1 00:00:04,360 --> 00:00:04,680 Speaker 1: Ruby. 2 00:00:07,080 --> 00:00:09,720 Speaker 2: I sleep with an eyemask to make it even darker. 3 00:00:10,160 --> 00:00:12,440 Speaker 2: I take my mouth closed. Then I also line my 4 00:00:12,480 --> 00:00:14,680 Speaker 2: bed and like cocoon my pillow around my head, and 5 00:00:14,720 --> 00:00:16,200 Speaker 2: I'm in a deep, dark slumber. 6 00:00:16,520 --> 00:00:20,880 Speaker 3: Sleep is one third of our life. If it wasn't 7 00:00:20,920 --> 00:00:24,800 Speaker 3: made to be important, it'd been a pretty evolutionary blunder. 8 00:00:24,880 --> 00:00:27,320 Speaker 1: It's so hard to fall asleep if we don't feel safe. 9 00:00:27,560 --> 00:00:30,680 Speaker 4: It can feel like the world is working against rest. 10 00:00:31,160 --> 00:00:35,640 Speaker 4: Endless scrolling, constant notifications, always that one more thing you 11 00:00:35,680 --> 00:00:37,720 Speaker 4: gotta check before you can go to bed. So it's 12 00:00:37,720 --> 00:00:40,360 Speaker 4: not surprising that people are looking for help, and some 13 00:00:40,440 --> 00:00:44,240 Speaker 4: turn to storytellers like Catherine Nikolai, whose podcast Nothing Much 14 00:00:44,280 --> 00:00:47,519 Speaker 4: Happens has helped people drift off more than two hundred 15 00:00:47,600 --> 00:00:48,479 Speaker 4: million times. 16 00:00:49,240 --> 00:00:53,479 Speaker 5: Our story tonight is called color Walk, and it's a 17 00:00:53,520 --> 00:00:57,320 Speaker 5: story about a soft way to move through the world 18 00:00:57,800 --> 00:00:58,640 Speaker 5: on the spring day. 19 00:00:59,320 --> 00:01:02,840 Speaker 4: Others, like content creator Lucy Fink, experiment with the latest 20 00:01:02,920 --> 00:01:07,080 Speaker 4: viral sleep trends, or reach for supplements like melatonin, anything 21 00:01:07,120 --> 00:01:10,200 Speaker 4: to squeeze just a little more rest out of a busy, 22 00:01:10,400 --> 00:01:11,520 Speaker 4: always on life. 23 00:01:11,640 --> 00:01:14,080 Speaker 2: I think the Ten Hours of Sleep one was just 24 00:01:14,720 --> 00:01:17,680 Speaker 2: kind of a selfish experiment I wanted to try. 25 00:01:18,600 --> 00:01:20,759 Speaker 4: To get the facts about these trends and the best 26 00:01:20,840 --> 00:01:23,760 Speaker 4: ways to get a good night's sleep. A sleep medicine 27 00:01:23,760 --> 00:01:26,800 Speaker 4: physician like doctor jose Colgonne has answers. 28 00:01:27,319 --> 00:01:32,160 Speaker 3: I really have a lot of people that have difficulties 29 00:01:32,160 --> 00:01:35,959 Speaker 3: sleeping because something's bothering them. And what's bothering them is 30 00:01:35,959 --> 00:01:36,880 Speaker 3: that they're not asleep. 31 00:01:37,360 --> 00:01:39,240 Speaker 4: So let's get comfy. 32 00:01:39,640 --> 00:01:43,039 Speaker 5: Lights out, friends, get snuggled down into your. 33 00:01:42,920 --> 00:01:46,320 Speaker 4: Sheets, because we've invited them all to dive into the 34 00:01:46,360 --> 00:01:51,200 Speaker 4: world of online sleep trends. Welcome back to Health Versus 35 00:01:51,240 --> 00:01:55,040 Speaker 4: Hype with the American Medical Association. I'm your host Trace Timingez. 36 00:01:55,280 --> 00:01:57,840 Speaker 4: Today we're going to uncover the truth about viral sleep 37 00:01:57,920 --> 00:02:01,280 Speaker 4: trends and answer the questions we're all curious about. Does 38 00:02:01,320 --> 00:02:05,560 Speaker 4: taping your mouth really improve sleep quality? Can sleep trackers 39 00:02:05,640 --> 00:02:09,000 Speaker 4: truly help to optimize sleep? And what does the science 40 00:02:09,080 --> 00:02:12,079 Speaker 4: actually say about how to get better sleep? So join 41 00:02:12,160 --> 00:02:15,000 Speaker 4: me as we find out whether recent online sleep trends 42 00:02:15,000 --> 00:02:30,600 Speaker 4: are all health or just hype. Last year, more than 43 00:02:30,639 --> 00:02:33,040 Speaker 4: half of adults in the United States said that they 44 00:02:33,080 --> 00:02:36,440 Speaker 4: had tried at least one viral sleep trend. That's according 45 00:02:36,480 --> 00:02:39,360 Speaker 4: to the American Academy of Sleep Medicine. So to begin, 46 00:02:39,480 --> 00:02:42,720 Speaker 4: I want to understand what the latest viral sleep trends 47 00:02:42,800 --> 00:02:46,280 Speaker 4: are and why so many people are interested in trying them. 48 00:02:46,520 --> 00:02:49,520 Speaker 4: For that, I spoke with Lucy Fink, a popular lifestyle 49 00:02:49,600 --> 00:02:53,639 Speaker 4: influencer and content creator who recently got serious about optimizing 50 00:02:53,639 --> 00:02:57,040 Speaker 4: her sleep health. She posts about her sleep trend experiments, 51 00:02:57,080 --> 00:02:59,120 Speaker 4: which we'll get to in a second, but to set 52 00:02:59,160 --> 00:03:01,480 Speaker 4: the scene, we really I need to understand how Lucy 53 00:03:01,560 --> 00:03:05,040 Speaker 4: thinks about social media as a source of information for 54 00:03:05,080 --> 00:03:05,680 Speaker 4: sleep health. 55 00:03:06,360 --> 00:03:09,919 Speaker 2: I feel like social media for me, it's less of 56 00:03:09,960 --> 00:03:13,440 Speaker 2: a place to gather the real facts and the science 57 00:03:13,560 --> 00:03:18,160 Speaker 2: and more hearing anecdotal stories that people have about something 58 00:03:18,160 --> 00:03:20,760 Speaker 2: that maybe helped them that I could implement and try. 59 00:03:20,960 --> 00:03:23,880 Speaker 2: And I love trying things and tracking it and then 60 00:03:23,919 --> 00:03:27,079 Speaker 2: seeing how it goes. Like sometimes people in my life 61 00:03:27,160 --> 00:03:29,880 Speaker 2: will be like, don't you just want to live and 62 00:03:29,919 --> 00:03:33,440 Speaker 2: like enjoy instead of be constantly testing things out, And 63 00:03:33,480 --> 00:03:35,320 Speaker 2: I'm like, you don't know how much joy it brings 64 00:03:35,360 --> 00:03:36,960 Speaker 2: me to be like I am in the middle of 65 00:03:37,000 --> 00:03:40,400 Speaker 2: an experiment, leave me alone. And that to me is 66 00:03:40,440 --> 00:03:43,480 Speaker 2: fun is to be tracking and optimizing, whereas for someone 67 00:03:43,520 --> 00:03:45,320 Speaker 2: else that's overwhelming, right. 68 00:03:45,680 --> 00:03:49,080 Speaker 4: I actually think that makes a nice transition into like, okay, 69 00:03:49,120 --> 00:03:51,160 Speaker 4: so let's talk about some of the experiments that you 70 00:03:51,240 --> 00:03:54,240 Speaker 4: mentioned that you're known for. Yeah, the five days of 71 00:03:54,400 --> 00:03:56,440 Speaker 4: learning to sleep better, the five days of sleeping on 72 00:03:56,440 --> 00:03:59,200 Speaker 4: the floor, the five days of getting ten hours of sleep. Yes, 73 00:03:59,440 --> 00:04:01,640 Speaker 4: of those, what would you say you took away from them? 74 00:04:01,640 --> 00:04:04,160 Speaker 4: What did you learn from them? Did you try any others? 75 00:04:04,480 --> 00:04:06,880 Speaker 2: I think the ten hours of sleep one was just 76 00:04:07,520 --> 00:04:09,680 Speaker 2: kind of a selfish experiment. 77 00:04:09,200 --> 00:04:10,080 Speaker 6: I wanted to try. 78 00:04:11,560 --> 00:04:13,120 Speaker 4: I wasn't going to say anything. 