Sleepless in Silicon Valley
economist.com
economist.com
It's rather skeptical. Choice quote:
[...] The SRI researchers studied 41 healthy adolescents and young adults (average age 17). Sleep data were recorded using the Oura ring and standard PSG on a single laboratory overnight. Metrics were compared using Bland-Altman plots and epoch-by-epoch analysis.
The ring accurately detected "light" and "deep" sleep in 65% and 51% of the sleep epochs, respectively. It also accurately detected 61% of REM sleep epochs, with an overall overestimation of PSG REM sleep (by about 17 min). When the ring misclassified PSG REM sleep, the algorithm usually classified the epoch as "light sleep" (76%).
These data suggest that the Oura Ring is virtually useless in telling you if you are in REM sleep versus deep or light sleep. [...]
Are there any weareable device that measures it well?
But ... I kinda assume it's a crapshoot and I use it more as a novelty and an estimate of total sleep than any kind of accurate representation of sleep cycles.
I don't care if my scale at home is perfectly accurate. I care about knowing that my weight is going up/down.
I don't care that I weigh some multiple of an SI unit, or some fraction of a car. I care about my weight relative to others and my history.
What instrument do you have that measures your "weight relative to others and your history"? Don't you only want to measure it relative to other healthy individuals? And, if you are particularly underweight or overweight, wouldn't you want to know when you're in the normal range? An instrument that only tells you what direction the change is doesn't tell you any of that.
That’s an edge case. People who fall in that category already know that. And they’re very interested in their accurate, absolute weight.
Besides, BMI is just a convenient way of quantifying what a “healthy weight range” is. I could have used any range and said I was interested in weighing between X and Y.
I work for Fitbit. I don't speak for Fitbit, but in my opinion you should expect it to be the most accurate sleep tracker, and if it isn't you should contact customer service.
Thanks for the advice.
I'm 6 months on Oura, and I don't think it's actually that consistent, i.e. I don't think you can say "Oura shows 50% more deep sleep today, so even if the base mumber is wrong, I must have gotten 50% more deep sleep". I wear a fitbit to cross validate each night, and the readings on both often contradict each other seemingly arbitrarily, night to night.
Overall I've found they're great for tracking overall sleep time (HRV, heart rate, temp too) but I don't read too much into the actual sleep phase data. (Day-to-day self asessment of cognitive performance is probably the best proxy.)
How do you do that?
I think the protocol described in the article isn't anything terribly new. Most folks on HN know that blue light actually messes with sleep so if you're planning on using a screen until right before you goto bed it's a great idea to use the blue-light canceling computer glasses. Mindfulness meditation is generally a great practice to calm oneself and be reflective. I don't personally sleep at 8:45pm (rather, 11:45pm) but I do have my meal a few hours before I goto bed. I also don't drink much water closer to bedtime so I'm not rudely awakened in the middle of the night to urinate. I live in a place where the black-out blinds aren't a necessity. I've never messed with deep sound waves.
Of course, some folks will exclaim "Well I don't need a device to give me a report card on how well it thinks I slept!" ¯\_(ツ)_/¯
No idea what the ring would tell me what I don't really know and how in the world I would turn the data into something usable.
but for some people that actually sleep well and want to tweak the quality of their sleep it can be valuable. let me give a few example of such tweaks: altering the time you go to bed, altering the surface you sleep on, reducing the amount of blue light you get, playing with the temperature in the room, not using screens X hours before going to bed, not eating X hours before going to bed. I could go on. The point I'm trying to make is that if you already get enough sleep (or you think you get enough sleep) the ring might help you. yes - the price is ridiculous. but it's not about the price, it's about improving a [very] important aspect of your life.
If you want to be scared shitless into paying attention to your sleep I recommend: "Why We Sleep" by Matthew Walker. Everything from cognitive abilities, fertility, risk of cancer and other diseases can be influenced by poor quality sleep. Sleep, along with eating properly and exercise is a pillar for a good quality life. I believe it's worth making it a priority.
If Apple make made something like this, I may bite.
https://david-smith.org/blog/2015/09/21/how-to-wear-your-app...
Now I just wear a Garmin Forerunner 945. It seems like it must be more accurate than this Oura thing, though i know almost nothing about it.
It works surprisingly well, actually. If I only got 6.5 hours of APAP last night, then I will pretty reliably go to bed a little earlier tonight.
My takeaway from this is that someone should make a fake CPAP face mask for people who don't need a CPAP that tells you how long you've been wearing it. I'm 100% convinced that the mask itself is what makes me fall asleep so fast. Once the mask is on, my brain knows it's time for sleep and complies. I guess I don't know if that's the same for all APAP/CPAP/Bi-PAP users though.
A while back I built something to mimic a day-night cycle: https://github.com/wpietri/sunrise
My original goal was to counteract the darkness of winter, which impacts my mood and productivity. But the thing I like best about it is that the lights dim in the evening, so I actually go to bed at a reasonable hour. Whereas with manual lighting, I can easily leave the lights on while doing something, not notice the hour, and throw off my sleep cycle.
They prioritize it to the point that, if you are lying in bed trying to sleep at night for more than 20 minutes, you should get up and spend some time relaxing somewhere else.
FWIW, I have sleep apnea and I'm a strict side sleeper. I also had a real tough time getting used to sleeping with something attached to my face. Sometimes I still take it off if I'm awake too long during the 2-4am time period, but most nights I sleep through without even noticing. I use a nasal mask, though, I absolutely have not ever been able to tolerate a full face mask.
It's not comfortable, but it's not dangerous.
