Health
Going to bed after this time could lead to poorer mental health, a Stanford study finds
Night owls might want to start turning in earlier.
A recent study by Stanford University, published in the journal Psychiatry Research, found that going to bed after 1:00 a.m. could lead to mental health issues.
Researchers analyzed the data of more than 73,000 adults in the U.K., looking into their chronotype (inclination to rise early or stay up late) and actual sleep timing.
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The study then examined the alignment between the two and the prevalence of mental, behavioral and neurodevelopmental disorders (MBN), as well as depression and anxiety.
People with a morning preference who go to bed early exhibit “better mental health” compared to morning types who go to bed late, the study found.
Overall, early birds seemed to have better mental health, according to a Stanford University research. (iStock)
Morning types who tend to go to bed late have an increased risk of MBNs, depression and anxiety.
People with an evening preference who sleep late were also found to demonstrate poorer mental health. Evening types who wake up early, conversely, have a lower risk of developing depression.
Based on these findings, the researchers recommended going to sleep before 1:00 a.m., regardless of preference.
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Study co-author Jamie Zeitzer, Ph.D., a professor at Stanford University’s department of psychiatry and behavioral sciences in California, said he was surprised by the results.
“They were not what we expected at all,” he wrote in an email to Fox News Digital. “We spent more than a year trying to disprove our findings, but could not find an alternate explanation.”
“We had expected that night owls who stayed up late would be OK, but they ended up being at a greater risk for developing mental health disorders than night owls who went to bed earlier,” one researcher said. (iStock)
The researchers originally anticipated that individuals who aligned their actual sleep timing with their morning/evening preference would have the best mental health, Zeitzer noted – but this was not the case.
“Rather, we found that being awake late at night, irrespective of preferred sleep timing, was associated with worse mental health,” he said.
Good sleep is “crucial for establishing a pillar of good mental health,” according to Zeitzer.
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“It is not necessarily [the case] that bad sleep causes poor mental health, but it can definitely facilitate poorer mental health,” he said.
“There are several aspects of sleep that contribute [to mental health], including the duration (which we accounted for in our study) and the timing (which we directly examined in our study).”
Not getting enough sleep has been proven to compromise mental health, according to a sleep expert. (iStock)
While it might not be detrimental for all night owls to stick to their preferred nighttime sleep schedule, Zeitzer said, the research highlights that it presents a risk for some.
“We are not clear as to why this is the case, but it may have to do with the isolation that often accompanies such late-night behavior,” he said.
“So, being aware of how you are spending your late nights and whether these behaviors are conducive to good mental health is crucial.”
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Dr. Wendy Troxel, a Utah-based sleep expert who was not involved in the study, agreed that the findings are “very interesting” – particularly the fact that going to bed later is associated with poorer mental health regardless of one’s natural tendency.
“These findings underscore that sleep health is a multidimensional state,” Troxel said in an interview with Fox News Digital.
“It’s not just about getting enough sleep or good quality sleep that matters, but the timing matters, too.”
“Going to bed excessively late on a regular basis may lead to impairments in decision-making and emotion regulation.”
Failing to get enough sleep has been proven to compromise mental health by “influencing brain mechanisms that help to regulate emotions,” she added.
“Going to bed excessively late (i.e., after 1 a.m.) on a regular basis may lead to impairments in decision-making and emotion regulation, which may underlie associations with mental health problems, such as depression and anxiety,” she said.
The study results are also interesting when applied to specific groups who tend to be night owls, like teenagers, Troxel noted.
“Biologically, teenagers are predisposed to stay awake later and sleep in later, which is in conflict with early school start times,” she said.
“This can set them up for a ‘double whammy’ of both insufficient sleep and delayed sleep schedules, which can contribute to mental health problems — a major public health issue among teenagers.”
Dr. Wendy Troxel, senior behavioral scientist for RAND Corporation, is the author of “Sharing the Covers: Every Couple’s Guide to Better Sleep” and is also a scientific advisor for the Sleep Foundation. (Diane Baldwin)
3 critical steps for better sleep
Troxel recommends taking the following steps to improve the quality of sleep.
First, slowly advance bedtime earlier by 15-minute increments each week.
Next, allow for plenty of sunlight in the morning, she advised, as sunlight is “one of the most powerful cues to help set the circadian rhythm.” In the evening, keep the lights low.
For more Health articles, visit foxnews.com/health.
It’s important to stay consistent with sleep schedules, even on the weekends, one sleep expert advised. (iStock)
Finally, stay consistent with your sleep schedule, including on weekends, Troxel suggested.
While this can be challenging, especially for night owls, reverting to a later bedtime and wake-up times will “set you back to square one,” she warned.
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The key to successfully shifting sleep habits is to do it gradually, Troxel said.
