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Rethinking Daylight Savings: Time for a Change

Writer's picture: Samuel Sarmiento, MD, MPH, MBASamuel Sarmiento, MD, MPH, MBA

Historical arguments for DST focus on energy conservation and productivity, while modern evidence highlights significant drawbacks.


In this article, I examine how DST affects human health and wellness. Is it time to rethink this outdated practice?

Daylight Savings Time (DST) has long been a subject of debate, with proponents highlighting its purported economic and energy-saving benefits, and detractors emphasizing its adverse impacts on health and society.


Public science communicators like Professor Matt Walker have brought the importance of sleep into the mainstream [1], urging policymakers to reevaluate practices that disrupt this critical pillar of health.


What You’ll Learn in This Article


  • The Science of Circadian Rhythms: Understand how DST interferes with your body’s natural sleep-wake cycle, creating a cascade of biological disruptions.

  • Health and Safety Risks: Learn about the alarming statistics on DST-related health problems, from cardiovascular issues to mental health declines.

  • Calls for Change: Discover why experts and legislators are rallying to abolish DST and adopt a more stable, health-conscious time system.


Let’s explore why it’s time to stop turning the clocks back—and start prioritizing our health and well-being.


How Did It All Start?


DST was first introduced during World War I to conserve energy by aligning waking hours with daylight. The concept gained global traction during World War II and was later formalized in the United States with the Uniform Time Act of 1966 [2].


The primary justification for DST was energy savings. By reducing the need for artificial lighting in the evening, policymakers hoped to lower electricity usage. However, with advances in technology the benefits have diminished; we now consume more energy for air conditioning and electronics than lighting, making the original rationale outdated.


Does DST Still Make Sense?


The world has changed dramatically since the implementation of DST. Modern energy consumption is far more complex, with air conditioning, electronics, and other appliances contributing significantly to electricity use.


In today’s technologically advanced and globally connected world, DST has outlived its original purpose, raising the question: is it time to let go of this outdated practice?


Prevalence


Daylight Savings Time (DST) may seem ubiquitous, but its adoption is far from universal.


Global Adoption: A Patchwork of Practices

Today, only about 70 countries worldwide observe DST, representing less than 40% of the global population. Many nations, including Japan, China, and most of Africa, have either reversed or never adopted DST.


In contrast, European countries and the United States have historically embraced DST, though even here, its application is waning. The European Union has debated abolishing DST, with member states considering a unified timekeeping [3].















The U.S.: A Divided Stance on DST

While 48 states observe DST, Hawaii and most of Arizona do not, alongside U.S. territories such as Puerto Rico, Guam, the U.S. Virgin Islands, and American Samoa. These regions cite several reasons for their non-participation:


  • Geographical Latitude: Hawaii, situated closer to the equator, experiences minimal variation in daylight hours throughout the year, making DST redundant.

  • Energy Use: In Arizona, where summer temperatures soar, DST would likely increase energy consumption due to prolonged use of air conditioning in the evenings.


Countries That Have Reversed DST

Several countries have implemented DST in the past only to abandon it later [4]. For example:


  • Russia eliminated DST in 2011 after citizens overwhelmingly reported health and sleep disturbances caused by the clock shifts. Studies post-reversal indicated improved sleep patterns and reduced rates of cardiovascular incidents in some demographics.

  • Iceland and India have opted not to adopt DST due to their already extreme variations in daylight, which render the practice ineffective.


Outcomes of Reversing DST

A 2022 study in the Journal of Sleep Research highlights the health benefits of abolishing DST. Populations no longer subjected to clock changes report improved sleep quality, reduced circadian misalignment, and lower rates of sleep-related disorders [3].


Similarly, findings from a National Institutes of Health review suggest reversing DST can alleviate the societal costs associated with its adverse health and economic impacts, such as increased traffic accidents and decreased workplace productivity during the transitions [5].


As regions across the globe reconsider DST, should others follow suit and reap the potential benefits of its elimination?


Sleep Impacts of DST


Disrupted Sleep Patterns

The abrupt time shifts of DST, particularly in spring, shorten sleep duration and fragment sleep quality. People lose an average of 40–50 minutes of sleep during the spring transition, with this deficit often lingering for days or even weeks. This sleep deprivation disrupts the body’s internal clock, or circadian rhythm, which regulates critical processes like hormone production and cognition.


