Eliezer_Yudkowsky comments on Lifestyle interventions to increase longevity - Less Wrong

120 Post author: RomeoStevens 28 February 2014 06:28AM

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Comment author: Yvain 28 February 2014 07:06:26AM *  25 points [-]

This is good stuff!

One addition I would make to your "sleep" section: between 5% and 10% of Americans have moderate or severe sleep apnea, mostly undiagnosed. Untreated sleep apnea more than doubles mortality through a combination of cardiac problems, stroke, and maybe a cancer-promoting effect as well. There are well-known effective treatments for sleep apnea and it is kind of dumb not to get them.

The main symptoms of sleep apnea are excessive snoring, and feeling very tired during the day even if you slept a normal amount the night before. It is most common in obese and older people but sometimes happens in normal-weight and younger people as well. If you think you might have this condition, probably your highest-priority longevity intervention (after quitting smoking, if you do that) is to go to your doctor and get it checked out.

Comment author: Eliezer_Yudkowsky 28 February 2014 08:09:35PM 2 points [-]

CPAP (auto-adjusting pressure) didn't work on me. What else is there?

Comment author: Eneasz 28 February 2014 09:12:28PM 0 points [-]

UPPP

Not terribly expensive. The recovery is painful. But the pain is temporary, and the improvements are amazing. It was a major turning point in my life, and I'd strongly recommend it to anyone who is considered a good candidate (consult your specialist)

Comment author: Yvain 01 March 2014 01:11:00AM 3 points [-]

Complicated. I think I'm seeing you tomorrow night, I'll talk to you then rather than demand your medical history on a public forum.

Comment author: MarkL 27 May 2014 06:20:15PM *  1 point [-]

Buteyko breathing [1] and high-intensity interval training [2]. YMMV, etc.

[1] http://store.breathingcenter.com/books---in-english/buteyko-breathing-manual-download

[2] e.g. "sprinting" on an elliptical

Sleep apnea is caused by low CO2 tolerance which causes you to breath off too much CO2, and low CO2 levels relax smooth muscle, including the smooth muscle of your throat (which otherwise should actively maintains your airway at all times). The above two practices increase CO2 tolerance.

(Low CO2 tolerance can be caused by many things (e.g. too much mouth breathing from allergies, jobs which require lots of talking or singing or instrument playing, lots and lots of sitting without exercising, chronic anxiety, etc.)

Evidence:

  1. Personal/anecdotal: Intense jaw clenching, tongue soreness, turbinate opening within a few days of starting buteyko breathing, objectively far less moving around during sleep, subjectively deeper more refreshing sleep.
  2. This is how I think (poorly edited rant): http://meditationstuff.wordpress.com/2013/08/05/rant-thought-stopping-truths-e-g-weight-loss/
  3. Clinical trial(s?) show that Buteyko breathing does stuff (e.g. improves asthma symptoms without increasing lung capacity)
Comment author: MartinB 28 April 2014 01:27:03PM 0 points [-]

Did you go to a Sleeplap? They are supposed to fit it, have a pile of different masks to choose from. As far as I know cpap is the way to go with APNEA.

Comment author: michaelcurzi 10 March 2014 09:23:02AM 0 points [-]

I have two relatives that had apnea - one got rid of it by losing weight, the other by having her tonsils removed.