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Sports Injuries and School Start Times - Doing the Math

If early school start times are associated with chronic sleep deprivation, and if chronic sleep deprivation is associated with a 68% increase in sports injuries, it doesn’t take long to do the math.

My teen started his wrestling season with an injury that required sutures and ended the season with an injury that took him out of the running for 3rd in the Portage Trail Conference.  Unfortunately he is only one of many teens to incur injuries in every sport, every season.  Worries about these things keep many parents and coaches awake at night, which is ironic considering that sleep deprivation may play a significant role in injuries among student athletes.

At the American Academy of Pediatrics national conference in October, Dr. Mathew Milewksi reported that teens who are chronically sleep-deprived experience 68% more sports injuries than their teammates who obtain more sleep, a correlation not expected by his research team. "We were surprised to find that sleep played such an important role in athletic injury," Dr. Milewski is quoted in a Reuters interview.  "We thought that having a private coach and doing sports outside of school and doing sports more often would increase the rates of injury, not the lack of sleep."

Many sleep experts, however, are not surprised by that study.  They know that sleep plays a vital role – particularly among still-growing youth.  We utilize sleep to reorganize and fine-tune cognitive functioning (neuronal ‘plasticity’ has recently been examined in relation to sleep), and during sleep we release growth hormones and engage in tissue repair.  If you want to function like a well-oiled
machine and bounce back like a fresh new rubber band you need your sleep.  Athletes (and non-athletes) who obtain good sleep are more coordinated, faster, stronger, and heal better.  They also have better impulse control and engage in better decision-making due to increased metabolic activity in the pre-frontal region of the brain. 

So is the answer to put my teen to bed earlier? Unfortunately it’s not that simple.  In the last two decades researchers discovered that during puberty our adolescents experience a temporary later shift in their circadian rhythm.  Because of this ‘phase-delay’ my son tosses and turns until around 11pm.  There’s no TV in his room, no cell phone, he doesn’t pound a Red Bull or eat a bag of candy at 6pm, and we don’t have him jog around the block at 8pm.  I even shine a $270.00 therapy light on him while he’s eating his breakfast to fool his pineal gland into a non-pubertal pattern.  Like most American households the problem isn’t bad sleep hygiene or being a bad mother, it’s battling Mother Nature. 

I do the math nearly every night: I know that adolescents require 8.5 to 9.25 hours of sleep for optimum health.  I know that my son’s school starts before 7:30am.  I know the bus comes at 6:35am.  I know that when I wake him up at 6am he has gotten only 7 hours of sleep.  I know that 91.8% of teens with school start times before 8:30am are chronically sleep deprived and average 6.75 hours of sleep on school nights.  I know that teens who sleep more than 2 hours later than usual on the weekend experience ‘jet lag’ effects and have higher rates of grade failure – so I know that weekend catch-up is not the answer.

I do know, however, that moving middle and high school start times to one hour later could increase that national average to 7.75 hours.  Despite assumptions that later start times would result in kids going to bed later at night, study after study after study shows that when schools adopt later start times teens go to bed at the same time and therefore obtain more sleep. 

And a 68% reduction in sports injuries is worth any change our schools can make. 

People often oppose changing school start times due to the possible negative effect on athletics – particularly practice schedules.  To get the straight scoop I emailed Athletics Directors from schools around the country that adopted later start times to ask them how much it impacted sports, and I was pleasantly surprised by the comments that ranged from ‘it worked out better than we anticipated’ to ‘our teams are among the best in the state’.  In Fayette County, Kentucky, where high schools moved from 7:30 am to 8:30 am and in the two years afterwards the county noted a reduction in teen auto accidents, the AD told me the time change ‘has never been an issue’. In St. George’s school, which hosts 48 teams in 22 sports and most students are required to participate in 2 sports per season, the AD told me the change was ‘one of the best things our school has ever done’ – a sentiment echoed by administration and teachers given the documented improvement in attention and grades. 

