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What are cooling blankets? Can they really help me sleep?

<a href="https://theconversation.com/profiles/linda-grosser-1461631">Linda Grosser</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/luana-main-2270550">Luana Main</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> You wake up exhausted from yet another hot night of tossing and turning, with very little sleep. So you might be tempted to buy a “cooling blanket” after reading rave reviews on social media. Or you might have read online articles with <a href="https://www.news.com.au/checkout/home-and-garden/bedroom/bedding/best-cooling-blankets/news-story/118ce05eba1e7d5cdff3aeadae5ae940">taglines such as</a>: <blockquote> Stop waking up in a puddle of sweat with our roundup of the best cooling blankets – including a top-rated option from Amazon that ‘actually works’. </blockquote> But what are cooling blankets? And can they help you get a restful night? <h2>We know a cooler bedroom is best</h2> First, let’s look at why a cooler environment helps us sleep better at night. Our body’s internal temperature has a <a href="https://www.sleepfoundation.org/circadian-rhythm">circadian rhythm</a>, meaning it fluctuates throughout the day. A couple of hours before bed, it drops about <a href="https://www.sciencedirect.com/science/article/pii/S1087079203000236">0.31°C</a> to help you fall asleep. It will drop about <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7323637/">another 2°C</a> across the night to help you stay asleep. During sleep, your internal temperature and skin work together to achieve a balance between losing and producing heat. Your skin has sensors that pick-up changes in the environment around you. If it gets too warm, these sensors let your body know, which may cause you to kick-off blankets or bed clothes and wake more often leading to poorer sleep quality. <a href="https://www.thensf.org/what-is-sleep-quality/">Sleep quality</a> is an important component of sleep health ensuring you get the physical, mental and emotional benefits that come from a good night’s sleep. The <a href="https://www.sciencedirect.com/science/article/pii/S0360132318300325">ideal temperature</a> for sleep varies depending on the season and type of bedding you have but falls between 17°C and 28°C. Keeping your sleeping environment within this range will help you to get the best night’s rest. <h2>So what are cooling blankets?</h2> Cooling blankets are designed to help regulate your body temperature while you sleep. Different technologies and materials are used in their design and construction. We’re not talking about <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2206487/">hospital-grade</a> cooling blankets that are used to reduce fever and prevent injury to the nervous system. These use gel pads with circulating water, or air-cooling systems, connected to automatic thermostats to monitor someone’s temperature. Instead, the type of consumer-grade cooling blankets you might see advertised use a blend of lightweight, breathable materials that draw moisture away from the skin to help you stay cool and dry through the night. They look like regular blankets. Common materials include cotton, bamboo, silk or the fibre <a href="https://goodonyou.eco/how-ethical-is-tencel/">Lyocell</a>, all of which absorb moisture. Manufacturers typically use a <a href="https://www.sleepfoundation.org/best-sheets/best-thread-count-for-sheets">thread count</a> of <a href="https://www.trustsleep.com/how-do-cooling-blankets-work/">300-500</a>, creating air pockets that enhance airflow and moisture evaporation. Some blankets feature a <a href="https://getrest.com.au/blogs/all/unveiling-the-secrets-of-q-max-the-key-to-a-perfect-nights-sleep">Q-Max rating</a>, which indicates how cool the fabric feels against your skin. The higher the value, the cooler the fabric feels. Others feature <a href="https://www.trustsleep.com/how-do-cooling-blankets-work/">phase change materials</a>. These materials were developed by <a href="https://spinoff.nasa.gov/Spinoff2009/ch_4.html">NASA</a> for space suits to keep astronauts comfortable during a spacewalk where temperatures are from roughly <a href="https://www.nasa.gov/humans-in-space/spacewalk-spacesuit-basics/">-157°C to 121°C</a>. Phase change materials in cooling blankets absorb and hold heat producing a cooling effect. <h2>Do they work?</h2> If you believe online reviews, yes, cooling blankets can cool you down and help you sleep better in warmer weather or if you get too hot using normal sheets and blankets. However, there is little scientific research to see if these consumer-grade products work. In a 2021 <a href="https://www.mdpi.com/2071-1050/13/16/9099">study</a> exploring sleep quality, 20 participants slept for three nights under two different conditions. First, they slept with regular bed sheets in an air-conditioned room with the temperature set to their preference. Then, they used cooling bed sheets in an air-conditioned room where the temperature was set 3°C higher than their preference. Participants reported good sleep quality in both conditions but preferred the warmer room with its cooling sheets. This may suggest the use of cooling bedding may help provide a more comfortable night’s sleep. But everyone’s cooling needs varies depending on things like age, health, body temperature, the space you sleep in, and personal preferences. So while these products may work for some people who may be motivated to leave a good review, they may not necessarily work for you. <h2>Are they worth it?</h2> There’s a wide variety of cooling blankets available at different prices to suit various budgets. Positive customer reviews might encourage a purchase, especially for individuals experiencing disrupted sleep at night due to heat. Yet, these cooling blankets have limited scientific research to show they work and to say if they’re worth it. So it’s up to you. <h2>What else can I do if I’m a hot sleeper?</h2> If a cooling blanket isn’t for you, there are other things you can do to stay cool at night, such as: <ul> <li> using air conditioning or a fan </li> <li> placing a damp towel under or over you </li> <li> wearing lightweight or minimal sleepwear and avoiding thick or synthetic fabrics, such as nylon, that can trap heat </li> <li> if you usually share a bed, on hot nights, consider sleeping by yourself to avoid excess body heat from your partner. </li> </ul> On a final note, if you often struggle with hot, disturbed sleep, you can check in with your health-care provider. They can see if there is a medical explanation for your disturbed sleep and advise what to try next.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/244158/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/linda-grosser-1461631">Linda Grosser</a>, Research Associate, Behaviour-Brain-Body Research Centre, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/luana-main-2270550">Luana Main</a>, Associate Professor in Applied Sport Science, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-are-cooling-blankets-can-they-really-help-me-sleep-244158">original article</a>.

Home & Garden

Vitamin B6 is essential – but too much can be toxic. Here’s what to know to stay safe

<a href="https://theconversation.com/profiles/vasso-apostolopoulos-105605">Vasso Apostolopoulos</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a> and <a href="https://theconversation.com/profiles/jack-feehan-1239419">Jack Feehan</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a> In recent weeks, <a href="https://www.abc.net.au/news/2025-01-08/vitamin-b6-toxicity-peripheral-neuropathy-health-supplements/104793006">reports have been circulating</a> about severe reactions in people who’ve taken over-the-counter vitamin B6 supplements. Vitamin B6 poisoning can injure nerves and lead to symptoms including numbness, tingling and even trouble walking and moving. In some cases, those affected <a href="https://www.abc.net.au/news/2025-01-28/vitamin-b6-toxicity-cases-rise-vitamins-supplements-tga-review/104863232">didn’t know the product contained</a> any vitamin B6. So what is vitamin B6, where is it found and how much is too much? Here’s what you need to know about this essential nutrient. <h2>What is vitamin B6?</h2> Vitamin B6 (also known as pyridoxine) is a group of six compounds that share a similar chemical structure. It is an essential nutrient, meaning we need it for normal body functions, but we can’t produce it ourselves. <a href="https://www.eatforhealth.gov.au/nutrient-reference-values/nutrients/vitamin-b6">Adults aged 19–50</a> need 1.3mg of vitamin B6 per day. The recommended dose is lower for teens and children, and higher for those aged 51 and over (1.7mg for men and 1.5mg for women) and people who are breastfeeding or pregnant (1.9mg). Most of us get <a href="https://www.nhs.uk/conditions/vitamins-and-minerals/vitamin-b/">this in our diet</a> – largely from animal products, including meat, dairy and eggs. The vitamin is also available in a range of different plant foods, including spinach, kale, bananas and potatoes, so deficiency is <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8150266/">rare</a>, even for vegetarians and vegans. The vitamin B6 we consume in the diet is inactive, meaning the body can’t use it. To activate B6, the liver transforms it into a compound called pyridoxal-5’-phosphate (PLP). In this form, vitamin B6 helps the body with more than 140 cellular functions, including building and breaking down proteins, producing red blood cells, regulating blood sugar and supporting brain function. Vitamin B6 is important for <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6071262/">overall health</a> and has also been associated with reduced <a href="https://pubmed.ncbi.nlm.nih.gov/28376200/">cancer</a> risk and <a href="https://www.sciencedirect.com/science/article/abs/pii/S0098299716300395">inflammation</a>. Despite being readily available in the diet, vitamin B6 is also widely included in various supplements, multivitamins and other products, such as Berocca and energy drinks. <h2>Should we be worried about toxicity?</h2> Vitamin B6 toxicity is extremely rare. It <a href="https://europepmc.org/article/nbk/nbk470579?crsi=6624972170&cicada_org_src=healthwebmagazine.com&cicada_org_mdm=direct&client=bot">almost never occurs from dietary intake alone</a>, unless there is a genetic disorders or disease that stops nutrient absorption (such as coeliac disease). This is because all eight vitamins in the B group are water-soluble. If you consume more of the vitamin than your body needs, it can be excreted readily and harmlessly in your urine. However, in some rare cases, <a href="https://pubmed.ncbi.nlm.nih.gov/37447150/">excessive vitamin B6</a> accumulates in the blood, resulting in a condition called peripheral neuropathy. We’re still not sure why this occurs in some people but not others. Peripheral neuropathy <a href="https://my.clevelandclinic.org/health/diseases/14737-peripheral-neuropathy">occurs when the sensory nerves</a> – those outside our brain and spinal cord that send information to the central nervous system – are damaged and unable to function. This can be caused by a wide range of diseases (and is most well known in type 2 diabetes). The most common symptoms are numbness and tingling, though in some cases patients may experience difficulty with balance or walking. We don’t know exactly how excess vitamin B6 causes peripheral neuropathy, but it is thought to <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8483950/">interfere with how the neurotransmitter GABA</a> sends signals to the sensory nerves. Vitamin B6 can cause permanent damage to nerves. <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10343656/">Studies have shown</a> symptoms improved when the person stopped taking the supplement, although they didn’t completely resolve. <h2>What is considered excessive? And has this changed?</h2> <a href="https://www.cureus.com/articles/199499-vitamin-b6-toxicity-secondary-to-daily-multivitamin-use-a-case-report#!/">Toxicity usually occurs</a> only when people take supplements with high doses of B6. Until 2022, only products with more than 50mg of vitamin B6 were required to display a warning about peripheral neuropathy. But the <a href="https://www.tga.gov.au/news/safety-updates/peripheral-neuropathy-supplementary-vitamin-b6-pyridoxine">Therapeutic Goods Administration lowered this</a> and now requires any product containing more than 10mg of vitamin B6 to carry a warning. The Therapeutic Goods Administration has also halved the daily upper limit of vitamin B6 a product can provide – from 200mg to 100mg. These changes followed a review by the administration, after receiving 32 reports of peripheral neuropathy in people taking supplements. Two thirds of these people were taking less than 50mg of vitamin B6. The <a href="https://www.tga.gov.au/news/safety-updates/peripheral-neuropathy-supplementary-vitamin-b6-pyridoxine#what-should-health-professionals-do">Therapeutic Goods Administration acknowledges</a> the risk varies between individuals and a lot is unknown. Its review could not identify a minimum dose, duration of use or patient risk factors. <h2>But I thought B vitamins were good for me?</h2> Too much of anything can cause problems. The updated guidelines are likely to significantly lower the risk of toxicity. They also make consumers more aware of which products contain B6, and the risks. The Therapeutic Goods Administration will continue to monitor evidence and revise guidelines if necessary. While vitamin B6 toxicity remains very rare, there are still many questions about why some people get peripheral neuropathy with lower dose supplements. It could be that some specific vitamin B compounds have a stronger effect, or some people may have genetic vulnerabilities or diseases which put them <a href="https://www.sciencedirect.com/science/article/pii/S2161831322004781">at higher risk</a>. <h2>So what should I do?</h2> Most people don’t need to actively seek vitamin B6 in supplements. However, many reports to the Therapeutic Goods Administration were of vitamin B6 being added to supplements labelled as magnesium or zinc – and some weren’t aware they were consuming it. It is important to always check the label if you are taking a new medicine or supplement, especially if it hasn’t been explicitly prescribed by a health-care professional. Be particularly cautious if you are taking multiple supplements. While one multivitamin is unlikely to cause an issue, adding a magnesium supplement for cramping, or a zinc supplement for cold and flu symptoms, may cause an excessive vitamin B6 dose over time, and increase your risk. Importantly, pay attention to symptoms that may indicate peripheral neuropathy, such as pins and needles, numbness, or pain in the feet or hands, if you do change or add a supplement. Most importantly, if you need advice, you should talk to your doctor, dietitian or pharmacist.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/248443/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/vasso-apostolopoulos-105605">Vasso Apostolopoulos</a>, Distinguished Professor, Professor of Immunology, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a> and <a href="https://theconversation.com/profiles/jack-feehan-1239419">Jack Feehan</a>, Vice Chancellors Senior Research Fellow in Immunology, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/vitamin-b6-is-essential-but-too-much-can-be-toxic-heres-what-to-know-to-stay-safe-248443">original article</a>.

