[HN Gopher] A report on exercise and sleep (2021)
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       A report on exercise and sleep (2021)
        
       Author : Tomte
       Score  : 56 points
       Date   : 2022-03-05 18:18 UTC (4 hours ago)
        
 (HTM) web link (rubenerd.com)
 (TXT) w3m dump (rubenerd.com)
        
       | chrisbrandow wrote:
       | It's really tough when the first summary of a study is incorrect
       | because it sets the tone for all subsequent coverage. It is so
       | common with scientific studies.
        
       | dorianmariefr wrote:
       | ~> exercise         fish: Unknown command: exercise         ~>
       | sleep         usage: sleep seconds
        
       | sam_letter wrote:
       | This might help somebody but it's not super related to the
       | article: in 2012 I had very bad and worsening depression and
       | anxiety even though I had great, stress-free life. My doctor
       | immediately suspected some deficiency in minerals/vitamins. We
       | did a million tests and nothing out of the ordinary. Long story
       | short, we did a sleep test and turns out I had horrible sleep
       | because of my congested nose caused by sinusitis! Sleep is
       | incredibly important.
        
         | dchuk wrote:
         | How did you fix the sinusitis?
        
           | 1_player wrote:
           | I have the same exact problem and my way of dealing with it
           | is an extreme elimination diet. It's hard, but I can sleep,
           | and I'd rather sleep than pig out on food. Gluten, sugar,
           | spices and a myriad of vegetables and grains are triggers for
           | me.
           | 
           | Also daily saline nasal rinses and I can breathe better than
           | ever, though diet is what does the most work.
           | 
           | My pet theory is years of junk food precipitating into IBS
           | and leaky gut, so only the food that cause fewer reactions
           | are ok. In a healthy body some "toxins" are tolerated and
           | don't cause issues, but when your gut is fucked you need to
           | start from scratch.
        
           | sam_letter wrote:
           | My case was very bad to the point I was also losing my sense
           | of smell so I had to have a surgery. It's a laser procedure
           | and it worked like a charm.
        
         | kowlo wrote:
         | Can't breath through my nose, makes my sleep paralysis much
         | worse, can't smell properly and it impacts taste a little too
         | 
         | Breath right strips help a little
        
         | lr4444lr wrote:
         | Were you totally unaware of how bad you sleep was?
         | 
         | Did you have any other symptoms related to poor sleep?
         | 
         | I ask because I have structural nasal issues that I believe are
         | affecting my sleep, but I'm terribly afraid of surgical
         | correction due to the risk of Empty Nose Syndrome. My fitness
         | tracker says my sleep is okay, but I'm starting to doubt it.
         | 
         | What kind of sleep study did you get done?
        
           | eurekin wrote:
           | I can recommend getting :
           | 
           | https://www.amazon.com/Withings-Nokia-Sleep-Temperature-
           | Comp...
           | 
           | It doesn't replace the true sleep study, but can still help
        
           | yourabstraction wrote:
           | As someone who's also suffered from poor sleep, related to
           | nasal issues, I'm curious what you've tried. Have you tried
           | mouth taping, chin straps, or breathe right strips? How about
           | dietary changes to reduce congestion? What about breathing
           | exercises and exercise in general?
           | 
           | I've personally found mouth taping to be the most beneficial,
           | along with breathing exercises (and general exercise) and
           | eating a cleaner diet to reduce congestion. One thing I do is
           | get in bed a bit early so I can do some breathing exercises
           | and get my nasal breathing really dialed in before falling
           | asleep.
           | 
           | I lay in bed on my back and progressively slow my nasal
           | breathing, focusing on very long and complete exhales. I roll
           | over onto my side when I'm ready to fall asleep. I've tried
           | box breathing, and 4-7-8 breathing for this purpose, but I
           | find the extended inhales to be energizing, and not
           | conductive to falling asleep.
           | 
           | I actually did have a septoplasty and turbinate reduction
           | back in 2015 before I'd ever even heard of empty nose
           | syndrome. When I first listened to "Breath", by James Nestor
           | and he talked about empty nose syndrome I recoiled in terror.
           | I had anxiety for a bit, imagining I may have it and not have
           | noticed and from imaging how my life could have turned out if
           | I had a bad surgeon. After a few, I realized those fears were
           | silly, and thanked my lucky stars that I didn't suffer that
           | terrible fate.
           | 
           | The surgery helped my nasal breathing slightly, but it wasn't
           | dramatic or life changing. Knowing about empty nose syndrome
           | now, I would definitely try all other possibilities before
           | going under the knife. I think the surgery can be life
           | changing for some, so it may just depend on how bad your
           | structural issues are and how good the surgeon is.
        
