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The New Science Of The Body Clock And How It Can Revolutionise Your Sleep and Health with Professor Russell Foster #292

Sep 6, 2022 2h 35 insights
The tired brain remembers negative experiences but forgets the positive ones. Is there a more powerful statement in favour of going to bed earlier and prioritising our sleep? Modern life has seen us push into the night, staying up later and extending our social and work lives around the clock. But this, says today’s guest, goes against what our bodies are wired to do.   Russell Foster is Professor of Circadian Neuroscience at Oxford University and author of the fantastic new book, Life Time: The New Science Of The Body Clock And How It Can Revolutionise Your Sleep and Health. Russell explains that living out of sync with our circadian rhythms doesn’t just lead to sleep disruption and tiredness. The further we stray from them, the more we become vulnerable to chronic conditions such as obesity, type 2 diabetes, heart disease, cancer, suppressed immunity, dementia and mental illness. But he’s not here to scare us – rather share the strategies that we can all use to get back on track.   During this compelling conversation, we cover the science behind exposure to natural daylight at the right times. We talk chronotypes – and if there’s anything you can do to change being a lark or an owl. Russell explains the dangerous phenomenon of ‘microsleeps’ and why 4am is the most dangerous time to be on the roads. And we cover the unique problems faced by night-shift workers and new parents, including what they, their families and employers can do to mitigate their health and safety.   We also chat about the value of sleep trackers and blue-blocking glasses. Russell busts the myth that we all need eight hours’ sleep or that you mustn’t read a Kindle before bed. And he reveals the best time of day for sex (clue: it’s different depending on whether you want to conceive or relax). And for all those insomniacs who go to sleep fine but wake during the night? There’s some wisdom towards the end of our conversation that you’ll want to hear!   This is a fact-filled episode, full of fascinating insights. I hope you enjoy listening. Support the podcast and enjoy Ad-Free episodes. Try FREE for 7 days on Apple Podcasts https://apple.co/feelbetterlivemore. For other podcast platforms go to https://fblm.supercast.com. If you're a healthcare professional, come and see me and Professor Russell Foster speak live in November. https://bit.ly/3RD1DSq Show notes https://drchatterjee.com/292
Actionable Insights

1. Tune Lifestyle to Needs

Define your individual biological needs, social needs, and work requirements, then actively tune your lifestyle to align with them for optimal well-being.

2. Prioritize Sleep for Positive Outlook

Go to bed earlier and prioritize sleep, as a tired brain remembers negative experiences and forgets positive ones, influencing a negative world view.

3. Find Your Optimal Sleep Duration

Define how much sleep you need for optimal daytime performance, as individual sleep needs vary widely (6 to 10.5 hours), and avoid anxiety over not meeting a specific ’eight-hour’ myth.

4. Recognize Sleep Deprivation Signs

Monitor for signs of insufficient sleep, such as needing an alarm to wake, slow waking, caffeine cravings, increased irritability, or sleeping significantly longer on free days, to determine if you are getting enough rest.

5. Early Morning Natural Light

Aim for 10 to 30 minutes of natural, bright morning light as soon as possible after waking to advance your biological clock and shift your sleep-wake cycle earlier.

6. Morning Light for Circadian Alignment

Expose yourself to morning light, particularly for 90% of people whose body clocks naturally drift later, as morning light advances the clock, helping you get up and go to bed earlier.

7. Boost Daytime Light Exposure

Increase light in daytime spaces, especially for elderly individuals or those with mild dementia, and consider having breakfast by a window to improve sleep-wake behavior and potentially cognition by 10%.

8. Restrict Evening Light

To improve circadian rhythm and sleep, try to limit light exposure in the evening, even natural light, especially if you tend to go to bed too late.

9. Dim Lighting for Sleep Prep

Install low-lux, amber-colored bulbs in your bedroom and other evening spaces to reduce alertness and make it easier to fall asleep, as lower light intensity helps signal rest time.

10. Optimize Sleep Environment

Define your bedroom as a dedicated sleeping space by ensuring a comfortable mattress and pillows, and using distinctive scents like lavender to associate the space with sleep, embracing any sensory cues that help you relax.

11. Personalized Bedtime Routine

Implement a personalized winding-down routine before bed, such as reading under dim light or listening to relaxing music, to ease the transition from wakefulness to sleep.

12. Postpone Charged Discussions

Avoid emotionally charged discussions, such as family finances, before bed, as they can increase alertness and delay sleep onset; instead, carve out a different time for such conversations.

