WEBVTT

1
00:00:04.195 --> 00:00:15.978
When I talk about being able to change your behavior and break a habit, it is nothing in the context of someone who is ensnared by an addiction of sorts.

2
00:00:17.099 --> 00:00:17.699
It is nothing.

3
00:00:17.899 --> 00:00:19.900
It's a completely different conversation.

4
00:00:20.020 --> 00:00:20.240
Yeah.

5
00:00:20.980 --> 00:00:26.482
What is it like growing up with a mother who you observe at a very young age?

6
00:00:26.742 --> 00:00:27.302
You were how old?

7
00:00:28.322 --> 00:00:29.102
I mean, my whole life.

8
00:00:29.402 --> 00:00:29.863
Your whole life?

9
00:00:29.883 --> 00:00:30.063
Yeah.

10
00:00:30.343 --> 00:00:30.723
Like, shoot.

11
00:00:32.356 --> 00:00:41.203
As a child, when you see a parent, someone you love, that is sort of gripped by addiction, what is that like?

12
00:00:43.145 --> 00:00:52.393
Yeah, I mean, I think at a fundamental level, you just feel deprioritized, I think, generally.

13
00:00:52.413 --> 00:01:01.040
You know, I think you feel, you know, you're unsupervised, number one.

14
00:01:03.025 --> 00:01:05.286
there isn't a lot of supervision, you know?

15
00:01:05.306 --> 00:01:08.548
So you end up like really having to fend for yourself.

16
00:01:10.069 --> 00:01:10.910
My dad worked a lot.

17
00:01:11.010 --> 00:01:16.253
You know, he was definitely a workaholic, such a good man, so much integrity.

18
00:01:17.553 --> 00:01:19.835
But I think that was his form of escape.

19
00:01:20.315 --> 00:01:24.057
But it kind of leads, you know, you got to figure out how to eat.

20
00:01:24.077 --> 00:01:27.019
You got to figure out how to do a lot of the basic stuff on your own.

21
00:01:27.719 --> 00:01:28.580
So you develop...

22
00:01:29.440 --> 00:01:37.728
a lot of independence, I think, but it, it's hard to, um, you know, form emotional attachments.

23
00:01:37.768 --> 00:01:46.255
I think, um, as an adult, unless you really work through that, you know, because you're, you're afraid that you're not going to be taken care of.

24
00:01:47.957 --> 00:01:53.722
What did you come to understand about your mother's addiction and what she was struggling with, if anything at all?

25
00:01:55.107 --> 00:01:55.327
Yeah.

26
00:01:55.528 --> 00:02:02.735
I mean, I think what was so sad about that time period is, you know, I think it was well understood.

27
00:02:03.276 --> 00:02:10.564
You know, I think a lot of those behaviors, I think, to a degree are normalized.

28
00:02:10.604 --> 00:02:14.007
And I don't know that the connection between depression—you know, she was—

29
00:02:14.568 --> 00:02:15.669
It's no question.

30
00:02:15.929 --> 00:02:27.538
She had massive seasonal affect disorder, which is one of the reasons why I'm so interested in, you know, kind of everything related to light and just the opportunity there for health.

31
00:02:27.658 --> 00:02:34.383
But, you know, she had major depressive disorder and, you know, was not diagnosed properly.

32
00:02:34.403 --> 00:02:35.664
I don't even remember.

33
00:02:35.684 --> 00:02:39.647
I have no idea if she ever even went to the doctor to, you know, to try to get treated.

34
00:02:39.667 --> 00:02:39.767
Yeah.

35
00:02:41.628 --> 00:02:50.951
So, I think the biggest thing that I learned is that we can actually make choices.

36
00:02:51.652 --> 00:03:06.958
And I know that there are, when you look at regions of the brain, we understand that people are predisposed, but I think there's a lot of things that we can actually control to reduce our vulnerability to some of these diseases.

37
00:03:07.792 --> 00:03:12.115
How has that experience defined and shaped you when you look back and connect dots?

38
00:03:13.836 --> 00:03:21.761
Yeah, I mean, I just, I always, you know, I was very competitive, high-level athlete representing the US.

39
00:03:21.921 --> 00:03:26.844
And so there's definitely trying to understand my own body and my psychology so I could perform my potential.

40
00:03:26.884 --> 00:03:36.890
But there's no question that like this whole, everything that like underpins the work that I do is trying to understand, you know, how we can,

41
00:03:38.375 --> 00:03:46.078
improve our own situation so we can, self-actualize and live our potential.

42
00:03:46.619 --> 00:03:56.263
And so that was, I always felt so bad for my mom.

43
00:03:59.764 --> 00:03:59.905
Why?

44
00:04:02.446 --> 00:04:05.127
You know, she wasn't able to become the version.

45
00:04:07.813 --> 00:04:08.213
of herself.

46
00:04:09.613 --> 00:04:11.074
Like I wasn't able to relax her potential.

47
00:04:12.654 --> 00:04:13.514
And she had so much.