             | lr4444lr wrote:
             | Tried strips - none of them did anything. May try mouth
             | taping since it seems low risk. I have asthma though (adult
             | onset), which complicates things. I'm pretty good about
             | exercise - my fitness tracker can nail my resting heart
             | rate if nothing else! I'm just a little skeptical about its
             | overall sleep tracking. I am pretty sure identifies waking
             | and slow wave well, but overall, I just don't feel I sleep
             | as deeply as I did even 5-6 years ago. I took percocet last
             | year for a night right after surgery and I hit a level of
             | restfulness that was unmistakably something I hadn't
             | experienced for a long time.
             | 
             | Can fall asleep on my back just fine, but for some reason,
             | every night I wake up hot with a dry mouth about 3-5 hours
             | in and I have to move to side sleeping to deal with the
             | nose.
             | 
             | I think I may just have to pony up for an in-clinic sleep
             | study already and get some better data. I also have chronic
             | muscle cramps and pains from exercise overexertion that are
             | not going away, so again, I'm suspecting poor quality
             | sleep. My diet is pretty good, and my blood tests haven't
             | ever suggested mineral deficiency.
             | 
             | I had nose surgery about 20 years ago for a deviated septum
             | when I was in my late teens, and it did help, but it has
             | since redeviated somewhat, though not nearly as bad as
             | before. I think simply being younger and having more growth
             | ahead of me at that age made tissue regrowth more likely.
        
           | sam_letter wrote:
           | I was completely unaware. in 2012 I DID feel more tired than
           | usual but just chalked it up to depression and anxiety. Yes,
           | I had muscle aches too! hence the doctor immediately
           | suspecting lack of vitamins and minerals. I don't remember
           | the sleep study type :(
        
             | rubicon33 wrote:
             | I wonder nowadays if an Apple watch and the AutoSleep app
             | could tell you the same thing. It is such a great tool for
             | tracking your sleep.
        
         | __turbobrew__ wrote:
         | I had something similar, but it was due to being disturbed by
         | my partner throughout the night. We bought a SOLID king size
         | bedframe and memory foam mattress and now I don't even notice
         | when my partner is also in bed.
        
       | robertlf wrote:
       | I find that if I get eight hours of sleep at night, I can move
       | mountains. But if I only get 7.75 hours of sleep or less, my eyes
       | feel tired all day and I'm only half as productive. I've never
       | understood why there is such a marked difference between eight
       | hours of sleep and almost anything less than eight hours. There's
       | something chemically going on inside that I don't understand. The
       | problem I'm having now is that I can get a good five or six hours
       | but I wake up after that fifth or sixth hour and can't get back
       | to sleep long enough to get that ideal eight. This problem is
       | seriously affecting my career and I don't know what to do. I do
       | do moderate to vigorous exercise five times a week but that
       | doesn't always help.
        
         | Tenoke wrote:
         | 6 hours of sleep are enough for most people physically and the
         | rest is more tiredness than any reduced ability. It's possible
         | the other negative effects you are experiencing are mostly
         | placebo.
         | 
         | E.g. look at the studies discussed here
         | https://guzey.com/theses-on-sleep/
         | 
         | I used to be in the same position and am now better by just not
         | worrying about sleeping less or feeling tired when I do.
        
         | bytemilk wrote:
         | Get analytical with you sleep. Did you drink caffeine after
         | 12pm? Make a log of foods you eat? Are you practicing good
         | sleep hygiene? Cortisol levels can cause issues with sleep
         | cycles.
        
