Why We Sleep: Science of Sleep & Dreams | Matthew Walker | Talks at Google — Transcript
Full transcript
- 0:00[Music]
- 0:04and thank you all for coming this a
- 0:06great crowd in order welcome dr. Matthew
- 0:09Walker he is professor of neuroscience
- 0:11and psychology at the University of
- 0:12California Berkeley and he is the
- 0:14founder and director of the Center for
- 0:16human sleep science and he's here today
- 0:18to talk about his new book why we sleep
- 0:20so it's that further adieu thank you
- 0:22very much Josh thank you well it's a
- 0:27it's a delight and privilege to be here
- 0:30and I would like to start with testicles
- 0:37men who sleep five hours a night have
- 0:40significantly smaller testicles than
- 0:43those who sleep eight hours or more in
- 0:47addition men who routinely sleep five to
- 0:51six hours a night will have a level of
- 0:54testosterone which is that of someone
- 0:56ten years their senior so a lack of
- 1:01sleep ages you by a decade in terms of
- 1:04that aspect that critical aspect of
- 1:07wellness and virility and we see
- 1:11equivalent impairments in female
- 1:13reproductive health caused by a lack of
- 1:16sleep this is the best news that I have
- 1:21for you today
- 1:24from this point forward it's only going
- 1:27to get worse rather than tell you about
- 1:30the wonderfully good things that happen
- 1:32when you get sleep I'm going to tell you
- 1:34about the alarmingly bad things that
- 1:36happen when you don't get enough both
- 1:38for the brain and for the body and let
- 1:42me start with the brain and the
- 1:43functions of learning and memory what
- 1:46we've discovered over the past 10 or so
- 1:49years is that you need sleep after
- 1:52learning to essentially hit the Save
- 1:54button on those new memories so that you
- 1:57don't forget so sleep essentially future
- 2:01proofs those facts within the brain but
- 2:05recently we've discovered that you not
- 2:07only need to sleep after learning you
- 2:09also need to sleep before learning but
- 2:13now to actually prepare your brain I'm
- 2:15almost like a dry sponge ready to
- 2:18initially soak up new information and
- 2:21without sleep the memory circuits of the
- 2:24brain effectively become waterlogged as
- 2:27it were and you can't absorb new
- 2:30information so here in the study we
- 2:33decided to test the hypothesis that
- 2:36pulling the all nighter was a good idea
- 2:39how do you do that well we took a group
- 2:42of healthy adults and we assign them to
- 2:45one of two experimental conditions a
- 2:47sleep group and a sleep deprivation
- 2:49group now the sleep group they're going
- 2:52to get a full eight hours of shut-eye
- 2:55but the deprivation group we're going to
- 2:57keep them awake in the laboratory under
- 2:59full supervision
- 3:01there's no naps there's no caffeine it's
- 3:05miserable for everyone included as well
- 3:07and then the next day we're going to
- 3:10place those participants inside an MRI
- 3:13scanner and we're going to have them try
- 3:16and learn a whole list of new facts as
- 3:19we're taking snapshots of brain activity
- 3:22and then we're going to test them to see
- 3:26how effective that learning has been and
- 3:29that's what you're looking at here on
- 3:31the vertical axis the amount of learning
- 3:33so the higher up you are the more that
- 3:36you learn
- 3:37and when you put those two groups
- 3:39head-to-head what you find is a quite
- 3:41significant 40 percent deficit in the
- 3:45ability of the brain to make new
- 3:47memories without sleep and I think this
- 3:52should be frightening considering what
- 3:54we know is happening to sleep in our
- 3:56education populations right now just a
- 4:00frameless in context it would be the
- 4:02difference between acing an exam and
- 4:04failing it miserably and we've gone on
- 4:10to discover what goes wrong within your
- 4:13brain to produce these types of learning
- 4:16disabilities there is a structure on the
- 4:19left and the right side of your brain
- 4:21called the hippocampus and you can see
- 4:24it here in these sort of orange yellow
- 4:26colors think of the hippocampus like the
- 4:29informational inbox of your brain it's
- 4:33very good at receiving new memory files
- 4:36and holding on to them and when we
- 4:40looked at this structure in those people
- 4:41who'd had a full night of sleep here in
- 4:44green we saw lots of healthy learning
- 4:47related activity yet in those people who
- 4:51were sleep deprived we actually couldn't
- 4:53find any significant signal whatsoever
- 4:58it's almost as though
- 5:00sleep deprivation had shut down the
- 5:03memory inbox and any new incoming files
- 5:07they were just being bounced you
- 5:10couldn't effectively commit new
- 5:12experiences to memory and
- 5:16parenthetically I should note if you
- 5:18would like to know what life is like
- 5:20without a functioning hippocampus and
- 5:22just watch the movie memento I suspect
- 5:25many of you who have seen this but this
- 5:27gentleman suffers brain damage and from
- 5:30that point forward he can no longer make
- 5:33any new memories he's what we call
- 5:35densely amnesic the part of his brain
- 5:40that was damaged was the hippocampus and
- 5:43it is the very same structure that sleep
- 5:46deprivation will attack and block your
- 5:49brains kapow
- 5:50thirty-four new learning so that's the
- 5:55bad that happens when you take sleep
- 5:57away let me just come back to that
- 5:59control group for a second
- 6:01remember those folks that got a full
- 6:04eight hours of sleep well we can ask a
- 6:07very different question here what is it
- 6:10about the physiological quality of sleep
- 6:13when you do get it that actually
- 6:16enhances and restores your learning and
- 6:19memory ability each and every day and by
- 6:23recording sleep with electrodes placed
- 6:25all over the head we've discovered that
- 6:28there are big powerful brain waves that
- 6:31happen
- 6:31during the very deepest stages of sleep
- 6:34that have riding on top of them
- 6:37these spectacular bursts of electrical
- 6:39activity called sleep spindles and it's
- 6:44the combined quality of these deep sleep
- 6:47brain waves at night that acts like a
- 6:50file transfer mechanism it takes
- 6:54memories from a short-term vulnerable
