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The Importance of Sleep | Dafna Ofer | TEDxLMSD


you

you [Music]

hi thank you so much it’s great to be

hi thank you so much it’s great to be here

here

here the time at the time that you’re the

the time at the time that you’re the

the time at the time that you’re the most sleepy of all daydreaming while

most sleepy of all daydreaming while

most sleepy of all daydreaming while you’re reading then having to reread

you’re reading then having to reread

you’re reading then having to reread what you just read how many times does

what you just read how many times does

what you just read how many times does that happen to you happens to me a lot

that happen to you happens to me a lot

that happen to you happens to me a lot during the day I want to start with

during the day I want to start with

during the day I want to start with asking you a simple question try to

asking you a simple question try to

asking you a simple question try to think about your morning routines

think about your morning routines

think about your morning routines typical morning how many of you and

typical morning how many of you and

typical morning how many of you and please raise your arms don’t be shy how

please raise your arms don’t be shy how

please raise your arms don’t be shy how many of you feel that they could use

many of you feel that they could use

many of you feel that they could use another hour or two of sleep to see a

another hour or two of sleep to see a

another hour or two of sleep to see a lot of hands up in the air okay how many

lot of hands up in the air okay how many

lot of hands up in the air okay how many of you think that they could do better

of you think that they could do better

of you think that they could do better if in terms of performance if they slept

if in terms of performance if they slept

if in terms of performance if they slept more Wow okay that’s right and how many

more Wow okay that’s right and how many

more Wow okay that’s right and how many of you think they are sleep-deprived on

of you think they are sleep-deprived on

of you think they are sleep-deprived on a chronic basis on a daily basis Wow

a chronic basis on a daily basis Wow

a chronic basis on a daily basis Wow okay so um don’t worry you’re not alone

okay so um don’t worry you’re not alone

okay so um don’t worry you’re not alone about 50 to 70 million Americans are

about 50 to 70 million Americans are

about 50 to 70 million Americans are slipped have some sort of slip disorder

slipped have some sort of slip disorder

slipped have some sort of slip disorder and the most common of them is is sleep

and the most common of them is is sleep

and the most common of them is is sleep deprivation of chronic sleep loss I want

deprivation of chronic sleep loss I want

deprivation of chronic sleep loss I want to take you back in time a little bit

to take you back in time a little bit

to take you back in time a little bit 1960s this is taken out of the National

1960s this is taken out of the National

1960s this is taken out of the National Sleep Foundation sleep in America fall

Sleep Foundation sleep in America fall

Sleep Foundation sleep in America fall of 2001 in 2002 this is a self-reported

of 2001 in 2002 this is a self-reported

of 2001 in 2002 this is a self-reported sleep duration you can see that in the

sleep duration you can see that in the

sleep duration you can see that in the early 1960s people reported sleeping

early 1960s people reported sleeping

early 1960s people reported sleeping about eight and a half to nine hours on

about eight and a half to nine hours on

about eight and a half to nine hours on average early 2000 this dropped down to

average early 2000 this dropped down to

average early 2000 this dropped down to less than seven or close to six and a

less than seven or close to six and a

less than seven or close to six and a half hours I think this is a tremendous

half hours I think this is a tremendous

half hours I think this is a tremendous decreasing our sleep time over the last

decreasing our sleep time over the last

decreasing our sleep time over the last couple decades is about 20 percent

couple decades is about 20 percent

couple decades is about 20 percent decrease in sleep here it’s same data

decrease in sleep here it’s same data

decrease in sleep here it’s same data but just for adolescents adolescents and

but just for adolescents adolescents and

but just for adolescents adolescents and preteens this is again from the National