79 00:04:12,920 --> 00:04:14,920 Speaker 2: Yeah, I was like, how cool would this be? So 80 00:04:14,960 --> 00:04:16,840 Speaker 2: I can't say I learned that much from that, aside 81 00:04:16,839 --> 00:04:18,920 Speaker 2: from the fact that I don't think I actually need 82 00:04:18,960 --> 00:04:20,520 Speaker 2: ten hours of sleep at night. It was more of 83 00:04:20,560 --> 00:04:23,720 Speaker 2: like a kitchy experiment, whereas same with sleeping on the floor, 84 00:04:23,760 --> 00:04:25,039 Speaker 2: because I would never do that. 85 00:04:25,120 --> 00:04:26,919 Speaker 6: I love a plush, soft bed. 86 00:04:27,400 --> 00:04:30,880 Speaker 2: I'm princess in the pea style where you know, even 87 00:04:31,080 --> 00:04:33,320 Speaker 2: just a different pillow under my head is going to 88 00:04:33,320 --> 00:04:34,599 Speaker 2: give me like a kink in my neck. 89 00:04:34,720 --> 00:04:36,440 Speaker 6: So didn't love that one. 90 00:04:36,800 --> 00:04:39,839 Speaker 4: But Lucy's experiment that left the most lasting impression was 91 00:04:39,880 --> 00:04:43,440 Speaker 4: an overall sleep hygiene study of sorts where she tested 92 00:04:43,480 --> 00:04:45,839 Speaker 4: a bunch of sleep strategies over a short period of 93 00:04:45,880 --> 00:04:48,160 Speaker 4: time to see which worked best for her. 94 00:04:48,680 --> 00:04:50,960 Speaker 2: That was the one that probably taught me the most, 95 00:04:51,040 --> 00:04:53,560 Speaker 2: and that I took the most away from as far 96 00:04:53,600 --> 00:04:56,479 Speaker 2: as like blacking out the room, making sure you don't 97 00:04:56,560 --> 00:05:01,279 Speaker 2: have it too hot and wearing cool and clothing, stopping 98 00:05:01,360 --> 00:05:04,599 Speaker 2: eating at a certain time, stopping drinking so you're not 99 00:05:04,680 --> 00:05:07,240 Speaker 2: uppeeing all night, things like that that I really do 100 00:05:07,360 --> 00:05:09,880 Speaker 2: take into every night and try to make sure I 101 00:05:09,920 --> 00:05:11,960 Speaker 2: set up a sleep environment no matter where I am 102 00:05:12,240 --> 00:05:13,800 Speaker 2: as good as possible at. 103 00:05:13,760 --> 00:05:16,200 Speaker 4: Yeah, why make work? Why make it hard on yourself? 104 00:05:16,240 --> 00:05:16,760 Speaker 6: Exactly? 105 00:05:17,320 --> 00:05:19,359 Speaker 4: It sounds like because you try so many things, was 106 00:05:19,360 --> 00:05:22,200 Speaker 4: there any specific trend that you were like, that's it. 107 00:05:22,400 --> 00:05:25,440 Speaker 4: This is persuasive because it has some science behind it 108 00:05:25,480 --> 00:05:27,159 Speaker 4: and I'm gonna try it, or because it worked for 109 00:05:27,200 --> 00:05:29,800 Speaker 4: me or both. What trend kind of stuck out to you? 110 00:05:30,240 --> 00:05:33,160 Speaker 2: I mean, I really had trouble falling asleep, and then 111 00:05:33,160 --> 00:05:35,400 Speaker 2: I was identifying as a person who had trouble falling 112 00:05:35,400 --> 00:05:37,760 Speaker 2: asleep and then getting anxious about what was coming up 113 00:05:37,800 --> 00:05:40,359 Speaker 2: the next day, and it was just making it all worse. 114 00:05:40,440 --> 00:05:43,320 Speaker 2: So one of my good friends set me up on 115 00:05:43,400 --> 00:05:47,520 Speaker 2: a course of melatonin to reset my circadian rhythm and 116 00:05:47,760 --> 00:05:50,880 Speaker 2: gave me specific things to do, and working with him, 117 00:05:50,880 --> 00:05:53,880 Speaker 2: I was able to really get things back in order. 118 00:05:54,839 --> 00:05:57,880 Speaker 4: Your circadian rhythm is basically your body's built in twenty 119 00:05:57,920 --> 00:06:00,679 Speaker 4: four hour clock. It's what tells you when to sleepy 120 00:06:00,839 --> 00:06:04,480 Speaker 4: or when to feel awake. Sleep supplements like melatonin are 121 00:06:04,520 --> 00:06:07,440 Speaker 4: often pitched as a quick fix for better sleep, and 122 00:06:07,480 --> 00:06:09,560 Speaker 4: we'll dig into those claims in What the Science Actually 123 00:06:09,600 --> 00:06:12,120 Speaker 4: Says with Doctor Cologne a little later, but for now, 124 00:06:12,200 --> 00:06:15,200 Speaker 4: Lucy found that her answer was a bit simpler. She 125 00:06:15,320 --> 00:06:19,240 Speaker 4: leaned into relaxation techniques, the kind that you've probably heard 126 00:06:19,279 --> 00:06:22,800 Speaker 4: of before, counting sheep, running through the alphabet in your head, 127 00:06:23,160 --> 00:06:26,640 Speaker 4: just giving your mind something gentle to land on. Here's 128 00:06:26,720 --> 00:06:29,000 Speaker 4: Lucy describing her version of the technique. 129 00:06:30,120 --> 00:06:32,160 Speaker 2: You pick a word, so let's say you pick the 130 00:06:32,200 --> 00:06:35,240 Speaker 2: word apple. Then you go through the word, and you 131 00:06:35,279 --> 00:06:37,440 Speaker 2: go through letter by letter, and you start with A 132 00:06:38,000 --> 00:06:41,080 Speaker 2: and you say as many words in your head as 133 00:06:41,120 --> 00:06:44,240 Speaker 2: you can that start with A while you're visualizing those 134 00:06:44,440 --> 00:06:47,040 Speaker 2: objects or things, and then you move on. Once you're 135 00:06:47,080 --> 00:06:48,479 Speaker 2: out of that, you move on to the P and 136 00:06:48,520 --> 00:06:51,599 Speaker 2: you do it again and supposedly, like a lot of us, 137 00:06:51,640 --> 00:06:54,359 Speaker 2: when we're trying to fall asleep, are trying to clear 138 00:06:54,400 --> 00:06:56,919 Speaker 2: our minds and think of nothing. But when your brain 139 00:06:57,000 --> 00:07:00,520 Speaker 2: falls into sleep, it's often like a very act state 140 00:07:00,560 --> 00:07:03,400 Speaker 2: of like seeing images and thinking of things. So you 141 00:07:03,440 --> 00:07:05,560 Speaker 2: don't want to just lie there and be like think 142 00:07:05,600 --> 00:07:08,360 Speaker 2: of nothing, be blank, be gone. But if you just 143 00:07:08,440 --> 00:07:11,760 Speaker 2: like let yourself think of random objects and picture them 144 00:07:11,760 --> 00:07:13,440 Speaker 2: and whatever, that can help lead. 145 00:07:13,320 --> 00:07:13,840 Speaker 6: You into sleep. 146 00:07:14,520 --> 00:07:18,920 Speaker 4: Lucy is describing something that we've probably all experienced. You're exhausted, 147 00:07:19,040 --> 00:07:22,120 Speaker 4: but somehow, the second your head hits the pillow boom, 148 00:07:22,200 --> 00:07:24,880 Speaker 4: you're wide awake. And there's actually a reason that your 149 00:07:24,960 --> 00:07:27,880 Speaker 4: brain seems to switch gears at exactly the wrong time, 150 00:07:28,160 --> 00:07:31,320 Speaker 4: and why falling asleep can feel hardest when you're trying 151 00:07:31,360 --> 00:07:35,720 Speaker 4: the most. Our storyteller Catherine Nikolai explains just how this works. 152 00:07:36,760 --> 00:07:40,720 Speaker 1: When we're in that chaotic, spiraling spin of thoughts. It's 153 00:07:40,720 --> 00:07:43,080 Speaker 1: sort of the background static of your brain, what your 154 00:07:43,080 --> 00:07:45,040 Speaker 1: brain does when it doesn't have a job to do. 155 00:07:45,480 --> 00:07:47,640 Speaker 1: That's where it's hardest to sleep, and that's why often 156 00:07:47,640 --> 00:07:50,000 Speaker 1: you could be in bed in a really uncomfortable position, 157 00:07:50,160 --> 00:07:53,040 Speaker 1: reading your book, but you cannot stay awake, you're moving 158 00:07:53,040 --> 00:07:55,160 Speaker 1: your eyes forward, you're not absorbing what you're reading your book, 159 00:07:55,200 --> 00:07:57,680 Speaker 1: he's falling in your face. Finally you give up, You 160 00:07:57,720 --> 00:07:59,240 Speaker 1: put your book down, you turn the light off, You 161 00:07:59,240 --> 00:08:01,480 Speaker 1: get as comfortable you have ever been, and now you 162 00:08:01,520 --> 00:08:04,680 Speaker 1: cannot sleep. And that's because you went from the task 163 00:08:04,720 --> 00:08:08,080 Speaker 1: positive mode now to default mode, and your brain didn't 164 00:08:08,120 --> 00:08:09,680 Speaker 1: have a job to do, and it wanted away and 165 00:08:09,680 --> 00:08:10,440 Speaker 1: got into trouble. 166 00:08:11,640 --> 00:08:13,920 Speaker 4: If you've had a bad night's sleep, the signs are 167 00:08:14,080 --> 00:08:17,240 Speaker 4: usually pretty obvious. Right we wake up and we're still 168 00:08:17,240 --> 00:08:20,040 Speaker 4: feeling tired. As many as one in three people are 169 00:08:20,080 --> 00:08:23,720 Speaker 4: exhausted before even starting their day. But there are ways 170 00:08:23,760 --> 00:08:26,440 Speaker 4: to understand what kind of sleep you're getting each night, 171 00:08:26,760 --> 00:08:29,960 Speaker 4: and this is where sleep tracking enters the picture. You've 172 00:08:30,040 --> 00:08:33,840 Speaker 4: probably seen these before, smart watches, smart rings, all promising 173 00:08:33,880 --> 00:08:37,520 Speaker 4: to turn your sleep into data. Lucy spent plenty of 174 00:08:37,600 --> 00:08:40,760 Speaker 4: time experimenting with different sleep trackers and now has one 175 00:08:40,840 --> 00:08:42,960 Speaker 4: as part of her regular sleep routine. 