Body

Even calm people can fly into a rage behind the wheel. Here’s how to curb your road rage – before it’s too late

<a href="https://theconversation.com/profiles/milad-haghani-1454675">Milad Haghani</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> If someone bumps into us on the footpath or in the mall, we’re generally quite forgiving. We instinctively apologise or step aside, and usually don’t scream at, stalk, or attack the other person. But put us in a car, and <a href="https://x.com/Boenau/status/1755234912540459059">something changes</a>. People who appear calm in everyday life suddenly tailgate, honk, or shout at strangers. <a href="https://www.sciencedirect.com/science/article/pii/S0925753524002467?casa_token=76NSmREtG8MAAAAA:yFEcndOLjARRfthZMFwOQ3UmPeqgJEwSuAvkaA51rH8fA7v8RzHDamohBhf8Ai7jb3Nrp98pz4I">Problems at work</a> or home can suddenly explode in the form of righteous anger toward other road users. Road rage <a href="https://www.sciencedirect.com/science/article/pii/S0001457523000192">increases crash risk</a>, and victims of road rage incidents often have <a href="https://www.mynrma.com.au/media/press-releases/2024/nrma-releases-worrying-road-rage-data">children in the car</a> with them. So, why does driving <a href="https://www.sciencedirect.com/science/article/pii/S0022437524000914?dgcid=raven_sd_recommender_email">bring out the worst in us</a>? And more importantly, <a href="https://www.sciencedirect.com/science/article/pii/S0001457521001755?dgcid=raven_sd_recommender_email">what can we do about it</a>? <h2>Road rage remains common</h2> <a href="https://www.mynrma.com.au/media/press-releases/2024/nrma-releases-worrying-road-rage-data">Recent</a> <a href="https://www.budgetdirect.com.au/car-insurance/research/road-rage-study.html?utm_source=chatgpt.com">surveys</a> indicate road rage remains common in Australia. In September 2024, insurer NRMA <a href="https://www.mynrma.com.au/media/press-releases/2024/nrma-releases-worrying-road-rage-data">reported</a> a survey of 1,464 of its members in two states found many had witnessed road rage incidents such as: <ul> <li>tailgating (71%)</li> <li>drivers beeping other drivers (67%)</li> <li>drivers gesturing angrily at other drivers (60%)</li> <li>drivers deliberately cutting in front of other vehicles (58%)</li> <li>drivers getting out of their car to confront to confront another driver (14%)</li> <li>stalking (10%)</li> <li>physical assault (4%).</li> </ul> Another insurer, Budget Direct, <a href="https://www.budgetdirect.com.au/car-insurance/research/road-rage-study.html">reported</a> last year on a survey of 825 people that found about 83% had experienced shouting, cursing, or rude gestures from other people on the road (up by 18% since 2021). And of the female respondents, 87% reported they’d copped this kind of behaviour from other road users. Common triggers for driver anger include tailgating, perceived rudeness (such as not giving a “thank you” wave), and witnessing another person driving dangerously. Aggressive driving behaviours tend to be more common in <a href="https://search.informit.org/doi/abs/10.3316/informit.031918298391749">younger, male drivers</a>. Road rage is a global problem, with studies finding road rage remains common in places such as <a href="https://www.sciencedirect.com/science/article/pii/S0001457509002012?casa_token=G4nhNdF3olAAAAAA:8tdP0GyMiwN4_n4fekvQB-EiUSLa8Q2sgbpMhfUNWh0w9YqeiWft1aPY2ZSFLngcSFZAHfMOQhA">Japan</a>, the <a href="https://newsroom.aaa.com/2016/07/nearly-80-percent-of-drivers-express-significant-anger-aggression-or-road-rage/">US</a>, <a href="https://www.sciencedirect.com/science/article/abs/pii/S1369847805000884">New Zealand</a> and the <a href="https://www.sciencedirect.com/science/article/abs/pii/S1369847898000096">UK</a>, but the degree varies significantly from country to country. <h2>Who is more likely to fly into a rage on the road?</h2> Some of us are more likely than others to fly into a rage while driving. One way researchers <a href="https://www.sciencedirect.com/science/article/pii/S1369847815001722">measure</a> this is via a testing tool known as the <a href="https://www.yorku.ca/rokada/psyctest/driving.pdf">Driving Anger Scale</a>. Data from many studies using this test show drivers who are more prone to anger in general are <a href="https://research.monash.edu/en/publications/driving-anger-as-a-psychological-construct-twenty-years-of-resear">more likely to turn that anger into aggression</a>. They get annoyed by more things, are quicker to act on their feelings, take more risks, and as a result, are more likely to be involved in anger-related crashes. Research suggests that while female drivers experience anger just as much as male drivers, they are less likely to act on it in a <a href="https://www.turkpsikiyatri.com/PDF/C18S3/en/angerExpression.pdf">negative way</a>. Female drivers tend to feel more intense anger in certain situations, such as when <a href="https://www.sciencedirect.com/science/article/pii/S1369847815001722#f0010">faced with hostile gestures or traffic obstructions</a>, compared to their male counterparts. <h2>What can I do to reduce my road rage?</h2> In a car, we’re physically separated from others, which creates a sense of distance and anonymity – two factors that lower our usual social filters. Encounters feel fleeting. There’s a good chance you won’t be held accountable for what you or say or do, compared to if you were outside the car. And yet, we perceive the stakes as high because mistakes or bad decisions on the road can have serious consequences. This mix of isolation, stress, and the illusion of being in a bubble is a perfect recipe for heightened frustration and anger. <a href="https://www.sciencedirect.com/science/article/abs/pii/S0001457521001755?dgcid=raven_sd_recommender_email">Research</a> suggests techniques drawn from cognitive behavioural therapy may help. These include learning to identify when you are starting to feel angry, trying to find alternative explanations for other people’s behaviour, using mindfulness and <a href="https://www.sciencedirect.com/science/article/pii/S1369847815001758">relaxation</a> and trying to move away from the trigger. The American Automobile Association also <a href="https://exchange.aaa.com/wp-content/uploads/2013/06/Road-Rage-Brochure.pdf">suggests</a> you can reduce road rage incidents by being a more considerate driver yourself – always use your indicator, avoid cutting others off and maintain a safe distance from other cars. Try to stay calm when other drivers are angry, and allow extra time in your journey to reduce stress. If driving anger is a frequent issue, consider seeking support or <a href="https://www.healthdirect.gov.au/anger-management">anger management resources</a>. Avoiding — or at least being aware of — <a href="https://www.sciencedirect.com/science/article/pii/S1369847821002667">anger rumination</a> can make a big difference. This happens when someone replays anger-inducing events, like being cut off in traffic, over and over in their mind. Instead of letting it go, they dwell on it, fuelling their frustration and making it harder to stay calm. Recognising this pattern and shifting focus — like taking a deep breath or distracting yourself — can help stop anger from escalating into aggression. More broadly, public awareness campaigns highlighting the link between anger and risky driving could also encourage more drivers to seek help. The next time you get behind the wheel, try to remember the other driver, the cyclist, or pedestrian is just another person — someone you might pass on the street without a second thought. We’re often good at forgiving minor missteps in non-driving contexts. Let’s try to bring that same patience and understanding to the road.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/244402/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/milad-haghani-1454675">Milad Haghani</a>, Senior Lecturer of Urban Risk & Resilience, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/even-calm-people-can-fly-into-a-rage-behind-the-wheel-heres-how-to-curb-your-road-rage-before-its-too-late-244402">original article</a>.