preteens this is again from the National

preteens this is again from the National Sleep Foundation sleep in America poll

Sleep Foundation sleep in America poll

Sleep Foundation sleep in America poll of 2006 they serve it about 1,600 teens

of 2006 they serve it about 1,600 teens

of 2006 they serve it about 1,600 teens preteens and their Guardians

preteens and their Guardians

preteens and their Guardians about sleep habits and about their sleep

about sleep habits and about their sleep

about sleep habits and about their sleep duration you can see on the y-axis is

duration you can see on the y-axis is

duration you can see on the y-axis is there a sleep time on the x-axis is

there a sleep time on the x-axis is

there a sleep time on the x-axis is a grade level and you can certainly see

a grade level and you can certainly see

a grade level and you can certainly see a significant drop

a significant drop

a significant drop especially from middle school to high

especially from middle school to high

especially from middle school to high school but even from elementary school

school but even from elementary school

school but even from elementary school to middle school basically the the

to middle school basically the the

to middle school basically the the orange area there shows you house how

orange area there shows you house how

orange area there shows you house how much sleep deficit they have every

much sleep deficit they have every

much sleep deficit they have every single night during the week nights and

single night during the week nights and

single night during the week nights and juniors and seniors lack about two to

juniors and seniors lack about two to

juniors and seniors lack about two to two and a half hours of sleep every

two and a half hours of sleep every

two and a half hours of sleep every school night

school night

school night that’s about say 10 to 12 hours a week

that’s about say 10 to 12 hours a week

that’s about say 10 to 12 hours a week it’s it’s a full night of sleep for some

it’s it’s a full night of sleep for some

it’s it’s a full night of sleep for some of us even two nights so I think these

of us even two nights so I think these

of us even two nights so I think these numbers are huge I chose that that quote

numbers are huge I chose that that quote

numbers are huge I chose that that quote as my as my topic today as my title

as my as my topic today as my title

as my as my topic today as my title today because I think this really

today because I think this really

today because I think this really emphasizes the power of sleep and I

emphasizes the power of sleep and I

emphasizes the power of sleep and I wanted you to I know that all of you

wanted you to I know that all of you

wanted you to I know that all of you probably understand the depth of this

probably understand the depth of this

probably understand the depth of this let him sleep for when he wakes he will

let him sleep for when he wakes he will

let him sleep for when he wakes he will move mountains by Napoleon Bonaparte I

move mountains by Napoleon Bonaparte I

move mountains by Napoleon Bonaparte I know you understand the depth of this

know you understand the depth of this

know you understand the depth of this but I want you to walk out of here today

but I want you to walk out of here today

but I want you to walk out of here today understanding why is this so powerful

understanding why is this so powerful

understanding why is this so powerful why sleep is so important and

why sleep is so important and

why sleep is so important and particularly and my previous speaker has

particularly and my previous speaker has

particularly and my previous speaker has touched about risk behavior in

touched about risk behavior in

touched about risk behavior in adolescence and I think sleep has a

adolescence and I think sleep has a

adolescence and I think sleep has a major part of it in fact

major part of it in fact

major part of it in fact the cartoon he showed had a part of

the cartoon he showed had a part of

the cartoon he showed had a part of sleep there and I’m going to touch on

sleep there and I’m going to touch on

sleep there and I’m going to touch on that too think sleep I know the topic

that too think sleep I know the topic

that too think sleep I know the topic today is think and I was trying to make

today is think and I was trying to make

today is think and I was trying to make a little connection here a lot of times

a little connection here a lot of times

a little connection here a lot of times young people don’t consider sleep as

young people don’t consider sleep as

young people don’t consider sleep as essential as important as other things

essential as important as other things

essential as important as other things such as is doing good in school getting

such as is doing good in school getting

such as is doing good in school getting good grades and participating in

good grades and participating in

good grades and participating in after-school activities sometimes people

after-school activities sometimes people

after-school activities sometimes people think they can perform well without

think they can perform well without

think they can perform well without getting enough sleep or maybe not

getting enough sleep or maybe not

getting enough sleep or maybe not getting sleep at all but I wanted to

getting sleep at all but I wanted to

getting sleep at all but I wanted to change that belief in you I wanted to

change that belief in you I wanted to

change that belief in you I wanted to show you that this is not true so

show you that this is not true so

show you that this is not true so although this is not a new innovation

although this is not a new innovation

although this is not a new innovation here I’m not telling you anything that’s

here I’m not telling you anything that’s

here I’m not telling you anything that’s that you haven’t heard before it’s

that you haven’t heard before it’s

that you haven’t heard before it’s nothing new in this highly competitive

nothing new in this highly competitive

nothing new in this highly competitive school environment where people

school environment where people

school environment where people sometimes put sleep at their as the last

sometimes put sleep at their as the last

sometimes put sleep at their as the last priority I think this is a context that

priority I think this is a context that

priority I think this is a context that is really important to convey so it is

is really important to convey so it is

is really important to convey so it is an idea worth spreading

