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   Sleep!


Alex Koppel - @arsduo
Why talk about sleep?


• Our job is to solve problems
• Sleep is tied to how well we can think
  [4]
Also




We have a macho culture about sleep
How do we get the
most out of ourselves?
Part I

Less Sleep, No Sleep
     and what happens to you
Sleep Deprivation
   Just stay up till it's done
sleep(0)

• Sleep deprivation hurts your ability to
  think
 • “This deactivation is greatest in those brain areas
   sustaining higher cognitive performance and
   situational awareness.”

• 25% mental decline / 24 hours awake


                    Source: [3]
Just how bad?




~66% performance loss after 3 days
              Source: [3]
Not sleeping is a bad idea
         (Not a surprise)
Sleep Restriction
"Just one more episode, then I'll sleep"
Sleep Needs

• Most people need between 7 & 8.5 hr
  sleep [4, 6]
• What happens when you get less?
• Is it similar to sleep deprivation?
def chronic sleep
          restriction

• Getting reduced sleep over repeated nights

 • Like an estimated 20%+ of Americans [10]

• How many of us sleep too little?
Question


Is sleeping 6 hours a night reasonable?
Less sleep, less brain

• Sleep restriction reduces brain function
 • Surprise!
• Cumulative effects over time
• Proportional to how much sleep you
  skip
Responsiveness Test

                           0 hours sleep:
                         errors rise quickly

                         y axis: failures to
                          respond to test
                          prompt in time

       1 tick = 2 days

        Source: [1]
Responsiveness Test


                                    8 hours/night:
                                      effectively
                                        normal



    1 tick = 2 days

                      Source: [1]
Responsiveness Test

                                     4 hours a night:
                                    in just one week,
                                         you’re in
                                     sleep-deprived
                                         territory


    1 tick = 2 days

                      Source: [1]
Responsiveness Test

                                       6 hours a night:
                                    in the second week,
                                         you’re sunk



    1 tick = 2 days

                      Source: [1]
Just to be clear

                                  Your brain will hit
                                   sleep-deprived
                                       territory.

                                    This is bad.


  1 tick = 2 days

                    Source: [1]
Is sleeping 6 hours a night
      reasonable now?
Caveats

• Sleep needs vary between individuals

 • What you’ll see are average numbers

 • But most of us are average sleepers!

• Studies vary, but only so much
Take the weekend off


• OK, but can’t you just sleep it off over
  the weekend?
Apparently not

• The brain physiologically adapts to less
  sleep [2, 4, 9]
 • These last for at least several days
• Recovery sleep is physically different
  [4]
Incomplete recovery

                      Baseline
                       (min)




        Source: [2]
Part II

Whys and Wherefores
   Why it's so hard to get enough sleep
Late to bed, early to rise

• Sleep restriction is a common problem

• Why is getting enough sleep so hard?

• What can we do about that?
Chronotypes
  Our sleep patterns
Sleep pattern spread




Wakeup time for 7
                    8 AM                10 AM
  hours sleep:
                    Source: [6] p. 13
Alternately put




Over 50% of the population wakes btw 8 and 11 AM
           Only ~33% naturally wake up before 8 AM
                       Source: [6] p. 13
Yet

• Much of society starts up between 8 and 9

• What happens to all of us whose bodies want to
  wake later?
Social Jet Lag

• When society time != body time

• Expressed through sleep deprivation

• Like traveling by plane every day

 • Over 40% of Central Europeans off by 2+ hours


                   Source: [6] p. 149
Objection
• But, but, surely people can adjust as needed?

 • Are we all just lazy bums?
Body Clocks
 The Art of Entrainment
Here’s where it gets complicated
        (and interesting)
Internal Clocks

• All humans (organisms) have internal clocks

• Few run exactly 24 hours per cycle

 • On average slightly longer [11]

• Our bodies use light to sync with the world



                 Source: [6] p. 1, 118-127
Internal Day




When you wake up               When you're asleep
                                       (hopefully)
                   Source: [6] p.121
Internal Day




When you wake up               When you're asleep
                                       (hopefully)
                   Source: [6] p.121
Entrainment

• Our bodies use light to adjust the internal day

• Light in inner morning shortens the day

• Light in inner evening lengthens it

• The body mixes both to get the right adjustment



                  Source: [6] p.117-128
Problem

• Your day is too long

 • You have to emphasize compression

 • More morning than evening

• How?
Solution!