Mind

7 things you can do if you think you sweat too much

<a href="https://theconversation.com/profiles/michael-freeman-223922">Michael Freeman</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> Sweating is our body’s way of cooling down, a bit like an internal air conditioner. When our core temperature rises (because it’s hot outside, or you’re exercising), sweat glands all over our skin release a watery fluid. As that fluid evaporates, it takes heat with it, keeping us from overheating. But sweating can vary from person to person. Some people might just get a little dewy under the arms, others feel like they could fill a swimming pool (maybe not that dramatic, but you get the idea). So what’s a normal amount of sweat? And what’s too much? <h2>Why do some people sweat more than others?</h2> How much you sweat depends on a number of <a href="https://www.tandfonline.com/doi/pdf/10.1080/23328940.2019.1632145">factors</a> including: <ul> <li> your age (young kids generally sweat less than adults) </li> <li> your sex (men tend to sweat more than women) </li> <li> how active you are. </li> </ul> The average person sweats at the rate of <a href="https://www.tandfonline.com/doi/pdf/10.1080/23328940.2019.1632145">300 millilitres per hour</a> (at 30°C and about 40% humidity). But as you can’t go around measuring the volume of your own sweat (or weighing it), doctors use another measure to gauge the impact of sweating. They ask whether sweating interferes with your daily life. Maybe you stop wearing certain clothes because of the sweat stains, or feel embarrassed so don’t go to social events or work. If so, this is a medical condition called <a href="https://www.dermcoll.edu.au/atoz/axillary-hyperhidrosis/">hyperhidrosis</a>, which affects <a href="https://onlinelibrary.wiley.com/doi/pdf/10.1111/1346-8138.16908">millions of people</a> worldwide. People with this condition most commonly report problematic armpit sweating, as you’d expect. But sweaty hands, feet, scalp and groin can also be an issue. Hyperhidrosis can be a symptom of another medical condition, such as an <a href="https://www.frontiersin.org/articles/10.3389/fendo.2023.1167890/pdf">overactive thyroid</a>, <a href="https://www.tandfonline.com/doi/pdf/10.1080/23328940.2019.1632145">fever or menopause</a>. But hyperhidrosis can have no obvious cause, and the reasons behind this so-called primary hyperhidrosis are a bit of a mystery. People have normal numbers of sweat glands but researchers think they simply over-produce sweat after triggers such as stress, heat, exercise, tobacco, alcohol and hot spices. There may also be a genetic link. <h2>OK, I sweat a lot. What can I do?</h2> 1. Antiperspirants Antiperspirants, particularly ones with <a href="https://onlinelibrary.wiley.com/doi/pdf/10.1111/ics.12852">aluminium</a>, are your first line of defence and are formulated to reduce sweating. Deodorants only stop body odour. <a href="https://www.drugs.com/mtm/aluminum-chloride-hexahydrate-topical.html#:%7E:text=Aluminum%20chloride%20hexahydrate%20is%20an,excessive%20sweating%2C%20also%20called%20hyperhidrosis.">Aluminum chloride hexahydrate</a>, <a href="https://go.drugbank.com/drugs/DB11081">aluminium chloride</a> or the weaker <a href="https://cosmileeurope.eu/inci/detail/807/aluminum-zirconium-tetrachlorohydrex-gly/">aluminum zirconium tetrachlorohydrex glycinate</a> react with proteins in the sweat glands, forming a plug. This plug temporarily blocks the sweat ducts, reducing the amount of sweat reaching the skin’s surface. These products can contain <a href="https://www.termedia.pl/Journal/-7/pdf-46948-10?filename=Hyperhidrosis.pdf">up to 25%</a> aluminium. The higher the percentage the better these products work, but the more they irritate the skin. 2. Beat the heat This might seem obvious, but staying cool can make a big difference. That’s because you have less heat to lose, so the body makes less sweat. Avoid super-hot, long showers (you will have more heat to loose), wear loose-fitting clothes made from breathable fabrics such as cotton (this allows any sweat you do produce to evaporate more readily), and carry a little hand fan to help your sweat evaporate. When exercising try <a href="https://pathprojects.com/blogs/news/how-to-make-an-ice-bandana-for-trail-running-and-hiking?srsltid=AfmBOorsJpNUDs_ZkAkJDFbDFFSeT5TtWsU4aqI4-_hHWbl_wuZLsgHn">ice bandanas</a> (ice wrapped in a scarf or cloth, then applied to the body) or wet towels. You can wear these around the neck, head, or wrists to reduce your body temperature. Try also to modify the time or place you exercise; try to find cool shade or air-conditioned areas when possible. If you have tried these first two steps and your sweating is still affecting your life, talk to your doctor. They can help you figure out the best way to manage it. 3. Medication Some <a href="https://www.termedia.pl/Journal/-7/pdf-46948-10?filename=Hyperhidrosis.pdf">medications</a> can help regulate your sweating. Unfortunately some can also give you side effects such as a dry mouth, blurred vision, stomach pain or constipation. So talk to your doctor about what’s best for you. Your GP may also refer you to a dermatologist – a doctor like myself who specialises in skin conditions – who might recommend different treatments, including some of the following. 4. Botulinum toxin injections Botulinum toxin injections are not just used for cosmetic reasons. They have many applications in medicine, including blocking the nerves that control the sweat glands. They do this for many months. A dermatologist usually gives the injections. But they’re only subsidised by <a href="https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=18362&qt=ItemID">Medicare</a> in Australia for the armpits and if you have primary hyperhidrosis that hasn’t been controlled by the strongest antiperspirants. These injections are given up to three times a year. It is not subsidised for other conditions, such as an overactive thyroid or for other areas such as the face or hands. If you don’t qualify, you can have these injections privately, but it will cost you hundreds of dollars per treatment, which can last up to six months. 5. Iontophoresis This involves using a device that passes a weak electrical current through water to the skin to <a href="https://www.sciencedirect.com/science/article/am/pii/S254243272030014X">reducing sweating</a> in the hands, feet or armpits. Scientists aren’t sure exactly how it works. But this is the <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9826940/">only way</a> to control sweating of the hands and feet that does not require drugs, surgery or botulinum toxin injections. This treatment is not subsidised by Medicare and not all dermatologists provide it. However, you can buy and use your own device, which tends to be cheaper than accessing it privately. You can ask your dermatologist if this is the right option for you. 6. Surgery There is a procedure to cut certain nerves to the hands that stop them sweating. This is <a href="https://www.mdpi.com/2077-0383/11/3/786/pdf">highly effective</a> but can cause sweating to occur elsewhere. There are also other surgical options, which you can discuss with your doctor. 7. Microwave therapy This is a <a href="https://www.tandfonline.com/doi/pdf/10.1080/09546634.2022.2089333">newer treatment</a> that zaps your sweat glands to destroy them so they can’t work any more. It’s not super common yet, and it is quite painful. It’s available privately in a few centres.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/239397/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/michael-freeman-223922">Michael Freeman</a>, Associate Professor of Dermatology, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/7-things-you-can-do-if-you-think-you-sweat-too-much-239397">original article</a>.

Body

Readers response: What seems too expensive but is really worth the price?

We asked our readers what items or experience seem, too expensive but are really worth the price, and the response was overwhelming. Here's what our audience will always justify the price of. Robbie Kirkwood - Travel insurance. Elizabeth Foster - Business class on long haul flights. Jeanette Wallis - Coffee beans. Mandy O'Connor - A good pair of Levi jeans, and a good pair of boots. Pamela McDonald - I would say electricity! Seems lots complain about the cost until you lose power, then you realise how hard life would be without it. Tess Witchell - Real butter! Three ply toilet rolls, frappe iced coffee from McDonald’s, and proper bakery bread. Sue Yunker - Wine! Michael Schulze - A decent cup of coffee. Suzanne Jones - A holiday. Rose Niemack - Fruits and vegetables. Image credits: Shutterstock

Money & Banking

"You made me enjoy the game": Federer's emotional retirement letter to Nadal

Roger Federer has penned an emotional tribute to Rafael Nadal ahead of his retirement, reflecting on their stellar careers together. Nadal’s career officially came to an end when Spain was defeated 2-1 by the Netherlands in the Davis Cup quarter-final in Malaga on Wednesday morning, with Nadal in tears as he stepped onto the court for the final time. Thousands of tributes poured in for Nadal as his retirement officially began, but Federer's tribute quickly went viral for his emotional words. “As you get ready to graduate from tennis, I’ve got a few things to share before I maybe get emotional,” Federer said. “Let’s start with the obvious: you beat me - a lot. More than I managed to beat you. You challenged me in ways no one else could. On clay, it felt like I was stepping into your backyard, and you made me work harder than I ever thought I could just to hold my ground." “You made me reimagine my game - even going so far as to change the size of my racquet head, hoping for any edge. I’m not a very superstitious person, but you took it to the next level. Your whole process. All those rituals." “Assembling your water bottles like toy soldiers in formation, fixing your hair, adjusting your underwear … All of it with the highest intensity. Secretly, I kind of loved the whole thing. Because it was so unique - it was so you." “And you know what, Rafa, you made me enjoy the game even more. OK, maybe not at first. After the 2004 Australian Open, I achieved the No. 1 ranking for the first time. I thought I was on top of the world. And I was - until two months later, when you walked on the court in Miami in your red sleeveless shirt, showing off those biceps, and you beat me convincingly." "All that buzz I’d been hearing about you - about this amazing young player from Mallorca, a generational talent, probably going to win a major someday - it wasn’t just hype." “We were both at the start of our journey and it’s one we ended up taking together. Twenty years later, Rafa, I have to say: What an incredible run you’ve had. Including 14 French Opens - historic! You made Spain proud … you made the whole tennis world proud." “And then there was London – the Laver Cup in 2022. My final match. It meant everything to me that you were there by my side – not as my rival but as my doubles partner." “Sharing the court with you that night, and sharing those tears, will forever be one of the most special moments of my career.” Federer signed off the 585-word tribute from “your fan Roger”. Image credits: ANDY RAIN/EPA-EFE/Shutterstock Editorial

Retirement Life

5 items you’re cleaning too much

Cleaning the house is no easy feat. To make life a little easier for you, here are five items you are probably cleaning more than you need to. 1. Clothes worn once For particular items of clothing such as gym gear, shirts and tights it is fine to wash clothes after every wear. However, most other items can be worn up to three times advises Carolyn Forte, the director of the Cleaning Lab at the Good Housekeeping Institute. "Over-washing and over-drying fabrics can cause fading and wear,” she said. Studies have also shown that it is ideal to wash bath towels after three uses. 2. Dinner plates Instead of spending time rinsing your plates before putting them in the dishwasher, just make sure all the food is scrapped off. "Pre-washing dishes is a waste of time and energy,” said Carolyn. "If you aren't running it right away, let the dishwasher rinse them with a 'rinse only' cycle." 3. Light Fixtures It can be tempting to dust your light fixtures every week but Carolyn advises saving your strength from a different household task. She advises that you can get away with cleaning light fixtures once a month. 4. Jackets In the cooler months jackets are worn every day. However, this necessity only needs to be washed every three months. Jackets don’t usually come into contact with skin cells or natural oils, which allows them to go longer between washes than other clothes. 5. Curtains Curtains need to be washed if you get any marks on them but if they are in pristine condition, according to Carolyn they only need to be cleaned once a year. Image credits: Shutterstock

Home & Garden

"Not much of me left": Elton John's grim health confession

Elton John has made a blunt admission about his health battles. The 77-year-old singer opened up about his many health issues in a speech at the screening of his new documentary Elton John: Never Too Late, at the New York Film Festival on Tuesday. “To be honest with you, there’s not much of me left,” Elton told the audience. “I don’t have tonsils, adenoids or an appendix,” he continued, according to <a href="https://people.com/elton-john-jokes-not-much-of-me-left-listing-missing-organs-documentary-premiere-8721741" target="_blank" rel="noopener">People</a> magazine. “I don’t have a prostate. I don’t have a right hip or a left knee or a right knee. In fact, the only thing left to me is my left hip. “But I’m still here,” Elton continued. “And I can’t thank you [enough], you’re the people that made me.” The documentary is directed by his husband David Furnish, and American filmmaker R.J. Cutler. Throughout the years Elton has struggled with his health, and just last month he revealed he was recovering from a "severe eye infection" that affected his vision. This occured after he underwent knee and hip replacement surgery. The I'm Still Standing singer also got a pacemaker fitted in back in the 90s, and was hospitalised for influenza and a bacterial infection in 2009. In 2013 he had an abscess on his appendix, and three years later he had suffered from "gastric flu". In addition to all of these health woes he has dealt with hearing loss caused by years of touring. The singer also talked about his retirement from touring at the premiere of his new documentary, following a successful five years of performances and more than 300 shows worldwide. “As you know, I decided to stop touring because I’m 77 years of age,” he said. “I’ve done all there is to do, to play. I’ve succeeded. I’ve been there and I’ve done it.” The documentary explores his 50-year career leading up to his final North American show at Dodger Stadium in 2022. It is set to stream on Disney+ in the US on December 13. ADAM VAUGHAN/EPA-EFE/ Shutterstock Editorial

Caring

I’m iron deficient. Which supplements will work best for me and how should I take them?