an idea worth spreading

an idea worth spreading oops so sleep is as essential as eating

oops so sleep is as essential as eating

oops so sleep is as essential as eating and as breathing but yet we don’t

and as breathing but yet we don’t

and as breathing but yet we don’t consider it as essential and the reason

consider it as essential and the reason

consider it as essential and the reason for it is because most of us while we’re

for it is because most of us while we’re

for it is because most of us while we’re sleep were asleep we’re unaware of what

sleep were asleep we’re unaware of what

sleep were asleep we’re unaware of what we’re doing so we go to bed we wake up

we’re doing so we go to bed we wake up

we’re doing so we go to bed we wake up in the morning and everything that

in the morning and everything that

in the morning and everything that happened in between is basically not

happened in between is basically not

happened in between is basically not remembered in the definition of sleep

remembered in the definition of sleep

remembered in the definition of sleep that’s one of the definitions that I got

that’s one of the definitions that I got

that’s one of the definitions that I got it states it’s a reversible behavior of

it states it’s a reversible behavior of

it states it’s a reversible behavior of state of perceptual disengagement from

state of perceptual disengagement from

state of perceptual disengagement from an unresponsiveness to the environment

an unresponsiveness to the environment

an unresponsiveness to the environment so if we’re disengaged and we’re not

so if we’re disengaged and we’re not

so if we’re disengaged and we’re not responsive why would we care about it

responsive why would we care about it

responsive why would we care about it sounds almost like a waste of time to me

sounds almost like a waste of time to me

sounds almost like a waste of time to me but it’s not both the quality but also

but it’s not both the quality but also

but it’s not both the quality but also the quantity of sleep are important you

the quantity of sleep are important you

the quantity of sleep are important you cannot you cannot go with 2 or 4 hours

cannot you cannot go with 2 or 4 hours

cannot you cannot go with 2 or 4 hours of great sleep and and do well because

of great sleep and and do well because

of great sleep and and do well because it is also important to go through all

it is also important to go through all

it is also important to go through all the stages of sleep and repeatedly REM

the stages of sleep and repeatedly REM

the stages of sleep and repeatedly REM sleep has been shown to to be involved

sleep has been shown to to be involved

sleep has been shown to to be involved in memory consolidation sleep has

in memory consolidation sleep has

in memory consolidation sleep has functions such as cell regeneration so

functions such as cell regeneration so

functions such as cell regeneration so sleep has been linked to a lot of other

sleep has been linked to a lot of other

sleep has been linked to a lot of other things that cannot be achieved by the

things that cannot be achieved by the

things that cannot be achieved by the ways sleep is affected by genetics but

ways sleep is affected by genetics but

ways sleep is affected by genetics but it’s also affected by other factors such

it’s also affected by other factors such

it’s also affected by other factors such as environment it’s affected by society

as environment it’s affected by society

as environment it’s affected by society and it’s affected by social norms so

and it’s affected by social norms so

and it’s affected by social norms so today it is totally normative to skip

today it is totally normative to skip

today it is totally normative to skip sleep for maybe for work for school work

sleep for maybe for work for school work

sleep for maybe for work for school work for projects and it’s easy to do it

for projects and it’s easy to do it

for projects and it’s easy to do it because everybody else does that some

because everybody else does that some

because everybody else does that some young people I don’t want to say

young people I don’t want to say

young people I don’t want to say adolescence but some young people may

adolescence but some young people may

adolescence but some young people may even brag about pulling an all-nighter

even brag about pulling an all-nighter

even brag about pulling an all-nighter for just a school work or for a project

for just a school work or for a project

for just a school work or for a project people think that

people think that

people think that sleeping less is cool but I want you to

sleeping less is cool but I want you to

sleeping less is cool but I want you to walk out of here today

walk out of here today

walk out of here today knowing that it is not that it is so

knowing that it is not that it is so

knowing that it is not that it is so important to get your full night of

important to get your full night of

important to get your full night of sleep in order to perform well and to

sleep in order to perform well and to

sleep in order to perform well and to stay healthy so why sleep so important

stay healthy so why sleep so important

stay healthy so why sleep so important I’m going to touch on several points but

I’m going to touch on several points but

I’m going to touch on several points but there’s many many other reasons why

there’s many many other reasons why

there’s many many other reasons why sleep is so important when touching the

sleep is so important when touching the

sleep is so important when touching the ones that are most most important and

ones that are most most important and

ones that are most most important and relate to you I hope sleep has been

relate to you I hope sleep has been

relate to you I hope sleep has been linked to obesity and sleep loss on its

linked to obesity and sleep loss on its

linked to obesity and sleep loss on its own regardless of any other sleep

own regardless of any other sleep

own regardless of any other sleep disorder has been associated with

disorder has been associated with

disorder has been associated with obesity and the mechanism why it is such

obesity and the mechanism why it is such

obesity and the mechanism why it is such a with obesity it’s going to be

a with obesity it’s going to be

a with obesity it’s going to be explaining this slide that I took out of

explaining this slide that I took out of

explaining this slide that I took out of one of the medical journals published

one of the medical journals published

