Sleep Unplugged with Dr. Chris Winter

The 2023 SLEEP meeting just concluded in Indianapolis where the greatest sleep minds come together and share the amazing academic and scientific projects and research they have been working on. I was on the ground in Indianapolis and wanted to share with you some of the more noteworthy research and data that is came out of the meeting. In this episode we will:Look at research related to the subjective impression of sleep quality and how it relates to sleep stagesExamine how circadian misalignment in kids tends to predict more food consumption even when sleep time is held constantFind out how lucid dreaming could be utilized as a potential treatment for nightmare disorderDetermine how factors related to male college students and sleep might be predictive of other problematic behaviors like alcohol useReview associations between sedentary behavior and insomnia severityTouch upon the role of sleep hygiene and couple dynamicsExplore equity and discrimination as a factor leading to poor sleep health and qualityAnswer the questions as to whether or not it is better to athletically train in the afternoon or evening as a young athleteReflect upon what we have learned from the pandemic in terms of sleep, working from home, etc.Look ahead toward hybrid models for clinical CBTi delivery and how they may hold the key to improving patient outcomesProduced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!

While we discussed sleeping pills on episode 11 of the podcast, there is a lot of unfinished business here. A recent conversation with a distinguished and highly educated colleague about sleeping pills made me question my practice and the practices of many providers.  In this episode we will:Examine the role of cognitive behavioral therapy for insomnia patients who do not have the resources, time, or interest in participating in the therapyExplore the differences in sleep clinics in terms of the demand for these medications. Are these drugs mainly a tool for primary care doctors or do sleep medicine specialist rely on them as a part of their insomnia toolbox?Review the data on the newest family of hypnotics, the orexin receptor antagonists, in particular their effects on sleep latency and decreasing wake time after sleep onset (WASO)Discuss the absolute lack of evidence linking any changes seen in sleeping pill sleep use and improved health/performance in their usersTouch upon the proper/ethical ways in which hypnotic data should be shared with patients who are using these drugs. If a drug is helping someone who "cannot sleep" to sleep through the night, what does it mean to withhold this data?Accepting that these medications may change sleep in very small but statistically meaningful ways, how are we as providers supposed to square these changes with the very different problems our patients bring to our clinic.Produced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!

The media loves to talk about sleeping naked. The topic carries just enough taboo to make it irresistible to readers. Given that up to a third of adults sleep in the buff, is there any real science to supports its sleep and health benefits? In this episode we will:Examine current research about the metabolic effects of sleeping in cooler temperatures and how being naked might support these theoriesPostulate how sleeping naked/in a cooler environment could increase brown fat composition leading to increased metabolism, weight loss, and better glycemic control/lower diabetes riskRevisit the sleep benefits of colder temperatures (from Episode 25)Push back on the direct relationship between sleeping naked and healthier skinDiscuss the role of oxytocin on sleep, stress, and sleeping skin to skinTouch on the role of sleeping naked on vaginal healthDive into the idea that sleeping naked improved sperm counts and fertilityExplore the ways in which sleeping naked could lead to heightened self-esteem and body acceptanceDetermine if there is in fact evidence that sleeping naked promotes intimacyBriefly review potential cons of sleeping nakedProduced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!

Chronic pain is a disabling problem that could affect as many as 1 out of every 5 adult Americans. It is a costly and tragic collection of disorders that often has limited and disappointing treatment options. Could sleep be a central mediator of chronic pain?  Could it be a pathway for treatment? In this episode we will:Contrast the relationship between pain causing disturbed sleep with the condition of disturbed sleep itself causing painExamine study numbers showing the high incidence of disturbed sleep in patients with chronic painConsider that while many patients with disturbed sleep have concurrent depression, a much higher cohort complains of disturbed sleepRevisit a 2006 study I highlighted in my first book that shows increased pain indices following relatively trivial reductions in total sleep and REM sleepExtend this concept as it relates to high incidence of chronic pain in military veterans with sleep disorders/disturbancesView the relationship through the lens of a 2022 Harvard study confirming a relationship but stopping short of endorsing causationList ways in which sleep considerations could be utilized to improve pain conditionsProduced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!

Now that lettuce water and melatonin spray has had their moments, mouth taping seems to be the latest sleep social media trend that everyone is talking about. What does the evidence say about the practice? Is it legitimately helpful? In this episode, we will:Examine the functions of the nose in the respiration process (filtering, humidification, etc.)Attempt to quantify the scope of nocturnal mouth breathing, both in the sleep apnea and non-sleep apnea populationRank to incidence of mouth breathing based upon sleep stageContextualize the role in increased nitric oxide via nasal breathingEvaluate the scope of sleep apnea and snoring improvement based upon mouth taping and how it relates to other treatmentsDiscuss the role of mouth taping and CPAP complianceTouch upon the role of mouth taping and oral healthBreak down the relationship between ADHD and mouth taping, and the influence of sleep-related breathing disturbances in this proposed relationshipGo through the list of considerations related to the practice of mouth tapingProduced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!

