This multimedia presentation gives an overview of sleep research concerning teen health and academic performance as presented at the Sleep and the Adolescent Brain. The forum was held on February 21, 2016 at the Radnor Middle School in Radnor PA. The Forum and related activities are part of a Coalition with the League of Women Voters of Delaware County, parent teacher organizations, and area school districts.

1. What You Need
to Know About

2. Learn from Some Experts

3. Why is Sleep So Important?
Getting enough quality sleep at the right times can
help protect your
• mental health,
• physical health,
• quality of life, and
• safety.
National Heart, Lung and Blood Institute of NIH
(2012)

4. • Adequate and appropriately-timed sleep
is as important as nutrition and exercise.
• The only thing that replaces sleep is
sleep.
The Importance of Sleep

5. The Perfect Storm of Sleep
Video Clip
The next slide contains a video clip from the
Sleep and the Adolescent Brain Forum showing
Dr. Judith Owens presenting the biological-
based shift that affects middle and high school
students.

6. Sleep Research Impact
Video Clip
The next slide contains a video clip from the
Sleep and the Adolescent Brain Forum showing
Dr. Katherine Dahlsgaard presenting on impact of
sleep research on mental health disorders.

7. Mental Health
oInsufficient sleep linked to…
o Irritability / Behavior problems
(Baum et al., 2014; Beebe, 2011; Sadeh et al.,
2002; Stein et al., 2001)
o Depression / Suicide Ideation
(Buysse et al., 2008; Clarke et al., 2015; Liu, 2004;
Roberts & Duong, 2014; Siversten et al., 2013)
o Substance Use (Bootzin & Stevens, 2005)

8. Mental Health & Lack of Sleep
Video Clip
The next slide contains a video clip from the
Sleep and the Adolescent Brain Forum showing
Dr. Katherine Dahlsgaard presenting on mental
health issues that are tied to lack of sleep leading
to vulnerable teens.

9. Physical Health
 Sleep duration and timing affect:
 Food intake: increased amount,
more calories, more fat
 Eating patterns (skipping breakfast,
increased night eating)
 Physical activity
 Cardiovascular function
 Insulin metabolism and increased
diabetes risk

10. Physical Health
Sleep Deprivation and Obesity
•Multiple studies suggest shorter sleep
amounts associated with increased
risk of obesity
• Sleep apnea more common in obese
children, further compromising
cardiovascular and metabolic health

11. Sleep-Starved Brains
Video Clip
The next slide contains a video
clip from the Sleep and the
Adolescent Brain Forum showing
Dr. Judith Owens presenting on
the issue of sleep starved brains.

12. Quality of Life
 Sufficient sleep in youth linked to:
 Better grades, higher test scores, better
attendance
 Less tardiness & drop-outs
 Less “moodiness”
 Improved financial
prospects (Brookings
Institute, 2011)

13. Other Benefits
Sufficient sleep in youth also linked to:
• Less substance abuse
• Less depression
• Less impulsivity & self-destructive
behaviors
• Teens that are “more easy to
live with,” per parents

14. Importance of Sufficient Sleep
Video Clip
The next slide contains a video clip from the
Sleep and the Adolescent Brain Forum
showing Dr. Katherine Dahlsgaard presenting
on the need for sufficient sleep.

15. Safety – Drowsy Driving
• Drivers 16-25 years are involved in
more than 50% of the 100,000 police-
reported fatigue-related traffic crashes
each year
• National poll: 68% of HS seniors have
driven while drowsy; 15% at least
once each week
• Sleep loss impairments are equal or
greater than those due to alcohol
intoxication (i.e. 3-4 beers)

16. Safety
Accidental Injuries
•Sleep loss is associated with an
increased risk of pedestrian injuries
in children
•Sleep loss is associated with
increased sports-related injuries in
high school students

17. Safety Issues – Lack of Sleep
Video Clip
Click to watch Dr. Owens speak about safety issues
The next slide contains a video clip from
the Sleep and the Adolescent Brain
Forum showing Dr. Judith Owens
presenting on safety issues tied to lack of
sleep.

18. What is the Problem?
• American Medical Association (AMA)
identifies adolescent insufficient sleep and
sleepiness as a public health issue. (2016)
• Center for Disease Control (CDC) (2015)
Insufficient sleep is associated with a
number of chronic diseases and
conditions. Sufficient sleep is a necessity
and a “vital sign” of good health.

19. Circadian Rhythms – Body Clocks
• 24-hour cycle (roughly) or
internal body clock
• regulates sleep and other
physiological
• affected by environmental cues,
like sunlight and temperature.

20. Circadian Clocks & Sleep Drive
Video Clip
The next slide contains a video clip from
the Sleep and the Adolescent Brain
Forum showing Dr. Judith Owens
presenting on circadian clocks and sleep
drive.

21. Typical Circadian Rhythm
https://fuzzyscience.wikispaces.com/Circadian+R
hythm

22. Both Sleep Time and Sleep Timing are
“Biological Imperatives”
Frontiers in Neurocience, 2013
Circadian
“clocks”
exist in
every
system and
every cell in
the body!
“Misalignment”
of the circadian
clock results in
profound
impairments in
health and
function.