         | mupuff1234 wrote:
         | What's your sleeping environment like?
         | 
         | I find that making sure the room is still fairly dark in the
         | morning makes it much easier for me to fall back asleep in case
         | i've woken up "too early".
         | 
         | I also started sleeping with earplugs in the last 2 years or so
         | to make sure morning city traffic noises don't wake me up.
         | 
         | And lastly, don't reach to the phone to look at the time,
         | better have a regular clock which doesn't have all that extra
         | stimuli.
        
         | yowlingcat wrote:
         | I've found that as I get older if I ingest any remotely
         | psychoactive substances (caffeine, alcohol), I'll have
         | difficulty getting a full 8 hours of sleep. Same applies with
         | stress. The problem is compounded if I'm not exercising
         | regularly or if there are any gaps with my nutrition.
        
         | vocram wrote:
         | You sounds like me. I'm seasonally suffering of the same
         | problem. And AFAICS it doesn't correlate with my sleep hygiene.
         | 
         | What's worse, I feel tired the whole day, but not that much
         | anymore towards night.
        
         | dopylitty wrote:
         | I have a theory that there are two variables that impact my
         | subjective feeling of having a good night's sleep.
         | 
         | The first is whether I wake up at the right part of the sleep
         | cycle. For you that might mean 7.75 is when you're deeply
         | asleep while 7.5 or 8 might be a better time to wake up.
         | Crucially for me it also means even if I get more than eight
         | hours I still feel like garbage if I wake up and get out of bed
         | at the wrong part of the cycle.
         | 
         | The second variable is how much sleep I get. I might wake up in
         | the right part of the cycle but if I got 6.5 hours of sleep I
         | start to drag, especially in the afternoon. That's where
         | avoiding activities like eating before bed or drinking alcohol
         | helps. That's also where doing a 4-5 mile run during the day
         | (not too close to bedtime) helps because I'm more likely to
         | maintain sleep for a full eight hours.
        
       | jschulenklopper wrote:
       | ... in which someone discovers that practical examples of
       | physical exercise (walking, running) aren't mentioned in the
       | original research paper.
       | 
       | It's a valid observation, but it's then also a critique of making
       | scientific research accessible to a general audience. I don't see
       | a problem with providing implied examples after citing research
       | that didn't mention examples.
        
       | RivieraKid wrote:
       | About 10 years ago, I started taking a 1h - 2h walk almost every
       | day, before the walk I buy a coffee to go. It's easily the best
       | part of my day which I look forward to after waking up.
        
         | stevenwoo wrote:
         | So last week there was a thread about a scientist who wrote a
         | book: https://news.ycombinator.com/item?id=30381000 and I am
         | reading a copy of the book from my local library and it
         | actually covers this topic. The relevant part of theory (which
         | has been shown to be true for every species they measured with
         | doubly labelled water/urine) is that all mammals are calorie
         | restrained - there's a maximum amount of calories that can be
         | eaten, and there's a maximum amount of calories that can be
         | burned, the range for humans is not that big, humans have a
         | much higher calorie per weight budget than our ape/monkey
         | cousins, the extant hunter gatherer societies exhibit the same
         | behavior, and that being inactive like many _modern_ humans
         | means we have excess calories to burn with our bodys
         | involuntary system like the immune system (one of the hunter
         | gatherer societies had high immune system activity because of
         | endemic worm /disease infection to use up a lot of calories),
         | so the hypothesis is being physically active (up to a point)
         | tamps down the activity of involuntary systems that do not need
         | to be so active.
        
         | angrais wrote:
         | When do you take this walk and how do you spare 1-2h a day? Do
         | you have kids?
        
           | hombre_fatal wrote:
           | You spare an hour per day for exercise the same way the
           | lumberjack must make time to sharpen his axe.
        
           | brandonmenc wrote:
           | You can take your kids on the walk.
        
             | rco8786 wrote:
             | Im guessing you don't have kids.
        
