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Russell Foster - Life Time: The New Science of the Body Clock, and How It Can Revolutionize Your Sleep and Health

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Russell Foster Life Time: The New Science of the Body Clock, and How It Can Revolutionize Your Sleep and Health
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** THE SUNDAY TIMES BESTSELLER **A GUIDE TO USING THE SCIENCE OF THE BODY CLOCK TO CREATE THE OPTIMUM PERSONAL ROUTINE. SLEEP BETTER, WORK BETTER, FEEL BETTER.A superlative guide to some of the most intriguing questions of human existence Bill BrysonIn the twenty-first century, we increasingly push our daily routines into the night, carrying out work, exercise and our social lives long after dark. But we have forgotten that our bodies are governed by a 24-hour biological clock which guides us towards the best time to sleep, eat and think. New science has proven that living out of sync with this clock is not only disrupting our sleep, but leaving us more vulnerable to infection, cancer, obesity, type 2 diabetes, heart disease and mental illness.In Life Time, Professor Russell Foster shares his lifes work, taking us on a fascinating and surprising journey through the science of our body clocks. Using his own studies, as well as insights from an international community of sleep scientists and biologists studying circadian rhythms, he illustrates the surprising effects the time of day can have on our health:- how a walk outside at dawn can ensure a better nights sleep- how eating after sundown can affect our weight- the extraordinary effects the time we take our medication can have on our risk of life-threatening conditions, such as strokesIn the modern world, we have neglected an essential part of our biology. But with knowledge of this astonishing science, we can get back into the rhythm, and live healthier, sharper lives.

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WRITE-ON PAGES Any references to writing in this book refer to the original - photo 1

WRITE-ON PAGES
Any references to writing in this book refer to the original printed version.
Readers should write on a separate piece of paper in these instances.

Russell Foster

LIFE TIME
The New Science of the Body Clock, and How It Can Revolutionize Your Sleep and Health
PENGUIN BOOKS UK USA Canada Ireland Australia New Zealand India - photo 2

PENGUIN BOOKS

UK | USA | Canada | Ireland | Australia
New Zealand | India | South Africa

Penguin Books is part of the Penguin Random House group of companies whose addresses can be found at global.penguinrandomhouse.com.

First published by Penguin Life in 2022 Copyright Russell Foster 2022 The - photo 3

First published by Penguin Life in 2022

Copyright Russell Foster, 2022

The moral right of the author has been asserted

ISBN: 978-0-241-99339-2

This ebook is copyright material and must not be copied, reproduced, transferred, distributed, leased, licensed or publicly performed or used in any way except as specifically permitted in writing by the publishers, as allowed under the terms and conditions under which it was purchased or as strictly permitted by applicable copyright law. Any unauthorized distribution or use of this text may be a direct infringement of the authors and publishers rights and those responsible may be liable in law accordingly.

This book is dedicated with love to Elizabeth, Charlotte, William and Victoria and to the memory of Doreen Amy Foster (17 August 193328 November 2020)

List of Figures

Examples of 24-hour daily changes in human physiology.

Human brain and SCN.

Levels of light encountered in the environment and the approximate sensitivities of rod, cone and pRGC photoreceptors in humans.

Illustration of sleep/wake patterns.

The changes in oestrogen and progesterone across the female menstrual cycle leading to ovulation.

Cognitive performance across the day for adults and teenagers.

Model showing the relationships between mental illness and SCRD.

Circadian changes in disease events and disease severity.

The mechanisms that increase and decrease blood glucose. (A) Increasing blood glucose. (B) Decreasing blood glucose.

Immune system.

List of Tables

The impact of SCRD upon human biology.

Summary of what actions can be taken to alleviate or mitigate aspects of SCRD.