In contrast, the fall transition provides only modest gains in sleep duration—on average, just 31 minutes per week. This slight improvement is insufficient to counteract the cumulative effects of years of insufficient sleep for many individuals [6].


Consequences of Sleep Deprivation

Research has linked DST transitions to an increase in cardiovascular incidents, such as heart attacks, in the days immediately following the clock change. Workplace injuries, car accidents, and mental health crises also spike, with one study noting a 6% increase in fatal motor vehicle accidents during the spring transition [7].


Circadian Misalignment

DST introduces a misalignment between external time (clock time) and internal biological time (circadian rhythm). This mismatch, often referred to as "social jet lag," leads to prolonged sleep inertia, difficulty falling asleep, and daytime fatigue. Even in the absence of sleep deprivation, circadian misalignment can impact memory, concentration, and overall productivity [8].


Scientific Evidence

Recent studies have underscored the adverse sleep impacts of DST.


A 2020 study found that springtime sleep loss correlates with reduced cognitive performance and increased error rates in daily tasks [9].


Another study revealed that hospital admissions for heart-related issues spike by 24% following the spring transition [10]. Furthermore, disruptions to the natural sleep-wake cycle can negatively affect mood, leaving individuals irritable and less resilient to stress.


DST's impact on sleep is not just a minor inconvenience—it’s a public health issue with measurable effects on safety, productivity, and overall well-being. The evidence makes a compelling case for reevaluating this outdated practice, particularly in a society that is already chronically sleep-deprived.


Benefits of Promoting Better Sleep in the Population


The societal benefits of prioritizing better sleep extend far beyond individual well-being. Sleep is a foundational pillar of health, productivity, and safety. By eliminating disruptive practices like DST and encouraging healthier sleep habits, communities can reap substantial advantages, including reduced accidents and improved academic performance.


Here’s how:


Lower Risk of Accidents

Sleep deprivation caused by DST transitions is directly linked to an increase in accidents, both on the road and in the workplace. Studies indicate that fatigue contributes to approximately 13% of workplace injuries and nearly 20% of vehicle crashes annually [11]. The abrupt one-hour time loss in spring exacerbates these risks by disrupting circadian rhythms and reducing alertness.


A significant spike in workplace injuries can be observed during the week following the springtime transition, with incidents increasing by as much as 5.7%. Fatal motor vehicle accidents rise by 6% during this period, a sobering statistic highlighting the dangers of drowsy driving [12].


Improving sleep hygiene across the population has a preventive effect on occupational and vehicular accidents. Workers with adequate sleep demonstrate better reaction times, judgment, and adherence to safety protocols, and well-rested drivers exhibit fewer lapses in attention and decision-making.


Better Academic Performance

Sleep plays a crucial role in cognitive function, learning, and memory consolidation—qualities vital for academic success. However, chronic sleep deprivation is pervasive among students, and practices like DST exacerbate the problem by further disrupting their biological clocks. Eliminating DST and promoting better sleep could unlock untapped academic potential in students of all ages.


Studies consistently show a strong correlation between sleep duration and academic performance. Students with more consistent and adequate sleep performed better on standardized tests, retained information longer, and were more adept at solving complex problems [13].


Similarly, students with regular sleep patterns exhibited higher classroom engagement and better emotional regulation, both of which contribute to long-term academic success [14].


Health Impacts of Disrupted Sleep


Disrupted sleep, a widespread issue compounded by daylight savings time (DST) transitions, is increasingly linked to significant health consequences. From mental health disorders to chronic illnesses, inadequate sleep can have a cascading impact on multiple physiological systems.


Mental Health


Sleep disruptions are strongly associated with mental health conditions, including anxiety, depression, and stress.


The lack of restorative sleep impairs emotional regulation, increases cortisol levels, and hinders neural plasticity, all of which can exacerbate or even precipitate mental health disorders. Chronic sleep deprivation can also contribute to feelings of irritability, lack of focus, and long-term cognitive decline [15].


Cardiovascular Outcomes


One of the most well-documented effects of disrupted sleep is on cardiovascular health. Studies have shown that inadequate or fragmented sleep can elevate blood pressure, heart attacks, increase the risk of atherosclerosis, and contribute to irregular heart rhythms [16]. ​


Insulin Sensitivity and Glucose Metabolism


Sleep deprivation disrupts glucose metabolism and insulin sensitivity, increasing the risk of type 2 diabetes. Poor sleep alters the balance of hormones like leptin and ghrelin, which regulate hunger and satiety, leading to an increased likelihood of overeating and weight gain [17].


