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Sleep Myths and
Realities:
Lessons from
Hunter-Gatherers
B·DEBATE
International Center for
Scientific Debate
Barcelona,
October 18, 2018
Jerry Siegel
Center for Sleep Research
UCLA Psychiatry
Los Angeles
•But the tools to measure sleep were not developed until after the
invention of the electric light and other aspects of modern culture.
•What is human sleep like in the “pre-industrial” environment?
• Three groups studied:
• First group, the Hadza
• Live near Olduvai Gorge by
Lake Eyasi.
• No electricity (no internet,
TV or electric light)
• No guns
• No coffee/energy drinks
• No agriculture
• Non-pastoral – no cattle,
pigs, chickens dogs or cats
• Nomadic (no permanent
structures)
• They have “no obesity,” but
do not have a higher daily
energy expenditure
(kCal/day) than Americans
despite large differences in
activity level (Pontzer et al,
2012)
• Hadza sleep on animal
skins, under the stars
Second group: San (Bushmen, !Kung, Ju/'hoansi) hunter-
gatherers of Namibia: most diverse human genome
Voyager 1: San hunting oryx
Third group: Tsimane People, Forager-
horticulturalists, San Borja, Bolivia
Recording sites
Study of 3 groups facilitates detection of common
aspects of human sleep in “natural” conditions
Actiwatch on left (non-dominant)
hand
Event marker
Light sensor. 5-100,000
lux (log display)
On wrist
sh/moon-phases/lunar-calendar-2013/05/22/
com/worldclock/astronomy.html?n=71&month=5&year=2013&obj=moon&afl=-11&day=1
Yellow-light level
Black-mvts/epoch
Dark blue-sleep
Light blue-rest
6 days
Actiwatch records from three groups
94 adults recorded, for a total of 1,165 days
Sleep duration is nearly one hour
longer in winter than in summer in
both groups examined across seasons
Similar sleep
duration in all 3
groups:
5.9-7.1h
Sleep period
(duration +
W.A.S.O.):
6.9-8.5h
wake after sleep
onset:
similar or lower
than average
‘modern’ controls
GROUP/
START DATE
NIGHT
DURATION
SLEEP
DURATION
SLEEP PERIOD
(SLEEP TIME +
WASO)
HADZA 12.1 6.3 7.7
TSIMANE
8/18/13 WINTER 12.4 6.6 8.0
9/1/13 12.2 6.4 8.0
10/3/13 11.7 6.4 7.5
10/18/13 11.5 6.5 7.5
10/29/13 11.4 5.9 7.2
11/28/13 SPRING- SUMMER 11.1 5.7 6.9
SAN
5/14 FALL WINTER 12.9 7.1 8.3
8/11 12.6 6.9 8.5
1/15 SUMMER 11.0 6.2 7.4
AVERAGE 6.4 7.7
Health of non-industrial
populations
Extensive health studies of the Tsimané have found that
although child mortality is higher than in “modern” societies,
largely due to infectious diseases and lack of immunization,
adults have much lower levels of hypertension and
atherosclerosis (Kaplan, 2017), lower levels of Alzheimer’s
and higher levels of physical fitness than industrial
populations. Obesity rates are <3%. Many live into their 60s,
70s, 80s and beyond. Similar health findings have been
reported in the Hadza and San.
We sampled subjects between 20 and 55, average age 37.
L10 test light levels observatory 12.xls
Solar noon
• Maximum light
exposure is at ~9AM
(solar), NOT at noon.
This is the case in both
summer and winter, at
equator and away from
equator. Possible
relation to depression.
• Activity after sunset, no
evidence for period of
nighttime activity.
• No regular decrease of
activity at noon.
• Winter naps on <7% of
days, Summer on <22%
of days, in San (690
days of observation).
Outside British Museum July 5, 2017
• Sleep onset occurs several hours after sunset (3.3 hours on
average). The time of sleep onset is very variable.
• Wake onset occurs before or shortly after sunrise. The time
of wake onset is much less variable than the time of sleep
onset.