48
00:04:18.796 --> 00:04:21.956
I can't believe you did this to me.

49
00:04:24.957 --> 00:04:25.817
Would you like a tissue?

50
00:04:26.537 --> 00:04:26.817
Thanks.

51
00:04:32.565 --> 00:04:41.089
You're a very special person and it all makes sense why you've got such an incredible drive and mission to you.

52
00:04:41.149 --> 00:04:43.250
I didn't know any of what you just said, but...

53
00:04:43.690 --> 00:04:46.972
I've never talked about that publicly, so I'm just, yeah.

54
00:04:47.790 --> 00:05:02.964
What a wonderful way to have channeled such an unimaginable pain to then sort of fix, you know, hundreds of thousands of people's other lives and help them get closer towards their own potential.

55
00:05:03.324 --> 00:05:11.332
Yeah, I... And I never want to like project my values onto other folks, but...

56
00:05:13.041 --> 00:05:17.643
But I think that's always been at the core of why I do what I do.

57
00:05:18.143 --> 00:05:29.147
And the reason why I coached for so long is I just love seeing people realize their potential or understand their potential, knowing that we're always, of course, a work in progress.

58
00:05:29.287 --> 00:05:35.769
But I just want everyone to be able to wake up and feel...

59
00:05:36.977 --> 00:05:47.393
you know, be energetic and be able to like really, really live the things that you care about, you know, and just in understanding, I think the path to that.

60
00:05:48.520 --> 00:05:55.762
you know, requires some work, you know, in terms of making sure that you're attending to some of these non-negotiables that we're talking about.

61
00:05:55.822 --> 00:05:59.744
And I think sometimes it takes folks time to connect those dots.

62
00:05:59.804 --> 00:06:03.285
And there's a lot of wonderful learning that comes with that.

63
00:06:04.025 --> 00:06:13.408
But I think if I can kind of help accelerate some of that wisdom and keep people from experiencing, I think, some of the pain that I felt, you know, it's worth it to me.

64
00:06:14.162 --> 00:06:28.555
it's the most incredible, incredible thing that you've committed your life to because me and you are both aware that there's going to be a ton of people who are either on a path towards such an addiction or are currently enthralled by such an addiction.

65
00:06:28.795 --> 00:06:35.482
And the work that you're doing, the message you're spreading is going to prevent and lift some of those people out of that situation, which has

66
00:06:36.262 --> 00:06:37.904
has a wonderful karmic effect on the world.

67
00:06:37.944 --> 00:06:44.009
And I think if there's anything that we can convert our pain into, it is exactly that.

68
00:06:45.070 --> 00:06:45.891
I want to talk about alcohol.

69
00:06:46.872 --> 00:06:48.713
I've recently quit drinking alcohol.

70
00:06:48.953 --> 00:06:50.695
I think it was about three to four months ago now.

71
00:06:51.936 --> 00:06:52.777
It was so interesting.

72
00:06:52.797 --> 00:06:54.498
I had a conversation with some of my best friends.

73
00:06:54.518 --> 00:06:56.980
I said this on a podcast a couple of months ago.

74
00:06:57.941 --> 00:07:00.884
And one of my friends was an alcoholic.

75
00:07:01.124 --> 00:07:01.564
So he...

76
00:07:02.545 --> 00:07:05.408
managed to quit alcohol and he's writing a book about it.

77
00:07:05.749 --> 00:07:10.834
And then as I look across the group of my other friends, none of them are alcoholics, but they're all sort of casual drinkers.

78
00:07:10.914 --> 00:07:13.056
And we were sat there together around this table having dinner.

79
00:07:13.637 --> 00:07:16.219
And he was telling us about this book he's writing about quitting alcohol.

80
00:07:16.740 --> 00:07:17.501
And I was sat there thinking,

81
00:07:19.174 --> 00:07:28.580
That book that he's writing doesn't necessarily resonate with me because I've never had, I've never felt like I've had an addiction or really, to be honest, any problem with it.

82
00:07:29.360 --> 00:07:31.862
I'm such, I was such a casual drinker.

83
00:07:31.942 --> 00:07:35.484
I would have maybe one glass of wine a week, if that.

84
00:07:35.584 --> 00:07:37.925
There's probably months I've gone without any alcohol at all.

85
00:07:38.346 --> 00:07:39.987
So I couldn't think of a reason to quit.

86
00:07:40.998 --> 00:07:52.626
So really I was saying, Tim, is there another book that someone else could write for me that just takes those people that are those casual drinkers that are right on the fence and just gives us a reason to nudge over the other side.

87
00:07:53.246 --> 00:07:57.589
And because I have this podcast, I thought, you know, I'll just try and quit and see if, see what the implications are for my life.

88
00:07:59.991 --> 00:08:02.332
Alcohol, health, circadian rhythms.

89
00:08:04.834 --> 00:08:05.975
What's your perspective on all of this?

90
00:08:06.678 --> 00:08:08.980
Well, I like to think about it.

