Looks like the old guy next to him is falling asleep too, drifting in a d out of sleep almost as if in a loop. After flying all around the world on an almost daily basis, I'd probably be pretty tired too and I'm "only" 55.
In other news, I tried a free online AI photo generator that produced remarkable likenesses myself doing various fictitious things, where I myself could barely tell it wasn't real. I bet someone has even better not-so-free AI software like that and could make it look like almost anyone was doing almost anything.
It doesn't matter of this video is real or not.
IDGAF if Trump fell asleep at a basketball game! The idiots who think anybody should are desperate fools.