A lot of it boils down to blood pressure. High blood pressure is a serious contributing factor to cardiovascular incidents (as well as a slew of other negative health risks), and getting a good night's sleep will help keep blood pressure down. This is also why the amount of heart attacks are up around 24% after daylight savings[1]; an hour less sleep means higher blood pressure means higher risk of heart attack (relative to any other 'normal' day).
I can definitely see how the same logic could apply to Mondays. Less sleep, more stress = higher blood pressure = higher risk of heart attacks.
[0] https://www.goodreads.com/book/show/34466963-why-we-sleep
> In the Northern Hemisphere, the switch to daylight savings time in March results in most people losing an hour of sleep opportunity. Should you tabulate millions of daily hospital records, as researchers have done, you discover that this seemingly trivial sleep reduction comes with a frightening spike in heart attacks the following day. Impressively, it works both ways. In the autumn within the Northern Hemisphere, when the clocks move forward and we gain an hour of sleep opportunity time, rates of heart attacks plummet the day after.
I don't see a specific study cited, but my ebook copy doesn't seem to have all the footnotes.
I pulled up the article you linked on sci-hub: https://sci-hub.se/https://pubmed.ncbi.nlm.nih.gov/18971502/ The only use of the number "24" refers to hours in the day, and its summary doesn't seem to match your claim:
> The incidence of acute myocardial infarction was significantly increased for the first 3 week-days after the transition to daylight saving time in the spring (Fig. 1A). The incidence ratio for the first week after the spring shift, calculated as the incidence for all 7 days divided by the mean of the weekly incidences 2 weeks before and 2 weeks after, was 1.051 (95% confidence interval [CI], 1.032 to 1.071). In contrast, after the transition out of daylight saving time in the autumn, only the first weekday was affected significantly (Fig. 1B); the incidence ratio for the whole week was 0.985 (95% CI, 0.969 to 1.002
However, parsing signal from noise does seem a very difficult proposition.
(But then, this also means that knowing it for sure would be useless.)
For many reasons, I slept just fine until I read it.
I disagree. It's not that the symptoms aren't there, but that they have become normalized due to obesity, smoking, etc. being commonplace. Shortness of breath, sleep apnea, feeling weak, upper body tension/pain, etc. are usually present for quite a while in most people before it finally happens. People don't check their blood pressure often enough despite it being so cheap and easy to do.
So many people must get quite close to a heart attack only to live a long life and die of something else.
Walker's book—and his accompanying Ted talks and podcasts—instilled a deep sense of sleep anxiety in me, which led to episodes of chronic insomnia (still occurs today). I had never experienced these issues before reading the book. Unfortunately, his message ensures that the insomnia is self-exacerbating, causing a vicious cycle.
Essentially, I find it very wrong for Walker to focus on and overhype the negative aspects of sleep loss as much as he does. Guzey's article [0], also linked above, goes through much of this. Why We Sleep turns into a horror book if you aren't able to sleep for whatever reason. It implies that, from just one bad night's sleep,
1. your immune system will deteriorate significantly
2. the chance that you develop a cancer will increase
3. your mental health will suffer
4. you are more likely to develop anxiety or depression
5. the probability you hurt yourself will increase
6. your mental faculties will be destroyed, you will be unable to reason well
7. you are at higher risk of mortality (!)
8. you are literally closer to death, which the book supports by mentioning fatal familial insomnia (FFI)... a flawed analogy
I was initially ok after reading the book, but the problems really started after I had a bad nights' sleep. I was absolutely terrified the following night, remembering all the awful things that will happen to my body and mind if I do not recuperate the next night. And we all know how easy it is to lose sleep when you are worried. I stayed up until 6 AM that night. Every passing hour made it harder to sleep.
Naturally, this started a cycle. Grumpy and even more anxious the next day ("two days? wow, am I now DOUBLE the chance of cancer and depression?"), sleep began evading me more and more often. The bed became a place of anxiety. Every minute I spent awake, I remembered Walker's book and the terrible things he told me was happening to my body due to the insomnia. This caused an infernal, unending loop of insomnia. Morning birdsong became hell to my ears.
I still sometimes suffer from it to this day, but Guzey's essay really helped. I think some quotes can do my point more justice:
> Your essay on Why we sleep - I can’t thank you enough. I’m a sleep doctor in Oregon and have seen many many patients who have developed severe sleep anxiety and insomnia. Two friends in the sleep field and myself weekly have talked about people that slept well until reading this book.
> I wanted to drop you a line to thank you for all the time and effort involved in debunking Matthew Walker’s book. As someone who works with individuals with insomnia on a daily basis, I know from firsthand experience the harm that Walker’s book is causing. I have many stories of people who slept well on less than eight hours of sleep, read Walker’s book, tried to get more sleep and this led to more time awake, frustration, worry, sleep-related anxiety, and insomnia.