• Wake later

 • Your inner evening happens in the dark!
And


• If most people have a longer clock, we'd
  expect most people to wake later

• And that's what we saw earlier!
Implication

• Sleep cycles are determined by biology

• We can't control / change this

• Have to accept people are as they are
More proof




Waking times among a homogeneous population
  in 1 time zone are controlled by the sunrise
                  Source: [6] p.158
Part III

      Sundry
A whirlwind tour of other topics
Stuff I don’t have time
           to cover*
• Caffeine

• Napping

• Polyphasic sleep / split sleep

• Urban environments / the Great Outdoors

• Core sleep

• Organizing your day to your daily rhythms

• Drinking water to stay awake

                    * or haven’t yet researched :D
Not to speak of...
• Lots of other stuff affect both sleep quality and thinking

  • Alcohol, other drugs

  • Exercise

  • Stress

  • Diet

  • Working environment
Part IV

Conclusion
Wake up, it's almost over
Consequences


• When people's work aligns with their cycles,
  they perform better




                   Source: [6] p.112
In practice

• Respect your own biology

• Get enough sleep!

• Encourage your team to sleep

 • Flexible start times
Thanks!
        @arsduo


       @6Wunderkinder
http://dev.6wunderkinder.com
Eurucamp 2012
   2012.eurucamp.org
Appendix
Sources and other material
Science is fun
• “Some evidence suggests...”

 • Hard conclusions are hard

• Explanations, like this, can be preliminary

• Moar studies!

 • But the basics presented here are solid
A possible mechanism
• Effects of sleep restriction and deprivation
  postulated to share a common trigger [1]
• Cumulative excess hours awake
  •   How much longer you’re up in a given period than you should have
      been

• Deprivation effects likely =~ restriction
  effects (in proportion)
• Not the only proposed theory

                            Source: [1]
PVT

• Psychomotor vigilance test
• Subjects respond to a visual stimulus
• Measures attention and response time
 • Also lapses (response > 500ms)



                 Source: [12]
Do these results matter?

• PVT (the test) measures both reaction time
  and sustained attention
• Does it apply to general brain function?
  • What’s it gotta do with coding?
Other results similar
Digit substitution, addition/subtraction




                 Source: [1]
Sources
1.   Van Dongen, H. P. a, Maislin, G., Mullington, J. M., & Dinges, D. F. (2003). The cumulative cost of additional wakefulness:
     dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep
     deprivation. Sleep, 26(2), 117-26. Retrieved from Source: Van Dongen, etc., UPenn Study, 2003 [1]

2.   Belenky, G., Wesensten, N. J., Thorne, D. R., Thomas, M. L., Sing, H. C., Redmond, D. P., Russo, M. B., et al. (2003).
     Patterns of performance degradation and restoration during sleep restriction and subsequent recovery: a sleep dose-
     response study. Journal of Sleep Research, 12(1), 1-12. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12603781

3.   Belenky, G. (1997). Sleep , Sleep Deprivation , and Human Performance in Continuous Operations, 1-13. Retrieved from
     http://isme.tamu.edu/JSCOPE97/Belenky97/Belenky97.htm

4.   Alhola, P., & Polo-Kantola, P. (2007). Sleep deprivation: Impact on cognitive performance. Neuropsychiatric Disease and
     Treatment, 3(5), 553-567. Dove Medical Press. Retrieved from http://www.pubmedcentral.nih.gov/articlerender.fcgi?
     artid=2849789&tool=pmcentrez&rendertype=abstract

5.   Robinson, E. (2005). Why Crunch Mode Doesn’t Work: 6 Lessons. IGDA Retrieved Feb, 1-6. Retrieved from http://
     www.igda.org/why-crunch-modes-doesnt-work-six-lessons

6.   Roenneberg, Till. Internal Time: Chronotypes, Social Jet Lag, and Why You're so Tired. Cambridge, MA: Harvard UP, 2012.
     Print.

