Best Diet & Time to Eat for Increasing Deep Sleep | Dr. Marie-Pierre St-Onge & Dr. Andrew Huberman
Dr. Marie-Pierre St-Onge and Dr. Andrew Huberman discuss how dietary content and meal timing influence sleep quality, highlighting how high fiber intake promotes deep slow-wave sleep while saturated fats and late-night eating can disrupt rest by interfering with core body temperature regulation.
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Diet & Sleep Relationship
- 00:00How does what we eat impact our sleep?
- 00:02This is something that I think most
- 00:03people have heard about in the context
- 00:06of try not to eat too close to bedtime.
- 00:08Um, this is an active debate in many
- 00:10households. Actually, some people seem
- 00:12to be fine eating close to bedtime and
- 00:15sleeping and even if they track their
- 00:16sleep, other people it really disrupts
- 00:19their sleep. I'm interested in both the
- 00:21timing of food intake relative to sleep,
- 00:24but also the content of the food and how
- 00:26it impacts sleep. what's known about
- 00:28that either from your work or from other
- 00:30work.
- 00:31When we started this conversation, I was
- 00:32telling you about these population based
- 00:34studies, you know, cross-sectional
- 00:36data where two things happen at the same
- 00:39time and you, you know, you you don't
- 00:41really know causality, they happen at
- 00:43the same time. And I think early on uh
- 00:46in this field we started thinking about
- 00:49sleep as the promoter of food intake or
- 00:54as a sleepcausing
- 00:57changes in diet exercise but didn't
- 01:00really think that maybe it's the other
- 01:02way around or maybe the other way around
- 01:03is just as plausible.
- 01:06So I started thinking about that and
- 01:08said well what what if we took the other
- 01:11approach? What if we looked at diet and
- 01:15examined how diet influenced future
- 01:18sleep?
- 01:19And my first paper in this field was
- 01:23using data from the multi-ethnic study
- 01:25of atheroscerosis. It's actually kind of
- 01:28[clears throat] hard to find good
- 01:29cohorts that have good nutrition data,
- 01:33good sleep data, and data over over
- 01:37years. Right? So MESA multi-thnics of
- 01:40study of atheroscerosis is one of those
- 01:42great cohorts that we have in here in
- 01:44the US that has all of the above. So I
Mediterranean Diet
- 01:48paired up with a colleague of mine Susan
- 01:50Redline in Boston and uh she's a
- 01:53principal investigator on their sleep
- 01:54ancillary study and we asked the
- 01:57question of diet quality and its impact
- 02:00on sleep duration, insomnia symptoms and
- 02:03we found that having a diet that more
- 02:06closely aligns with the Mediterranean
- 02:08diet was associated with better uh
- 02:11probability of having adequate sleep and
- 02:14reduced um insomnia symptoms in this
- 02:16cohort. So then it launched a whole
- 02:19field of study really to to keep looking
- 02:21at this and we've looked at this in
- 02:23different studies and different cohorts
- 02:26actually uh earlier this year we
- 02:28published data from the women's health
- 02:30initiative another large large cohort
- 02:32with good diet data and and sleep
- 02:35information. We took a really really
- 02:37nice approach in this uh longitudinal
- 02:39analysis. I don't know. Usually when we
- 02:42do longitudinal studies, we exclude
- 02:45people who have the condition at
- 02:47baseline, right? So if you're trying to
- 02:49see this factor at baseline, how does it
- 02:53influence hypertension 10 years later,
- 02:57you usually exclude people who have
- 02:58hypertension at baseline? Because you
- 03:00want to see the development of
- 03:02hypertension. In this case, we're
- 03:04looking at insomnia symptoms. But
- 03:05insomnia is one of those conditions
- 03:08that's not necessarily
- 03:11static. It resolves, right? So you can
- 03:14have insomnia and then a few years later
- 03:17not have insomnia
- 03:19or you can not have insomnia now and
- 03:22develop insomnia. And so what we did is
- 03:25we broke our down our participants into
- 03:27two groups. the people who had no
- 03:31insomnia at baseline and at three years
- 03:36follow-up participants who had insomnia
- 03:39at baseline but not at 3 years followup.