People are surprised and sometimes skeptical that improving sleep can do so much.  But when we consider the fact that we spend 1/3 of our life in this state it must be important – and researchers are proving that importance with more and more studies every month.

Local petitions have been formed around the nation asking schools to heed the research - search SignOn.org to see if there is a petition in your area.  A national petition has been created seeking legislation that limits schools from starting before 8am: http://signon.org/sign/promote-legislation-to

Advocate for our kids – they’re worth it.

 

For more information on the research:  http://startschoollater.pbworks.com/w/page/58217472/Start%20School%20Later%20Reference%20List


Milewksi interview: http://www.modernmedicine.com/news/chronic-lack-sleep-makes-teens-prone-sports-injuries



Mike Knox March 8, 2013 at 01:35 am
What seemed like an interesting topic has turned into an uncivil argument. If you disagree, so be it. No need to get snarky or hostile.
KHD March 8, 2013 at 01:59 am
The name of this is called GREENFIELD PATCH LOCAL VOICES. Stacy is from Ohio. What gives her the right to butt into our school districts business, that could cost the taxpayers $200, 000? Stacy doesn't pay taxes here. Stacy, Don't you have a job that you can post here all hours of the day? Keep your nose on your face and worry about what happens in your state, city and school district. Besides, it has been proven that kids can adjust just fine and to change start times for kids that are tardy ( alot the same) is just a waste of money. The money could be used for EDUCATION.
Mike Knox March 8, 2013 at 04:00 am
I live in River Falls, WI and the blog showed up on my feed too. The Patch seems to share blogs a with other communities. To me it was an interesting topic and I appreciated a lot of the views, questions and research sharing. However, at some point the discussion went sour. It seems to me that some people are compelled to take a conversation to an end point where there is only right or wrong; differing view are not tolerated.
Chaos78 March 8, 2013 at 05:29 am
I'm not trying to be mean here... but, we are talking maybe about 100+ people in a school (student athletes). If we are lucky maybe 1 or 2 will get a full scholarship. Why should we change everything for a couple of athletes when there are students who are waking up at 6 and getting great grades? Our future isn't about athletes it is about people who go out there and do what they need to do. Get good grades, go to school and make a difference in the world.
Christine McLaughlin March 8, 2013 at 01:19 pm
Maybe the sports issue is a red herring. Later start times in high school seems to be associated with good things for MOST learners of that age. And shouldn't better learning be what school is about? That we don't use good evidence (for example, starting foreign languages in early grades) to shape our schools is one of the reasons we under-perform other countries in educational outcomes. Chaos, I don't know if you have teens but almost anyone who does (or has) knows the early morning times are not the best times for getting good grades for them. Or good anything.
Mr Lundt March 8, 2013 at 01:37 pm
So does changing the school day later hurt the kids with an early circadian rhythm?
JD March 8, 2013 at 03:21 pm
There is a lot more to it over the course of years Mike. That is probably why you have that impression. They aren't mentioning the cost of changing the start time amidst massive cuts to education. That money has better uses. Also, some of the arguments and data being resented are flawed to achieve an agenda.
JD March 8, 2013 at 03:33 pm
In a perfect world changing start times is a good idea, however there are other costs associated with the changes Christine. It would cost the district over 200,000 dollars to change the bus schedule in the midst of massive cuts to education over the course of many years. Smaller class sizes have shown to be a better way to spend the money. Technology is also behind in the district. There is only so much money to go around, so you have to make tough choices about what will have the most impact on learning. Technology and smaller class sizes (which are up to 40 in a lot of cases) are more important. Another cost of changing times is having hundreds of kids miss classes due to athletic events which can't be pushed back due to available daylight.
