#47–Matt Walker, Ph.D. on Sleep (Part 1 of 3): Dangers of poor sleep, dementia risk, mental health..
Summary

The podcast episode features Peter Atia and his guest, Matthew Walker, discussing the importance of sleep and its relationship to Alzheimer's disease. The speaker explains that sleep disruption could be a biomarker for dementia and could even be an underlying cause of Alzheimer's disease. They argue that insufficient sleep leads to increases in oxidative stress, which can lead to neuronal death and damage to critical memory centers in the brain. The speaker also discusses the glymphatic system, a sewage system within the brain that is activated during deep sleep to wash away toxic proteins such as beta amyloid, which is linked to Alzheimer's disease. Studies have shown that sleep disruption leads to an increase in circulating levels of amyloid and tau, which are both linked to Alzheimer's disease. The speaker believes that sleep disruption may be one of the most significant lifestyle factors that determine the risk ratio for Alzheimer's disease.

The episode also discusses the different stages of sleep, including non-REM and REM sleep, and how they battle for brain domination throughout the night. The speaker explains that sleep spindles, which increase towards the end of the night, are important for memory encoding ability. Insufficient REM sleep has been linked to mental health issues such as depression, anxiety, and suicidality. The speaker argues that sleep is essential and non-negotiable, and that evolution has designed humans to require sleep for vital functions. Sleep is described as the foundation of good health, with diet and exercise sitting on top of it.

The podcast also touches on the effects of sleep deprivation on human health. The length of time a person can survive without food or water is discussed, but the deprivation of sleep is said to result in the quickest reduction of health. Studies have been done on the effects of sleep loss on mental health, cancer, cardiovascular disease, and metabolic syndrome. The speaker shares a tragic story of a family who lost their lives in a car accident caused by sleep-deprived driving. The speaker explains that drowsy driving is more fatal than drunk driving because there is no reaction time during micro sleeps. The speaker believes that public proclamations of insufficient sleep are problematic and can lead to tragic accidents.

Overall, the podcast episode emphasizes the importance of sleep for good health and the potential risks associated with sleep disruption. The speaker argues that sleep deprivation may be one of the most significant lifestyle factors that determine the risk ratio for Alzheimer's disease and that sufficient sleep is essential for optimal health and performance.