91
00:08:09.580 --> 00:08:12.522
I love the principle of non-neutrality, right?

92
00:08:14.103 --> 00:08:30.554
And this is how I like to think about behaviors and how I've kind of always thought about it is if you've got a series of behaviors, we talked a lot about sleep and physiological things, and you've got the psychological things.

93
00:08:30.654 --> 00:08:30.754
And

94
00:08:31.822 --> 00:08:36.293
They're either going to support your values, kind of who you want to be in this world, or they're not.

95
00:08:37.547 --> 00:08:40.369
And I think that's the lens with which I look at alcohol.

96
00:08:40.910 --> 00:08:52.799
In what way is this supporting my values of growth and impact and presence and compassion and tolerance, the things that are core to who I want to be in this world?

97
00:08:54.100 --> 00:08:58.204
And I think when you look at it through that lens, the choices become really clear to me.

98
00:08:59.124 --> 00:09:01.807
If you're honest with yourself and you have some degree of self-awareness,

99
00:09:02.838 --> 00:09:08.861
understand what you care about, I think choices become a lot clearer.

100
00:09:09.161 --> 00:09:17.686
There's way, way more clarity about how to live your life in the micro, which is really what we're talking about.

101
00:09:17.706 --> 00:09:19.387
There's just many choices throughout the day.

102
00:09:20.047 --> 00:09:23.309
Does it support who you want to be in the world or does it not?

103
00:09:23.409 --> 00:09:25.470
And there's very little gray, actually.

104
00:09:26.011 --> 00:09:28.732
And the gray are excuses, in my view.

105
00:09:29.592 --> 00:09:32.274
And we can rationalize and make stuff up.

106
00:09:33.577 --> 00:09:35.037
you know, all day long, right?

107
00:09:35.617 --> 00:09:36.778
To make ourselves feel better.

108
00:09:36.838 --> 00:09:52.660
But when you can step back from all of that and look at it really, you know, taking yourself kind of out of the equation and look at it from a very objective standpoint, you know, I think a choice like alcohol becomes very clear.

109
00:09:54.621 --> 00:09:57.521
But it helps me to socialize, Kristen.

110
00:09:58.981 --> 00:10:02.682
Yeah, if you need alcohol to bond or to...

111
00:10:04.348 --> 00:10:12.790
you know, form a connection, there's probably something else going on that is unaddressed from my perspective.

112
00:10:13.250 --> 00:10:22.953
Is there such a thing as such a small dose of alcohol that it doesn't matter in your opinion?

113
00:10:23.805 --> 00:10:26.707
Yeah, I mean, I think it depends on who you are.

114
00:10:27.407 --> 00:10:31.270
And I think there's a lot of individual variability there as well.

115
00:10:31.710 --> 00:10:36.593
I know resveratrol is something that's talked about a lot, and there's...

116
00:10:40.026 --> 00:10:47.391
suppose in wine and grapes, there's resveratrol, and that's been linked to enhanced health and well-being.

117
00:10:47.451 --> 00:10:55.436
But I think you'd have to drink like 10 bottles or something to get the amount of resveratrol to actually make a dent.

118
00:10:56.497 --> 00:10:57.597
I don't think that's the argument.

119
00:10:58.798 --> 00:11:03.562
So yeah, I don't know that really any amount of alcohol is going to be helpful.

120
00:11:03.602 --> 00:11:06.504
And we know from the literature that just one to two drinks per week

121
00:11:08.125 --> 00:11:11.707
can have negative implications on health.

122
00:11:11.947 --> 00:11:17.630
So it's actually, I don't know that any, like even a moderate amount of alcohol is good for you.

123
00:11:18.891 --> 00:11:21.633
What's the implications for our circadian rhythms that we've been talking about?

124
00:11:21.990 --> 00:11:23.732
Yeah, it's mainly because it impacts sleep.

125
00:11:24.012 --> 00:11:27.356
It's going to impact when you go to bed and when you wake up.

126
00:11:27.536 --> 00:11:29.819
So I think that's the biggest impact.

127
00:11:29.879 --> 00:11:40.631
And I think, again, when we go back to melatonin, when you're disrupting that sleep onset offset, that's going to –

128
00:11:42.165 --> 00:11:46.190
obviously have all the downstream negative effects that we've already spoken about.

129
00:11:46.250 --> 00:11:50.755
So I suppose if we're drinking, we're staying out later, so we're exposing ourselves to light.

130
00:11:51.976 --> 00:11:54.579
So yeah, there's lots of, we're going to be eating later.

131
00:11:55.180 --> 00:12:03.009
There's other behaviors that accompany drinking that kind of pile on the negative effects.

132
00:12:03.705 --> 00:12:16.012
I was reading some research from the Sleep Foundation and it says that a 2007 study with 29 young adults found that moderate doses of alcohol up to one hour before bedtime reduced melatonin production by nearly 20%.

133
00:12:16.472 --> 00:12:20.114
That's the study on alcohol and melatonin in young adults.

