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Later school start times may improve sleep in teens and decrease risk of auto accidents

Published on December 15, 2008 at 2:43 AM · No Comments

Research in the current issue of the Journal of Clinical Sleep Medicine shows that after a one-hour delay of school start times, teens increased their average nightly hours of sleep and decreased their "catch-up sleep" on the weekends, and they were involved in fewer auto accidents.

When school started one hour later students averaged from 12 minutes (grade nine) to 30 minutes (grade 12) more self-reported nightly sleep. The percentage of students who got at least eight hours of sleep per weeknight increased significantly from 35.7 percent to 50 percent; students who got at least nine hours of sleep also increased from 6.3 percent to 10.8 percent. The average amount of additional weekend sleep, or "catch-up sleep," decreased from 1.9 hours to 1.1 hours. Daytime sleepiness decreased, as reported by students using the Epworth Sleepiness Scale. Average crash rates for teen drivers in the study county in the two years after the change in school start time dropped 16.5 percent compared to the two years prior to the change, while teen crash rates for the rest of the state increased 7.8 percent over the same time period.

"It is surprising that high schools continue to set their start times early, which impairs learning, attendance and driving safety of the students," said senior author Barbara Phillips, MD, director of the UK Healthcare Good Samaritan Sleep Center in Lexington, Ky.

A survey concerning the sleep habits of students from an entire county-wide school district in Kansas was distributed before and after a change in school start times. In April 1998, (Year One), a total of 9,966 students (66 percent of the total population of middle and high-school students enrolled in the county) from grades six to 12 completed questionnaires concerning their sleep habits on school nights and non-school nights and various aspects of daytime functioning. In April 1999, (Year Two), 10,656 students (72.8 percent of the total population of middle and high-school students enrolled in the county) filled out the same questionnaire. School times during Year One were 7:30 a.m. for high schools and 8 a.m. for middle schools. In Year Two high schools and middle schools started one hour later at 8:30 a.m. and 9 a.m.

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