one of the medical journals published just a couple of weeks a couple months

just a couple of weeks a couple months

just a couple of weeks a couple months ago in March of 2016 it shows you and

ago in March of 2016 it shows you and

ago in March of 2016 it shows you and I’m sorry I don’t have a pointer but

I’m sorry I don’t have a pointer but

I’m sorry I don’t have a pointer but shows you here that there is a hormonal

shows you here that there is a hormonal

shows you here that there is a hormonal effect on sleep so if there are some

effect on sleep so if there are some

effect on sleep so if there are some hormones that are released while you’re

hormones that are released while you’re

hormones that are released while you’re asleep hormones such as appetite

asleep hormones such as appetite

asleep hormones such as appetite hormones leptin and ghrelin that cause

hormones leptin and ghrelin that cause

hormones leptin and ghrelin that cause you to in to feel that you have

you to in to feel that you have

you to in to feel that you have increased appetite there’s some hedonic

increased appetite there’s some hedonic

increased appetite there’s some hedonic aspect of sleep loss such as you just

aspect of sleep loss such as you just

aspect of sleep loss such as you just have more time to spend eating you also

have more time to spend eating you also

have more time to spend eating you also use food as a reward you use food as

use food as a reward you use food as

use food as a reward you use food as fuel these all increase your energy

fuel these all increase your energy

fuel these all increase your energy intake you eat more food on the other

intake you eat more food on the other

intake you eat more food on the other hand your fill sleepy and fatigued and

hand your fill sleepy and fatigued and

hand your fill sleepy and fatigued and you don’t have any energy to go out and

you don’t have any energy to go out and

you don’t have any energy to go out and exercise so that decreases your energy

exercise so that decreases your energy

exercise so that decreases your energy expenditure these to increase the risk

expenditure these to increase the risk

expenditure these to increase the risk for obesity diabetes have been linked to

for obesity diabetes have been linked to

for obesity diabetes have been linked to sleep loss and not just by means of

sleep loss and not just by means of

sleep loss and not just by means of obesity but also just sleep loss on its

obesity but also just sleep loss on its

obesity but also just sleep loss on its own can lead to increased risk for

own can lead to increased risk for

own can lead to increased risk for diabetes again by hormonal pathway

diabetes again by hormonal pathway

diabetes again by hormonal pathway there’s a hormone in your body called

there’s a hormone in your body called

there’s a hormone in your body called insulin growth factor factor number one

insulin growth factor factor number one

insulin growth factor factor number one which is responsible for glucose control

which is responsible for glucose control

which is responsible for glucose control and also responsible for growth and if

and also responsible for growth and if

and also responsible for growth and if you don’t sleep enough the hormone

you don’t sleep enough the hormone

you don’t sleep enough the hormone release is disturbed and therefore

release is disturbed and therefore

release is disturbed and therefore you’re at higher risk of having diabetes

you’re at higher risk of having diabetes

you’re at higher risk of having diabetes heart disease and high blood pressure

heart disease and high blood pressure

heart disease and high blood pressure I’m not going to touch much

I’m not going to touch much

I’m not going to touch much about that but there is a higher

about that but there is a higher

about that but there is a higher prevalence of high blood pressure in

prevalence of high blood pressure in

prevalence of high blood pressure in teenagers and young adults not only due

teenagers and young adults not only due

teenagers and young adults not only due to obesity but also just because of

to obesity but also just because of

to obesity but also just because of sleep loss mood disorders this is a big

sleep loss mood disorders this is a big

sleep loss mood disorders this is a big one who doesn’t feel depressed or

one who doesn’t feel depressed or

one who doesn’t feel depressed or anxious sometimes a lot of times mood

anxious sometimes a lot of times mood

anxious sometimes a lot of times mood disorders are misdiagnosed as such but

disorders are misdiagnosed as such but

disorders are misdiagnosed as such but it’s only to do sleep loss ADHD the

it’s only to do sleep loss ADHD the

it’s only to do sleep loss ADHD the diagnosis of ADHD has gone up in the

diagnosis of ADHD has gone up in the

diagnosis of ADHD has gone up in the last decades and it may be just

last decades and it may be just

last decades and it may be just correlating to that graph that I showed

correlating to that graph that I showed

correlating to that graph that I showed you before which shows the dramatic

you before which shows the dramatic

you before which shows the dramatic decrease in in sleep time and sleep

decrease in in sleep time and sleep

decrease in in sleep time and sleep duration it is very easy to use

duration it is very easy to use

duration it is very easy to use medications such as a Fed amines or

medications such as a Fed amines or

medications such as a Fed amines or other stimulants to overcome the ADHD or

other stimulants to overcome the ADHD or

other stimulants to overcome the ADHD or daytime tiredness but those medications

daytime tiredness but those medications

daytime tiredness but those medications cannot replace sleep because sleep has a

cannot replace sleep because sleep has a

cannot replace sleep because sleep has a function to it such as the memory

function to it such as the memory

function to it such as the memory consolidation such as the cell

consolidation such as the cell

consolidation such as the cell regeneration and this cannot be replaced

regeneration and this cannot be replaced

regeneration and this cannot be replaced by medications so sleep deprivation

by medications so sleep deprivation

by medications so sleep deprivation leads to more stress more stress leads

leads to more stress more stress leads

leads to more stress more stress leads to more sleep deprivation because you’re

to more sleep deprivation because you’re

to more sleep deprivation because you’re stressed you can fall asleep and then it