Timing of sleep onset and offset relative to sunrise and sunset
iButtons for
temperature
recording in the
San
Timing of Hadza sleep in relation to light and Serengeti temperature:
Sleep onset 3.4-h after sunset, sleep offset 1-h before sunrise.
Is environmental temperature linked to sleep timing?
53º-84º F
• Sleep occurs during fall
in ambient temperature
• Awakening at
temperature nadir, not
sunrise
• Vasoconstriction
coincident with
awakening unlike
industrial populations
• Daily temperature
rhythm reduced or
eliminated in “modern”
cultures
Non-industrial people
• 7 or 28 day recordings, 94 subjects, 1,165 days of
recordings
• All 3 groups have similar sleep parameters
• No sleep onset at sunset, even in the absence of
electric light
• Sleep duration in non-industrial societies is the
same as, or less than, that of industrial cultures
• Little napping in winter, low level (22%) in summer
• No consistent interruption of nighttime sleep
• One hour difference between summer and winter
sleep duration
• Maximal light exposure occurs in morning
• Sleeping period occupies the coldest portion of
the night. Sleep occurs during a period of
temperature decrease
• Awakening occurs near temperature nadir,
accompanied by peripheral vasoconstriction (no
vasodilation at sleep onset) - the reverse of the
“modern” pattern
• Temperature is a major regulator of sleep under
“pre-modern” conditions
• Little or no insomnia (<2% vs. > 10-20% in US)
Non-industrial people
"The subject of sleeplessness is once more
under public discussion. The hurry and
excitement of modern life is quite correctly
held to be responsible for much of the
insomnia of which we hear: and most of the
articles and letters are full of good advice to
live more quietly and of platitudes
concerning the harmfulness of rush and
worry.
British Medical Journal, 1894
Marmoset, Tamarin
12.6 and 13.3h sleep/24
Little W in dark, sleep and W in light
(Kantha 2006)
Juvenile Rhesus
(Macaca mulatta)
10 h sleep/24 (Barrett et al, 2009)
Chimpanzee (Pan troglodytes)
10 h sleep/24h nap in midday,
little W at night
Adey, 1972
Diurnal primates DO go to sleep at lights off, unlike
hunter-gatherers and “modern” humans.
Human retina has highest rod % (lowest
cone %) of any diurnal primate
Wikler et al., 1990, Roelof Hut et al., 2012 and 2017 (in press)
i.e. we have evolved to see better after sunset than
any other primate whose retina has been studied
* Primates with 24 h sleep studies
species latin name % cones % rods
ground squirrel Spermophilus citellus 97.0 3.0
*marmoset Callithrix jacchus) 24.3 75.7
squirrel monkey Saimiri sciureus 9.3 90.7
capuchin Cebus apella 7.9 92.1
*macaque Macaca fascicularis 6.1 93.9
*human Homo sapiens 4.7 95.3
rat Rattus norvegicus 1.0 99.0
Primates
Humans appear to be unique among diurnal
primates in having an extended period of
waking after sunset. This is seen in hunter-
gatherers, as well as in “modern” populations.
Staying up late is part of what makes us human,
as is improved night vision.
Waking time after sunset provides additional time for adaptive
activities that do not occur in other diurnal primates:
•Small fires are used to cook food. This increases the calories their food
conveys and offsets the energy savings that would have occurred if they
were asleep.
•Preparing poison arrows, repairing hunting and other equipment
•Social bonding and information exchange using language
Kripke, 2003
Lifespan does not increase with sleep time. There is an
optimal amount of sleep of 7-8 h in the U.S.
Sleep heart health study, PGR,
6441 subjects >40
A total of 113,138 participants (68,548 women and 44,590 men) of the
Shanghai Women’s and Men’s Health Studies, aged 44–79 y and 40–75 y.
Cai et al., 2015. Preexisting conditions controlled for.
SLEEP AND COGNITIVE PERFORMANCE FROM TEENS TO OLD
AGE: MORE IS NOT BETTER (Sleep, 2016)
Subtitle: More sleep is not better for cognitive performance
Anne Richards, MD MPH; Sabra S. Inslicht, PhD; Thomas Metzler, MS;
Brian Mohlenhoff, MD; Madhu Rao, MD; Aoife O’Donovan, PhD;
Thomas C. Neylan, MD; University of California, San Francisco; San
Francisco VA Medical Center; Palo Alto VA Medical Center
N=512,823:
Self reported sleep
duration.