But it was a very valuable book in terms of explaining just what sleep does for you.
We're lucky that both of our kids have always been great sleepers, aside from occasional attempts to get up in the middle of the night and come sleep with mom & dad.
I'll share what I do. After being in the Army for a while, and waking up at 430 and going to bed at close to midnight for a long time during the week (there's no real "sleep schedule" overseas though) I've been working on tuning my sleep cycle for the seasons to great success. Over the last year I've been slightly altering my alarm each night based on when sunrise is (plus going to bed earlier/later as the days lengthen/shorten), and it's significantly improved how quickly I fall asleep, how easily I get out of bed in the morning, and how rested I feel. I'm not a huge "fitness tracker" guy (still analog in that regard, with a notebook for workouts instead of some app or a spreadsheet). No idea if there's any science behind any of what I'm doing and frankly I don't care. It works great for me.
Basically I just look up when sunrise is the night before, and move my alarm back 1-2 minutes for it. In the summer I'll go to bed a few minutes later each night until the solstice, then reverse. All I'm doing is chasing the sunrise and sunset (with an offset for sunset).
It's great, but here in the summer, sunrise is at 4:15. It's a tad early to get up. I do feel good in winter though waking up with the sunrise.
I think Apple's bed time is a pretty good tool for this.
The sleep tracker has been useful to me in tracking my quantity/quality and average sleep.
I still get to spend a few weeks a year a few times a year assessing human performance.
Sleep is absolutely critical to human physical, mental, emotional, and social performance.
And as the parent of adolescent children who are technology driven, monitoring their "digital nutrition", mixing in other activities, ensuring they are well fed/hydrated, and compelling good sleep hygiene is absolutely essential to their development as adolescents towards adulthood.
It's quite shocking to observe how common it is for both adults and children to be seen suffering from poor sleep hygiene.
If I were an insurance company I'd be lobbying the shit out of these guys to see how much they'd charge me to get my hands on it.
(and yeah, I read Oura's privacy agreement already... was less than impressed)
And an article they wrote regarding the impact of GDPR - https://help.ouraring.com/oura-account-and-privacy/ouras-pri...
Would you trust Oura more or less than Fitbit or other, similar vendors?
This is on the basis of clustering/pattern matching body movement, body temperature, and some brain wave/MRI crap.
VERY broadly speaking, "deep" NREM stages are important for "body health" while REM is important for maintenence of memories and "mental health".
As with anything in neurobiology, it's "emerging evidence suggests that..." and nobody really knows what's going on. Except all evidence suggests sleeping less is bad for pretty much everything.
The dynamics of sleep state transitions are also pretty meaningful, e.g. time it takes to move from one stage to the next, whether there's "backwards" transitions, etc. For example, sleep deprivation lengthens deep NREM time, lowers latency from wake -> NREM I, and shortens the entire sleep cycle.
https://thewirecutter.com/reviews/best-sleep-tracking-app/
Quite accurate, at least for time to sleep, and time asleep. I think the REM, NREM etc is mostly noise, if you are getting 8+ hours a night every night (super hard to do!) the quality of sleep should be fine.
The best thing is to set a "go to bed" alarm, for night owls like me its so easy to say you go to bed "around 10" when in fact it can be much later.
What an over-generalization.
I have a fitbit charge 2 and that thing does more than just track sleep - heart rate, VO2 max, steps, connected GPS for running. So the expensive device is not a bad investment IMO.
This article was very snarky, even for the economist. It seems distinctly below their usual standard of quality with broad generalisations such as the above, seemingly contradicted by an anecdote about Bryan Johnson and others' bizarre sleep practices.
For me this article would have been a lot better if it focused on the sleep tech industry, and applied a more measured and evidence-based approach to its silicon valley criticisms, some of which certainly are relevant and worthy of discussion.
I'd also recommend earplugs and a good blackout curtain.
Is there any research that indicates this would be beneficial in any way?
Currently reading 'Why we sleep' which is a fascinating book about the importance/history/evolution of sleep across species and time. (Highly recommend it -- definitely regretting all the sleepless/low sleep nights)
At a high level, my understanding is that the duration/quality of sleep depends on physiological, mental and environmental conditions.
It sounds like the focus of the article was on environmental (I would definitely love to sleep with zero light/sound).
Similarly, the 5-10 mins meditation may help, but if you're stressed out or have something on your mind, that can still keep you awake or wake you up.
You can make sure not to eat/drink anything by that time (6pm) but effects of caffeine/other foods you might have eaten earlier can impact your sleep quality.
Finally, the right physiological/chemical changes need to occur (melatonin/REM cycles/tired from physically exhausting activities) for you to actually be sleepy. Most people can't just sleep on command, although, you might be able to build/force the habit.
You might not actually like it. Try a sensory deprivation tank and see how that works for you.
To reduce the noise you can always reach for quality earplugs, a sleeping mask, and blackout curtains.
While sleep staging can be useful for identifying case sleep disorders, we know that the brain self-optimizes the stages of sleep you go through.
So, what’s far more important than worrying about your rem or deep is optimizing getting time in any stage of sleep. Each stage is critical in a different way.
If you care about improving your performance the measures you should care about—backed by strong scientific consensus and a plurality of randomized evidence—are sleep debt and where you are in your circadian rhythm. Sleep scientists call this the two factor model
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We've been taking what we've learned from athletes and adapting for us regular folk.
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[1] [https://www.ncbi.nlm.nih.gov/pubmed/28323455](https://www.nc...
[2] [https://www.ncbi.nlm.nih.gov/pubmed/29235907](https://www.nc...