stressed you can fall asleep and then it

stressed you can fall asleep and then it leads to more sleep deprivation which

leads to more sleep deprivation which

leads to more sleep deprivation which leads to more stress and I can go on and

leads to more stress and I can go on and

leads to more stress and I can go on and on and on and this is just a vicious

on and on and this is just a vicious

on and on and this is just a vicious cycle that needs to be broken somewhere

cycle that needs to be broken somewhere

cycle that needs to be broken somewhere the next bullet point that I wanted to

the next bullet point that I wanted to

the next bullet point that I wanted to touch on is performance it’s been shown

touch on is performance it’s been shown

touch on is performance it’s been shown again and again and again in research

again and again and again in research

again and again and again in research and I’m going to talk about one of the

and I’m going to talk about one of the

and I’m going to talk about one of the research studies that performance is

research studies that performance is

research studies that performance is affected not only academic performance

affected not only academic performance

affected not only academic performance but physical performance sports injuries

but physical performance sports injuries

but physical performance sports injuries and car crashes are related to that if

and car crashes are related to that if

and car crashes are related to that if you don’t sleep enough your performance

you don’t sleep enough your performance

you don’t sleep enough your performance declines and a lot of people don’t pay

declines and a lot of people don’t pay

declines and a lot of people don’t pay attention they don’t think they perform

attention they don’t think they perform

attention they don’t think they perform worse but look at that study this is a

worse but look at that study this is a

worse but look at that study this is a device that measure psychomotor vigilant

device that measure psychomotor vigilant

device that measure psychomotor vigilant tasks it was developed by dr. David

tasks it was developed by dr. David

tasks it was developed by dr. David dangerous out of the University of

dangerous out of the University of

dangerous out of the University of Pennsylvania

Pennsylvania

Pennsylvania he’s one of the gurus sleep restriction

he’s one of the gurus sleep restriction

he’s one of the gurus sleep restriction and on the left side you can see that

and on the left side you can see that

and on the left side you can see that old version of

old version of

old version of the device on the right side you can see

the device on the right side you can see

the device on the right side you can see the newer iPad version all you have to

the newer iPad version all you have to

the newer iPad version all you have to do it’s basically a video game all you

do it’s basically a video game all you

do it’s basically a video game all you have to do is when the red dot appears

have to do is when the red dot appears

have to do is when the red dot appears you have to press the button and it

you have to press the button and it

you have to press the button and it measured the how fast you did that

measured the how fast you did that

measured the how fast you did that whether you had any lapses means that

whether you had any lapses means that

whether you had any lapses means that you missed any red dots or whether you

you missed any red dots or whether you

you missed any red dots or whether you have any false alarms where you press

have any false alarms where you press

have any false alarms where you press the screen without having a red dot and

the screen without having a red dot and

the screen without having a red dot and this is one of the gold standard to

this is one of the gold standard to

this is one of the gold standard to measure behavior alertness and attention

measure behavior alertness and attention

measure behavior alertness and attention and this is one of the studies published

and this is one of the studies published

and this is one of the studies published in 2007 by dr. dangerous where they took

in 2007 by dr. dangerous where they took

in 2007 by dr. dangerous where they took a group of about 35 people and they

a group of about 35 people and they

a group of about 35 people and they grouped them into three groups one group

grouped them into three groups one group

grouped them into three groups one group had an opportunity to sleep for eight

had an opportunity to sleep for eight

had an opportunity to sleep for eight hours

hours

hours second group had an opportunity for six

second group had an opportunity for six

second group had an opportunity for six hours and the last group only had an

hours and the last group only had an

hours and the last group only had an opportunity to sleep for four hours they

opportunity to sleep for four hours they

opportunity to sleep for four hours they tested them every single day for 14 days

