Law-Based Arguments and Messages to Advocate for Later School Start Time Policies in the United States

The increasing scientific evidence that early school start times are harmful to the health and safety of teenagers has generated much recent debate about changing school start times policies for adolescent students. Although efforts to promote and implement such changes have proliferated in the United States in recent years, they have rarely been supported by law-based arguments and messages that leverage the existing legal infrastructure regulating public education and child welfare in the United States. Furthermore, the legal bases to support or resist such changes have not been explored in detail to date. This article provides an overview of how law-based arguments and messages can be constructed and applied to advocate for later school start time policies in U.S. public secondary schools. The legal infrastructure impacting school start time policies in the United States is briefly reviewed, including descriptions of how government regulates education, what legal obligations school officials have concerning their students\u27 welfare, and what laws and public policies currently exist that address adolescent sleep health and safety. On the basis of this legal infrastructure, some hypothetical examples of law-based arguments and messages that could be applied to various types of advocacy activities (e.g., litigation, legislative and administrative advocacy, media and public outreach) to promote later school start times are discussed. Particular consideration is given to hypothetical arguments and messages aimed at emphasizing the consistency of later school start time policies with existing child welfare law and practices, legal responsibilities of school officials and governmental authorities, and societal values and norms

Timing of Sleep and Its Relationship with the Endogenous Melatonin Rhythm

While much research has investigated the effects of exogenous melatonin on sleep, less is known about the relationship between the timing of the endogenous melatonin rhythm and the sleep–wake cycle. Significant inter-individual variability in the phase relationship between sleep and melatonin rhythms has been reported although the extent to which the variability reflects intrinsic and/or environmental differences is unknown. We examined the effects of different sleeping schedules on the time of dim light melatonin onset (DLMO) in 28 young, healthy adults. Participants chose to maintain either an early (22:30–06:30 h) or a late (00:30–08:30 h) sleep schedule for at least 3 weeks prior to an overnight laboratory visit. Saliva samples were collected under dim light (<2 lux) and controlled posture conditions to determine salivary DLMO. The 2-h difference between groups in the enforced sleep–wake schedule was associated with a concomitant 1.75-h delay in DLMO. The mean phase relationship between sleep onset and DLMO remained constant (~2 h). The variance in DLMO time, however, was greater in the late group (range 4.5 h) compared to the early group (range 2.4 h) perhaps due to greater effect of environmental influences in delayed sleep types or greater intrinsic instability in their circadian system. The findings contribute to our understanding of individual differences in the human circadian clock and have important implications for the diagnosis and treatment of circadian rhythm sleep disorders, in particular if a greater normative range for phase angle of entrainment occurs in individuals with later sleep–wake schedules

Visual impairment and circadiam rhythm disorders

Many aspects of human physiology and behavior are dominated by 24-hour circadian rhythms that have a major impact on our health and well-being, including the sleep-wake cycle, alertness and performance patterns, and many daily hormone profiles. These rhythms are spontaneously generated by an internal “pacemaker” in the hypothalamus, and daily light exposure to the eyes is required to keep these circadian rhythms synchronized both internally and with the external environment Sighted individuals take this daily synchronization process for granted, although they experience some of the consequences of circadian desynchrony when “jetlagged” or working night shifts. Most blind people with no perception of light, however, experience continual circadian desynchrony through a failure of light information to reach the hypothalamic circadian clock, resulting in cyclical episodes of poor sleep and daytime dysfunction. Daily melatonin administration, which provides a replacement synchronizing daily “time cue,” is a promising therapeutic strategy, although optimal treatment dose and timing remain to be determined

Lighting Effects

No abstract availabl

The relationship between sleep and behavior in autism spectrum disorder (ASD): a review