134
00:12:20.454 --> 00:12:36.899
A 2018 study of 4,908 Finnish participants found that sleep quality was reduced by 9.3% after one glass of wine and by 24% after two glasses of wine and by almost 40%, 39.2% after three or more glasses of wine or an equivalent amount of alcohol.

135
00:12:36.919 --> 00:12:37.199
Yeah.

136
00:12:37.639 --> 00:12:37.919
Which is...

137
00:12:45.061 --> 00:12:50.744
Really, really staggering that your sleep quality could dip 40% after three glasses of wine.

138
00:12:51.265 --> 00:12:52.305
Oh, yeah.

139
00:12:52.385 --> 00:12:58.049
I mean, we just finished this analysis actually looking at alcohol and markers of recovery.

140
00:12:58.069 --> 00:12:59.469
So heart rate variability and heart rate.

141
00:12:59.529 --> 00:13:03.732
And literally with every drink, there's a linear relationship in the decline.

142
00:13:03.952 --> 00:13:05.373
And it is significant.

143
00:13:06.393 --> 00:13:08.635
So, I mean, yeah, we're talking...

144
00:13:09.435 --> 00:13:16.181
even one drink will produce clinically significant reductions in heart rate and heart rate variability.

145
00:13:16.681 --> 00:13:28.310
This was maybe the most compelling motivator for me to quit alcohol was when I got my whoop the first time, and then I think it was someone's birthday or something, so we went out and I had a glass of wine or something.

146
00:13:28.330 --> 00:13:28.951
But...

147
00:13:29.051 --> 00:13:38.176
I woke up the next day, looked at my heart rate variability, which is a measure of how well I'm going to be able to deal with stress and load and all those things the next day, how well my body's going to be able to deal with life.

148
00:13:39.037 --> 00:13:41.438
And it was flashing red, which is like a warning.

149
00:13:41.618 --> 00:13:44.339
And it says on there, when I clicked on the flashing red thing, it was like...

150
00:13:45.420 --> 00:13:46.981
did you have a really stressful day?

151
00:13:48.122 --> 00:13:49.102
Are you sick?

152
00:13:49.823 --> 00:13:51.104
Or did you drink alcohol last night?

153
00:13:51.124 --> 00:13:52.945
And I felt so targeted.

154
00:13:53.625 --> 00:13:58.148
I was like, how does this thing know that I had one glass of wine last night with my friends?

155
00:13:58.429 --> 00:14:00.590
Why is something flashing red inside of me?

156
00:14:01.370 --> 00:14:02.711
People keep diaries on Whoop, don't they?

157
00:14:02.731 --> 00:14:04.573
They keep like the Whoop journal, I think it's called.

158
00:14:04.593 --> 00:14:04.893
They do, yeah.

159
00:14:05.633 --> 00:14:07.374
It's a goldmine of information, actually.

160
00:14:07.394 --> 00:14:07.614
Really?

161
00:14:07.634 --> 00:14:07.734
Yeah.

162
00:14:08.074 --> 00:14:10.275
What have you learned from that in terms of alcohol?

163
00:14:10.295 --> 00:14:12.476
I imagine that's where a lot of the conclusions derive from.

164
00:14:12.496 --> 00:14:19.279
Yeah, I mean, we see a 6% reduction in next day recovery after alcohol on average.

165
00:14:19.660 --> 00:14:21.440
So this is, you know, one drink to 10 drink.

166
00:14:21.460 --> 00:14:24.282
You know, it's just basically looking at the average is 6%.

167
00:14:26.355 --> 00:14:28.636
Okay, so the average of, okay.

168
00:14:29.057 --> 00:14:33.759
So if someone was binge drinking, they could have a 30 or 40% reduction.

169
00:14:33.880 --> 00:14:44.246
Yeah, but it kind of, and we might, and that specific data point, we might have controlled for the 30 drinks.

170
00:14:44.546 --> 00:14:50.229
It's probably somewhere in the range of five drinks per night, and the average recovery reduction is 6%.

171
00:14:51.330 --> 00:14:52.931
And that's relying on self-reporting, right?

172
00:14:52.951 --> 00:14:59.377
So I wonder if there's biases in what people that had 10 drinks think they had four.

173
00:14:59.417 --> 00:15:00.257
Yeah, exactly.

174
00:15:00.277 --> 00:15:02.639
I don't really remember how many drinks I had.

175
00:15:02.719 --> 00:15:04.401
So yeah, how many drinks I had.

176
00:15:04.962 --> 00:15:05.463
Interesting.

177
00:15:05.783 --> 00:15:06.364
Super interesting.

178
00:15:06.504 --> 00:15:08.006
The other thing we obviously drink is coffee.

179
00:15:08.707 --> 00:15:08.907
Yes.

180
00:15:09.528 --> 00:15:09.929
Caffeine.

181
00:15:10.029 --> 00:15:13.173
Surely there's a correlation between circadian disruption and caffeine.

