Why We Sleep with Matthew Walker PART 1 #26

Jul 10, 2018 Episode Page ↗
Overview

Dr. Rangan Chatterjee interviews Professor Matthew Walker, a world-leading sleep researcher and author of "Why We Sleep," to discuss the critical importance of sleep. They cover strategies to combat jet lag, the significant impact of caffeine on sleep quality, and how sleep is foundational for diet, exercise, and overall health.

At a Glance
14 Insights
49m 36s Duration
15 Topics
5 Concepts

Deep Dive Analysis

Introduction to Matthew Walker and Sleep Research

Strategies for Hacking Jet Lag

Caffeine as a Psychoactive Stimulant and Sleep Disruptor

The Impact of Caffeine on Deep Sleep Quality

Sleep as the Foundational Pillar of Health

How Sleep Influences Diet and Weight Loss

Sleep's Role in Athletic Performance and Injury Prevention

Optimal Timing for Exercise to Support Sleep

Elite Athletes' Sleep Habits and Performance Enhancement

Recommended Sleep Duration for Adults

The Subjective Nature of Sleep Deprivation

The Link Between Short Sleep and Shorter Lifespan

Why Sleep is a Neglected Health Pillar

Dr. Chatterjee's Personal Journey to Prioritizing Sleep

The Global Sleep Loss Epidemic and its Consequences

Caffeine Half-Life/Quarter-Life

Caffeine has a half-life of about six or seven hours, meaning it takes that long for half of the drug to be excreted. Its quarter-life is about 12 hours, indicating that a quarter of the caffeine from a noon coffee can still be in your brain at midnight, disrupting sleep.

Sleep as Foundational Pillar

Sleep is not just one of several health pillars but the fundamental base upon which other health aspects like diet and exercise sit. Without sufficient sleep, efforts in diet and exercise become less effective or even counterproductive.

Bi-directional Health Relationship

The relationship between sleep, diet, and exercise is bi-directional. Improving sleep can enhance diet and exercise outcomes, and conversely, correcting diet and engaging in physical activity (at appropriate times) can improve sleep quality and quantity.

Subjective Sleep Deprivation

Most people do not realize they are sleep-deprived, as their subjective sense of alertness is a poor predictor of their objective impairment. This leads to a chronically low baseline of perceived health and wellness, which is then accepted as normal.

Sleep's Image Problem

Unlike diet and exercise, sleep often carries a negative social stigma, where getting sufficient sleep is sometimes associated with laziness or sloth. This leads to a 'sleep machismo' where people proudly boast about getting little sleep, viewing it as a badge of honor.

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How can one combat jet lag effectively?

While jet lag cannot be cured, it can be strategically managed by getting lots of morning daylight exposure without shades, eating meals at regular times in the new time zone, wearing shades in the afternoon, ensuring darkness at night, and exercising, preferably in the morning.

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How much of a sleep disruptor is caffeine?

Caffeine is a significant sleep disruptor because it is a psychoactive stimulant with a half-life of 6-7 hours and a quarter-life of 12 hours, meaning a substantial amount can still be in your system at bedtime even if consumed at noon.

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Does caffeine affect deep sleep even if you fall asleep easily?

Yes, even if you can fall asleep after consuming caffeine, a single dose (e.g., 200mg) in the evening can decrease the amount of deep sleep by 20%, which is equivalent to aging by about 15 years in terms of deep sleep deficit.

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Why is sleep considered the foundational pillar of health?

Sleep is foundational because it underpins the effectiveness of diet and exercise. Without sufficient sleep, dieting can lead to muscle loss instead of fat loss, and exercise can be less effective, less efficient, and increase the risk of injury.

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How does insufficient sleep impact weight loss efforts?

If people are trying to lose weight but not getting sufficient sleep, 70% of the weight they lose will come from lean muscle mass, not fat, because the body becomes stingy in giving up its fat when underslept.

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How does sleep affect athletic performance and injury risk?

Lack of sleep decreases motivation to exercise, reduces workout intensity, impairs physical abilities like vertical jump height and muscle strength, and significantly increases the risk of serious injury during sports events.

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What is the recommended amount of sleep for adults?

