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You don’t need a doctor to get more physically active – here are 10 simple steps you can take by yourself

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/nerys-m-astbury-410114">Nerys M Astbury</a>, <a href="https://theconversation.com/institutions/university-of-oxford-1260">University of Oxford</a></em></p> <p>We all know physical activity has many <a href="https://www.nhs.uk/live-well/exercise/exercise-health-benefits/">health benefits</a>, including for mental health. It helps <a href="https://theconversation.com/exercise-can-reduce-stress-and-improve-sleep-particularly-for-women-with-breast-cancer-186144">manage stress</a>, ease joint or back pain, and boost energy levels.</p> <p>Exercise can also improve <a href="https://theconversation.com/exercise-and-the-brain-three-ways-physical-activity-changes-its-very-structure-150203">brain function</a> and <a href="https://theconversation.com/exercise-really-can-help-you-sleep-better-at-night-heres-why-that-may-be-192427">sleep</a>, and lift mood. In contrast, inactivity or spending too much time <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6308180/">sedentary</a> is a leading factor in developing a range of diseases.</p> <p>The <a href="https://www.who.int/publications/i/item/9789240015128">World Health Organization</a> recommends we should do a weekly minimum of 150-300 minutes of moderate intensity physical activity, such as walking, or 75 minutes of vigorous physical activity, such as swimming, jogging or an exercise class – as well as <a href="https://theconversation.com/strength-training-could-be-the-answer-to-one-of-the-worlds-worst-killers-228665">regular strength training</a>.</p> <p>However, many people <a href="https://www.who.int/teams/health-promotion/physical-activity/global-status-report-on-physical-activity-2022">fail to meet these guidelines</a>. So what to do about this <a href="https://www.weforum.org/agenda/2022/12/lack-exercise-inactivity-preventable-diseases/">health crisis</a>?</p> <p>There is already <a href="https://www.bmj.com/content/376/bmj-2021-068465">evidence</a> that when GPs give patients guidance and continued support to increase physical activity, this encourages them to be more physically active – at least in the short term. However, we don’t yet know the best way for doctors to communicate with patients to help them sustain these increased activity levels so the current guidance and support on offer to patients isn’t as effective as it could be.</p> <figure><iframe src="https://www.youtube.com/embed/vCCD1xHKpZc?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>For example, my <a href="https://www.bmj.com/content/386/bmj-2023-078713">latest research</a> examines the <a href="https://www.bmj.com/content/340/bmj.c1900">“motivational interviewing” (MI)</a> method GPs currently use to encourage patients to change their lifestyle. MI is a patient-centred, non-confrontational communication style that helps patients address any problem behaviour by exploring their ambivalence towards changing it. MI has been shown to help patients with a host of health problems, including <a href="https://pubmed.ncbi.nlm.nih.gov/25577724/">addiction issues</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/23001832/">eating disorders</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/25726920/">smokers</a> and those with <a href="https://pubmed.ncbi.nlm.nih.gov/33637368/">diabetes</a> to change their behaviour.</p> <p>However, I found that while MI programmes can help patients increase their total amount of physical activity – the benefits are only short term.</p> <h2>Ten simple ways to be more physically active</h2> <p>If you want more physical activity in your life, then, there are many self-directed things you can do to help yourself, without joining a programme or seeing your GP.</p> <p>Here are ten simple and effective ways to help you become – and stay – more physically active:</p> <p><strong>1) Don’t sit, stand</strong></p> <p>We <a href="https://theconversation.com/sitting-is-bad-for-your-health-and-exercise-doesnt-seem-to-offset-the-harmful-effects-225056">sit a lot</a>. In fact, it’s likely you’re sitting right now – and you needn’t be. Sitting for long periods has been <a href="https://doi.org/10.1016/j.amepre.2010.05.024">linked</a> with many adverse health outcomes, so try to stand more.</p> <figure><iframe src="https://www.youtube.com/embed/wUEl8KrMz14?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p><strong>2) Take the stairs</strong></p> <p>Being physically active needn’t mean expensive gym memberships. Try building physical activity into your daily routine. One easy way to do this is by swapping the lift or escalator for the stairs.</p> <p><strong>3) Make it fun</strong></p> <p>If you like doing something, you’re <a href="https://theconversation.com/why-you-shouldnt-let-guilt-motivate-you-to-exercise-220342">more likely</a> to continue doing it. Why not try an activity you liked doing as a child, or even something new? Who knows, you might enjoy it.</p> <p><strong>4) Phone a friend</strong></p> <p>Exercising <a href="https://theconversation.com/exercise-can-be-punishing-but-heres-how-to-stop-thinking-of-it-as-a-punishment-76167">with a friend</a> or loved one is a great way to stay motivated, and it can make physical activity more fun too.</p> <p><strong>5) Do less, more often</strong></p> <p><a href="https://pilotfeasibilitystudies.biomedcentral.com/articles/10.1186/s40814-023-01272-8">“Snacktivity”</a> – a term for breaking up your activity into shorter <a href="https://theconversation.com/forget-the-gym-in-january-exercise-snacking-is-the-way-forward-69702">activity “snacks”</a> – can help you increase activity in convenient, manageable bursts while reaping the health benefits.</p> <p><strong>6) Track your progress</strong></p> <p>Activity trackers aren’t a fad. There is <a href="https://doi.org/10.1016/S2589-7500(22)00111-X">evidence</a> that just using an activity tracker such as a pedometer to count steps or a smart watch that logs activity can help increase your activity levels, reduce body fat and increase muscle mass – and increase your overall physical fitness.</p> <p><strong>7) Get into a habit</strong></p> <p>We know it takes about ten weeks to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3505409/">form a habit</a>. Repetition is key – so stick with it and keep going. Once you’ve formed a physical activity habit, it will be <a href="https://www.psychologytoday.com/gb/basics/habit-formation#:%7E:text=Building%20healthy%20habits%20can%20involve,listening%20to%20music%20while%20exercising">hard to shake it off</a>.).</p> <p><strong>8) Hold still</strong></p> <p>Try to incorporate <a href="https://en.wikipedia.org/wiki/Isometric_exercise">isometric exercises</a> like the plank or wall squats into your routine. These exercises, which need no equipment, require you to tighten muscles and hold still – and have been shown to <a href="https://bjsm.bmj.com/content/57/20/1317">lower your blood pressure</a>.</p> <p><strong>9) Set a goal</strong></p> <p>Give yourself an achievable target to work towards – it will <a href="https://theconversation.com/three-tips-to-help-you-stay-motivated-to-keep-exercising-all-year-long-175868">motivate you</a> to reach your goal.</p> <p><strong>10) Reward yourself</strong></p> <p>And don’t forget to reward yourself when you meet that goal. You can also build in rewards to mark your progress along the way. After all, who doesn’t like to treat themselves when they’ve done well?<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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/231991/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/nerys-m-astbury-410114">Nerys M Astbury</a>, Associate professor, <a href="https://theconversation.com/institutions/university-of-oxford-1260">University of Oxford</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>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/you-dont-need-a-doctor-to-get-more-physically-active-here-are-10-simple-steps-you-can-take-by-yourself-231991">original article</a>.</em></p> </div>

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The one in-flight activity to avoid to conquer jet lag