7.   Popova, M. (2012). Internal Time : The Science of Chronotypes , Social Jet Lag , and Why You’re So Tired. Retrieved from
     http://www.brainpickings.org/index.php/2012/05/11/internal-time-till-roenneber/

8.   Roenneberg, T., Daan, S., & Merrow, M. (2003). The Art of Entrainment, 18(3). doi:10.1177/0748730403253393
9.
                               Sources 2
      Fackelmann, K. (2007). Study: Sleep deficit may be impossible to make up. USA Today. Retrieved from http://
      www.usatoday.com/news/health/2007-11-25-sleep-deficit_N.htm

10.   Hublin C, Kaprio J, Partinen M, Koskenvuo M. (2001) Insufficient sleep: a population-based study in adults. Sleep, 24: 392–
      400 cited in Wikipedia, replace w other data

11.   Toh, K. L., Med, M. I., Uk, M., & Genet, H. (n.d.). Basic Science Review on Circadian Rhythm Biology and Circadian Sleep
      Disorders, 662-668.

12.   Psychomotor vigilance task. (2012, June 11). In Wikipedia, The Free Encyclopedia. Retrieved 10:24, June 22, 2012, from
      http://en.wikipedia.org/w/index.php?title=Psychomotor_vigilance_task&oldid=497069857

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Sleep! (RuLu presentation)