- 6:56reservoir and shifts them to a more
- 6:59permanent long-term storage site within
- 7:02the brain called the cortex this big
- 7:04wrinkled massive tissue that sits the
- 7:07top of your brain and it means that when
- 7:10you wake up the next morning there are
- 7:12two benefits first having shifted
- 7:16memories of yesterday to that long-term
- 7:18safe storage Haven in the brain they are
- 7:22protected so that you will remember
- 7:25rather than forget the second benefit
- 7:29however is that having shifted those
- 7:32files from that short-term reservoir
- 7:34almost like moving files from a USB
- 7:37stick you've cleared out all of that
- 7:39memory encoding capacity so that when
- 7:42you wake up the next day you can start
- 7:44acquiring new files all over again you
- 7:47can start learning and new so its this
- 7:52elegant beautiful symbiotic system of
- 7:56memory that happens each and every night
- 7:58and it's important that we understand
- 8:01what during sleep at
- 8:04transacts these memory benefits because
- 8:07there are real medical and societal
- 8:10implications and let me just tell you
- 8:12about two areas that we've moved this
- 8:14work out into I'll begin clinically and
- 8:17specifically the context of Aging and
- 8:20dementia because I think many of us have
- 8:24a sense or even know that as we get
- 8:27older our learning and memory abilities
- 8:30start to fade they begin to decline but
- 8:33what we've also known for many decades
- 8:35is that a physiological signature of
- 8:38aging is that your sleep gets worse and
- 8:43not just any type of sleep especially
- 8:46that deep quality of sleep that I was
- 8:50just describing and only last year we
- 8:54finally published evidence that these
- 8:56two factors are not simply co-occurring
- 8:59they are significantly interrelated and
- 9:04it suggests that the disruption of deep
- 9:07sleep is perhaps an underappreciated
- 9:10factor that is contributing to what we
- 9:13call cognitive decline or memory decline
- 9:15in aging and most recently we've
- 9:19discovered in Alzheimer's disease as
- 9:21well now I know this is remarkably
- 9:28depressing news I understand it's in the
- 9:31mail it's it's coming at you but there
- 9:34is a potential silver lining here
- 9:37because unlike many of the other factors
- 9:40that we know are associated with aging
- 9:42and dementia and for example changes in
- 9:45the physical structure of the brain or
- 9:48even changes in the vasculature of the
- 9:50brain those are fiendishly difficult to
- 9:53treat right now and we don't have any
- 9:56good wholesale approaches in medicine
- 9:59but that sleep is a missing piece in the
- 10:03explanatory puzzle of aging and
- 10:06Alzheimer's is exciting because we may
- 10:09be able to do something about it and one
- 10:13way that we are approaching this at my
- 10:15sleep center is not by using sleeping
- 10:17pills by the way
- 10:18they are blunt instruments that do not
- 10:21produce naturalistic sleep and they have
- 10:23been associated with a higher risk of
- 10:25death and cancer and I'm happy to speak
- 10:29about that evidence during the Q&A and
- 10:31it's discussed in the book as well what
- 10:34we are actually doing is developing a
- 10:36method based on this technology it's
- 10:38called direct current brain stimulation
- 10:41it sounds like the stuff of science
- 10:43fiction it's actually science fact you
- 10:45apply electro pads to the head and you
- 10:47insert a small amount of voltage into
- 10:50the brain so small that you tend not to
- 10:52feel it but it has a measurable impact
- 10:54on physiology now if you apply this
- 10:59stimulation during sleep in young
- 11:03healthy adults as if you're sort of
- 11:05singing in time with those deep sleep
- 11:09brainwaves not only can you actually
- 11:12amplify the size of those deep sleep
- 11:15brainwaves but in doing so you can
- 11:18almost double the amount of memory
- 11:21benefit that you get from sleep the
- 11:26question now is whether we can translate
- 11:29the same affordable potentially portable
- 11:32technology into older adults and those
- 11:35with dementia can we restore back some
- 11:39healthy quality of deep sleep and in
- 11:42doing so can we salvage aspects of
- 11:46learning and memory function that is my
- 11:50real hope now that's one of our moonshot
- 11:53goals as it were I should note by the
- 11:58way because I always get asked this
- 11:59question people will say where can i buy
- 12:01one of those devices
- 12:03I want one yesterday and I want five
- 12:06more tomorrow and they are not yet FDA
- 12:09approved for use in sleep you can buy
- 12:12them on the Internet
- 12:13I strongly advise against that just read
- 12:18around some horror stories people have
- 12:20misaligned the voltage skin burns
- 12:22they've lost their eyesight for several
- 12:24days and hang on we are desperately
- 12:27trying to bring this to fruition as soon
- 12:30as we can
- 12:31so that's sleep and memory in a clinical
- 12:35context but let me speak about sleep and
- 12:37memory in society and specifically here
- 12:41within education because if sleep really
- 12:44is so important for learning in memory
- 12:47then enhancing sleep in a context where
- 12:50arguably it matters most should prove
- 12:53transformative and it has because there
- 12:59are several counties throughout the
- 13:01United States that have started to delay
- 13:03the school start times and then measure
- 13:06the academic consequence now one of the
- 13:10earliest test case examples happened in
- 13:13Edina in Minnesota
- 13:16it's a Township that sits just outside
- 13:18of Minneapolis and they shifted their
- 13:21school start times from 7:25 in the
- 13:24morning to 8:30 in the morning by the
- 13:29way what are we doing trying to educate
- 13:32our next generation at 7:25 in the
- 13:37morning to give you a sense of this
- 13:41buses for a 7:25 start time will often
- 13:45begin leaving at 5:30 in the morning
- 13:48that means that some kids are having to
- 13:50wake up at 5:15 5 o'clock maybe even
- 13:53earlier this is lunacy but in a döner it
- 14:02was the beginnings of a movement and the
- 14:05metric that they used to assess the
- 14:08academic consequence was this SAT scores
- 14:11and they focused their analysis on the