<p dir="ltr">While many people love to travel and explore new destinations, there’s no doubt that the worst part of a holiday is often the long-haul flight. </p> <p dir="ltr">With many holidays, especially ones overseas, a drastic change of timezones can mean jet lag is unavoidable, but there are a few things you can do to make life easy when you land. </p> <p dir="ltr">According to one travel expert, how you feel when you disembark often boils down to your in-flight activities. </p> <p dir="ltr">Sarah Built, who has worked up a lifetime of long-haul travel as the Etihad Airways Vice President of Sales for Australasia, told <em><a href="https://travel.nine.com.au/latest/flight-tips-how-to-avoid-jet-lag/db8fbda1-2318-44c0-b9fe-e14d11dec70c">9Travel</a></em> that there is one thing she always avoids onboard in order to land at her destination feeling fresh: alcohol. </p> <p dir="ltr">"Whilst the allure of coffee, cocktails and snacks is real (particularly if you're travelling with kids), they can actually contribute to dehydration and worsen jet lag," she says.</p> <p dir="ltr">Instead of that in-flight beer glass of wine, Sarah says to drink water (with lime added for a twist) or herbal tea to boost your hydration and lessen that groggy mid-flight feeling.</p> <p dir="ltr">Drinking water is obviously also the key to staying hydrated, as Sarah says it's important to start drinking extra water the day before your flight, so you're going in prepared.</p> <p dir="ltr">"I carry a reusable water bottle to keep fluids up during the journey (most airports will have water stations for you to refill easily)," she says, which means you won't need to pay for an overpriced bottle at the airport.</p> <p dir="ltr">"Dehydration can cause headaches and fatigue, and you want to be able to hit the ground running on arrival, so always remember to drink plenty of water," she advises.</p> <p dir="ltr"><em>Image credits: Shutterstock </em></p>

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Thinking of using an activity tracker to achieve your exercise goals? Here’s where it can help – and where it probably won’t

<p><em><a href="https://theconversation.com/profiles/corneel-vandelanotte-209636">Corneel Vandelanotte</a>, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a></em></p> <p>It’s that time of year when many people are getting started on their resolutions for the year ahead. Doing more physical activity is a popular and <a href="https://link.springer.com/article/10.1007/s13668-016-0175-5">worthwhile</a> goal.</p> <p>If you’re hoping to be more active in 2024, perhaps you’ve invested in an activity tracker, or you’re considering buying one.</p> <p>But what are the benefits of activity trackers? And will a basic tracker do the trick, or do you need a fancy one with lots of features? Let’s take a look.</p> <h2>Why use an activity tracker?</h2> <p>One of the <a href="https://doi.org/10.1186/s12966-020-01001-x">most powerful predictors</a> for being active is whether or not <a href="https://www.sciencedirect.com/science/article/abs/pii/S0140673621026301">you are monitoring</a> how active you are.</p> <p>Most people have a vague idea of how active they are, but this is inaccurate a lot of the time. Once people consciously start to keep track of how much activity they do, they often realise it’s less than what they thought, and this motivates them to be more active.</p> <p>You can self-monitor without an activity tracker (just by writing down what you do), but this method is hard to keep up in the long run and it’s also a lot less accurate compared to devices that track your every move 24/7.</p> <p>By tracking steps or “activity minutes” you can ascertain whether or not you are meeting the <a href="https://www.health.gov.au/topics/physical-activity-and-exercise/physical-activity-and-exercise-guidelines-for-all-australians/for-adults-18-to-64-years">physical activity guidelines</a> (150 minutes of moderate to vigorous physical activity per week).</p> <p>It also allows you to track how you’re progressing with any personal activity goals, and view your progress over time. All this would be difficult without an activity tracker.</p> <p>Research has shown the most popular brands of activity trackers are generally reliable when it comes to tracking basic measures such as <a href="https://doi.org/10.2196/18694">steps</a> and <a href="https://doi.org/10.1123/jmpb.2019-0072">activity minutes</a>.</p> <h2>But wait, there’s more</h2> <p>Many activity trackers on the market nowadays track a range of other measures which their manufacturers promote as important in monitoring health and fitness. But is this really the case? Let’s look at some of these.</p> <p><strong>Resting heart rate</strong></p> <p>This is your heart rate at rest, which is normally somewhere <a href="https://www.healthdirect.gov.au/resting-heart-rate">between 60 and 100 beats per minute</a>. Your resting heart rate will gradually go down as you become fitter, especially if you’re doing a lot of high-intensity exercise. Your risk of dying of any cause (all-cause mortality) is much lower when you have a <a href="https://pubmed.ncbi.nlm.nih.gov/28552551/">low resting heart rate</a>.</p> <p>So, it is useful to keep an eye on your resting heart rate. Activity trackers are pretty good at tracking it, but you can also easily measure your heart rate by monitoring your pulse and using a stopwatch.</p> <p><strong>Heart rate during exercise</strong></p> <p>Activity trackers will also measure your heart rate when you’re active. To improve fitness efficiently, professional athletes focus on having their heart rate in certain “<a href="https://chhs.source.colostate.edu/how-to-target-heart-rate-training-zones-effectively/">zones</a>” when they’re exercising – so knowing their heart rate during exercise is important.</p> <p>But if you just want to be more active and healthier, without a specific training goal in mind, you can exercise at a level that feels good to you and not worry about your heart rate during activity. The <a href="https://doi.org/10.1097/HCO.0000000000000437">most important thing</a> is that you’re being active.</p> <p>Also, a dedicated heart rate monitor with a strap around your chest will do a much better job at measuring your actual heart rate <a href="https://doi.org/10.1038/s41746-020-0226-6">compared</a> to an activity tracker worn around your wrist.</p> <p><strong>Maximal heart rate</strong></p> <p>This is the hardest your heart could beat when you’re active, not something you could sustain very long. Your maximal heart rate is not influenced by how much exercise you do, or your fitness level.</p> <p>Most activity trackers <a href="https://jamanetwork.com/journals/jamacardiology/article-abstract/2566167">don’t measure it accurately</a> anyway, so you might as well forget about this one.</p> <p><strong>VO₂max</strong></p> <p>Your muscles need oxygen to work. The more oxygen your body can process, the harder you can work, and therefore the fitter you are.</p> <p>VO₂max is the volume (V) of oxygen (O₂) we could breathe maximally (max) over a one minute interval, expressed as millilitres of oxygen per kilogram of body weight per minute (ml/kg/min). Inactive women and men would have a VO₂max lower than 30 and 40 ml/kg/min, respectively. A reasonably good VO₂max would be mid thirties and higher for women and mid forties and higher for men.</p> <p>VO₂max is another measure of fitness that <a href="https://doi.org/10.1001/jamanetworkopen.2018.3605">correlates well</a> with all-cause mortality: the higher it is, the lower your risk of dying.</p> <p>For athletes, VO₂max is usually measured in a lab on a treadmill while wearing a mask that measures oxygen consumption. Activity trackers instead look at your running speed (using a GPS chip) and your heart rate and compare these measures to values from other people.</p> <p>If you can run fast with a low heart rate your tracker will assume you are relatively fit, resulting in a higher VO₂max. These estimates are <a href="https://doi.org/10.1007/s40279-021-01639-y">not very accurate</a> as they are based on lots of assumptions. However, the error of the measurement is reasonably consistent. This means if your VO₂max is gradually increasing, you are likely to be getting fitter.</p> <p>So what’s the take-home message? Focus on how many steps you take every day or the number of activity minutes you achieve. Even a basic activity tracker will measure these factors relatively accurately. There is no real need to track other measures and pay more for an activity tracker that records them, unless you are getting really serious about exercise.<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/219235/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/corneel-vandelanotte-209636">Corneel Vandelanotte</a>, Professorial Research Fellow: Physical Activity and Health, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>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/thinking-of-using-an-activity-tracker-to-achieve-your-exercise-goals-heres-where-it-can-help-and-where-it-probably-wont-219235">original article</a>.</em></p>