tested them every single day for 14 days

tested them every single day for 14 days two weeks with these psychomotor

two weeks with these psychomotor

two weeks with these psychomotor vigilant task tests and as you can see

vigilant task tests and as you can see

vigilant task tests and as you can see on the graph here on the left side the

on the graph here on the left side the

on the graph here on the left side the higher the number the worse they did and

higher the number the worse they did and

higher the number the worse they did and you can see almost linear increase or

you can see almost linear increase or

you can see almost linear increase or take almost linear decrease in their

take almost linear decrease in their

take almost linear decrease in their function or increase in their lapses the

function or increase in their lapses the

function or increase in their lapses the higher the number from 0 to 15 the more

higher the number from 0 to 15 the more

higher the number from 0 to 15 the more lapses they had in their attention I

lapses they had in their attention I

lapses they had in their attention I think that the interesting thing is

think that the interesting thing is

think that the interesting thing is actually the graph on the right side

actually the graph on the right side

actually the graph on the right side because this graph is shows you the

because this graph is shows you the

because this graph is shows you the subjective sleepiness rating of the

subjective sleepiness rating of the

subjective sleepiness rating of the subjects themselves they were given a

subjects themselves they were given a

subjects themselves they were given a questionnaire every day and the

questionnaire every day and the

questionnaire every day and the questionnaire basically asked them to

questionnaire basically asked them to

questionnaire basically asked them to rate it from 1 to 9 one is not sleepy at

rate it from 1 to 9 one is not sleepy at

rate it from 1 to 9 one is not sleepy at all 9 is very sleepy and look at the

all 9 is very sleepy and look at the

all 9 is very sleepy and look at the graphs there obviously the eight hour

graphs there obviously the eight hour

graphs there obviously the eight hour group didn’t have any concern about

group didn’t have any concern about

group didn’t have any concern about being sleepy the sixth and four hours

being sleepy the sixth and four hours

being sleepy the sixth and four hours group I thought was extremely

group I thought was extremely

group I thought was extremely interesting because in the first two

interesting because in the first two

interesting because in the first two days they did felt like they they might

days they did felt like they they might

days they did felt like they they might have been a little more sleepy but that

have been a little more sleepy but that

have been a little more sleepy but that has kind of plateaued later so they had

has kind of plateaued later so they had

has kind of plateaued later so they had no perception at all of them doing so

no perception at all of them doing so

no perception at all of them doing so bad on the

bad on the

bad on the tests and I think that’s what actually

tests and I think that’s what actually

tests and I think that’s what actually leads to to our society to think that

leads to to our society to think that

leads to to our society to think that they can do well they can adjust or they

they can do well they can adjust or they

they can do well they can adjust or they can adapt to chronic sleep loss after

can adapt to chronic sleep loss after

can adapt to chronic sleep loss after two weeks of losing sleep they felt

two weeks of losing sleep they felt

two weeks of losing sleep they felt they’re doing okay

they’re doing okay

they’re doing okay yet they weren’t doing that well so what

yet they weren’t doing that well so what

yet they weren’t doing that well so what can be worse than doing bad on your

can be worse than doing bad on your

can be worse than doing bad on your video games just like that one

video games just like that one

video games just like that one of course it’s drives it driving and I

of course it’s drives it driving and I

of course it’s drives it driving and I think there’s a little bit of talks

think there’s a little bit of talks

think there’s a little bit of talks about it before um and it has to do

about it before um and it has to do

about it before um and it has to do straight with your with your loss of

straight with your with your loss of

straight with your with your loss of sleep this is this data is taken out of

sleep this is this data is taken out of

sleep this is this data is taken out of the CDC website one in every twenty five

the CDC website one in every twenty five

the CDC website one in every twenty five adults reports of falling asleep while

adults reports of falling asleep while

adults reports of falling asleep while driving in the last 30 days I’m not

driving in the last 30 days I’m not

driving in the last 30 days I’m not talking about feeling sleepy

talking about feeling sleepy

talking about feeling sleepy but think about falling asleep while

but think about falling asleep while

but think about falling asleep while driving one in every twenty five adults

driving one in every twenty five adults

driving one in every twenty five adults in 2013 there were 72 thousand crashes

in 2013 there were 72 thousand crashes

in 2013 there were 72 thousand crashes 44 thousand injuries and eight hundred

44 thousand injuries and eight hundred

44 thousand injuries and eight hundred deaths due to drowsy driving these

deaths due to drowsy driving these

deaths due to drowsy driving these numbers are actually underestimated

numbers are actually underestimated

numbers are actually underestimated because not everybody actually admits

because not everybody actually admits

because not everybody actually admits for drowsy driving there’s about there’s

for drowsy driving there’s about there’s

for drowsy driving there’s about there’s about six thousand crashes a a year

about six thousand crashes a a year

about six thousand crashes a a year fatal crashes a year to do drowsy

fatal crashes a year to do drowsy

fatal crashes a year to do drowsy driving um the last thing that I wanted

driving um the last thing that I wanted