Lastly your statement "we under-perform other countries in educational outcomes" is the biggest red herring of them all. Foreign countries have high stakes tests to get into secondary school (don'tmake the cut = farm or factory) and they also do not have compulsory education laws. They only test their best students and we test ALL students. It isn't an accurate comparison. It is the same reason why MPS ACT scores look worse than they are. Everyone takes the test including cognitively disabled students and students that don't try or care but are forced to take it and they don't pay for it out of pocket. Not a fair comparison with motivated college bound suburban students that paid to take the test.
KHD March 8, 2013 at 04:57 pm
Chaos78. There are probably closer to 300 to 400 student athletes. There are at least 100 just for football. You are correct about full scholarships, not many get them, but alot of kids get athletic scholarships disguised as academic scholarships, of course they have to have good grades. Colleges stress more than ever that athletes have great grades. Greenfield also has kids that get academic scholarships. They also have time restraints after school with studying, jobs, community service, ( which colleges also look at) and some play sports or belong to other clubs as well. Every year kids at Greenfield receive anywhere from $ 500,000 to over a $1,000,000 collectively. I was speaking with a counselor from UW Milwaukee and said to her, that I thought it would save money and be easier for my child if he just lived at home. She said no, they want student athletes living on campus because of the time constraints put on student athletes. They might practice before, after and breaks in class time. Also make sure they eat right, get in their study time, keep grades up and try to get enough sleep. It doesnt really matter 1 to 3 hours when the school day starts, as it has been proven that kids can adjust, the expert Dolores had talk to the school board stated as much. Some kids are just motivated more than others and understand what they have to do to succeed. The money to change the start times could be more wisely spent in other areas.
KHD March 8, 2013 at 05:31 pm
Jd is correct on test scores being scewed. In Japan, they start school later, but some kids go in early for sports and they have lots to do after school. Thes kids are probabably not getting to bed until about 12:00 or 1:00 am with about 5 or 6 hours of sleep. Our kids do not have it that hard. Just an FYI: A typical middle school or high school students, however, arrives home from school at around 4:00pm, has a quick snack and attends cram school classes, often three times a week from 5:00pm to 10:00pm. Sometimes students have cram school classes Saturday and all day Sunday too. 
The school day lasts from around 8:00am to 3:00pm but varies from day to day. Although it is a little longer than in the U.S. school day, Japanese students generally have more free time and breaks during their time at school. Sports clubs, even ones for elementary school, sometimes require students to show up for practice early in the morning or stay at school until 6:30 or 7:00pm. On an average day, Japanese high school students attend school from 8:30am to 4:00pm and have 2 to 6 hours of homework a night, depending on the school, individual and how immersed in exam hell they are. Many attend cram school in the afternoon and on weekends and are heavily involved in sports or club activities. 
KHD March 8, 2013 at 05:31 pm
One of the biggest tragedies of the Japanese education system is the fact that children and teenagers study all the time and they have little time left over for fun. Students at one Japanese high school were beside themselves with envy when a visiting American high school student talked about how he spent his after school hours driving a car to the mall, dating, making money with a part-time job and talking on the phone for hours in the evening.
A survey of Osaka high school students found that 80 percent felt stressed, 86 percent weren't getting enough sleep and 40 percent were getting less than six hours of sleep a night.
KHD March 8, 2013 at 08:15 pm
Dolores, Don't call me a liar. This is what JD posted and I have no reason to not believe him. "I know someone on the committee who asked the question and received that answer that is of the highest level of integrity. Is it possible to make adjustments of about 1-3 hours through establishing a routine? Yes. The experts stated as much." And here is what you Said , While I honestly don’t remember them saying anything about altering circadian rhythms, I don’t doubt that they said it. Sooo, what is it? Did he say it or not? The Indians have a phrase for this, "you speak with a forked tongue" Talk about someone lying. The national sleep institute also says it can be done.
Dolores Skowronek March 8, 2013 at 08:17 pm
