[HN Gopher] Alertness associated with last night's sleep, physic...
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       Alertness associated with last night's sleep, physical activity and
       food intake
        
       Author : PaulHoule
       Score  : 151 points
       Date   : 2022-11-23 14:41 UTC (8 hours ago)
        
 (HTM) web link (www.nature.com)
 (TXT) w3m dump (www.nature.com)
        
       | _JoRo wrote:
       | A few things I have found work well for maintaining energy levels
       | and maximizing productivity levels throughout the day.
       | 
       | 1. Only eat foods high in carbohydrates around the time you
       | exercise. (Reduce carbohydrates on days that you don't exercise)
       | 
       | 2. Workout in the morning or afternoon (ideally afternoon).
       | (Working out at night will disrupt sleep and I have found that
       | working out in the morning slightly decreases energy levels in
       | the afternoon compared to working out in the afternoon.)
       | 
       | 3. Avoid eating 6+ hours before going to bed.
       | 
       | 4. Try to do some light exercise (walking/stretching) after you
       | eat.
       | 
       | 5. Make sure you're consistently drinking water throughout the
       | day (a little bit less around the times you eat).
       | 
       | 6. Only go to bed when you're like 8+/10 tired (time asleep
       | doesn't matter much if the quality is slow)
       | 
       | 7. Avoid screen time at least 1 hour before bed (this is
       | basically a must to achieving 6...)
       | 
       | 8. Wake up (get up) when you wake up relatively alert or when you
       | have to get up. If you always stay in bed until you have to get
       | up then you're probably not aligning your waking time with your
       | sleep cycle which means you'll be more tired throughout the rest
       | of the day
       | 
       | There are actually a lot of other things that I think help as
       | well (diet, meditation, etc...) but I didn't want to make this
       | post any longer than it is.
       | 
       | Lastly, I just wanted to say that having sleep aligned is SO
       | important because it improves our energy/emotional state which
       | ultimately assists us with other productive activities. (it's
       | really a productivity multiplier)
        
       | aenis wrote:
       | Interesting. Anecdotally, I do feel way sharper, eloquent and
       | wittier when I am on low-carb, fasting-often-and-long diet I
       | practice between September and March. I tend to feel sleepy and
       | bloated on a high carb diet I do most of the summer (and that's
       | not sweets or soda, it's just adding bread and pasta). I do a lot
       | of fasted cardio, including things like cycling 200km during a
       | 36hr or 72hr fast. I do software design for a living, so
       | generally have to think hard with some regularity :-)
        
         | InCityDreams wrote:
         | As a 200km+ cyclist, at what times of the day do you eat? Eu or
         | US based?
         | 
         | Interested, as i've never tried seasonal variations, as opposed
         | to daily/ weekly.
         | 
         | I do whack in the sugars, though pre-ride (day before) and then
         | fast until finished, whatever the distance. Eating during,
         | bloats me and i mentally just kinda give up.
        
         | civopsec wrote:
         | It makes sense that the average person would feel less alert
         | without breakfast since they're not used to low-carb.
        
       | chrisweekly wrote:
       | Tom Rath's book "Eat, Move, Sleep" reinforces this same simple
       | message. It seems like common sense to me, but for those who want
       | the science, there you go.
        
       | gchamonlive wrote:
       | Rest, exercise and nutrition are the pillars of health. No
       | surprise there whatsoever. It is understandable that they have
       | cognitive impact on alertness too. It is interesting therefore to
       | see this connection explored.
        
       | ericmcer wrote:
       | Associating all these health markers (sleep, activity, diet) with
       | an actual result is cool and something more fitness apps should
       | do. Right now you can setup tracking for all these things
       | relatively easy but the purpose of tracking them seems to be
       | vaguely feeling "good" or losing weight. The apps encourage you
       | to sleep a certain amount and exercise but it seems difficult to
       | correlate those numbers with performing something you care about
       | at a higher level.
       | 
       | I usually just say something like "yeah I guess I have been
       | feeling more focused lately" but that seems pretty subjective.
        
         | ouid wrote:
         | >seems pretty subjective.
         | 
         | The gold standard of medical evidence is the clinical endpoint.
         | How someone feels after receiving treatment is subjective, but
         | is is subjective per subject, so the subject in the numerator
         | cancels with the one in the denominator, and the result is an
         | objective measurement.
        