182
00:15:13.193 --> 00:15:20.223
Yeah, so that's definitely one of the circadian, it definitely can disrupt circadian rhythms if we're having caffeine within...

183
00:15:22.025 --> 00:15:24.726
eight to 12 hours, I would say, of when we intend to sleep.

184
00:15:25.427 --> 00:15:27.588
It's going to impact our sleep onset, of course.

185
00:15:28.188 --> 00:15:40.374
And even if we're tired enough where we're sleep deprived, we might fall asleep, but it will invariably end up disrupting or fragmenting our sleep.

186
00:15:40.415 --> 00:15:42.596
So we're not kind of getting into that deeper stages of sleep.

187
00:15:42.616 --> 00:15:49.079
We're not achieving the sleep quality that is going to allow us to wake up feeling restored and refreshed.

188
00:15:49.179 --> 00:15:50.960
So timing of caffeine is really important.

189
00:15:51.737 --> 00:15:56.140
All of this conversation makes me have a huge amount of empathy for shift workers.

190
00:15:56.841 --> 00:16:00.644
And when I say shift workers, I don't mean people working in warehouses.

191
00:16:00.664 --> 00:16:11.552
I mean doctors, nurses, firefighters, the police, truck drivers, people that are baking stuff.

192
00:16:12.074 --> 00:16:18.220
Yeah, anyone who's up between the hours of, you know, for more than two hours, between the hours of 10 p.m. and 4 a.m. is considered a shift worker.

193
00:16:19.121 --> 00:16:23.725
So it's, yes, there's a lot of individuals walking around who are shift workers.

194
00:16:23.765 --> 00:16:29.551
But people who are, you know, literally up during the biological night, you know, it's a huge sacrifice.

195
00:16:29.571 --> 00:16:30.372
We know those folks.

196
00:16:31.494 --> 00:16:34.578
on average, are going to die 15 years sooner.

197
00:16:34.798 --> 00:16:40.384
It is, you know, shift work is considered a carcinogen by the World Health Organization.

198
00:16:40.985 --> 00:16:45.550
It's, you know, shift work is, those folks make an enormous sacrifice.

199
00:16:46.130 --> 00:16:47.512
They're going to die 15 years sooner?

200
00:16:48.413 --> 00:16:48.813
On average.

201
00:16:50.295 --> 00:16:51.176
I mean, that's terrifying.

202
00:16:51.657 --> 00:16:51.877
I know.

203
00:16:55.378 --> 00:16:57.399
Is anybody trying to solve for that?

204
00:16:57.640 --> 00:17:12.870
Yeah, I mean, that's a lot of the work that I do is looking at shift work and trying to understand what other levers can we deploy to offset some of the impact of being awake during the biological night.

205
00:17:13.090 --> 00:17:22.516
And time-restricted eating as a lever, really thinking about when we're eating protein, when we're viewing light, and then,

206
00:17:24.363 --> 00:17:30.386
you know, what's the cadence of, you know, on, off?

207
00:17:30.666 --> 00:17:33.087
So we minimize the disruption to circadian rhythms.

208
00:17:33.247 --> 00:17:47.995
I mean, the fact is like the roster size at these hospitals are just simply not big enough to be able to, I think, deploy schedules that mitigate some of the risk associated with this disrupted circadian rhythm.

209
00:17:49.115 --> 00:17:50.175
But it is frightening.

210
00:17:50.355 --> 00:17:56.136
And, you know, there is a lot of work to try to understand how we can mitigate some of the negative effects.

211
00:17:56.516 --> 00:18:00.837
But it's a tough problem to solve.

212
00:18:01.677 --> 00:18:12.779
It's not just, I guess it's not just that those individuals will die, you know, on average 15 years earlier, but their quality of life, I imagine, won't be as good because if they're not sleeping consistently.

213
00:18:12.799 --> 00:18:14.880
Yeah, mood, depression, suicide.

214
00:18:14.900 --> 00:18:16.060
I mean, it's higher.

215
00:18:17.787 --> 00:18:26.362
you know, for folks in these professions, you know, who are having to operate counter to the naturally dark cycle.

216
00:18:26.838 --> 00:18:30.201
So let's talk about that in mental health, depression, suicidality.

217
00:18:31.583 --> 00:18:32.744
What's the correlation there between?

218
00:18:32.764 --> 00:18:35.106
Yeah, so there's a lot of interesting research.

219
00:18:35.146 --> 00:18:39.110
I mean, you know, one is just, you know, we talk about just the layperson.

220
00:18:39.130 --> 00:18:41.353
So getting outside of shift work, we come back to shift work.

221
00:18:41.973 --> 00:18:47.258
You know, if you look at this, most folks experience social jet lag, right?

222
00:18:47.278 --> 00:18:49.000
Which is basically characterized as...

223
00:18:51.142 --> 00:18:59.066
you know, a big difference between our weekday sleep schedule and our weekend's sleep schedule, right?

224
00:18:59.106 --> 00:19:07.850
So pretty much anyone, you know, between 20 to 30 probably is, you know, kind of falls into this bucket of having social jet lag.