<a href="https://theconversation.com/profiles/alannah-mckay-1548258">Alannah McKay</a>, <a href="https://theconversation.com/institutions/australian-catholic-university-747">Australian Catholic University</a> Iron deficiency is common and can be debilitating. It mainly affects women. One in three premenopausal women <a href="https://static1.squarespace.com/static/57bfc0498419c24a01318ae2/t/607fc2e06ace2f22d5ca9a43/1618985699483/20210421+-+IDC+-+economic+impact+of+iron+deficiency+-+FINAL.pdf">are low in iron</a> compared to just 5% of Australian men. Iron deficiency particularly affects teenage girls, women who do a lot of exercise and those who are pregnant. The <a href="https://pubmed.ncbi.nlm.nih.gov/11160590/">body needs iron</a> to make new red blood cells, and to support energy production, the immune system and cognitive function. If you’re low, you may experience a range of symptoms including fatigue, weakness, shortness of breath, headache, irregular heartbeat and reduced concentration. If a blood test shows you’re iron deficient, your doctor may recommend you start taking an oral iron supplement. But should you take a tablet or a liquid? With food or not? And when is the best time of day? Here are some tips to help you work out how, when and what iron supplement to take. <h2>How do I pick the right iron supplement?</h2> The iron in your body is called “elemental iron”. Choosing the right oral supplement and dose will depend on how much elemental iron it has – your doctor will advise exactly how much you need. The sweet spot is between <a href="https://www.sciencedirect.com/science/article/pii/S0098299720300364?via%3Dihub">60-120 mg of elemental iron</a>. Any less and the supplement won’t be effective in topping up your iron levels. Any higher and you risk gastrointestinal symptoms such as diarrhoea, cramping and stomach pain. In Australia, iron salts are the most common oral supplements because they are cheap, effective and come in different delivery methods (tablets, capsules, liquid formulas). <a href="https://www.ncbi.nlm.nih.gov/books/NBK557376/">The iron salts</a> you are most likely to find in your local chemist are ferrous sulfate (~20% elemental iron), ferrous gluconate (~12%) and ferrous fumarate (~33%). These formulations <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3867244/">all work similarly</a>, so your choice should come down to dose and cost. Many multivitamins may look like an iron supplement, but it’s important to note they usually have too little iron – usually less than 20 mg – to correct an iron deficiency. <h2>Should I take tablets or liquid formulas?</h2> Iron contained within a tablet is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3867244/">just as well absorbed</a> as iron found in a liquid supplement. Choosing the right one usually comes down to personal preference. The main difference is that liquid formulas tend to contain less iron than tablets. That means you might need to take more of the product to get the right dose, so using a liquid supplement could work out to be more expensive in the long term. <h2>What should I eat with my iron supplement?</h2> Research <a href="https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajh.26987">has shown</a> you will absorb more of the iron in your supplement if you take it on an empty stomach. But this can cause more gastrointestinal issues, so might not be practical for everyone. If you do take your supplement with meals, it’s important to think about what types of food will boost – rather than limit – iron absorption. For example, taking the supplement alongside vitamin C improves your body’s ability to absorb it. Some supplements already contain vitamin C. Otherwise you could take the supplement along with a glass of orange juice, or other <a href="https://ods.od.nih.gov/factsheets/VitaminC-HealthProfessional/">vitamin C-rich foods</a>. On the other hand, tea, coffee and calcium all <a href="https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajh.26987">decrease the body’s ability to absorb iron</a>. So you should try to limit these close to the time you take your supplement. <h2>Should I take my supplement in the morning or evening?</h2> The best time of day to take your supplement is in the morning. The body can <a href="https://journals.lww.com/acsm-msse/fulltext/2019/10000/the_impact_of_morning_versus_afternoon_exercise_on.20.aspx">absorb significantly more</a> iron earlier in the day, when concentrations of hepcidin (the main hormone that regulates iron) are at their lowest. Exercise also affects the hormone that regulates iron. That means taking your iron supplement after exercising can <a href="https://journals.humankinetics.com/view/journals/ijsnem/32/5/article-p359.xml">limit your ability to absorb it</a>. Taking your supplement in the hours following exercise will mean significantly poorer absorption, especially if you take it between two and five hours after you stop. <a href="https://journals.lww.com/acsm-msse/fulltext/2024/01000/iron_absorption_in_highly_trained_male_runners_.14.aspx">Our research</a> has shown if you exercise every day, the best time to take your supplement is in the morning before training, or immediately after (within 30 minutes). <h2>My supplements are upsetting my stomach. What should I do?</h2> If you experience gastrointestinal side effects such as diarrhoea or cramps when you take iron supplements, you may want to consider taking your supplement every second day, rather than daily. Taking a supplement every day is still the fastest way to restore your iron levels. But a recent study <a href="https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(23)00463-7/fulltext#%20">has shown</a> taking the same total dose can be just as effective when it’s taken on alternate days. For example, taking a supplement every day for three months works as well as every second day for six months. This results in fewer side effects. Oral iron supplements can be a cheap and easy way to correct an iron deficiency. But ensuring you are taking the right product, under the right conditions, is crucial for their success. It’s also important to check your iron levels prior to commencing iron supplementation and do so only under medical advice. In large amounts, <a href="https://www.ncbi.nlm.nih.gov/books/NBK430862/">iron can be toxic</a>, so you don’t want to be consuming additional iron if your body doesn’t need it. If you think you may be low on iron, talk to your GP to find out your best options.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/235315/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/alannah-mckay-1548258">Alannah McKay</a>, Postdoctoral Research Fellow, Sports Nutrition, <a href="https://theconversation.com/institutions/australian-catholic-university-747">Australian Catholic University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/im-iron-deficient-which-supplements-will-work-best-for-me-and-how-should-i-take-them-235315">original article</a>.

Body

Is white rice bad for me? Can I make it lower GI or healthier?

<a href="https://theconversation.com/profiles/emma-beckett-22673">Emma Beckett</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> Rice is a <a href="http://www.ipni.net/publication/bci.nsf/0/42A2EA40E95CBD1385257BBA006531E9/$FILE/Better%20Crops%20International%202002-3%20p03.pdf">culinary staple</a> in Australia and around the world. It might seem like a given that brown rice is healthier than white and official <a href="https://www.eatforhealth.gov.au/eating-well/healthy-recipes/recipe-modification-tips">public health resources</a> often recommend brown rice instead of white as a “healthy swap”. But <a href="https://pubmed.ncbi.nlm.nih.gov/34441728/">Australians definitely prefer white rice</a> over brown. So, what’s the difference, and what do we need to know when choosing rice? <h2>What makes rice white or brown?</h2> Rice “grains” are technically seeds. A complete, whole rice seed is called a “paddy”, which has <a href="https://www.fao.org/4/t0567e/t0567e07.htm">multiple parts</a>: <ol> <li>the “hull” is the hard outer layer which protects the seed</li> <li>the “bran”, which is a softer protective layer containing the seed coat</li> <li>the “germ” or the embryo, which is the part of the seed that would develop into a new plant if was germinated</li> <li>the “endosperm”, which makes up most of the seed and is essentially the store of nutrients that feeds the developing plant as a seed grows into a plant.</li> </ol> Rice needs to be <a href="https://www.tandfonline.com/doi/pdf/10.1080/87559128509540778">processed</a> for humans to eat it. Along with cleaning and drying, the hard hulls are removed since we can’t digest them. This is how <a href="https://ift.onlinelibrary.wiley.com/doi/abs/10.1111/1541-4337.12449">brown rice is made</a>, with the other three parts of the rice remaining intact. This means brown rice is regarded as a “wholegrain”. White rice, however, is a “refined” grain, as it is <a href="https://ift.onlinelibrary.wiley.com/doi/abs/10.1111/1541-4337.12449">further polished</a> to remove the bran and germ, leaving just the endosperm. This is a mechanical and not a chemical process. <h2>What’s the difference, nutritionally?</h2> Keeping the bran and the germ means <a href="https://onlinelibrary.wiley.com/doi/abs/10.1002/cche.10322">brown rice has more</a> magnesium, phosphorus, potassium B vitamins (niacin, folate, riboflavin and pyridoxine), iron, zinc and fibre. The germ and the bran also contain more bioactives (compounds in foods that aren’t essential nutrients but have health benefits), like <a href="https://www.mdpi.com/1420-3049/28/2/532#:%7E:text=Brown%20rice%20(BR)%20is%20obtained,and%20phenolic%20compounds%20%5B3%5D.">oryzanols and phenolic compounds</a> which have antioxidant effects. But that doesn’t mean white rice is just empty calories. It <a href="https://www.glnc.org.au/wp-content/uploads/2011/04/GLNC_Rice-factsheet_WEB.pdf">still contains</a> vitamins, minerals and some fibre, and is low in fat and salt, and is naturally gluten-free. White and brown rice actually have <a href="https://ift.onlinelibrary.wiley.com/doi/abs/10.1111/1541-4337.12449">similar</a> amounts of calories (or kilojoules) and total carbohydrates. There are studies that show eating more white rice is linked to <a href="https://diabetesjournals.org/care/article/43/11/2625/35820/A-Global-Perspective-on-White-Rice-Consumption-and">a higher risk</a> of type 2 diabetes. But it is difficult to know if this is down to the rice itself, or other related factors such as socioeconomic variables or other dietary patterns. <h2>What about the glycaemic index?</h2> The higher fibre means brown rice has a <a href="https://www.sciencedirect.com/science/article/pii/S0002916523314862">lower glycaemic index</a> (GI), meaning it raises blood sugar levels more slowly. But this is highly variable between different rices within the white and brown categories. The <a href="https://www.betterhealth.vic.gov.au/health/healthyliving/carbohydrates-and-the-glycaemic-index#:%7E:text=The%20glycaemic%20index%20(GI)%20is,simple'%20or%20'complex'.">GI system</a> uses low (less than 55), medium (55–70) and high (above 70) categories. <a href="https://glycemicindex.com/gi-search/?food_name=rice&product_category=&country=&gi=&gi_filter=&serving_size_(g)=&serving_size_(g)_filter=&carbs_per_serve_(g)=&carbs_per_serve_(g)_filter=&gl=&gl_filter=">Brown rices</a> fall into the low and medium categories. <a href="https://glycemicindex.com/gi-search/?food_name=rice&product_category=&country=&gi=&gi_filter=&serving_size_(g)=&serving_size_(g)_filter=&carbs_per_serve_(g)=&carbs_per_serve_(g)_filter=&gl=&gl_filter=">White rices</a> fall in the medium and high. There are specific <a href="https://www.gisymbol.com/low-gi-products/sunrice-doongara-low-gi-white-clever-rice-1kg/">low-GI types available</a> for both white and brown types. You can also lower the GI of rice by <a href="https://pubs.acs.org/doi/abs/10.1021/jf503203r">heating and then cooling it</a>. This process converts some of the “available carbohydrates” into “resistant starch”, which then functions like dietary fibre. <h2>Are there any benefits to white rice?</h2> The <a href="https://www.realsimple.com/brown-rice-vs-white-rice-8417468#:%7E:text=The%20eating%20experience%20between%20these,chewier%20texture%20and%20nuttier%20flavor.">taste and textural qualities</a> of white and brown rices differ. White rice tends to have a softer texture and more mild or neutral flavour. Brown rice has a chewier texture and nuttier flavour. So, while you can technically substitute brown rice into most recipes, the experience will be different. Or other ingredients may need to be added or changed to create the desired texture. Removing more of the outer layers may also reduce the levels of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10375490/">contaminants</a> such as pesticides. <h2>We don’t just eat rice</h2> Comparing white and brown rice seems like an easy way to boost nutritional value. But just because one food (brown rice) is more nutrient-dense doesn’t make the other food (white rice) “bad”. Ultimately, it’s not often that we eat just rice, so we don’t need the rice we choose to be the perfect one. Rice is typically the staple base of a more complex dish. So, it’s probably more important to think about what we eat with rice. Adding vegetables and lean proteins to rice-based dishes can easily add the micronutrients, bioactives and fibre that white rice is comparatively lacking, and this can likely do more to contribute to diet quality than eating brown rice instead.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/236767/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/emma-beckett-22673">Emma Beckett</a>, Adjunct Senior Lecturer, Nutrition, Dietetics & Food Innovation - School of Health Sciences, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/is-white-rice-bad-for-me-can-i-make-it-lower-gi-or-healthier-236767">original article</a>.