176 00:08:43,160 --> 00:08:45,719 Speaker 2: I mean, everyone needs a different amount of sleep, and 177 00:08:46,160 --> 00:08:49,360 Speaker 2: it's going to have different biometric markers. So I think 178 00:08:49,440 --> 00:08:53,079 Speaker 2: healthy sleep is sleep that the next morning you. 179 00:08:53,120 --> 00:08:55,280 Speaker 6: Feel good like. That's purely what it is. 180 00:08:55,720 --> 00:08:58,240 Speaker 2: And the trackers and the markers can just give you 181 00:08:58,280 --> 00:09:02,080 Speaker 2: more information and more data that probably confirm things for you. 182 00:09:02,440 --> 00:09:04,840 Speaker 2: Like one thing I've tried a lot is on nights 183 00:09:04,880 --> 00:09:07,280 Speaker 2: that I do have a glass of wine, my HRV 184 00:09:07,520 --> 00:09:09,800 Speaker 2: is plummeting and I just don't feel as well the 185 00:09:09,840 --> 00:09:12,599 Speaker 2: next day. So people can say scientifically, wine's going to 186 00:09:12,679 --> 00:09:14,280 Speaker 2: give you a hangover and make you feel ill the 187 00:09:14,320 --> 00:09:16,520 Speaker 2: next day, but it's like there's the data of what 188 00:09:16,559 --> 00:09:19,320 Speaker 2: it's doing, and then I can feel it. And so 189 00:09:19,920 --> 00:09:22,240 Speaker 2: you know, it's hard to tell someone to be chasing 190 00:09:22,240 --> 00:09:26,000 Speaker 2: certain markers or certain metrics, But do these experiments and 191 00:09:26,080 --> 00:09:29,360 Speaker 2: see what sleep environment and what lifestyle habits the night 192 00:09:29,400 --> 00:09:32,160 Speaker 2: before make you feel noticeably different the next morning, and 193 00:09:32,200 --> 00:09:34,480 Speaker 2: that's what matters for you. 194 00:09:34,480 --> 00:09:38,680 Speaker 4: You heard Lucy mention HRV. That is heart rate variability. 195 00:09:38,920 --> 00:09:41,840 Speaker 4: Your heart rate, how many times your heart beats per minute, 196 00:09:42,040 --> 00:09:45,320 Speaker 4: changes depending on what you are doing. If you're calm 197 00:09:45,480 --> 00:09:49,560 Speaker 4: and relaxed, it slows down. If you're stressed or active, 198 00:09:49,600 --> 00:09:53,160 Speaker 4: it speeds up. HRV is just the tiny differences in 199 00:09:53,240 --> 00:09:57,160 Speaker 4: time between each of those beats. We're talking milliseconds, And 200 00:09:57,200 --> 00:10:01,560 Speaker 4: here's why people care. Generally, a higher HRV means that 201 00:10:01,600 --> 00:10:04,760 Speaker 4: your body is more flexible, say it's better at adapting 202 00:10:04,800 --> 00:10:08,200 Speaker 4: to stress, and often that means you're getting more restorative sleep. 203 00:10:08,440 --> 00:10:11,800 Speaker 4: But on the flip side, low heart rate variability that 204 00:10:11,840 --> 00:10:13,760 Speaker 4: can be a warning sign. It may mean that your 205 00:10:13,760 --> 00:10:17,080 Speaker 4: body isn't adapting as easily as it could, and it 206 00:10:17,160 --> 00:10:20,120 Speaker 4: might be under more strain, which sometimes can be linked 207 00:10:20,160 --> 00:10:21,160 Speaker 4: to health issues. 208 00:10:21,880 --> 00:10:26,080 Speaker 2: I've had a completely new relationship with sleep where I 209 00:10:26,160 --> 00:10:29,840 Speaker 2: have just fallen in love with it and with taking 210 00:10:29,960 --> 00:10:33,640 Speaker 2: care of it, and with prioritizing it over other things. 211 00:10:33,960 --> 00:10:37,480 Speaker 2: And it's now in my life, especially with the tracker 212 00:10:37,640 --> 00:10:39,840 Speaker 2: and being able to see exactly how much sleep I 213 00:10:39,880 --> 00:10:42,040 Speaker 2: got on a morning. When I feel good, I have 214 00:10:42,120 --> 00:10:47,120 Speaker 2: the most clarity every morning of I know I slept 215 00:10:47,120 --> 00:10:49,600 Speaker 2: well and I feel it in my body. And when 216 00:10:49,640 --> 00:10:51,160 Speaker 2: I don't get it, I don't even need to look 217 00:10:51,160 --> 00:10:52,880 Speaker 2: at the tracker. I could tell you I didn't get it. 218 00:10:53,360 --> 00:10:56,920 Speaker 4: Catherine has a similar all though slightly more blunt, take 219 00:10:57,280 --> 00:10:58,320 Speaker 4: on sleep trackers. 220 00:10:58,880 --> 00:11:02,560 Speaker 1: I'm tired of being boss around by my watch. I 221 00:11:02,559 --> 00:11:05,160 Speaker 1: don't wear it anywhere anymore. My wife, when she wakes 222 00:11:05,240 --> 00:11:08,400 Speaker 1: up in the morning, she checks right away her sleep 223 00:11:08,440 --> 00:11:11,240 Speaker 1: score and stuff. But I often found. Then it creates 224 00:11:11,280 --> 00:11:15,040 Speaker 1: this external sort of analytical relationship did I do it right? 225 00:11:15,160 --> 00:11:18,640 Speaker 1: Did I somehow fail at sleeping? And I feel like 226 00:11:18,960 --> 00:11:21,680 Speaker 1: sleep isn't a performance to be optimized, It is just 227 00:11:21,720 --> 00:11:23,679 Speaker 1: a biological experience to have. 228 00:11:25,720 --> 00:11:27,600 Speaker 4: With that, I think it's finally time to bring in 229 00:11:27,640 --> 00:11:31,640 Speaker 4: our sleep medicine experts. Doctor Jose Colonne is the medical 230 00:11:31,679 --> 00:11:35,240 Speaker 4: director of Sleep Medicine at Lee Health in Southwest Florida, 231 00:11:35,440 --> 00:11:39,640 Speaker 4: and he's triple Board certified in sleep medicine, child neurology, 232 00:11:39,720 --> 00:11:43,480 Speaker 4: and lifestyle medicine. Doctor Cologne knows his stuff when it 233 00:11:43,520 --> 00:11:46,439 Speaker 4: comes to getting healthy sleep. He also has a lot 234 00:11:46,480 --> 00:11:49,200 Speaker 4: to say about sleep trackers and whether all that data 235 00:11:49,280 --> 00:11:52,760 Speaker 4: is helping or hurting your sleep. But let's start with 236 00:11:52,800 --> 00:11:56,880 Speaker 4: the basics first, like why is sleep so important? 237 00:11:58,480 --> 00:12:03,600 Speaker 3: In sleep repair our body? Our immune system is activated, 238 00:12:03,760 --> 00:12:08,600 Speaker 3: we're cleaning our brain. We're also consolidating memories during sleep, 239 00:12:08,679 --> 00:12:10,680 Speaker 3: so it's vitally important. 240 00:12:10,400 --> 00:12:13,120 Speaker 4: What happens to our bodies while we're sleeping. 241 00:12:13,520 --> 00:12:16,880 Speaker 3: The brain activity does slow down in the same way 242 00:12:16,880 --> 00:12:20,319 Speaker 3: that everyone has a heart rate, well, we also have 243 00:12:20,800 --> 00:12:24,600 Speaker 3: a brain rate, and our brain does slow down and 244 00:12:25,280 --> 00:12:30,040 Speaker 3: cycles every ninety minutes into a different sleep cycle. 245 00:12:30,640 --> 00:12:32,880 Speaker 4: It's easy to think of sleep like a simple on 246 00:12:33,000 --> 00:12:36,120 Speaker 4: off switch. You're either asleep or you're not, But it's 247 00:12:36,120 --> 00:12:38,680 Speaker 4: a lot more layered than that. It's not just about 248 00:12:38,679 --> 00:12:41,080 Speaker 4: how much sleep you get, it's about the kind of 249 00:12:41,120 --> 00:12:44,679 Speaker 4: sleep that you're getting. Also, you've probably heard of REM sleep. 250 00:12:44,800 --> 00:12:47,679 Speaker 4: It's short for rapid eye movement. That's the stage where 251 00:12:47,720 --> 00:12:51,000 Speaker 4: your brain is basically doing all the overnight reset tasks. 252 00:12:51,040 --> 00:12:54,320 Speaker 4: It's processing your memories, it's sorting through emotions, it's tightening 253 00:12:54,400 --> 00:12:57,400 Speaker 4: up the connections between your brain cells. REM sleep is 254 00:12:57,440 --> 00:13:00,240 Speaker 4: so important that studies show getting less of it is 255 00:13:00,280 --> 00:13:03,600 Speaker 4: linked to higher risks of dementia. REM is also when 256 00:13:03,679 --> 00:13:06,600 Speaker 4: dreaming happens. Your eyes are moving, your heart rate is 257 00:13:06,679 --> 00:13:09,720 Speaker 4: picking up a bit, and your body is temporarily paralyzed. 