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The Peter Attia Drive

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

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.77.3K Ratings

🗓️ 28 October 2019

⏱️ 29 minutes

🧾️ Download transcript

Summary

In this special episode, Matthew Walker returns for his second AMA episode where he provides his expert insight on numerous sleep-related questions directly from listeners. He answers a wide range of questions from the gene that causes the short sleeping phenotype, to the ideal sleeping position, to the optimal temperature for best sleep, to how fasting affects sleep, plus a full dissertation on sleep apnea, and much, much more.

We discuss:

  • DEC2—A genetic mutation that produces a short sleeping phenotype [11:00];
  • What is the best position to sleep in? [22:45];
  • Should you consider a “sleep divorce” with your partner? [27:00];
  • The challenge of kids wanting to sleep in bed with their parents [28:45];
  • Is there an ideal type of pillow? [32:30];
  • Any data on hammock sleeping? Should adults be rocked to sleep like a baby? [34:45];
  • The optimal room temperature and body temperature for the best sleep [38:30];
  • Do humidifiers help? [50:40];
  • How do high altitudes affect sleep? [53:15];
  • What is the data on weighted blankets (e.g., the Gravity blanket)? [57:00];
  • Caffeine—How much, and in what way, does it affect sleep? [58:15];
  • How does sexual activity relate to sleep quality? [1:04:00];
  • Should we be sleeping in two phases? First sleep & second sleep? [1:06:30];
  • Napping—Is there ideal duration? Should we be napping or not? [1:08:30];
  • Advice for new parents dealing with sleep deprivation [1:12:00];
  • Understanding your sleep chronotype [1:16:15];
  • If you drink too much alcohol in a given night, is there anything you can do to make sure your sleep isn’t wrecked? [1:20:45];
  • How postmenopausal women can manage their sleep problems with (and without) hormone replacement therapy [1:23:00];
  • Could a daily practice of Wim Hof's breathing method help or hinder quality of sleep? [1:29:15];
  • Why do some people paradoxically feel more tired the more they sleep? [1:31:15];
  • Sleep apnea—How to know if you have it, the different types, the causes, and helpful resources [1:33:15];
  • Is there such a thing called “sleep eating”? [1:45:00];
  • If Matt was “sleep czar”, what changes would he make to society to improve sleep? [1:46:15];
  • Catch up sleep: Explaining the difference between retrospective damage and prospective benefit [1:48:45];
  • Does poor sleep really speed up the aging process? [1:50:30];
  • Is medicated sleep better than no sleep? [1:53:00];
  • Does vivid dreaming disrupt the sleep cycle? [1:56:45];
  • Is there potential benefit to using “binaural beats” or some type of sound to induce better sleep? [1:57:45];
  • How is sleep affected by fasting and time-restricted eating? [1:59:45];
  • Is there any evidence that polyphasic sleep (e.g., "Uberman") works? [2:03:30]; and
  • More.

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Show notes page for this episode: peterattiamd.com/matthewwalkerama2/

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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.

0:41.7

Hey everyone, I'd like to take a couple of minutes to talk about why we don't run ads on this podcast,

0:46.7

and why instead we've chosen to rely entirely on listener support. If you're listening to this,

0:51.8

you probably already know, but the two things I care most about, professionally, are how to live

0:57.0

longer and how to live better. I have a complete fascination and obsession with this topic. I practice

1:03.0

it professionally, and I've seen firsthand how access to information is basically all people need

1:08.4

to make better decisions and improve the quality of their lives. Curating and sharing this knowledge

1:13.6

is not easy, and even before starting the podcast, that became clear to me. The sheer volume of material

1:18.9

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

1:24.2

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

1:29.8

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

1:34.2

and their feedback has mirrored this. So all of this raises a natural question, how will we continue

1:40.5

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

1:45.9

is to sell ads, but after a lot of contemplation, that model just doesn't feel right to me for a few

1:52.2

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

1:57.9

if I'm telling you about something when you know I'm being paid by the company that makes it

...

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