  • 1. 💤 Sleep! Alex Koppel - @arsduo
  • 2. Why talk about sleep? • Our job is to solve problems • Sleep is tied to how well we can think [4]
  • 3. Also We have a macho culture about sleep
  • 4. How do we get the most out of ourselves?
  • 5. Part I Less Sleep, No Sleep and what happens to you
  • 6. Sleep Deprivation Just stay up till it's done
  • 7. sleep(0) • Sleep deprivation hurts your ability to think • “This deactivation is greatest in those brain areas sustaining higher cognitive performance and situational awareness.” • 25% mental decline / 24 hours awake Source: [3]
  • 8. Just how bad? ~66% performance loss after 3 days Source: [3]
  • 9. Not sleeping is a bad idea (Not a surprise)
  • 10. Sleep Restriction "Just one more episode, then I'll sleep"
  • 11. Sleep Needs • Most people need between 7 & 8.5 hr sleep [4, 6] • What happens when you get less? • Is it similar to sleep deprivation?
  • 12. def chronic sleep restriction • Getting reduced sleep over repeated nights • Like an estimated 20%+ of Americans [10] • How many of us sleep too little?
  • 13. Question Is sleeping 6 hours a night reasonable?
  • 14. Less sleep, less brain • Sleep restriction reduces brain function • Surprise! • Cumulative effects over time • Proportional to how much sleep you skip
  • 15. Responsiveness Test 0 hours sleep: errors rise quickly y axis: failures to respond to test prompt in time 1 tick = 2 days Source: [1]
  • 16. Responsiveness Test 8 hours/night: effectively normal 1 tick = 2 days Source: [1]
  • 17. Responsiveness Test 4 hours a night: in just one week, you’re in sleep-deprived territory 1 tick = 2 days Source: [1]
  • 18. Responsiveness Test 6 hours a night: in the second week, you’re sunk 1 tick = 2 days Source: [1]
  • 19. Just to be clear Your brain will hit sleep-deprived territory. This is bad. 1 tick = 2 days Source: [1]
  • 20. Is sleeping 6 hours a night reasonable now?
  • 21. Caveats • Sleep needs vary between individuals • What you’ll see are average numbers • But most of us are average sleepers! • Studies vary, but only so much
  • 22. Take the weekend off • OK, but can’t you just sleep it off over the weekend?
  • 23. Apparently not • The brain physiologically adapts to less sleep [2, 4, 9] • These last for at least several days • Recovery sleep is physically different [4]
  • 24. Incomplete recovery Baseline (min) Source: [2]
  • 25. Part II Whys and Wherefores Why it's so hard to get enough sleep
  • 26. Late to bed, early to rise • Sleep restriction is a common problem • Why is getting enough sleep so hard? • What can we do about that?
  • 27. Chronotypes Our sleep patterns
  • 28. Sleep pattern spread Wakeup time for 7 8 AM 10 AM hours sleep: Source: [6] p. 13
  • 29. Alternately put Over 50% of the population wakes btw 8 and 11 AM Only ~33% naturally wake up before 8 AM Source: [6] p. 13
  • 30. Yet • Much of society starts up between 8 and 9 • What happens to all of us whose bodies want to wake later?
  • 31. Social Jet Lag • When society time != body time • Expressed through sleep deprivation • Like traveling by plane every day • Over 40% of Central Europeans off by 2+ hours Source: [6] p. 149
  • 32. Objection • But, but, surely people can adjust as needed? • Are we all just lazy bums?
  • 33. Body Clocks The Art of Entrainment
  • 34. Here’s where it gets complicated (and interesting)
  • 35. Internal Clocks • All humans (organisms) have internal clocks • Few run exactly 24 hours per cycle • On average slightly longer [11] • Our bodies use light to sync with the world Source: [6] p. 1, 118-127
  • 36. Internal Day When you wake up When you're asleep (hopefully) Source: [6] p.121
  • 37. Internal Day When you wake up When you're asleep (hopefully) Source: [6] p.121
  • 38. Entrainment • Our bodies use light to adjust the internal day • Light in inner morning shortens the day • Light in inner evening lengthens it • The body mixes both to get the right adjustment Source: [6] p.117-128
  • 39. Problem • Your day is too long • You have to emphasize compression • More morning than evening • How?
  • 40. Solution! • Wake later • Your inner evening happens in the dark!
  • 41. And • If most people have a longer clock, we'd expect most people to wake later • And that's what we saw earlier!
  • 42. Implication • Sleep cycles are determined by biology • We can't control / change this • Have to accept people are as they are
  • 43. More proof Waking times among a homogeneous population in 1 time zone are controlled by the sunrise Source: [6] p.158
  • 44. Part III Sundry A whirlwind tour of other topics
  • 45. Stuff I don’t have time to cover* • Caffeine • Napping • Polyphasic sleep / split sleep • Urban environments / the Great Outdoors • Core sleep • Organizing your day to your daily rhythms • Drinking water to stay awake * or haven’t yet researched :D
  • 46. Not to speak of... • Lots of other stuff affect both sleep quality and thinking • Alcohol, other drugs • Exercise • Stress • Diet • Working environment
  • 47. Part IV Conclusion Wake up, it's almost over