           | ericmcer wrote:
           | There are so many instances of people feeling they are doing
           | well when the objective measure reveals that they are not.
           | The Dunning Kruger effect became a meme because people are so
           | bad at objectively measuring their own performance.
           | 
           | It is philosophical whether feeling you are doing good is
           | more important than actually doing well, but for a metrics
           | based study like the one this thread is based around I want
           | objective measurements.
        
         | InCityDreams wrote:
         | Can recommend http://intervals.icu
         | 
         | Request it, it may get done.
        
       | tylerneylon wrote:
       | I was actually a bit surprised by the low regression coefficient
       | values in figure 3. To me, the low values say that many of those
       | features are not hugely important. The authors don't emphasize
       | this, but they also found that going to sleep _later_ correlated
       | with higher morning alertness.
       | 
       | My own takeaway from the data is a bit different from what the
       | authors say conversationally (vs in the figures). I'd summarize
       | the paper, mostly based on figure 5b, as:
       | 
       | Try to be happy, old, sleep well, and don't eat too frequently.
       | 
       | In terms of breakfast, the data's main conclusions are to avoid a
       | lot of sugar (which is hugely important), and to wait a while
       | before eating breakfast (see fig 3).
        
         | Cruncharoo wrote:
         | _they also found that going to sleep later correlated with
         | higher morning alertness_
         | 
         | I always found this to be true for myself--if I got 6 hours of
         | sleep I'd be much more alert in the morning than if I got 8.
        
           | sidpatil wrote:
           | This could have to do with whether you're waking up _in
           | between_ versus _in the middle of_ a sleep cycle. From what I
           | understand, the former is preferable to the latter.
        
           | _JoRo wrote:
           | I've always feel like I get my best quality sleep when I go
           | to bed extremely tired.
        
           | sedeki wrote:
           | Same here. But I always associated it with stress.
        
             | xeromal wrote:
             | I feel the same way but after wearing a heart rate monitor,
             | it definitely detects a higher daily average heart rate so
             | it can't be healthy.
             | 
             | Normal days: 50-55bpm
             | 
             | Low sleep days: 63-68bpm
        
               | NathanielK wrote:
               | I've noticed similar. I've woken up early, taken my pulse
               | and notice it was a bit high and used that to decide to
               | go back to sleep.
        
         | ilyt wrote:
         | Well, it is "morning alertness", from what I've observed on
         | myself "bad" (whether short or interrupted) sleep have far
         | higher negative impact on rest of the day than morning.
        
           | gnulinux wrote:
           | To me it's the exact opposite. I usually end up feeling much
           | better later in the day if I can't sleep but mornings are
           | absolutely brutal. Even if I sleep well, I feel a bit groggy
           | in early mornings; if I didn't sleep well I'm a complete
           | zombie, but later in the day I will feel better, hopefully.
        
             | szundi wrote:
             | Same here
        
               | GeorgeTirebiter wrote:
               | These sound like perhaps conditions that CPAP would help?
        
       | [deleted]
        
       | msluyter wrote:
       | Related: anecdotally, morning sunlight really improves my overall
       | sleep. Learned about it here:
       | 
       | https://hubermanlab.com/sleep-toolkit-tools-for-optimizing-s...
        
       | Swizec wrote:
       | Anecdotally this feels like "D'oh! Who would've thought your mind
       | works better when it's rested and fueled!?"
       | 
       | But it's nice that someone did a science about it. Now can they
       | someone figure out why as a person this finding is the last thing
       | I think of when going through a day in a cranky fuzzy mood
       | thinking "why the hell am I feeling this way!?"
       | 
       | However, this finding from the abstract caught my eye:
       | 
       | > a breakfast rich in carbohydrate, and a lower blood glucose
       | response following breakfast
       | 
       | Not a nutritionist, but based on all the other stuff I've read,
       | how does high carb + low glucose work together? Doesn't high carb
       | lead to high glucose response?
        
