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Why We Sleep

by Matthew Walker


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Alternate cover edition of ISBN 9781501144318. Neuroscientist and sleep expert Matthew Walker provides a revolutionary exploration of sleep, examinin... (more)


non-fiction, science, nonfiction, health, psychology, self-help, audiobook, self-improvement, neuroscience, personal-development, sleep



Top highlights from Why We Sleep

The best bridge between despair and hope is a good nights sleep.

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Practice does not make perfect. It is practice, followed by a night of sleep, that leads to perfection.

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After thirty years of intensive research, we can now answer many of the questions posed earlier. The recycle rate of a human being is around sixteen hours. After sixteen hours of being awake, the brain begins to fail. Humans need more than seven hours of sleep each night to maintain cognitive performance. After ten days of just seven hours of sleep, the brain is as dysfunctional as it would be after going without sleep for twenty-four hours. Three full nights of recovery sleep (i.e., more nights than a weekend) are insufficient to restore performance back to normal levels after a week of short sleeping. Finally, the human mind cannot accurately sense how sleep-deprived it is when sleep-deprived.

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Inadequate sleepeven moderate reductions for just one weekdisrupts blood sugar levels so profoundly that you would be classified as pre-diabetic.

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Humans are not sleeping the way nature intended. The number of sleep bouts, the duration of sleep, and when sleep occurs has all been comprehensively distorted by modernity.

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the shorter your sleep, the shorter your life. The leading causes of disease and death in developed nationsdiseases that are crippling health-care systems, such as heart disease, obesity, dementia, diabetes, and cancerall have recognized causal links to a lack of sleep.

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Sleep is the single most effective thing we can do to reset our brain and body health each day -- Mother Nature's best effort yet at contra-death.

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After all, absence of evidence is not evidence of absence.

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Routinely sleeping less than six or seven hours a night demolishes your immune system, more than doubling your risk of cancer.

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if you dont sleep the very first night after learning, you lose the chance to consolidate those memories, even if you get lots of catch-up sleep thereafter. In terms of memory, then, sleep is not like the bank. You cannot accumulate a debt and hope to pay it off at a later point in time. Sleep for memory consolidation is an all-or-nothing event.

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Caffeine has an average half-life of five to seven hours. Lets say that you have a cup of coffee after your evening dinner, around 7:30 p.m. This means that by 1:30 a.m., 50 percent of that caffeine may still be active and circulating throughout your brain tissue. In other words, by 1:30 a.m., youre only halfway to completing the job of cleansing your brain of the caffeine you drank after dinner.

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It is disquieting to learn that vehicular accidents caused by drowsy driving exceed those caused by alcohol and drugs combined.

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AMAZING BREAKTHROUGH! Scientists have discovered a revolutionary new treatment that makes you live longer. It enhances your memory and makes you more creative. It makes you look more attractive. It keeps you slim and lowers food cravings. It protects you from cancer and dementia. It wards off colds and the flu. It lowers your risk of heart attacks and stroke, not to mention diabetes. Youll even feel happier, less depressed, and less anxious. Are you interested?

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They discovered that naps as short as twenty-six minutes in length still offered a 34 percent improvement in task performance and more than a 50 percent increase in overall alertness.

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...our lack of sleep is a slow form of self-euthanasia...

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When sleep is abundant, minds flourish. When it is deficient, they don't.

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In the Northern Hemisphere, the switch to daylight savings time in March results in most people losing an hour of sleep opportunity. Should you tabulate millions of daily hospital records, as researchers have done, you discover that this seemingly trivial sleep reduction comes with a frightening spike in heart attacks the following day. Impressively, it works both ways. In the autumn within the Northern Hemisphere, when the clocks move forward and we gain an hour of sleep opportunity time, rates of heart attacks plummet the day after. A similar rise-and-fall relationship can be seen with the number of traffic accidents, proving that the brain, by way of attention lapses and microsleeps, is just as sensitive as the heart to very small perturbations of sleep. Most people think nothing of losing an hour of sleep for a single night, believing it to be trivial and inconsequential. It is anything but.