- 14:14top 10% performing students arguably
- 14:18those that have the least to gain in
- 14:20terms of any further improvement by way
- 14:23of sleep now in the year before they
- 14:26made the time change that top 10%
- 14:29performing students got an average score
- 14:32of 1288 which is a very respectable
- 14:36score the following year when students
- 14:41were now going to school at 8:30 in the
- 14:43more
- 14:44the average SAT score was 1500 that is a
- 14:55212 point increase which is non-trivial
- 15:00that will change which tier of
- 15:03university those school kids end up
- 15:05going to and perhaps as a consequence
- 15:08their subsequent life trajectories now
- 15:14some people have questioned aspects of
- 15:16the Adina study and I think for perhaps
- 15:18good reason but in all of the subsequent
- 15:21carefully controlled studies the data is
- 15:25unequivocal I think academic grades
- 15:28increase behavioral problems decrease
- 15:33truancy rates decrease and psychological
- 15:37and psychiatric issues also decrease but
- 15:44something else actually happened in this
- 15:47story of later school start times and it
- 15:52was something that we did not anticipate
- 15:56the life expectancy of students actually
- 15:59increased and you think I don't
- 16:04understand how does that work does
- 16:06anybody know what the leading cause of
- 16:08death in late stage teenagers is
- 16:11throughout most developed nations
- 16:13suicide is actually second it's car
- 16:16crashes and here sleep matters enormous
- 16:19Lee another example comes from Teton
- 16:23County in Wyoming they shifted their
- 16:26school starts from seven thirty five in
- 16:28the morning to eight fifty five in the
- 16:30morning and then they measured the
- 16:32reduction in car crashes in this narrow
- 16:35age of just 16 to 18 the only thing
- 16:40perhaps more remarkable than the extra
- 16:42hour of sleep that those students
- 16:44reported getting was the drop in vehicle
- 16:48accidents
- 16:53there was a 70% reduction just to sort
- 16:59of frame that in context the advent of
- 17:02ABS technology what we call anti-lock
- 17:04braking systems that prevent your wheels
- 17:06from locking up and a hard braking so
- 17:08that you can still safely maneuver a
- 17:10vehicle that dropped accident rates by
- 17:13twenty to twenty five percent and some
- 17:15deemed it to be a revolution but here is
- 17:20a biological factor sleep that will drop
- 17:25accident rates by up to 70% I think it's
- 17:33time for us to reconsider the importance
- 17:38of sleep in education when sleep is
- 17:43abundant Minds flourish and if our goal
- 17:48as educators truly is to educate and not
- 17:53risk lives in the process then I fear
- 17:56that we meet that we may be failing our
- 17:59children in a significant manner with
- 18:03this incessant model of early school
- 18:06start times
- 18:08so that's sleep for learning memory
- 18:12aging Alzheimer's what else is sleep
- 18:16good for let me tell you that sleep is
- 18:19essential to help stabilize your
- 18:21emotional and mental health and without
- 18:25sleep the emotional circuits of your
- 18:27brain become hyperactive and irrational
- 18:31allow me to demonstrate with a
- 18:34sleep-deprived subject because it turns
- 18:37out that we do video diaries with our
- 18:40participants throughout the deprivation
- 18:42night and you go to meet one under the
- 18:45pseudonym of Jeff it's 11:30 at night
- 18:49jeff has been awake for about 16 hours
- 18:53and I'm actually just going to plug in
- 18:55the audio here to see if I can get you
- 18:59some audio playing out Jeff's just
- 19:01entered the study he's been awake for
- 19:04for a normal 16 hours
- 19:06perhaps let's hear from Jeff what his
- 19:09sort of hopes and aspirations are for
- 19:12the deprivation period I've been here
- 19:20for about and I think about an hour No
- 19:25yeah about an hour so it's the first
- 19:27hour I'm reading my paper right now 30
- 19:32page paper hopefully I can get some of
- 19:33it done before I get to say so that's
- 19:37Jeff perfectly likable affable chap
- 19:40who's hoping to get his 30 page report
- 19:43complete in a night of sleep deprivation
- 19:50classic delusional undergraduate
- 19:53thinking I have to say I see it all of
- 19:55the time in my students so now let's
- 19:58fast-forward the clock it's now at 5:30
- 20:01the following morning Jeff is now been
- 20:04awake for 22 hours straight and
- 20:06instantly you'll notice one of the
- 20:08hallmark features of sleep deprivation
- 20:11which is that you actually slide down in
- 20:14your chair you can just you can look
- 20:17around the room right now actually and
- 20:18see Jeff's down about about 6 or 7
- 20:22inches it's about an inch for every hour
- 20:25that you've been awake beyond the
- 20:27standard 16 based on our highly
- 20:31sophisticated machine learning
- 20:32algorithms so but in all seriousness
- 20:37notice how emotionally different Jeff
- 20:41has become some people have I think
- 20:44perhaps unkindly described him as
- 20:46becoming a little bit emotionally
- 20:48unhinged so and let's hear how that 30
- 20:51page report has been going and I do
- 20:54apologize ahead of time for the
- 20:56profanity
- 21:02[Applause]
- 21:03I'm very angry right now because I
- 21:07didn't get me more but I curse
- 21:08on this and you know like
- 21:13[Laughter]
- 21:15they really have crazy addresses and
- 21:18very loose erection so did you notice
- 21:24how Jeff went from being remarkably
- 21:26upset and annoyed that he got none of
- 21:28his 30 page report complete - then
- 21:30finding it almost hilarious he was
- 21:33nearly sort of punch-drunk giddy on
- 21:35sleep deprivation and then came right
- 21:37back down to baseline again that is a
- 21:40remarkably abnormal emotional distance
- 21:44to travel with in such a short time
- 21:46period and I think it emphasizes the
- 21:50type of destabilizing influence that a
- 21:53lack of sleep has on our emotional
- 21:56integrity and we've since discovered
- 22:00what actually changes within your brain
- 22:03to produce this type of pendulum
- 22:06emotional irrationality there's a
- 22:09structure very deep within your brain
- 22:11called the amygdala and you can see it