         | purpleflame1257 wrote:
         | You can select carbohydrates with a low glycemic index (meaning
         | that your blood sugar rises more slowly). For example, oatmeal
         | has a glycemic index of 55, and pure glucose has a glycemic
         | index of 100, meaning oatmeal spikes your blood sugar only 55%
         | as much. This is true even for two items with identical
         | calories.
        
           | o_____________o wrote:
           | This and the other food you're eating with the carbs, like
           | the amount of fat and fiber.
        
         | PaulHoule wrote:
         | The glucose reponse depends on your ability to process the
         | carbs.
         | 
         | My take is that carbs are good for fueling performance but I've
         | also had the experience of losing significant weight with a
         | high-protein diet and putting on muscle mass. I schedule
         | exercise around my ability to digest: on a totally empty
         | stomach I can do very little, but a full stomach demands energy
         | to digest and can lead to vomiting, fainting, etc.
         | 
         | I would like to practice intermittent fasting but what I find
         | when I don't eat at all in the evening is that I can lay in bed
         | all night and not sleep a wink.
        
           | gigaflop wrote:
           | My take on IF is to skip 'breakfast', and allow myself to eat
           | between lunchtime and late evening.
           | 
           | Sleeping means I'm not eating, and no morning meal saves me a
           | few minutes of time and effort. It also means that it's
           | easier for me to not screw up my IF if I want to go out to
           | eat with people, since few are interested in dining out early
           | in the day.
           | 
           | Working out midday before lunch is a new challenge for me,
           | and I'm still getting into the hang of it, as opposed to
           | after work hours. I still start yawning whenever I get to the
           | gym, and I definitely don't have the same amount of
           | performance, but I'm trying to get myself into it.
        
             | matwood wrote:
             | > Working out midday before lunch is a new challenge for
             | me, and I'm still getting into the hang of it, as opposed
             | to after work hours.
             | 
             | For me, once I got over the initial hump, my workouts
             | before my first feeding are great. I have tons of energy,
             | and am just ready to go. That initial hump was a little
             | rough as I used to eat breakfast as soon as I got up. Now,
             | I only start to notice real hunger if I skip breakfast and
             | lunch.
        
               | gigaflop wrote:
               | I have more 'work' to do in figuring out where my pre-gym
               | yawning comes from, but tend to have my burst of
               | clarity/energy once I'm done. Maybe it has something to
               | do with sitting for so long? Not sure yet.
        
           | ilyt wrote:
           | I do pretty much one meal a day (second "meal" being cocoa or
           | coffe with milk in the morning) but it took slowly cutting
           | meals over time + eating more filling and slower digesting
           | stuff overall.
           | 
           | Like replacing egg + toast with egg + some diced potatoes and
           | onion pan-fried with the egg will probably keep you sated for
           | longer.
           | 
           | Now the hunger comes in slowly and _generally_ I feel a tiny
           | bit of hunger when I fall asleep, wake up hungry, get my
           | glass of milky drink for the  "breakfast" to keep hunger at
           | bay for next 2-3 hours, then get/cook something for dinner.
        
           | Swizec wrote:
           | Long distance running helped me with this. Don't know if it's
           | the running itself or the metabolism training that comes with
           | it.
           | 
           | When you burn 3000+ calories in 4 hours, that's like sped up
           | fasting. No way to eat that much. So you learn to function
           | and perform while hungry.
        
           | nanomonkey wrote:
           | Most people that practice intermittent fasting eat their meal
           | in the evening so that they can go to bed well fed. This
           | allows your body to rest and digest at the same time. The
           | fasting window is from your last meal until mid day the
           | following day.
        
         | torstenvl wrote:
         | > _how does high carb + low glucose work together?_
         | 
         | Not always, but typically, higher-fiber carbs don't spike your
         | blood glucose as much.
         | 
         | Practically, this means having steel cut oatmeal for breakfast
         | instead of Cheerios. Prepare them savory instead of sweet, like
         | you might with grits.
         | 
         | Steel cut oatmeal + an egg + 1tbsp cottage cheese + hot sauce
         | is an amazing breakfast
        
           | matwood wrote:
           | > Steel cut oatmeal + an egg + 1tbsp cottage cheese + hot
           | sauce is an amazing breakfast
           | 
           | I don't eat breakfast b/c of IF, but damn, this made me
           | hungry.
        