225
00:19:08.590 --> 00:19:27.038
But one of the things that we, one of a research study we saw looking at specifically a social jet lag in college students, they saw that for every hour of variability between week, day, and weekend schedules, they saw a 17% increase in non-suicidal ideation.

226
00:19:27.358 --> 00:19:29.940
So these folks aren't committing suicide, but...

227
00:19:30.840 --> 00:19:34.068
They're fantasizing about committing suicide.

228
00:19:34.088 --> 00:19:35.492
And that increases 17%.

229
00:19:36.013 --> 00:19:39.321
And this was more pronounced in individuals who were already vulnerable.

230
00:19:40.450 --> 00:20:00.578
So kind of coming back to circadian disruption being present in 100% of mental health issues, we can see where shift workers would be extremely vulnerable to mental health issues, given that their variability, and we look at the WHOOP data, it's basically random in terms of looking at their sleep-wake time.

231
00:20:00.978 --> 00:20:06.580
It's so variable that it's like, we can't even see a pad, it's random, which is frightening.

232
00:20:07.500 --> 00:20:08.161
Why is that frightening?

233
00:20:09.162 --> 00:20:20.312
Because the more variability you have, like the more psychological and physiological, you know, negative consequences there'll be.

234
00:20:21.807 --> 00:20:25.810
Is there a correlation here between how we deal with stressful events in our lives as well?

235
00:20:25.850 --> 00:20:27.991
Because I'm assuming there must be.

236
00:20:28.351 --> 00:20:28.731
Absolutely.

237
00:20:28.791 --> 00:20:40.319
Managing stress throughout the day and the degree or even during the night can definitely increase your tolerance for stress.

238
00:20:40.339 --> 00:20:49.465
So deploying breathwork, for example, as an on-demand self-regulation tool to pay down stress

239
00:20:50.065 --> 00:20:55.329
in the moment stress can be, and to activate the paracentric branch of the nervous system can be really powerful.

240
00:20:55.949 --> 00:20:58.711
So, you know, I kind of call these mini moments of deactivation.

241
00:20:58.791 --> 00:21:06.277
So doing that proactively for folks who are in these high stakes, high stress environments is an amazing strategy.

242
00:21:07.257 --> 00:21:16.744
Because lots of those folks, again, if you think about just baseline, when you are engaging in shift work and you're awake during the night, your system is humming at a,

243
00:21:18.786 --> 00:21:22.408
kind of a stress level that is above what would be normal, right?

244
00:21:22.428 --> 00:21:30.912
Like your system is having to work so much harder to maintain homeostasis because you're doing exactly the opposite of what your body wants to do.

245
00:21:31.453 --> 00:21:36.235
So all of the kind of biological preferences are being bypassed, right?

246
00:21:36.255 --> 00:21:37.936
When you're up during the biological night.

247
00:21:37.996 --> 00:21:40.138
So to pay down some of that stress,

248
00:21:41.998 --> 00:21:45.960
these many moments of deactivation are absolutely critical for that population.

249
00:21:47.021 --> 00:22:04.809
So that means just literally taking 30 seconds where you're doing the physiological sigh, for example, which we know has emerged as being the most efficacious breathwork technique in the moment to reduce, not only in the moment, anxiety and stress, but actually your perception of anxiety and stress like in the future.

250
00:22:04.829 --> 00:22:05.770
What does that sign?

251
00:22:06.803 --> 00:22:11.006
the physiological side, it's basically a double inhale followed by an extended exhale.

252
00:22:12.507 --> 00:22:12.787
Perfect.

253
00:22:13.428 --> 00:22:14.048
It's exactly right.

254
00:22:16.129 --> 00:22:26.797
So basically like when you're crying, you know, you kind of do that double, double inhale followed by an extended exhale, but that like reduces stress in the moment and really powerful way.

255
00:22:27.277 --> 00:22:28.278
And if you do that, you know,

256
00:22:29.407 --> 00:22:33.892
five, 10 times, you end up activating the parasympathetic branch.

257
00:22:34.093 --> 00:22:35.674
So you're reducing your heart rate.

258
00:22:37.336 --> 00:22:44.966
And, you know, kind of doing that throughout the day is a great way to mitigate negative stress accumulation.

259
00:22:45.446 --> 00:22:55.509
There's a pretty unfortunate paradox, a pretty tragic paradox in the fact that our shift workers, some of them like doctors especially, are the people that we need to be most focused.

260
00:22:55.589 --> 00:22:56.570
Firing on all cylinders.

261
00:22:56.650 --> 00:22:57.110
Exactly.

262
00:22:57.130 --> 00:22:57.550
Yeah.

263
00:22:57.890 --> 00:23:08.754
But those are the people that are, from what I've learned today about the circadian rhythm, most likely to suffer with things like focus and sleep and all of those things that are imperative to showing up well.

264
00:23:08.974 --> 00:23:10.634
Yeah, I mean, there's a relationship.

