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Webb Bierbrier's avatar

interesting analysis. Headlines are merely catching eyeballs. The article, if anyone gets around to reading it, is where the meat is. One of the most overlooked predictors of positive aging isn't what we do when we're awake. It's what happens when we're asleep.

Most people are trying to out-exercise, out-supplement and out-optimize a sleep deficit. And biology doesn't negotiate.

Sleep is when your brain clears waste products linked to Alzheimer's disease. It's when memories are consolidated. It's when hormones regulate appetite, recovery and metabolism is reset. It's when the body repairs muscle tissue and regulates inflammation.

Yet somehow sleep has become the first thing we sacrifice and the last thing we prioritize.

The science is pretty clear. Poor sleep has been linked to increased risk of heart disease, stroke, obesity, diabetes, depression, cognitive decline, and dementia. It affects reaction time, emotional regulation, decision-making, and recovery.

Jonathan Brown's avatar

Paul, I believe your statement--that the likeliest explanation for this study's findings is that illness disturbs sleep rather than too little or too much sleep causes illness--is itself an unsupported "headline." This is a highly sophisticated set of analyses in a very large population, using Mendelian randomization, propensity matching, and non-linear structural modelling to explore that very question, is sleep duration or disease the causal agent. These are not lightweight academics looking for a quick pub and a flashy headline. If you read the article carefully, including the supplements, you will come to appreciate their conclusion, that potentially modifiable sleep duration probably explains most, but not all, of the association(s) between insomnia/hypersomnia and a wide range of biologic markers of accelerated aging. This is an important study.

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