It would be tough to argue that one of the most important factors that influence your sleep is right under your nose (literally, depending on what position in which you sleep). Our pillow plays a big role in our sleep comfort and quality. In this episode we will:Touch upon when kids should begin using pillows for their sleepLook at evidence suggesting that few people give deep consideration to their pillow and of those who do, the majority may still be making the wrong choiceList the various pillow fillings (feather, wool, latex, etc.) and their relative strengths and weaknessesDetermine which pillow types tend to create the most spinal supportLay out the factors that go into pillow fittingUnderstand the supportive and comfort goals of a well-fit pillowDive into the factors that tend to influence pillow purchasesDiscuss other uses of pillows besides head supportGo through some disorders that can be improved with proper pillow selection.Produced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!

Our identity as either a good sleeper or a bad sleeper plays an outsized role in the development and persistence of insomnia in individuals. In this episode, we will:Explore the origins of our sleep identityList the common ways individuals decide whether or not they are "good sleepers"Introduce the Dysfunctional Beliefs and Attitudes about Sleep (DBAS) Scale, and how its components offer insight into the dysfunctional thinking that often characterizes insomnia Contrast the use of the DBAS with the Epworth Sleepiness Scale (ESS)Consider how the ESS helps to identify drive to sleep and what that means to have a high, or a low drive. Strategize how to use elements of the DBAS and the ESS to begin to construct a new foundation for sleep identity, an identity that is one of a good sleeper.Produced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!

Maybe the Rush lyric should have been, "I've got no time for sleepin'" because a huge population of people in this world participate in some form of shift work, and it takes a heavy toll on sleep, health, and the bottom line of their employers. In this episode we will:Examine the inherent sleep deficit that comes with shift workDetermine how much sleep the average shift worker is losingDebunk the idea that staying on night shift actually creates a true biological adjustmentExplore the work-related consequences of shift work sleepinessHighlight the unequal 'double burden' women engaged in shift work assumeList the medical consequences of shift workDefine the medical disorder Shift Work DisorderEvaluate the countermeasures and interventions that can lessen the impact of shift workProduced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!

Everyone wants slow wave sleep, commonly referred to as deep sleep. It's the sleep of youthfulness. It's the sleep of performance. It's the sleep of recovery. It's the sleep through which growth hormone flows. Lots of things promise a deeper sleep, but what really delivers? In this episode we will:Revisit the reasons deep sleep is so important for optimal healthExamine the research behind exercise and deep sleepExplore the links between mindfulness and meditation and sleepDetermine if hydration plays a role in slow wave sleep enhancementLook at the surprising link between lavender and deep sleepUnderstand the role temperature plays in this process and why exercise my actually be utilizing body temperature as a pathway for its enhancement of deep sleepUntangle the complicated research looking at alcohol and its role as both an enhancement and degrader of deep sleepProduced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!

In Episode 5 of the podcast, we explored the confusing entity of mild/borderline sleep apnea and the treatment confusion it causes. In this episode we look at the other end of the sleep apnea spectrum...severe sleep apnea where the only confusion is, "Why didn't your primary care doctor order a sleep study sooner?" In this episode we will:Define sleep apnea and learn how the Apnea Hypopnea Index (AHI) helps us classify an individual's sleep apnea severityBriefly touch upon other metrics being considered to grade the severity of sleep apneaLook at sleep apnea through the lens of a recent patient who averaged 155.8 significant breathing disturbances/hour and understand what that means in terms of health and medical risk factorsExamine the process by which one slowly develops sleep apnea and ask the question, "Why, in the midst of elevated weight, high blood pressure, and/or diabetes do more doctors not order home sleep studies to screen for sleep apnea when it is a modifiable risk factor with massive potential for health benefit?"Understand how the concept of CPAP therapy "working" or "not working" needs to be clearly defined as different therapy modalities are considered.Examine Inspire therapy, understand what it entails, who is eligible, and how there is much more to consider than their advertisements seem to indicateCompare sleep apnea therapies and their strengths/drawbacksNote: I let an f-bomb slip in this episode…sorry to those offended by this.Produced by: Maeve WinterMore Twitter: @drchriswinter IG: @drchriwinter Threads: @drchriswinter Bluesky: @drchriswinter The Sleep Solution and The Rested Child Thanks for listening and sleep well!