- 22:14here in these red colors again you have
- 22:16one on the left side and one on the
- 22:17right and the amygdala is one of the
- 22:20centerpiece regions for the generation
- 22:23of strong emotional reactions including
- 22:27negative reactions and when we looked at
- 22:31this structure in those people who'd had
- 22:33a full night of sleep here in green we
- 22:36saw a nice controlled modest degree of
- 22:39reactivity yet in those people who are
- 22:43sleep deprived we saw this amplified
- 22:45almost aggravated degree of reactivity
- 22:49the amygdala was actually 60% more
- 22:52responsive under conditions of a lack of
- 22:55sleep and it's almost as though without
- 22:59sleep we've become all sort of emotional
- 23:01gas pedal and too little sort of
- 23:04regulatory control break but what is
- 23:08perhaps more concerning however is that
- 23:11this represents a neurological signature
- 23:14that is not dissimilar to numerous
- 23:17psychiatric conditions and we're now
- 23:21finding significant links between sleep
- 23:25disruption and
- 23:26conditions such as depression anxiety
- 23:29including PTSD schizophrenia and
- 23:33tragically suicide as well in fact we
- 23:41cannot find a single psychiatric
- 23:44condition in which sleep is normal
- 23:47I think sleep has a profound story to
- 23:54tell in our understanding in our
- 23:57treatment and perhaps even may
- 23:59contribute to our ultimate prevention of
- 24:02grave mental illness so that's sleep for
- 24:09the brain but sleep is just as essential
- 24:12for your body and here I could have gone
- 24:16into any one of the model systems and
- 24:19spoken about it in detail we've already
- 24:21spoken a little bit about sleep loss and
- 24:24the reproductive system I could tell you
- 24:27about sleep loss and the metabolic
- 24:29system that after one week of short
- 24:32sleep your blood sugar levels are
- 24:35disrupted so significantly that your
- 24:37doctor would classify you as being
- 24:39pre-diabetic or I could tell you about
- 24:44sleep loss and the cardiovascular system
- 24:47that all it takes is one hour because
- 24:51there is a global experiment that is
- 24:53performed on 1.6 billion people across
- 24:5770 countries twice a year and it's
- 25:01called daylight savings time now in the
- 25:04spring when we lose one hour of sleep we
- 25:08see a subsequent 24 percent increase in
- 25:11heart attacks in the fall when we gain
- 25:16an hour of sleep we see a 21 percent
- 25:19decrease in heart attacks that is how
- 25:24fragile your body is to even just the
- 25:27smallest perturbations of sleep I think
- 25:31many of us props don't think anything of
- 25:33losing an hour of sleep but as a deep
- 25:37dive I actually want to focus on this
- 25:40in the immune system and here I'll
- 25:42introduce these delightful blue elements
- 25:45in the image they are called natural
- 25:47killer cells think of natural killer
- 25:50cells like The Secret Service agents of
- 25:54your immune system they are very good at
- 25:57identifying dangerous foreign elements
- 26:00and eliminating them
- 26:01in fact what they're doing here in this
- 26:04image is embedding themselves into a
- 26:05malignant a cancerous tumor mass and
- 26:08destroying it and many of you may not
- 26:12know but today your body produced cancer
- 26:16cells and it's always doing this what
- 26:20stops those cancer cells from becoming
- 26:23the disease that we call cancer is in
- 26:26part these natural killer cells so what
- 26:30you want is a veeraiah set of these
- 26:34immune assassins at all times and sadly
- 26:39that's exactly what you don't have if
- 26:41you're not sleeping enough so here in
- 26:45this study from my wonderful colleague
- 26:47Mike Erwin you're not going to have your
- 26:49sleep deprived for an entire night
- 26:51you're simply going to have your sleep
- 26:53restricted to four hours for one single
- 26:57night and then we're going to look to
- 26:59see what is the percent reduction in
- 27:01immune cell activity that you suffer and
- 27:05it's not small it's not ten percent it's
- 27:09not thirty percent there was a 70
- 27:13percent drop in natural killer cell
- 27:16activity that's quite a concerning state
- 27:21of an immune deficiency and it happens
- 27:25quickly essentially after just one bad
- 27:28night imagine the state of your immune
- 27:32system after weeks if not months of
- 27:35insufficient sleep and it perhaps should
- 27:39then come as no surprise to learn that
- 27:41we now have significant links between
- 27:44short sleep and numerous forms of cancer
- 27:48currently that list includes cancer of
- 27:51the bowel cancer of the prostate
- 27:53and cancer of the breast in fact the
- 27:58link between a lack of sleep and cancer
- 28:01is now so strong that recently the World
- 28:05Health Organization decided to classify
- 28:08any form of nighttime shift work as a
- 28:11probable carcinogen in other words jobs
- 28:16that may induce cancer because of a
- 28:18disruption of your sleep wake rhythms so
- 28:24you may have heard of that old maxim you
- 28:26know you can sleep when you're dead
- 28:28well I'm being absolutely serious it is
- 28:31mortally unwise advice because if you
- 28:36adopt that mindset we know from the data
- 28:38that you will now live a shorter life
- 28:42and the quality of that shorter life
- 28:45will be significantly worse
- 28:48epidemiological studies teaches this
- 28:51short sleep predicts a shorter life it
- 28:54predicts all cause mortality and the bad
- 29:01news I'm sorry keeps coming because if
- 29:04you are fighting a battle against cancer
- 29:06and not getting sufficient sleep that
- 29:09cancer may grow more quickly and
- 29:11aggressively so here I actually want to
- 29:15feature work not from my own
- 29:17sleep center but by a scientist called
- 29:20David goes out who works at the
- 29:22University of Chicago and he examines
- 29:25the relationship between sleep loss and
- 29:27cancer in mice now I know this isn't for
- 29:31everyone so I will tell you when to look
- 29:33away if you prefer not to see this but
- 29:36in one of the studies that he did he
- 29:38inoculated some mice with cancer cells
- 29:41on their back and then he gave that
- 29:43cancer a one-month period to grow and at