- 03:42So they were in the healthful sleep
- 03:45improving sleep and then the other group
- 03:48was all those women who had insomnia at
- 03:51baseline and at three years and no
- 03:53insomnia at baseline but insomnia at
- 03:55three years. So they were the persistent
- 03:58insomnia progressing towards poor sleep
- 04:01group. And we found that the women who
- 04:05had a diet that was more closely aligned
- 04:07to the Mediterranean diet. But we also
- 04:10looked at uh an American type of diet
- 04:13profile called the DASH diet. The
- 04:15dietary approaches to stop hypertension.
- 04:17Women who had a dietary profile closer
- 04:20to those two types of diets, healthful
- 04:22diets were less likely to have
- 04:25hypertension uh insomnia at three years.
- 04:28And the DASH diet is what?
DASH Diet Explained
- 04:30Dietary approaches to stop hypert
- 04:31hypertension was developed to uh reduce
- 04:35prevent hypertension, reduce blood
- 04:37pressure in people by increasing intakes
- 04:40of fruits and vegetables, nuts and
- 04:41seeds, consuming low-fat dairy, more
- 04:44plant-based types of uh diet and and can
- 04:47be has been tested in a low salt or
- 04:51regular salt profile.
- 04:53How did those work out? I'm just
- 04:54curious. Do you recall if the low salt
- 04:56high salt um condition?
- 04:57There is salt sensitivity. So there are
- 04:59some people who are very sensitive to
- 05:00salt and so having a reduced salt diet
- 05:03will really improve their blood
- 05:05pressure,
- 05:06others not so much. But the DASH diet
- 05:09regardless of its salt content did
- 05:11better than the equivalent non-dash
- 05:14which would be your average you know
- 05:16American diet
- 05:17whatever that is.
- 05:17Yeah. Higher insaturated fat and sugars
- 05:20and
- 05:20which seems to be changing now because
- 05:22of the GLPS. I I feel like that's, you
GLP-1s & Changing Appetites
- 05:25know, uh maybe that's a skewed
- 05:26perspective, but I feel like the the
- 05:29typical American diet is it might not be
- 05:31changing so much in content, but in
- 05:33volume it seems like people are eating
- 05:34less. Certainly the snack food
- 05:35companies, from what I understand, are
- 05:37struggling. Alcohol companies, that's a
- 05:39different issue, but there certainly
- 05:41have uh sales are way way down,
- 05:44but it just seems like people's
- 05:45appetites are down.
- 05:47Well, GLP1s will do that, right?
- 05:49Yeah.
- 05:49Yeah. And we were talking about this the
- 05:51other day here. Uh how many Americans
- 05:54have tried a GLP? The estimates are
- 05:57anywhere from like one in seven. Some
- 05:58people say it's it's more
- 06:00which is pretty incredible.
- 06:02Yeah, it's pretty high.
- 06:03But this is interesting. So how people
- 06:04eat impacts their sleep. I'm sure the
- 06:07listeners and I also am thinking okay
- 06:10but people who are eating a
- 06:12Mediterranean diet, right? olive oils,
- 06:14fish, you know, fruits, vegetables, they
- 06:17are probably more apt to walk more,
- 06:20exercise more, socialize more, all the
- 06:22how do you separate out the variables in
- 06:24a study like that?
- 06:25Uh well, so in population based studies,
- 06:26we adjust for a bunch of coariants,
- 06:28right? We have all these questionnaires
- 06:31that uh that are given out to people
- 06:33asking them about their race,
- 06:35occupation, sociodemographic uh
- 06:38socioeconomic status and then we adjust
- 06:40we adjust for um different illnesses
- 06:43that they may have, depression, physical
- 06:46activity level. Um so we try to take all
- 06:50this in into consideration. Obviously we
- 06:54there's always unmeasured factors that
- 06:56you can't control for social
- 06:58interactions like you um you mentioned
- 07:02it's usually not captured very well.
Controlled vs Self-Selected Diets
- 07:04It's not something that we uh we can
- 07:05adjust for. But one thing that we did in
- 07:08my lab uh going back to that original
- 07:11study was to look at uh how diet
- 07:16influenced sleep at night in the
- 07:18participants in our inpatient study. So
- 07:22we took the 9-hour time in bed
- 07:26opportunity phase only that one.