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Ten days of six hours of sleep a night was all it took to become as impaired in performance as going without sleep for twenty-four hours straight.

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Under-slept employees are not, therefore, going to drive your business forward with productive innovation. Like a group of people riding stationary exercise bikes, everyone looks like they are pedaling, but the scenery never changes. The irony that employees miss is that when you are not getting enough sleep, you work less productively and thus need to work longer to accomplish a goal. This means you often must work longer and later into the evening, arrive home later, go to bed later, and need to wake up earlier, creating a negative feedback loop. Why try to boil a pot of water on medium heat when you could do so in half the time on high? People often tell me that they do not have enough time to sleep because they have so much work to do. Without wanting to be combative in any way whatsoever, I respond by informing them that perhaps the reason they still have so much to do at the end of the day is precisely because they do not get enough sleep at night.

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we estimate that more than 50 percent of all children with an ADHD diagnosis actually have a sleep disorder, yet a small fraction know of their sleep condition and its ramifications. A major public health awareness campaign by governmentsperhaps without influence from pharmaceutical lobbying groupsis needed on this issue.

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Adults forty-five years or older who sleep fewer than six hours a night are 200 percent more likely to have a heart attack or stroke during their lifetime, as compared with those sleeping seven to eight hours a night.

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From this cascade comes a prediction: getting too little sleep across the adult life span will significantly raise your risk of developing Alzheimers disease. Precisely this relationship has now been reported in numerous epidemiological studies, including those individuals suffering from sleep disorders such as insomnia and sleep apnea.VIII Parenthetically, and unscientifically, I have always found it curious that Margaret Thatcher and Ronald Reagantwo heads of state that were very vocal, if not proud, about sleeping only four to five hours a nightboth went on to develop the ruthless disease. The current US president, Donald Trumpalso a vociferous proclaimer of sleeping just a few hours each nightmay want to take note.

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The physical and mental impairments caused by one night of bad sleep dwarf those caused by an equivalent absence of food or exercise.

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More specifically, the coolheaded ability to regulate our emotions each daya key to what we call emotional IQdepends on getting sufficient REM sleep night after night. (If your mind immediately jumped to particular colleagues, friends, and public figures who lack these traits, you may well wonder about how much sleep, especially late-morning REM-rich sleep, they are getting.)

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new report has discovered that medical errors are the third-leading cause of death among Americans after heart attacks and cancer. Sleeplessness undoubtedly plays a role in those lives lost.

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During deep NREM sleep specifically, the brain communicates a calming signal to the fight-or-flight sympathetic branch of the bodys nervous system, and does so for long durations of the night. As a result, deep sleep prevents an escalation of this physiological stress that is synonymous with increased blood pressure, heart attack, heart failure, and stroke.

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The second evolutionary contribution that the REM-sleep dreaming state fuels is creativity. NREM sleep helps transfer and make safe newly learned information into long-term storage sites of the brain. But it is REM sleep that takes these freshly minted memories and begins colliding them with the entire back catalog of your lifes autobiography. These mnemonic collisions during REM sleep spark new creative insights as novel links are forged between unrelated pieces of information. Sleep cycle by sleep cycle, REM sleep helps construct vast associative networks of information within the brain. REM sleep can even take a step back, so to speak, and divine overarching insights and gist: something akin to general knowledgethat is, what a collection of information means as a whole, not just an inert back catalogue of facts. We can awake the next morning with new solutions to previously intractable problems

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Why did we ever force doctors to learn their profession in this exhausting, sleepless way? The answer originates with the esteemed physician William Stewart Halsted, MD, who was also a helpless drug addict.

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Without sufficient sleep, amyloid plaques build up in the brain, especially in deep-sleep-generating regions, attacking and degrading them. The loss of deep NREM sleep caused by this assault therefore lessens the ability to remove amyloid from the brain at night, resulting in greater amyloid deposition. More amyloid, less deep sleep, less deep sleep, more amyloid, and so on and so forth.

