{"id":33156,"date":"2023-03-07T04:20:00","date_gmt":"2023-03-07T04:20:00","guid":{"rendered":"https:\/\/www.lifeandnews.com\/articles\/?p=33156"},"modified":"2023-03-10T17:22:52","modified_gmt":"2023-03-10T17:22:52","slug":"springing-forward-into-daylight-saving-time-is-a-step-back-for-health-a-neurologist-explains-the-medical-evidence-and-why-this-shift-is-worse-than-the-fall-time-change","status":"publish","type":"post","link":"https:\/\/www.lifeandnews.com\/articles\/springing-forward-into-daylight-saving-time-is-a-step-back-for-health-a-neurologist-explains-the-medical-evidence-and-why-this-shift-is-worse-than-the-fall-time-change\/","title":{"rendered":"Springing forward into daylight saving time is a step back for health \u2013 a neurologist explains the medical evidence, and why this shift is worse than the fall time\u00a0change"},"content":{"rendered":"\n<p><a href=\"https:\/\/theconversation.com\/profiles\/beth-ann-malow-1297289\">Beth Ann Malow<\/a>, <em><a href=\"https:\/\/theconversation.com\/institutions\/vanderbilt-university-1293\">Vanderbilt University<\/a><\/em><\/p>\n\n\n\n<p>As people in the U.S. prepare to set their clocks ahead one hour on Sunday, March 12, 2023, I find myself bracing for the annual ritual of <a href=\"https:\/\/www.inquirer.com\/news\/standard-time-daylight-saving-time-clock-change-sleep-20201031.html\">media stories<\/a> about <a href=\"https:\/\/qz.com\/1114163\/daylight-saving-time-dst-is-incredibly-disruptive-heres-how-to-reset\/\">the disruptions to daily routines<\/a> <a href=\"https:\/\/doi.org\/10.5664\/jcsm.8780\">caused by switching from standard time<\/a> to daylight saving time.<\/p>\n\n\n\n<p>About one-third of Americans say they don\u2019t look forward to these twice-yearly time changes. And nearly two-thirds <a href=\"https:\/\/today.yougov.com\/topics\/politics\/articles-reports\/2021\/11\/04\/daylight-saving-time-americans-want-stay-permanent\">would like to eliminate them completely<\/a>, compared to 21% who aren\u2019t sure and 16% who would like to keep moving their clocks back and forth.<\/p>\n\n\n\n<p>But the effects go beyond simple inconvenience. Researchers are discovering that \u201cspringing ahead\u201d each March is connected with serious negative health effects, including an uptick in <a href=\"https:\/\/doi.org\/10.3390\/jcm8030404\">heart attacks<\/a> and <a href=\"https:\/\/doi.org\/10.5664\/jcsm.4938\">teen sleep deprivation<\/a>. In contrast, the fall transition back to standard time is not associated with these health effects, as my co-authors and I noted in a <a href=\"https:\/\/doi.org\/10.1001\/jamaneurol.2019.3780\">2020 commentary<\/a>.<\/p>\n\n\n\n<p>I\u2019ve studied the pros and cons of these twice-annual rituals for more than five years as a <a href=\"https:\/\/scholar.google.com\/citations?user=ZddlKEoAAAAJ&amp;hl=en\">professor of neurology and pediatrics<\/a> and the director of Vanderbilt University Medical Center\u2019s sleep division. It\u2019s become clear to me and many of my colleagues that the transition to daylight saving time each spring affects health immediately after the clock change and also for the nearly eight months that <a href=\"https:\/\/www.cnn.com\/2022\/11\/06\/health\/permanent-daylight-savings-health-harms-wellness\/index.html#\">Americans remain on daylight saving time<\/a>.<\/p>\n\n\n\n<h2>The strong case for permanent standard time<\/h2>\n\n\n\n<p>Americans are split on whether they <a href=\"https:\/\/today.yougov.com\/topics\/politics\/articles-reports\/2021\/11\/04\/daylight-saving-time-americans-want-stay-permanent\">prefer permanent daylight saving time<\/a> or <a href=\"https:\/\/apnorc.org\/projects\/dislike-for-changing-the-clocks-persists\/\">permanent standard time<\/a>.<\/p>\n\n\n\n<p>However, the two time shifts \u2013 jolting as they may be \u2013 are not equal. Standard time most closely approximates natural light, with the sun directly overhead at or near noon. In contrast, during daylight saving time from March until November, the clock change resulting from daylight saving time causes natural light to be present one hour later in the morning and one hour later in the evening according to clock time.