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Sleep disorders include a range of problems -- from insomnia to narcolepsy -- and affect millions of Americans. Dr. Michael Breus shares information and advice on sleep disorder and insomnia treatments and causes.

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WebMD Health News

Tuesday, November 06, 2007

Teens, Sleep and School: Should class start later?
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What If Your Kid's First Bell Rang Close to Lunchtime?

If I could go back in time and be a high school student again (let me re-phrase that: if I had to go back and do it all over again), I'd like to attend one of the schools in Toronto where kids can start classes as late as 11:30 a.m.Finally, we are seeing changes happen in school systems to support students' natural rhythms that prefer later nights and even later mornings. It hasn't happened yet, but I read an article online reporting that next year one high school in this Canadian city will be chosen for allowing its students to sleep in-big time. In the United States, school districts in 19 states have implemented later start times, but I don't think any push it out to as late as 11:30! For adults, that sounds like lunchtime.

When people (especially parents) ask me about their kids' sleep habits, I explain to them that everyone's circadian pacemaker ticks at a different rate, but as you age your pacemaker will speed up or slow down, thus altering how your body responds to the 24-hour cycle. Babies don't get a rhythm going until about 6 months of age, at which point they establish a rhythm that matches closely with the 24-hour day. Teenagers typically don't go to bed much before 11 at night. From the age of about 15 to 25, that pacemaker slows down so a 17-year-old's body usually won't want to go to sleep early or get up early. The chemical responsible for sleepiness is secreted later at night and turns off later in the morning, leading to a "sleep phase delay." (So
your teen's weird sleep routine isn't all that weird, and it's not necessarily a means of rebellion.)

Sometime during our late 20s the body clock speeds back up again so it matches the 24-hour day. Then, later on in life our clocks speed up further so the body doesn't match so well with the 24-hour day. It wants to go to bed early and get up super early, which is what you find Granny and Gramps doing. At an older age the body also doesn't experience as strong of a fluctuation in core body temperature throughout the day, which affects the rhythm. This might explain partially why older people's rhythms aren't as robust and clearly defined as younger people's. Older people will weave in and out of being semi-sleepy and semi-awake throughout the day and night.

The reasoning behind the suggested new start time for schools is more than just helping teens match their unique sleep schedule. Kids (and for that matter, adults) who get a good night's sleep perform better, are more capable and prepared to learn new skills, and can manage their emotions better (a dream for any parent with a teen). What's more, research on adolescents' brains indicates that kids' brain patterns are such that the early morning is not an optimal time.

But here's the hitch: what does this mean for parents and teachers? School times are set largely for the convenience of parents and teachers -- not students. Will mom and dad now have to worry about how to shuffle their kids to and from school at odd times? And will they regret the endorsement of staying up to the wee hours on the morning and sleeping in past the breakfast hour? What about the teachers? How much longer of a day can they take?

Therein lies the need for a little experimentation with ideal times and new demands on parents, administrators, and teachers. Maybe 11:30 is pushing it. And maybe changing the schedule won't really change kids' habits. They will still play with the limits and arrive groggy and cranky no matter what hour we ask them to get going. Students are chronically sleep deprived-it's the nature of the beast so to speak. As a sleep doctor, I applaud this school board in Toronto for exploring how to improve students' success. But as a parent, I should hope they work out all the details to accommodate such a huge shift.

Related Video: Dr. Breus on Teens and Sleep Deprivation



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Posted by: Dr. Breus at 4:52 PM

4 Comments:

Blogger nsfSLEEP said...

It is extremely important that Americans understand the hazards and potential tragedies of drowsy driving. Each year, thousands of people are injured or die as a result of car crashes caused by driving while sleepy. Most people are aware of the dangers of driving while under the influence of alcohol, but more education is needed to communicate the grave dangers of drowsy driving, which is an all-too-common occurrence.

The National Sleep Foundation’s (NSF) first-ever “Drowsy Driving Prevention Week” kicks off the year-long campaign. NSF has created a consumer-friendly and very comprehensive collection of resources easily available for download. These educational resources include fact sheets, print PSAs, radio scripts, press releases, posters, flyers and much more. Visit www.DrowsyDriving.org to review the breadth of information available.

While you are on the site, you can read first-hand moving memorials and testimonials to those whose lives have been impacted by drowsy driving tragedies. These sad and poignant pieces truly hit home.

NSF is extremely committed to this cause. Education about drowsy driving prevention WILL save lives.

2:58 PM  
Anonymous Kiri said...

This does help some, but if teens get up later and start school later, they would function better.

9:54 AM  
Blogger thomas said...

I have included a reference to this entry in the latest volume of Pediatrics Grand Rounds at Hope for Pandora. Let me know if that is a problem. If you are willing to link the carnival, I would appreciate it.

PGR V.2 Ed.12

5:57 PM  
Blogger Adria said...

I am more interested in something I heard recently from a neurologist. He was telling this woman who's child (12 year old) had switched her sleep schedule from 8am - 6pm The girl began having migraine headaches. He said it was due to the fact that children of that age must sleep during regular intervals for healthy brain function. It took the girl months to rid herself of the headaches, but getting back on schedule did the trick. My daughter is now pulling back to back all nighters and then staying asleep all day. I try to wake her up, but she falls back to sleep within minutes. She also recently has started to have headaches. I'm scared and getting her up is challenging during this winter break while I'm working. What have you heard about this?

4:07 PM  

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