Why We Sleep
Matthew Walker
2017
Highlights
- It was a revolutionary discovery: de Mairan had shown that a living organism kept its own time, and was not, in fact, slave to the sun’s rhythmic commands.
—Why We Sleep by Matthew Walker - humans, like de Mairan’s heliotrope plants, generated their own endogenous circadian rhythm in the absence of external light from the sun. That is, neither Kleitman nor Richardson descended into random spurts of wake and sleep, but instead expressed a predictable and repeating pattern of prolonged wakefulness (about fifteen hours), paired with consolidated bouts of about nine hours of sleep.
—Why We Sleep by Matthew Walker - the average duration of a human adult’s endogenous circadian clock runs around twenty-four hours and fifteen minutes in length.
—Why We Sleep by Matthew Walker - Since the birth of our planet, and every single day thereafter without fail, the sun has always risen in the morning and set in the evening. Indeed, the reason most living species likely adopted a circadian rhythm is to synchronize themselves and their activities, both internal (e.g., temperature) and external (e.g., feeding), with the daily orbital mechanics of planet Earth spinning on its axis, resulting in regular phases of light (sun facing) and dark (sun hiding).
—Why We Sleep by Matthew Walker - individuals with certain forms of blindness do not entirely lose their circadian rhythm. Despite not receiving light cues due to their blindness,
—Why We Sleep by Matthew Walker - Greater ill health caused by a lack of sleep therefore befalls owls, including higher rates of depression, anxiety, diabetes, cancer, heart attack, and stroke.
—Why We Sleep by Matthew Walker - But melatonin has little influence on the generation of sleep itself: a mistaken assumption that many people hold.
—Why We Sleep by Matthew Walker - think of sleep as the Olympic 100-meter race. Melatonin is the voice of the timing official that says “Runners, on your mark,” and then fires the starting pistol that triggers the race. That timing official (melatonin) governs when the race (sleep) begins, but does not participate in the race. In this analogy, the sprinters themselves are other brain regions and processes that actively generate sleep.
—Why We Sleep by Matthew Walker - moment). There may be little, if any, quality melatonin in the pill. That said, there is a significant sleep placebo effect of melatonin, which should not be underestimated: the placebo effect is, after all, the most reliable effect in all of pharmacology.
—Why We Sleep by Matthew Walker - Scientists have studied airplane cabin crews who frequently fly on long-haul routes and have little chance to recover. Two alarming results have emerged. First, parts of their brains—specifically those related to learning and memory—had physically shrunk, suggesting the destruction of brain cells caused by the biological stress of time-zone travel. Second, their short-term memory was significantly impaired. They were considerably more forgetful than individuals of similar age and background who did not frequently travel through time zones. Other studies of pilots, cabin crew members, and shift workers have reported additionally disquieting consequences, including far higher rates of cancer and type 2 diabetes than the general population—or even carefully controlled match individuals who do not travel as much.
—Why We Sleep by Matthew Walker - You can, however, artificially mute the sleep signal of adenosine by using a chemical that makes you feel more alert and awake: caffeine.
—Why We Sleep by Matthew Walker - Rather, caffeine blocks and effectively inactivates the receptors, acting as a masking agent. It’s the equivalent of sticking your fingers in your ears to shut out a sound.
—Why We Sleep by Matthew Walker - In pharmacology, we use the term “half-life” when discussing a drug’s efficacy. This simply refers to the length of time it takes for the body to remove 50 percent of a drug’s concentration. Caffeine has an average half-life of five to seven hours.
—Why We Sleep by Matthew Walker - The distance between the curved lines above will be a direct reflection of your desire to sleep. The larger the distance between the two, the greater your sleep desire.
—Why We Sleep by Matthew Walker - After approximately eight hours of healthy sleep in an adult, the adenosine purge is complete.
—Why We Sleep by Matthew Walker - Do you find yourself at your computer screen reading and then rereading (and perhaps rereading again) the same sentence?
—Why We Sleep by Matthew Walker - Perhaps you walked into your living room late one night while chatting with a friend. You saw a family member (let’s call her Jessica) lying still on the couch, not making a peep, body recumbent and head lolling to one side. Immediately, you turned to your friend and said, “Shhhhh, Jessica’s sleeping.” But how did you know? It took a split second of time, yet there was little doubt in your mind about Jessica’s state. Why, instead, did you not think Jessica was in a coma, or worse, dead?
