Does daylight saving time harm health?
Evidence on daylight saving time and health is mixed, with some modest harms after spring changes and some benefits after autumn changes.
Covers: This page reviews evidence on health effects of daylight saving time transitions, including sleep, cardiovascular events, mood, and accidents. It does not cover the history of DST policy or economic impacts.
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The short answer
Interpretation AI-organised, reviewedThe evidence on daylight saving time and health is mixed rather than uniformly harmful. Spring-forward transitions are associated with modest increases in heart attacks, total mortality and some mental-health and injury outcomes, and with sleep loss and circadian misalignment. But other findings point the other way: a large English cohort found fewer cardiovascular, sleep-disorder and mental-health events in the week after the autumn change and little change after spring, an Australian survey found no sleep or health impairment in daylight saving time states, and reviews report decreased all-cause mortality and workplace accidents alongside increased crimes involving physical harm. Psychiatric results remain inconsistent.12345
- Evidence 26
- Opinion 1
- Interpretation 3
In brief
Not all effects are harmful: some infections and immune-related conditions show decreased risk right after the spring shift, transitions have been associated with decreased all-cause mortality and workplace accidents, and an English cohort found fewer cardiovascular, sleep and mental-health events after the autumn change.834
Evidence-backedMost effect sizes are modest — a few percent — though a considerable number of diseases show roughly ten percent relative risk increases.8
Evidence-backed
At a glance
The picture in numbers
Live · updated just now
3%
3 in every 100
6.3%
6 in every 100
16%
16 in every 100
150,000 incidences
The evidence behind it
10 sources- Reviews of many studies3
- Other studies and data6
- Background1
When it was published
Newest from 2026
| Source | Kind | Year |
|---|---|---|
| When the Clock Shifts: A Comprehensive Review of Daylight-Saving Time (DST), Circadian Disruption, and Neuropsychological Risk in Chronic Mental Illness. | Reviews of many studies | 2026 |
| Measurable health effects associated with the daylight saving time shift | Other studies and data | 2020 |
| A systematic review of epidemiological studies into daylight-saving time & health identifying beneficial & adverse effects | Reviews of many studies | 2026 |
| Daylight saving time, circadian rhythms, and cardiovascular health | Other studies and data | 2018 |
| Implications of Sleep Health Policy: Daylight Saving and School Start Times | Other studies and data | 2023 |
| Daylight Saving Time and Health: Scoping Review with ☸SAIMSARA | Reviews of many studies | 2025 |
| Daylight saving time (Wikipedia) | Background | Unknown |
| Acute effects of daylight saving time clock changes on mental and physical health in England: population based retrospective cohort study. | Other studies and data | 2025 |
| Social media analysis reflects the negative sentiments experienced at both time changes with somewhat more depressive impact in early fall. | Other studies and data | 2026 |
| Are there lingering effects of Daylight-Saving Time on sleep and health estimates of an Australian population? | Other studies and data | 2026 |
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What it means for you
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If you have existing heart disease or are at cardiovascular risk
be aware that the first week after the spring shift is associated with a modest increase in heart attacks, and plan around sleep and stress in that period.1
Evidence-backedIf you live with a chronic mental illness
spring-forward transitions have been linked to increased sleep disturbance, depressive symptoms, manic episodes and short-term suicidality, so clinical awareness and preventive planning around the transition may help.7
Evidence-backedIf you have delayed sleep-wake phase disorder
you may lose a median of about 37 minutes of sleep during daylight saving time.2
Evidence-backedIf you drive at dawn or dusk around the autumn transition
be aware of a reported 16% increase in deer-vehicle collisions after the autumn shift.2
Evidence-backedIf you are a clinician, emergency service or policymaker
planning around transition periods is supported by recurrent findings on cardiovascular, mental health, occupational and traffic-related harms, though a large English cohort found fewer cardiovascular, sleep and mental-health events after the autumn change.24
InterpretationIf you want a simple rule for your own sleep
protecting sleep duration and keeping regular sleep-wake timing around the transition addresses the circadian misalignment and sleep loss that appear to underlie many of the reported harms.62
InterpretationIf you are weighing whether clock changes affect you personally
an Australian survey found no differences in total sleep time, sleep onset latency or related health estimates between daylight saving time and standard time states, so reported harms are not universal.5
Evidence-backedThe full story · 5 chapters
01
Cardiovascular events and mortality
AI summary:Spring shifts are linked to modest rises in heart attacks and total mortality, while autumn shifts show fewer events for several conditions.