Food & Wine

Men have a biological clock too. Here’s what’s more likely when dads are over 50

<a href="https://theconversation.com/profiles/karin-hammarberg-113096">Karin Hammarberg</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> We hear a lot about women’s biological clock and how age affects the chance of pregnancy. <a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2821811#google_vignette">New research shows</a> men’s fertility is also affected by age. When dads are over 50, the risk of pregnancy complications increases. Data from more than 46 million births in the <a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2821811#google_vignette">United States</a> between 2011 and 2022 compared fathers in their 30s with fathers in their 50s. While taking into account the age of the mother and other factors known to affect pregnancy outcomes, the researchers found every ten-year increase in paternal age was linked to more complications. The researchers found that compared to couples where the father was aged 30–39, for couples where the dad was in his 50s, there was a: <ul> <li>16% increased risk of preterm birth</li> <li>14% increased risk of low birth weight</li> <li>13% increase in gestational diabetes.</li> </ul> The older fathers were also twice as likely to have used assisted reproductive technology, including IVF, to conceive than their younger counterparts. <h2>Dads are getting older</h2> In this <a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2821811#google_vignette">US study</a>, the mean age of all fathers increased from 30.8 years in 2011 to 32.1 years in 2022. In that same period, the proportion of men aged 50 years or older fathering a child increased from 1.1% to 1.3%. We don’t know the proportion of men over 50 years who father children in Australia, but data shows the average age of fathers has increased. In 1975 the <a href="https://www.abs.gov.au/statistics/people/population/births-australia/latest-release">median age of Australian dads</a> was 28.6 years. This jumped to 33.7 years in 2022. <h2>How male age affects getting pregnant</h2> As we know from <a href="https://www.businessinsider.com/celebrities-dads-first-time-over-age-50#when-he-was-54-simon-cowell-and-girlfriend-lauren-silverman-became-parents-to-their-son-eric-7">media reports</a> of celebrity dads, men produce sperm from puberty throughout life and can father children well into old age. However, there is a noticeable decline in <a href="https://www.fertstert.org/article/S0015-0282(18)30269-3/fulltext">sperm quality</a> from about age 40. Female partners of older men take longer to achieve pregnancy than those with younger partners. A study of the effect of male age on <a href="https://www.fertstert.org/article/S0015-0282(03)00366-2/fulltext">time to pregnancy</a> showed women with male partners aged 45 or older were almost five times more likely to take more than a year to conceive compared to those with partners aged 25 or under. More than three quarters (76.8%) of men under the age of 25 years impregnated their female partners within six months, compared with just over half (52.9%) of men over the age of 45. Pooled data from ten studies showed that partners of older men are also more likely to experience miscarriage. Compared to couples where the male was aged 25 to 29 years, <a href="https://pubmed.ncbi.nlm.nih.gov/32358607/">paternal age over 45 years</a> increased the risk of miscarriage by 43%. <h2>Older men are more likely to need IVF</h2> Outcomes of assisted reproductive technology, such as IVF, are also influenced by the age of the male partner. A <a href="https://doi.org/10.1016/j.rbmo.2022.03.031">review of studies</a> in couples using assisted reproductive technologies found paternal age under 40 years reduced the risk of miscarriage by about 25% compared to couples with men aged over 40. Having a male under 40 years also almost doubled the chance of a live birth per treatment cycle. With a man over 40, 17.6% of treatment rounds resulted in a live birth, compared to 28.4% when the male was under 40. <h2>How does male age affect the health outcomes of children?</h2> As a result of age-related changes in sperm DNA, the children of older fathers have increased risk of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957550/">a number of conditions</a>. Autism, schizophrenia, bipolar disorders and leukaemia have been linked to the father’s advanced years. A <a href="https://www.fertstert.org/article/S0015-0282(22)01979-3/fulltext">review of studies</a> assessing the impact of advanced paternal age reported that children of older fathers have increased rates of psychiatric disease and behavioural impairments. But while the increased risk of adverse health outcomes linked to older paternal age is real, the magnitude of <a href="https://pubmed.ncbi.nlm.nih.gov/29471389/">the effect is modest</a>. It’s important to remember that an increase in a very small risk is still a small risk and most children of older fathers are born healthy and develop well. <h2>Improving your health can improve your fertility</h2> In addition to the effects of older age, some chronic conditions that affect fertility and reproductive outcomes become more common as men get older. They include <a href="https://www.fertstert.org/article/S0015-0282(23)01935-0/fulltext">obesity and diabetes</a> which affect sperm quality by lowering testosterone levels. While we can’t change our age, some lifestyle factors that increase the risk of pregnancy complications and reduce fertility, can be tackled. They include: <ul> <li><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4639396/">smoking</a></li> <li>recreational <a href="https://onlinelibrary.wiley.com/doi/pdf/10.1002/tre.414">drug taking</a></li> <li><a href="https://onlinelibrary.wiley.com/doi/pdf/10.1002/tre.414">anabolic steroid</a> use</li> <li>heavy <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5504800/">alcohol consumption</a>.</li> </ul> <h2>Get the facts about the male biological clock</h2> Research shows <a href="https://academic.oup.com/humupd/article/23/4/458/3065332?login=false">men want children</a> as much as women do. And most men want at least two children. Yet most men <a href="https://academic.oup.com/humupd/article/23/4/458/3065332?login=false">lack knowledge</a> about the limitations of female and male fertility and overestimate the chance of getting pregnant, with and without assisted reproductive technologies. We need better public education, starting at school, to improve awareness of the impact of male and female age on reproductive outcomes and help people have healthy babies. For men wanting to improve their chance of conceiving, the government-funded sites <a href="https://healthymale.org.au/">Healthy Male</a> and <a href="https://www.yourfertility.org.au/">Your Fertility</a> are a good place to start. These offer evidence-based and accessible information about reproductive health, and <a href="https://www.yourfertility.org.au/fertility-week-2022">tips</a> to improve your reproductive health and give your children the best start in life.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/236892/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/karin-hammarberg-113096">Karin Hammarberg</a>, Senior Research Fellow, Global and Women's Health, School of Public Health & Preventive Medicine, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/men-have-a-biological-clock-too-heres-whats-more-likely-when-dads-are-over-50-236892">original article</a>.

Body

Woman “bullied” on plane over budget seating trick

A young woman has recalled a flight from hell when she was “bullied” by a couple who were trying to utilise a seating hack that went viral on TikTok. The solo traveller took to Reddit to recount the story and ask social media users if she was in the wrong for her action. The woman began by saying she usually pays more to select her plane seat ahead of time, but a medical emergency on another plane had her waiting on standby and left with no option other than to sit in a middle seat. When she was finally able to board, she was greeted by a couple who had purchased both the window and aisle seats in a bid to have more space, utilising a travel “trick” that has been popular on TikTok. The method, which has been dubbed the 'poor man's business class', usually leaves travellers with an empty middle seat and more space, and few travellers opt to pick a middle seat. “When I got to my row the man and woman were chatting and sharing a snack... it was obvious they were together. I mentioned to the man that I'm in the middle, and he got up to let me in,” the unsuspecting traveller wrote on Reddit. “I asked them if they would prefer to sit together, I said I was totally okay with that. The woman reacted rudely to this and said ‘you're not supposed to be sitting here anyway’.” After noticing how the plane was full, she offered to show the pair her new ticket with the correct seat number on it. “She flicked her hand at my ticket and made a disgusted sound. I offered again if they wanted to sit together to which she didn't reply, her partner said it's okay and... made some small talk,” she continued. The man’s girlfriend then interrupted their conversation to ask,”'Did you use one of those third party websites to book your flight? It's so frustrating when people cheap out to inconvenience others.” The American woman explained that she had booked her flight directly and she had been placed on standby like everyone else and didn't choose the middle seat - she was assigned it. She then tried to keep the peace by refusing to engage with the furious woman. “I was so done with her attitude, I put my headphones on and attempted to do my own thing,” she explained. But the “entitled” girlfriend wasn't letting it go, as the woman explained, “This woman kept reaching over me and tapping her partner and trying to talk to him in a way that was super intrusive.” “I could tell even her partner was trying to engage her less so that she would hopefully stop, but she didn't.” “I think they tried to pull that tactic where they don't sit together on purpose...hoping no one will sit between them. But on full flights it doesn't work. And even so - it's not the other person's fault.” The traveller's post was met with hundreds of comments slamming the girlfriend’s behaviour, as one person wrote, “It's like a toddler having a tantrum.” “She was disappointed and a total a**hole. Gross entitled people,” another added. Another person applauded the traveller’s level-headed behaviour, writing, “Wow! You are my hero for keeping it classy - I’m afraid I would not have been as kind as you.” Image credits: Shutterstock

Travel Trouble

5 foods to add to your shopping list to save money – and they’re good for you too