—Why We Sleep by Matthew Walker - If I asked you to predict the next few seconds of the activity by tapping along to the beat, based on what came before, you would not be able to do so.
—Why We Sleep by Matthew Walker - Why did evolution decide to outlaw muscle activity during REM sleep? Because by eliminating muscle activity you are prevented from acting out your dream experience.
—Why We Sleep by Matthew Walker - But what if we turned this argument on its head? What if sleep is so useful—so physiologically beneficial to every aspect of our being—that the real question is: Why did life ever bother to wake up?
—Why We Sleep by Matthew Walker - After all, absence of evidence is not evidence of absence.
—Why We Sleep by Matthew Walker - when we are cleaved from the innate practice of biphasic sleep, our lives are shortened. It is perhaps unsurprising that in the small enclaves of Greece where siestas still remain intact, such as the island of Ikaria, men are nearly four times as likely to reach the age of ninety as American males.
—Why We Sleep by Matthew Walker - during this developmental window of time.XIV His findings helped explain why rationality is one of the last things
—Why We Sleep by Matthew Walker - It is not a permanent or full dislocation from parental care, but as safe an attempt at partially separating soon-to-be adults from the eyes of Mother and Father. There is risk, of course. But the transition must happen.
—Why We Sleep by Matthew Walker - There was once an education policy in the US known as “No child left behind.” Based on scientific evidence, a new policy has rightly been suggested by my colleague Dr. Mary Carskadon: “No child needs caffeine.”
—Why We Sleep by Matthew Walker - That older adults simply need less sleep is a myth. Older adults appear to need just as much sleep as they do in midlife, but are simply less able to generate that (still necessary) sleep.
—Why We Sleep by Matthew Walker - if you wake up at seven a.m. and remain awake throughout the day, then go out socializing with friends until late that evening, yet drink no alcohol whatsoever, by the time you are driving home at two a.m. you are as cognitively impaired in your ability to attend to the road and what is around you as a legally drunk driver. In fact, participants in the above study started their nosedive in performance after just fifteen hours of being awake (ten p.m. in the above scenario).
—Why We Sleep by Matthew Walker - A structure located in the left and right sides of the brain, called the amygdala—a key hot spot for triggering strong emotions such as anger and rage, and linked to the fight-or-flight response—showed well over a 60 percent amplification in emotional reactivity in the participants who were sleep-deprived
—Why We Sleep by Matthew Walker - Nedergaard made a second astonishing discovery, which explained why the cerebrospinal fluid is so effective in flushing out metabolic debris at night. The glial cells of the brain were shrinking in size by up to 60 percent during NREM sleep, enlarging the space around the neurons and allowing the cerebrospinal fluid to proficiently clean out the metabolic refuse left by the day’s neural activity. Think of the buildings of a large metropolitan city physically shrinking at night, allowing municipal cleaning crews easy access to pick up garbage strewn in the streets, followed by a good pressure-jet treatment of every nook and cranny. When we wake each morning, our brains can once again function efficiently thanks to this deep cleansing.
—Why We Sleep by Matthew Walker - In fact, there are four main clusters of the brain that spike in activity when someone starts dreaming in REM sleep: (1) the visuospatial regions at the back of the brain, which enable complex visual perception; (2) the motor cortex, which instigates movement; (3) the hippocampus and surrounding regions that we have spoken about before, which support your autobiographical memory; and (4) the deep emotional centers of the brain—the amygdala and the cingulate cortex, a ribbon of tissue that sits above the amygdala and lines the inner surface of your brain—both of which help generate and process emotions. Indeed, these emotional regions of the brain are up to 30 percent more active in REM sleep compared to when we are awake!
—Why We Sleep by Matthew Walker - Discussed in chapter 7, the prefrontal cortex acts like the CEO of the brain. This region, especially the left and right sides, manages rational thought and logical decision-making, sending “top-down” instructions to your more primitive deep-brain centers, such as those instigating emotions. And it is this CEO region of your brain, which otherwise maintains your cognitive capacity for ordered, logical thought, that is temporarily ousted each time you enter into the dreaming state of REM sleep.