Relationship of Mean Adjusted Log Score and Self-Reported Habitual
Sleep Duration by Age Category for Speed Match, Memory Matrix, and
Raindrops
Relationship of Mean Adjusted Log Score and Self-Reported Habitual
Sleep Duration for 15-19 year olds and 20-24 year olds for Speed Match,
Memory Matrix, and Raindrops
• 7-8 hours of sleep is optimal for
survival.
• More sleep is not necessarily better
for performance.
• But there is little evidence on the
effects of changes (increases or
decreases) in spontaneous sleep
duration.
www.semel.ucla.edu/sleepresearch
2.1 Jerry Siegel
2.1 Jerry Siegel

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2.1 Jerry Siegel

  • 1. Sleep Myths and Realities: Lessons from Hunter-Gatherers B·DEBATE International Center for Scientific Debate Barcelona, October 18, 2018 Jerry Siegel Center for Sleep Research UCLA Psychiatry Los Angeles
  • 2. •But the tools to measure sleep were not developed until after the invention of the electric light and other aspects of modern culture. •What is human sleep like in the “pre-industrial” environment?
  • 3. • Three groups studied: • First group, the Hadza • Live near Olduvai Gorge by Lake Eyasi. • No electricity (no internet, TV or electric light) • No guns • No coffee/energy drinks • No agriculture • Non-pastoral – no cattle, pigs, chickens dogs or cats • Nomadic (no permanent structures)
  • 4. • They have “no obesity,” but do not have a higher daily energy expenditure (kCal/day) than Americans despite large differences in activity level (Pontzer et al, 2012) • Hadza sleep on animal skins, under the stars
  • 5. Second group: San (Bushmen, !Kung, Ju/'hoansi) hunter- gatherers of Namibia: most diverse human genome Voyager 1: San hunting oryx
  • 6. Third group: Tsimane People, Forager- horticulturalists, San Borja, Bolivia
  • 7. Recording sites Study of 3 groups facilitates detection of common aspects of human sleep in “natural” conditions
  • 8. Actiwatch on left (non-dominant) hand Event marker Light sensor. 5-100,000 lux (log display)
  • 10.
  • 11. Actiwatch records from three groups 94 adults recorded, for a total of 1,165 days
  • 12. Sleep duration is nearly one hour longer in winter than in summer in both groups examined across seasons
  • 13. Similar sleep duration in all 3 groups: 5.9-7.1h Sleep period (duration + W.A.S.O.): 6.9-8.5h wake after sleep onset: similar or lower than average ‘modern’ controls GROUP/ START DATE NIGHT DURATION SLEEP DURATION SLEEP PERIOD (SLEEP TIME + WASO) HADZA 12.1 6.3 7.7 TSIMANE 8/18/13 WINTER 12.4 6.6 8.0 9/1/13 12.2 6.4 8.0 10/3/13 11.7 6.4 7.5 10/18/13 11.5 6.5 7.5 10/29/13 11.4 5.9 7.2 11/28/13 SPRING- SUMMER 11.1 5.7 6.9 SAN 5/14 FALL WINTER 12.9 7.1 8.3 8/11 12.6 6.9 8.5 1/15 SUMMER 11.0 6.2 7.4 AVERAGE 6.4 7.7
  • 14. Health of non-industrial populations Extensive health studies of the Tsimané have found that although child mortality is higher than in “modern” societies, largely due to infectious diseases and lack of immunization, adults have much lower levels of hypertension and atherosclerosis (Kaplan, 2017), lower levels of Alzheimer’s and higher levels of physical fitness than industrial populations. Obesity rates are <3%. Many live into their 60s, 70s, 80s and beyond. Similar health findings have been reported in the Hadza and San. We sampled subjects between 20 and 55, average age 37.