265
00:23:10.974 --> 00:23:19.736
We know that with every 45 minutes of sleep deprivation accrued on the Woot platform, we see a 5% to 10% next day decrease in mental control.

266
00:23:20.636 --> 00:23:21.316
Mental control.

267
00:23:21.356 --> 00:23:22.136
Executive function.

268
00:23:22.676 --> 00:23:26.097
So we measure this with an MBAC and a Stroop.

269
00:23:26.777 --> 00:23:31.378
So these kind of performance tests to measure executive function.

270
00:23:31.998 --> 00:23:36.939
And we see for every 45 minutes of sleep debt accrued, we see up to 10% decrease

271
00:23:38.539 --> 00:23:40.707
or decline in next-day executive function.

272
00:23:40.948 --> 00:23:43.095
And what does executive function mean for people that are?

273
00:23:43.476 --> 00:23:44.580
Our ability to make decisions.

274
00:23:45.593 --> 00:23:45.873
Okay.

275
00:23:46.354 --> 00:23:47.475
Use the word there, sleep debt.

276
00:23:48.576 --> 00:23:49.436
What is sleep debt?

277
00:23:49.696 --> 00:23:54.080
So that's basically what you need versus what you actually got.

278
00:23:54.540 --> 00:23:56.502
And that's highly individual, right?

279
00:23:56.562 --> 00:24:02.087
And that's one of the kind of beautiful things on the Woo platform is that we learn your body.

280
00:24:02.107 --> 00:24:03.648
We learn how efficient sleeper you are.

281
00:24:04.188 --> 00:24:06.730
We learn what your optimal sleep wake time should be.

282
00:24:07.211 --> 00:24:10.293
And we basically tell you how much time you need to spend in bed.

283
00:24:11.134 --> 00:24:22.518
So a lot of the work that my team has done specifically at Whoop is to try to understand, you know, what is this relationship of sleep debt to other performance metrics that we care about, right?

284
00:24:22.538 --> 00:24:27.080
That tell us a story about someone's ability to kind of function in their environment.

285
00:24:27.860 --> 00:24:34.544
And one of the studies that we did was looking specifically at business executives, so CEO types.

286
00:24:35.665 --> 00:24:47.273
And we basically looked at, this one was a six-month study, looking at two different cohorts, I think equal distribution between men and women.

287
00:24:47.993 --> 00:24:53.076
And what we saw was for every 45 minutes of sleep debt accrued in these business leaders, we saw a...

288
00:24:54.057 --> 00:24:57.862
5% to 10% decrease in next day executive function.

289
00:24:58.743 --> 00:25:06.372
So the leader's ability to make decisions in the presence of sleep debt, you know, gets worse the more sleep debt you accrue.

290
00:25:07.596 --> 00:25:10.659
We did a follow-up study, and this one was wild.

291
00:25:10.719 --> 00:25:28.614
So we basically looked at, it was roughly, it was about 70 business executive CEO types, and we looked at all of their objective markers, sleep debt being one of them, and we look at the psychological safety of their direct reports during team meetings.

292
00:25:29.355 --> 00:25:30.756
And define psychological safety.

293
00:25:30.776 --> 00:25:31.056
How...

294
00:25:33.745 --> 00:25:41.136
how safe you feel to show up in your environment as your true, most authentic self.

295
00:25:41.156 --> 00:25:46.264
And what we saw is again, for every 45 minutes of sleep that the leader had,

296
00:25:47.067 --> 00:25:52.068
there was a significant decrease in psychological safety of the direct reports.

297
00:25:52.748 --> 00:26:01.890
So they felt less safe in their environment to show up as their true self when their leader had 45 minutes of sleep debt accrued.

298
00:26:02.510 --> 00:26:05.171
And some of these folks were carrying a couple hours of sleep debt.

299
00:26:05.651 --> 00:26:11.032
And there was a linear relationship between the amount of psychological safety and the amount of sleep that the leader had.

300
00:26:11.072 --> 00:26:14.392
So what was so interesting, and I think compelling about this research,

301
00:26:17.453 --> 00:26:22.239
They couldn't perceive their own cognitive, physical, and emotional declines, right?

302
00:26:22.259 --> 00:26:30.027
But that's what's so insidious about sleep deprivation is that you can't really tell when you're operating at a lower level.

303
00:26:31.509 --> 00:26:34.172
You just adapt to that lower level of functioning.

304
00:26:35.630 --> 00:26:38.032
but everyone around you can feel it, right?

305
00:26:38.072 --> 00:26:45.197
Just with how you hold your face, how you emote, the kind of eye contact you make, how tolerant you are.

306
00:26:46.498 --> 00:26:48.000
And you think about how,

307
00:26:49.162 --> 00:26:59.568
Sleep deprivation, and I think this is really what this research surfaces, is just, it's not just, sleep deprivation just doesn't impact me, right?

308
00:26:59.628 --> 00:27:02.369
It's gonna impact every single person I come in contact with.