<a href="https://theconversation.com/profiles/clare-collins-7316">Clare Collins</a>, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a> Food prices are <a href="https://www.abc.net.au/news/2024-06-13/anglicare-cost-living-unemployment-groceries-fuel-rent-prices/103972166?utm_medium=social&utm_content=sf273549397&utm_campaign=abc&utm_source=linkedin.com&sf273549397=1">adding pressure on household budgets</a>, especially for Australians on the lowest incomes. To help save money on the weekly groceries, consider adding these five staples to your shopping trolley: eggs, oats, carrots, UHT milk and apples. These foods rate highly on the <a href="https://pubmed.ncbi.nlm.nih.gov/20181811/">nutrient-rich foods index</a> and on cost, meaning they represent good value for money when it comes to buying nutritious food. Loading up on these items helps push more expensive, less nutritious foods out of your trolley. Keeping a supply at your place will also save extra trips to the shops, which saves petrol and time. <h2>1. Eggs</h2> Eggs are extremely good value at around A$6 a dozen (50 cents an egg). Meat, chicken and fish prices vary from $12 a kilo for mince, $12–$20 a kilo for chicken, to $20–$50 a kilo for steak and fish depending on cut or type. Selecting the cheapest cuts still costs $2–$3 a serve, compared to two eggs at a $1 serve. When you swap a red meat meal for an eggy dish, this can add up to a big saving. Try our egg recipes on the <a href="https://nomoneynotime.com.au/healthy-easy-recipes/filter/meals--dinner,lunch/superfoods--eggs">No Money No Time website</a>, from <a href="https://nomoneynotime.com.au/healthy-easy-recipes/sweetcorn-and-zucchini-fritters">fritters</a>, to <a href="https://nomoneynotime.com.au/healthy-easy-recipes/mushroom-omelette">omelettes</a>, or <a href="https://nomoneynotime.com.au/healthy-easy-recipes/clares-rainbow-rice">fried rice</a>. These recipes also help use up other items you have in the pantry, fridge and veggie crisper. Eggs are a good <a href="https://www.australianeggs.org.au/nutrition/nutrients-and-vitamins">source</a> of protein and also contain choline, lutein and zeaxanthin, vitamins A, B2, B12, D, E and folate, and minerals iron, zinc, iodine and selenium. For people concerned about eggs raising cholesterol, a <a href="https://pubmed.ncbi.nlm.nih.gov/38370115/">recent review of research evidence</a> concluded there wasn’t likely to be any adverse effect on overall disease risk when consuming up to one egg a day. <h2>2. Rolled oats</h2> Rolled oats vary a lot in price from about $2 a kilogram for “own brand”, up to $9 for premium varieties. Oats are really <a href="https://nomoneynotime.com.au/healthy-easy-recipes/filter/keywords--Oats">versatile</a>. For breakfast you can make <a href="https://nomoneynotime.com.au/healthy-easy-recipes/microwave-porridge">porridge</a>, <a href="https://nomoneynotime.com.au/healthy-easy-recipes/easy-overnight-oats">overnight oats,</a> DIY muesli or <a href="https://nomoneynotime.com.au/healthy-easy-recipes/gingerbread-granola">granola</a>. Oats make a pastry substitute for a <a href="https://nomoneynotime.com.au/healthy-easy-recipes/clares-rolled-oats-quiche">quick and easy quiche base</a>. Or blitz them in a food processor and use as a breadcrumb substitute. For dessert, you can use them to top a comforting <a href="https://nomoneynotime.com.au/healthy-easy-recipes/wholegrain-apple-crumble">apple crumble</a>. <a href="https://www.glnc.org.au/resource/oats-2/">Oats are a wholegrain</a>, meaning they retain every part of the original grain – the germ, bran and outer layers – and hence more fibre and nutrients. Oats are a rich in beta-glucan, a soluble fibre that <a href="https://pubmed.ncbi.nlm.nih.gov/34236436/">helps lower blood cholesterol levels</a> by binding with bile acids in the gut, meaning they can’t be converted into LDL (bad) cholesterol. They <a href="https://www.glnc.org.au/resource/oats-2/">also contain</a> B vitamins of thiamin (b1), riboflavin (B2), niacin (B3), pyridoxine (B6), pantothenic acid (B5) and folate (B9), as well as vitamin E and the minerals iron, zinc, magnesium, phosphorus and potassium. <h2>3. Carrots</h2> It’s hard to get better value than a bag of carrots at about $2.50 a kilo. They last for ages in the fridge and can be eaten raw, as carrot sticks or with <a href="https://nomoneynotime.com.au/healthy-easy-recipes/moroccan-carrot-dip">carrot dip</a>, or baked to make carrot veggie “<a href="https://nomoneynotime.com.au/healthy-easy-recipes/vegetable-chips">chips</a>”. Try grating carrot as an extra on a salad roll or <a href="https://nomoneynotime.com.au/healthy-easy-recipes/basic-beef-burgers">burger</a>, or mixed into grated cheese to extend it when topping tacos, pasta or pizza, or even a dish like <a href="https://nomoneynotime.com.au/healthy-easy-recipes/carrot-and-cauliflower-macaroni-cheese">mac and cheese</a>. Other versatile uses include soup, <a href="https://nomoneynotime.com.au/healthy-easy-recipes/carrot-puree">carrot mash</a>, <a href="https://nomoneynotime.com.au/healthy-easy-recipes/baked-carrots-with-honey-thyme">roasted carrots</a> or, for something sweet, carrot muffins or <a href="https://nomoneynotime.com.au/healthy-easy-recipes/easy-carrot-cake-bliss-balls">bliss balls</a>. Carrots are rich in the carotenoids <a href="https://ods.od.nih.gov/factsheets/VitaminA-HealthProfessional/">alpha-carotene and beta-carotene</a>, which get converted into vitamin A in the body and used in antibody production and to maintain <a href="https://ods.od.nih.gov/factsheets/VitaminA-Consumer/">healthy functioning</a> of your eyes, skin, lungs and gut. <h2>4. Longlife skim milk</h2> Longlife skim milk costs about $1.60 a litre. While some fresh varieties are around the same price, the value of longlife milk is that you can keep a store of it in the cupboard, meaning you never run out and it has a long shelf life. Milk makes great <a href="https://nomoneynotime.com.au/healthy-easy-recipes/banana-breakfast-smoothie">smoothies</a> and is an essential ingredient in dishes from quiche to <a href="https://nomoneynotime.com.au/healthy-easy-recipes/cauliflower-cheese-bake">cauliflower cheese</a> to <a href="https://nomoneynotime.com.au/healthy-easy-recipes/clares-lemon-orange-delicious">lemon delicious</a> pudding. <a href="https://www.betterhealth.vic.gov.au/health/healthyliving/milk#nutrients-in-milk">Milk contains</a> protein, calcium, magnesium, zinc, potassium and vitamins A, B2 and B12. Research shows regular milk consumption is <a href="https://www.betterhealth.vic.gov.au/health/healthyliving/milk#milk-and-health-conditions">associated with</a> a lower risk of developing osteoporosis, high blood pressure, type 2 diabetes, heart disease and colon cancer. <h2>5. Apples</h2> A bag of apples costs about $4 or 60 cents an apple and $4–$5 for a large can of stewed apple. Apples make a portable snack. Add <a href="https://nomoneynotime.com.au/healthy-easy-recipes/comforting-apple-porridge">them to porridge</a>, serve <a href="https://nomoneynotime.com.au/healthy-easy-recipes/pork-loin-rolls">with pork</a>, <a href="https://nomoneynotime.com.au/healthy-easy-recipes/carrot-and-apple-coleslaw-with-mustard-vinaigrette">in coleslaw</a> or in <a href="https://nomoneynotime.com.au/healthy-easy-recipes/wholegrain-apple-crumble">apple crumble</a>. Apples <a href="https://pubmed.ncbi.nlm.nih.gov/35502671/">contain</a> dietary fibre and pectin, vitamin B6 and C, and the minerals potassium, calcium, nitrogen, magnesium and traces of zinc, iron and copper. In <a href="https://pubmed.ncbi.nlm.nih.gov/31667463/">observational studies</a>, people who ate more apples had a lower risk of heart disease, stroke, type 2 diabetes and death from any cause. For easy, tasty, economical meals that are quick to prepare, without too much effort, along with our food budget tips, visit our team’s <a href="https://nomoneynotime.com.au/">No Money No Time</a> website.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/229903/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/clare-collins-7316">Clare Collins</a>, Laureate Professor in Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/5-foods-to-add-to-your-shopping-list-to-save-money-and-theyre-good-for-you-too-229903">original article</a>.

Food & Wine

3 signs your diet is causing too much muscle loss – and what to do about it

<a href="https://theconversation.com/profiles/nick-fuller-219993">Nick Fuller</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> When trying to lose weight, it’s natural to want to see quick results. So when the number on the scales drops rapidly, it seems like we’re on the right track. But as with many things related to weight loss, there’s a flip side: rapid weight loss can result in a significant loss of muscle mass, as well as fat. So how you can tell if you’re losing too much muscle and what can you do to prevent it? <h2>Why does muscle mass matter?</h2> Muscle is an important factor in determining our metabolic rate: how much energy we burn at rest. This is determined by how much muscle and fat we have. Muscle is more metabolically active than fat, meaning it burns more calories. When we diet to lose weight, we create a calorie deficit, where our bodies don’t get enough energy from the food we eat to meet our energy needs. Our bodies start breaking down our fat and muscle tissue for fuel. A decrease in calorie-burning muscle mass slows our metabolism. This quickly slows the rate at which we lose weight and impacts our ability to maintain our weight long term. <h2>How to tell you’re losing too much muscle</h2> Unfortunately, measuring changes in muscle mass is not easy. The most accurate tool is an enhanced form of X-ray called a dual-energy X-ray absorptiometry (DXA) scan. The scan is primarily used in medicine and research to capture data on weight, body fat, muscle mass and bone density. But while DEXA is becoming more readily available at weight-loss clinics and gyms, it’s not cheap. There are also many “smart” scales available for at home use that promise to provide an accurate reading of muscle mass percentage. However, the accuracy of these scales is questionable. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8122302/">Researchers found</a> the scales tested massively over- or under-estimated fat and muscle mass. Fortunately, there are three free but scientifically backed signs you may be losing too much muscle mass when you’re dieting. <h2>1. You’re losing much more weight than expected each week</h2> Losing a lot of weight rapidly is one of the early signs that your diet is too extreme and you’re losing too much muscle. Rapid weight loss (of more than 1 kilogram per week) results in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5702468/">greater muscle mass loss</a> than slow weight loss. Slow weight loss better preserves muscle mass and often has the added benefit of <a href="https://www.sciencedirect.com/science/article/pii/S0195666312000153">greater fat mass loss</a>. One study compared people in the obese weight category who followed either a very low-calorie diet (500 calories per day) for five weeks or a low-calorie diet (1,250 calories per day) for 12 weeks. While both groups lost similar amounts of weight, participants following the very low-calorie diet (500 calories per day) for five weeks lost <a href="https://pubmed.ncbi.nlm.nih.gov/26813524/">significantly more muscle mass</a>. <h2>2. You’re feeling tired and things feel more difficult</h2> It sounds obvious, but feeling tired, sluggish and finding it hard to complete physical activities, such as working out or doing jobs around the house, is another strong signal you’re losing muscle. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3648712/">Research</a> shows a decrease in muscle mass may negatively impact your body’s physical performance. <h2>3. You’re feeling moody</h2> Mood swings and feeling anxious, stressed or depressed may also be signs you’re losing muscle mass. <a href="https://pubmed.ncbi.nlm.nih.gov/26228522/">Research</a> on muscle loss due to ageing suggests low levels of muscle mass can negatively impact mental health and mood. This seems to stem from the relationship between low muscle mass and proteins called neurotrophins, which help regulate mood and feelings of wellbeing. <h2>So how you can do to maintain muscle during weight loss?</h2> Fortunately, there are also three actions you can take to maintain muscle mass when you’re following a calorie-restricted diet to lose weight. <h2>1. Incorporate strength training into your exercise plan</h2> While a broad exercise program is important to support overall weight loss, strength-building exercises are a surefire way to help prevent the loss of muscle mass. A <a href="https://pubmed.ncbi.nlm.nih.gov/29596307/">meta-analysis of studies</a> of older people with obesity found resistance training was able to prevent almost 100% of muscle loss from calorie restriction. Relying on diet alone to lose weight will reduce muscle along with body fat, slowing your metabolism. So it’s essential to make sure you’ve incorporated sufficient and appropriate exercise into your weight-loss plan to hold onto your muscle mass stores. But you don’t need to hit the gym. Exercises using body weight – such as push-ups, pull-ups, planks and air squats – are just as effective as lifting weights and using strength-building equipment. Encouragingly, moderate-volume resistance training (three sets of ten repetitions for eight exercises) <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/sms.14237">can be as effective</a> as high-volume training (five sets of ten repetitions for eight exercises) for maintaining muscle when you’re following a calorie-restricted diet. <h2>2. Eat more protein</h2> Foods high in protein play an essential role in building and maintaining muscle mass, but <a href="https://europepmc.org/article/MED/19927027">research</a> also shows these foods help prevent muscle loss when you’re following a calorie-restricted diet. But this doesn’t mean just eating foods with protein. Meals need to be balanced and include a source of protein, wholegrain carb and healthy fat to meet our dietary needs. For example, eggs on wholegrain toast with avocado. <h2>3. Slow your weight loss plan down</h2> When we change our diet to lose weight, we take our body out of its comfort zone and trigger its survival response. It then counteracts weight loss, triggering <a href="https://pubmed.ncbi.nlm.nih.gov/25896063/">several physiological responses</a> to defend our body weight and “survive” starvation. Our body’s survival mechanisms want us to regain lost weight to ensure we survive the next period of famine (dieting). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764193/">Research</a> shows that more than half of the weight lost by participants is regained within two years, and more than 80% of lost weight is regained within five years. However, a slow and steady, stepped approach to weight loss, prevents our bodies <a href="https://pubmed.ncbi.nlm.nih.gov/38193357/">from activating defence mechanisms</a> to defend our weight when we try to lose weight. Ultimately, losing weight long-term comes down to making gradual changes to your lifestyle to ensure you form habits that last a lifetime. <hr /> At the Boden Group, Charles Perkins Centre, we are studying the science of obesity and running clinical trials for weight loss. You can <a href="https://redcap.sydney.edu.au/surveys/?s=RKTXPPPHKY">register here</a> to express your interest.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/223865/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/nick-fuller-219993">Nick Fuller</a>, Charles Perkins Centre Research Program Leader, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/3-signs-your-diet-is-causing-too-much-muscle-loss-and-what-to-do-about-it-223865">original article</a>.

