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Matthew Walker: Why We Sleep (2017, Scribner)

First, death ensued as quickly from total sleep deprivation as it did from total food deprivation. Second, rats lost their lives almost as quickly from selective REM-sleep deprivation as they did following total sleep deprivation. A total absence of NREM sleep still proved fatal, it just took longer to inflict the same mortal consequence—forty-five days, on average.

— Why We Sleep by 

Matthew Walker: Why We Sleep (2017, Scribner)

In this fast-paced, information-overloaded modern world, one of the few times that we stop our persistent informational consumption and inwardly reflect is when our heads hit the pillow. There is no worse time to consciously do this. Little wonder that sleep becomes nearly impossible to initiate or maintain when the spinning cogs of our emotional minds start churning, anxiously worrying about things we did today, things that we forgot to do, things that we must face in the coming days, and even those far in the future.

— Why We Sleep by 

Matthew Walker: Why We Sleep (2017, Scribner)

The less sleep an individual obtains, or the worse the quality of sleep, the more damaged the capstone telomeres of that individual’s chromosomes. These are the findings of a collection of studies that have recently been reported in thousands of adults in their forties, fifties, and sixties by numerous independent research teams around the world.

— Why We Sleep by 

Matthew Walker: Why We Sleep (2017, Scribner)

Inadequate sleep and the pathology of Alzheimer’s disease interact in a vicious cycle. Without sufficient sleep, amyloid plaques build up in the brain, especially in deep-sleep-generating regions, attacking and degrading them. The loss of deep NREM sleep caused by this assault therefore lessens the ability to remove amyloid from the brain at night, resulting in greater amyloid deposition. More amyloid, less deep sleep, less deep sleep, more amyloid, and so on and so forth.

— Why We Sleep by 

Matthew Walker: Why We Sleep (2017, Scribner)

With a full night of plentiful sleep, we have a balanced mix between our emotional gas pedal (amygdala) and brake (prefrontal cortex). Without sleep, however, the strong coupling between these two brain regions is lost. We cannot rein in our atavistic impulses—too much emotional gas pedal (amygdala) and not enough regulatory brake (prefrontal cortex).

— Why We Sleep by 

Matthew Walker: Why We Sleep (2017, Scribner)

I would like to argue that there are no accidents caused by fatigue, microsleeps, or falling asleep. None whatsoever. They are crashes. The Oxford English Dictionary defines accidents as unexpected events that happen by chance or without apparent cause. Drowsy-driving deaths are neither chance, nor without cause. They are predictable and the direct result of not obtaining sufficient sleep. As such, they are unnecessary and preventable.

— Why We Sleep by