Evidence-backed: A review of the relationship between daylight saving time and cardiovascular health found an association with a modest increase in acute myocardial infarction, especially in the first week after the spring shift. Proposed mechanisms include sleep deprivation, circadian misalignment and environmental conditions.1
Evidence-backed: A large computational analysis of US and Swedish data identified elevated risk clusters for cardiovascular diseases such as heart attacks, injuries, mental and behavioral disorders, and immune-related diseases including noninfective enteritis and colitis. Most elevations were modest (a few percent), but a considerable number of diseases showed roughly a ten percent relative risk increase. The authors estimated each spring shift is associated with 150,000 incidences in the US and 880,000 globally.8
Evidence-backed: A scoping review reported a roughly 3% increase in daily total mortality after the spring transition.2
Evidence-backed: A systematic review of epidemiological studies found that daylight saving time offset transitions appear associated with decreased all-cause mortality and workplace accidents, while living with daylight saving time compared to standard time appears associated with decreased all-cause mortality and traffic accidents in summer.3
Evidence-backed: A population-based retrospective cohort study in England compared event rates in the week after each clock change with a control period. In the week after the autumn change, five conditions had fewer events: anxiety (17.3 to 16.7 events per day; incidence rate ratio 0.97, 95% CI 0.95 to 0.98), acute cardiovascular disease (50.0 to 48.9; 0.98, 0.96 to 0.999), depression (44.6 to 42.7; 0.96, 0.95 to 0.97), psychiatric conditions (3.5 to 3.3; 0.94, 0.90 to 0.98) and sleep disorders (5.4 to 4.9; 0.92, 0.87 to 0.97). Little evidence was found of reductions in eating disorder diagnoses, road traffic injuries or self-harm, or of changes after the spring clock change.4
02
Sleep and circadian effects
AI summary:Sleep loss and circadian misalignment are the most consistent proposed mechanisms, though Australian surveys found no clear sleep or health impairment.
Evidence-backed: Daylight saving time and early school start times are associated with reduced sleep duration and increased circadian misalignment, with effects on long-term outcomes including obesity, cerebrovascular and cardiovascular disease, and cancer, as well as mental health, academics, workforce productivity and safety.6
Evidence-backed: Among patients with delayed sleep-wake phase disorder, a median 37-minute sleep reduction was reported during daylight saving time.2
Evidence-backed: One systematic review found that standard time is potentially associated with decreased sleep duration during winter, and that limited studies prevent clear conclusions on other sleep parameters or circadian rhythms.3
Evidence-backed: A retrospective cross-sectional comparison of two nationwide Australian surveys — one population-representative and one of people with chronic insomnia — found that respondents in daylight saving time states tended to go to bed later and rise at later clock times than those in permanent standard time states, but reported no differences in total sleep time or sleep onset latency and no sign of impairment on related health estimates. Very few sleep health variables reached significance.5
03
Mental health and neuropsychological effects
AI summary:Mental-health findings are inconsistent: some reviews report increased symptoms and suicidality after spring shifts, others find no clear effects.
Evidence-backed: A review of daylight saving time, circadian disruption and neuropsychological risk in chronic mental illness found that spring-forward transitions are associated with increased sleep disturbance, impaired executive functioning, reduced attention and working memory, heightened emotional reactivity, increased depressive symptoms, elevated risk of manic episodes, and short-term increases in suicidality. Proposed mechanisms include altered melatonin secretion, cortisol dysregulation, HPA-axis activation and clock-gene desynchrony.7
Evidence-backed: A scoping review reported a 6.25% rise in suicide rates after the spring shift.2
Evidence-backed: A systematic review of epidemiological studies identified no clear and consistent effects on psychiatric outcomes.3
Evidence-backed: An analysis of social-media sentiment in US cities on either side of time-zone boundaries found negative shocks to sentiment after both time changes, with a stronger effect in the autumn. The authors report persistent negative impacts from the change to standard time in the fall, while the spring change produced a noisy shock that attenuated over time. They note this may indicate a preference to abolish the adjustments, though they did not measure preference for daylight saving time versus standard time.9
04
Accidents, injuries and immune-related findings
AI summary:Some risks rise after transitions, such as deer-vehicle collisions and crimes involving physical harm, while some infections and immune conditions decrease after spring.