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Climb the stairs, lug the shopping, chase the kids. Incidental vigorous activity linked to lower cancer risks

<p><em><a href="https://theconversation.com/profiles/emmanuel-stamatakis-161783">Emmanuel Stamatakis</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/matthew-ahmadi-1241767">Matthew Ahmadi</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>Many people know exercise reduces the risk of <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2521826">cancers</a>, including liver, lung, breast and kidney. But structured exercise is time-consuming, requires significant commitment and often financial outlay or travel to a gym. These practicalities can make it infeasible for <a href="https://bjsm.bmj.com/content/42/11/901">most adults</a>.</p> <p>There is <a href="https://www.nature.com/articles/s41591-022-02100-x">very little research</a> on the potential of incidental physical activity for reducing the risk of cancer. Incidental activities can include doing errands on foot, work-related activity or housework as part of daily routines. As such they do not require an extra time commitment, special equipment or any particular practical arrangements.</p> <p>In our <a href="https://jamanetwork.com/journals/jamaoncology/fullarticle/2807734">study</a> out today, we explored the health potential of brief bursts of vigorous physical activities embedded into daily life. These could be short power walks to get to the bus or tram stop, stair climbing, carrying heavy shopping, active housework or energetic play with children.</p> <h2>How was the study done?</h2> <p>Our <a href="https://jamanetwork.com/journals/jamaoncology/fullarticle/2807734">new study</a> included 22,398 <a href="https://www.ukbiobank.ac.uk/">UK Biobank</a> participants who had never been diagnosed with cancer before and did not do any structured exercise in their leisure time. Around 55% of participants were female, with an average age of 62. Participants wore wrist activity trackers for a week. Such trackers monitor activity levels continuously and with a high level of detail throughout the day, allowing us to calculate how hard and exactly for how long people in the study were moving.</p> <p>Participants’ activity and other information was then linked to future cancer registrations and other cancer-related health records for the next 6.7 years. This meant we could estimate the overall risk of cancer by different levels of what we call “<a href="https://pubmed.ncbi.nlm.nih.gov/33108651/">vigorous intermittent lifestyle physical activity</a>”, the incidental bursts of activity in everyday life. We also analysed separately a group of <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2521826">13 cancer sites in the body</a> with more established links to exercise, such such as breast, lung, liver, and bowel cancers.</p> <p>Our analyses took into account other factors that influence cancer risk, such as age, smoking, diet, and alcohol habits.</p> <h2>What we found out</h2> <p>Even though study participants were not doing any structured exercise, about 94% recorded short bursts of <a href="https://pubmed.ncbi.nlm.nih.gov/33108651/">vigorous activity</a>. Some 92% of all bouts were done in very short bursts lasting up to one minute.</p> <p>A minimum of around 3.5 minutes each day was associated with a 17–18% reduction in total cancer risk compared with not doing any such activity.</p> <p>Half the participants did at least 4.5 minutes a day, associated with a 20–21% reduction in total cancer risk.</p> <p>For cancers such as breast, lung and bowel cancers, which we know are impacted by the amount of exercise people do, the results were stronger and the risk reduction sharper. For example, a minimum of 3.5 minutes per a day of vigorous incidental activity reduced the risk of these cancers by 28–29%. At 4.5 minutes a day, these risks were reduced by 31–32%.</p> <p>For both total cancer and those known to be linked to exercise, the results clearly show the benefits of doing day-to-day activities with gusto that makes you huff and puff.</p> <h2>Our study had its limits</h2> <p>The study is observational, meaning we looked at a group of people and their outcomes retrospectively and did not test new interventions. That means it cannot directly explore cause and effect with certainty.</p> <p>However, we took several statistical measures to minimise the possibility those with the lowest levels of activity were not the unhealthiest, and hence the most likely to get cancer – a phenomenon called “<a href="https://www.sciencedirect.com/topics/computer-science/reverse-causation">reverse causation</a>”.</p> <p>Our study can’t explain the biological mechanisms of how vigorous intensity activity may reduce cancer risk. Previous <a href="https://journals.lww.com/acsm-msse/Fulltext/2017/02000/Brief_Intense_Stair_Climbing_Improves.10.aspx">early-stage trials</a> show this type of activity leads to rapid improvements in heart and lung fitness.</p> <p>And higher fitness is linked to lower <a href="https://www.sciencedirect.com/science/article/abs/pii/S0002934320300097">insulin resistance</a> and lower <a href="https://www.sciencedirect.com/science/article/pii/S0735109704017036">chronic inflammation</a>. High levels of these are risk <a href="https://www.sciencedirect.com/science/article/pii/S0735109704017036">factors for cancer</a>.</p> <p>There is very little research on incidental physical activity and cancer in general, because most of the scientific evidence on lifestyle health behaviours and cancer is based on questionnaires. This method doesn’t capture short bursts of activity and is very inaccurate for measuring the incidental activities of daily life.</p> <p>So the field of vigorous intensity activity and cancer risk is at its infancy, despite some <a href="https://academic.oup.com/eurheartj/article/43/46/4801/6771381">very promising</a> recent findings that vigorous activity in short bouts across the week could cut health risks. In another recent study of ours, we found benefits from daily <a href="https://www.nature.com/articles/s41591-022-02100-x%22%22">vigorous intermittent lifestyle activity</a> on the risk of death overall and death from cancer or cardiovascular causes.</p> <h2>In a nutshell: get moving in your daily routine</h2> <p>Our study found 3 to 4 minutes of vigorous incidental activity each day is linked with decreased cancer risk. This is a very small amount of activity compared to <a href="https://bjsm.bmj.com/content/54/24/1451">current recommendations</a> of 150–300 minutes of moderate intensity or 75–150 minutes of vigorous intensity activity a week.</p> <p>Vigorous incidental physical activity is a promising avenue for cancer prevention among people unable or unmotivated to exercise in their leisure time.</p> <p>Our study also highlights the potential of technology. These results are just a glimpse how wearables combined with machine learning – which our study used to identify brief bursts of vigorous activity – can reveal health benefits of unexplored aspects of our lives. The future potential impact of such technologies to prevent cancer and possibly a <a href="https://www.nature.com/articles/s41591-022-02100-x">host of other</a> conditions could be very large.<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/210288/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/emmanuel-stamatakis-161783"><em>Emmanuel Stamatakis</em></a><em>, Professor of Physical Activity, Lifestyle, and Population Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/matthew-ahmadi-1241767">Matthew Ahmadi</a>, Postdoctoral Research Fellow, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>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/climb-the-stairs-lug-the-shopping-chase-the-kids-incidental-vigorous-activity-linked-to-lower-cancer-risks-210288">original article</a>.</em></p>

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7 hot things to do this winter

