Night owls, especially women, may face higher heart risks due to poor habits. Improving sleep, diet, and quitting smoking could reduce these risks.
The Night Owl’s Dilemma
Now, folks, it seems we’ve got ourselves a bit of a pickle when it comes to those who fancy burning the midnight oil. Turns out, staying up late might just give your heart a run for its money—and not in the good way. Particularly for the ladies, who seem to bear the brunt of this nocturnal misadventure. As per the American Heart Association’s Life’s Essential 8 measure, those who are more inclined to hoot with the owls in the evening hours tend to have a heart health score that leaves much to be desired.
Looking at the UK Biobank data, it seems our night owl friends are prone to habits that are less than heart-friendly. Poor diets, lack of sleep, and a penchant for puffing on those cigarettes all contribute to a less-than-stellar cardiovascular report card. But, fear not, for where there is folly, there is also opportunity. By making a few changes in daily habits—better sleep, healthier eating, and quitting smoking—night owls might just find their way back to the coop of good heart health.
Chronotypes and Cardiovascular Concerns
Now, the research folks have been busy bees, tracking more than 300,000 adults in the UK Biobank, all to unravel the mysteries of our sleep preferences and how they tango with heart health. These participants, with an average age of 57, were sorted into categories based on their daily rhythms. A mere 8% were ‘definitely evening people,’ those who find their stride well after the sun has bid adieu. The early birds, comprising 24%, rise with the dawn, while the rest flutter somewhere in between.
Using the American Heart Association’s Life’s Essential 8 metrics, researchers found that the night owls were a whopping 79% more likely to have poor heart health scores compared to their intermediate peers. Even more concerning, they had a 16% higher risk of heart attacks or strokes over 14 years. The ladies, it seems, are particularly susceptible to these risks, possibly due to lifestyle choices like smoking and lack of sleep. Meanwhile, morning folks enjoyed a modest 5% lower prevalence of poor cardiovascular scores.
Navigating the Nocturnal Nuances
The conundrum, dear reader, lies in what the experts call ‘circadian misalignment.’ Our evening folks often find their internal clocks at odds with the natural day-night cycle and societal schedules. Dr. Sina Kianersi of Brigham and Women’s Hospital notes that this misalignment can lead to unhealthy habits—poor diets, smoking, and irregular sleep patterns—that don’t do the heart any favors.
But all is not lost for the night owls. Kristen Knutson, a voice of optimism, suggests that these risks are tied to behaviors that can be changed. Evening types aren’t doomed to poor health; they just face challenges that require a bit more diligence in maintaining a healthy lifestyle. Tailoring treatment and lifestyle changes to one’s natural body clock might be the key to unlocking better heart health.
A Few Words on Study Boundaries
Now, before we get too carried away, let’s tip our hats to the limitations of this study. Most participants were white and generally healthier than the average populace, which might mean these findings don’t paint the full picture for everyone. Plus, the chronotype assessment was a one-time, self-reported affair, which might not capture the full spectrum of our sleep-wake preferences.
Despite these caveats, the study, partially funded by the American Heart Association, offers valuable insights into how our daily rhythms affect our ticker. It seems that by aligning our habits with our natural inclinations, we might just keep our hearts beating strong and steady.