Evidence-backed: A scoping review reported a 16% increase in deer-vehicle collisions after the autumn transition.2
Evidence-backed: A large computational analysis identified injuries among the elevated risk clusters associated with daylight saving time shifts, and also found a collection of diseases with relative risks that appear to decrease immediately after the spring shift, enriched with infections and immune system-related maladies. The authors suggest this decrease might be driven by a documented boosting effect of short-term stress on the immune system.8
Evidence-backed: A systematic review found daylight saving time offset transitions appear associated with increased crimes involving physical harm.3
05
What readers think
AI summary:Readers can share their own view on whether daylight saving time affects their health.
Participant opinion: Readers can share their own view on whether daylight saving time affects their health.
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Discussion
Sources
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- 1Daylight saving time, circadian rhythms, and cardiovascular healthInternal and Emergency Medicine (Manfredini et al.)Published Jul 3, 2018Checked Oct 3, 2026
“Very recently, the European Parliament, called to decide on possible abolition of the Daylight Saving Time (DST), approved a resolution calling the scientific community to conduct a more in-depth evaluation. The question is based on disruption of body's circadian rhythms. We review here the relationship between DST and cardiovascular health. The available evidence suggests the existence of an association between DST and a modest increase of occurrence of acute myocardial infarction, especially in the first week after the spring shift. Possible mechanisms include sleep deprivation, circadian misalignment and environmental conditions. The role of gender and individual preference in circadian rhythms (chronotype) will need further assessment.”
- 2Daylight Saving Time and Health: Scoping Review with ☸SAIMSARASAIMSARA Journal (SAIMSARA)Published Oct 28, 2025Checked Oct 3, 2026
“The clearest recurrent findings include a roughly 3% increase in daily total mortality after the spring transition, a 6.25% rise in suicide rates after the spring shift, a 16% increase in deer-vehicle collisions after the autumn transition, and a median 37-minute sleep reduction among patients with delayed sleep-wake phase disorder during daylight saving time. Across topics, the pattern supports circadian misalignment and sleep loss as plausible shared mechanisms linking clock changes to cardiovascular, mental health, occupational, and traffic-related harms, while also showing that some outcomes remain null or inconsistent. These findings support practical planning by clinicians, emergency services, and policymakers around transition periods and are broadly aligned with calls to reduce biannual clock changes in favor of schedules better matched to human biology. Future research should prioritize standardized, high-validity longitudinal and quasi-experimental comparisons of seasonal clock policies, especially to distinguish the acute effects of transitions from the chronic effects of prolonged daylight saving time exposure.”
- 3A systematic review of epidemiological studies into daylight-saving time & health identifying beneficial & adverse effectsEuropean Journal of Epidemiology (Steponenaite et al.)Published Feb 21, 2026Checked Oct 3, 2026
“DST-Offset transitions appear associated with decreased all-cause mortality and workplace accidents, but also with increased crimes involving physical harm. Living with DST (compared to Standard Time) appears associated with decreased all-cause mortality and traffic accidents in summer. Standard Time appears is potentially associated with decreased sleep duration during winter. No clear and consistent effects on psychiatric outcomes are identified. Limited studies prevent clear conclusions being drawn regarding other sleep parameters or circadian rhythms. This review indicates that transitions and living with DST (as opposed to Standard Time) during summer months are not uniformly detrimental; however, the evidence base remains limited and heterogeneous. Rather than advocating for maintaining or removing transitions, our synthesis supports a balanced approach. We recommend recognising both adverse and beneficial patterns and prioritising strategies to mitigate risks while awaiting more robust evidence.Registration https://doi.org/10.17605/OSF.IO/R4W6M.”