<p>The best thing about winter in Australia is that in most parts of the country the weather doesn’t stop you from spending time outside. While swims at the beach might be out, there are still many things you can do out in the fresh winter air. We’ve rounded up some of our favourites.</p> <p><strong>1. Christmas in July picnic</strong><br />While people may think picnics are a summer-only activity, when it’s a sunny winter's day there is nowhere better to be than outdoors. As long as you suitably rug up, a picnic in your local park with family and friends is the perfect way to spend the day. With July coming up why don’t you get your family and or friends together and throw a Christmas in July party. It’s even an appropriate time get out the Christmas jumpers – something we cannot do on December 25th in this country.</p> <p><strong>2. A trip to the zoo</strong><br />Visiting the zoo is a great day out for all, young and old. Many zoos across the country put on special shows and activities during the school holidays (think June/July), so this is a great time to think about taking younger family members or the grandkids.</p> <p><strong>3. Wine and cheese tasting</strong><br />Whether you want to head out to some wineries for the day or have your own wine and cheese tasting soiree at home, winter is the perfect time to kick back with a lovely glass of red and a platter of cheeses. While Australia has many amazing wineries that everyone should try, we also love the idea of holding a wine tasting party. You can assign one type of wine to each of your guests and even theme the day (wines from one country or each person brings a wine from where they grew up) to make it more fun.</p> <p><strong>4. Walk in a national park</strong><br />We are so blessed with beautiful national parks in Australia, and many of them have lots of walking trails ranging from easy to more strenuous. While rainy, snowy or extremely windy days won’t be ideal for heading out for a walk, the crisp winter air combined with the sun offers the perfect conditions for a long walk. Just don’t forget a raincoat, some water and your mobile phone in case you need them.</p> <p><strong>5. A day trip to a remote pub</strong><br />Life is all about experiences and they say that those who mix things up, are generally happier people. So quick, get out of town for the day. Research small towns nearby and look for a lovely pub to go for a nice lunch at. You might even want to make a special playlist of old songs to make the car journey extra fun.</p> <p><strong>6. Have a bake off with your friends</strong><br />It is winter, so there are bound to be some rainy or snowy days. On these days when you’re restricted to indoor activities, why not invite the grandkids, family or friends over and have a mini bake-off. Competition aside, at the end of the bake-off you’ll have some warm treats to enjoy with a nice cuppa.</p> <p><strong>7. Start a winter book club</strong><br />There’s no better time to start a book club than during winter. Not only is winter the perfect time to curl up on the couch with a blanket and catch up on reading, it is also a time when you’ll be more inclined to spend time indoors by the fire or heater. Why not turn your extra time spent reading into a book club? It gives you an excuse to catch up and spend hours on end chatting with friends – even if the conversation veers away from the book.</p> <p><em>Images: Getty</em></p>

Retirement Life

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The craziest things you can do on a cruise ship

<p>Onboard entertainment on cruise ships is no longer limited to shuffleboard and conga lines. These days you can do just about anything on the high seas. Here are five of the craziest activities</p> <p><strong>Fly over the ocean</strong></p> <p>If the view from the deck isn’t enough for you, why not hang out over the side of the ship almost 100 metres above the waves? The new Quantum of the Seas has a unique London Eye-style glass pod that is attached to a mechanical arm and swings passengers out over the ocean for unbeatable panoramic views.</p> <p><strong>Learn to surf</strong></p> <p>Thankfully we aren’t suggesting that you try the waves over the side of the ship.  A number of Royal Caribbean ships have a specially designed wave pool where passengers can learn to surf or boogie board. 130,000 litres of water per minute creates a current strong enough to stand up in and the trampoline-style walls mean you won’t hurt yourself when you wipe out.</p> <p><strong>Climb the crows nest</strong></p> <p>This is not one for the faint hearted. Onboard Star Clippers small sailing ships, brave guests can climb all the way to the top of the mast, over 21 metres above the deck. If you want to experience a little of the sailing life closer to sea level, you can also take basic sailing lessons and help the crew unfurl the sails.</p> <p><strong>Zip line</strong></p> <p>Walking across the deck is so 2005. Two Royal Caribbean ships have huge zip lines that shoot passengers across the centre of the ship, suspended nine decks in the air. You’ll feel the sea breeze in your hair and the views are great – if you can bring yourself to open your eyes.</p> <p><strong>Sky dive from the ground up</strong></p> <p>Typically skydiving is a top down affair, but you can now experience the same feeling taking off from land (or sea). The Ripcord by iFLY has a cushion of air that pushes a person upwards inside a huge glass tube and the air rushing past at over 150 kilometres an hour gives the sensation that you are really flying. This is another one that you’ll only find on new megaliner Quantum of the Seas.</p> <p><em>Images: Getty</em></p>

Cruising

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Fun camping activities for the whole family

<p>Dust off the tent and grab the sleeping bags because it is well and truly camping season! A traditional summer pursuit for many families, camping is not only great fun for all ages but a wonderful family bonding times. If you’re camping with the extended family this season, here are some activities that will engage even the most disinterested kid. Get ready for some wholesome fun that does not involve technology!</p> <p><strong>Scavenger hunt</strong></p> <p>Make it a competition so everyone, even the adults, get involved and active! As you will likely be around nature, create a nature-themed hunt. It can be as simple as collecting items like leaves of certain colours, different shaped rocks, snail shells or even spotting different types of bugs and animals. In this case, get everyone to take a photo of the item. Make sure you warn kids of things to avoid like certain poisonous or prickly plants that might be around.</p> <p><strong>Obstacle course</strong></p> <p>Create the ultimate outdoor obstacle course to challenge the whole family. It can be as easy or hard as you want so set it to accommodate all ages and activity levels in the family. Obstacles like crawling under picnic tables, skipping stones, long jumps on a beach, hanging off a branch are all options. Use what is at your campsite and race each other with the ‘losers’ having to cook dinner or collect firewood.</p> <p><strong>Nature watching</strong></p> <p>Since the whole family will be in the thick of the bush, take the time to get to know nature better! Most national parks and campsites will have brochures of types of animals and birds in the area or grab a guidebook and go bird and animal watching. Or learn about the different types of flora in the area. Just be sure to respect nature and not damage anything.</p> <p><strong>Learn new skills</strong></p> <p>A camping trip is a great time to teach the kids how to read maps and compasses (or brush up if you are rusty). Reading a map and compass is quickly becoming a lost skill but one which is still important. Make it a bit more fun by going orienteering. Create an easy compass course and see how well the family follows directions.</p> <p><strong>Cook up a treat</strong></p> <p>If you are lucky enough to have a big campfire blazing away at night don’t waste the opportunity and cook up some camp favourites. The classic damper is a great option, otherwise toasting marshmallows while sharing stories is the perfect way to unwind at night. Or you can create s’mores, an American favourite of marshmallows and chocolate sandwiched between crackers.</p> <p><strong>Ghost stories</strong></p> <p>Even the most disinterested grandkids will be engrossed with a night time session of ghost stories around the campfire. Engulfed in the blackness of night with not much signs of civility, the scare factor is heightened. If nobody can think of any good ones (we recommend you have some prepared to scare everyone!) or the grandkids are too young, play the game where everyone contributes a sentence which slowly builds an often outrageous and hilarious tale.</p> <p><em>Image credit: Shutterstock</em></p>

Travel Tips

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Get two for the price of one with top ways to have fun and keep active