  • 15. L10 test light levels observatory 12.xls Solar noon
  • 16. • Maximum light exposure is at ~9AM (solar), NOT at noon. This is the case in both summer and winter, at equator and away from equator. Possible relation to depression. • Activity after sunset, no evidence for period of nighttime activity. • No regular decrease of activity at noon. • Winter naps on <7% of days, Summer on <22% of days, in San (690 days of observation).
  • 17.
  • 18. Outside British Museum July 5, 2017
  • 19. • Sleep onset occurs several hours after sunset (3.3 hours on average). The time of sleep onset is very variable. • Wake onset occurs before or shortly after sunrise. The time of wake onset is much less variable than the time of sleep onset. Timing of sleep onset and offset relative to sunrise and sunset
  • 20. iButtons for temperature recording in the San Timing of Hadza sleep in relation to light and Serengeti temperature: Sleep onset 3.4-h after sunset, sleep offset 1-h before sunrise. Is environmental temperature linked to sleep timing? 53º-84º F
  • 21. • Sleep occurs during fall in ambient temperature • Awakening at temperature nadir, not sunrise • Vasoconstriction coincident with awakening unlike industrial populations • Daily temperature rhythm reduced or eliminated in “modern” cultures
  • 22. Non-industrial people • 7 or 28 day recordings, 94 subjects, 1,165 days of recordings • All 3 groups have similar sleep parameters • No sleep onset at sunset, even in the absence of electric light • Sleep duration in non-industrial societies is the same as, or less than, that of industrial cultures • Little napping in winter, low level (22%) in summer • No consistent interruption of nighttime sleep • One hour difference between summer and winter sleep duration
  • 23. • Maximal light exposure occurs in morning • Sleeping period occupies the coldest portion of the night. Sleep occurs during a period of temperature decrease • Awakening occurs near temperature nadir, accompanied by peripheral vasoconstriction (no vasodilation at sleep onset) - the reverse of the “modern” pattern • Temperature is a major regulator of sleep under “pre-modern” conditions • Little or no insomnia (<2% vs. > 10-20% in US) Non-industrial people
  • 24. "The subject of sleeplessness is once more under public discussion. The hurry and excitement of modern life is quite correctly held to be responsible for much of the insomnia of which we hear: and most of the articles and letters are full of good advice to live more quietly and of platitudes concerning the harmfulness of rush and worry. British Medical Journal, 1894
  • 25.
  • 26.
  • 27. Marmoset, Tamarin 12.6 and 13.3h sleep/24 Little W in dark, sleep and W in light (Kantha 2006)
  • 28. Juvenile Rhesus (Macaca mulatta) 10 h sleep/24 (Barrett et al, 2009)
  • 29. Chimpanzee (Pan troglodytes) 10 h sleep/24h nap in midday, little W at night Adey, 1972 Diurnal primates DO go to sleep at lights off, unlike hunter-gatherers and “modern” humans.
  • 30. Human retina has highest rod % (lowest cone %) of any diurnal primate Wikler et al., 1990, Roelof Hut et al., 2012 and 2017 (in press) i.e. we have evolved to see better after sunset than any other primate whose retina has been studied * Primates with 24 h sleep studies species latin name % cones % rods ground squirrel Spermophilus citellus 97.0 3.0 *marmoset Callithrix jacchus) 24.3 75.7 squirrel monkey Saimiri sciureus 9.3 90.7 capuchin Cebus apella 7.9 92.1 *macaque Macaca fascicularis 6.1 93.9 *human Homo sapiens 4.7 95.3 rat Rattus norvegicus 1.0 99.0 Primates
  • 31. Humans appear to be unique among diurnal primates in having an extended period of waking after sunset. This is seen in hunter- gatherers, as well as in “modern” populations. Staying up late is part of what makes us human, as is improved night vision. Waking time after sunset provides additional time for adaptive activities that do not occur in other diurnal primates: •Small fires are used to cook food. This increases the calories their food conveys and offsets the energy savings that would have occurred if they were asleep. •Preparing poison arrows, repairing hunting and other equipment •Social bonding and information exchange using language
  • 32.
  • 33.
  • 34. Kripke, 2003 Lifespan does not increase with sleep time. There is an optimal amount of sleep of 7-8 h in the U.S.
