Feel Better, Live More with Dr Rangan Chatterjee - BITESIZE | How to Sleep Better, Boost Your Gut Health and Get More Energy | Professor Satchin Panda #388
Episode Date: September 28, 2023CAUTION: This podcast discusses fasting and its advice may not be suitable for anyone with an eating disorder. If you have an existing health condition or are taking medication, always consult your he...althcare practitioner before going for prolonged periods without eating. Research has shown that around 50 percent of us currently spread our meals and snacks across 15 or more hours of the day. But having periods of time in every 24 hours where we are not eating is essential for repairing, resetting and rejuvenating all of our organs and tissues. Feel Better Live More Bitesize is my weekly podcast for your mind, body, and heart. Each week I’ll be featuring inspirational stories and practical tips from some of my former guests. Today's clip is from episode 306 of the podcast with a leading expert in the field of circadian rhythms, Professor Satchin Panda. Satchin’s research on the impact of circadian clocks on our health is truly ground-breaking and he has revolutionised our understanding of health and wellbeing. In this clip, he shares a simple tip to help you sleep better, boost your gut health, and get more energy. Support the podcast and enjoy Ad-Free episodes. Try FREE for 7 days on Apple Podcasts https://apple.co/feelbetterlivemore. For other podcast platforms go to https://fblm.supercast.com. Show notes and the full podcast are available at drchatterjee/306 Follow me on instagram.com/drchatterjee Follow me on facebook.com/DrChatterjee Follow me on twitter.com/drchatterjeeuk DISCLAIMER: The content in the podcast and on this webpage is not intended to constitute or be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or other qualified health care provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast or on my website.
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Welcome to Feel Better Live More Bite Size, your weekly dose of positivity and optimism
to get you ready for the weekend. Today's clip is from episode 306 of the podcast with leading expert in the field of circadian rhythms, Dr. Sachin
Panda. Sachin's research on the impact of circadian clocks on our health is truly groundbreaking
and he has revolutionized our understanding of health and wellbeing. In this clip, he
shares a simple tip to help you sleep better, boost your gut health and get more energy.
Please note the advice in this episode may not be suitable if you are suffering with
or recovering from an eating disorder.
The whole conversation around nutrition for many years, and even now, is still dominated
by what we should be eating.
But your research beautifully demonstrates that timing a food intake is something we
also need to pay a lot of attention to.
50% of adults eat for 15 hours or longer.
And we all evolved on this planet with 24 hours light-dark cycle and eating-fasting cycle.
So that's why we are designed to go through this
at least 12 to 14 hours of fasting every day.
Our gut lining and many parts of our body
actually gets a lot of damage throughout the day
and they have to be repaired and that repair process happens only when we are in our deep
sleep and also we are fasting i have seen with hundreds maybe thousands of patients
that when people compress their reading windows, you see benefits across the board.
Weight loss, blood sugar, energy, sleep quality. So I'm a passionate advocate of your work,
and I've been using it with real-life people. One almost universal recommendation I have with
most of my patients is let's at least start off making sure you're eating all of your
food within a 12-hour window maximum. Yes, that's a good starting point. Just try 12 hours for the
first two weeks. In all of our clinical studies, what we do is we ask people to choose a 10-hour
window that suits their lifestyle.
And it's also, it gives them a sweet spot
that they can still have their social life
and enjoy life and improve their health.
With some caveat, that your first meal
should be at least an hour after waking up,
and your last meal should be two to three hours
before going to bed.
So within that window, you're gonna choose
that 10 hours that works for you.
And in both mouse studies and in human studies, what we're finding is if people can do this
10 hours for five days in a week or six days in a week, and they can have one cheat day
where they can go a little bit outside the eating window, we still see many benefits.
they can go a little bit outside the eating window, we still see many benefits in people who have one or multiple items of metabolic syndrome.
So that means they have obesity plus high blood pressure, high triglyceride, or high
blood sugar, even multiple of these conditions. And what we find is if they can do 10 hours for 12 weeks,
then we do see improvement in almost all of these elements
of metabolic syndrome.
Blood pressure improvement happens within six to eight weeks.
Blood sugar also improves in 10 to 12 weeks.
Another thing that we are finding is when people control the timing of their food, they
also seem to sleep well.
And once their sleep improves, then the repair process improves.
And once somebody sleeps well, then the food craving and craving for energy-dense diet that also goes down.
So that means by controlling timing,
we can inadvertently change the nutrition quality and quantity.
And that's now seen in many clinical trials
with time-restricted eating or intermittent fasting.
People, although they are asked to eat within eight,
nine or 10 hours window and then leave the rest as fasting,
when you go back to analyzing what they ate,
then what we find is they modestly reduce their calorie
intake by somewhere between five to 10 and some cases,
some people can reduce even by 20%,
which is pretty good because intentional calorie restriction
is very hard for people to reduce calorie
by even 10 to 20% every single day is very hard.
Second thing is since they're sleeping well,
then they also improve their nutrition choice.
So in almost every study,
we find people reduce
their alcohol intake.
Of course there is less opportunity to drink alcohol.
And then they also reduce processed food.
And we don't know why, but it may be because
they're sleeping well, because the sleep deprived brain
actually looks for highly processed food.
And when people sleep well then they can take that decision.
I think everyone intuitively knows that.
Even if they don't understand the science,
I think everyone knows that experience
when they haven't slept well.