<p dir="ltr">Physical activity is a key factor in a person’s health at any age, and experts have long preached the physical benefits of keeping fit. </p> <p dir="ltr">However, as good things often come in pairs, it’s always important to note that while exercise can mean excellent things physically - from preventing certain health conditions such as diabetes and cardiovascular diseases to benefiting mental health - it comes with the additional bonus of introducing people to like-minded souls. This socialisation is especially important towards tackling boredom and the loneliness that comes along with isolation. </p> <p dir="ltr">As life goes on, it may become harder to take part in the activities of youth - sports, for example, are not so kind to older joints. This by no means limits what someone can and cannot try out, with plenty of options still available for those who dream of keeping active and having some fun along the way. </p> <ul> <li dir="ltr"><strong>Community centres </strong></li> </ul> <p dir="ltr">Community/leisure centres and senior clubs feature a whole host of activities on their calendars, and a quick Google search will reveal the closest ones on offer. With many covering everything from sports to hiking, dancing, art classes, and new learning opportunities, these can prove a great way to gain a new skill and make some new friends in the process. </p> <ul> <li dir="ltr"><strong>New hobbies</strong></li> </ul> <p dir="ltr">On a similar note, picking up a new hobby can introduce you to a whole host of people with the same interests, especially if you find a group or community page to share your newfound enthusiasm. You’ll pick up new tips and tricks faster, and with your new social circle, may even find a second or third hobby to dabble in. A local walking group could even introduce you to new spots in your area that you’d never even heard of - or perhaps even a post-trek coffee shop to enjoy a well-deserved pastry. And, of course, bowling never goes amiss, nor a little competitive spirit when it comes to forging new bonds and a drive to improve.</p> <ul> <li dir="ltr"><strong>Gardening </strong></li> </ul> <p dir="ltr">Not only does gardening provide fresh air and exercise, but if you play your cards right (or water your crops right) you could find yourself with a garden that’s the envy of the whole neighbourhood, or one that’s fully self-sufficient to save you a few dollars on your next trip to the supermarket. Weeding, watering, mowing, and planting are just some of the productive tasks to leave you feeling proud of your hard work that also have the added benefit of counting towards your exercise goal for the day - you probably just won’t realise it at the time. </p> <ul> <li dir="ltr"><strong>Play</strong></li> </ul> <p dir="ltr">Grandchildren and pets provide the perfect opportunity for some free and entertaining physical activity, even if sometimes they might move a little too quickly for comfort. From pushing the youngest in strollers, to taking a dog on a leisurely walk around the block, there are ample opportunities to enjoy the outdoors and get some steps in the process. And if all else fails, a game of hide-and-seek in the backyard or living room can’t steer you wrong. </p> <p dir="ltr"><em>Images: Getty </em></p>

Body

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10 exciting retirement adventure ideas

<p>In the words of Mark Twain, “Years from now you’ll be more disappointed by the things you didn’t do than by the one’s you did.” Now you’ve got a little bit of extra time up your hands heed these words and start your own retirement adventure, like one of the 10 ideas mentioned here.</p> <p><strong>1. Drive the Great Ocean Road </strong></p> <p>We’ve already talked about <span style="text-decoration: underline;"><strong><a href="/travel/international/2015/12/driving-the-great-ocean-road/" target="_blank">eight reasons everyone should drive the Great Ocean Road</a></strong></span> in Australia. Observe what remains of the 12 apostles, visit the many amazing sites and enjoy some of the best scenery Australia has to offer.</p> <p><strong>2. Discover the Red Centre</strong></p> <p>By land, air or water there’s never been a better time to discover the Red Centre. And because you’ve got nothing else going on you could do it all. It’s surprisingly cheap to book a helicopter tour of Uluru, a four wheel drive is classic and even a river cruise through Katherine Gorge is nice!</p> <p><strong>3. Head to a music festival</strong></p> <p>There are a number of festivals that cater to older (and more discerning) musical tastes. The Bluesfest in Byron Bay is a popular choice and recent festivals have included classic acts for all ages like Paul Simon, Bob Dylan and Crosby, Stills and Nash.</p> <p><strong>4. Head to Asia</strong></p> <p>You’ve probably been to Asia before, but now you can really explore. Bhutan is one of Asia’s best kept secrets and retirement is a great time to finally explore it. This land of rugged mountains, ancient shrines and awe-inspiring natural wildlife is a must now you’ve got more time.</p> <p><strong>5. European Peace Walk</strong></p> <p>This newly started walking trail (self-guided) sees you walk 550km across central Europe from Vienna to Trieste, via Bratislava, Hungary, Croatia and Slovenia. This annual walk marks the anniversary of World War I and is designed to celebrate and promote the creation of peace in Europe.</p> <p><strong>6. Cross the Arctic Circle </strong></p> <p>This is an ambitious trip, but now that you’ve got some more free time you can afford to be a little bit more adventurous! Depending on your age, budget, fitness and appetite, you can do anything from a four hours trip to an extensive, week-long trek where you’re camping under the stars!</p> <p><strong>7. Master a new sport</strong></p> <p>Now’s your big opportunity to try and master a new sport! Sure, maybe you’ve left it a bit late to try cliff diving, or to get into the octagon as an MMA fighter, but that doesn’t mean there’s any reason to not give any sport you’ve considered trying (but never had the time to) a red hot go.</p> <p><strong>8. Go caravanning</strong></p> <p><span style="text-decoration: underline;"><strong><a href="/travel/international/2016/01/how-i-drove-a-motorhome-around-the-world/" target="_blank">As recently mentioned in our recent community contributor article</a></strong></span>, how I drove a caravan around the world in retirement sometimes retirement can signal the start of your adventures rather than the end! Explore Australia or even head abroad and enjoy the bliss of life on the open road.</p> <p><strong>9. Volunteering in retirement</strong></p> <p>Giving up a little bit of your time to help others can be an adventure in its own right. As we outlined in our article, <a href="/lifestyle/retirement-life/2015/12/reasons-to-volunteer-in-retirement/" target="_blank"><span style="text-decoration: underline;"><strong>5 reasons to volunteer in retiremen</strong></span>t</a>, evidence shows that giving a little time to help others in retirement isn’t just good for the community, it’s good for you.</p> <p><strong>10. Pick up a new hobby</strong></p> <p>With a little bit of extra time on your hands, you’ll relish the opportunity to explore some of your interests. Whether it’s a new musical instrument, arts and crafts, or even <span style="text-decoration: underline;"><strong><a href="/news/news/2015/11/octogenarian-flies-helicopter/" target="_blank">learning how to fly a helicopter</a></strong></span>, with less restrictions on your time you’re only really limited by your imagination. </p> <p><strong>Related links:</strong></p> <div class="advert" style="margin: 20px 0 20px 0; float: right;"></div> <p><span style="text-decoration: underline;"><em><a href="http://www.oversixty.co.nz/finance/retirement-income/2015/12/8-tips-to-help-downsize-in-retirement/"><strong>8 tips that will help you downsize in retirement</strong></a></em></span></p> <p><span style="text-decoration: underline;"><em><strong><a href="http://www.oversixty.co.nz/finance/retirement-income/2015/12/driving-in-retirement/">Do I need a car in retirement?</a></strong></em></span></p> <p><em><strong><a href="http://www.oversixty.co.nz/finance/retirement-income/2015/12/common-mistakes-first-time-investors/">5 common mistakes first time investors make</a></strong></em></p>

