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The Peter Attia Drive

#193 - AMA #31: Heart rate variability (HRV), alcohol, sleep, and more

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.7 • 7.3K Ratings

🗓️ 31 January 2022

⏱️ 14 minutes

🧾️ Download transcript

Summary

View the Show Notes Page for This Episode

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Episode Description:

In this “Ask Me Anything” (AMA) episode, Peter and Bob first answer a variety of questions related to heart rate variability (HRV): what it means, why it matters, and how to measure, interpret, and potentially elevate it. Next, they dive deep into the topic of alcohol, beginning with a discussion on the negative impact that it can have on sleep. They then break down the confusing body of literature suggesting potential health benefits to moderate levels of drinking compared to complete abstinence and point out the limitations of these studies. Finally, they conclude by analyzing data on the impact of moderate and heavy drinking on the liver and on risk for Alzheimer’s disease and dementia.

Please note: this AMA is audio only. If you’re not a subscriber and listening on a podcast player, you’ll only be able to hear a preview of the AMA. If you’re a subscriber, you can now listen to this full episode on your private RSS feed or on our website at the AMA #31 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

We discuss:

  • What is heart rate variability (HRV), and why do we measure it? [2:10];
  • The association between low HRV and mortality risk [10:00];
  • What high and low HRV means and why athletes strive for a high HRV [15:30];
  • Factors that can raise or lower HRV [18:00];
  • How and when to measure HRV, and the best wearables [19:15];
  • Interpreting your personal HRV number and why there’s so much individual variation [23:15];
  • How Peter’s morning HRV reading impacts his decision to train [28:30];
  • Alcohol’s impact on sleep [31:30];
  • Metrics to track the impact of alcohol on your sleep [34:00];
  • Alcohol’s impact on the need to urinate during the night [39:00];
  • Alcoholic fatty liver disease (AFLD) [41:30];
  • Individual differences in the way people metabolize and react to alcohol consumption [44:15];
  • Analysis of epidemiology studies suggesting moderate alcohol consumption lowers mortality risk [52:00];
  • Alcohol consumption and Alzheimer’s disease [1:05:15];
  • Heavy alcohol consumption and risk of dementia [1:08:30];
  • Chronic effects of alcohol on the liver [1:17:45];
  • The relationship between alcohol, sleep, and automotive deaths [1:20:45]; and
  • More.

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Transcript

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0:00.0

Hey everyone, welcome to a sneak peek, ask me anything, or AMA episode of the Drive Podcast.

0:16.5

I'm your host, Peter Atia.

0:18.3

At the end of this short episode, I'll explain how you can access the AMA episodes in full,

0:22.9

along with a ton of other membership benefits we've created.

0:26.0

Before you can learn more now by going to peteratia-md.com forward slash subscribe.

0:31.5

So without further delay, here's today's sneak peek of the Ask Me Anything episode.

0:36.6

Hey everyone, welcome to Ask Me Anything episode number 31.

0:44.3

I'm joined once again by Bob Kaplan, although as you'll learn at the end of this episode,

0:49.2

this will be the last time we're joined by Bob Kaplan.

0:51.7

But let's not get ahead of ourselves.

0:52.9

In today's episode, we talk about really two things in detail.

0:56.7

One is HRV, heart rate variability.

0:58.9

We've had so many questions on this subject for the past couple of years, and we've just

1:03.7

been slowly collecting questions until we thought we had enough to do one of our thematic

1:08.8

shows on it.

1:09.8

And the second thing we talk about is ethanol.

1:11.9

All things related to ethanol.

1:13.2

So how does it affect HRV is really our segue, but then also what are the effects of alcohol

1:18.4

on sleep?

1:19.4

So after mortality, probably where we spend most of our time, and we talk about it through

1:24.9

the lens of all of the epidemiology as most of you, or may some of you know, there's a confusing

1:30.7

body of literature out there that suggests that maybe some alcohol is good for you and

...

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