 2022, and Florida’s is set to begin in 2026.

Permanent standard time and later school start times are not radical ideas. They’re practical, evidence-based solutions based on human biology. Implementing these changes nationally would require congressional action. However, current federal law already allows states to adopt permanent standard time, as Arizona and Hawaii have done, setting a precedent for the rest of the country.

Joanna Fong-Isariyawongse, Associate Professor of Neurology, University of Pittsburgh

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Lifestyle

Beyond the Scale: Understanding the facts about obesity for Hispanic Americans

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obesity (Family Features) Obesity is a lifelong health problem that affects more than 42% of American adults and impacts some ethnic and racial groups more than others. According to the U.S. Centers for Disease Control and Prevention, nearly half (47%) of Hispanic American adults live with obesity, making it one of the most serious health risks for Hispanics. Obesity has been linked to serious conditions including diabetes, heart disease, cancer and digestive health issues, including gastroesophageal reflux disease and liver disease. Many patients do not make the connection between their weight and the impact on these other health conditions. They are unaware these conditions can be prevented and, in most cases, treated successfully by weight management. “As a gastroenterologist, patients often come to my office for serious health issues such as liver disease, which they don’t realize is caused by obesity,” said Dr. Andres Acosta, an obesity doctor and gastroenterologist at the Mayo Clinic. “They often don’t know these issues can be prevented or reversed by staying at a healthy weight. This is very important for Hispanic American adults who have higher rates of obesity and liver disease than other ethnicities. Maintaining a healthy weight is an important way to prevent or reverse many conditions before they become severe.” While some weight-loss programs, services and treatments are covered by insurance plans, many others are not, and without access to affordable, effective treatments, maintaining a healthy weight can be difficult. There is an urgent need for expanded access to treatment and care, including screening and treatment of obesity from a diverse range of health care providers. This should include coverage of prescription drugs for long-term weight management, behavioral counseling and other prevention and treatment options. People can act by advocating for changes in state-level policies to expand Medicaid coverage for obesity treatment and care by reaching out to their elected officials. In addition to advocating for policy changes, consider these important obesity facts:
  • Poor lifestyle choices alone do not lead to obesity.
  • Certain health conditions caused by obesity can be reversed by losing weight.
  • Obesity treatments are available from a variety of health care providers.
  • You have the power to advocate for and impact the future of obesity treatment.
  • There are many helpful ways patients can try to manage their weight.
To learn more about obesity and how to advocate for expanded access to treatment and care in your state, download the Obesity Coverage State Advocacy Toolkit at patient.gastro.org/obesity-learn-the-facts-beyond-the-scale-for-hispanic-americans to take action today.   Photo courtesy of Shutterstock   collect?v=1&tid=UA 482330 7&cid=1955551e 1975 5e52 0cdb 8516071094cd&sc=start&t=pageview&dl=http%3A%2F%2Ftrack.familyfeatures SOURCE: American Gastroenterological Association

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Health

2 Steps to Save a Life: The importance of Hands-Only CPR

More than 350,000 sudden cardiac arrests occur annually outside hospital settings. However, a hands-on emergency intervention like cardiopulmonary resuscitation can double or triple a cardiac arrest victim’s chance of survival.

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CPR

(Family Features) More than 350,000 sudden cardiac arrests occur annually outside hospital settings. However, a hands-on emergency intervention like cardiopulmonary resuscitation (CPR), especially if performed immediately, can double or triple a cardiac arrest victim’s chance of survival.

According to the American Heart Association, 70% of cardiac arrests – electrical malfunctions in the heart that cause an irregular heartbeat (arrhythmia) and disrupt the flow of blood to the brain, lungs and other organs – occur at home, but often family and friends who witness a child, spouse, parent or friend going into cardiac arrest hesitate to perform potentially lifesaving CPR for fear of making the situation worse.

“By equipping people with Hands-Only CPR training, we are empowering them to spring into action if a loved one needs help, as the majority of cardiac arrests occur at home,” said Dr. Anezi Uzendu, M.D., interventional cardiologist and American Heart Association volunteer.

As part of its Hands-Only CPR campaign, nationally supported by the Elevance Health Foundation, the American Heart Association aims to increase awareness about the importance of bystander CPR and offers these two simple steps:

  1. Call 911.
  2. Push hard and fast in the center of the chest of the individual experiencing cardiac arrest.

Using the beat of a familiar song with 100-120 beats per minute, such as “Stayin’ Alive” by the Bee Gees, can help you stay on pace with the necessary compressions.

“Being able to efficiently perform Hands-Only CPR in the moment can mean the difference between life and death, and by following these two simple steps we can increase someone’s chance of survival from cardiac arrest,” said Shantanu Agrawal, M.D., board certified emergency medicine doctor and chief health officer at Elevance Health. “As a longstanding supporter of the American Heart Association, we remain focused on working together to improve health inequities in our communities by expanding access to training and increasing the number of people who learn and feel confident performing Hands-Only CPR to save lives.”

To find more information, watch a livestream video demonstration of Hands-Only CPR or download a first aid smartphone app, visit heart.org/CPR.

Photo courtesy of Getty Images

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SOURCE:
American Heart Association

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Lifestyle

Women and the Intersection of Heart, Kidney and Metabolic Health

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Metabolic Health

Women and the Intersection of Heart, Kidney and Metabolic Health

    (Family Features) Women may be unaware of their risk for heart disease, kidney disease and metabolic conditions like diabetes, which drive risk for cardiovascular disease.   Consider these facts women should know about cardiovascular-kidney-metabolic health, or CKM health, from the scientific experts at the American Heart Association.   Cardiovascular Disease is the No. 1 Killer of Women Cardiovascular disease (CVD), which includes heart disease and stroke, affects nearly 45% of women ages 20 and older, and 1 in 3 will die from it.   Women may experience symptoms uncommon in men. Chest pain is the most common heart attack symptom, but women are more likely than men to experience pain in the arms, jaw or neck, too.   Early Action is Key Women with either Type 2 diabetes or chronic kidney disease are predicted to reach elevated risk for CVD 8-9 years earlier than women with neither condition.   Risk Factors are Connected The health factors that comprise CKM syndrome are connected. They include high blood pressure, abnormal cholesterol, being overweight, high blood sugar and low kidney function.   Pregnancy and Menopause Affect Women’s CKM Health Pregnancy complications such as preeclampsia, gestational diabetes and gestational hypertension are risk factors for future chronic kidney disease and cardiovascular disease. Changes during menopause also influence long-term heart and metabolic health. This includes declining estrogen levels, increased body fat around the organs, increased cholesterol levels and stiffening or weakening of blood vessels. Early menopause (before age 45) is linked to a higher risk for kidney disease, Type 2 diabetes and CVD.   Social Factors Affect Women’s Heart Health Negative economic, environmental and psychosocial factors are associated with lower levels of physical activity and healthy eating and higher levels of conditions like obesity and diabetes.   Women should know their risk and advocate for their health by requesting thorough screenings that assess heart, kidney and metabolic health at regular medical check-ups. Visit heart.org/myCKMhealth to learn more.  

Watch video to find out more!

collect?v=1&tid=UA 482330 7&cid=1955551e 1975 5e52 0cdb 8516071094cd&sc=start&t=pageview&dl=http%3A%2F%2Ftrack.familyfeatures SOURCE: American Heart Association

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