- 29:47the end of that one month he resected
- 29:49the skin and measured the size of that
- 29:51tumor mass half of the mice were allowed
- 29:55to sleep normally during that one-month
- 29:58period the other half had their sleep
- 30:01disrupted not total deprivation they
- 30:04just sort of played with them a little
- 30:07bit more
- 30:07the day in during the night to restrict
- 30:09their sleep so in a second I'm going to
- 30:13play a video with David illustrating the
- 30:15results and now would be the time to
- 30:17look away if you would prefer to do so
- 30:19and here you can see him pointing to a
- 30:23mouse on a monitor with the skin
- 30:26resected and you can clearly see that
- 30:28tumor master this is in one of the mice
- 30:31that was allowed to sleep normally
- 30:33during that one month I'll play the
- 30:36video and he'll reveal behind it another
- 30:39mouse that mouse was in the sleep
- 30:42restriction group and you will see the
- 30:45difference in the tumor mass this is the
- 30:48difference there was a 200% increase in
- 30:59the speed and the size of that cancerous
- 31:03growth linked to insufficient sleep were
- 31:08still the cancer in those underslept
- 31:11mice had actually metastasized that's
- 31:15just a medical description meaning that
- 31:17it had breached the original origin and
- 31:19started to invade other areas bone other
- 31:22organs as well as brain when cancer
- 31:27becomes metastatic that's when we see
- 31:30mortality rates escalate so if you are
- 31:36fighting a battle against cancer and not
- 31:39getting sufficient sleep it may be the
- 31:42equivalent of placing gasoline on an
- 31:45already aggressive fire sleep loss is an
- 31:48accelerant and we now know that it
- 31:51produces a harmful biological fertilizer
- 31:54for the more rapid and rampant growth of
- 31:58cancer
- 32:04now if increasing your risk of
- 32:06developing Alzheimer's or cancer by way
- 32:10of a lack of sleep were not sufficiently
- 32:12disquieting we have since discovered
- 32:16that a lack of sleep will even erode the
- 32:19very fabric of biological life itself
- 32:24your DNA genetic code so here in this
- 32:30study they took a group of healthy
- 32:32adults and limited them to six hours of
- 32:35sleep for one week and then they
- 32:38measured the chain and change sorry in
- 32:40the gene activity profile compared to
- 32:44when those same individuals were getting
- 32:46eight hours of sleep for a week and
- 32:49there were two critical results here
- 32:52first a sizable and significant 711
- 32:58genes were distorted in terms of their
- 33:02activity caused by six hours of sleep
- 33:05and that's relevant by the way we know
- 33:08that almost one out of every two
- 33:10American adults are trying to survive on
- 33:13six hours of sleep or less during the
- 33:16week the second result was that about
- 33:21half of those genes were actually
- 33:23increased in their activity the other
- 33:25half were actually decreased in their
- 33:27activity those genes that were decreased
- 33:31by a lack of sleep were genes related to
- 33:34numerous aspects of the immune system
- 33:37which fits very well with the evidence I
- 33:40was just discussing regarding cancer
- 33:42those genes that were actually increased
- 33:45in their activity or what we call up
- 33:47regulated in their expression were genes
- 33:50related to the promotion of tumors genes
- 33:54that were related to chronic
- 33:56inflammation within the body and also
- 33:59genes that were related to stress and as
- 34:02a consequence cardiovascular disease now
- 34:09I think many individuals in society feel
- 34:13uncomfortable about the idea of
- 34:16genetically modified embryo
- 34:18or even genetically modified food but by
- 34:22choosing to get insufficient sleep we
- 34:26may be forced to accept that we are
- 34:28performing a similar genetic modifying
- 34:31experiment on ourselves and if we don't
- 34:37let our children get the sleep that they
- 34:39so desperately need then we may be
- 34:42inflicting a similar genetic engineering
- 34:45experiment on them as well there is
- 34:50simply no aspect of your physiology that
- 34:54seems to be able to retreat at the sign
- 34:58of sleep deprivation and get away
- 35:01unscathed it's almost like a broken
- 35:06water pipe in your home sleep loss will
- 35:09leak down into every nook and cranny of
- 35:13your biology even tampering with the
- 35:18very DNA nucleic alphabet that spells
- 35:22out your daily health narrative so where
- 35:29does this leave us what is the piece of
- 35:32sort of mental furniture I would like to
- 35:35gift to you as we finish the talk well
- 35:40it would be this sleep is not an
- 35:45optional lifestyle luxury leave is a
- 35:50non-negotiable biological necessity it's
- 35:55a life support system and it is mother
- 35:59nature's best effort yet at contra death
- 36:04and the decimation of sleep throughout
- 36:09industrialized nations is having a
- 36:11catastrophic impact on our health or
- 36:14wellness and the safety and the
- 36:17education of our children it's a silent
- 36:20sleep loss epidemic and it is fast
- 36:24becoming one of the greatest public
- 36:26health challenges that we now face in
- 36:28the 21st century
- 36:31I believe it is now time for us to
- 36:37reclaim our right to a full night of
- 36:41sleep and without embarrassment and
- 36:46without that terrible and stigma of
- 36:49laziness and in doing so we may finally
- 36:55remember what it feels like to be awake
- 36:59during the day and with that soap box
- 37:05rant over I will simply say good night
- 37:08good luck and above all I do hope you
- 37:12sleep well thank you very much indeed I
- 37:15[Applause]
- 37:19think we've got lots of times for
- 37:22questions I think thank you so much for
- 37:27the target was actually very informative
- 37:28I have two questions for you number one
- 37:31I have a five year old and then there's
- 37:33myself right so how much sleep should we
- 37:35be getting and number two is there any
- 37:39disadvantage of over sleeping so let's
- 37:40say if I sleep 10 or 15 hours day in the
- 37:42day yeah that's a so great questions so
- 37:46first the recommendations for sleep you
- 37:48can find them on the National Sleep
- 37:49Foundation website for all ages for the