driving um the last thing that I wanted to talk to you about today is

to talk to you about today is

to talk to you about today is risk-taking behavior and I’m glad that I

risk-taking behavior and I’m glad that I

risk-taking behavior and I’m glad that I came right after your talk because you

came right after your talk because you

came right after your talk because you haven’t touched on that adolescents do

haven’t touched on that adolescents do

haven’t touched on that adolescents do tend to engage in risk-taking behaviors

tend to engage in risk-taking behaviors

tend to engage in risk-taking behaviors and I think that on top of what we heard

and I think that on top of what we heard

and I think that on top of what we heard before is sleep loss adolescent tend to

before is sleep loss adolescent tend to

before is sleep loss adolescent tend to lose a lot of sleep and I’ll touch base

lose a lot of sleep and I’ll touch base

lose a lot of sleep and I’ll touch base on it soon and some of the risk

on it soon and some of the risk

on it soon and some of the risk behaviors are are really due to just

behaviors are are really due to just

behaviors are are really due to just sleep loss this is just the title from a

sleep loss this is just the title from a

sleep loss this is just the title from a paper written by our dr. Jody Mendell

paper written by our dr. Jody Mendell

paper written by our dr. Jody Mendell dr. Mendel is a professor of psychology

dr. Mendel is a professor of psychology

dr. Mendel is a professor of psychology at st. Joseph’s University and she’s

at st. Joseph’s University and she’s

at st. Joseph’s University and she’s also the co-director of the sleep

also the co-director of the sleep

also the co-director of the sleep centers at Children’s Hospital

centers at Children’s Hospital

centers at Children’s Hospital Philadelphia here and she was my mentor

Philadelphia here and she was my mentor

Philadelphia here and she was my mentor during my fellowship

during my fellowship

during my fellowship and this article from 2005 speaks about

and this article from 2005 speaks about

and this article from 2005 speaks about sleep and risk-taking behavior and

sleep and risk-taking behavior and

sleep and risk-taking behavior and adolescence behavior such as get

adolescence behavior such as get

adolescence behavior such as get engaging in physical fights smoking

engaging in physical fights smoking

engaging in physical fights smoking drinking alcohol using drugs and risk

drinking alcohol using drugs and risk

drinking alcohol using drugs and risk for depression and suicide are up there

for depression and suicide are up there

for depression and suicide are up there I don’t want it to get into that next

I don’t want it to get into that next

I don’t want it to get into that next slide because it’s really busy but all I

slide because it’s really busy but all I

slide because it’s really busy but all I wanted you to take from this slide is

wanted you to take from this slide is

wanted you to take from this slide is that this has been conducted it’s it’s

that this has been conducted it’s it’s

that this has been conducted it’s it’s it’s a youth risk behavior survey that

it’s a youth risk behavior survey that

it’s a youth risk behavior survey that was conducted in 2007 and basically

was conducted in 2007 and basically

was conducted in 2007 and basically split students into two groups students

split students into two groups students

split students into two groups students who slept less than eight hours and

who slept less than eight hours and

who slept less than eight hours and students slept more than eight hours um

students slept more than eight hours um

students slept more than eight hours um and those who slept less than eight

and those who slept less than eight

and those who slept less than eight hours engage significantly more in risks

hours engage significantly more in risks

hours engage significantly more in risks such as the ones that I highlighted here

such as the ones that I highlighted here

such as the ones that I highlighted here and I’ll tell you which they are because

and I’ll tell you which they are because

and I’ll tell you which they are because you definitely cannot read that there is

you definitely cannot read that there is

you definitely cannot read that there is that we talked before smoking using

that we talked before smoking using

that we talked before smoking using drugs drinking alcohol engaging in

drugs drinking alcohol engaging in

drugs drinking alcohol engaging in fights and then more depression and

fights and then more depression and

fights and then more depression and obviously suicidal attempts this is a

obviously suicidal attempts this is a

obviously suicidal attempts this is a typical picture from the library I guess

typical picture from the library I guess

typical picture from the library I guess and I guess some of you here feel the

and I guess some of you here feel the

and I guess some of you here feel the same now so how can we really make a

same now so how can we really make a

same now so how can we really make a change I think that on a personal level

change I think that on a personal level

change I think that on a personal level each of you should think about

each of you should think about

each of you should think about themselves as you know what what are we

themselves as you know what what are we

themselves as you know what what are we doing wrong why are we not sleeping

doing wrong why are we not sleeping

doing wrong why are we not sleeping enough how can these help us do better

enough how can these help us do better

enough how can these help us do better and perform better I just like this

and perform better I just like this

and perform better I just like this illustration it’s taken from an article

illustration it’s taken from an article

illustration it’s taken from an article but a trail runner who was trying to

but a trail runner who was trying to

but a trail runner who was trying to change his circadian clock changes inner

change his circadian clock changes inner

change his circadian clock changes inner clock in order to perform better you all

clock in order to perform better you all

clock in order to perform better you all know that we have an inside clock inside

