Oura-ringing out the old year

For a couple of years now, I’ve been having some trouble sleeping. It’s not a constant problem, but it has become more frequent than the rare thing it used to be.

I think the problem is just a string of one-off instances of stress. During this period I had one older relative begin having cognitive difficulties and have to move to a facility that could provide additional care, my cat got sick and eventually died, had some personality clashes related to volunteer work I’m doing grow into a problem that eventually involved lawyers, and had another older relative began showing signs of cognitive difficulties.

Each of these resulted in a pattern where I’d fall asleep just fine, but then wake up in the middle of the night and start ruminating about the issue of the day and be unable to fall back to sleep for an hour or three.

In the past when I had problems of this sort they tended to be short-lived. I’d stress out about something for a night or two or three, but the issue would be resolved soon enough and I go back to sleeping fine.

Here the issues have stacked up, new ones following the old ones.  Further, some of them don’t go away. They linger on.

As I say, I think that’s what’s happening here. Ordinary life stresses have simply come at me a little too hard and a little too fast, with the result that my sleep has been impacted.

However, maybe that’s not all that’s going on. Maybe there’s more to it. I know there are some other issues. For example, if I don’t keep my carb intake down my nasal congestion returns, and that dramatically interferes with my sleep.

Given that I’m not sure what all might be wrong, I thought it might make sense to investigate further—gather some data, and see if I couldn’t find some patterns in my sleep problems. To that end, I bought an Oura ring, a tracking device along the lines of an Apple watch or a Fitbit, but with its focus specifically on gathering and analyzing data about sleep.

I’ve only had it for a week so far, and I’m really just getting started at looking for trends in the data. For example, three nights ago I slept poorly (awake for almost 2.5 hours of the almost 9 hours I was in bed).

One possible reason was a too-large meal too late in the day. (It was the Winfield Village holiday party.) One piece of data that suggests that possibility is that my body temperature was elevated by 0.3℃ during the night—perhaps because of increased metabolic activity digesting all that food.

Interestingly, I got more deep sleep than I had all week up to now, perhaps because I went for a long run the day before. (Deep sleep is where you get the physical recovery from things like heavy weight-lifting sessions and long runs. Maybe the first few nights had less deep sleep simply because I didn’t need more than that, because I hadn’t had the hard workouts that require deep sleep for recovery.)

Here’s the next night, where I spent less time awake and almost as much time in deep sleep:

My body temperature was still up, though, even without the big meal. We had turned the thermostat down one more degree, but that’s about as low as we want it, so last night I rearranged the covers, removing the down comforter, going with just the wool blanket. I don’t know if that was a key change, but I slept very well last night:

Not only were my quantities of total sleep and deep sleep good, some of the other metrics were good as well. My temperature deviation was -0.3℃, which suggests that maybe I’ve got the covers and thermostat thing balanced just about right. My resting heart rate was down to 47, which suggests that I’ve recovered completely from the long run I took three days ago.

My hope is that by paying attention to this sort of thing, I can gradually eliminate these sorts of problems affecting my sleep. Of course that will leave me with the stress-related problems, but I think I know how to handle those—fixing the ones that can be fixed, accepting the ones that can’t be fixed, and engaging in appropriate self-care to help myself handle the stress better. And, of course, get enough sleep.

On adjusting to the cold and dark

After suffering from SAD for half my life, I’ve had it pretty good the past few years. Last year in particular was actually great—it was like I was a regular person.

This year has not gotten off to a good start, with gloom pressing in on me before we’d even reached Halloween.

With every year being an experiment with n=1 it’s hard to know what makes a difference and what doesn’t, but one thing that occurred to me right away was that last year I had gotten my mind right about the cold (in particular) early.

Two strong influences in the early fall last year were Jackie (who always enjoys the cold weather as an opportunity to wear her woollies) and Katy Bowman (who talks about cold as an opportunity for movement).

In particular, in the run-up to last winter, I came upon not just Katy Bowman but plenty of other natural-movement/ancestral-health folk talking about using cold as an appropriate stressor via cold training.

Many things that people do to induce healthful, adaptive changes in the body are stressors, and produce their beneficial effects precisely for that reason—because the body adapts to tolerate the stress by becoming stronger. Load-bearing exercise makes for stronger muscles and bones. Endurance exercise strengthens the cardiovascular system. Mechanical stresses make for tougher skin. Heat (as in a sauna, but also just from being active outdoors on a hot day) prompts the production of heat-shock proteins that have numerous protective effects at a cellular level, and it turns out that not just heat but all kinds of other stressors, including cold, cause the body to upregulate the production of those same proteins.

Anyway, my point is not that I need to jump into some Wim Hof-style cold training, but that there was a mental shift that I managed to make last year: to view cold as an appropriate stressor that I should revel in, rather than a source of unpleasantness that I should avoid.

This year I haven’t (yet) managed it. Partially I think it was just that the people I follow about this stuff probably feel like they’ve had their say about cold training and have moved on to other stuff, so I wasn’t hearing about it at exactly the right time. Partially I think it was because of the details of the change of seasons this year: We had hot summer weather right into October, then there was a week when it was very rainy, and then it changed to cold, late-fall weather.

Something about missing out on the transition from summer to fall meant that I was taken off-guard. I went from walking shirtless in the sun to wearing a winter coat with no transition except some days when it was too cloudy to get any sun anyway.

However, I am determined not to let this thwart me. It is not too late to get my mind right about the cold.

Theory and Practice of Neurogenesis

Even though I’m finding my self-care regimen for seasonal depression pretty adequate these days, I’m always interested in more tools. One thing that caught my attention recently was an interview with Brant Cortright in which he talked about his book The Neurogenesis Diet and Lifestyle.