<\/p>\n\n\n\n<p>Morning light is essential for helping to set the body\u2019s natural rhythms: It <a href=\"https:\/\/doi.org\/10.1038\/s41598-018-36791-5\">wakes us up and improves alertness<\/a>. Morning light also boosts mood \u2013 light boxes simulating natural light are prescribed for morning use <a href=\"https:\/\/doi.org\/10.1001\/archpsyc.55.10.890\">to treat seasonal affective disorder<\/a>.<\/p>\n\n\n\n<p>Although the exact reasons why light activates us and benefits our mood are not yet known, this may be due to light\u2019s effects on <a href=\"https:\/\/doi.org\/10.1080\/10253890.2020.1741543\">increasing levels of cortisol<\/a>, a hormone that <a href=\"https:\/\/doi.org\/10.1038\/s41574-019-0228-0\">modulates the stress response<\/a> or the effect of <a href=\"https:\/\/doi.org\/10.1038\/s41598-018-36791-5\">light on the amygdala<\/a>, a part of the brain involved in emotions.<\/p>\n\n\n\n<p>Adolescents also may be <a href=\"https:\/\/theconversation.com\/school-start-times-and-screen-time-late-in-the-evening-exacerbate-sleep-deprivation-in-us-teenagers-179178\">chronically sleep deprived due to school<\/a>, sports and social activities. For instance, many <a href=\"https:\/\/nces.ed.gov\/pubs2020\/2020006\/index.asp\">children start school around 8 a.m.<\/a> or earlier. This means that during daylight saving time, many young people get up and travel to school in pitch darkness.<\/p>\n\n\n\n<p>The body of evidence makes a good case for adopting permanent standard time nationwide, as I testified at a <a href=\"https:\/\/democrats-energycommerce.house.gov\/committee-activity\/hearings\/rescheduled-hearing-on-changing-times-revisiting-spring-forward-fall\">March 2022 Congressional hearing<\/a> and argued in a <a href=\"https:\/\/doi.org\/10.1093\/sleep\/zsac236\">recent position statement<\/a> for the Sleep Research Society. The American Medical Association recently <a href=\"https:\/\/www.ama-assn.org\/press-center\/press-releases\/ama-calls-permanent-standard-time\">called for permanent standard time<\/a>. And in late 2022, <a href=\"https:\/\/www.timeanddate.com\/news\/time\/mexico-abolishes-dst-2022.html#\">Mexico adopted permanent standard time,<\/a>, <a href=\"https:\/\/thehill.com\/policy\/international\/3708301-mexicos-senate-votes-to-end-daylight-saving-time-for-most-of-the-country\/\">citing benefits to health, productivity and energy savings<\/a>.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img src=\"https:\/\/images.theconversation.com\/files\/446653\/original\/file-20220215-13-1d96ozk.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\" alt=\"An illustration of two clocks depicting Daylight Savings Time changes: Fall backward, and spring forward.\"\/><figcaption>In 2023, clocks spring forward one hour at 2 a.m. on Sunday, March 12. They fall back at 2 a.m. on Sunday, Nov. 5. <a href=\"https:\/\/www.gettyimages.com\/detail\/illustration\/daylight-saving-time-fall-backward-and-royalty-free-illustration\/1356689682?adppopup=true\">iam2mai\/iStock via Getty Images Plus<\/a><\/figcaption><\/figure>\n\n\n\n<p>The biggest advantage of daylight saving time is that it provides an extra hour of light in the late afternoon or evening, depending on time of year, for sports, shopping or eating outside. However, exposure to light later into the evening for almost eight months during daylight saving time comes at a price. This extended evening light delays the brain\u2019s release of melatonin, the hormone that promotes drowsiness, which in turn interferes with sleep and <a href=\"https:\/\/doi.org\/10.1093\/sleep\/zsac236\">causes us to sleep less overall<\/a>.