—Why We Sleep by Matthew Walker - 1. Stick to a sleep schedule. Go to bed and wake up at the same time each day. As creatures of habit, people have a hard time adjusting to changes in sleep patterns. Sleeping later on weekends won’t fully make up for a lack of sleep during the week and will make it harder to wake up early on Monday morning. Set an alarm for bedtime. Often we set an alarm for when it’s time to wake up but fail to do so for when it’s time to go to sleep. If there is only one piece of advice you remember and take from these twelve tips, this should be it.
—Why We Sleep by Matthew Walker - 2. Exercise is great, but not too late in the day. Try to exercise at least thirty minutes on most days but not later than two to three hours before your bedtime.
—Why We Sleep by Matthew Walker - 3. Avoid caffeine and nicotine. Coffee, colas, certain teas, and chocolate contain the stimulant caffeine, and its effects can take as long as eight hours to wear off fully. Therefore, a cup of coffee in the late afternoon can make it hard for you to fall asleep at night. Nicotine is also a stimulant, often causing smokers to sleep only very lightly. In addition, smokers often wake up too early in the morning because of nicotine withdrawal.
—Why We Sleep by Matthew Walker - 4. Avoid alcoholic drinks before bed. Having a nightcap or alcoholic beverage before sleep may help you relax, but heavy use robs you of REM sleep, keeping you in the lighter stages of sleep. Heavy alcohol ingestion also may contribute to impairment in breathing at night. You also tend to wake up in the middle of the night when the effects of the alcohol have worn off.
—Why We Sleep by Matthew Walker - 5. Avoid large meals and beverages late at night. A light snack is okay, but a large meal can cause indigestion, which interferes with sleep. Drinking too many fluids at night can cause frequent awakenings to urinate.
—Why We Sleep by Matthew Walker - 6. If possible, avoid medicines that delay or disrupt your sleep. Some commonly prescribed heart, blood pressure, or asthma medications, as well as some over-the-counter and herbal remedies for coughs, colds, or allergies, can disrupt sleep patterns. If you have trouble sleeping, talk to your health care provider or pharmacist to see whether any drugs you’re taking might be contributing to your insomnia and ask whether they can be taken at other times during the day or early in the evening.
—Why We Sleep by Matthew Walker - 7. Don’t take naps after 3 p.m. Naps can help make up for lost sleep, but late afternoon naps can make it harder to fall asleep at night.
—Why We Sleep by Matthew Walker - 8. Relax before bed. Don’t overschedule your day so that no time is left for unwinding. A relaxing activity, such as reading or listening to music, should be part of your bedtime ritual.
—Why We Sleep by Matthew Walker - 9. Take a hot bath before bed. The drop in body temperature after getting out of the bath may help you feel sleepy, and the bath can help you relax and slow down so you’re more ready to sleep.
—Why We Sleep by Matthew Walker - 10. Dark bedroom, cool bedroom, gadget-free bedroom. Get rid of anything in your bedroom that might distract you from sleep, such as noises, bright lights, an uncomfortable bed, or warm temperatures. You sleep better if the temperature in the room is kept on the cool side. A TV, cell phone, or computer in the bedroom can be a distraction and deprive you of needed sleep. Having a comfortable mattress and pillow can help promote a good night’s sleep. Individuals who have insomnia often watch the clock. Turn the clock’s face out of view so you don’t worry about the time while trying to fall asleep.
—Why We Sleep by Matthew Walker - 11. Have the right sunlight exposure. Daylight is key to regulating daily sleep patterns. Try to get outside in natural sunlight for at least thirty minutes each day. If possible, wake up with the sun or use very bright lights in the morning. Sleep experts recommend that, if you have problems falling asleep, you should get an hour of exposure to morning sunlight and turn down the lights before bedtime.
—Why We Sleep by Matthew Walker - 12. Don’t lie in bed awake. If you find yourself still awake after staying in bed for more than twenty minutes or if you are starting to feel anxious or worried, get up and do some relaxing activity until you feel sleepy. The anxiety of not being able to sleep can make it harder to fall asleep.
—Why We Sleep by Matthew Walker