“It’s similar to the approach we would recommend for changing one’s schedule to manage jetlag,” she said.
Being aware of how you’re spending your late nights is “crucial” to good mental health, one of the study researchers said. (iStock)
Zeitzer noted that it can be difficult for anyone to switch up their sleep schedules, especially for those who prefer more “extreme times,” like staying up until 4:00 a.m. or waking up before 5:00 a.m.
Going to bed and waking up at the same time every day is the best way to successfully make a shift, he said, along with exposure to bright light.
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A new solution may be on the horizon for the 30 million people in the U.S. who suffer from sleep apnea.
In a Finland study, a new breathing device showed promising results in reducing symptoms of the disorder, according to researchers.
The device, called WellO2, uses resistance training to strengthen throat muscles and steam breathing to humidify airways.
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In the small study conducted by University of Turku’s Sleep Research Center, 25 participants with mild to moderate sleep apnea used the device at home twice a day for three months, breathing in and out 30 times per session.
At the end of the study period, the participants reported increased respiratory muscle strength, reduced nighttime breathing interruptions, improved sleep quality and decreased insomnia, according to a press release.
In a Finland study, a new breathing device, shown at right, has shown promising results in reducing symptoms of the disorder, according to researchers. (iStock/WellO)
Snoring occurrences were also reduced.
The findings were presented on June 5 at the Nordic Lung Congress 2024 in Helsinki, Finland.
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The study will now be peer-reviewed by the scientific congress, then will be published later this year, according to the researchers.
The device, called WellO2, uses resistance training to strengthen throat muscles, plus steam breathing to humidify airways. (WellO2)
“Currently, there are no available technologies or medications to treat sleep apnea,” lead author Dr. Usame Al-Rammahi, a doctoral researcher of pulmonary diseases and clinical allergology at the University of Turku, told Fox News Digital.
“Our first data suggest that respiratory muscle training may be the answer that not only alleviates symptoms, but also addresses the underlying cause of OSA by strengthening muscles.”
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CPAP (continuous positive airway pressure) is currently the most common treatment for sleep apnea — but about a third of patients struggle to adapt to it, Al-Rammahi noted.
WellO2 is designed to be used as an add-on therapy with CPAP.
CPAP (continuous positive airway pressure) is right now the most common treatment for sleep apnea, yet about a third of patients struggle to adapt to it. (iStock)
“Even though CPAP should be used as needed, WellO2 training can be used as an additional therapy, since it addresses underlying reasons and may lessen CPAP adverse effects by moistening the airways,” Al-Rammahi told Fox News Digital.
Limitations of the study
This is a preliminary report and research is currently ongoing, Al-Rammahi said.
The study also did not include a control group.
“There is no quick fix for respiratory rehabilitation.”
“Nonetheless, given that the study compared their results to each participant’s personal findings, those persons were the controls,” Al-Rammahi said.
“Despite the lack of a control group, the findings remain important. Qualified questionnaires were used, and polysomnography (PSG) was a thorough and trustworthy procedure that provided substantial results.”
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Dr. Chelsie Rohrscheib, a neuroscientist and sleep specialist at Wesper in New York, was not involved in the study but commented on the device’s potential.
“Sleep apnea is primarily caused by obstructions in the upper airway that block the flow of oxygen into the lungs,” she said.
Approximately 30 million people in the U.S. suffer from sleep apnea. (iStock)
“This device is designed to strengthen the muscles of the upper airway and reduce these obstructions from occurring,” she also told Fox News Digital.
While the device was shown to offer “some improvement” when tested in a small population of patients, Rohrscheib noted that use of the device was only correlated with “moderate improvement” in the number of respiratory events.
For more Health articles, visit www.foxnews/health
“That means it’s not guaranteed to work for every patient or to completely eliminate your sleep apnea symptoms,” she said.
“Further, the device was not tested in patients with severe sleep apnea — thus, patients should not rely on this device alone for treatment for their sleep apnea without the guidance of a sleep physician.”
“Patients should not rely on this device alone for treatment for their sleep apnea without the guidance of a sleep physician,” a sleep expert said. (WellO2 )
Katri Lindberg, a respiratory specialist nurse in Finland who works with WellO2 as a breathing expert, said she recommends WellO2 training regularly for individuals who want to stop snoring or for whom CPAP devices are not suitable for treating sleep apnea.
“The research results are only preliminary findings from a small study, but they provide strong indications that we have found a rehabilitation tool that can now rehabilitate the symptoms of a large group of people worldwide, rather than merely alleviating them,” Lindberg told Fox News Digital.
“The study also indicates that there is no quick fix for respiratory rehabilitation. To remove symptoms and keep them at bay, regular, although relatively small, amounts of respiratory training are needed.”