258 00:13:09,720 --> 00:13:12,480 Speaker 4: Thank goodness, so you're not physically running from whatever's chasing 259 00:13:12,480 --> 00:13:14,160 Speaker 4: you in your dreams or whatever. Maybe that's just me. 260 00:13:14,720 --> 00:13:17,440 Speaker 4: REM doesn't happen only one time throughout the night. It 261 00:13:17,480 --> 00:13:20,480 Speaker 4: comes in phases, and altogether it makes up roughly twenty 262 00:13:20,480 --> 00:13:21,880 Speaker 4: percent of your night's sleep. 263 00:13:22,400 --> 00:13:24,840 Speaker 3: Now, there's another stage of sleep that's not REM, and 264 00:13:24,920 --> 00:13:29,440 Speaker 3: it's called non REM. I make things simple, and the 265 00:13:29,559 --> 00:13:32,920 Speaker 3: first half of the night is where the deepest, non 266 00:13:33,000 --> 00:13:36,760 Speaker 3: rem sleep is, where our brain is very slow. It's 267 00:13:36,800 --> 00:13:38,280 Speaker 3: called slow wave sleep. 268 00:13:38,840 --> 00:13:42,160 Speaker 4: What can prevent people from having that good night's sleep. 269 00:13:42,400 --> 00:13:47,400 Speaker 3: One of them really is actually irregular rhythms or daytime napping. 270 00:13:47,920 --> 00:13:50,360 Speaker 3: We go through these different cycles, and in the first 271 00:13:50,360 --> 00:13:52,520 Speaker 3: half of the night is when we have the deepest sleep, 272 00:13:52,760 --> 00:13:56,040 Speaker 3: that deep slow wave sleep. That's the part that actually 273 00:13:56,320 --> 00:14:00,520 Speaker 3: washes away all of the fatigue and sleepiness we have, 274 00:14:00,720 --> 00:14:03,480 Speaker 3: you know. So that's why daytime sleep is one of 275 00:14:03,520 --> 00:14:07,079 Speaker 3: the cardinal problems with regular sleep at night. I give 276 00:14:07,120 --> 00:14:09,920 Speaker 3: an example that if someone is on their way to 277 00:14:09,960 --> 00:14:12,400 Speaker 3: a restaurant and they eat a sandwich on the way 278 00:14:12,400 --> 00:14:15,720 Speaker 3: to the restaurant, they could be hungry when they get there. Sure, well, 279 00:14:15,920 --> 00:14:18,079 Speaker 3: just like we need to develop an appetite, we need 280 00:14:18,120 --> 00:14:21,640 Speaker 3: to develop a sleep appetite or a sleep drive. Now 281 00:14:21,640 --> 00:14:26,240 Speaker 3: there's a misconception that if I didn't sleep well one night, oh, 282 00:14:26,400 --> 00:14:31,200 Speaker 3: let me sleep after school or after work. And really, 283 00:14:31,240 --> 00:14:35,760 Speaker 3: actually this phenomenon is remarkable. What you really need when 284 00:14:35,760 --> 00:14:39,560 Speaker 3: you're sleep deprived is just a regular, normal sleep. If 285 00:14:39,600 --> 00:14:42,480 Speaker 3: our brain has a lot of fatigue, the next time 286 00:14:42,520 --> 00:14:44,680 Speaker 3: that you go to sleep, you go into that deep 287 00:14:44,680 --> 00:14:47,680 Speaker 3: sleep deeper, and you're going to stay in it longer. 288 00:14:48,440 --> 00:14:51,280 Speaker 4: That makes so much sense when you really think about it, Actually, 289 00:14:51,320 --> 00:14:54,160 Speaker 4: Doctor Cologne, your brain kind of knows that you're going 290 00:14:54,240 --> 00:14:57,080 Speaker 4: to get sleep deprived sometimes, and it fixes it on 291 00:14:57,160 --> 00:15:00,640 Speaker 4: its own without us ever having to op or manage it. 292 00:15:01,120 --> 00:15:05,080 Speaker 3: Correct And the definition of chronic sleep deprivation is chronically 293 00:15:05,120 --> 00:15:08,040 Speaker 3: getting five hours or less. For example, all right, look, 294 00:15:08,120 --> 00:15:11,400 Speaker 3: daylight savings, all this emphasis, yep, oh my god, you're 295 00:15:11,400 --> 00:15:16,520 Speaker 3: gonna lose one hour of sleep really on a Saturday 296 00:15:16,640 --> 00:15:20,320 Speaker 3: night when people sleep in on Sunday. Anyways, you don't 297 00:15:20,320 --> 00:15:23,360 Speaker 3: even go to work till Monday. That loss of one 298 00:15:23,400 --> 00:15:27,720 Speaker 3: hour sleep does no harm. The serious harm comes in 299 00:15:27,800 --> 00:15:31,160 Speaker 3: the fact that you shifted the environmental cues. That you 300 00:15:31,240 --> 00:15:35,880 Speaker 3: shifted the time, and now it's light later, making it 301 00:15:35,960 --> 00:15:40,160 Speaker 3: so that you stay up later, and guess what, work 302 00:15:40,200 --> 00:15:45,480 Speaker 3: time didn't change, So now you're creating a circadian pattern 303 00:15:45,520 --> 00:15:50,600 Speaker 3: that increases heart attacks, that increases strokes. You're a little 304 00:15:50,600 --> 00:15:53,880 Speaker 3: bit more sleep deprived, and you're driving in the dark. 305 00:15:54,120 --> 00:15:58,520 Speaker 3: The one hour of sleep that you missed that Saturday 306 00:15:58,600 --> 00:16:03,200 Speaker 3: night is not a signficant as what society has induced 307 00:16:03,600 --> 00:16:08,000 Speaker 3: in irregularity. Going back to your question, you know, what, 308 00:16:08,000 --> 00:16:10,320 Speaker 3: what are some of the things that cause us to 309 00:16:10,840 --> 00:16:14,640 Speaker 3: not sleep well? Yes, you know, anxieties and racing thoughts 310 00:16:14,640 --> 00:16:19,120 Speaker 3: are one of them, but daytime sleep and irregularities is 311 00:16:19,280 --> 00:16:21,360 Speaker 3: one of the biggest things that we see. 312 00:16:21,680 --> 00:16:24,680 Speaker 4: So should I not be you know, taking an afternoon nap. 313 00:16:25,240 --> 00:16:29,480 Speaker 3: Naps do have a place, and in particular they've noticed 314 00:16:29,480 --> 00:16:34,000 Speaker 3: this in the workplace. If someone has a twenty minute nap, 315 00:16:34,120 --> 00:16:37,800 Speaker 3: they have increased productivity. If you hit forty minutes, you 316 00:16:37,840 --> 00:16:39,520 Speaker 3: start to get that deep sleep and you get that 317 00:16:39,600 --> 00:16:43,640 Speaker 3: sleep inertia and it's hard to wake up after after 318 00:16:43,680 --> 00:16:46,160 Speaker 3: the nap. But in general, you know, we try to 319 00:16:46,200 --> 00:16:49,920 Speaker 3: avoid napping unless you have something that you need your 320 00:16:50,000 --> 00:16:52,400 Speaker 3: vigilance for later in that day. 321 00:16:52,960 --> 00:16:55,520 Speaker 4: Yeah, there's a term that gets thrown around a lot 322 00:16:55,560 --> 00:16:58,560 Speaker 4: when we talk about sleep, sleep hygiene, you know, setting 323 00:16:58,600 --> 00:17:02,240 Speaker 4: up your environment for optimal sleep for you. Do you 324 00:17:02,680 --> 00:17:05,320 Speaker 4: support that idea? Can you talk a little bit about 325 00:17:05,320 --> 00:17:06,960 Speaker 4: what sleep hygiene might mean? 326 00:17:07,800 --> 00:17:11,439 Speaker 3: So sleep hygiene are a list of dos and don'ts 327 00:17:11,480 --> 00:17:15,439 Speaker 3: that nobody wants to do. Okay, what I find is 328 00:17:15,480 --> 00:17:22,080 Speaker 3: that explanations are really more important than instructions. Instructions of 329 00:17:22,119 --> 00:17:24,640 Speaker 3: sleep hygen. Go to bed on time, wake up on time, 330 00:17:24,680 --> 00:17:28,880 Speaker 3: where something comfortable, stay in the dark, have a cool atmosphere. 331 00:17:29,000 --> 00:17:32,560 Speaker 3: Avoid electronics, avoid television. You know, don't do anything fun. 332 00:17:34,400 --> 00:17:36,600 Speaker 3: Everyone's already read them on the internet when they can't 333 00:17:36,600 --> 00:17:39,359 Speaker 3: sleep at night. You know, I'm going to ask you 334 00:17:39,680 --> 00:17:43,840 Speaker 3: some questions, and I promise that they're not hard questions. 335 00:17:43,880 --> 00:17:45,520 Speaker 4: Okay, sure, yeah, I'm game. 336 00:17:46,119 --> 00:17:49,760 Speaker 3: Do you drive? I do all right? When you drive? 