The current recommendation for most adults is to get seven to nine hours of sleep, which typically requires a sleep opportunity of at least seven and a half to eight hours.

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Why do people often not realize they are sleep-deprived?

People often don't realize they are sleep-deprived because their subjective sense of how well they are doing is a miserable predictor of their objective impairment, similar to a drunk driver who feels fine but is objectively impaired.

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Does short sleep affect lifespan?

Yes, epidemiological studies show a clear truth: the shorter your sleep, the shorter your life, indicating that short sleep predicts all-cause mortality.

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Why has sleep been neglected in the health conversation?

Sleep has been neglected because scientists have not adequately communicated its critical importance, and sleep suffers from an 'image problem' where getting sufficient sleep is sometimes mistakenly associated with laziness or sloth, leading to a 'sleep machismo' culture.

1. Prioritize Sleep for Overall Health

Recognize that sleep is the foundational pillar of health, upon which diet and exercise sit. Improving sleep can positively impact diet and exercise outcomes, making it a critical first step for overall wellness.

2. Ensure Sufficient Sleep Opportunity

Aim for 7 to 9 hours of actual sleep per night. To achieve this, plan for at least a 7.5 to 8-hour ‘sleep opportunity’ in bed, as the time spent in bed is not entirely spent sleeping.

3. Limit Caffeine to Before Noon

Reduce or eliminate caffeine intake, especially after midday, as caffeine has a half-life of 6-7 hours and a quarter-life of 12 hours. This means a significant amount can still be in your system at midnight, potentially disrupting deep sleep quality by up to 20%.

4. Embrace Decaffeinated Options

If you enjoy coffee culture but want to avoid caffeine’s disruptive effects on sleep, opt for decaffeinated coffee. Be mindful that some decaf brands can still contain up to 20% of the caffeine of a regular cup.

5. Schedule Workouts Earlier

Engage in physical activity to enhance sleep quality and quantity, but avoid intense workouts too close to bedtime (e.g., after 5 PM for squash). Exercising late can keep your metabolic rate and core body temperature too high, preventing sleep.

6. Cool Down with Hot Bath After Late Exercise

If you must work out late in the evening, take a hot bath or shower right before bed. This brings blood to the skin’s surface, acting as a thermal radiator to rapidly lower your core body temperature, making it easier to fall asleep.

7. Implement Evening Tech Shut-Off

Set a non-negotiable ‘shut-off time’ in the evening after which you avoid computers and work. This practice helps prepare your mind and body for sleep, improving next-day performance.

8. De-stigmatize Sleep Needs

Challenge the societal notion that sufficient sleep is a sign of laziness. Embrace and openly discuss your need for adequate sleep, as it is a critical, democratic, and efficacious form of health insurance.

9. Jet Lag: Morning Light for Reset

Upon arrival in a new time zone and for subsequent mornings, get 20-30 minutes of natural daylight exposure. Avoid wearing sunglasses during this time, as bright light is key to resetting your body clock.

10. Jet Lag: Block Afternoon Light

In the afternoon of the new time zone, wear shades to block light. This helps signal to your body that it’s nighttime, aiding in the reset of your circadian rhythm.

11. Jet Lag: Align Meals with New Time Zone

To combat jet lag, start eating meals at the regular times in the new time zone, even if your body doesn’t feel hungry. Food is a powerful trigger for resetting your circadian rhythm.

12. Jet Lag: Strategic Sleep During Flights

When flying long-haul, try to sleep early or in the middle of the flight. Avoid sleeping too late into the flight; if you haven’t slept and it’s late, it’s better to forego sleep and push through the day to build up sleepiness for an early bedtime in the new time zone.

13. Jet Lag: Time Flight Wake-Up for New Zone

To prepare for sleep in the new time zone, wake up on the plane at least 10-12 hours before your desired bedtime in the destination. This helps build sufficient sleepiness for falling asleep and staying asleep locally.

14. Jet Lag: Use Blue Light Blockers on Flight

When flying east (e.g., London to California, morning flight), use blue light blockers and eye shades to avoid light exposure during what would be nighttime in the destination. Then, remove them and expose yourself to blue light (e.g., from a screen) during what would be morning in the destination to trick your body into the new time zone.