Although there is evidence that significant sleep problems are common in children with autism spectrum disorder (ASD) and that poor sleep exacerbates problematic daytime behavior, such relationships have received very little attention in both research and clinical practice. Treatment guidelines to help manage challenging behaviors in ASD fail to mention sleep at all, or they present a very limited account. Moreover, limited attention is given to children with low-functioning autism, those individuals who often experience the most severe sleep disruption and behavioral problems. This paper describes the nature of sleep difficulties in ASD and highlights the complexities of sleep disruption in individuals with low-functioning autism. It is proposed that profiling ASD children based on the nature of their sleep disruption might help to understand symptom and behavioral profiles (or vice versa) and therefore lead to better-targeted interventions. This paper concludes with a discussion of the limitations of current knowledge and proposes areas that are important for future research. Treating disordered sleep in ASD has great potential to improve daytime behavior and family functioning in this vulnerable population

Integrating non-visual effects of light into lighting simulation: challenges ahead

Lighting is a major influential factor that affects human health and sense of wellbeing in the built environment. Since 2002, when the first reports on the discovery of a novel type of photoreceptor were published, a new field of study started to emerge at the intersection of photobiology and architecture. This novel photoreceptor is considered the primary mediator of non-visual responses to light in humans while the classical photoreceptors, rods and cones, are responsible for vision. Daily changes in the light spectrum and intensity impact a range of circadian, physiological and behavioral functions, including sleep quality, mood, alertness and cognitive performance. This new understanding on how light affects human physiology has sparked a growing interest in the role of lighting design on health and wellbeing. This paper discusses the challenges ahead in integrating non-visual effects of light – mediated by the novel photoreceptor – into a computer-based lighting simulation framework

Preliminary Method for Prospective Analysis of the Circadian Efficacy of (Day)Light with Applications to Healthcare Architecture

Recent studies have attempted to link environmental cues, such as lighting, with human performance and health, and initial findings seem to indicate a positive correlation between the two. Light is the major environmental time cue that resets the human circadian pacemaker, an endogenous clock in the hypothalamus that controls the timing of many 24-hour rhythms in physiology and behavior

Unified framework to evaluate non-visual spectral effectiveness of light for human health

The discovery of a novel non-rod, non-cone photoreceptor in the mammalian eye that mediates a range of ‘non-visual’ responses to light has required reexamination of how lighting needs for human health are characterized and evaluated. Existing literature provides useful information about how to quantify non-visual spectral sensitivities to light but the optimal approach is far from decided. As more is learned about the underlying biology, new approaches will continue to be published. What is currently lacking is a flexible framework to describe the non-visual spectral effectiveness of light using a common language. Without a unified description of quantities and units, much of the value of scientific publications can be lost. In this paper, we review the existing approaches by categorizing the proposed quantities depending on their application. Based on this review, a unified framework is provided for use in evaluating and reporting the spectral effectiveness of light for human health. The unified framework will provide greater flexibility to model the non-visual responses to light and is adaptable to a wide range of lighting solutions of interest to researchers, designers and developers. A new visualization tool, the SpeKtro dashboard, is available to explore the unified framework on-line at spektro.epfl.ch

A unified framework for evaluating non-visual spectral effectiveness of ocular light exposure: key concepts

The first evidence for a novel type of photoreceptor in humans was published in the form of an action spectrum for melatonin suppression. This action spectrum has very different spectral sensitivities compared to rod and cone photoreceptors. This discovery led scientists to rethink how lighting needs for human health are evaluated. Existing literature provides useful information about how to evaluate and report non-visual spectral sensitivities to light but lacks a unified description. In this paper, key concepts in the existing methods are identified and categorized to formulate a unified framework to assess the non-visual potential of light that is adaptable to a wide range of lighting solutions

Adverse health effects of nighttime lighting: comments on american medical association policy statement.

The American Medical Association House of Delegates in June of 2012 adopted a policy statement on nighttime lighting and human health. This major policy statement summarizes the scientific evidence that nighttime electric light can disrupt circadian rhythms in humans and documents the rapidly advancing understanding from basic science of how disruption of circadian rhythmicity affects aspects of physiology with direct links to human health, such as cell cycle regulation, DNA damage response, and metabolism. The human evidence is also accumulating, with the strongest epidemiologic support for a link of circadian disruption from light at night to breast cancer. There are practical implications of the basic and epidemiologic science in the form of advancing lighting technologies that better accommodate human circadian rhythmicity