Abbreviations
Aamyloid (plaques)
ADHDattention deficit hyperactivity disorder
ADPadenosine diphosphate
ANPatrial natriuretic peptide
ASAacetylsalicylic acid
ASDautism spectrum disorder
ASPDadvanced sleep phase disorder
ATPadenosine triphosphate
AVParginine vasopressin
BMIbody mass index
BPHbenign prostatic hyperplasia
BSBBanking Standards Board
BSTBritish Summer Time
CBDcannabidiol
CBTicognitive behavioural therapy for insomnia
COPDchronic obstructive pulmonary disease
COVID-19coronavirus disease caused by the SARS-CoV-2 virus
CPAPcontinuous positive airway pressure
CSAcentral sleep apnoea
DDAVPdesmopressin
DSDdriver safety device
DSPDdelayed sleep phase disorder
DSTDaylight Saving Time
EEGelectroencephalogram
EMAEuropean Medicines Agency
EMFelectromagnetic field
FDAUS Food and Drug Administration
FSHfollicle-stimulating hormone
GABAgamma-aminobutyric acid
GMTGreenwich Mean Time
GnRHgonadotrophin-releasing hormone
HbA1cglycated haemoglobin
hCGhuman chorionic gonadotrophin
HDLhigh-density lipoprotein
HRThormone replacement therapy
IVFin vitro fertilization
LDLlow-density lipoprotein
LElight emitting
LHluteinizing hormone
NAFLDnon-alcoholic fatty liver disease
NASHnon-alcoholic steatohepatitis
NDDneurodevelopmental disorder
NREMnon-rapid eye movement sleep
nVNSnon-invasive vagal nerve stimulation
OCDobsessive-compulsive disorder
OHSobesity hypoventilation syndrome
OPN4opsin gene encoding melanopsin
OSAobstructive sleep apnoea
PDParkinsons disease
PKCprotein kinase C
PMDDpremenstrual dysphoric disorder
PMSpremenstrual syndrome
PPIproton-pump inhibitor
pRGCphotosensitive retinal ganglion cell
PRRpattern recognition receptor
PTSDpost-traumatic stress disorder
RBDREM sleep behaviour disorder
REMrapid eye movement sleep
RLSrestless-legs syndrome
SBDsleep-related breathing disorder
SCNsuprachiasmatic nuclei
SCRDsleep and circadian rhythm disruption
SDBsleep-disordered breathing
SREDsleep-related eating disorder
SRMDsleep-related movement disorder
SSRIselective serotonin reuptake inhibitor
SWSslow-wave sleep
THCtetrahydrocannabinol
TIAtransient ischemic attack
TNFtumour necrosis factor
TSTtotal sleep time
Introduction

Nothing in life is to be feared, it is only to be understood. Now is the time to understand more, so that we may fear less.

Marie Skodowska-Curie

Forty years ago, as an undergraduate studying zoology at the University of Bristol, I knew I wanted to be a scientist, but I had little real idea of what that meant or involved. The body clock was just a fuzzy concept in my young, unfocused free-wheeling brain. However, during the final year of my undergraduate degree, I was a volunteer helper at an international meeting on biological rhythms. The job was not demanding, and I swanned about listening to the lectures and met the then leaders of the field. With the confidence perhaps arrogance of youth, I assumed that these scientific titans would want to speak to me just as much as I wanted to speak to them. Most were incredibly generous with their time, although I did learn not to approach one very senior professor over breakfast (its amazing how much meaning can be conveyed in a stony silence and a fixed stare at a greasy sausage ). It was a formative experience at many levels, and I soaked up the science like a sponge. Without my knowing it, this symposium defined my life-long interests and sparked an ambition to join this extraordinary group of international academics who were working on the fast-emerging science of biological time. My career as a scientist, from my undergraduate days to my current position as Professor of Circadian Neuroscience and Director of the Sir Jules Thorn Sleep and Circadian Neuroscience Institute at Oxford has allowed me to gain insights from, and occasionally share new knowledge with, colleagues from all over the globe. In a sense, this book represents the distillate of what I have learnt in studying the nature of biological time over the course of four decades. My hope is that I can convey to you some of the excitement, wonder and undiluted pleasure I have experienced over the years.

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