<\/p>\n\n\n\n<p>Because puberty also causes <a href=\"https:\/\/www.neurologylive.com\/view\/teenage-circadian-rhythm\">melatonin to be released later at night<\/a>, meaning that teenagers have a delay in the natural signal that helps them fall asleep, adolescents are <a href=\"https:\/\/dx.doi.org\/10.5664\/jcsm.4938\">particularly susceptible to sleep problems<\/a> from the extended evening light. This shift in melatonin during puberty lasts into our 20s.<\/p>\n\n\n\n<h2>The \u2018western edge\u2019 effect<\/h2>\n\n\n\n<p>Geography can also make a difference in how daylight saving time affects people. One study showed that people living on the western edge of a time zone, who get light later in the morning and later in the evening, <a href=\"https:\/\/doi.org\/10.1016\/j.jhealeco.2019.03.007\">got less sleep<\/a> than their counterparts on the eastern edge of a time zone.<\/p>\n\n\n\n<p>This study found that western-edge residents had higher rates of obesity, diabetes, heart disease and <a href=\"https:\/\/theconversation.com\/breast-cancer-risk-higher-in-western-parts-of-time-zones-is-electric-light-to-blame-85803\">breast cancer<\/a>, as well as lower per capita income and higher health care costs. Other research has found that <a href=\"https:\/\/doi.org\/10.1158\/1055-9965.EPI-16-1029\">rates of certain other cancers are higher<\/a> on the western edge of a time zone.<\/p>\n\n\n\n<p>Scientists believe that these health problems may result from a <a href=\"https:\/\/doi.org\/10.3389\/fphys.2019.00944\">combination of chronic sleep deprivation and \u201ccircadian misalignment<\/a>.\u201d Circadian misalignment refers to a mismatch in timing between our biological rhythms and the outside world. In other words, the timing of daily work, school or sleep routines is based on the clock, rather than on the sun\u2019s rise and set. https:\/\/www.youtube.com\/embed\/84aWtseb2-4?wmode=transparent&amp;start=0 This video takes a deeper dive \u2013 all the way back to 1895 \u2013 into the history of daylight saving time.<\/p>\n\n\n\n<h2>A brief history of daylight saving time<\/h2>\n\n\n\n<p><a href=\"https:\/\/blogs.loc.gov\/teachers\/2017\/03\/world-war-i-and-daylight-savings-time\/\">Congress instituted year-round daylight saving time<\/a> during World War I and World War II, and <a href=\"https:\/\/www.mercurynews.com\/2016\/10\/30\/the-year-daylight-saving-time-went-too-far\/\">once again during the energy crisis<\/a> of the early 1970s.<\/p>\n\n\n\n<p>The idea was that having extra light later into the afternoon would save energy by decreasing the need for electric lighting. This idea has since been <a href=\"https:\/\/doi.org\/10.1016\/j.jebo.2014.03.012\">proved largely inaccurate<\/a>, as heating needs may increase in the morning in the winter, while air conditioning needs can also increase in the late afternoon in the summer.<\/p>\n\n\n\n<p>Another pro-daylight saving argument has been that crime rates drop with <a href=\"https:\/\/doi.org\/10.1162\/REST_a_00547\">more light at the end of the day<\/a>. While this has been proved true, the change is very small, and <a href=\"https:\/\/theconversation.com\/is-daylight-saving-time-worth-the-trouble-research-says-no-86739\">the health effects appear to outweigh<\/a> the benefits to society from lower rates of crime.<\/p>\n\n\n\n<p>After World War II, designating the start and end dates for daylight saving time fell to state governments. Because this created many railroad scheduling and safety problems, however, Congress passed the <a href=\"https:\/\/www.transportation.gov\/regulations\/time-act#\">Uniform Time Act in 1966<\/a>. This law set the nationwide dates of daylight saving time from the last Sunday in April until the last Sunday in October. In 2007, <a href=\"https:\/\/www.bts.gov\/geospatial\/daylight-savings-time\">Congress amended the act<\/a> to expand the period in which daylight saving time is in effect from the second Sunday in March to the first Sunday in November \u2013 dates that remain in effect today.