- 4Acute effects of daylight saving time clock changes on mental and physical health in England: population based retrospective cohort study.BMJ (Clinical research ed.) (de et al.)Published Dec 17, 2025Checked Oct 4, 2026
“n spring), compared mean event rates per day in the week after the clock changes and the control period (four weeks before the changes and weeks 2-4 after).ResultsIn the week after the autumn clock change, five health conditions had fewer events: anxiety (from 17.3 events per day (per year, per region) to 16.7; incidence rate ratio 0.97, 95% confidence interval 0.95 to 0.98), acute cardiovascular disease (from 50.0 to 48.9; 0.98, 0.96 to 0.999), depression (from 44.6 to 42.7; 0.96, 0.95 to 0.97), psychiatric conditions (from 3.5 to 3.3; 0.94, 0.90 to 0.98), and sleep disorders (from 5.4 to 4.9; 0.92, 0.87 to 0.97). Little evidence was found of reductions in eating disorder diagnoses, road traffic injuries, or self-harm or of changes after the spring clock change.ConclusionThe week after the autumn clock change was associated with a reduction in events for cardiovascular disease, sleep disorders, and mental health disorders, but little evidence suggested that the spring clock change was associated with a change in the number of health events. Electronic health records contain the date that a health event is recorded by a clinician, which is not necessarily the date of symptom onset.”
- 5Are there lingering effects of Daylight-Saving Time on sleep and health estimates of an Australian population?Sleep advances : a journal of the Sleep Research Society (Kemp et al.)Published Mar 6, 2026Checked Oct 4, 2026
“A retrospective, cross-sectional design was used to compare subjective data of two nationwide surveys of the Australian population; one population-representative sample, and a convenience sample of those with chronic Insomnia. Respondents were categorized based on whether they were from a DST state or permanent Standard Time (ST) state. We then compared sleep behavior and tendencies in sleep health between DST and ST states. Overall, both samples consistently demonstrated that those from DST states tended to go to bed later and, particularly, rise at later clock times than those from ST states. Importantly, despite a delay in the timing of sleep we found no differences in reported Total Sleep Time nor Sleep Onset Latency; and no sign of impairment on any related health estimates. Very few sleep health variables reached significance (p less impaired than their ST counterparts. We have found no evidence of impairment associated with DST well-into the DST period. Future studies should measure sleep and associated daytime functioning longitudinally and objectively to accurately assess the possible duration of any potential acute DST effect.”
- 6Implications of Sleep Health Policy: Daylight Saving and School Start TimesCONTINUUM Lifelong Learning in Neurology (Johnson & Malow)Published Aug 1, 2023Checked Oct 3, 2026
“ABSTRACT: Two proposed public policies, ending seasonal clock change with a transition to permanent Standard Time and moving middle school and high school start times later, are population-based initiatives to improve sleep health. Daylight Saving Time and early school start times are associated with reduced sleep duration and increased circadian misalignment, the effects of which impact not only long-term health outcomes including obesity, cerebrovascular and cardiovascular disease, and cancer, but also mental health, academics, workforce productivity, and safety outcomes. This article highlights studies that led to the endorsement of these public policies by multiple scientific and medical organizations. Neurologists should advocate at the state and federal levels and educate the population about the importance of sleep health.”
- 7When the Clock Shifts: A Comprehensive Review of Daylight-Saving Time (DST), Circadian Disruption, and Neuropsychological Risk in Chronic Mental Illness.Brain sciences (Blank et al.)Published May 14, 2026Checked Oct 3, 2026
“Empirical, theoretical, and mechanistic studies were included to ensure comprehensive synthesis. Across conditions, DST, particularly spring forward transitions, is associated with increased sleep disturbance, impaired executive functioning, reduced attention and working memory, heightened emotional reactivity, increased depressive symptoms, elevated risk of manic episodes, and short-term increases in suicidality. Neurobiological mechanisms include altered melatonin secretion, cortisol dysregulation, Hypothalamus Pituitary Axis (HPA-axis) activation, and clock-gene desynchrony. DST may function as a modifiable negative environmental influence capable of affecting neuropsychological functioning in vulnerable populations. These findings underscore the need for clinical awareness, preventive strategies, and policy reconsiderations, including calls to eliminate seasonal time changes. Standardizing DST-related research outcomes and expanding longitudinal, multi-site studies will be essential for advancing this emerging field.”