Kidney transplants are not uncommon — the kidney is actually the most frequently transplanted organ in the U.S. — but a Chicago man recently received his in a highly unusual way.
John Nicholas, 28, was awake during the entire procedure, which was performed on May 24 at Northwestern Medicine Hospital. He was discharged the very next day.
Doctors administered a spinal anesthesia shot — similar to what is used for a Cesarean section — instead of general anesthesia, according to a press release from the hospital.
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“This is the first case at Northwestern Medicine where a patient was awake during an entire kidney transplant procedure and went home the next day, basically making this an outpatient procedure,” said Satish Nadig, M.D., PhD, transplant surgeon and director of the Northwestern Medicine Comprehensive Transplant Center, in the release.
“Inside the operating room, it was an incredible experience being able to show a patient what their new kidney looked like before placing it inside the body,” he added.
John Nicholas, the patient, is pictured with his surgeons in the operating room after completion of the kidney transplant. (Northwestern Medicine)
“It was incredibly simple and uneventful.”
This type of “awake transplant” could reduce surgical risks and shorten the length of the patient’s hospitalization, doctors say.
“It was an incredible experience, being able to show a patient what their new kidney looked like before placing it inside the body.”
It could also increase access to care for patients who are considered high-risk or have phobias surrounding general anesthesia.
Ideal candidate
Nicholas’ surgery took about two hours, according to the hospital.
He was considered an ideal patient for awake surgery due to his young age, his otherwise good health and his “eagerness to participate,” per the release.
John Nicholas is pictured awake during his kidney transplant in late May. (Northwestern Medicine)
“It was a pretty cool experience to know what was happening in real time and be aware of the magnitude of what they were doing,” said Nicholas in a statement to Northwestern.
“At one point during surgery, I recall asking, ‘Should I be expecting the spinal anesthesia to kick in?’ They had already been doing a lot of work and I had been completely oblivious to that fact. Truly, no sensation whatsoever.”
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Although Nicholas did receive sedation for comfort, he said he was still aware of what was going on.
“Especially when they called out my name and told me about certain milestones they had reached,” he noted.
Nicholas, center, is pictured after surgery with Dr. Vicente Garcia Tomas, his anesthesiologist, at left, and Dr. Nadig, transplant surgeon, at right. (Northwestern Medicine)
Nicholas walked out of the hospital on May 25, the day after surgery.
With typical kidney transplants, the recipient remains in the hospital for two to three days.
Saved by a friend
Nicholas’ kidney issues began at age 16 when he was diagnosed with Crohn’s disease, the release stated.
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After a few years of managing the condition with medication, his kidney function worsened and he required a transplant.
Nicholas’ mother originally planned to donate her kidney, but a breast cancer diagnosis prevented her from doing so, the hospital relayed.
Nicholas, at left, is pictured with his donor and best friend, Pat Wise, after surgery. (Northwestern Medicine)
It was Nicholas’ best friend from elementary school, 29-year-old Pat Wise in Alexandria, Virginia, who ultimately donated the life-saving kidney.
‘Another tool in our toolbelt’
Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, was not involved in the surgery but shared his input.
“My opinion is that in most cases, spinal anesthesia presents a reasonable alternative for those at high risk of general anesthesia complications,” Siegel told Fox News Digital.
Nicholas is pictured awake with his care team during his kidney transplant surgery. (Northwestern Medicine)
“Having said that, general anesthesia would be preferred whenever possible for major surgery like this,” said Dr. Siegel, “because control of the airway and breathing is essential, and is much easier if the patient is asleep and on the ventilator.”
The doctors at Northwestern credit the patient for helping to advance the field of transplant medicine.
Nicholas, left, and donor Wise are pictured at a press conference after the surgery. (Northwestern Medicine)
“When John agreed to be the first known patient at Northwestern Medicine to undergo an awake kidney transplant and be discharged home the next day, he knew the benefits outweighed the risks, and … he’s now helping to move the field of transplantation forward,” said Vinayak Rohan, M.D., transplant surgeon at Northwestern Memorial Hospital, in the release.
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“He is an extremely compliant patient who was in tune with his body and willing to push the envelope,” stressing that the patient had faith in the doctors and they, in turn, had faith in him.
Nicholas, center, is pictured with his entire care team. “He’s now helping to move the field of transplantation forward,” a surgeon said about the patient. (Northwestern Medicine)
The hospital now plans to establish the AWAKE Program (Accelerated Surgery Without General Anesthesia in Kidney Transplantation) for patients who want or need to pursue surgery without general anesthesia.
For more Health articles, visit www.foxnews/health
“It really opens up a whole new door and is another tool in our toolbelt for the field of transplantation,” Nadig added.
Fox News Digital reached out to Northwestern Medical for additional input.
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