Did you ever wonder why some people bounce out of bed bright-eyed and bushy-tailed when their 6:30 a.m. alarm goes off, while others find it torturous to get up that early? Some people seem to naturally be “larks” or “owls” (or somewhere in between) and can’t do much about it. For decades, the medical community has studied why this lark versus owl difference occurs in adults. Only recently have we come to understand how it manifests in adolescents.
Scientific studies reveal an internal clock in our brains that counts time and then “orders” various biological changes to occur throughout the day. For example, at night, our brain’s internal clock lowers our body temperature about 2°F and slows down our heart rate, while increasing tissue-repair and energy storage activities. In some of us, this body temperature drops early in the evening and rises again around 6 a.m., whereas in others it stays high longer and doesn’t significantly rise again until 8-9 a.m. Similarly, our body’s release of the hormone melatonin, which is critical for our feelings of sleepiness, starts later in the evening—and lasts later into the morning—in some people than others. The increasing temperature and dropping melatonin levels we experience in the morning are what makes us wake up and feel alert. Those whose body temperature increases and melatonin drops early in the morning are “larks,” and those who shift later are “owls”. Amazingly, neuroscientists have uncovered the exact molecular basis for this difference, and it all revolves around how accurately our "brain-clocks" count time. Just like some people are tall and some are short, some people’s clocks run faster and some slower. Why does all this matter for teenagers and getting up for school? The debate over later school start times is best characterized as one where opposing groups both believe they have the community's best interest in mind, despite being on opposite sides of the same issue. We often talk past each other in the interest of supporting our particular point of view while failing to recognize the common interest in what we are trying to achieve. Transportation, or more specifically the cost of transportation, is one of the more contentious issues in this debate.
So, the question is, how do we design a process for acknowledging, and then managing the complexities of the transportation question without losing perspective on the common educational goals underlying the proposed change? We believe the answer lies in a diagnostic process that is focused on identifying actual constraints and then evaluating key variables in a systematic methodology. Only in this way can all stakeholders see their concerns being identified, considered, and balanced with others to determine the best possible result for the community. Trading up, trading down, and trading off School start time discussions are contentious because resources are limited. It is rarely possible to achieve everything that disparate stakeholders want. Consequently, school districts must balance the educational benefits identified in the sleep research with the possible transportation cost and service changes that may be required to support the change. The analysis necessary to properly evaluate these tradeoffs must begin with ensuring that the analyst is unbiased as to the issue itself. Ensuring analytical neutrality prevents any confirmation bias from being injected into the identification and evaluation of options, of which there are always many. The considerations that go into any transportation network design are numerous, interrelated, and complicated. The analysis must consider, and stakeholders must understand, the difference between fixed constraints and changeable variables. This designation is of vital importance to the analysis for two reasons: By Brendan Duffy, Athletics Liaison, Start School Later As a former travel baseball coach and a father of a high school and college sports player, I had the opportunity to speak with, and listen to, many coaches over many years of time on ballfields, football fields, and basketball courts throughout the East Coast. While most coaches are dedicated to the health and safety of their teams, there is an unfortunate disconnect from what coaches say to kids about athletic achievement, safety and the inherent life lessons learned playing a sport, and the life-altering impact of early start times on their school team players. I do not fault the coaches for this disconnect, the idea of sleep being necessary and meaningful is lost on so many people. Sleep is often treated as loose change! Whatever time is left for sleep is what is devoted to sleep. This type of thinking can lead to dire consequences for a hard working athlete in training. Especially when that schedule requires an ill-fitting early rise time for school. Many coaches are great with game strategies but I hardly expect them to be experts about teenage sleep patterns and their circadian rhythms! Hopefully, as this issue gathers more coverage, they will become convinced (as many other coaches have) that sleep really is a matter of athletic success. I am certain that no coach wants to see a player harmed on the field or from falling asleep while driving. I am sure that they will pay heed to studies that show an increase in drug and alcohol use from athletes that are sleep deprived. Sleep should be treated as the foundation of an athlete’s very busy day. So let’s look at the 7 most common statements coaches emphasize to parents and players and compare them with the arguments I often hear against later school start times. By ignoring teen circadian sleep needs, these well-meaning coaches may be, unwittingly, putting their players in harm’s way. '1. “More important than the results of the game is our ability to develop healthy and successful young men and women in the game of life.” Early start times don’t allow sufficient recovery time for athletes who have worked out strenuously. This can lead to injury and poor health. According to one 2014 national study, athletes that slept less than 6 hours per night were injured at a rate of 68% above those who slept more each night! It is hard to be successful when you are “running on empty” as many of these high school players are. We know that insufficient sleep disrupts growth hormones and impairs testosterone production, yet many high school athletes are playing with lower testosterone levels that are on par with a much older player. 