Weight and Obesity


Chronic sleep disruptions can lead to metabolic imbalances, including increased fat storage and reduced energy expenditure. Over time, this contributes to weight gain and obesity [18]. The hormonal disruptions triggered by poor sleep also encourage cravings for high-calorie, carbohydrate-heavy foods, compounding the issue.


Blood Pressure


Sleep helps regulate the body's stress response, and inadequate sleep keeps the body in a heightened state of alertness, which can elevate blood pressure. Over time, chronic high blood pressure increases the risk of heart disease and stroke [19].


Cancer Risks


Emerging research has linked disrupted circadian rhythms—caused by inadequate or irregular sleep—to an increased risk of cancer. Shift work, which disrupts natural sleep patterns, has been classified as a Group 2A carcinogen ("probably carcinogenic to humans") by the International Agency for Research on Cancer (IARC)​ [20].


The mechanisms include impaired DNA repair, chronic inflammation, and hormonal imbalances that could contribute to tumor development.


Pros and Cons of Daylight Savings Time


While daylight savings time (DST) has been implemented for decades, evidence continues to challenge its relevance in modern society. Below, we weigh the pros and cons of DST based on the research and insights presented in this article [21].


Pros of DST


  1. More Daylight in the Evening:

    • DST provides extended evening daylight, which can encourage outdoor activities, reduce reliance on artificial lighting, and promote physical exercise.

    • Businesses such as retail and entertainment may benefit from increased consumer activity during lighter evenings.

  2. Potential for Reduced Crime Rates:

    • Some studies have suggested that increased evening daylight correlates with a reduction in crime rates, as fewer crimes are committed in well-lit conditions.


Cons of DST


  1. Adverse Effects on Sleep:

    • DST disrupts natural circadian rhythms, leading to a cascade of negative health outcomes, including poor sleep quality, mental health issues, and increased risk of chronic conditions.

  2. Health Risks:

    • DST transitions have been linked to heightened risk of heart attacks, strokes, and other cardiovascular events during the adjustment period, particularly after the springtime shift.

  3. Limited Energy Savings in Modern Contexts:

    • Advances in energy-efficient lighting, HVAC systems, and changes in energy usage patterns (e.g., increased reliance on electronic devices) have rendered DST's energy-saving benefits negligible or non-existent.

  4. Economic and Productivity Losses:

    • Sleep disruptions from DST transitions lead to increased workplace accidents, decreased productivity, and significant economic costs for businesses and healthcare systems.

  5. Safety Concerns:

    • The springtime shift has been associated with an increase in vehicular accidents and workplace injuries, particularly in the days immediately following the transition.

  6. Regional and Global Inconsistencies:

    • Not all U.S. states or countries observe DST, creating logistical challenges for businesses, travel, and international communications.

  7. Diminished Public Support:

    • Surveys and public sentiment increasingly reflect dissatisfaction with DST, as people recognize its negative impacts on health and well-being.

Balancing the Debate


While the historical arguments for DST focused on energy conservation and productivity, modern evidence highlights significant drawbacks, especially regarding health and safety. With changing technology and lifestyles, many of DST's original justifications no longer hold weight, making a strong case for reevaluating and potentially eliminating this practice altogether.


Final Thoughts


Sleep, often called the “third pillar of health,” stands alongside nutrition and exercise as essential to overall well-being. However, DST disrupts our natural circadian rhythms, leading to cascading effects on mental and physical health.


The consequences are far-reaching, from heightened cardiovascular risks and impaired glucose metabolism to increased workplace and vehicular accidents. These findings underscore the importance of prioritizing uninterrupted, high-quality sleep as a cornerstone of public health.


As we rethink long-standing traditions, it is worth asking: in a world where health and well-being are paramount, is it time to put DST to rest for good?