- 07:29[snorts] In the 4-hour time in bed
- 07:31opportunity, participants were very
- 07:33efficient. There was not much
- 07:34variability in sleep duration in that
- 07:37phase. They slept as much as they could
- 07:39in that 4-hour opportunity. But in the 9
- 07:42hours, there was variability there. Some
- 07:44people got more or less. So we wanted to
- 07:46see if food intake was related to their
- 07:49sleep at night. that study we had
- 07:53polynography assessments of sleep every
- 07:56single night like I mentioned we had uh
- 07:59controlled diet initially and then we
- 08:01let them self- select their food intakes
- 08:03so we took a very systematic approach to
- 08:06evaluating how diet could influence
- 08:08sleep in that study we said first of all
- 08:13was the diet that they chose different
- 08:15than the diet that we gave them first
- 08:17step right it was so they ate almost 450
- 08:21calories more. They ate 33% more
- 08:24saturated fat. Uh a little less protein,
- 08:28I believe, a little more carbohydrates.
- 08:30Not much, but it it was different.
- 08:33So, like, okay. So, so there's
- 08:34difference between the diets. Okay. Now,
- 08:36was [snorts] their sleep at night
- 08:38different when they were eating the diet
- 08:41that we fed them compared to what they
- 08:43self- selected?
- 08:45And it they it was different. It wasn't
- 08:48different in terms of duration, but it
- 08:51was different in time it took them to
- 08:53fall asleep, which was
- 08:55over 70% longer to fall asleep when they
- 08:58self- selected their diet. And their
- 09:01slowwave sleep, so deep sleep was
- 09:04shorter. I think it was about 23 20%
- 09:07shorter uh when they self- selected
- 09:09their diet compared to what we had given
- 09:12them.
- 09:12Was timing of food intake impacted?
- 09:15Because when I think of uh what impacts
- 09:18what reduces um slowwave deep sleep,
- 09:21it's eating too close to bedtime.
- 09:22Mhm. So,
- 09:25we did not take that into consideration
- 09:27in that study. We didn't uh we didn't
- 09:30look at that. We had their their food
- 09:33intake profile and didn't specifically
- 09:35look in that phase when's when was their
- 09:38last eating period. But it could have
- 09:40been different than in the controlled
- 09:43feeding condition because in the
- 09:44controlled feeding condition they had
- 09:46set meals at specific times, but they
- 09:48all went to bed at 10 p.m. Then the
How Nutrients Affect Sleep Stages
- 09:50other question was, okay, what was it
- 09:53that they ate that day that impacted how
- 09:56they slept that night? And we found that
- 10:00higher intakes of fiber were associated
- 10:03with more deep sleep,
- 10:05higher intakes of saturated fat, less
- 10:08deep sleep, and then more refined
- 10:10carbohydrates, simple sugars, more
- 10:13arousals. So when we talk about arousals
- 10:16in the context of polyynography, it
- 10:18doesn't necessarily mean full-on waking
- 10:20up or awakening. It really means going
- 10:23from a deeper to lighter stage of sleep.
- 10:25So you may still be asleep throughout
- 10:28the night, but you're not getting deep
- 10:32slowwave sleep, REN sleep as much as you
- 10:34would uh otherwise.
- 10:37Do you create a buffer between your last
- 10:40bite of food and the time you go to
- 10:42sleep? You personally?
- 10:44Me personally, yes.
Best Time To Stop Eating
- 10:45Is it an hour, 2 hours, 3 hours?
- 10:47I personally like to eat my last meal at
- 10:50least 3 hours before going to bed. And I
- 10:53know there's variability there.
- 10:54Different people have different uh
- 10:56tolerance. You mentioned right before
- 10:58that uh you know some people may be
- 11:00later chronotypes but what we know is
- 11:04that eating earlier
- 11:07is better overall for cardio metabolic
- 11:10health. Eating earlier is better. Me
- 11:13personally I feel I feel better by
- 11:16eating earlier. If I eat too close to
- 11:18bedtime I
- 11:20I get hot.
- 11:22Right. [laughter] Yeah. It's a It's a
- 11:23thermic effect of food. We want to be
- 11:25cooling off when we go to sleep.
- 11:26Exactly. Exactly.
- 11:32[music]