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The Peter Attia Drive

#48 – Matthew Walker, Ph.D., on sleep – Part II of III: Heart disease, cancer, sexual function, and the causes of sleep disruption (and tips to correct it)

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.77.3K Ratings

🗓️ 8 April 2019

⏱️ 125 minutes

🧾️ Download transcript

Summary

In part 2 of this 3 part series, Matthew Walker, professor of neuroscience at UC Berkeley and expert on sleep, describes the preponderance of evidence linking poor sleep to cardiovascular disease, cancer, and sexual function. He also details the impact of cortisol on our nervous system contributing to sleep disturbances and insomnia as well as the efficacy and risks associated with the most common sleeping pills. Matthew also describes the sleep needs of teenagers and urgently lays the case that we should reconsider school start times. We also get into the effect of electronics at night, the efficacy of napping, the general impact of modern society on our sleep habits, and what changes we can make to course correct.

We discuss:

  • Sleep and cardiovascular disease [6:00];
  • Fuel partitioning and dieting while sleep deprived [16:45];
  • Sleep and the reproductive function: testosterone, sperm count, FSH, menstrual cycles, and fertility [19:45];
  • The biological necessity of sleep, the lack of a “safety net”, sleep debt, and ways to course correct sleep problems [23:45];
  • Fighting cancer and improving immune function with sleep [34:30];
  • The medical profession: A culture that devalues sleep [47:30];
  • The sleep needs of children, the travesty of early school start times, electronics at night, and advice for parents [1:04:45];
  • How exposure to light affects sleep, and how modern society has changed our sleep habits [1:26:15];
  • Is napping helpful? [1:36:00];
  • The effect of cortisol levels on sleep [1:41:15];
  • Are sleeping pills doing more harm than good? [1:52:15]; and
  • More.

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Transcript

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0:00.0

Hey everyone, welcome to the Peter Atia Drive. I'm your host, Peter Atia.

0:10.0

The drive is a result of my hunger for optimizing performance, health, longevity, critical thinking,

0:15.7

along with a few other obsessions along the way. I've spent the last several years working

0:19.6

with some of the most successful top performing individuals in the world, and this podcast

0:23.8

is my attempt to synthesize what I've learned along the way to help you live a higher quality

0:28.3

more fulfilling life. If you enjoy this podcast, you can find more information on today's

0:32.5

episode and other topics at peteratiamd.com.

0:41.6

Hey everybody, welcome to this week's episode of The Drive. I'd like to take a couple of

0:45.6

minutes to talk about why we don't run ads on this podcast and why instead we've chosen to

0:50.3

rely entirely on listener support. If you're listening to this, you probably already know,

0:55.0

but the two things I care most about professionally are how to live longer and how to live better.

1:01.1

I have a complete fascination and obsession with this topic. I practice it professionally,

1:06.0

and I've seen firsthand how access to information is basically all people need to make better

1:11.0

decisions and improve the quality of their lives. Curating and sharing this knowledge is not easy,

1:16.3

and even before starting the podcast, that became clear to me. The sheer volume of material

1:20.9

published in this space is overwhelming. I'm fortunate to have a great team that helps me

1:25.7

continue learning and sharing this information with you. To take one example, our show notes are

1:31.2

in a league of their own. In fact, we now have a full-time person that is dedicated to producing

1:35.9

those, and the feedback has mirrored this. So all of this raises a natural question. How will we

1:41.9

continue to fund the work necessary to support this? As you probably know, the tried and true way

1:47.4

to do this is to sell ads, but after a lot of contemplation, that model just doesn't feel right

1:53.3

to me for a few reasons. Now, the first and most important of these is trust. I'm not sure how you

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