13. Wind Down to Reduce Stress

Recognize that poor sleep is often a stress problem, not just a sleep problem; implement a winding-down routine at the end of the day, leaving work at home and engaging in relaxing activities to reduce stress.

14. Banish Devices from Bedroom

To improve sleep, remove electronic devices like smartphones and tablets from your bedroom, as their presence and notifications can disrupt sleep and increase alertness.

15. Normalize Night Waking

Do not be alarmed if you wake up in the middle of the night, as biphasic or polyphasic sleep patterns are normal for mammals and do not necessarily mean the end of sleep.

16. Stay Calm During Night Waking

If you wake up during the night, stay calm, keep lights low, and avoid engaging in mentally stimulating activities like checking emails, as you will likely fall back to sleep naturally.

17. Conceal Illuminated Clocks

If you have an illuminated alarm clock, cover its display with tape to prevent clock-watching, which can cause anxiety about remaining sleep time and hinder falling back asleep.

18. Sleep Stabilization for Mental Health

Stabilize sleep-wake cycles, even partially, as it can reduce symptoms like paranoia and hallucinatory experiences, making sleep-wake systems a therapeutic target for mental health conditions.

19. Optimize Medication Timing

If prescribed anti-hypertensive or anti-stroke medication, take it before bedtime rather than in the morning, as this can halve the chances of stroke or heart attack over a 4-5 year period.

20. Early Eating for Metabolic Health

Concentrate your calorie intake during breakfast and lunchtime, aiming for a very light or earlier supper, as this is better for metabolic health and reduces the risk of weight gain, obesity, and type 2 diabetes.

21. Align Chronotype with Lifestyle

Understand your chronotype and actively manipulate it using light exposure (e.g., bright morning light, dim evening light) to align with your work or social demands, reducing vulnerability to sleep disruption.

22. Advance Late Chronotype with Light

If you are an extreme late chronotype struggling to wake early, set an alarm and get outside first thing in the morning or use a light box to advance your biological clock.

23. Light Box for Clock Setting

If natural morning light is difficult to access, use a light box providing 10,000 lux for 30 minutes to help set your biological clock and advance your sleep-wake cycle.

24. New Parents: Seek Support

New parents, especially mothers, should not feel guilty about being tired and should actively reach out for support from family or friends to mitigate chronic sleep loss, recognizing that humans did not evolve for sole parenting.

25. Shift Work Impact Education

Provide education for night shift workers and their families to understand the biological consequences of working at night, which can impact relationships (e.g., six times higher divorce rate in some sectors).

26. Match Shifts to Chronotype

Employers should chronotype their workforce to assign shifts that align with individuals’ natural morning or evening preferences, avoiding placing late chronotypes on early morning shifts.

27. Provide Driver Alertness Devices

Employers with night shift workers should make available or subsidize dashboard devices that measure head nod or car veering to alert tired drivers, mitigating the risk of accidents.

28. Post-Shift Sleep Facilities

Employers should consider providing facilities or arrangements for night shift workers to sleep after their shift, preventing them from driving home chronically tired and reducing accident risks.

29. Frequent Health Checks

Employers should institute higher-frequency health checks (e.g., every six months) for night shift workers to catch conditions like cancer, coronary heart disease, and type 2 diabetes before they become chronic.

30. Healthy Snacks for Night Shifts

Employers should provide easy-to-digest, high-protein snacks for night shift workers, as current offerings are often high in fat and sugar, contributing to health problems.

31. Sex for Sleep Promotion

Consensual sex or masturbation can promote sleep by relaxing individuals and releasing hormones that induce sleepiness.

32. Morning Sex for Fertility

For couples trying to conceive, consider having sex in the morning when male fertility peaks due to rising testosterone and optimal sperm motility.

33. Blue Blockers for Evening Alertness

If your goal is to reduce alertness in the evening, wearing blue light blocking glasses may be useful, as blue light is the most effective wavelength for increasing alertness.

34. Dynamic Bathroom Lighting

Consider using bathroom lighting that can switch from bright, alerting light in the morning to dimmer, less alerting light in the evening to support circadian rhythms and sleep preparation.

35. Basic Sleep Tracker Use

If using a sleep tracker, focus on basic metrics like sleep timing, duration, and fragmentation, and disregard advanced metrics like deep or REM sleep stages, as these are often inaccurate and can cause anxiety.