Cortright has a bunch of interesting things to say, one of which I already knew: that depression is not a disorder of serotonin deficiency. According to him—and this I did not know—the way SSRIs work is by promoting neurogenesis. In the interview he said that depression turns out to be caused by a lack of neurogenesis, as are several other disorders (e.g. Alzheimer’s).

I checked the local libraries for copies of his book without success, but in my searches I happened upon this article: Successful brain aging: plasticity, environmental enrichment, and lifestyle by Francisco Mora, which seems to cover pretty much the same ground.

People are looking very hard at drugs besides SSRIs to promote brain plasticity, but the whole idea sounds problematic to me, so I’m interested in the various non-drug interventions suggested by Cortright and Mora. Fortunately, it seems that neurogenesis is easy to increase, by doing the obvious things we already know about:

  • Environmental enrichment
  • Calorie restriction
  • Aerobic exercise
  • Adequate levels of certain nutrients (omega-3s, vitamin E).

I think of my artist dates in particular as environmental enrichment, but of course time spent in nature counts as well. The parkour I do probably counts double, because there’s learning how to execute the moves, but there’s also learning to see the environment as a place where those moves are useful.

My weight loss practices have been substantially motivated by the science around calorie restriction as a way to improve health generally, with additional neurogenesis just one factor.

My experience over the previous 30 years convinced me that approaching calorie restriction in a numerical, analytical fashion—tracking what I ate, estimating the calorie content, aiming for some target X% below maintenance—would be unsuccessful. Instead, I came at it from the other direction: If I’m losing weight, I must be restricting my calories.

The caloric deficit implied by my weight loss over the past five years is just about 100 calories per day. Maintenance for me is probably around 1800 calories per day, so I’ve averaged about 5.5% below. It would probably be more accurate to say that I’ve averaged about 10% below maintenance for about half that time, as I’ve generally lost weight during the summers while maintaining a stable weight through the winters. Either number is well shy of the “20% to 40%” reduction that’s been shown to decrease the rate of aging of the brain, but I rather suspect that the benefit exists even at these lower levels—with the added bonus of being sustainable over a much longer period of time. (I mean, how long can you maintain a 40% deficit below maintenance before you simply waste away?)

According to Mora, aerobic exercise seems to increase neurogenesis by the same chemical pathways as calorie restriction. According to Cortright, it has to be aerobic activity of substantial duration—some twenty minutes or more. In particular, the sort of HIIT workouts so beloved of the paleo/primal folks don’t seem to produce the same effect. That’s fine with me: Humans are much too well-adapted for endurance running for me to buy into the idea that primitive humans didn’t do marathon-distance runs when they needed to. Besides, I enjoy long runs.

Of course, neurogenesis is reduced by the obvious things:

  • Neurotoxins (mercury, lead, pesticides, etc.)
  • Traumatic brain injuries (concussions, etc.)
  • High blood glucose levels
  • Stress.

My parents made a considerable effort to keep me and my brother free of neurotoxins, and I have managed to avoid concussions so far. I’m sure I subjected myself to excessive blood glucose levels for years, but I think I’ve got that under control now. I also subjected myself to excessive levels of stress for years, due to the vicious circle of my seasonal depression making me unproductive, my lack of productivity making me stress about losing my job, and the stress no doubt worsening my depression. I’ve got that under control now as well.

Really then, this whole neurogenesis thing doesn’t so much give me new strategies for staving off depression, as provide a conceptual framework for organizing the strategies I’m already using.

Even just that seems worthwhile.

(The image at the top is of these great doors at the Environmental Education Center at Kennekuk County Park. The branching trees reminded me of neurons, a little.)

Sleeping late

I’ve slept late the past two days—until after 7:00 AM. (That might not seem late to you, but it’s late for me. Also, I’d gone to bed early both evenings, before 9:00 PM, so we’re talking a solid 10 hours of sleep each night.)

This usually means stress. When I’m under stress, I need more sleep.

It’s not necessarily stress. The time just changed, and it may simply be that I’m sleeping until dawn, as I always do. Checking the almanac, sunrise today was at 7:07 AM. So that’s actually a pretty strong contender. Maybe I’m worrying about nothing.

Still, over the years, I’ve noticed that needing extra sleep is often an early sign that I’m under stress. In fact, it’s often the first sign. More than once, it has been greatly to my advantage that I noticed the oversleeping early, and used that clue to spot the sources of stress that had been accumulating at levels just beneath my notice. It let me address them before they blew up into problems. (Another early sign is getting annoyed at bad drivers around me. When other people’s bad driving starts aggravating me, it almost always means I’m actually stressed about something else entirely. That symptom has not yet appeared.)

So, because of my history with spikes in the need for sleep when I’m under stress, I’m looking around for possible stressors. There are plenty. I’ve got a bunch of things to do (the taxes, renewing my passport). Progress on the novel remains slow as I continue plowing through the already-written part. We just got notified that the new owners of the apartment complex are raising the rent by a lot (and want to charge for a bunch of stuff that was previously included in the rent, which would be okay except that the infrastructure to meter that stuff doesn’t exist, so they’d just be making up numbers). Finances are perennially tight, with returns to capital being what they’ve been since 2007.

So, I’ll take steps to address a bunch of those. A few are very small tasks, and have only been put off because they’re multi-step projects (get picture, fill out form, send it in) and I haven’t been organized to get all the steps taken care of. Others, such as investigating other apartments, are obviously huge sinkholes of time.

Stress is cumulative. Hopefully, taking care of some of the little things promptly can free up some energy to take care of the big things more calmly.