337 00:17:50,359 --> 00:17:53,040 Speaker 3: Are you trying to fall asleep? Are you trying to 338 00:17:53,040 --> 00:17:55,200 Speaker 3: stay awake, alert and look at the road. 339 00:17:55,800 --> 00:17:58,720 Speaker 4: I'm trying to stay awake, alert and look at the road. 340 00:17:58,920 --> 00:18:02,200 Speaker 3: Yeah. When you drive, do you sometimes listen to the radio? 341 00:18:02,560 --> 00:18:05,560 Speaker 4: Often? I listen to podcasts, and I listen to the radio. 342 00:18:05,760 --> 00:18:08,800 Speaker 3: Okay, can you see how you're learning to associate that 343 00:18:09,000 --> 00:18:13,240 Speaker 3: radio with being alert. Some people, when they're driving and 344 00:18:13,280 --> 00:18:15,879 Speaker 3: they're tired, they turn up the radio. Does that make sense? 345 00:18:16,200 --> 00:18:18,359 Speaker 4: That does make sense. Yeah, you turn the radio up. 346 00:18:18,400 --> 00:18:19,960 Speaker 4: You listen to something more energetic. 347 00:18:20,040 --> 00:18:23,320 Speaker 3: All right, So let's just say that you are in 348 00:18:23,400 --> 00:18:27,639 Speaker 3: bed and that you are not asleep. Can you see 349 00:18:27,680 --> 00:18:30,560 Speaker 3: how it would be a bad idea to listen to 350 00:18:30,600 --> 00:18:32,359 Speaker 3: that stimulating radio. 351 00:18:32,720 --> 00:18:35,240 Speaker 4: Yeah, I could see that that would wouldn't really work. 352 00:18:35,400 --> 00:18:40,239 Speaker 3: Okay, So do people check their work email? Do they 353 00:18:40,240 --> 00:18:43,480 Speaker 3: get on a group chat because it is a boring 354 00:18:43,720 --> 00:18:46,760 Speaker 3: thing to do or because it is stimulating? 355 00:18:47,320 --> 00:18:50,160 Speaker 4: It's stimulating. I love being in the group chat. 356 00:18:49,880 --> 00:18:55,879 Speaker 3: So explanations. You know, we try to avoid activity that 357 00:18:56,119 --> 00:18:59,960 Speaker 3: is stimulating. I don't like to tell people do something 358 00:19:00,119 --> 00:19:03,000 Speaker 3: thing boring. Nobody wants to be bored in life, you know, 359 00:19:03,160 --> 00:19:05,680 Speaker 3: So I say do things that are calling. 360 00:19:07,480 --> 00:19:10,520 Speaker 4: That reminds me of Lucy and her sleep experiments. I'm 361 00:19:10,520 --> 00:19:12,960 Speaker 4: going to play you a clip from my talk with her. 362 00:19:13,040 --> 00:19:16,080 Speaker 4: She has developed a pretty elaborate ritual for her bedtime. 363 00:19:17,320 --> 00:19:20,040 Speaker 2: I kind of need to set up barriers in place 364 00:19:20,080 --> 00:19:21,400 Speaker 2: and systems in place and. 365 00:19:21,440 --> 00:19:25,000 Speaker 6: Have a routine. No computer is coming in the. 366 00:19:24,960 --> 00:19:27,600 Speaker 2: Bedroom, so I just have more of a time that 367 00:19:27,760 --> 00:19:30,800 Speaker 2: the computer is closed and I'm heading upstairs, and then 368 00:19:30,880 --> 00:19:32,480 Speaker 2: once I get in bed, we have kind of a 369 00:19:32,600 --> 00:19:35,840 Speaker 2: very select list of shows and content that we can 370 00:19:35,880 --> 00:19:38,800 Speaker 2: watch to make sure that we're not watching something that's 371 00:19:38,840 --> 00:19:42,240 Speaker 2: going to totally ruin my mind before bed. These are 372 00:19:42,240 --> 00:19:44,480 Speaker 2: not as new, these are things I've been doing before, 373 00:19:44,520 --> 00:19:47,400 Speaker 2: but like some other general sleep hygiene things that I do. 374 00:19:47,760 --> 00:19:50,320 Speaker 2: You know, our room, we have blackout shade, blackout curtains, 375 00:19:50,320 --> 00:19:53,359 Speaker 2: The room is dark. We set the temperature to somewhere 376 00:19:53,359 --> 00:19:56,719 Speaker 2: between sixty eight, sixty seven and sixty nine degrees. Make 377 00:19:56,760 --> 00:19:59,399 Speaker 2: sure it's nice and cool in here. I sleep with 378 00:19:59,400 --> 00:20:02,439 Speaker 2: an imap to make it even darker. I take my 379 00:20:02,480 --> 00:20:05,280 Speaker 2: mouth closed, and then I also lie my bed and 380 00:20:05,359 --> 00:20:07,439 Speaker 2: like cocoon my pillow around my head and I'm in 381 00:20:07,480 --> 00:20:08,600 Speaker 2: a deep, dark slumber. 382 00:20:09,240 --> 00:20:11,400 Speaker 4: So, doctor coloone, do you feel that as long as 383 00:20:11,440 --> 00:20:14,840 Speaker 4: that something that's helping Lucy, it's okay? Or is that 384 00:20:14,960 --> 00:20:16,639 Speaker 4: something that you would take issue with. 385 00:20:17,000 --> 00:20:21,120 Speaker 3: If it helps her, that's okay. Having activity that's calming 386 00:20:21,400 --> 00:20:23,840 Speaker 3: is really the key. And I'm not saying things that 387 00:20:23,880 --> 00:20:28,200 Speaker 3: are boring, eliminating things half an hour before bedtime that 388 00:20:28,400 --> 00:20:31,560 Speaker 3: you know, we feel are gonna, you know, activate your brain. 389 00:20:31,960 --> 00:20:34,639 Speaker 4: Doctor clone. I want to go to something else that 390 00:20:34,760 --> 00:20:37,080 Speaker 4: she said, and maybe you can comment on that for us. 391 00:20:37,160 --> 00:20:40,479 Speaker 4: She noticed an interesting bit of data from her sleep tracker, 392 00:20:40,880 --> 00:20:42,600 Speaker 4: and we'll get into the data in a second, but 393 00:20:42,680 --> 00:20:45,080 Speaker 4: I want to hear what you think of this one 394 00:20:45,280 --> 00:20:47,919 Speaker 4: trend that she noticed. Let me play you the clip. 395 00:20:48,760 --> 00:20:51,399 Speaker 2: It tells you the amount of time that you slept for, 396 00:20:51,560 --> 00:20:54,359 Speaker 2: like the exact hours, which will take into account any 397 00:20:54,400 --> 00:20:56,920 Speaker 2: awake time that you had, which we have a lot 398 00:20:56,920 --> 00:20:58,760 Speaker 2: of awake time in the middle of the night, just 399 00:20:58,880 --> 00:21:02,160 Speaker 2: random pockets of it. And I would say, on average 400 00:21:02,400 --> 00:21:04,840 Speaker 2: throughout the course of a night, I'm awake for about 401 00:21:04,840 --> 00:21:06,320 Speaker 2: an hour around the night. 402 00:21:07,200 --> 00:21:08,640 Speaker 4: So is that normal? 403 00:21:09,320 --> 00:21:14,240 Speaker 3: An awakening at night can be normal. And everyone has 404 00:21:14,320 --> 00:21:16,960 Speaker 3: an awakening, whether they remember it or not, and how 405 00:21:17,000 --> 00:21:20,600 Speaker 3: you react during that awakening is going to influence when 406 00:21:20,880 --> 00:21:23,439 Speaker 3: you get back to sleep. Nobody sleeps for the night. 407 00:21:23,560 --> 00:21:27,960 Speaker 3: Everyone has some degree of awakenings. When we have these awakenings, 408 00:21:28,119 --> 00:21:33,720 Speaker 3: everyone has to have also an individualized routine. Some patients 409 00:21:33,720 --> 00:21:36,800 Speaker 3: will go to the bathroom, others will get a swig 410 00:21:36,800 --> 00:21:40,000 Speaker 3: of water. Here's a trend that I'm creating. When you 411 00:21:40,000 --> 00:21:43,960 Speaker 3: go to bed at night, set your alarm for either 412 00:21:44,359 --> 00:21:46,920 Speaker 3: what time you're going to wake up or what time 413 00:21:46,960 --> 00:21:51,600 Speaker 3: you're not going to be in bed past that particular time. Okay, Now, 414 00:21:52,040 --> 00:21:54,639 Speaker 3: when you have an awakening at night, and I didn't 415 00:21:54,640 --> 00:21:57,720 Speaker 3: say if when you have an awakening at night, don't 416 00:21:57,720 --> 00:22:00,200 Speaker 3: look at the time. The only thing that happens when 417 00:22:00,200 --> 00:22:02,360 Speaker 3: you look at the time as more thoughts. I've only 418 00:22:02,400 --> 00:22:04,480 Speaker 3: slept for this long, I only have this much longer 419 00:22:04,520 --> 00:22:06,040 Speaker 3: to sleep. I'm going to be up for this long. 420 00:22:06,200 --> 00:22:10,359 Speaker 3: We're doing this again? What's wrong with me? We impose 421 00:22:10,440 --> 00:22:15,800 Speaker 3: self judgment. I actually do discourage both television and phone 422 00:22:16,080 --> 00:22:20,320 Speaker 3: during these awakenings. Okay, because both of them emit light, 423 00:22:20,359 --> 00:22:25,080 Speaker 3: which can activate your brain. But the television serves as 424 00:22:25,119 --> 00:22:28,720 Speaker 3: a surrogate marker of time. One episode has been half 425 00:22:28,760 --> 00:22:30,560 Speaker 3: an hour, a movie's been two hours. 