Retirement Income

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World’s largest active volcano erupts

<p dir="ltr">The world’s largest active volcano has begun to erupt for the first time in 38 years, with officials warning locals to prepare in the event of a worst-case scenario.</p> <p dir="ltr">Hawaii’s Mauna Loa, located inside Hawaii Volcanoes National Park, began to erupt on Sunday night local time at Moku'āweoweo, the volcano’s summit caldera (a hollow that forms beneath the summit after an eruption).</p> <p dir="ltr">While the lava has been mostly contained within the summit, US officials said the situation could change rapidly and have urged Big Island’s 200,000 residents to prepare to evacuate if lava begins to flow towards populated areas.</p> <p dir="ltr">A warning about ashfall was previously issued to residents, given that falling ash can contaminate water supplies, kill vegetation and irritate the lungs, but the advisory has since been lifted.</p> <p dir="ltr">"Based on past events, the early stages of a Mauna Loa eruption can be very dynamic and the location and advance of lava flows can change rapidly," the US Geological Service (USGS) said.</p> <p dir="ltr">The public has also been urged to stay away from Mauna Loa, given the threat caused by lava that has been shooting 30 to 60 metres into the air, as well as the emission of harmful volcanic gases such as sulfur dioxide.</p> <p><span id="docs-internal-guid-10618cf4-7fff-1daf-e239-fd7dacd6e75c"></span></p> <p dir="ltr">The eruption - Moana Loa’s 33rd since 1843 - comes after a series of recent earthquakes hit the region, with more than a dozen reported on Sunday.</p> <p dir="ltr"><img src="https://oversixtydev.blob.core.windows.net/media/2022/11/mauna-lua1.jpg" alt="" width="1280" height="720" /><em>Aerial photos show the first time Mauna Loa has erupted in the past 38 years. Image: USGS</em></p> <p dir="ltr">Bobby Camara, a lifelong resident who lives in Big Island’s Volcano Village, told <em>The Guardian</em> that he had seen the volcano erupt three times in his life and warned that everyone on the island should be vigilant.</p> <p dir="ltr">“I think everybody should be a little bit concerned,” he said. </p> <p dir="ltr">“We don’t know where the flow is going, we don’t know how long it’s going to last.”</p> <p dir="ltr">Gunner Mench, an art gallery owner in Kamuela, told the outlet that he saw the eruption alert on his phone shortly after midnight on Sunday before venturing out to film the red glow over the island and lava spilling down the side of the volcano.</p> <p dir="ltr">“You could see it spurting up into the air, over the edge of this depression,” Mench said. </p> <p dir="ltr">“Right now it’s just entertainment, but the concern is (it could reach populated areas).”</p> <p dir="ltr">Dr Jessica Johnson, a volcano geophysicist who has worked at the Hawaiian Volcano Observatory, told the <em>BBC </em>that although the lava poses “little risk” to people, it could be a threat for infrastructure.</p> <p dir="ltr">She warned that lava flows could pose a threat to Hilo and Kona, two nearby population centres, and that the volcanic gases could cause breathing problems.</p> <p dir="ltr">While the USGS has noted there is no indication the lava will spill out of the summit, the agency has opened evacuation shelters due to reports of locals self-evacuating along the South Kona coast.</p> <p dir="ltr">Mauna Loa is the world’s largest active volcano and one of five that make up Hawaii’s Big Island, the southernmost island in the archipelago.</p> <p dir="ltr"><span id="docs-internal-guid-aee70986-7fff-e08d-8de9-4df53dcb9f38"></span></p> <p dir="ltr"><em>Image: H24 NET (Twitter)</em></p>

International Travel

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7 free activities to do at a port stop

<p>Having a fun during your port stops doesn’t mean you have to spend lots of money. Depending on where you have stopped, there are various activities that you can spend your time doing that will still allow you to soak up the country that you are in.</p> <p><strong>1. Beach</strong></p> <p>Beaches not only provide some of the most beautiful views on earth but they are an enjoyable activity that requires no money. You can spend your time taking in some Vitamin D, reading a book, searching for seashells or cooling off in the crystal waters.</p> <p><strong>2. Explore</strong></p> <p>Depending on where you are, you can choose to go on a nice walk to take in the outdoor views or explore the streets and local life. You will be able to stretch your legs, take in the views and you will also be bound to meet some friendly faces that might be willing to give you some insider tips to where to go next. If you prefer not to walk too much when you explore, research prior to your trip to see if there are any free bus rides where you are stopping. </p> <p><strong>3. Tour the city</strong></p> <p>If you have great navigation skills, don’t bother paying for a tour but visit the most prominent sites by yourself. From churches, to statutes and museums, you can explore the history of the location on your own terms. This will allow you to spend more time on the places you don’t want to rush or skip the attractions that don’t interest you at all.</p> <p><strong>4. Browse markets</strong></p> <p>Markets are often free and will definitely entertain you as you browse through the local handmade goods and food. If you find some cheap items you can also purchase them as souvenirs and save yourself from spending lots of money at the tourist trap shops. You will also be supporting locals who may need the money. The markets will also provide a lot of options to meet different people. Be sure to know the conversion rate before you go to the markets so you don’t get ripped off.</p> <p><strong>5. See live music</strong></p> <p>Live music is delightful to watch in another country and is a great way to see how the country’s culture and history has influenced the music. Live music can be found anywhere whether it be in front of prominent attractions, street corners or in bars. If you stumble upon an act that you enjoy, feel free to dance along or start clapping. Be aware of pickpocket thieves when you listen to live music as they love crowds.</p> <p><strong>6. People-watch</strong></p> <p>People-watching is a great way to learn about the culture of a country. If you feel like relaxing in a park or at a café, be sure to pick a spot that gives you a great view of the crowds. You will be easily entertained watching people going about their lives oblivious of your gaze.</p> <p><strong>7. Attend local events</strong></p> <p>There are so many local events on in all countries around the world, it is just a matter of being aware of where they are and what time they are occurring. Check out the events calendars for your cruise ports to see which events take your fancy.</p> <p>What free activities are your favourite in cruise ports? Let us know in the comments below. </p>

Cruising

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10 activities to help you connect with your loved one with dementia

