jacob wrote: ↑Thu Mar 27, 2025 7:02 am
I was going to suggest that this strong focus on sleep (and other health indicators like e.g. blood pressure, immune function, ...) could be counterproductive to health due to the amount of stress/anxiety it potentially induces. Even if it is not felt directly as stress, the effects might still be there in the form of insomnia, effects on the gut, etc.
The other effect is that altering behavior just to get "good numbers". This breaks insofar the numbers don't capture the entire system. Surely there's more to good sleep than optimizing a few metrics from an Oura ring. Also see Goodhart's law. For example, I used to have a fitbit that also measured sleep. It didn't take me long to figure out that I got better numbers if I changed how I turned over in bed. Did I sleep any better from that? No, but the fitbit thought so.
Yeah, it can be a slippery slope. Place humans in any system and at least some of them will try to game it. I like to think my ultimate ambition is to truly improve/maintain my health. The analogy I use to keep some perspective is that I'm a student and I want to learn as much as I can from the class rather than just get an A, so skipping all the studying and cheating on the exam is not really a means to the end. Extend that to something like my quest to increase strength and muscle mass, anabolic steroids would allow me to bulk up with muscle mass more effectively than what I'm doing, but they would work against the next higher tier goal that spawned the desire to improve or at least maintain strength. An example of your point that good numbers at one node in the complex system don't tell the whole story.
One of the issues that I have to contend with is that I've had a pretty good amount of success with a number of biomarkers: you mentioned blood pressure and that's one. I've basically reversed IR/"prediabetes", eliminated a good chunk of visceral fat, and stabilized liver enzymes, etc. Through that I've probably developed an amount of hubris, believing that with the right information and willingness to change behaviors I can "fix" anything, which obviously isn't the case when extrapolating too fasr into the future.
Sleep is a difficult one since it's a biological function that is less well understood than many.
If I had access to no data, I would note that falling asleep is generally easy, and I always wake up feeling rested and ready to go both physically and mentally. No grogginess, or "brain fog", or any significant paucity of physical energy. So in those senses sleep is doing it's job. On the negative side of the ledger I'm a restless sleeper often prone to waking during the night. As long as those wake ups occur within the first 5-6 hours, probably 90% of the time I get back to sleep no problem. If they occur 6-7 hours in, it's roughly a coin toss whether I can get back to sleep. Beyond 7 hrs, forget about it, I'm up for the day.
Probing below the surface, there are three criteria consistently listed as requirements for good sleep:
1. 7-9 hours total sleep per 24 hours
2. Minimum of 15%-25% (depending on the source) deep sleep
3. Minimum of 20%-25% (depending on the source) REM sleep.
I don't achieve any of those on a regular basis, although usually I am pretty close to the 15%-20% deep sleep range, which per some sources is adequate. Since deep and REM sleep happen while I'm asleep I don't know how I could game them. There may be some way to game the total sleep estimation. Occasionally when I'm deeply relaxed Oura will ask me to confirm I've had a nap when I hadn't, but I've not noticed anything that will reliably "trick" the ring (haven't really looked).
Assuming I can find the right combination of behavior/lifestyle modifications to come closer to or even achieve those criteria, especially the REM/deep sleep thresholds, would it be fools gold? Would it do nothing meaningful for my well being, mentally of physically? I don't know.
Could Oura be underestimating either REM or deep sleep. Maybe. But it could just as easily be overestimating them.
There's an irrational component to all this that's rooted in spending parts of nearly every day 8 months out of the year watching my dad succumb to dementia. It's generally taken for granted that Alzheimer's and the like goes hand-in-hand with shitty sleep, but I don't think it's known with a high degree of certainty which one might be causal. I got this renewed focus on sleep, especially REM, from a study that suggested delays in the first REM cycle are indicative of early stage Alzheimer's. I don't think that's cast in stone yet, probably more examination needs to be done, but it's a topic I'm highly sensitive to. It looks like with the small tweaks I've made to my routine I'll finish March having the "normal" first REM cycle timing 75%-80% of the time, compared to < 50% prior, I'm much less concerned I'm presenting early indications of dementia. But my nature is that once I start pulling on a thread I'll keep at it until I've exhausted what I can do/learn in the short run.
That's not meant to be argumentative in relation to what you said, mostly it's just giving myself an exhortation to keep things in perspective, and to try to view things from a slightly different vantage.