References


  1. Matt Walker (@sleepdiplomat) / X. X (formerly Twitter). February 9, 2021. Accessed December 29, 2024. https://x.com/sleepdiplomat

  2. The History of Daylight Saving Time | Alumni Association | University of Colorado Boulder. Accessed December 29, 2024. https://www.colorado.edu/coloradan/2022/11/07/history-daylight-saving-time

  3. Crawford MR, Winnebeck EC, von Schantz M, et al. The British Sleep Society position statement on Daylight Saving Time in the UK. Journal of Sleep Research. n/a(n/a):e14352. doi:10.1111/jsr.14352

  4. Hatfield LS Laura Clancy and Jenn. Most countries don’t observe daylight saving time. Pew Research Center. October 26, 2023. Accessed December 29, 2024. https://www.pewresearch.org/short-reads/2023/10/26/most-countries-dont-observe-daylight-saving-time/

  5. De Koninck J, Nixon A, Godbout R. The practice of Daylight Saving Time in Canada: Its suitability with respect to sleep and circadian rhythms. Can J Public Health. 2024;115(2):276-281. doi:10.17269/s41997-024-00870-0

  6. Harrison Y. The impact of daylight saving time on sleep and related behaviours. Sleep Medicine Reviews. 2013;17(4):285-292. doi:10.1016/j.smrv.2012.10.001

  7. Lahti TA, Leppämäki S, Lönnqvist J, Partonen T. Transition to daylight saving time reduces sleep duration plus sleep efficiency of the deprived sleep. Neuroscience Letters. 2006;406(3):174-177. doi:10.1016/j.neulet.2006.07.024

  8. Zolfaghari S, Cyr M, Pelletier A, Postuma RB. Effects of Season and Daylight Saving Time Shifts on Sleep Symptoms. Neurology. 2023;101(1):e74-e82. doi:10.1212/WNL.0000000000207342

  9. Jin L, Ziebarth NR. Sleep, health, and human capital: Evidence from daylight saving time. Journal of Economic Behavior & Organization. 2020;170:174-192. doi:10.1016/j.jebo.2019.12.003

  10. Janszky I, Ljung R. Shifts to and from Daylight Saving Time and Incidence of Myocardial Infarction. New England Journal of Medicine. 2008;359(18):1966-1968. doi:10.1056/NEJMc0807104

  11. Barnes CM, Wagner DT. Changing to daylight saving time cuts into sleep and increases workplace injuries. J Appl Psychol. 2009;94(5):1305-1317. doi:10.1037/a0015320

  12. Zhou R, Li Y. Traffic crash changes following transitions between daylight saving time and standard time in the United States: New evidence for public policy making. Journal of Safety Research. 2022;83:119-127. doi:10.1016/j.jsr.2022.08.009

  13. Lufi D, Tzischinsky O, Hadar S. Delaying school starting time by one hour: some effects on attention levels in adolescents. J Clin Sleep Med. 2011;7(2):137-143.

  14. Alfonsi V, Scarpelli S, D’Atri A, Stella G, De Gennaro L. Later School Start Time: The Impact of Sleep on Academic Performance and Health in the Adolescent Population. International Journal of Environmental Research and Public Health. 2020;17(7):2574. doi:10.3390/ijerph17072574

  15. Osborne-Christenson EJ. Saving light, losing lives: How daylight saving time impacts deaths from suicide and substance abuse. Health Economics. 2022;31(S2):40-68. doi:10.1002/hec.4581

  16. Hurst A, Morfeld P, Lewis P, Erren TC. Daylight Saving Time Transitions and Risk of Heart Attack. Dtsch Arztebl Int. 2024;121(15):490-496. doi:10.3238/arztebl.m2024.0078

  17. Singh T, Ahmed TH, Mohamed N, et al. Does Insufficient Sleep Increase the Risk of Developing Insulin Resistance: A Systematic Review. Cureus. 14(3):e23501. doi:10.7759/cureus.23501

  18. Cooper CB, Neufeld EV, Dolezal BA, Martin JL. Sleep deprivation and obesity in adults: a brief narrative review. BMJ Open Sport Exerc Med. 2018;4(1):e000392. doi:10.1136/bmjsem-2018-000392

  19. Sá Gomes e Farias AV, de Lima Cavalcanti MP, de Passos Junior MA, Vechio Koike B del. The association between sleep deprivation and arterial pressure variations: a systematic literature review. Sleep Med X. 2022;4:100042. doi:10.1016/j.sleepx.2022.100042

  20. Ward EM, Germolec D, Kogevinas M, et al. Carcinogenicity of night shift work. The Lancet Oncology. 2019;20(8):1058-1059. doi:10.1016/S1470-2045(19)30455-3

  21. Stražišar BG, Stražišar L. Daylight Saving Time: Pros and Cons. Sleep Medicine Clinics. 2021;16(3):523-531. doi:10.1016/j.jsmc.2021.05.007


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