Sourced from ABC Health & Wellbeing by Tegan Taylor 28 June, 2020.
The idea of the body clock is so popular that, if you're trying to be a sceptical health news consumer, you could be forgiven for wondering if it's actually pseudoscience.
But the truth is, the body clock is very much real and central to so many parts of how we function that, as Carol alludes, if it gets out of whack it can affect your health.
What is the body clock?
Your body naturally has a roughly 24-hour cycle, called the circadian rhythm.
This "clock" is built into every cell in your body — indeed, in every living thing on this planet — but it's not an exact 24 hours.
That's why your body also has a "master clock", deep in your brain, which keeps you in step with the actual day-night cycle that's happening outside your body.
When morning light hits your eyes, it sends a signal to this master clock that day has begun, and triggers hormones to be released to tell your cells to do what they do best in the day.
In humans, that's metabolising energy. And at night, different hormones are released to tell your body's cells it's time to rest and repair.
But any shift worker, new parent or late-night screen-watcher can tell you it's not always possible to live in harmony with the Earth's natural day-night cycle.
Light, dark and sleep
Sleep is probably the most obvious thing that's tied to the body clock. We humans are diurnal, generally awake and eating food in the daytime, and sleeping when it's dark.
Morning light — especially the blue part of the spectrum — is a strong cue to your body that it's time to start waking up and doing things, says Morag Young, an expert in cardiovascular endocrinology at the Baker Institute.
But many of us are now being exposed to this blue light at night.
"Trying to avoid exposure to this blue light, which we get from our computer screens and television screens at the biological night is important," Dr Young says.
Many tech companies now have products that tone down the blue light in screens after sundown.
Sleep experts also recommend switching off screens earlier in the evening if getting off to sleep at night is hard for you.Having said that, Drew Dawson, a sleep and fatigue expert at CQ University, doesn't recommend letting your sleep cycle rule your life.
"Flexibility and adaptability is one of the key unique aspects of humanity," he says.
"Yes, you could improve your circadian system, but everything in life has costs and benefits."
"If I forego half an hour of sleep relative to my peers when I'm young for a couple of years and I end up a doctor or a professor ... That might be an eminently sensible decision."
When you eat is important
But sleep is only part of the equation when it comes to the body clock. Food plays a role too.
"In very crude terms, there are two sets of processes that need to go on in a cell," says Gary Wittert, an endocrinologist and professor of medicine at the University of Adelaide.
"Cells need to take up nutrients and process them for energy to fuel the work that the cell needs to do. And then the other half of the day, which is night for us, is for growth and repair."
Eating sends a cue to your body's cells that it's 'day' and time to take up nutrients.
But if you eat late at night or in the wee hours of the morning then the clock in your body's cells may get confused and miss out on the night process.
"If you can't undergo proper growth and repair, if the damage to the cells that has accumulated in the metabolic processes are not being fixed up, then you're more likely to get abnormalities," says Professor Wittert.
Additional problems can occur if the clock in your body's cells gets out of sync with the master clock in your brain, the one that is triggered by sunlight.
"It doesn't take much natural light to reset the clock," Dr Young says.
"There's an increase in metabolic and cardiac disease, as well as an increase in the risk of cancer, when there's a mismatch between the central clock and the peripheral clock."
What about shift workers?
Most of us don't get to just wake up naturally when the morning light kisses our eyelids. For shift workers especially, day and night can be almost completely reversed.
Shift workers are at higher risk of cancer, storing extra fat, and developing conditions like diabetes and heart disease, says Professor Wittert.
And while it's hard to separate out other disease risk factors shiftworkers are prone to — for example, eating more processed food and being more likely to drink or smoke — Dr Young says the body clock mismatch is definitely part of the problem.
"Many years ago it was assumed that shift workers would just realign perfectly to this night time existence. And it is not true. They end up in this dysfunctional circadian rhythm," she says.
"We're now understanding a lot better that there's a mismatch between central time versus the peripheral clock. And part of that's driven by the eating."
The body clock is also integral to the proper functioning of your heart and healthy blood pressure, Dr Young says.
So are shift workers, new parents and so on just doomed?
No. But there are a few things you can do to offset the health downsides of messing with your body clock, Professor Wittert says.
"You start from the premise that shift workers are at risk. So in order to minimise risk, you need to optimise everything else other than the fact that the circadian rhythm is disrupted."
- Eat a healthy diet: "That's mostly plants, small amounts of meat, fish and chicken. We should be avoiding processed foods."
- Eat at roughly the same time each day, regardless of what shift you're on: "Clamp the eating at approximately similar times across the rhythm." Professor Wittert recommends shift workers try to eat during daylight hours or early evening, regardless of what shift they're on, with a healthy snack during the shift if necessary.
- Exercise regularly: "It helps regulate mood and regulate every function of your body, so it's going to make you more resilient to all of the stresses of shiftwork."
- Avoid alcohol: "Alcohol wrecks sleep. And if you've got an underlying sleep disorder like obstructive sleep apnoea, alcohol makes it worse."