426 00:22:31,720 --> 00:22:34,360 Speaker 4: So what are your thoughts around sleep trackers? They are 427 00:22:34,440 --> 00:22:38,680 Speaker 4: clearly very popular. Nearly half of Americans reported using one. 428 00:22:39,160 --> 00:22:41,880 Speaker 4: Are they as helpful as people seem to think they are? 429 00:22:42,600 --> 00:22:45,480 Speaker 3: Sleep trackers are? Are they hype or are they health? 430 00:22:45,520 --> 00:22:48,960 Speaker 3: They're both. I describe them as as neat but not 431 00:22:49,160 --> 00:22:53,600 Speaker 3: always validated. And from one tracker to the next, every 432 00:22:53,640 --> 00:22:57,199 Speaker 3: technology is as different. Now I will say this, it 433 00:22:57,320 --> 00:22:59,560 Speaker 3: is through the sleep trackers that we've been able to 434 00:22:59,600 --> 00:23:04,600 Speaker 3: find out that regularity is more important than duration when 435 00:23:04,640 --> 00:23:07,200 Speaker 3: it comes to mortality and health. 436 00:23:07,400 --> 00:23:12,040 Speaker 4: Yeah, how accurate are they? And how should people interpret them? 437 00:23:12,400 --> 00:23:15,400 Speaker 3: With a grain of salt? And these are always studied 438 00:23:15,640 --> 00:23:18,480 Speaker 3: and people that are completely healthy, you know, which is 439 00:23:18,520 --> 00:23:22,960 Speaker 3: not the majority of our population. Sometimes. The other thing 440 00:23:23,240 --> 00:23:25,679 Speaker 3: is that you know, they're studied for the people who 441 00:23:26,040 --> 00:23:29,080 Speaker 3: have the money for them, you know, so they're they're 442 00:23:29,119 --> 00:23:33,480 Speaker 3: studied in people who are middle aged and mostly female 443 00:23:33,520 --> 00:23:37,720 Speaker 3: that use these But I've listened to lectures from the 444 00:23:37,800 --> 00:23:41,200 Speaker 3: scientists at fitbit, and you know, they show the data 445 00:23:41,800 --> 00:23:46,679 Speaker 3: in a typical population about a seventy percent accuracy. And 446 00:23:46,760 --> 00:23:49,600 Speaker 3: as I say, you know, they're mostly neat, not not 447 00:23:49,800 --> 00:23:53,639 Speaker 3: completely validated. I do wake up and I take a 448 00:23:53,680 --> 00:23:57,760 Speaker 3: look at my tracking. I ended up getting fit been 449 00:23:57,800 --> 00:24:00,400 Speaker 3: a number of years ago just because of the amount 450 00:24:00,400 --> 00:24:02,520 Speaker 3: of people that came to me with the track, and 451 00:24:02,560 --> 00:24:04,520 Speaker 3: I'm like, I don't know what this is. But there's 452 00:24:04,560 --> 00:24:07,439 Speaker 3: been some times that I don't feel like I'm going 453 00:24:07,480 --> 00:24:09,400 Speaker 3: to go back to sleep when I have an awakening, 454 00:24:09,600 --> 00:24:12,720 Speaker 3: and then the next thing I realize is that there's 455 00:24:12,760 --> 00:24:14,960 Speaker 3: an alarm and I'm dreaming, oh wow, I did get 456 00:24:15,000 --> 00:24:18,600 Speaker 3: back to sleep. Yeah, and my tracker does accurately tell 457 00:24:18,600 --> 00:24:21,639 Speaker 3: me that I'm in REMP. There's also been some times 458 00:24:21,920 --> 00:24:23,760 Speaker 3: that I know for a fact I ain't go back 459 00:24:23,800 --> 00:24:27,679 Speaker 3: to sleep. I know this, but my tracker not only 460 00:24:28,080 --> 00:24:30,760 Speaker 3: tells me that I was asleep, but it tells me 461 00:24:30,840 --> 00:24:33,320 Speaker 3: that I was in the deep sleep, that deep sleep 462 00:24:33,359 --> 00:24:35,000 Speaker 3: that you get in the first half of the night. 463 00:24:35,200 --> 00:24:37,840 Speaker 3: It's inaccurately telling me that I'm in the second half 464 00:24:37,840 --> 00:24:40,080 Speaker 3: of the night in deep sleep when I was awake. Now, 465 00:24:40,560 --> 00:24:43,760 Speaker 3: is the tracker a damn liar? No, it's measuring heart 466 00:24:43,840 --> 00:24:45,560 Speaker 3: rates and movements. 467 00:24:46,080 --> 00:24:49,040 Speaker 4: Interesting. Okay, I want to play another clip from Lucy. 468 00:24:49,160 --> 00:24:51,520 Speaker 4: This one's about mouth taping. There are a ton of 469 00:24:51,560 --> 00:24:55,720 Speaker 4: social media influencers who promote mouth taping as a sleep strategy. 470 00:24:56,560 --> 00:24:58,840 Speaker 2: So I tried the mouth tape, and I pretty much 471 00:24:58,880 --> 00:25:02,679 Speaker 2: strictly use three M medical tape. Like it's not the 472 00:25:02,680 --> 00:25:04,840 Speaker 2: fancy mouth tape and the shape of a lip. It's 473 00:25:04,920 --> 00:25:07,320 Speaker 2: like a little piece of tape that just keeps my 474 00:25:07,359 --> 00:25:10,880 Speaker 2: mouth closed. And I started doing it mostly because I 475 00:25:10,960 --> 00:25:13,640 Speaker 2: know that I slept with my mouth open, and almost 476 00:25:13,680 --> 00:25:15,520 Speaker 2: every morning when I would wake up, my mouth was 477 00:25:15,560 --> 00:25:16,800 Speaker 2: extremely dry. 478 00:25:17,359 --> 00:25:19,119 Speaker 6: We're meant to be breathing through our nose. 479 00:25:19,760 --> 00:25:23,800 Speaker 2: The hairs in our nostrils filter out the air more effectively, 480 00:25:24,440 --> 00:25:26,679 Speaker 2: and that's just how we're meant to be breathing, but 481 00:25:26,880 --> 00:25:27,639 Speaker 2: a lot of us are not. 482 00:25:27,920 --> 00:25:29,480 Speaker 6: And now, when I go. 483 00:25:29,400 --> 00:25:32,600 Speaker 2: Somewhere If I forget to bring the mouth tape, it's 484 00:25:32,920 --> 00:25:33,800 Speaker 2: a rough night for me. 485 00:25:33,920 --> 00:25:35,760 Speaker 6: So I'm going to keep doing my tape. 486 00:25:36,560 --> 00:25:39,399 Speaker 4: Clearly, Lucy feels like this is something that works, and 487 00:25:39,440 --> 00:25:42,600 Speaker 4: I'm guessing she's not the only one. I'm curious, what 488 00:25:42,600 --> 00:25:45,320 Speaker 4: are your thoughts about this trend? Does it concern you 489 00:25:45,400 --> 00:25:45,680 Speaker 4: at all? 490 00:25:46,200 --> 00:25:49,480 Speaker 3: You can't just give a general set of rules to everyone. 491 00:25:49,520 --> 00:25:56,119 Speaker 3: If if someone has adenoid hyperchasy or turbinate hyperchasy and 492 00:25:56,920 --> 00:26:00,000 Speaker 3: you tape their mouth, you know you can suffocate them, 493 00:26:00,280 --> 00:26:00,520 Speaker 3: you know. 494 00:26:01,119 --> 00:26:03,040 Speaker 4: I just want to pop in and define those terms. 495 00:26:03,160 --> 00:26:08,400 Speaker 4: Adenoid hypertrophy and terminate hypertrophy. Both are conditions where tissues 496 00:26:08,400 --> 00:26:11,080 Speaker 4: in your nose or throat grow larger than normal due 497 00:26:11,080 --> 00:26:14,040 Speaker 4: to illness or some other health issue. The swelling can 498 00:26:14,119 --> 00:26:16,639 Speaker 4: make it much harder to breathe, which is what doctor 499 00:26:16,680 --> 00:26:20,240 Speaker 4: Colone is talking about. Okay, back to his answer. 500 00:26:20,600 --> 00:26:22,880 Speaker 3: If someone's mouth breathing, it could be that they have 501 00:26:23,320 --> 00:26:26,760 Speaker 3: chronic congestion, and maybe we need to get the congestion 502 00:26:26,880 --> 00:26:31,800 Speaker 3: taken care of, whether it's medical therapy or anti inflammatory diets. 503 00:26:32,040 --> 00:26:36,080 Speaker 3: I do have some patients that their mouth opens when 504 00:26:36,119 --> 00:26:39,879 Speaker 3: they have the seapap on and those patients. I do 505 00:26:40,480 --> 00:26:43,640 Speaker 3: use the mouth tape with the seapap so that they 506 00:26:43,680 --> 00:26:47,639 Speaker 3: have less dry mouth in the morning. And the SEAPAP 507 00:26:47,760 --> 00:26:50,560 Speaker 3: is pressure that opens up their airway and they are 508 00:26:50,680 --> 00:26:55,400 Speaker 3: able to breathe with that pressure. But mouth taping alone 509 00:26:55,520 --> 00:26:59,720 Speaker 3: as monotherapy doesn't really have any benefits. 