- 37:53average adult the recommendation World
- 37:55Health Organization eight hours range
- 37:58seven to nine once human beings the
- 38:03average human being gets below seven
- 38:05hours of sleep we can measure objective
- 38:07empowerment's so people who say I can
- 38:09survive on six hours of sleep there's a
- 38:11problem with that which is this your
- 38:13subjective sense of how well you think
- 38:15you're doing without sufficient sleep is
- 38:17a miserable predictor of objectively how
- 38:20you're doing without sufficient sleep so
- 38:22it's it's probably a little bit like a
- 38:24drunk driver at a bar you know they've
- 38:26had seven shots they pick up the car
- 38:27keys and they say I'm fine to drive and
- 38:29your response is now I know that you
- 38:31think you're fine to drive but trust me
- 38:33objectively you're not the same is true
- 38:36for a lack of sleep your second question
- 38:39is fascinating
- 38:40can I sleep too much well there are
- 38:44anecdotes of some
- 38:45called a sleep hangover where you said
- 38:47of oversleep and then you feel worse
- 38:49almost when you oversleep it usually
- 38:52means that you're trying to sleep off a
- 38:54debt that you've lumbered yourself with
- 38:56so if you could sleep past your alarm if
- 38:59it didn't go off then your underslept
- 39:02because it's physiologically impossible
- 39:04to sleep too much if you're healthy now
- 39:08there is one piece of evidence that
- 39:11suggests something called hypersomnia
- 39:13excessive sleep that principally
- 39:16expresses itself in depression but if
- 39:19you look at that data it's actually very
- 39:20difficult to tell is it people just
- 39:22reporting being in bed for longer rather
- 39:25than sleeping longer so I think it's
- 39:26unclear right now but let me just take
- 39:28it to a theoretical realm could there be
- 39:31such a thing as too much sleep I think
- 39:33yes but don't forget the same is true
- 39:36for the other three essential factors of
- 39:38life oxygen food and water can you eat
- 39:41too much yes
- 39:42can you over hydrate yes can you
- 39:45increase blood pressure cause stroke and
- 39:47heart attack by excessive water intake
- 39:50it happened in the 1990s with the
- 39:52ecstasy craze where people were
- 39:53dehydrating governments told them drink
- 39:55lots they drank too much cardiac events
- 39:58can you actually become hyper oxygenated
- 40:02so you get free radical species
- 40:03dangerous for cells yes you can is there
- 40:06such a thing as too much sleep we
- 40:09haven't found it yet but I suspect
- 40:10probably so it's a bell-shaped curve
- 40:13it's a u-shaped function in terms of
- 40:14benefit not linear but on most people in
- 40:18danger of getting too much sleep Oh
- 40:20contraire thank you for the great talk
- 40:24do you also have any information on how
- 40:27quickly people recover after they switch
- 40:29from a kind of short sleep periods to
- 40:32kind of a more normal sleep periods
- 40:35because we only mentioned kind of as one
- 40:37of those was the d'Este change or when
- 40:39we'd sleep one or more kind of things
- 40:41get better in terms of cardiac province
- 40:43yeah kind of is it quick to recover as
- 40:47well as quick as the yeah it's a great
- 40:52question so different aspects of your
- 40:54brain in your body seemed
- 40:57to come back online to a status of
- 40:59health with recovery sleep and those
- 41:02temporal profiles are different based on
- 41:05even within the immune system for
- 41:07example some components take longer to
- 41:09come back online than others what I
- 41:11would note however is that you can never
- 41:13get back all that you've lost this is
- 41:16another one of those myths with sleep so
- 41:18sleep is not like the bank
- 41:21you cannot accumulate a debt and then
- 41:23pay it off at a later point in time
- 41:25which is what most of modern society
- 41:27does chronic short sleep during the week
- 41:30then you binge at the weekend it's what
- 41:32I call sleep bulimia it's what is
- 41:34otherwise known as social jetlag now if
- 41:37I were to take you and deprive you of
- 41:39sleep for one single night eight hours
- 41:41of lost sleep and then I give you all of
- 41:43the sleep that you want for however many
- 41:45nights and we keep recording you your
- 41:47brain never recovers all of that lost
- 41:49eight hours it will try to get back some
- 41:52of it it will never get back all of it
- 41:54why is that the case we can ask why
- 41:58doesn't your brain have a credit system
- 41:59for sleep because there's precedent for
- 42:02this in biology you have one for energy
- 42:04it's called a fat cell you can actually
- 42:08store up credit calorically and spend it
- 42:13when you go into famine now most of us
- 42:15are in that danger anymore but during
- 42:17evolution we face that challenge so we
- 42:19came up with a solution called the
- 42:21adipose cell where is the fat self
- 42:24asleep why isn't it there the reason is
- 42:28this human beings are the only species
- 42:30that deliberately deprived themselves of
- 42:32sleep for no apparent reason
- 42:35what that means is that Mother Nature
- 42:37has never had to face the challenge
- 42:40through evolution of coming up with a
- 42:42safety net because of insufficient sleep
- 42:44so there is no mechanism of safety there
- 42:47is no credit system have you done any
- 42:56research about supplements that can help
- 42:58sleeping well without the device yet so
- 43:07no drugs or supplements that we have
- 43:10currently produced naturalistic sleep
- 43:13chemically it's an incredibly complex
- 43:15job now I don't want to dismiss people
- 43:19at drug companies I'm not against
- 43:21medication I'm not anti all medication
- 43:23for medications work I'm all for them
- 43:25it's just that all of the sleeping
- 43:27medications that we have right now don't
- 43:29produce naturalistic sleep most of them
- 43:31are a class of drugs that we call the
- 43:33sedative hypnotics
- 43:34sedation is not sleep all you're doing
- 43:36is knocking the cortex out you're not
- 43:38producing naturalistic sleep and and as
- 43:41I said mentioned in the book they are
- 43:44also linked to a higher risk of death
- 43:47and considerably higher as well as