<p><strong>Dementia affects relationships</strong></p> <p>Every year, there are more than 10 million new dementia cases, according to Alzheimer’s Disease International. This means many of us navigate this condition with spouses, parents, grandparents, siblings and more.</p> <p>If you love someone who has dementia, you know the disease is often accompanied by symptoms that go beyond memory loss. For the patient, dementia can trigger paranoia, speech difficulties and, at times, even a lack of empathy. These symptoms usually only make the caregiver’s experience more complicated and emotional.</p> <p>Fortunately, finding moments to connect with a loved one who has dementia, and enriching their life with things you can do together, is possible. In fact, welcoming them into a few of your regular tasks may not only help the two of you enjoy some one-on-one time, but as you might discover with a few of the ideas listed below, it could also help to remind you that there can be joy in the most basic routines.</p> <p>Read on for wisdom and ideas from geriatrics clinician Dr Jeffrey Landsman and longtime family caregiver Breeda Miller. Many activities for dementia patients and their caregivers are relatively easy to plan.</p> <p><strong>Pull out old photo albums</strong></p> <p>For some dementia patients, looking through old photos can unlock memories from childhood and early adulthood. “Though someone may not remember you – they may have no short-term memory – long-term memory can persist,” Dr Landsman says. “Somebody with pretty advanced dementia may still have some of the old memories available.”</p> <p>Digging out old albums or boxes of photos might take a little time, but it’s likely to be very rewarding. Your loved one with dementia might be able to talk about old times in a way that they haven’t for months (possibly years).</p> <p><strong>Organise a cabinet or shelf together</strong></p> <p>This simple activity can check an item off your to-do list while also reconnecting with an older family member. Miller recalls that her mother, who had Alzheimer’s, loved “the tactile exercise of smoothing and folding paper” while unpacking and organising a box of fragile china dishes.</p> <p>Not only can this be good for a dementia patient’s spirit but, according to a 2018 review of studies that suggested sensory activities might also improve dementia symptoms, published in the journal <em>Clinical Interventions in Aging</em>, it might actually “help improve dementia-specific issues”.</p> <p><strong>Listen to music together</strong></p> <p>Music can help dementia patients with symptoms of long-term depression and cognitive function, according to recent research published in Frontiers in Medicine. Dr Landman echoes this finding. He explains that playing music from your loved one’s younger years may help them perk up emotionally and even physically. He’s seen some dementia patients begin to sing or dance along to old favourites.</p> <p><strong>Watch old movies</strong></p> <p>Like music, old movies can spark long-lost memories. Dr Landman says some dementia patients have memories linked to old films – perhaps they remember the plot or even a childhood friend who attended the theatre with them. Watching classics alongside your loved one with dementia could help you relax together, and potentially lead to an engaging chat after the film.</p> <p><strong>Fold laundry together</strong></p> <p>Like organising a cabinet, folding laundry can be a ho-hum chore that suddenly turns more meaningful when you include your loved one who is losing his or her memory. “When my mother and mother-in-law would get ‘antsy,’ I would have several simple tasks ready that they could ‘help’ me with,” says Miller. One of these activities was folding laundry. Miller says simple, useful activities can help people with dementia stop fixating on negative emotions, focusing on doing a task that makes them feel purposeful, and connect with the people around them.</p> <p>So rather than folding and putting away laundry before a visit with your grandparent or parent who’s been diagnosed with dementia, think about saving the task to enjoy together. When conversation lapses, connect by doing something together is still possible.</p> <p><strong>Clean together</strong></p> <p>The National Institute on Aging (NIA) suggests sweeping or vacuuming with a friend or family member with Alzheimer’s disease. When it came to doing things around the house, Miller says her mother-in-law loved washing dishes and wiping down benchtops. Meanwhile, Miller would assist (and provide some safe oversight) by supplying the soap and water. “She was in her element, and I was thrilled to have help,” Miller recalls.</p> <p>These simple activities for dementia patients can help them feel useful while offering an opportunity to connect with loved ones.</p> <p><strong>Go for a walk</strong></p> <p>Walking is linked to better health, boosted mood and even longer life. Walking can be so beneficial that the experts at NIA also recommend walking as a good activity for dementia patients. (It goes without saying, someone with dementia should always be accompanied on a stroll.) For a loved one who struggles to remember your shared history, regular walks offer a chance for sharing observations about the weather, the sunlight, the flowers you see, and more. Or, even if you walk together in silence, a little fresh air and activity to get the blood flowing will almost certainly do you both good.</p> <p><strong>Play a card game</strong></p> <p>Some older adults with dementia can still remember playing classic card games such as Euchre, Rummy and Go Fish. This entertaining activity is a great way for family members of all ages to share some laughs and also experience some cognitive stimulation with their loved ones. Dr Landsman suggests that if the person with dementia says something incorrect – whether it’s a family member’s name or a rule in a card game – it’s best to let them be, as correcting inconsequential errors can create unnecessary tension and take the spotlight off the fun.</p> <p><strong>Bake family recipes</strong></p> <p>While cooking and baking are useful as activities to promote healthy eating in dementia patients, Miller notes this is also a beautiful way to put everything else aside and connect on an emotional level, when it really matters most. Her mother, for instance, loved baking apple pies. But one time when they baked together, Miller says she initially felt exhausted and overwhelmed for having to add another item to her to-do list. As it turned out, the process of baking together would become a monumental memory. “It wasn’t about the pie,” she says. “It was about making the pie. I am so grateful that I made the time to make that pie with her.” Miller says her mother passed away just three weeks later. That pie would be the last one they baked together.</p> <p><strong>Work on a puzzle together</strong></p> <p>Working on a puzzle can help engage dementia or Alzheimer’s patients’ minds, according to NIA. Whether visual puzzles or crossword puzzles, any cognitively challenging activity can help improve thinking skills over the long-term, according to research published in Frontiers in Aging Neuroscience.</p> <p>Of course, this is not meant to be a means to ‘fix’ your loved one’s memory loss. Completing a puzzle will not cure dementia. But it can support your loved one’s functioning and make them feel accomplished in the hours you spend in partnership on the task.</p> <p><em><span id="docs-internal-guid-e1cba6d6-7fff-a65f-a11b-5ac754281fd8">Written by Leandra Beabout. This article first appeared in <a href="https://www.readersdigest.co.nz/healthsmart/conditions/mental-health/10-activities-to-help-you-connect-with-your-loved-one-with-dementia" target="_blank" rel="noopener">Reader’s Digest</a>. For more of what you love from the world’s best-loved magazine, <a href="http://readersdigest.innovations.co.nz/c/readersdigestemailsubscribe?utm_source=over60&amp;utm_medium=articles&amp;utm_campaign=RDSUB&amp;keycode=WRA87V" target="_blank" rel="noopener">here’s our best subscription offer.</a></span></em></p> <p><em>Image: Getty Images</em></p>

Caring

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Five quick ideas for staying active in retirement

<p dir="ltr">Retirement is possibly the only time when you have the opportunity to do whatever it is you want. </p> <p dir="ltr">But for those of you who are stuck for ideas to stay active and motivated, here are some exciting ideas that can easily be done alone or with other like-minded retirees. </p> <ol> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation"><strong>Travel </strong></p> </li> </ol> <p dir="ltr">The kids have grown and moved out and you can finally visit that place you’ve always wanted to but couldn’t. </p> <p dir="ltr">Definitely an enriching experience to learn about different cultures, foods, and how things work across the world.</p> <p dir="ltr">If you’re unable to travel, even just planning a trip for when you eventually can is fun. </p> <ol start="2"> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation"><strong>Volunteer</strong></p> </li> </ol> <p dir="ltr">You’ve done your fair share of 40-hour weeks (or even more!), but if you miss having something to do for others, then volunteering is definitely for you. </p> <p dir="ltr">The best way to volunteer is to find an organisation you’re passionate about and see whether you have the skills to help them out. Alternatively, go in the other direction and choose a cause or activity you’re not even remotely familiar with – which transforms the entire exercise into a learning opportunity as well!</p> <ol start="3"> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation"><strong>Sport</strong></p> </li> </ol> <p dir="ltr">This is possibly one of the best ways to meet new people, but also sport will keep you fit and healthy, which is definitely what you want during retirement. </p> <p dir="ltr">If sport isn’t for you then consider heading down to your local park and becoming a spectator! </p> <ol start="4"> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation"><strong>Go back to school</strong></p> </li> </ol> <p dir="ltr">If there’s something you’ve always wanted to study, now is the chance to go ahead without any distractions.</p> <p dir="ltr">Not only will you be learning interesting information, it will also keep your mind sharp. </p> <ol start="5"> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation"><strong>Find a new hobby</strong></p> </li> </ol> <p dir="ltr">With all the time in the world it could be fun to join a painting or pottery class.</p> <p dir="ltr">Other hobbies you may want to get immersed in include cooking classes, book clubs, or even growing your own vegetable garden. </p> <p dir="ltr"><em>Image: Shutterstock</em></p>