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After thirty years of intensive research, we can now answer many of the questions posed earlier. The recycle rate of a human being is around sixteen hours. After sixteen hours of being awake, the brain begins to fail. Humans need more than seven hours of sleep each night to maintain cognitive performance. After ten days of just seven hours of sleep, the brain is as dysfunctional as it would be after going without sleep for twenty-four hours. Three full nights of recovery sleep (i.e., more nights than a weekend) are insufficient to restore performance back to normal levels after a week of short sleeping.

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asking your teenage son or daughter to go to bed and fall asleep at ten p.m. is the circadian equivalent of asking you, their parent, to go to sleep at seven or eight p.m. No matter how loud you enunciate the order, no matter how much that teenager truly wishes to obey your instruction, and no matter what amount of willed effort is applied by either of the two parties, the circadian rhythm of a teenager will not be miraculously coaxed into a change. Furthermore, asking that same teenager to wake up at seven the next morning and function with intellect, grace, and good mood is the equivalent of asking you, their parent, to do the same at four or five a.m.

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the shorter your sleep, the shorter your life span

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These napping communities have sometimes been described as the places where people forget to die. From a prescription written long ago in our ancestral genetic code, the practice of natural biphasic sleep, and a healthy diet, appear to be the keys to a long-sustained life.

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An adults owlness or larkness, also known as their chronotype, is strongly determined by genetics. If you are a night owl, its likely that one (or both) of your parents is a night owl. Sadly, society treats night owls rather unfairly on two counts. First is the label of being lazy, based on a night owls wont to wake up later in the day, due to the fact that they did not fall asleep until the early-morning hours. Others (usually morning larks) will chastise night owls on the erroneous assumption that such preferences are a choice, and if they were not so slovenly, they could easily wake up early. However, night owls are not owls by choice. They are bound to a delayed schedule by unavoidable DNA hardwiring. It is not their conscious fault, but rather their genetic fate.

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Similarly problematic is baseline resetting. With chronic sleep restriction over months or years, an individual will actually acclimate to their impaired performance, lower alertness, and reduced energy levels. That low-level exhaustion becomes their accepted norm, or baseline. Individuals fail to recognize how their perennial state of sleep deficiency has come to compromise their mental aptitude and physical vitality, including the slow accumulation of ill health.

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Sleep is not the absence of wakefulness. It is far more than that.

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Not sleeping enough, which for a portion of the population is a voluntary choice, significantly modifies your gene transcriptomethat is, the very essence of you, or at least you as defined biologically by your DNA. Neglect sleep, and you are deciding to perform a genetic engineering manipulation on yourself each night, tampering with the nucleic alphabet that spells out your daily health story.

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Caffeine is not a food supplement. Rather, caffeine is the most widely used (and abused) psychoactive stimulant in the world.

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Caffeinewhich is not only prevalent in coffee, certain teas, and many energy drinks, but also foods such as dark chocolate and ice cream, as well as drugs such as weight-loss pills and pain relieversis one of the most common culprits that keep people from falling asleep easily and sleeping soundly thereafter, typically masquerading as insomnia, an actual medical condition.

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...certain business leaders mistakenly believe that time on-task equates with task completion and productivity. Even in the industrial era of rote factory work, this was untrue. It is a misguided fallacy, and an expensive one, too.

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The best bridge between despair and hope is a good nights sleep.VII

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By the time that same individual has reached sixteen years of age, their circadian rhythm has undergone a dramatic shift forward in its cycling phase.

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Irwin demonstrated that a single night of four hours of sleepsuch as going to bed at three a.m. and waking up at seven a.m.swept away 70 percent of the natural killer cells circulating in the immune system, relative to a full eight-hour night of sleep. That is a dramatic state of immune deficiency to find yourself facing, and it happens quickly, after essentially one bad night of sleep.

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We will come to learn that sleep is the universal health care provider: whatever the physical or mental ailment, sleep has a prescription it can dispense.

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quote on the topic of sleep and emotion by the American entrepreneur E. Joseph Cossman: The best bridge between despair and hope is a good nights sleep.VII

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Comparing the patterns of brain activity between the two conditions within the same individual, we discovered that supervisory regions in the prefrontal cortex required for thoughtful judgments and controlled decisions had been silenced in their activity by a lack of sleep.