> My patients are coming to me after reading this alarmist book, with insomnia that they did not have before, and worse, harder to treat because although the book has caused these anxieties - they can’t shake their newly built alarmist beliefs they learnt from the very same book.
> Scott slept well his entire life until he listened to a podcast that led him to worry about how much sleep he was getting and the health consequences of insufficient sleep. That night, Scott had a terrible night of sleep and this triggered a vicious cycle of ever-increasing worry about sleep and increasingly worse sleep that lasted for ten months.
- “on the cusp of death already”
- Normalized ill-health
There are some things in between those two.
I think many people do the same sort of thing, and then monday -- they have to cut their sleep short to get up early and sync with the rest of the world.
I can see how this would be the stressor you allude to.
What's really normalized is metabolic syndrome. 88% of adult americans have some degree of metabolic dysfunction. High blood pressure, obesity and other ailments are very often a direct result of that. So much so, that the 'normal' range of indicators such as uric acid has been revised and adjusted over the years, because "normal" people had higher levels and still appeared to be fine. Thankfully, we are starting to question that (eg. https://pubmed.ncbi.nlm.nih.gov/24867507/)
First order of business for anyone watching their blood pressure creeping up over the years (even more so if A1C, triglycerides, liver enzymes and uric acid are rising too): cut sugar in all forms. Not just the sugar you personally add to food, not only what's specified as 'added sugar', but all food containing sugar - which is basically all ultra processed foods. It does include sliced bread which is easily broken down into sugar( and is often laced with additional sugar, check ingredients). Leave your sugar 'allowance' to be used by a reasonable amount of fruits.
That may not reverse the problem (although, in my case, it did) but should help tremendously.
After a year of this, a therapist pointed out that you can have bad days on good sleep and good days on bad sleep. That finally made it click that it wasn't logical to worry about bad sleep so much. I just stopped caring and that mostly got me over it, but I still have more bad nights than I ever used to.
If I see people reading the book, I warn them about it even though it feels a bit rude to tell someone not to read something.
The only problem is it's often incompatible with a social life when you're in your 20s, but thankfully I'm not in my 20s anymore.
Everyone knows it, I don't need to list it: eating clean, getting good sleep, plenty of exercise, etc.
And furthermore, though our healthcare system seems only configured to deal with things once they become emergencies, metabolic disorder takes your whole life to take root. The time to start making positive changes is now.
I have insomnia ~5 nights a week. and for some reason I can no longer take naps in my older age. I used to be able to Nap-on-command when I was younger. It SUCKS
There is no proof of this as to why. Only that it happens. For example:
* the hour of lost sleep does not happen on Monday, but on Sunday morning
* people could sleep in on Monday, then get hyper stressed that they are late
* type A personalities could get mad at an office of sluggish people
* people could get upset at everyone complaining about DST again, my blood pressure went up at your post!
Cholesterol, Fasting Insulin levels, and (if male) free Testosterone are other good ones. Cholesterol and Insulin should be checked by all adults annually, and BP should be checked at least annually. T isn't checked as routinely, but it's worth knowing where you fit and has an impact on your metabolics and the test isn't a big deal.
"Heart attack rates go up 24% after daylight savings changes" is not the same thing as "There are 24% more heart attacks due to daylight savings". You can't really know the weight of magnitude vs distribution without actually stopping daylight savings.
Also, resting heart rate is very easy to measure, especially if you have any kind of fitness/smart watch, and that's a good marker of health too.
I'm a fan of getting lab work done, but it's definitely more of a hassle.
It was once I lost 100lb that it became apparent just how bad condition I was in even though at the time I thought I felt fine. It doesn't help when you mention a lack of energy, or poor sleep to the doctor and they just say "Everyone is tired!".
No, first order of business is consulting your doctor and/or a nutritionist and otherwise adhering to common sense of having a reasonably balanced nutritional diet.
If your first order of business is taking random advice from the intertubez, you have bigger problems than high blood pressure.
In most places, any bozo can claim to be a nutritionist. From what I can tell, a large proportion of them are deranged crackpots.
So, no. Absolutely do not consult a self-described nutritionist.
True but checking your blood pressure is painless, basically free and so easy that one can do it at home with no loss of precision.
Speaking as someone with mild high blood pressure, I see people obsess over diets, physical activity, looks, that never go to the doctor or check for their health conditions and "cure" every discomfort/pain with painkillers or ibuprofen.
And they of course all have some advice to give to me to improve my condition based, of course, on some diet they read online or to try yoga or acupuncture (or whatever is fashionable at the moment) and totally ignore the fact that I've been checking my blood pressure for over 20 years, I know a thing or two about it, because doctors. Yeah... I am that crazy! I see doctors!
Once a year is more than enough for people that have never been diagnosed with anything and yet very few people regularly do it, even here in my Country where medical checkups are virtually free.
IMO the real silent killer is indolence.