2. “We are teaching these kids life skills that will help them long after their playing career is over.” According to this March 2017 study from Penn State, Sleep is as important to health as diet and exercise. Neglecting to teach good sleep hygiene in this life skill equation creates bad habits that become harder to break as we get older, and lead to a myriad of chronic health problems such as diabetes, obesity, or abuse of medications. By discounting early start times, we are silently approving of sleep deprivation behaviors that lead to bad and impaired judgment. 3. “We are always looking out for the health and wellbeing of our players. We even do preseason testing and we call off practices when the weather is too hot.” We really are not doing the above if we are not championing reasonable and healthy start times for student athletes. Last year I did a review of the research. Even some of the testing being done, such as baseline concussion testing, may be inaccurate if the baseline testing is done on sleep-deprived students. Just as we monitor how heat and extreme temperature impact our players, we also need to monitor sleep and recovery every practice. 4. “We use cutting edge tools and strategies to ensure we are best prepared for our games.” Is this true when it comes to supporting an athlete’s sleep? As a coach, are you asking your players on a daily basis how much sleep they had? Professional teams (and many colleges) do this regularly and adjust their practices accordingly.Why do the professionals (and many colleges!) do this? Why do they incur the wrath of their TV sponsors and networks when they sit out their stars? Because the science is overwhelming that proper rest improves performance and recovery. In basketball, shooting percentages increase, fouls and turnovers decrease, and players are not experiencing the same injury frequency if rested. In baseball, a recent study from Stanford University showed that even one hour of extra sleep each night improved the focus and reaction time by 13 percent for baseball players who have to quickly decide whether to swing at a pitch or not. 5. “We don’t want to hurt a player so we are fully behind the implementation of anything that helps the player: such as a pitch count and proper rest between pitching.” As important as the above thought process is, if coaches truly want to protect not only a pitcher’s arm, but also their entire mental and physical well being, they should get behind a start school later effort. Adequate sleep affords a level of protection and recovery far above just looking out for a sore arm or a “dead arm” period. We also should explain what proper rest means to players. Many colleges are left with this task as their high school coaches never addressed sleep as an important and necessary element of athletics and time management. One college program that addresses sleep with their athletes is the University of St. Thomas. In a recent blog on their website about their sleep program for athletes it was mentioned that “when the coaches –see how many detailed and specific questions the players have about sleep, and they see how far off their own thinking has been about sleep, it’s pretty interesting.” Sleep is now a common lecture on college sports campuses and players who devote over 50 hours to their sport each week are definitely appreciative of any suggestions to protect their minds and bodies from the rigors of sports and academic. Fortunately for college athletes, they often get to select their own class schedules so they can get some additional recovery time. 6. “Playing sports is a great vehicle for keeping kids off the streets and from the lure of drugs and alcohol.” Yes, but not if we don’t focus on sleep. Sleep deprivation leads many athletes to self-medicate with sleep aids and fatigue can lead to poor judgment and increased drug and alcohol usage. A recent preliminary study presented at the American Academy of Sleep Medicine sleep conference in Boston indicates that sleep disturbances can predict substance abuse among college athletes. The results show that student athletes who haven’t worked out sleep issues were 151 percent more likely to use cigarettes, 36 percent more likely to use alcohol, and 66 percent more likely to smoke marijuana. 7. “As a coach, I need to look at the situation and put my players in the best possible position to succeed.” I hope after reading this blog coaches are at least open to the idea of exploring how starting school later can make for a better player. Sleep is a controllable advantage that puts players not only in a position to win the games on the field, but to be winners as they move on to college and beyond. Long after the scores are forgotten, and the trophies are boxed, there will be athletes that think of how truly cutting edge their coach was and how he or she was willing to work through the obstacles to help them become healthy, productive, and successful citizens. Let’s put true meaning to the words we speak and let’s see what we can do together to beat the logistical opponents that stand in the way of our teams success. Many have already made the switch and are happy with the results. Some have even gone on to win championships after school start time changes that allowed players more sleep and recovery. Sleep Well--Compete Best!
