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Saturday, February 1, 2014

What Actually Happens While You Sleep and How It Affects Your Every Waking Moment

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“We are living in an age when sleep is more comfortable than ever and yet more elusive.”
The Ancient Greeks believed that one fell asleep when the brain filled with blood and awakened once it drained back out. Nineteenth-century philosophers contended that sleep happened when the brain was emptied of ambitions and stimulating thoughts. “If sleep doesn’t serve an absolutely vital function, it is the greatest mistake evolution ever made,” biologist Allan Rechtschaffen once remarked. Even today, sleep remains one of the most poorly understood human biological functions, despite some recent strides in understanding the “social jetlag” of our internal clocks and the relationship between dreaming and depression. In Dreamland: Adventures in the Strange Science of Sleep (public library), journalist David K. Randall — who stumbled upon the idea after crashing violently into a wall while sleepwalking — explores “the largest overlooked part of your life and how it affects you even if you don’t have a sleep problem.” From gender differences to how come some people snore and others don’t to why we dream, he dives deep into this mysterious third of human existence to illuminate what happens when night falls and how it impacts every aspect of our days.

Most of us will spend a full third of our lives asleep, and yet we don’t have the faintest idea of what it does for our bodies and our brains. Research labs offer surprisingly few answers. Sleep is one of the dirty little secrets of science. My neurologist wasn’t kidding when he said there was a lot that we don’t know about sleep, starting with the most obvious question of all — why we, and every other animal, need to sleep in the first place.

But before we get too anthropocentrically arrogant in our assumptions, it turns out the quantitative requirement of sleep isn’t correlated with how high up the evolutionary chain an organism is:

Lions and gerbils sleep about thirteen hours a day. Tigers and squirrels nod off for about fifteen hours. At the other end of the spectrum, elephants typically sleep three and a half hours at a time, which seems lavish compared to the hour and a half of shut-eye that the average giraffe gets each night.

Humans need roughly one hour of sleep for every two hours they are awake, and the body innately knows when this ratio becomes out of whack. Each hour of missed sleep one night will result in deeper sleep the next, until the body’s sleep debt is wiped clean.

What, then, happens as we doze off, exactly? Like all science, our understanding of sleep seems to be a constant “revision in progress”:

Despite taking up so much of life, sleep is one of the youngest fields of science. Until the middle of the twentieth century, scientists thought that sleep was an unchanging condition during which time the brain was quiet. The discovery of rapid eye movements in the 1950s upended that. Researchers then realized that sleep is made up of five distinct stages that the body cycles through over roughly ninety-minute periods. The first is so light that if you wake up from it, you might not realize that you have been sleeping. The second is marked by the appearance of sleep-specific brain waves that last only a few seconds at a time. If you reach this point in the cycle, you will know you have been sleeping when you wake up. This stage marks the last drop before your brain takes a long ride away from consciousness. Stages three and four are considered deep sleep. In three, the brain sends out long, rhythmic bursts called delta waves. Stage four is known as slow-wave sleep for the speed of its accompanying brain waves. The deepest form of sleep, this is the farthest that your brain travels from conscious thought. If you are woken up while in stage four, you will be disoriented, unable to answer basic questions, and want nothing more than to go back to sleep, a condition that researchers call sleep drunkenness. The final stage is REM sleep, so named because of the rapid movements of your eyes dancing against your eyelids. In this stage of sleep, the brain is as active as it is when it is awake. This is when most dreams occur.

(Recall the role of REM sleep in regulating negative emotions.)

Randall’s most urgent point, however, echoes what we’ve already heard from German chronobiologist Till Roenneberg, who studies internal time — in our blind lust for the “luxuries” of modern life, with all its 24-hour news cycles, artificial lighting on demand, and expectations of round-the-clock telecommunications availability, we’ve thrown ourselves into a kind of circadian schizophrenia:

We are living in an age when sleep is more comfortable than ever and yet more elusive. Even the worst dorm-room mattress in America is luxurious compared to sleeping arrangements that were common not long ago. During the Victorian era, for instance, laborers living in workhouses slept sitting on benches, with their arms dangling over a taut rope in front of them. They paid for this privilege, implying that it was better than the alternatives. Families up to the time of the Industrial Revolution engaged in the nightly ritual of checking for rats and mites burrowing in the one shared bedroom. Modernity brought about a drastic improvement in living standards, but with it came electric lights, television, and other kinds of entertainment that have thrown our sleep patterns into chaos.

Work has morphed into a twenty-four-hour fact of life, bringing its own set of standards and expectations when it comes to sleep … Sleep is ingrained in our cultural ethos as something that can be put off, dosed with coffee, or ignored. And yet maintaining a healthy sleep schedule is now thought of as one of the best forms of preventative medicine.

Reflecting on his findings, Randall marvels:

As I spent more time investigating the science of sleep, I began to understand that these strange hours of the night underpin nearly every moment of our lives.

Indeed, Dreamland goes on to explore how sleep — its mechanisms, its absence, its cultural norms — affects everyone from police officers and truck drivers to artists and entrepreneurs, permeating everything from our decision-making to our emotional intelligence.

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