- 8Measurable health effects associated with the daylight saving time shiftPLoS Computational Biology (Zhang et al.)Published Jun 8, 2020Checked Oct 3, 2026
“We found four prominent, elevated risk clusters, including cardiovascular diseases (such as heart attacks), injuries, mental and behavioral disorders, and immune-related diseases such as noninfective enteritis and colitis to be significantly associated with DST shifts in the United States and Sweden. While the majority of disease risk elevations are modest (a few percent), a considerable number of diseases exhibit an approximately ten percent relative risk increase. We estimate that each spring DST shift is associated with negative health effects-with 150,000 incidences in the US, and 880,000 globally. We also identify for the first time a collection of diseases with relative risks that appear to decrease immediately after the spring DST shift, enriched with infections and immune system-related maladies. These diseases' decreasing relative risks might be driven by the documented boosting effect of a short-term stress (such as that experienced around the spring DST shift) on the immune system.”
- 9Social media analysis reflects the negative sentiments experienced at both time changes with somewhat more depressive impact in early fall.PloS one (Ellman et al.)Published Mar 4, 2026Checked Oct 4, 2026
“We compare sentiment-a measure of individuals overall mood or emotions towards an event-in cities on either side of US time zones the day before and after the societal time change. We find negative shocks to sentiment following both time changes. This effect seems stronger in the fall. Given the amount of daylight relative to a fixed work schedule should be the same in each group of cities on these days, these differences suggest strong negative ceteris paribus reactions to societal time changes, which may indicate preference to abolish these adjustments, although we do not measure preference for DST versus ST. We also use regression analysis to estimate how sentiment changes over time. We find persistent negative impacts from the change to Standard Time in the fall. In contrast, individuals experience a noisy shock to sentiment that attenuates over time. These findings provide evidence that individuals have a more negative reaction to the societal time change to Standard Time in the fall than they do to DST in the Spring. This work highlights the potential that the reaction to societal time changes varies depending on whether moving to or away from DST or Standard Time.”
- 10Daylight saving time (Wikipedia)WikipediaPublished Oct 1, 2026Checked Oct 3, 2026
“Daylight saving time (DST), also referred to as daylight savings time, daylight time (United States and Canada), or summer time (United Kingdom, European Union, and others), is the practice of advancing clocks to (in theory) make better use of the longer daylight available during summer by having darkness fall at a later clock time. The typical implementation of DST is to adjust clocks ahead of standard time by one hour in spring or late winter, and to set clocks back by one hour in the autumn (or fall in North American English, hence the mnemonic: "spring forward and fall back"). In many countries, the part of the year when DST is observed is much longer than the part aligned to standard time. The practice of DST was first tested and widely adopted in the early 20th century, since which many countries have abandoned DST partially or entirely.”
How it changed
Published 2 times since Oct 3, 2026.
- Version 3Oct 4, 2026Live now
Added newer evidence: an English cohort study finding fewer cardiovascular, sleep and mental-health events after the autumn change and little change after spring; an Australian survey finding no sleep or health impairment in DST states; and social-media sentiment data showing negative reactions to both changes, stronger in autumn. Revised the finding, uncertainty, takeaways and guidance to reflect this more mixed picture.
- The main finding was rewritten.
- Updated “Cardiovascular events and mortality”.
- Updated “Sleep and circadian effects”.
- Version 2Oct 3, 2026
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Open questions
How do the acute effects of the clock-change transition compare with the chronic effects of living under daylight saving time for most of the year?
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Which groups are most vulnerable — for example people with existing mental illness, delayed sleep-wake phase disorder, or cardiovascular disease — and how large are the effects for them?
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Why do some outcomes (all-cause mortality, workplace accidents, autumn cardiovascular and mental-health events) appear to improve while others worsen, and how much of this is explained by study design and population differences?
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Would moving to permanent standard time or permanent daylight saving time change these health patterns, and which schedule better matches human circadian biology?
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