Abstract
Objectives
Research finds significant sleep deprivation among adolescents with early school start
times. This study surveyed sleep patterns in elementary school students before and
after a district-wide change to earlier start times.
Design
Students in grades 3-5 completed a self-administered sleep survey in the spring of
2009 (third grade, n = 216; fourth grade, n = 214; fifth grade, n = 259; total, n
= 689) and again in 2010 (third grade, n = 168; fourth grade, n = 194; fifth grade,
n = 263; total, n = 625), after the school start time switched from 8:20 am to 7:45 am in the Fall of 2009. Students entering grade 3 experienced a larger shift from 9:10
am to 7:45 am, due to moving from the kindergarten-second-grade building to the third-to-fifth-grade
building. Descriptive statistics quantified responses by grade.
Results
Prechange, wake time across all grades was similar; postchange, fourth and fifth graders
woke on average 30-40 minutes earlier than children in those grades the year before,
and third graders woke on average 8 minutes later. Compared to prechange, third graders
reported longer average total sleep times (24 minutes); fourth and fifth graders reported
average sleep times 4 and 9 minutes shorter, respectively, than students in those
grades the previous year. The percentage of students in each grade reporting later
weekend wake and bed times decreased postchange. Reports of sleepiness somewhat increased
for fifth graders postchange.
Conclusions
School start time change did not decrease total amount of sleep. This is the first
study of its kind to report on the effects of a start time change in elementary school
students.
Keywords
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References
- Social factors associated with the amount of school week sleep lag for seniors in an early starting suburban high school.J Sleep Res. 1992; 21: 114
- The second decade.in: Guilleminault C. Sleeping and waking disorders: indications and techniques. Addison-Wesley, Menlo-Park, CA1982: 99-125
- Patterns of sleep and sleepiness in adolescents.Pediatrician. 1990; 17: 5-12
- Sleep schedules and daytime functioning in adolescents.Child Dev. 1998; 69: 875-887
- Sleep in America Poll.Teens and Sleep. National Sleep Foundation website, 2006 (. [Available at http://sleepfoundation.org/sleep-polls-data/sleep-in-america-poll/2006-teens-and-sleep. Accessed November 5, 2014])
- Committee on Adolescence, Council on School Health. School start times for adolescents.Pediatrics. 2014; 134: 642-649
- Insufficient sleep in adolescents and young adults: an update on causes and consequences.Pediatrics. 2014; 134: e921-e932
- Adolescents living the 24/7 lifestyle: effects of caffeine and technology on sleep duration and daytime functioning.Pediatrics. 2009; 123: e1005-e1010
- An approach to studying circadian rhythms of adolescent humans.J Biol Rhythms. 1997; 12: 278-289
- Middle school start times: the importance of a good night's sleep for young adolescents.Behav Sleep Med. 2007; 5: 194-209
- Individual differences in the effect of time of day on long-term memory access.Am J Psychol. 1991; 104: 241-255
- The impact of inadequate sleep on children's daytime cognitive functioning.Semin Pediatr Neurol. 1996; 3: 44-50
- Measuring daytime sleepiness.in: Kryger M.H. Roth T. Dement W.C. Principles and practice of sleep medicine. W.B. Saunders, Philadelphia, PA1994: 961-962
- Early school start times affect sleep and daytime functioning in adolescents.J Sleep Res. 1996; 25: 117
- Human circadian patterns of memory processes: chronopsychology of rates of forgetting, a rhythmometric study.Psychol Rep. 1987; 61: 3-12
- Power sleep.Villard-Random House, New York, NY2005
- Sleep and risk-taking behaviors in adolescents.Behav Sleep Med. 2005; 3: 113-133
- Characteristics of crashes attributed to the driver having fallen asleep.Accid Anal Prev. 1995; 27: 769-775
- Changing times: findings from the first longitudinal study of later high school start times.NASSP Bull. 2002; 86: 3-21
- School start time and its impact on learning and behavior.in: Ivanenko A. Sleep and psychiatric disorders in children and adolescents. Information Heathcare Publisher, New York, NY2008: 28-72
- Impact of delaying school start time on adolescent sleep, mood, and behavior.Arch Pediatr Adolesc Med. 2010; 164: 608-614
- Later school start time is associated with improved sleep and daytime functioning in adolescents.J Dev Behav Pediatr. 2014; 35: 11-17
- Dissimilar teen crash rates in two neighboring southeastern Virginia cities with different high school start times.J Clin Sleep Med. 2011; 7: 145-151
- Adolescent sleep, school start times, and teen motor vehicle crashes.J Clin Sleep Med. 2008; 4: 533-535
- Sleep and delinquency: does the amount of sleep matter?.J Youth Adolesc. 2011; 40: 916-930
- Sleep and behavior problems in school-aged children.Pediatrics. 2001; 107: E60
- Sleep habits and sleep disturbance in elementary school-aged children.J Dev Behav Pediatr. 2000; 21: 27-36
- A clinical guide to pediatric sleep: diagnosis and management of sleep problems.Wolters Kluwer Health/Lippincott Williams and Wilkins, Philadelphia, PA2010
- Sleep patterns and sleep disruptions in school-age children.Dev Psychol. 2000; 36: 291-301
- Sleep in America Poll.Children and Sleep. National Sleep Foundation, 2004 ([website. Available at http://sleepfoundation.org/sleep-polls-data/sleep-in-america-poll/2004-children-and-sleep. Accessed November 5, 2014])
- Understanding adolescents' sleep patterns and school performance: a critical appraisal.Sleep Med Rev. 2003; 7: 491-506
- A survey of factors influencing high school start times.NASSP Bull. 2005; 89: 47-66
- Prevalence of sleep/wake disturbances in Sydney adolescents.J Sleep Res. 1987; 16: 304
- Sleep habits in children aged 7-13 years.J Sleep Res. 1984; 13: 86
- Sleep need in adolescents: a longitudinal approach.Sleep. 1988; 11: 378-386
- Evidence that school-age children can self-report on their health.Ambul Pediatr. 2004; 4: 371-376
- Pediatric patient-reported outcome instruments for research to support medical product labeling: report of the ISPOR PRO Good Research Practices for the Assessment of Children and Adolescents Task Force.Value Health. 2013; 16: 461-479
- The Children's Report of Sleep Patterns (CRSP): a self-report measure of sleep for school-aged children.J Clin Sleep Med. 2013; 9: 235-245
Article info
Publication history
Published online: April 01, 2015
Accepted:
February 23,
2015
Received in revised form:
February 20,
2015
Received:
November 10,
2014
Identification
Copyright
© 2015 Elsevier Inc. Published by Elsevier Inc. All rights reserved.