  • 35. Sleep heart health study, PGR, 6441 subjects >40
  • 36. A total of 113,138 participants (68,548 women and 44,590 men) of the Shanghai Women’s and Men’s Health Studies, aged 44–79 y and 40–75 y. Cai et al., 2015. Preexisting conditions controlled for.
  • 37. SLEEP AND COGNITIVE PERFORMANCE FROM TEENS TO OLD AGE: MORE IS NOT BETTER (Sleep, 2016) Subtitle: More sleep is not better for cognitive performance Anne Richards, MD MPH; Sabra S. Inslicht, PhD; Thomas Metzler, MS; Brian Mohlenhoff, MD; Madhu Rao, MD; Aoife O’Donovan, PhD; Thomas C. Neylan, MD; University of California, San Francisco; San Francisco VA Medical Center; Palo Alto VA Medical Center
  • 39. Relationship of Mean Adjusted Log Score and Self-Reported Habitual Sleep Duration by Age Category for Speed Match, Memory Matrix, and Raindrops
  • 40. Relationship of Mean Adjusted Log Score and Self-Reported Habitual Sleep Duration for 15-19 year olds and 20-24 year olds for Speed Match, Memory Matrix, and Raindrops
  • 41. • 7-8 hours of sleep is optimal for survival. • More sleep is not necessarily better for performance. • But there is little evidence on the effects of changes (increases or decreases) in spontaneous sleep duration. www.semel.ucla.edu/sleepresearch

Editor's Notes

  1. Idea that we are diurnal animals and the only reason we are awake when it is dark is because we have illumination and more recently TV and the Internet. Seems reasonable. Like other diurnal primates. A large portion of the PR outreach of sleep societies has been directed at reversing this reduction to restore more natural levels of sleep. Evidence has been presented that this sleep reduction is responsible for Obesity, adhd, depression, hypertension, etc. We need to know what level to raise it to – the normal level. We do not know how much sleep time we have lost because of electricity and resulting modern entertainment and conveniences. This idea has considerable public health implications. Physical and mental health issues. So now I am going to talk about unpublished ongoing “off the record work” that addresses this issue.
  2. What is the natural pattern of sleep shaped by 100s of thousands of years of evolution. Pre-neolithic – before stone tools and agriculture. Doubly labelled water
  3. What is the natural pattern of sleep shaped by 100s of thousands of years of evolution. Pre-neolithic – before stone tools and agriculture. Doubly labelled water
  4. Launch 1977. In a billion years we can be sure that the aliens will have developed record players. Caltech
  5. No first night effect. Dinges 23 min correction from 1.4 year mars simulation.
  6. First subject. Full moon on May 25. They don’t in general go to sleep when it gets dark, but they do wake up when near sunrise. Very little napping, do not awaken in the night. May 25 rise set: 6:40 PM6:27 AM May 30 rise set: 11:38 PM 11:20 AM. Should sleep earlier on the 30th. But no such trend. Too variable.
  7. 2 points; bracelets and as a public service for any of you who find yourself in a similar situation – don’t smile
  8. Inverse relation to light and temp – bright light and low temp in early morning but not in late PM.
  9. Search for shade. No sunbathers here – as the saying goes only mad dogs . . And (next) it’s true.
  10. 1:44 PM. Sunbathing common only in last century in modern “Western” not modern cultures. Justified by idea that staying indoors, under may be bad for health, so direct sunlight should be good. Even swimming suits covered the entire body in the early 20th century. Only in the last 50 years has the risk of what some still think to be a healthy practice sunbathing been recognized. Also metabolically costly and requires fluids, that are often difficult to get under evolutionarily relevant conditions
  11. Temperature not light may be the key zeitgeiber, even though light is easier to control. Hadza sleep: onset, 22.1±0.22, offset 5.8±0.15 Sunset 18:55, sunrise 7:05. Actiwatches are set for dar es salam time. It is not light, it is temp that is most tightly correlated with their sleep time.
  12. San summer low19, winter low 10tsimane low summer 23 winter 14
  13. TO BE HUMAN IS TO COMPLAIN
  14. So, electric devices make time our ancestors would have been awake in the dark, more pleasant and likely extend this period.