KHD, you are misrepresenting what the medical professionals said at our ad hoc committee meeting. Not only is that highly inappropriate, but it also discredits the expert opinion of two highly trained physicians. They were very clear that the children in our community are NOT benefiting from our 7:10 start time.
CowDung March 8, 2013 at 08:26 pm
From the Mayo Clinic:
"Resetting the clock The good news is that your teen doesn't have to be at the mercy of his or her internal clock. To help your teen develop better sleep habits: Adjust the lighting. As bedtime approaches, dim the lights. Then turn off the lights during sleep. In the morning, expose your teen to bright light. These simple cues can help signal when it's time to sleep and when it's time to wake up. Stick to a schedule. Tough as it may be, encourage your teen to go to bed and get up at the same time every day — even on weekends. Nix long naps. Too much daytime shut-eye might only make it harder to fall asleep at night. Curb the caffeine. A jolt of caffeine might help your teen stay awake during class, but the effects are fleeting — and too much caffeine can interfere with a good night's sleep. Keep it calm. Encourage your teen to wind down at night with a warm shower, a book or other relaxing activities. Discourage stimulating activities — including vigorous exercise, loud music, video games, television, computer use and text messaging — an hour or two before bedtime. Know when to unplug. Take the TV out of your teen's room, or keep it off at night. The same goes for your teen's cellphone, computer and other electronic gadgets." http://www.mayoclinic.com/health/teens-health/CC00019/NSECTIONGROUP=2
KHD March 8, 2013 at 08:27 pm
Dolores, why did you delete your comment calling me a liar? I am not discrediting anyone. I am just stating what someone else pointed out what was said at the meeting, Are you calling JD a liar also? Or is it only you that is correct on what you post? I think it is you that is misleading.
KHD March 8, 2013 at 08:32 pm
Here is what you said to me the first post: Dolores Skowronek also commented on Sports Injuries and School Start Times - Doing the Math.
"KHD, while I know that you are lying when you comment about what the experts said – readers of this story may not. Refrain from posting misinformation about what was said at a meeting you did not attend. There is no excuse for blatant lying and misrepresenting a medical professional’s expert opinion."
CowDung March 8, 2013 at 09:00 pm
"A survey of Osaka high school students found that 80 percent felt stressed, 86 percent weren't getting enough sleep and 40 percent were getting less than six hours of sleep a night."
I wonder what a similar survey of our high schoolers would look like.
JD March 8, 2013 at 09:00 pm
Dolores no one is misrepresenting what was said. You admitted that you did not hear them mention it. Just because you did not hear it does not mean it didn't happen because it did. The expert opinion was that a later start time would be beneficial BUT there were other (free) alternatives like setting a better sleep schedule through repetition. Setting the schedule is hard work, but very possible and the experts agreed it to be true just as the mayo clinic etc also agrees. The later start time makes it EASIER for teens. It is irresponsible to present later start times as the ONLY solution to the problem. I asked before with no answer - if it is this important to you, have you considered finding grants or raising the money outside of district money to pull this off? Because with the current budget there are far more important uses for 200K.
Pops March 8, 2013 at 09:47 pm
I attended the ad hoc committee meetings and have been following the comments and need to address what was said at the meetings. At no time did the experts tell us or even hint that going to bed earlier is an alternative. Or a solution to the start time problem. They were very clear that students do not benefit from our 7:10 start time. People who were not there cannot know what was presented, and should stop posting as if they heard things first hand from the experts. Listen to the Doctors advice, not someone’s friend who talked to a guy who knew someone that was there.
KHD March 9, 2013 at 11:29 am
If what "Pops" said is true, it really does not matter as other doctors and experts have said that kids can adjust their clocks. To spend money on an earlier start time in these tough economic times for schools is just not a good idea. The money could be spent more wisely.
JD March 9, 2013 at 04:13 pm