Yes, you can talk to the science of leptin and ghrelin
and the hunger hormone goes through the roof
and your satiety hormone goes down.
But actually, I think we all know
when we haven't slept well,
we want more caffeine. We crave more food. This happened to me a few days ago. Hungry all the time and you're not craving healthy whole foods at that time. You're craving high energy dense foods.
Yeah. Although quality and quantity of nutrients are very important, by focusing on timing,
one can improve those two aspects too.
So if you have some health issues, there are benefits.
But what about that person listening who goes, I kind of feel okay.
I haven't got prediabetes.
I haven't got much of a weight issue.
What are the benefits for me, Dr. Panda,
of eating all my food within a 10-hour eating window?
I think everybody would agree that they need a little bit more energy.
Yeah.
And they may not have other health issues, but many of us, we have a little joint problem,
we feel a little pain.
And overall, other things that we are finding biochemically and with all the gene expression analysis, what we're finding is
the kidney function improves, our muscle repair also improves. There are now new studies showing
that circadian clock is involved in repairing tendons and ligaments. So injuries. Injuries,
particularly recovery from injuries. And if we think about it, actually every day we injure some of our joints,
ligaments, and muscles.
We are on a continuous rejuvenation process.
And that's why I say that just like our brain,
when it sleeps, it resets, rejuvenates, and repairs itself.
Almost every tissue in our system repairs itself.
So let's go into timing, okay?
Lots of things happen in the body when we have
a period of time without foods. Reduction in inflammation, change in genetic expression,
ability to repair and rejuvenate better. But I guess there's an ideal body clock that if
the modern world didn't drive us to do certain things at certain times that we could all beautifully follow and then there's real
life for many people. So let's start off by going what does an ideal body clock
look like for someone let's say they wake up. I know you're a big fan of
saying that we should try not to eat for the first hour after waking up.
Why is that?
So most of us, when we wake up, we're waking up to an alarm clock.
So that means our sleep hormones are still high.
Although we just dragged ourselves out of the bed,
our hormones, particularly melatonin, is still pretty high.
And that takes an hour or two to go down.
And within 45 minutes of waking up,
our stress hormone cortisol reaches its peak.
So this is the time when you can say
changing of the guards, that happens in the morning.
So the sleep hormones are coming down,
the stress hormones are going up,
and your body is actually not ready to digest food
and assimilate nutrients perfectly. Most of us still have pretty high level of melatonin which
can inhibit insulin release. So if we eat something or drink tea with milk and sugar, to process that
a body has to produce and release sufficient amount of insulin,
which may not happen properly in the first one hour. So I think that's a very practical tip that
everyone, no matter what diet they choose to follow, no matter what culture they're from,
no matter what country they live in, that seems like quite a good universal principle for all of
us. Whenever you wake up for the first hour, don't eat any food.
But you're also saying no coffee or tea with milk and or sugar.
You've done a lot of science on this, right?
Which is clearly in the times in which we live,
a lot of people need that science to persuade them
that this is something I should be doing.
But if we just zoom out for a minute and look back at our evolutionary history as humans,
actually, it's hard to make the case that we would have been eating consistently over 13,
14, 15 hours in every 24 hours. We would have naturally had these long periods where we didn't eat in every 24 hours.
So yes, there's science to support it, but there's also, if we look at our lives through
an evolutionary lens, it kind of works as well, doesn't it?
Yeah, it does.
And in fact, our ancestors, hunter-gatherers or farmers, they didn't have access to plenty of food.
And another thing was they didn't have access to processed food.
So food was not ready for consumption any time of the day.
So in the morning, people typically spend time gathering food or preparing for cooking.
And the first substantial meal was maybe around lunchtime.
Can you summarize?
If anyone listening to this goes, okay, I'm going to now try and eat all of my foods
within a 10-hour eating window.
Can you list what are some of the benefits they may get?
the benefits they may get.
Yeah, so once people eat within 10 hours eating window, what we find is within few days, that may be two to three weeks, they may find their sleep will improve.
And this is something that we find in many of our patients who self-report how is their
sleep.
It may not increase the number of hours they sleep, butreport how is their sleep, it may not increase the number
of hours they sleep, but it may just improve their sleep satisfaction.
They might actually get into a better sleep, quality of sleep will improve.
Then those who have acid reflux, I don't know the numbers in the UK, but in the US, there
are 65 million prescriptions for acid reflux written every year.
And there is a lot of over-the-counter acid reflux medication.
So that means almost more than half of the adult population
experiences some kind of acid reflux or stomach issues every week.
So we also hear that people have much better gut health
within two to four weeks.
They will feel that so sleeping better and then having better gut health will also improve the sense of energy in the morning
and throughout the day we think that these three benefits are the positive feedback loop that helps
people to sustain with 10 hours eating window just Just at the end here now, for people who feel inspired by what you said,
who think, yeah, you know what?
I think I want to give this a try.
Do you have any final kind of top tips
to share with people to leave them with
so they can take your work
and use it to improve the quality of their lives?
Any duration of fasting is better than no fasting but if you want to optimize
there is better to eat within your active period for humans it will be finishing your dinner by
6 or 7 p.m and that will give you the best benefit by the same time we have to keep in mind that
in the pursuit of perfection we should not forget what is practical and what suits your life. You should try
to do that.
Hope you enjoyed that bite-sized clip.
Hope you have a wonderful
weekend. I'll be back next week with
my long-form conversational Wednesday
and the latest episode
of Bite Science next Friday.