23. Sleep in Adolescents
 All teens experience changes in
circadian rhythms (the body’s sleep-
wake “clock”) with onset of puberty.
 This results in a biologically-based
shift (delay) of up to several hours
in both the natural fall asleep and
morning wake times.

24. Sleep Shift – Child to Teen
www.nap.edu/read/
11633/chapter/3#1
3

25. Teens sleep all day
and stay awake all
night!
Teens cannot
“make”
themselves fall
asleep earlier.

26. Bed & Wake Times
Video Clip
The next slide contains a video
clip from the Sleep and the
Adolescent Brain Forum
showing Dr. Judith Owens
presenting on environmental
sleep factors.

27. “Making Up” Sleep Myth
“ Sleeping in” over the weekend does NOT
• improve daytime functioning
• Alter Circadian Sleep Rhythm
• Remediate permanent “ social jet lag”
- daytime sleepiness
- poor academic performance
- depressed mood

28. Make Up Sleep & Social Jet Lag
Video Clip
The next slide contains a video clip from the
Sleep and the Adolescent Brain Forum showing
Dr. Judith Owens presenting on make-up sleep
and social jet lag.

29. What About Naps?
 • Short naps (20 - 30 minutes) improve
short-term alertness and performance
 • Best in comfortable, reduced light
environment with little noise
 • Take well-before bedtime so not
interfere with nighttime sleep
http://www.thebakerorange.com/news/2016/apr/12/college-students-guide-napping/

30. What About Caffeine?
It’s a stimulant that, in moderate doses,
can
• Increase alertness
• Reduce fine motor coordination
• Cause insomnia
• Cause headaches, nervousness and
dizziness

31. Caffeine Affects Sleep
The next slide contains a video clip from
the Sleep and the Adolescent Brain Forum
showing Dr. Judith Owens presenting on
how caffeine affects sleep.

32. Bottom Line
Adolescents need 8.5 to 9.5 hours of sleep
each day to function well.
Results from 40,000+ H.S. students show:
6% of 10th graders and 3% of 11th graders get
more than 9 hours of sleep.
42% of 10th graders and 56% of 12th graders
get less than 6 hours of sleep.
(2012 study in 10th largest school district)

33. What Can You Do?
TURN OFF Electronics Before Tuck
In!
* 60 minutes before bedtime
Why?
- stimulate brain
- create stress
- produce light that disrupts
sleep cyclehttps://sleepfoundation.org/ask-the-expert/electronics-the-bedroom

34. What Challenges Exist?
 Lure of social media
 Need to do Homework
 Enjoyment of Video Games
 Enjoyment of on-line Entertainment
 Pleasure of Reading e-books

35. What Can Schools Do?
• • Teach about Sleep and its Importance
(K-12)
• • Change staff development/ exam days
to late openings
• •Allow first-period cuts/study halls for
older students (flexible schedules)
• Alter athletic schedules

36. What Can Communities Do?
Adjust School Start Times (SST)
The American Academy of Pediatrics
recommends all middle and high
schools start at 8:30 a.m. or later.
(2014)

37. Why Start School Later?
• Biological needs in direct conflict with earlier
high school start times (before 8:30 a.m.)
• Students required to wake-up and function
when their bodies and brains are
programmed to be asleep
• Early wake times rob teens of needed sleep
time
• Early morning sleep stages (REM) critical for
learning, memory, attention, and emotional
regulation

38. Benefits of Later School Start Times
• Fewer Health Center Visits
• Fewer Accidents
Crash rates reduced in 16 – 18 year
olds by 65 -70% in some communities
(CDC study, 2014)
Results vary by school districts, but
show fewer teens involved in car
incidents with secondary schools
starting after 8:30 a.m.

39. Outcomes: Health & Safety Video
Clip
The next slide contains a video clip from
the Sleep and the Adolescent Brain Forum
showing Dr. Judith Owens presenting on
research study outcomes and the need to
start school later.

40. Challenges to Later SST
Transportation (bussing) costs
Athletic schedules
Babysitting needs of for
younger children
Afterschool employment
Teacher constraints/schedules

41. Where Can You Go to
Get More Information?
National Sleep Foundation
 https://sleepfoundation.org
Centers for Disease Control and Prevention
 http://www.cdc.gov/features/dssleep/
Start School Later
http://www.startschoollater.net

42. This program was sponsored by
 Parent-Teacher Organizations (PTO’s) of Radnor Schools
 Ithan Elementary School
 Radnor Elementary School
 Wayne Elementary School
 Radnor Middle School
 Parent-Teacher- Student-Association (PTSA)
 Radnor High School
 Parent Teacher Organizations (PTO’s) of Tredyffrin-Easttown Schools
 New Eagle Elementary School
 Valley Forge Middle School

43. Sponsored by (cont.)
 Radnor Township School District
 Lower Merion School District
Leagues of Women Voters of
 Radnor Township
• Haverford Township
 Central Delaware County
WITH SPECIAL THANKS TO:
Richard Sayer, Videographer

44. Sweet Dreams!