I agree that the doctors' presentation was focused on changing the start time and was focused on their opinion that students do not benefit from an early start time. However, it is 100% true that they were asked by a member of the committee if circadian rhythms/sleep cycles can be adjusted for teens and they said yes. Students do not benefit from an earlier start time because it is harder to make adjustments, but they can be made and the doctors confirmed that. Some in the committee that were against spending money on changing the start time were accused of being against the best interests of the students. I know what happened in the meetings and I didn't hear it second or third hand. There are other options and I do not think that it is right to attempt to silence or bully those other options as being "not in the best interest of the kids" or calling them lies. A later start time would be better, I just don't think a 30-45 minute change is worth 200k that could be spent better elsewhere. The focus of those that want the start time changed should be on finding a way to pay for the change through fundraising/grants or finding a way to make the change with no cost associated so that the district's money is spent wisely in a way that will impact student learning (smaller classes, better technology). Also, a solution will have to be found for athletes missing a lot of class because they will have to leave school early for competitions 2-4 times per week.
Chaos78 March 10, 2013 at 07:52 am
When I posted this I didn't mean to be a d@ck. My point is the u.s puts way to much in putting WAY to much money on a athletic scholarship. We are putting $500,000 down on a sports "club" that is $500,000 to much. I would rather see a $1,000,000 scholarship to a woman/ man who "solves world peace"
KHD March 10, 2013 at 01:09 pm
I hope everyone, including Greenfield school board members, read the article on where School budgets are heading. It says School Districts will be running a deficit every year after 2013-2014 and will have used up all reserve funds by 2016-2017. This is not the time to be spending one dime on early start times and bussing. If the Greenfield School District spends any money at all, it should be spent on new technology,and more staff to help our Teachers teach. http://www.jsonline.com/news/education/state-budget-places-some-pressures-on-teachers-schools-nf933ru-196700151.html
Mr Lundt March 10, 2013 at 01:17 pm
KHD
The article and the author has been dismantled many times. It is more fear mongering.
KHD March 10, 2013 at 04:02 pm
Mr. Lundt: Just because you say so doesn't make it true. I would welcome anything to show the contrary. I would like to keep my money, as if the article is true, they will ask for more tax dollars.
Mr Lundt March 10, 2013 at 06:20 pm
KHD
Blindly accepting a guest writer to a news paper is silly. It doesn't mean they are all wrong but due diligence is in order. Doing the slightest homework would help. You could start by reading the comments section of the link you posted.
KHD March 10, 2013 at 09:35 pm
I did read them and people were arguing about a miriad of things. All I am saying is we shouldn't spend money on school start times. The best way to find out where the money goes is to look at our budget.
Mr Lundt March 10, 2013 at 10:40 pm
KHD
On that point you and I totally agree...:)
Stacy Simera March 11, 2013 at 03:37 pm
Changing school start times shouldn't have to cost money. But even if it does, a Hamilton Project (Brookings Institute) report estimates a 'conservative' 9 to 1 benefit to cost ratio in delaying school start times for adolescents: http://www.brookings.edu/research/papers/2011/09/organization-jacob-rockoff
JD March 13, 2013 at 02:58 am
This is why some are hostile to you Stacy, you do not know anything about the district, its needs, or the costs involved. Changing the times WILL cost money in Greenfield and you should know that by now. The Brookings institute also did a study on smaller class sizes touting that as well. The change that was being considered was 30 minutes to an hour maximum, hardly a good use of $200,000 in the face of being far behind area districts in technology, having class sizes in the mid to upper 30's, and other more pressing issues considering that many nearby districts start fairly early as well and seem to be doing just fine.

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Walker celebrates after defeating the liberal unionista blue fisters
robert heule June 8, 2013 at 06:16 am
Steve, go down to the "village square" burn a blue fist. Or, maybe in front of WAL-MART.
Steve ® June 8, 2013 at 03:00 pm
As a producer I have better things to do. Drum circles are the blue fisters circle jerk.
robert heule June 9, 2013 at 08:16 pm
Steve, Like an Okie from Muskogee, I still wave 'Ol Bluefist down by the Courthouse.