  • 48. Consequences • When people's work aligns with their cycles, they perform better Source: [6] p.112
  • 49. In practice • Respect your own biology • Get enough sleep! • Encourage your team to sleep • Flexible start times
  • 50.
  • 51. Thanks! @arsduo @6Wunderkinder http://dev.6wunderkinder.com
  • 52. Eurucamp 2012 2012.eurucamp.org
  • 54. Science is fun • “Some evidence suggests...” • Hard conclusions are hard • Explanations, like this, can be preliminary • Moar studies! • But the basics presented here are solid
  • 55. A possible mechanism • Effects of sleep restriction and deprivation postulated to share a common trigger [1] • Cumulative excess hours awake • How much longer you’re up in a given period than you should have been • Deprivation effects likely =~ restriction effects (in proportion) • Not the only proposed theory Source: [1]
  • 56. PVT • Psychomotor vigilance test • Subjects respond to a visual stimulus • Measures attention and response time • Also lapses (response > 500ms) Source: [12]
  • 57. Do these results matter? • PVT (the test) measures both reaction time and sustained attention • Does it apply to general brain function? • What’s it gotta do with coding?
  • 58. Other results similar Digit substitution, addition/subtraction Source: [1]
  • 59. Sources 1. Van Dongen, H. P. a, Maislin, G., Mullington, J. M., & Dinges, D. F. (2003). The cumulative cost of additional wakefulness: dose-response effects on neurobehavioral functions and sleep physiology from chronic sleep restriction and total sleep deprivation. Sleep, 26(2), 117-26. Retrieved from Source: Van Dongen, etc., UPenn Study, 2003 [1] 2. Belenky, G., Wesensten, N. J., Thorne, D. R., Thomas, M. L., Sing, H. C., Redmond, D. P., Russo, M. B., et al. (2003). Patterns of performance degradation and restoration during sleep restriction and subsequent recovery: a sleep dose- response study. Journal of Sleep Research, 12(1), 1-12. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12603781 3. Belenky, G. (1997). Sleep , Sleep Deprivation , and Human Performance in Continuous Operations, 1-13. Retrieved from http://isme.tamu.edu/JSCOPE97/Belenky97/Belenky97.htm 4. Alhola, P., & Polo-Kantola, P. (2007). Sleep deprivation: Impact on cognitive performance. Neuropsychiatric Disease and Treatment, 3(5), 553-567. Dove Medical Press. Retrieved from http://www.pubmedcentral.nih.gov/articlerender.fcgi? artid=2849789&tool=pmcentrez&rendertype=abstract 5. Robinson, E. (2005). Why Crunch Mode Doesn’t Work: 6 Lessons. IGDA Retrieved Feb, 1-6. Retrieved from http:// www.igda.org/why-crunch-modes-doesnt-work-six-lessons 6. Roenneberg, Till. Internal Time: Chronotypes, Social Jet Lag, and Why You're so Tired. Cambridge, MA: Harvard UP, 2012. Print. 7. Popova, M. (2012). Internal Time : The Science of Chronotypes , Social Jet Lag , and Why You’re So Tired. Retrieved from http://www.brainpickings.org/index.php/2012/05/11/internal-time-till-roenneber/ 8. Roenneberg, T., Daan, S., & Merrow, M. (2003). The Art of Entrainment, 18(3). doi:10.1177/0748730403253393
  • 60. 9. Sources 2 Fackelmann, K. (2007). Study: Sleep deficit may be impossible to make up. USA Today. Retrieved from http:// www.usatoday.com/news/health/2007-11-25-sleep-deficit_N.htm 10. Hublin C, Kaprio J, Partinen M, Koskenvuo M. (2001) Insufficient sleep: a population-based study in adults. Sleep, 24: 392– 400 cited in Wikipedia, replace w other data 11. Toh, K. L., Med, M. I., Uk, M., & Genet, H. (n.d.). Basic Science Review on Circadian Rhythm Biology and Circadian Sleep Disorders, 662-668. 12. Psychomotor vigilance task. (2012, June 11). In Wikipedia, The Free Encyclopedia. Retrieved 10:24, June 22, 2012, from http://en.wikipedia.org/w/index.php?title=Psychomotor_vigilance_task&oldid=497069857

Editor's Notes

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  4. We spend a lot of effort being and recruiting talented people\n
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  7. Sound like a launch you know? \n\n“the ability [as the same study put it] to understand, adapt, and plan in rapidly changing circumstances”\n\n
  8. Need to be able to explain this test\n
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  11. How many of us get a full night's sleep?\n
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  23. Besides, do you really take the weekend off?\n
  24. Why are the groups pre-sorted even on B? \n
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  32. We've shown that:\n* sleep dep is bad\n* much population gets sleep dep from normal sleep schedules\nWe need to show:\n* this can't be fixed\n
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  38. Light cycle is basically consistent per external day\n\n
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  42. Mention scn here\n
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  48. Citation on better performance comes from study of students, at least for now\n
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  57. Should we define coding here?\n
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