510 00:26:59,200 --> 00:27:03,679 Speaker 4: That I'm SEAPAP, as doctor Colone just mentioned, stands for 511 00:27:03,840 --> 00:27:08,080 Speaker 4: continuous positive airway pressure. You've probably heard of it, especially 512 00:27:08,160 --> 00:27:10,639 Speaker 4: if you've ever lived with someone who snores lake a 513 00:27:10,680 --> 00:27:13,439 Speaker 4: freight train if it's new to you. A SEAPAP machine 514 00:27:13,520 --> 00:27:16,920 Speaker 4: is basically a mask and a tube setup that gently 515 00:27:17,000 --> 00:27:20,159 Speaker 4: pushes air through your nose or mouth to keep your 516 00:27:20,200 --> 00:27:23,720 Speaker 4: airway open while you're sleeping. It's most commonly used for 517 00:27:23,760 --> 00:27:27,840 Speaker 4: a condition called obstructive sleep apnea, where breathing can actually 518 00:27:27,880 --> 00:27:30,439 Speaker 4: start and stop throughout the night. And yeah, as you 519 00:27:30,440 --> 00:27:33,359 Speaker 4: can imagine, that leads to some pretty poor sleep. So 520 00:27:33,480 --> 00:27:36,080 Speaker 4: if this is something that you're dealing with, it's definitely 521 00:27:36,160 --> 00:27:40,320 Speaker 4: worth getting medical support. If you can't breathe, you're probably 522 00:27:40,359 --> 00:27:43,200 Speaker 4: not going to be sleeping very well, which is interesting. 523 00:27:43,240 --> 00:27:45,840 Speaker 4: Almost everyone I talked to mentioned some form of breath 524 00:27:45,840 --> 00:27:48,760 Speaker 4: work or meditation to help them fall asleep or improve 525 00:27:48,800 --> 00:27:52,000 Speaker 4: sleep quality. For example, here's what Lucy had to say. 526 00:27:52,640 --> 00:27:55,199 Speaker 2: What I've found is more useful to me than just 527 00:27:55,240 --> 00:27:59,600 Speaker 2: sitting in silence is to do ten minutes of a 528 00:27:59,600 --> 00:28:01,760 Speaker 2: specific breath work exercise. 529 00:28:01,960 --> 00:28:04,399 Speaker 6: And when I do that, I feel. 530 00:28:04,160 --> 00:28:05,720 Speaker 2: As if I'm a different person at the end of 531 00:28:05,760 --> 00:28:08,119 Speaker 2: the ten minutes, and I just like feel tension gone 532 00:28:08,160 --> 00:28:10,600 Speaker 2: from my body, and then that contributes to a way 533 00:28:10,600 --> 00:28:11,320 Speaker 2: better night's sleep. 534 00:28:11,920 --> 00:28:14,320 Speaker 4: Catherine also believes in the power of breath work. 535 00:28:14,720 --> 00:28:16,840 Speaker 1: Even if you did something as simple as laying in 536 00:28:16,880 --> 00:28:19,840 Speaker 1: bed and scan through your body temples to toes a 537 00:28:19,840 --> 00:28:22,840 Speaker 1: couple times, take a few deep breaths, you're just speaking 538 00:28:22,880 --> 00:28:26,040 Speaker 1: the language of your body and showing it. Hey, danger 539 00:28:26,080 --> 00:28:28,880 Speaker 1: has passed. We don't need to be vigilant. It's time 540 00:28:29,080 --> 00:28:32,199 Speaker 1: for rest and digest. I always walk people through a 541 00:28:32,200 --> 00:28:34,720 Speaker 1: couple of deep breath Do that for two minutes. Turn 542 00:28:34,760 --> 00:28:35,320 Speaker 1: your story on. 543 00:28:35,680 --> 00:28:37,840 Speaker 5: I bet you I'll get you to go to sleep. 544 00:28:39,600 --> 00:28:42,880 Speaker 4: Even doctor Colonne agrees that breath work and meditation help 545 00:28:42,960 --> 00:28:43,479 Speaker 4: with sleep. 546 00:28:44,200 --> 00:28:47,120 Speaker 3: I actually want to make a plug. Okay, this is 547 00:28:47,200 --> 00:28:51,360 Speaker 3: the power of meditation, and I do either an awareness 548 00:28:51,360 --> 00:28:56,480 Speaker 3: of breath meditation or a body scan meditation. And that's 549 00:28:56,520 --> 00:28:59,760 Speaker 3: the power of meditation that it can put your body 550 00:28:59,840 --> 00:29:04,200 Speaker 3: in that same quiescent state. So even if I'm in sleep, 551 00:29:04,280 --> 00:29:06,480 Speaker 3: you still get R and R, you still get rest 552 00:29:06,880 --> 00:29:07,680 Speaker 3: and restoration. 553 00:29:08,280 --> 00:29:11,040 Speaker 4: Doctor Cologne. Why is it eight hours of sleep? Why 554 00:29:11,080 --> 00:29:13,440 Speaker 4: is that the gold standard? Is that a number that 555 00:29:13,480 --> 00:29:15,120 Speaker 4: we should all be shooting for. 556 00:29:15,640 --> 00:29:20,320 Speaker 3: Well, everybody's different, and eight hours is what you shoot for. 557 00:29:20,680 --> 00:29:25,880 Speaker 3: But one thing that before I talk about sleep timing, okay, 558 00:29:26,600 --> 00:29:31,800 Speaker 3: I need to emphasize that sleep is probably equally as 559 00:29:32,040 --> 00:29:40,040 Speaker 3: important as it is also overemphasized. And what overemphasized. I 560 00:29:40,240 --> 00:29:45,280 Speaker 3: really have a lot of people that have difficulties sleeping 561 00:29:45,280 --> 00:29:48,880 Speaker 3: because something's bothering them. And what's bothering them is that 562 00:29:48,920 --> 00:29:52,040 Speaker 3: they're not asleep. I can't tell people don't worry about sleep, 563 00:29:52,040 --> 00:29:54,520 Speaker 3: but I have to tell everyone the opposite. The more 564 00:29:54,560 --> 00:29:56,600 Speaker 3: that you worry about it, the less of it that 565 00:29:56,600 --> 00:29:58,640 Speaker 3: that you're going to get. More than just saying the 566 00:29:58,680 --> 00:30:04,120 Speaker 3: word eight like things that are easy to remember, and 567 00:30:04,280 --> 00:30:08,120 Speaker 3: I see all ages from pediatric to geriatric. A twelve 568 00:30:08,200 --> 00:30:13,120 Speaker 3: month old should get eleven plus one eleven hours of 569 00:30:13,160 --> 00:30:17,400 Speaker 3: sleep plus one nap. A ten year old should be 570 00:30:17,440 --> 00:30:21,560 Speaker 3: getting about ten hours of sleep. A ninth grader through 571 00:30:21,640 --> 00:30:25,200 Speaker 3: high school should be getting about nine hours. Adults working 572 00:30:25,240 --> 00:30:29,240 Speaker 3: eight hour days should be getting about eight hours. Elderly 573 00:30:29,280 --> 00:30:33,120 Speaker 3: into your seventies should be getting about seven hours of sleep. 574 00:30:33,440 --> 00:30:38,360 Speaker 3: All of this is plus or minus one hour. So 575 00:30:39,240 --> 00:30:44,000 Speaker 3: in my typical adult population, I don't always emphasize that 576 00:30:44,720 --> 00:30:50,560 Speaker 3: eight hour seven hours is more than adequate for majority 577 00:30:50,600 --> 00:30:55,960 Speaker 3: of adults. Some may need that eighth hour. The other 578 00:30:56,080 --> 00:31:01,200 Speaker 3: thing that's really really interesting, okay, is if you take 579 00:31:01,240 --> 00:31:06,000 Speaker 3: a look at people who have short sleep time chronically 580 00:31:06,080 --> 00:31:09,960 Speaker 3: sleeping five hours or less, and you take a look 581 00:31:09,960 --> 00:31:12,440 Speaker 3: at people who have long sleep time, they're getting twelve 582 00:31:12,480 --> 00:31:16,200 Speaker 3: hours of sleep or more. The long sleep time actually 583 00:31:16,320 --> 00:31:21,320 Speaker 3: has a higher mortality and they're actually dying twice more 584 00:31:21,880 --> 00:31:26,200 Speaker 3: than the short sleep time is. So more sleep is 585 00:31:26,240 --> 00:31:31,120 Speaker 3: not always necessarily better. The quality of the sleep is 586 00:31:31,160 --> 00:31:34,240 Speaker 3: more important than the quantity number. 587 00:31:34,800 --> 00:31:36,840 Speaker 4: Okay, I'd love to get your take on a bunch 588 00:31:36,840 --> 00:31:39,959 Speaker 4: of different health claims around sleep trends now, so we 589 00:31:40,000 --> 00:31:41,920 Speaker 4: can go through these pretty quickly. Think of it as 590 00:31:41,960 --> 00:31:45,360 Speaker 4: a health versus hype rapid fire around. So first one, 591 00:31:45,440 --> 00:31:48,320 Speaker 4: let's put a bow on mouth taping health or hype 592 00:31:48,880 --> 00:31:53,040 Speaker 4: hype melatonin, health or hype, a bit of both. 593 00:31:53,400 --> 00:31:57,080 Speaker 3: You know, melotona it's safe, it's effective, it's not habit forming. 