Body

"You guys can't touch me": Djokovic slams Wimbledon crowd

Novak Djokovic has launched into a staggering tirade after emerging from the Wimbledon courts victorious, after claiming the crowd was being "disrespectful" by booing him. The Serbian tennis champ accused the audience after his 6-3, 6-4, 6-2 victory over Danish player Holger Rune, calling out the behaviour during his winning speech. “To all the fans that have had respect and stayed here tonight, I thank you from the bottom of my heart and I appreciate it,” he said. “And to all those people that have chosen to disrespect the player, in this case me, have a goooood night." “Goooood night, goooood night, have a good night,” he continued. The on-court interviewer suggested that the crowd was chanting “Rooooon” and was not in fact booing, but Djokovic was determined. “I’m hoping they were just commenting on Rune and they weren’t disrespecting you,” the courtside interviewer said, as Djokovic responded, “They were, they were, they were, they were.” “I am not accepting it. No, no, no. I know they were cheering for Rune but that’s an excuse to also boo." “Listen, I have been on the tour for more than 20 years." “I know all the tricks. I focus on the respectful people that pay for the ticket, and love tennis and appreciate the players." “I have played in much more hostile environments, trust me ... you guys can’t touch me.” He then headed for the Centre Court exit to initial applause before further chants of "Ruuuuuuune" followed. Image credits: ADAM VAUGHAN/EPA-EFE/Shutterstock Editorial

Travel Trouble

Taking too many medications can pose health risks. Here’s how to avoid them

<a href="https://theconversation.com/profiles/caroline-sirois-1524891">Caroline Sirois</a>, <a href="https://theconversation.com/institutions/universite-laval-1407">Université Laval</a> When we see an older family member handling a bulky box of medications sorted by day of the week, we might stop and wonder, is it too much? How do all those pills interact? The fact is, as we get older we are more likely to develop different chronic illnesses that require us to take several different medications. This is known as polypharmacy. The concept applies to people taking five or more medications, but there are all sorts of <a href="https://doi.org/10.3390/pharmacy7030126">definitions with different thresholds</a> (for example, four, 10 or 15 medicines). I’m a pharmacist and pharmacoepidemiologist interested in polypharmacy and its impact on the population. The research I carry out with my team at the Faculty of Pharmacy at Université Laval focuses on the appropriate use of medication by older family members. We have published this <a href="https://doi.org/10.1093/ageing/afac244">study</a> on the perceptions of older adults, family carers and clinicians on the use of medication among persons over 65. <h2>Polypharmacy among older adults</h2> Polypharmacy is very common among older adults. In 2021, a quarter of persons over 65 in Canada were prescribed <a href="https://www.cihi.ca/en/drug-use-among-seniors-in-canada">more than ten different classes of medication</a>. In Québec, persons over 65 used an average of <a href="https://www.inspq.qc.ca/sites/default/files/publications/2679_portrait_polypharmacie_aines_quebecois.pdf">8.7 different drugs in 2016</a>, the latest year available for statistics. Is it a good idea to take so many drugs? According to <a href="https://journals.sagepub.com/doi/10.1177/07334648211069553">our study</a>, the vast majority of seniors and family caregivers would be willing to stop taking one or more medications if the doctor said it was possible, even though most are satisfied with their treatments, <a href="https://doi.org/10.1093/ageing/afac244">have confidence in their doctors</a> and feel that their doctors are taking care of them to the best of their ability. In the majority of cases, medicine prescribers are helping the person they are treating. Medications have a positive impact on health and are essential in many cases. But while the treatment of individual illnesses is often adequate, the whole package can sometimes become problematic. <h2>The risks of polypharmacy: 5 points to consider</h2> When we evaluate cases of polypharmacy, we find that the quality of treatment is often compromised when many medications are being taken. <ol> <li> Drug interactions: polypharmacy increases the risk of drugs interacting, which can lead to undesirable effects or reduce the effectiveness of treatments. </li> <li> A drug that has a positive effect on one illness may have a negative effect on another: what should you do if someone has both illnesses? </li> <li> The greater the number of drugs taken, the greater the risk of undesirable effects: for adults over 65, for example, there is an increased risk of confusion or falls, which have significant consequences. </li> <li> The more medications a person takes, the more likely they are to take a <a href="https://www.doi.org/10.1093/fampra/cmz060">potentially inappropriate medication</a>. For seniors, these drugs generally carry more risks than benefits. For example, benzodiazepines, medicine for anxiety or sleep, are the <a href="https://www.inspq.qc.ca/sites/default/files/publications/2575_utilisation_medicaments_potentiellement_inappropries_aines.pdf">most frequently used class</a> of medications. We want to reduce their use as much as possible <a href="https://www.canada.ca/en/health-canada/services/substance-use/controlled-illegal-drugs/benzodiazepines.html">to avoid negative impacts</a> such as confusion and increased risk of falls and car accidents, not to mention the risk of dependence and death. </li> <li> Finally, polypharmacy is associated with various adverse health effects, such as an <a href="https://www.doi.org/10.1007/s41999-021-00479-3">increase in frailty, hospital admissions and emergency room visits</a>. However, studies conducted to date have not always succeeded in isolating the effects specific to polypharmacy. As polypharmacy is more common among people with multiple illnesses, these illnesses may also contribute to the observed risks. </li> </ol> Polypharmacy is also a combination of medicines. There are almost as many as there are people. The risks of these different combinations can vary. For example, the risks associated with a combination of five potentially inappropriate drugs would certainly be different from those associated with blood pressure medication and vitamin supplements. Polypharmacy is therefore complex. <a href="https://doi.org/10.1186/s12911-021-01583-x">Our studies attempt to use artificial intelligence</a> to manage this complexity and identify combinations associated with negative impacts. There is still a lot to learn about polypharmacy and its impact on health. <h2>3 tips to avoid the risks associated with polypharmacy</h2> What can we do as a patient, or as a caregiver? <ol> <li> Ask questions: when you or someone close to you is prescribed a new treatment, be curious. What are the benefits of the medication? What are the possible side effects? Does this fit in with my treatment goals and values? How long should this treatment last? Are there any circumstances in which discontinuing it should be considered ? </li> <li> Keep your medicines up to date: make sure they are all still useful. Are there still any benefits to taking them? Are there any side effects? Are there any drug interactions? Would another treatment be better? Should the dose be reduced? </li> <li> Think about de-prescribing: this is an increasingly common clinical practice that involves stopping or reducing the dose of an inappropriate drug after consulting a health-care professional. It is a shared decision-making process that involves the patient, their family and health-care professionals. The <a href="https://www.deprescribingnetwork.ca">Canadian Medication Appropriateness and Deprescribing Network</a> is a world leader in this practice. It has compiled a number of tools for patients and clinicians. You can find them on their website and subscribe to the newsletter. </li> </ol> <h2>Benefits should outweigh the risks</h2> Medications are very useful for staying healthy. It’s not uncommon for us to have to take more medications as we age, but this shouldn’t be seen as a foregone conclusion. Every medication we take must have direct or future benefits that outweigh the risks associated with them. As with many other issues, when it comes to polypharmacy, the saying, “everything in moderation,” frequently applies.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/230612/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/caroline-sirois-1524891">Caroline Sirois</a>, Professor in Pharmacy, <a href="https://theconversation.com/institutions/universite-laval-1407">Université Laval</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/taking-too-many-medications-can-pose-health-risks-heres-how-to-avoid-them-230612">original article</a>.

Body

"Do not cry for me": Teacher announces own death

A teacher and mum-of-two who chronicled her breast cancer journey online has announced her own death, through a social media post written before her passing. "If you're reading this, it means I have died," Kate Rackham, 45, shared on her Teacher With Cancer X account. "But do not cry for me. I have lived my life on my own terms, the way I have wanted to." The mum told her followers that she joined X, formerly Twitter, as she "needed an outlet", but "what I got was so much more". "You made me feel validated in my feelings and much less alone. Thank you." <blockquote class="twitter-tweet"> If you’re reading this, it means I have died. But do not cry for me. I have lived my life on my own terms, the way I have wanted to. I joined X because I needed an outlet, what I got was so much more. You made me feel validated in my feelings and much less alone. Thank you ❤️ — Teacher with Cancer (@kate_rackham) <a href="https://twitter.com/kate_rackham/status/1801137648146243756?ref_src=twsrc%5Etfw">June 13, 2024</a></blockquote> The British mum was only 39 when she was diagnosed with incurable oestrogen-receptive breast cancer and spent the past six years fighting the disease. She began documenting her journey online, and explained that she had no obvious risk factors leading to the disease. Just before her passing, she was admitted into hospital and was told by doctors that "there is nothing more we can do" and that she "needed a bit of time" to process the news. "I'm now home, where I want to be. With Mark and the girls. Surrounded by love, family and friends," she shared at the time. "Everyone is rallying around and I have so much support. Despite everything I feel blessed." Many have shared their condolences, including friends and those who are also battling breast cancer. "When my time comes, I can but hope I display the dignity and strength of character you did. Much love and condolences to your family and friends," one wrote. "I hope you are free from the pain. You still live in your children your husband. Your legacy," another said. "Thank you for sharing your journey with grace and dignity," a third added. "I hope wherever you are you are no longer in pain. Sending love and thoughts to your family." Rackham is survived by her husband Mark and their two daughters Ruby and Nancy. Images: X/ Nine