- 43:49cancer what about melatonin
- 43:52well melatonin turns out not to be an
- 43:55effective sleep aid and it shouldn't
- 43:58surprise us based on how melatonin works
- 44:00melatonin helps time the onset of sleep
- 44:04but it doesn't help in the creation of
- 44:07sleep itself so the analogy would be
- 44:10melatonin is like the starting official
- 44:13in the hundred meter race at the
- 44:15Olympics melatonin gathers all of the
- 44:17races to the starting line and begins
- 44:19the race but that official themselves
- 44:22does not participate in the great sleep
- 44:24race itself that's a whole different set
- 44:26of brain mechanisms and chemicals that's
- 44:29why melatonin is not efficacious once
- 44:31you're stable in a new time zone now I
- 44:35will say this however if you're taking
- 44:38melatonin and you feel it's beneficial
- 44:40keep taking it because the placebo
- 44:43effect is one of the most reliable
- 44:45effects in all of pharmacology
- 44:49and and this I mean that tells you
- 44:52something by the way something profound
- 44:54there is such a thing as mind over
- 44:56matter and there is now a wonderful
- 44:58science of the placebo effect
- 45:00it's very real and we dismissed it for a
- 45:03long time I hope that answers both your
- 45:05question ain't it sure does like the
- 45:13time period between when you wake up to
- 45:16when you start using your brain like for
- 45:19learning or whatever also play a
- 45:22difference like if a person had a full
- 45:248-hour sleep but they don't go to school
- 45:26until evening when they have evening
- 45:27school do they learn worse than if they
- 45:30could have went to a morning school and
- 45:33so it's a very interesting question sort
- 45:36of you know when on the clock face is is
- 45:38learning let's say most sort of
- 45:41beneficial well once you're waking at a
- 45:47reasonable time it seems as though there
- 45:49is some degree of stability of learning
- 45:52across the day however that does seem to
- 45:54be a gradual deterioration and we've
- 45:56done some of these studies to basically
- 45:57map the time cost the sort of the Great
- 46:00Depression of learning you know across
- 46:03the day and we've inserted naps and we
- 46:06can actually restore learning and but I
- 46:07would like to come on to nap someone
- 46:09should ask me about that because there
- 46:10are a double-edged sword with danger but
- 46:14what we do know from those school
- 46:16studies were they delayed the school
- 46:17start times where you get the greatest
- 46:20grade point increases is not in all
- 46:23classes across the day but it's
- 46:25especially in those first morning
- 46:28classes but I think that that's less
- 46:30about your brain being better at
- 46:33learning in the morning than it was
- 46:35about when you were starting so early it
- 46:37was just so detrimental to try and learn
- 46:39so sort of you lowered the floor rather
- 46:42than raise the ceiling so yeah but to me
- 46:46it makes sense that learning is somewhat
- 46:48stable across 16 hours because if you
- 46:50were to design a system of memory that
- 46:52could only learn in the last couple of
- 46:54hours of wakefulness then why are we
- 46:56awake for the other 14 and we seem to
- 46:58have a system of memory that gives us a
- 47:00capacity for about a
- 47:02about 16 hours of recording in humans
- 47:05before sleep is required a quick
- 47:07question there you're doing a study on
- 47:09all their brain activities like code it
- 47:13well I'm not coding but you know more
- 47:14advanced out like should I try not to
- 47:16schedule morning meetings because
- 47:17everybody is asleep but nobody's making
- 47:18decisions yes so we've done lots of
- 47:21studies on all aspects of brain
- 47:23cognition we've done at decision making
- 47:26judgment making we've done creativity
- 47:29emotional regulation we've done visual
- 47:32attention aspects we've done motor skill
- 47:34learning and it follows the same profile
- 47:37which is essentially when sleep is in
- 47:39high volumes all of those things are
- 47:42supported different operations within
- 47:45the brain rely on different stages of
- 47:48sleep at different times of night
- 47:50however it's not just one stage of sleep
- 47:53that does it all for all of your brain
- 47:55sort of mechanisms and apparatus
- 47:58features and this is why there is no
- 48:00single one stage of sleep that's
- 48:02important people will say oh how can I
- 48:04get more REM sleep and I would say why
- 48:06do you want more REM sleep well how can
- 48:08I get more deep sleep mother nature took
- 48:10about 3.6 million years to figure that
- 48:12out just let her do a job she'll see you
- 48:15well quick question basically how do
- 48:20drugs from any kind of drugs medicine
- 48:23alcohol marijuana how would it be simply
- 48:26at the brain activity during the my
- 48:28doing so how do you drugs perhaps some
- 48:33legal some non legal impact sleep I'll
- 48:36focus on marijuana and alcohol since you
- 48:39mentioned them alcohol is perhaps the
- 48:41most misunderstood drug when it comes to
- 48:43sleep people say you have a nightcap and
- 48:46I fall asleep better untrue alcohol is
- 48:49also a class of drugs that we call the
- 48:51sedatives and once again that's not
- 48:54natural sleep what you're doing is
- 48:55simply removing consciousness by way of
- 48:58alcohol you're not putting yourself into
- 49:00natural sleep to more problems with
- 49:02alcohol first it will fragment your
- 49:05sleep with awakenings throughout the
- 49:06night the problem is that they are so
- 49:09brief that you tend not to remember them
- 49:11and commit them to memory so you wake up
- 49:13the next morning feeling unrefreshed
- 49:15but you
- 49:15don't understand why that it was the
- 49:17alcohol fragmenting your sleep
- 49:19finally alcohol is very effective at
- 49:22blocking your REM sleep or blocking your
- 49:24dream sleep so alcohol misunderstood
- 49:28should be avoided and marijuana people
- 49:31use it to try and help them get to sleep
- 49:33or relax the problem is marijuana also
- 49:36seems to fragment sleep it also seems to
- 49:39block rapid eye movement sleep probably
- 49:42the other chemical that deserves mention
- 49:45here is caffeine caffeine most people