know that we have an inside clock inside

know that we have an inside clock inside of it inside of the circadian clock

of it inside of the circadian clock

of it inside of the circadian clock which is driven by cues from the

which is driven by cues from the

which is driven by cues from the environment the strongest cue is light

environment the strongest cue is light

environment the strongest cue is light that inhibits the secretion of melatonin

that inhibits the secretion of melatonin

that inhibits the secretion of melatonin which is a sleep promoting hormone

which is a sleep promoting hormone

which is a sleep promoting hormone that’s secreted in our brain so things

that’s secreted in our brain so things

that’s secreted in our brain so things you can do in order to help reset your

you can do in order to help reset your

you can do in order to help reset your circadian clock

circadian clock

circadian clock are things such as avoiding caffeine

are things such as avoiding caffeine

are things such as avoiding caffeine such as not using electronics in bed

such as not using electronics in bed

such as not using electronics in bed because not only the electronics shed

because not only the electronics shed

because not only the electronics shed more light and blue light especially

more light and blue light especially

more light and blue light especially which inhibits the secretion of

which inhibits the secretion of

which inhibits the secretion of melatonin you also engage in social

melatonin you also engage in social

melatonin you also engage in social media and you’re involved in tweeting

media and you’re involved in tweeting

media and you’re involved in tweeting and texting so your phones and computers

and texting so your phones and computers

and texting so your phones and computers should stay out of your bed and how can

should stay out of your bed and how can

should stay out of your bed and how can we make a difference in terms of them in

we make a difference in terms of them in

we make a difference in terms of them in terms of society this is maybe a little

terms of society this is maybe a little

terms of society this is maybe a little harder but it’s still very important as

harder but it’s still very important as

harder but it’s still very important as we as a nation we’re all sleep deprived

we as a nation we’re all sleep deprived

we as a nation we’re all sleep deprived this is this map is taking out of the

this is this map is taking out of the

this is this map is taking out of the CDC website as well and it shows you the

CDC website as well and it shows you the

CDC website as well and it shows you the average school start time you must have

average school start time you must have

average school start time you must have heard that there’s a huge movement

heard that there’s a huge movement

heard that there’s a huge movement around the country to try to move high

around the country to try to move high

around the country to try to move high school and middle school start time to a

school and middle school start time to a

school and middle school start time to a later time and I just want to point out

later time and I just want to point out

later time and I just want to point out here the dark brown states are the ones

here the dark brown states are the ones

here the dark brown states are the ones who start school the latest as late as

who start school the latest as late as

who start school the latest as late as 833 and the lightest yellow are the

833 and the lightest yellow are the

833 and the lightest yellow are the states the start school the earliest as

states the start school the earliest as

states the start school the earliest as early as 7:40 according to this slide so

early as 7:40 according to this slide so

early as 7:40 according to this slide so there we are in Pennsylvania one out of

there we are in Pennsylvania one out of

there we are in Pennsylvania one out of four states that start the earliest of

four states that start the earliest of

four states that start the earliest of them all and here in Lower Merion School

them all and here in Lower Merion School

them all and here in Lower Merion School District even worse we started 730

District even worse we started 730

District even worse we started 730 earlier than that but this is an average

earlier than that but this is an average

earlier than that but this is an average this is the morbidity and mortality

this is the morbidity and mortality

this is the morbidity and mortality weekly report it’s published by the CDC

weekly report it’s published by the CDC

weekly report it’s published by the CDC every week and this is from August 2015

every week and this is from August 2015

every week and this is from August 2015 about earlier later school start time

about earlier later school start time

about earlier later school start time from middle schooler and high schoolers

from middle schooler and high schoolers

from middle schooler and high schoolers and this is um oops this is a policy

and this is um oops this is a policy

and this is um oops this is a policy statement of the American Academy of

statement of the American Academy of

statement of the American Academy of Pediatrics published in 2014 in

Pediatrics published in 2014 in

Pediatrics published in 2014 in Pediatrics about later school start time

Pediatrics about later school start time

Pediatrics about later school start time I do believe that we need to move on

I do believe that we need to move on

I do believe that we need to move on with that and make that change for

with that and make that change for

with that and make that change for society because like I said your

society because like I said your

society because like I said your internal clock doesn’t let you go to

internal clock doesn’t let you go to

internal clock doesn’t let you go to sleep earlier and

sleep earlier and

sleep earlier and your best sleep occurs in the morning as

your best sleep occurs in the morning as

your best sleep occurs in the morning as adolescence however I don’t think that

adolescence however I don’t think that

adolescence however I don’t think that this should be done in the account of

this should be done in the account of

this should be done in the account of the younger kids or elementary schools

the younger kids or elementary schools

the younger kids or elementary schools so I don’t think a flip should be done

so I don’t think a flip should be done

so I don’t think a flip should be done in any case there’s a lot of logistics

in any case there’s a lot of logistics

in any case there’s a lot of logistics behind it and such as school buses and

behind it and such as school buses and

behind it and such as school buses and and sports and it probably will take a

and sports and it probably will take a

and sports and it probably will take a couple more years for us to move on with

couple more years for us to move on with

couple more years for us to move on with that with that said if you can’t sleep

that with that said if you can’t sleep

that with that said if you can’t sleep exercise more but in the morning not

exercise more but in the morning not

exercise more but in the morning not before you go to bed I try to have a

before you go to bed I try to have a

before you go to bed I try to have a healthy diet and avoid caffeine and

healthy diet and avoid caffeine and

healthy diet and avoid caffeine and maybe some comparative English

maybe some comparative English

maybe some comparative English literature will help thank you

literature will help thank you

literature will help thank you [Applause]

”

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