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When we compared the effectiveness of learning between the two groups, the result was clear: there was a 40 percent deficit in the ability of the sleep-deprived group to cram new facts into the brain (i.e. to make new memories), relative to the group that obtained a full night of sleep. To put that in context, it would be the difference between acing an exam and failing it miserably!

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a 20 percent learning advantage for those who slept.

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There are many things that I hope readers take away from this book. this is one of the most important: if you are drowsy while driving, please, please stop. It is lethal. [..] Many of us think we can overcome drowsiness through sheer force of will, but sadly, this is not true.

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Before Edison, and before gas and oil lamps, the setting sun would take with it this full stream of daylight from our eyes, sensed by the twenty-four-hour clock within the brain

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After four hours of sleep for six nights, participants' performance was just as bad as those who had not slept for twenty-four hours straight--that is, a 400 percent increase in the number of microsleeps. By day 11 on this diet of four hours of sleep a night, participants' performance had degraded even further, matching that of someone who had pulled two back-to-back all-nighters, going without sleep for forty-eight hours.

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I suspect that you cannot recall any truly significant action in your life that wasnt governed by two very simple rules: staying away from something that would feed bad, or trying to accomplish something that would feel good. This law of approach and avoidance dictates most of human and animal behavior from a very early age. The forces that implement this law are positive and negative emotions. Emotions make us do things, as the name suggests (remove the first letter from the word). They motivate our remarkable achievements, incite us to try again when we fail, keep us safe from potential harm, urge us to accomplish rewarding and beneficial outcomes, and compel us to cultivate social and romantic relationships. In short, emotions in appropriate amounts make life worth living. They offer a healthy and vital existence, psychologically and biologically speaking. Take them away, and you face a sterile existence with no highs or lows to speak of. Emotionless, you will simply exist, rather than live.

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Concentrations of a key stress-related chemical called noradrenaline are completely shut off within your brain when you enter this dreaming sleep state. In fact, REM sleep is the only time during the twenty-four-hour period when your brain is completely devoid of this anxiety-triggering molecule.

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Universal parental wisdom knows that bad sleep the night before leads to a bad mood and emotional reactivity the next day.

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Glib advice aside, what is the recommendation when it comes to sleep and alcohol? It is hard not to sound puritanical, but the evidence is so strong regarding alcohols harmful effects on sleep that to do otherwise would be doing you, and the science, a disservice. Many people enjoy a glass of wine with dinner, even an aperitif thereafter. But it takes your liver and kidneys many hours to degrade and excrete that alcohol, even if you are an individual with fast-acting enzymes for ethanol decomposition. Nightly alcohol will disrupt your sleep, and the annoying advice of abstinence is the best, and most honest, I can offer.

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Yet something even more profound has happened in this ongoing story of later school start times - something that researchers did not anticipate: the life expectancy of students increased. The leading cause of death among teenagers is road traffic accidents, and in this regard, even the slightest dose of insufficient sleep can have marked consequences, as we have discussed. When the Mahotomedi School District of Minnesota pushed their school start time from 7:30 to 8:00 a.m., there was a 60 percent reduction in traffic accidents in drivers sixteen to eighteen years of age.

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A structure located in the left and right sides of the brain, called the amygdalaa key hot spot for triggering strong emotions such as anger and rage, and linked to the fight-or-flight responseshowed well over a 60 percent amplification in emotional reactivity in the participants who were sleep-deprived. In contrast, the brain scans of those individuals who were given a full nights sleep evinced a controlled, modest degree of reactivity in the amygdala, despite viewing the very same images. It was as though, without sleep, our brain reverts to a primitive pattern of uncontrolled reactivity. We produce unmetered, inappropriate emotional reactions, and are unable to place events into a broader or considered context.

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Humans need more than seven hours of sleep each night to maintain cognitive performance. After ten days of just seven hours of sleep, the brain is as dysfunctional as it would be after going without sleep for twenty-four hours.

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To sleep, perchance to heal.

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sleep is the single most effective thing we can do to reset our brain and body health each dayMother Natures best

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