- 49:49know is an alerting drug it's actually a
- 49:51class of drugs that we call the
- 49:53psychoactive stimulants it's the only
- 49:55legal stimulant that we readily give to
- 49:57our children
- 49:58by the way caffeine can obviously keep
- 50:02you awake at night but some people will
- 50:04say I'm one of those who can have a cup
- 50:05of coffee and I fall asleep fine
- 50:07the problem there is that even if you
- 50:09fall asleep the depth of the deep sleep
- 50:12that you have is not as deep as if you
- 50:15were to have sleep that didn't have
- 50:17caffeine swirling around within the
- 50:19brain so again you wake up the next
- 50:21morning feeling unrefreshed
- 50:23you don't remember waking up or
- 50:24struggling to fall asleep so you don't
- 50:26think it's the caffeine but now you need
- 50:28two cups of coffee rather than one the
- 50:30next morning you build up this vicious
- 50:32cycle and it's probably the reason that
- 50:34caffeine is the second most traded
- 50:35commodity on the surface of the planet
- 50:37after oil I don't think there's probably
- 50:39any other Cystic that Burres out how
- 50:41sleep-deprived we are throughout
- 50:43industrialized nations quick question
- 50:48how much of this deep every night is
- 50:50basically enough um
- 50:52zero hours maybe uh once you as I said
- 50:55once you get below seven hours of sleep
- 50:57that's when we can measure objective
- 50:59impairments yeah yep but that's once we
- 51:04can measure objective impairments
- 51:06doesn't mean that if we had more
- 51:07sensitive tools we would measure it at
- 51:09you know 7 hours and 50 minutes I
- 51:12wondered about blue light exposure
- 51:14especially from devices and I couple
- 51:18years ago I got the blue light walking
- 51:20glasses and it does seem actually
- 51:22giving better sleep and I know spirits
- 51:23what the researchers behind that yeah
- 51:25that one is actually not a placebo
- 51:27effect it turns out so the studies are
- 51:30very clear right now we are as as an
- 51:35industrialized set of Nations we are a
- 51:38dark deprived society and we need
- 51:42darkness because the way that darkness
- 51:44works is that it actually removes the
- 51:48breaks from the hormone melatonin that I
- 51:51described that needs to rise to help
- 51:54time the normal onset of healthy sleep
- 51:56so if you're bathed in electrical light
- 51:59at night even though it's not as
- 52:01powerful as daylight it can keep the
- 52:04brake pedal on melatonin now they did
- 52:07some fascinating studies were you read
- 52:10on an iPad for one hour versus just
- 52:12reading a normal buck with dim light and
- 52:15firstly relative to that one hour of dim
- 52:17light normal book reading the one hour
- 52:19of iPad reading firstly delayed that
- 52:22spike in melatonin by two to three hours
- 52:25so here if we are reading the iPad in
- 52:28Seattle were almost all the way to
- 52:30Hawaii in terms of our biological
- 52:32melatonin rhythms
- 52:34that's how shifted and delayed we are
- 52:36second the sleep was not as good REM
- 52:39sleep was disrupted and people
- 52:41subjectively felt worse and less
- 52:43refreshed the next morning and it took a
- 52:46few days before it washed itself away
- 52:48after they ceased so I think you know
- 52:52the recommendation right now is try to
- 52:54limit screen time in the last hour I
- 52:57know where I'm speaking right now which
- 52:59is at Google and what that means you can
- 53:02install software that helps desaturate
- 53:04the most harmful wavelength of light
- 53:06which is the blue light you can also put
- 53:09those spectacles on they seem to work as
- 53:11well but overall try to decrease
- 53:13stimulation blackout curtains also great
- 53:16at night during the night in bed you
- 53:19know follow up on the blackout curtains
- 53:21so one of the things I found is this
- 53:24really hard to get up in the morning if
- 53:25the room is all blocked out of having
- 53:27that
- 53:28and as is important and I wanted to
- 53:31which is worse to have any of this light
- 53:34coming in during the nighttime versus
- 53:36having to deal with an unnatural alarm
- 53:40clock waking up in the morning yeah if
- 53:42you do have to I mean it sounds as
- 53:44though what you're experiencing is sort
- 53:45of a groggy what we call a sleep inertia
- 53:47which is when you wake up it usually
- 53:49means that you're sort of waking up at a
- 53:51time that slightly offset from your
- 53:53natural biological tendency with that
- 53:56you can use daylight to perhaps try and
- 53:59help you some people actually use eye
- 54:00masks in the first part of the night and
- 54:02at some point they will take the eye
- 54:04mask off and then help with the exposure
- 54:07to the daylight because they've kept
- 54:08their curtains you know non-black out in
- 54:11that regard but that's a tricky one to
- 54:12balance yep I know there are a lot of
- 54:15more questions it's coming up on two
- 54:17o'clock so we're gonna cut it off but
- 54:18dr. Walker will stay and he's gonna sign
- 54:20books we're selling a few of the copies
- 54:21and so just everybody let's give dr.
- 54:23Walker our hands thank you very much
- 54:24indeed thank you thank you so much thank
- 54:30you
- 54:40you
About this transcript
This page contains the full transcript of Why We Sleep: Science of Sleep & Dreams | Matthew Walker | Talks at Google by Talks at Google, generated from the public captions YouTube serves with the video. The transcript has 7,624 words across 1,125 segments, with the original timestamps preserved so you can click any line to jump to that moment in the embedded player.
What you can do with it
Use the transcript to take notes, quote the speaker, build a study guide, generate a summary with ChatGPT or Claude via the YouTube Summary tool, or export it as a timed subtitle file with YouTube to SRT. You can also re-open it in the transcriber to translate the transcript into 100+ languages.
Free YouTube transcript tool
YouTube2Text is a free YouTube transcript generator — no signup, no daily limit. Paste any YouTube link and get the full transcript instantly, with timestamps, click-to-jump, translation to 100+ languages, AI prompts for ChatGPT, Claude, and Gemini, and exports to TXT, SRT, VTT, or Markdown.