<\/p>\n\n\n\n<p>The Uniform Time Act allows states and territories to opt out of daylight saving time, however. Arizona and Hawaii are on permanent standard time, along with Puerto Rico, the U.S. Virgin Islands, Northern Mariana Islands, Guam and American Samoa.<\/p>\n\n\n\n<p>Now, many other states are considering whether to <a href=\"https:\/\/www.usatoday.com\/story\/news\/nation\/2021\/11\/04\/daylight-saving-time-legislation-fall-back\/6233980001\/\">stop falling back and springing ahead<\/a>. Several U.S. states have legislation and resolutions under consideration to support permanent standard time, while many others have been or are <a href=\"https:\/\/www.npr.org\/2022\/11\/06\/1134562545\/daylight-saving-time-permanent-states\">considering permanent daylight saving time<\/a>. Legislation and resolutions for permanent standard time have increased from 15% in 2021 to 31% in 2023.<\/p>\n\n\n\n<p>In March 2022, the U.S. Senate <a href=\"https:\/\/www.congress.gov\/bill\/117th-congress\/senate-bill\/623\">passed the Sunshine Protection Act<\/a> in a bid to <a href=\"https:\/\/www.reuters.com\/world\/us\/us-senate-approves-bill-that-would-make-daylight-savings-time-permanent-2023-2022-03-15\/\">make daylight saving time permanent<\/a>. But the House did not move forward with this legislation. Florida Sen. Marco Rubio <a href=\"https:\/\/thehill.com\/homenews\/nexstar_media_wire\/3880009-bill-to-make-daylight-saving-time-permanent-reintroduced-in-congress\/\">reintroduced the bill<\/a> on March 1, 2023.<\/p>\n\n\n\n<p>The spike in activity among states seeking to break from these twice-yearly changes reflects how more people are recognizing the downsides of this practice. Now, it\u2019s up to legislators to decide whether we end the time shift altogether, and to choose permanent standard or daylight saving time.<\/p>\n\n\n\n<p><em>This is an updated version of an article <a href=\"https:\/\/theconversation.com\/why-daylight-saving-time-is-unhealthy-a-neurologist-explains-175427\">originally published on March 10, 2022<\/a>.<\/em><\/p>\n\n\n\n<p><a href=\"https:\/\/theconversation.com\/profiles\/beth-ann-malow-1297289\">Beth Ann Malow<\/a>, Professor of Neurology and Pediatrics, <em><a href=\"https:\/\/theconversation.com\/institutions\/vanderbilt-university-1293\">Vanderbilt University<\/a><\/em><\/p>\n\n\n\n<p>This article is republished from <a href=\"https:\/\/theconversation.com\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/springing-forward-into-daylight-saving-time-is-a-step-back-for-health-a-neurologist-explains-the-medical-evidence-and-why-this-shift-is-worse-than-the-fall-time-change-197343\">original article<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Beth Ann Malow, Vanderbilt University As people in the U.S. prepare to set their clocks ahead one hour on Sunday, March 12, 2023, I find myself bracing for the annual ritual of media stories about the disruptions to daily routines caused by switching from standard time to daylight saving time. About one-third of Americans say [&hellip;]<\/p>\n","protected":false},"author":44,"featured_media":33157,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[42],"tags":[3997,12593,3133,231,6796,11488],"_links":{"self":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/33156"}],"collection":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/users\/44"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/comments?post=33156"}],"version-history":[{"count":2,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/33156\/revisions"}],"predecessor-version":[{"id":33178,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/33156\/revisions\/33178"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media\/33157"}],"wp:attachment":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media?parent=33156"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/categories?post=33156"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/tags?post=33156"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}