← The Peter Attia Drive

#77 – AMA #2 with sleep expert, Matthew Walker, Ph.D.: short sleep mutants, optimal sleep environment, sleep apnea, & rapid fire questions

Oct 28, 2019 29m 5s 10 insights
<p><span style="color: #201f1e;">In this special episode, Matthew Walker returns for his second AMA episode where he provides his expert insight on numerous sleep-related questions directly from listeners. He answers a wide range of questions from the gene that causes the short sleeping phenotype, to the ideal sleeping position, to the optimal temperature for best sleep, to how fasting affects sleep, plus a full dissertation on sleep apnea, and much, much more.</span><span style="color: #333333;"><br /> <br /></span><span style="color: #201f1e;">We discuss:</span><span style="color: #333333;"><br /></span></p> <ul> <li><span style="color: #201f1e;">DEC2—A genetic mutation that produces a short sleeping phenotype [11:00];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">What is the best position to sleep in? [22:45];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Should you consider a "sleep divorce" with your partner? [27:00];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">The challenge of kids wanting to sleep in bed with their parents [28:45];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Is there an ideal type of pillow? [32:30];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Any data on hammock sleeping? Should adults be rocked to sleep like a baby? [34:45];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">The optimal room temperature and body temperature for the best sleep [38:30];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Do humidifiers help? [50:40];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">How do high altitudes affect sleep? [53:15];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">What is the data on weighted blankets (e.g., the Gravity blanket)? [57:00];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Caffeine—How much, and in what way, does it affect sleep? [58:15];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">How does sexual activity relate to sleep quality? [1:04:00];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Should we be sleeping in two phases? First sleep & second sleep? [1:06:30];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Napping—Is there ideal duration? Should we be napping or not? [1:08:30];</span></li> <li><span style="color: #201f1e;">Advice for new parents dealing with sleep deprivation [1:12:00];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Understanding your sleep chronotype [1:16:15];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">If you drink too much alcohol in a given night, is there anything you can do to make sure your sleep isn't wrecked? [1:20:45];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">How postmenopausal women can manage their sleep problems with (and without) hormone replacement therapy [1:23:00];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Could a daily practice of Wim Hof's breathing method help or hinder quality of sleep? [1:29:15];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Why do some people paradoxically feel more tired the more they sleep? [1:31:15];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Sleep apnea—How to know if you have it, the different types, the causes, and helpful resources [1:33:15];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Is there such a thing called "sleep eating"? [1:45:00];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">If Matt was "sleep czar", what changes would he make to society to improve sleep? [1:46:15];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Catch up sleep: Explaining the difference between retrospective damage and prospective benefit [1:48:45];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Does poor sleep really speed up the aging process? [1:50:30];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Is medicated sleep better than no sleep? [1:53:00];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Does vivid dreaming disrupt the sleep cycle? [1:56:45];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Is there potential benefit to using "binaural beats" or some type of sound to induce better sleep? [1:57:45];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">How is sleep affected by fasting and time-restricted eating? [1:59:45];</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">Is there any evidence that polyphasic sleep (e.g., "Uberman") works? [2:03:30]; and</span><span style="color: #333333;"><br /></span></li> <li><span style="color: #201f1e;">More.</span></li> </ul> <p>Learn more: <a href="https://peterattiamd.com/">https://peterattiamd.com/</a><br /> <br /> Show notes page for this episode: <a href="http://peterattiamd.com/matthewwalkerama2/"><span style="color: #333333;">peterattiamd.com/matthewwalkerama2/</span></a><br /> <br /> Subscribe to receive exclusive subscriber-only content: <a href="https://peterattiamd.com/subscribe/">https://peterattiamd.com/subscribe/</a><br /> <br /> Sign up to receive Peter's email newsletter: <a href="https://peterattiamd.com/newsletter/">https://peterattiamd.com/newsletter/</a><br /> <br /> Connect with Peter on <a href="http://Facebook.com/PeterAttiaMD"><u>Faceboo</u></a><u>k</u> | <a href="http://Twitter.com/PeterAttiaMD"><u>Twitter</u></a> | <a href="http://Instagram.com/PeterAttiaMD"><u>Instagram</u></a>.<br /> <br /></p>
Actionable Insights

1. Aim for 7.5-9.5 Hours Sleep

Strive to get between 7.5 and 9.5 hours of sleep per night, as this is the optimal range for the majority of the population based on sleep studies.

2. Don’t Assume Short Sleeper Gene

Avoid assuming you are a genetic ‘short sleeper’ (DEC2 carrier) who can thrive on minimal sleep, as this mutation is extremely rare (a fraction of a percent of the population) and most people require significantly more sleep.

3. Align Bedtime with Natural Rhythms

Consider aligning your bedtime with natural rhythms, aiming for an earlier bedtime (e.g., 9-9:30 PM) rather than midnight, to promote longer sleep duration and harmony with the body’s natural edicts.

4. Prioritize All Sleep Stages

Ensure you are getting all stages of sleep, including deep non-REM and REM sleep, as every stage is essential for life support and serves a critical function that evolution has preserved.

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