Jet lag
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What is jet lag?

Jet lag is a side effect of long-distance air travel. Flying from west to east or east to west across several time zones means the time at your destination is different from the time your body thinks it is. This can make you tired, irritable, and generally unwell.

When you travel by plane between different time zones, your body clock gets left behind in the place where you started. It takes a few days to catch up with you in your new time zone. So, for a while, your body tries to act as if you're still in the time zone of the country you traveled from. You may feel wide awake at night and sleepy during the day.
 
 
 
 
 
Source:
Herxheimer A, Weaterhouse J.
The prevention and treatment of jet lag.
BMJ. 2003; 326: 296-297.
 
 
 
 
 
1

Jet lag is usually worse when you fly east.

Jet lag affects some people more than others, but in general the more time zones you cross, the worse it gets. For example, a flight from Los Angeles to London, England crosses eight time zones. This means the time in London is eight hours ahead of the time in Los Angeles. If you arrive in London at noon, your body thinks it's 4 a.m.

Jet lag seems to be worse flying east (from the United States to Europe, for example) than west (from Europe to the United States).
 
 
 
 
 
Source:
Herxheimer A, Petrie KJ.
Melatonin for the prevention and treatment of jet lag.
In: The Cochrane Library. Wiley, Chichester, UK.
 
 
 
 
 
2 When you fly west, you gain extra hours in your day. This kind of jet lag might not be as bad because most people find it easier to stay up later than go to sleep earlier.
 
 
 
 
 
Source:
Herxheimer A, Petrie KJ.
Melatonin for the prevention and treatment of jet lag.
In: The Cochrane Library. Wiley, Chichester, UK.
 
 
 
 
 
2

Jet lag affects some people more than others. If you've had jet lag before, you're likely to get it again on future journeys.

Your body clock is driven by daylight and a chemical in your brain called melatonin. Melatonin tells you when to sleep. Your body starts to make melatonin when it gets dark outside, and stops when it gets light.
 
 
 
 
 
Source:
Herxheimer A, Weaterhouse J.
The prevention and treatment of jet lag.
BMJ. 2003; 326: 296-297.
 
 
 
 
 
1
 
 
 
 
 
Source:
Arendt J.
Melatonin, circadian rhythms, and sleep.
New England Journal of Medicine. 2000; 343: 1114-1116.
 
 
 
 
 
3

Sources for the information on this page:
  1. Herxheimer A, Weaterhouse J.The prevention and treatment of jet lag.BMJ. 2003; 326: 296-297.
  2. Herxheimer A, Petrie KJ.Melatonin for the prevention and treatment of jet lag. In: The Cochrane Library. Wiley, Chichester, UK.
  3. Arendt J.Melatonin, circadian rhythms, and sleep.New England Journal of Medicine. 2000; 343: 1114-1116.
This information was last updated on Feb 05, 2009
BMJ Group
This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment.
© BMJ Publishing Group Limited 2010. All rights reserved.
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