309
00:27:03.350 --> 00:27:07.312
And from a business perspective, just from a sheer numbers perspective,

310
00:27:07.932 --> 00:27:15.934
Google did a study called Aristotle and they looked at a bunch of different metrics related to team performance.

311
00:27:16.434 --> 00:27:27.197
And what emerged in that study as being most predictive of team performance was the degree to which the team had psychological safety, felt safe in their environment to kind of show up as their true self.

312
00:27:27.557 --> 00:27:34.679
And they brought in to the tune of $4.5 million more than teams who are lacking psychological safety.

313
00:27:36.187 --> 00:27:40.670
So this is like a really important concept that I don't think a lot of people talk about.

314
00:27:40.890 --> 00:27:44.613
But when we go back to this concept of the principle of non-neutrality, right?

315
00:27:44.713 --> 00:27:54.039
And what are behaviors that promote, enable you to live your values and kind of show up as your best self as consistently as possible?

316
00:27:55.300 --> 00:27:57.702
Minimizing sleep debt is right there at the top of the list.

317
00:27:58.978 --> 00:27:59.658
It's fascinating.

318
00:27:59.998 --> 00:28:07.581
And as it relates to sort of accident and injury, is there a correlation between sort of injury of oneself and accidents you commit on others?

319
00:28:08.681 --> 00:28:09.842
Correlation between that and sleep debt?

320
00:28:10.082 --> 00:28:21.866
It's very well established that the more sleep debt you're carrying, you know, the more accident prone you are, you know, the more risk you're going to take.

321
00:28:22.526 --> 00:28:25.087
And yeah, we see this in the medical field.

322
00:28:25.107 --> 00:28:27.268
We see this, you know, in, in,

323
00:28:27.748 --> 00:28:29.108
you know, just car accidents.

324
00:28:29.228 --> 00:28:31.149
And yeah, the list goes on and on.

325
00:28:31.949 --> 00:28:33.310
Car accidents.

326
00:28:33.330 --> 00:28:50.575
A 2016 study by the Foundation for Traffic Safety found that drivers who reported that they usually sleep four to five hours per day had 5.4 times the crash rate of drivers who usually sleep for seven hours or more a day, which is horrifying.

327
00:28:51.015 --> 00:28:51.955
Yeah, I know.

328
00:28:51.995 --> 00:28:55.316
It's, yeah, I mean, when we think about,

329
00:28:56.953 --> 00:29:01.699
you know, sleep, it's, we're not getting better at it as a society.

330
00:29:02.761 --> 00:29:07.026
And I think we're kind of coming at this conversation from the wrong lens.

331
00:29:07.227 --> 00:29:14.256
You know, we're telling folks just to spend more time in bed without addressing the behaviors that are actually, enable us to fall asleep and stay asleep.

332
00:29:15.918 --> 00:29:17.919
To me, that's the conversation.

333
00:29:17.999 --> 00:29:20.561
And it's not about spending more time in bed.

334
00:29:20.601 --> 00:29:25.504
And yeah, that might be what needs to happen, but it's about you're not going to get there.

335
00:29:26.365 --> 00:29:35.732
For folks who are not thinking about all the circadian things that we're talking about and some of the environmental stuff, the cold, dark, the quiet, yes, that matters.

336
00:29:35.832 --> 00:29:44.278
But at a foundational level, I think folks are not engaging in the behaviors that are going to enable us to pay down the sleep deprivation.

337
00:29:44.298 --> 00:29:44.398
Yeah.

338
00:29:45.595 --> 00:29:55.398
The other study that I found that was super interesting was that a 2021 study found that less than seven hours of sleep is associated with increased risk of injury.

339
00:29:55.978 --> 00:30:02.681
And if this is sustained for at least 14 days, the risk of muscle and bone injury is 1.7 times, almost two times higher.

340
00:30:03.521 --> 00:30:13.865
So as someone that goes to the gym a lot and likes to work out, if I have a high sleep debt, then I'm much more likely to get an injury, almost two times more likely to get an injury if that's sustained.

341
00:30:14.105 --> 00:30:14.365
That's right.

342
00:30:14.565 --> 00:30:15.145
Which is crazy.

343
00:30:15.425 --> 00:30:15.885
Yeah, it is.

344
00:30:17.066 --> 00:30:17.506
Yeah.

345
00:30:17.726 --> 00:30:28.351
And I'm so grateful that I think folks are finally realizing that sleep is the greatest natural performance enhancer that we have on this planet.

346
00:30:28.791 --> 00:30:31.032
Yeah.

347
00:30:31.192 --> 00:30:34.294
And that is certainly super evident in all the research that we're doing.

348
00:30:35.683 --> 00:30:40.112
What you just listened to was a most replayed moment from a previous episode.

349
00:30:40.252 --> 00:30:43.399
If you want to listen to that full episode, I've linked it down below.

350
00:30:43.599 --> 00:30:44.421
Check the description.

351
00:30:44.722 --> 00:30:45.062
Thank you.