594 00:31:57,520 --> 00:31:59,760 Speaker 3: But if you're having a racing mind, then you're not 595 00:31:59,760 --> 00:32:03,920 Speaker 3: a dressing the racing mind. You know, you're not addressing 596 00:32:03,920 --> 00:32:05,120 Speaker 3: the underlying issue. 597 00:32:05,320 --> 00:32:09,560 Speaker 4: The sleepy girl mocktail a magnesium cocktail before bed which 598 00:32:09,640 --> 00:32:14,240 Speaker 4: contains cherry juice, magnesium powder, and sparkling water. Health or hype. 599 00:32:14,480 --> 00:32:17,200 Speaker 3: It's fine, it's health in the right person. You know, 600 00:32:17,520 --> 00:32:23,320 Speaker 3: magnesium can't help reduce anxiety, and magnesium also can reduce 601 00:32:23,360 --> 00:32:28,760 Speaker 3: symptoms of restless legs. But if you're taking a bunch 602 00:32:28,800 --> 00:32:31,720 Speaker 3: of magnesium because you're having late caffeine, you're not You're 603 00:32:31,720 --> 00:32:33,400 Speaker 3: not getting to the underlying root cause. 604 00:32:33,880 --> 00:32:36,520 Speaker 4: Okay. Blue light panic staring at a device or computer 605 00:32:36,600 --> 00:32:38,200 Speaker 4: before bed, health or hype. 606 00:32:38,760 --> 00:32:43,360 Speaker 3: Avoiding blue light before sleep is healthful, So that that's that's. 607 00:32:43,160 --> 00:32:46,400 Speaker 4: Health, okay, But being overly worried about it might be. 608 00:32:47,120 --> 00:32:50,280 Speaker 3: Yeah, I mean being overly worried about anything. Can you 609 00:32:50,320 --> 00:32:51,680 Speaker 3: know affect you? 610 00:32:52,800 --> 00:32:56,479 Speaker 4: This one's important to me. I think sleep divorce, sleeping 611 00:32:56,520 --> 00:32:58,920 Speaker 4: in separate rooms from your partner. Is this health or hype? 612 00:32:59,320 --> 00:33:03,680 Speaker 3: It's individual? It really is if the sleep divorce is 613 00:33:03,720 --> 00:33:07,960 Speaker 3: because there's untreated snoring and sleep apnea, you know, that's 614 00:33:08,040 --> 00:33:09,200 Speaker 3: that's that's not healthy. 615 00:33:09,680 --> 00:33:12,880 Speaker 4: Hypothetically speaking, if one of your people sleeping in a 616 00:33:12,880 --> 00:33:15,760 Speaker 4: bed it starfishes and hits everybody else in the face, 617 00:33:16,240 --> 00:33:17,440 Speaker 4: that would maybe be okay. 618 00:33:17,600 --> 00:33:21,200 Speaker 3: But you know, patients tell me that you know, they 619 00:33:21,280 --> 00:33:25,560 Speaker 3: have their their sleep divorce with conjugal visits. That's that's fine. 620 00:33:27,160 --> 00:33:27,640 Speaker 6: So okay. 621 00:33:27,680 --> 00:33:30,960 Speaker 4: The Scandinavian sleep method, which if you're not aware, I wasn't, 622 00:33:31,000 --> 00:33:34,720 Speaker 4: but is separate blankets while sleeping. Is that health or hype? 623 00:33:34,760 --> 00:33:37,560 Speaker 3: That's that's fine. That all depends on the individual, you know, 624 00:33:37,680 --> 00:33:41,160 Speaker 3: I mean, do you get less cuddling, less oxytocin being 625 00:33:41,200 --> 00:33:42,720 Speaker 3: released by by the touch? 626 00:33:44,040 --> 00:33:47,000 Speaker 4: What about sleeping nude versus sleeping with clothing? Is there 627 00:33:47,040 --> 00:33:48,520 Speaker 4: health or hype advice behind? 628 00:33:48,560 --> 00:33:53,719 Speaker 3: That has to be individualized. One thing is temperature. Okay, 629 00:33:53,760 --> 00:34:00,400 Speaker 3: so ideal temperature and studies is around sixty nine sixty 630 00:34:00,440 --> 00:34:04,480 Speaker 3: eight degrees, But that has to be individualized to both 631 00:34:04,880 --> 00:34:08,200 Speaker 3: the patient and the family. My wife will not do it. 632 00:34:08,239 --> 00:34:11,279 Speaker 3: We have thermostat wars at our house. She likes it 633 00:34:11,320 --> 00:34:12,200 Speaker 3: at seventy four. 634 00:34:12,800 --> 00:34:16,920 Speaker 4: I'd like it at seventy What about bedtime stories? Is 635 00:34:16,960 --> 00:34:18,600 Speaker 4: that helpful health hype? 636 00:34:18,880 --> 00:34:21,000 Speaker 3: If it's calming, Yeah, that's fine. 637 00:34:23,600 --> 00:34:27,640 Speaker 5: Now I'm going to tell you a bedtime story. It's 638 00:34:27,680 --> 00:34:31,919 Speaker 5: a soft, simple place to rest your mind, a way 639 00:34:31,960 --> 00:34:33,360 Speaker 5: to keep you from wandering. 640 00:34:34,880 --> 00:34:37,440 Speaker 4: If you had to put sleep trends on a health 641 00:34:37,520 --> 00:34:41,359 Speaker 4: versus hype scale, it really depends on the trend and 642 00:34:41,520 --> 00:34:44,680 Speaker 4: the person. A few things do stand out, though. Sleep 643 00:34:44,760 --> 00:34:48,360 Speaker 4: quality matters just as much, if not more, as how 644 00:34:48,480 --> 00:34:52,720 Speaker 4: long you sleep for, and tools like melatonin or calming 645 00:34:52,760 --> 00:34:57,000 Speaker 4: bedtime routines they can't help for the right person. Other 646 00:34:57,120 --> 00:35:01,080 Speaker 4: trends may be less convincing. Mouth taping is a tough cell, 647 00:35:01,200 --> 00:35:06,320 Speaker 4: and sleep trackers can sometimes create more stress than they solve. Overall, 648 00:35:06,360 --> 00:35:09,600 Speaker 4: though most of these trends do lean more toward health 649 00:35:09,640 --> 00:35:11,960 Speaker 4: than hype. At the end of the day, it's really 650 00:35:12,000 --> 00:35:15,760 Speaker 4: about finding what helps your body and mind settle into 651 00:35:15,880 --> 00:35:20,799 Speaker 4: a deep, RESTful sleep, whether that's supplements, breath work, or 652 00:35:20,840 --> 00:35:23,719 Speaker 4: just a few minutes of quiet away from screens and 653 00:35:23,760 --> 00:35:27,480 Speaker 4: bright lights and the stress of your day. Sleep trends 654 00:35:27,520 --> 00:35:30,760 Speaker 4: are not a one size fits all solution, which means 655 00:35:31,000 --> 00:35:33,719 Speaker 4: you should have a conversation with your physician. Let me 656 00:35:33,760 --> 00:35:36,319 Speaker 4: know in the comments what works for you. And thanks 657 00:35:36,360 --> 00:35:39,040 Speaker 4: again to doctor Cologne for walking us through what healthy 658 00:35:39,080 --> 00:35:42,440 Speaker 4: sleep really looks like. And thanks to Lucy and Catherine 659 00:35:42,440 --> 00:35:45,680 Speaker 4: for sharing their stories and experiences with us. We got 660 00:35:45,719 --> 00:35:47,920 Speaker 4: to the bottom of yet another trend, but there are 661 00:35:48,040 --> 00:35:50,680 Speaker 4: many more to come. In this next episode, we're going 662 00:35:50,719 --> 00:35:54,279 Speaker 4: to explore the very popular supplement creatine and all of 663 00:35:54,320 --> 00:35:57,759 Speaker 4: the online claims surrounding the benefits of taking it. Hit 664 00:35:57,840 --> 00:36:01,200 Speaker 4: subscribe if you haven't already. For more information on all 665 00:36:01,239 --> 00:36:04,120 Speaker 4: of the topics we're covering, visit AMA Health versus Hype 666 00:36:04,160 --> 00:36:08,480 Speaker 4: dot org. That's AMA Health vs. Hype dot Org. 667 00:36:09,080 --> 00:36:09,880 Speaker 5: Sweet Dreams. 668 00:36:12,440 --> 00:36:15,560 Speaker 4: Health Versus Hype is a production of Ruby Studio from 669 00:36:15,640 --> 00:36:20,080 Speaker 4: iHeartMedia and the American Medical Association. I'm Trace Dominguez. Our 670 00:36:20,120 --> 00:36:24,120 Speaker 4: producers are Matt Stillo and Pamela Lawrence. Michael Depo Wilson 671 00:36:24,200 --> 00:36:27,400 Speaker 4: is our writer. The show is engineered and features original 672 00:36:27,480 --> 00:36:30,920 Speaker 4: music by Matthew Ernest Filler. Health Versus Hype is intended 673 00:36:30,960 --> 00:36:34,600 Speaker 4: for educational and informational purposes only and does not constitute 674 00:36:34,640 --> 00:36:38,200 Speaker 4: medical advice, diagnosis, or treatment. Always seek the advice of 675 00:36:38,239 --> 00:36:40,920 Speaker 4: your physician with any questions. You may have regarding a 676 00:36:41,040 --> 00:36:41,800 Speaker 4: medical condition,