Note: This blog is in response to the following question, inspired by the new film, "Sleepless in America,"which premiers November 30, 2014 at 8 p.m. ET on the National Geographic Channel: "Do you believe legislation should be passed to start schools later given the data surrounding adolescents and the effects of sleep deprivation?" I used to think school start times should be a local decision – until I spent 15 years working to get my district to delay a 7:17 a.m. school bell making my children sick and chronically sleep-deprived. Today my children are grown and flown, and nothing has changed. As a mother I knew instinctively that dragging my teenagers out of bed before sunrise was harmful and counterproductive. As a science writer and historian I knew that the very early bell times that had become standard over past decades were fueling a public health crisis. But over the years I also realized that powerful forces were maintaining the status quo. I also realized that no powerful and sustainable group was motivated to overcome them. These realizations led me to start a national petition for a minimum public school start time. The petition got signatures from people in all 50 states and jumpstarted Start School Later, a nonprofit dedicated to the idea that no child of any age should be required by law to start class at unsafe, unhealthy hours. Hearing stories from advocates all over the country confirmed my conviction that this wasn’t an issue that could be left in the hands of lay school boards. Again and again, I saw that even when schools wanted to change, politics, money, and myth often trumped the best interests of the kids. Just as with smoking, seatbelts, drunk driving and other public health issues - or, really, just about any major social reform in this country’s history - compelling evidence was not enough to protect public health and safety. Equally important was a combination of collective action and legislation on local, state, and national levels. The idea that schools are somehow immune from intervention on the part of state or federal authorities is a myth. Many aspects of school policy are regulated by state or federal government, particularly when local school systems cannot or will not set policies to protect basic rights, including rights to health, safety, and education. This is certainly the case for sleep and school start times, which are now widely recognized as public health issues that have gone unaddressed by local schools despite widespread calls for change since the 1990s. The United States has a long history of recognizing the protection of health and safety as a core function of government, and over the years many measures originally regarded as inappropriate or overly intrusive are now considered essential protections. Many federal mandates have been enacted to ensure minimum levels of health and safety for all children, including nutrition standards for school meals, school wellness policies, and gun-free zones. The number of state child health and safety protection laws is even greater, including laws to require immunizations for school entry, protect against sports-related traumatic brain injuries, and prevent drunk driving. Setting a minimum standard for safe, healthy school hours is also very different than telling local schools precisely what time to run classes. Specific school hours clearly must be set locally to reflect specific demographics, topography, values, and budgets. However, establishing a barebones minimum before which schools should not begin mandated instruction is as fundamental as requiring schools to remove asbestos, or to turn on the heat when the temperature drops. Just like federal regulations prohibiting school lunches from being served before 10 a.m. or after 2 p.m., it merely provides a boundary to protect children’s health and well-being. Whether this minimum is set through at a federal, state, or even local level, it needs to be established to protect children unless we want to wait several more generations to see if the nearly 15,000 school districts in this country figure out ways to do this alone - unlikely, given the complications of changing school schedules, which, regardless of validity, are politically persuasive. By changing many school districts at once through legislation, many perceived obstacles (like incompatible sports, daycare, and work schedules, or teachers who live in one district but teach in another) disappear. “Legislation” doesn’t necessarily mean a mandate, of course. It can also take the form of a regulation specifying an earliest acceptable opening or bus pick-up time, or voluntary guidelines setting forth parameters for developmentally appropriate hours. It can take the form of a study to find ways to help local schools ensure sleep-friendly hours. It can even take the form of a resolution supporting later start times. Whether mandates, regulations, guidelines, or studies, however, something must be legislated if we want to see safe, healthy school hours any time soon. AuthorTerra Ziporyn Snider, PhD is Start School Later's Executive Director and Co-Founder.
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