Caring

Spending too much time on social media and doomscrolling? The problem might be FOMO

<a href="https://theconversation.com/profiles/kim-m-caudwell-1258935">Kim M Caudwell</a>, <a href="https://theconversation.com/institutions/charles-darwin-university-1066">Charles Darwin University</a> For as long as we have used the internet to <a href="https://www.theguardian.com/technology/2016/mar/07/email-ray-tomlinson-history">communicate and connect with each other</a>, it has influenced how we think, feel and behave. During the COVID pandemic, many of us were <a href="https://www.sciencedirect.com/science/article/pii/S0277953622007985">“cut off” from our social worlds</a> through restrictions, lockdowns and mandates. Understandably, many of us tried to <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0258344">find ways to connect online</a>. Now, as pandemic restrictions have lifted, some of the ways we use the internet have become concerning. Part of what drives problematic internet use may be something most of us are familiar with – the fear of missing out, or FOMO. In <a href="https://link.springer.com/article/10.1186/s12888-024-05834-9">our latest research</a>, my colleagues and I investigated the role FOMO plays in two kinds of internet use: problematic social media use and “doomscrolling”. <h2>What are FOMO, problematic social media use and doomscrolling?</h2> FOMO is the fear some of us experience when we get a sense of “missing out” on things happening in our social scene. Psychology researchers have been studying FOMO for <a href="https://doi.org/10.1016/j.chb.2013.02.014">more than a decade</a>, and it has consistently been linked to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8283615/">mental health and wellbeing</a>, <a href="https://www.sciencedirect.com/science/article/pii/S0376871624001947">alcohol use</a> and <a href="https://doi.org/10.1016/j.chb.2021.106839">problematic social media use</a>. Social media use becomes a problem for people when they have difficulty controlling urges to use social media, have difficulty cutting back on use, and where the use has a negative impact on their everyday life. Doomscrolling is characterised by a need to constantly look at and <a href="https://www.bbc.com/worklife/article/20210226-the-darkly-soothing-compulsion-of-doomscrolling">seek out “bad” news</a>. Doomscrollers may constantly refresh their news feeds or stay up late to read bad news. While problematic social media use has been around for a while, doomscrolling seems to be a more recent phenomenon – <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7735659/">attracting research attention</a> during and following the pandemic. <h2>What we tried to find out</h2> In our study, we wanted to test the idea that FOMO leads individuals to engage in problematic use behaviours due to their difficulty in managing the “fear” in FOMO. The key factor, we thought, was <a href="https://link.springer.com/article/10.1023/b:joba.0000007455.08539.94">emotion regulation</a> – our ability to deal with our emotions. We know some people tend to be good at this, while others find it difficult. In fact, greater difficulties with emotion regulation was linked to experiencing <a href="https://www.sciencedirect.com/science/article/pii/S088761852100058X">greater acute stress related to COVID</a>. However, an idea that has been gaining attention recently is <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2021.636919/full">interpersonal emotion regulation</a>. This means looking to others to help us regulate our emotions. Interpersonal emotion regulation can be helpful (such as “<a href="https://link.springer.com/article/10.1007/s11031-016-9569-3">affective engagement</a>”, where someone might listen and talk about your feelings) or unhelpful (such as “<a href="https://psycnet.apa.org/doiLanding?doi=10.1037%2F0012-1649.43.4.1019">co-rumination</a>” or rehashing problems together), depending on the context. In our analyses, we sought to uncover how both intrapersonal emotion regulation (ability to self-manage our own emotional states) and interpersonal emotion regulation (relying on others to help manage our emotions) accounted for the link between FOMO and problematic social media use, and FOMO and doomscrolling, respectively. <h2>What we found – and what it might mean for the future of internet use</h2> Our findings indicated that people who report stronger FOMO engage in problematic social media use because of difficulty regulating their emotions (intrapersonally), and they look to others for help (interpersonally). Similarly, people who report stronger FOMO are drawn to doomscrolling because of difficulty regulating their emotions intrapersonally (within themselves). However, we found no link between FOMO and doomscrolling through interpersonal emotion regulation. We suspect this difference may be due to doomscrolling being more of a solitary activity, occurring outside more social contexts that facilitate interpersonal regulation. For instance, there are probably fewer people with whom to share your emotions while staying up trawling through bad news. While links between FOMO and doomscrolling have been observed before, our study is among the first to try and account for this theoretically. We suspect the link between FOMO and doomscrolling may be more about having more of an online presence while things are happening. This would account for intrapersonal emotion regulation failing to help manage our reactions to “bad news” stories as they unfold, leading to doomscrolling. Problematic social media use, on the other hand, involves a more complex interpersonal context. If someone is feeling the fear of being “left out” and has difficulty managing that feeling, they may be drawn to social media platforms in part to try and elicit help from others in their network. <h2>Getting the balance right</h2> Our findings suggest the current discussions around <a href="https://www.nbcnews.com/news/us-news/psychology-group-says-infinite-scrolling-social-media-features-are-par-rcna147876">restricting social media use for young people</a>, while controversial, are important. We need to balance our need for social connection – which is happening increasingly online – with the <a href="https://www.biomedcentral.com/collections/spia#tab-3">detrimental consequences </a>associated with problematic internet use behaviours. It is important to also consider the nature of social media platforms and how they have changed over time. For example, adolescent social media use patterns across various platforms are <a href="https://link.springer.com/article/10.1007/s10964-019-01060-9">associated with</a> different mental health and socialisation outcomes. Public health policy experts and legislators have quite the challenge ahead of them here. Recent work has shown how loneliness is <a href="https://doi.org/10.1371/journal.pone.0190033">a contributing factor</a> to all-cause mortality (death from any cause). We have long known, too, that social connectedness is <a href="https://doi.org/10.1371/journal.pone.0190033">good for our mental health</a>. In fact, last year, the World Health Organization established a <a href="https://www.who.int/news/item/15-11-2023-who-launches-commission-to-foster-social-connection">Commission on Social Connection</a> to help promote the importance of socialisation to our lives. The recent controversy in the United States around the ownership of TikTok illustrates how central social media platforms are to our lives and ways of interacting with one another. We need to <a href="https://www.theguardian.com/commentisfree/article/2024/may/27/dominic-andre-tiktok-ban">consider the rights of individuals</a> to use them as they please, but understand that governments carry the responsibility of <a href="https://www.theguardian.com/technology/2023/apr/04/what-does-tiktoks-ban-on-australian-government-devices-mean-for-its-future">protecting users from harm</a> and safeguarding their privacy. <hr /> If you feel concerned about problematic social media use or doomscrolling, you can speak to a healthcare or mental health professional. You can also call <a href="https://www.lifeline.org.au/">Lifeline</a> on 13 11 14, or <a href="https://www.13yarn.org.au/">13 YARN</a> (13 92 76) to yarn with Aboriginal or Torres Strait Islander crisis supporters.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/230980/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/kim-m-caudwell-1258935">Kim M Caudwell</a>, Senior Lecturer - Psychology | Chair, Researchers in Behavioural Addictions, Alcohol and Drugs (BAAD), <a href="https://theconversation.com/institutions/charles-darwin-university-1066">Charles Darwin University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/spending-too-much-time-on-social-media-and-doomscrolling-the-problem-might-be-fomo-230980">original article</a>.

Technology

"Taken way too soon": TV star's brother breaks silence after shocking death

The grieving brother of slain TV star Johnny Wactor has broken his silence over his brother's untimely death. Johnny Wactor, 37, was <a href="https://oversixty.com.au/health/caring/soap-star-killed-in-robbery-gone-wrong" target="_blank" rel="noopener">killed</a> in Los Angeles in the early hours of Saturday morning when he intercepted a group of men trying to steal the catalytic converter from his vehicle, and was shot dead at the scene. Now, Wactor's brother Grant has shared more details on the events surrounding his Johnny's death, telling <a href="https://people.com/general-hospital-actor-johnny-wactors-brother-speaks-out-on-killing-taken-way-too-early-8654340" target="_blank" rel="noopener">People</a> magazine that he had finished a shift working as a bartender at the time he was shot. After his shift finished at about 3:25am local time, he walked to his car with a female co-worker when he noticed that his car had been “jacked up or lifted in some way”. Initially, the actor thought his car was being towed away, but quickly realised the people surrounding his car were not tow-truck drivers. Grant said his brother physically shielded his female colleague to prevent her from being hurt and had his hands up in the air when he was shot. “He did not confront them,” he told the publication. “He did not try to stop them. He was just trying to diffuse the situation by stepping back.” After the shooting the men fled the scene in a different car, and LAPD officer Jeff Lee said the suspects were “still outstanding”. Grant Wactor said his family were “hoping and praying” that the killers were found and brought to justice. “We just want (them to be found) as quickly as possible and correctly,” he said, describing his brother as “a good person”. “He was taken way too early, and no one should be taken like this at all,” he said. “He touched a lot of people. He believed in his core values to the end, and he lived life to the fullest the way he wanted to. And he was happy doing that.” Image credits: Instagram / Ouzounova / Shutterstock Editorial

Family & Pets

“Too chaotic for me”: Bride and groom slammed for “unreasonable” wedding rules

A bride and groom has been slammed online for giving their wedding guests an extensive list of rules they must abide by on their big day. The list of 15 demands was shared on Reddit, where social media users tore the newlyweds to shreds with their “unreasonable” rules. The post racked up thousands of comments on the Wedding Shamers subreddit, with one person writing, 'If someone sent this to me, I would simply just not go.' The rules included that guests needed to remember their opinions on the wedding are “irrelevant” while also banning attendees from “sitting down all night” or making their own big announcements. The first rule urged guests to remember that this was the bride and groom's big day, “not yours”, while also telling guests, “Do not get in the photographer's way.” They also made a strict dress code, writing, “the attire is BLACK and/or GOLD not red, blue, green and definitely NO WHITE!” “Do not rearrange the seats, we have a seating chart for a reason.” The rules continued, “If you didn't put out any money for the wedding, keep your "should've, could've, would've" to yourself. Your opinion is irrelevant.” But the couple did not stop there as they also urged guests to pace themselves when drinking and banned “big announcements or proposals.” Next up, it read, “If you can't handle or dislike the music being played, simply go home. This is a celebration, not a funeral.” The lovebirds then instructed their friends and family to use their own personalised hashtag when posting photos on social media. Rounding out the demands, the final five read, “Do not sit down all night. No outside liquor. If caught, you will be escorted out.” “Refer back to rule number one. The bride and groom said what they said! Turn ALL the way up!” The post was soon flooded with comments with many insisting that the couple had taken it too far. One person wrote, “What kind of list is this? Too chaotic for me.” Another person added, “Yeah, I would not be going to that wedding. Sounds like too much drama.” On the other hand, there were a few commenters who understood the need for issuing such strict guidelines and defended the couple. One person wrote, “They're not asking for anything out of order. They're just stating what should be obvious, but they probably have seen from their family and friends past behaviour, that it NEEDS to be addressed.” “Is it a little tacky? Yes, but the only people that will be bothered by any of it are the ones that would have been an issue.” Image credits: Reddit / Shutterstock

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"Do not cry for me": Teacher announces own death

Spending too much time on social media and doomscrolling? The problem might be FOMO

"Taken way too soon": TV star's brother breaks silence after shocking death

“Too chaotic for me”: Bride and groom slammed for “unreasonable” wedding rules