       | yourabstraction wrote:
       | I've long wondered why some people can get by with little or no
       | exercise and yet seem to live relatively healthy/happy lives. My
       | Mom who's 66 doesn't exercise, other than a little walking, and
       | while she's overweight, she always has energy, a good mood, and
       | seems really resistant to the negative impacts of stressful
       | situations.
       | 
       | On the other hand, If I don't get at least an hour of exercise a
       | day, I start to slip into fatigue, anxiety, and depression. I
       | usually walk for 1.5 hours a day and hit the gym 3-5 days a week
       | for cardio and weight training. Fortunately, I do love being
       | active, and I wouldn't want to be more sedentary anyway. I've
       | never had the greatest sleep quality (falling/staying asleep
       | isn't a problem, deep sleep is), and I wonder if I've just been
       | compensating all this time, and those who naturally sleep really
       | well can do better with a sedentary life.
        
         | eurekin wrote:
         | If you respond well to exercise it might be worth a shot
         | checking for tense muscle related causes. Physical exercise
         | (esp. heavy weights) might inadvertently work as a relaxation
         | technique for tensed muscles (similar to the way PNF works
         | [0]).
         | 
         | Some causes for tension I know:
         | 
         | - Neck -- c0 to c2 joint related issues; esp. with the Forward
         | Neck Syndrome, can tense neck muscles and cause headaches. It's
         | even speculated that this might be a common cause for migraine
         | [1]
         | 
         | - Dental. If not everything is aligned in the "zero" position,
         | muscles actively work and overwork to compensate. They are
         | commonly called Temporomandibular disorders (TMD) [2]
         | 
         | - Eye. Eyestrain can develop, if an eye works too much for too
         | long, hunts for focus, it can tense forehead and other facial
         | muscles. [3]
         | 
         | and so on, down every joint in the body.
         | 
         | You might have built up some high pain resistance through the
         | years and not even be aware this is happening. This can lead to
         | physiological stress, which in turn interferes with the deep
         | sleep phase (cortisol and other stress hormones keep us half
         | awake for scanning the environment for danger).
         | 
         | [0] https://mediphysio.com.au/pnf-stretching-
         | technique/#:~:text=....
         | 
         | [1] https://www.caringmedical.com/prolotherapy-news/chronic-
         | head....
         | 
         | [2] https://www.hopkinsmedicine.org/health/conditions-and-
         | diseas....
         | 
         | [3] https://www.mayoclinic.org/diseases-
         | conditions/tmj/symptoms-...
        
         | paulpauper wrote:
         | It's called the fitness & health industry, not charity. It's in
         | their financial interests to exaggerate or oversell the health
         | consequences of not doing exercise. It comes down to genes.
         | Warren Buffett and Charlie Munger are both in their 90s and do
         | not exercise and have crappy diets yet both are healthy and
         | productive. Another example is William Shatner, who is also
         | obese and just went to space at 90.
        
           | vocram wrote:
           | True, but you won't be able to sustain any moderate physical
           | effort later in your life if you never did anything for your
           | fitness when younger.
        
           | Tenoke wrote:
           | Pointing at outliers doesn't prove anything. They can easily
           | be (and likely are) highly atypical genetically, that doesn't
           | prove how much exercise helps or doesn't help the average
           | person.
        
           | hombre_fatal wrote:
           | That said, gambling on genetics and luck seems like a dreary
           | way to play your one chance at life, even for those of us who
           | aren't billionaires.
           | 
           | Most people in the US seem to eat and live like they're
           | consciously making that gamble, and the result isn't all that
           | seductive when I look around.
           | 
           | Also, living until 90yo+ tells me nothing about your quality
           | of life. Is the softbody 25yo happier and more confident and
           | more fulfilled than the 25yo who puts some work into their
           | body? Is the 40yo without the energy to chase his kids around
           | the house happier than the one who can? Are man-tits and a
           | limp dick at 50yo the key to happiness that fit people are
           | overlooking? etc.
        
           | rajin444 wrote:
           | I 100% agree with you and you should take everything the
           | fitness industry says with a grain of salt. They lie all the
           | time.
           | 
           | That being said, it's possible for both genetically lucky
           | people to exist and for people who would greatly benefit from
           | exercise to exist.
        
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