           | recyclelater wrote:
           | I used to think the same thing, but tried a continuous
           | glucose monitor. I found out steel cut oats were actually
           | really bad for my glucose levels, spiking them into unhealthy
           | levels around 160. More than whole wheat bread and other
           | carbs.
           | 
           | Obviously this is highly subjective from person to person
           | however reading other anecdotal evidence from people who have
           | used a CGM, it's pretty common.
           | 
           | In other words don't assume it's a low glycemic food because
           | the internet says it is.
        
           | gwd wrote:
           | Oatmeal + peanut butter + fruit (blueberries, strawberries,
           | kiwi, banana, or raisins if you happen to run out of fresh
           | fruit) is a good option too. The fruit has sugar, but not
           | much, and anyway has fiber and vitamins to balance things
           | out.
        
       | veqq wrote:
        
       | jkeddo wrote:
       | I recommend every single person I know to screen themselves for
       | Sleep Apnea -- My doctor estimates 30% of the population has it
       | and most people go their whole lives without ever knowing.
       | 
       | Personally, my CPAP has boosted by daily energy/wakefulness
       | _tremendously_ , I feel at least 40% more energy each morning
       | when I get a perfect CPAP adherence overnight, and I only had a
       | minor/moderate case. If you snore, you probably have it without
       | knowing.
       | 
       | Please get checked and make your life much better!
        
         | pedalpete wrote:
         | 30% of the population do not have Apnea. Initial estimates in
         | research were 3%, then a few years ago we started seeing
         | numbers in the 8% to 12%. I have never seen a research paper
         | that suggests anywhere near 30%, but that number gets batted
         | around a bunch.
         | 
         | I'm not going to say Apnea isn't a problem. It is. I'm happy it
         | made your life better.
         | 
         | If you snore, you do not "probably" have apnea.
        
       | TurboHaskal wrote:
       | Ah, the usual thing.
       | 
       | I can feel more focused and with increased alertness by fasting,
       | avoiding sugar and taking plenty of stimulants.
       | 
       | Now what does this do to the suprarenal glands on the long term?
       | What about TSH?
       | 
       | No one cares about that it seems. We feel "good", so it must be
       | good.
        
       | mensetmanusman wrote:
       | Intermittent fasting has been life changing.
       | 
       | Only eating between 5-9 pm means a deep sleep from digestion of
       | 2500 calories. Also, skipping lunch prevents the post lunch
       | tiredness which would reduce my physical activity so I can more
       | easily stay on my feet at least 12 hours a day.
        
         | ilyt wrote:
         | I did that for long time, just one big meal in the evening, but
         | over time I figured out that for me it works better to move it
         | earlier (say noon) as it makes easier to fall asleep. Food
         | before bed kinda does opposite for me, I stay longer than I
         | want after.
         | 
         | It took a bunch of time to get used to longer breaks between
         | meals but I can go for whole day without food without feeling
         | all that much hunger. Dropping fast metabolizing foot also
         | helped with that.
         | 
         | Only time where food makes me sleepy is if I had a lot after a
         | period of average negative calorie intake, my body just goes
         | "okay we sleep now" regardless of time of day.
        
       | taeric wrote:
       | This feels like "alertness associated with other positive health
       | traits."
       | 
       | That is, I don't think most people or animals choose to lower
       | their physical activity just because they can. Often lowering any
       | of those is due to onset of sickness and you can observe this in
       | pets.
       | 
       | Reading over the above, I do want to underline that this is still
       | worth studying. I just hate that the reporting on it is painting
       | a one-way causal link.
       | 
       | I also think the amount of psychological tricks that are employed
       | against people is absurdly high. Such that the reasons we overeat
       | or just eat the wrong things are as likely not about cravings you
       | would have absent the effort companies put into giving you these
       | cravings.
        
         | civopsec wrote:
         | > This feels like "alertness associated with other positive
         | health traits."
         | 
         | Going to bed later was also associated with alertness.
        
           | taeric wrote:
           | Ah, good point. For that, I would simply rephrase that too
           | much sleep is also bad. Which, is a less controversial way of
           | framing it. And still fits with my generic framing.
        
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