You can't cure jet lag. There are no cures right now. But if you understand how it works, you sort of can hack the system a little bit.

Matthew Walker

If you have a cup of coffee at noon, a quarter of that caffeine is still circulating around your brain at midnight.

Matthew Walker

Just one dose of caffeine in the evening decreased the amount of deep sleep by 20%.

Matthew Walker

Caffeine is the only psychoactive stimulant that we do give to our children readily, which, you know, is, I think a concern.

Matthew Walker

The shorter your sleep, the shorter your life. That short sleep predicts all cause mortality.

Matthew Walker

Sleep is perhaps one of the most democratic, freely available, efficacious forms of health insurance that you could ever wish for.

Matthew Walker

Sleep really is the tide that raises all of the other health boats. It's just, as you said, it's the superordinate node that if you manipulate it, you know, it's like the Archimedes lever, you pull that, everything else, you know, can start to come into play.

Matthew Walker

Within the space of 100 years, which is a blink of an evolutionary eye, we've lopped off almost 20% of our sleep need. You know, how could that not come with demonstrable health and disease consequence?

Matthew Walker

Strategic Jet Lag Treatment

Matthew Walker
  1. Get 20 to 30 minutes of natural daylight exposure in the morning in the new time zone, even if cloudy, and do not wear shades.
  2. Start eating meals at the regular times in the new time zone, not when your body tells you you're hungry.
  3. In the afternoon, wear shades to block light and help your body think it's nighttime.
  4. Ensure lots of darkness at night.
  5. Try to exercise, usually in the morning if possible.
  6. During travel, try to sleep either early or in the middle of the flight. Make sure to wake up at least 10-12 hours before your desired bedtime in the new time zone. If it's late in the flight and you're not sleepy, forego sleep and push through the day to get to bed early in the new time zone.

Post-Evening Workout Sleep Aid

Matthew Walker
  1. If you must work out late into the night, have a hot bath or shower right before bed.
  2. The hot water will bring blood to the surface of your skin, acting as a thermal radiator to take heat out of your body's core, causing your core body temperature to plummet and helping you fall asleep easier.
1 hour
Jet lag body clock adjustment rate Per day spent in a new time zone, the body can catch up by about this amount.
20 to 30 minutes
Morning daylight exposure for jet lag Amount of natural daylight recommended in the new time zone morning to help reset the clock.
6 or 7 hours
Caffeine half-life Amount of time it takes for half of the caffeine to be excreted from the system, dependent on genetics.
12 hours
Caffeine quarter-life Amount of time it takes for a quarter of the caffeine to be circulating in the brain.
20%
Deep sleep reduction from evening caffeine Decrease in deep sleep caused by a single 200mg dose of caffeine in the evening.
15 years
Age equivalent of deep sleep reduction The age equivalent of the deep sleep deficit caused by a single 200mg dose of caffeine in the evening.
70%
Weight loss from lean muscle mass when underslept Percentage of all weight lost that comes from lean muscle mass when dieting but not getting sufficient sleep.
12 hours
Roger Federer's sleep duration Reported amount of sleep Roger Federer gets a night.
10 to 11 hours
LeBron James's total daily sleep Reported total sleep, including a routine daytime nap of about an hour.
9 hours
Usain Bolt's minimum sleep duration Reported minimum amount of sleep Usain Bolt gets.
35 minutes
Usain Bolt's awake time before world record Time Usain Bolt had been awake before setting a world record, after taking a nap.
7 to 9 hours
Recommended adult sleep duration General recommendation for most adults.
7.5 to 8 hours
Sleep opportunity for 7 hours of sleep The actual time allocated for sleep to achieve 7 hours of logged sleep.
7.9 hours
Average adult sleep in the 1940s Average sleep duration for adults in the 1940s.
6 hours and 30 minutes
Average UK adult sleep currently Current average sleep duration for adults in the United Kingdom.
Almost 20%
Reduction in sleep need over 100 years The approximate percentage of sleep need that has been 'lopped off' within the last century.
Up to 90%
Primary care conditions linked to stress Reported percentage of conditions seen in primary care that may have stress as a contributing factor.