Retirement Life

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Life on Venus? Traces of phosphine may be a sign of biological activity

<p>The discovery that the atmosphere of Venus absorbs a precise frequency of microwave radiation has just <a href="https://doi.org/10.1038/s41550-020-1174-4">turned planetary science on its head</a>. An international team of scientists used radio telescopes in Hawaii and Chile to find signs that the clouds on Earth’s neighbouring planet contain tiny quantities of a molecule called phosphine.</p> <p>Phosphine is a compound made from phosphorus and hydrogen, and on Earth its only natural source is tiny microbes that live in oxygen-free environments. It’s too early to say whether phosphine is also a sign of life on Venus – but no other explanation so far proposed seems to fit.</p> <p>This video shows how methane was detected in the atmosphere of Mars. The process is the same for finding phosphine on Venus.</p> <p><strong>What makes an atmosphere?</strong></p> <p>The molecular makeup of a planet’s atmosphere normally depends on what its parent star is made of, the planet’s position in its star’s system, and the chemical and geological processes that take place given these conditions.</p> <p>There is phosphine in the atmospheres of Jupiter and Saturn, for example, but there it’s not a sign of life. Scientists think it is formed in the deep atmosphere at high pressures and temperatures, then dredged into the upper atmosphere by a strong convection current.</p> <p><strong>Join 130,000 people who subscribe to free evidence-based news.</strong></p> <p>Although phosphine quickly breaks down into phosphorus and hydrogen in the top clouds of these planets, enough lingers – 4.8 parts per million – to be observable. The phosphorus may be what gives clouds on Jupiter a reddish tinge.</p> <p>Things are different on a rocky planet like Venus. The new research has found fainter traces of phosphine in the atmosphere, at 20 parts per billion.</p> <p>Lightning, clouds, volcanoes and meteorite impacts might all produce some phosphine, but not enough to counter the rapid destruction of the compound in Venus’s highly oxidising atmosphere. The researchers considered all the chemical processes they could think of on Venus, but none could explain the concentration of phosphine. What’s left?</p> <p>On Earth, phosphine is only produced by microbial life (and by various industrial processes) – and the concentration in our atmosphere is in the parts per trillion range. The much higher concentration on Venus cannot be ignored.</p> <p><strong>Signs of life?</strong></p> <p>To determine whether the phosphine on Venus is really produced by life, chemists and geologists will be trying to identify other reactions and processes that could be alternative explanations.</p> <p>Meanwhile, biologists will be trying to better understand the microbes that live in Venus-like conditions on Earth – high temperatures, high acidity, and high levels of carbon dioxide – and also ones that produce phosphine.</p> <p>When Earth microbes produce phosphine, they do it via an “anaerobic” process, which means it happens where no oxygen is present. It has been observed in places such as activated sludge and sewage treatment plants, but the exact collection of microbes and processes is not well understood.</p> <p>Biologists will also be trying to work out whether the microbes on Earth that produce phosphine could conceivably do it under the harsh Venusian conditions. If there is some biological process producing phosphine on Venus, it may be a form of “life” very different from what we know on Earth.</p> <p>Searches for life beyond Earth have often skipped over Venus, because its surface temperature is around 500℃ and the atmospheric pressure is almost 100 times greater than on Earth. Conditions are <a href="https://www.liebertpub.com/doi/10.1089/ast.2017.1783">more hospitable for life</a> as we know it about 50 kilometres off the ground, although there are still vast clouds of sulfuric acid to deal with.</p> <p><strong>Molecular barcodes</strong></p> <p>The researchers found the phosphine using spectroscopy, which is the study of how light interacts with molecules. When sunlight passes through Venus’s atmosphere, each molecule absorbs very specific colours of this light.</p> <p>Using telescopes on Earth, we can take this light and split it into a massive rainbow. Each type of molecule present in Venus’ atmosphere produces a distinctive pattern of dark absorption lines in this rainbow, like an identifying barcode.</p> <p>This barcode is not always strongest in visible light. Sometimes it can only be detected in the parts of the electromagnetic spectrum that are invisible to the human eye, such as UV rays, microwave, radio waves and infrared.</p> <p>The barcode of carbon dioxide, for example, is most evident in the infrared region of the spectrum.</p> <p>While phosphine on Jupiter was first detected in infrared, for Venus observations astronomers used radio telescopes: the <a href="https://www.almaobservatory.org/en/home/">Atacama Large Millimeter/submillimeter Array</a> (ALMA) and <a href="https://www.eaobservatory.org/jcmt/about-jcmt/">James Clerk Maxwell Telescope</a> (JCMT), which can detect the barcode of phosphine in millimetre wavelengths.</p> <p><strong>New barcodes, new discoveries</strong></p> <p>The discovery of phosphine on Venus relied not only on new observations, but also a more detailed knowledge of the compound’s barcode. Accurately predicting the barcode of phosphine across all relevant frequencies took <a href="http://www.tampa.phys.ucl.ac.uk/ftp/eThesis/ClaraSousaSilva2015.pdf">the whole PhD</a> of astrochemist Clara Sousa-Silva in the <a href="https://www.ucl.ac.uk/exoplanets/research/spectroscopy-exoplanets">ExoMol group</a> at University College London in 2015.</p> <p>She used computational quantum chemistry – basically putting her molecule into a computer and solving the equations that describe its behaviour – to predict the strength of the barcode at different colours. She then tuned her model using available experimental data before making the <a href="https://arxiv.org/abs/1410.2917">16.8 billion lines of phosphine’s barcode</a> available to astronomers.</p> <p>Sousa-Silva originally thought her data would be used to study Jupiter and Saturn, as well as weird stars and distant “hot Jupiter” exoplanets.</p> <p>More recently, she led the detailed consideration of <a href="https://arxiv.org/abs/1910.05224">phosphine as a biosignature</a> – a molecule whose presence implies life. This analysis demonstrated that, on small rocky exoplanets, phosphine should not be present in observable concentrations unless there was life there as well.</p> <p>But she no doubt wouldn’t have dreamed of a phone call from an astronomer who has discovered phosphine on our nearest planetary neighbour. With phosphine on Venus, we won’t be limited to speculating and looking for molecular barcodes. We will be able to send probes there and hunt for the microbes directly.</p> <p><em>Written by Laura McKemmish, UNSW; Brendan Paul Burns, UNSW, and Lucyna Kedziora-Chudczer, Swinburne University of Technology. Republished with permission of <a href="https://theconversation.com/life-on-venus-traces-of-phosphine-may-be-a-sign-of-biological-activity-146093">The Conversation.</a> </em></p>

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How to stay active and help keep joints strong as you age

<p>If you’ve been working and striving for most of your life, retirement can be a wonderful time to change your lifestyle and pursue new, rewarding endeavours. However, this opportune period often coincides with age-related changes to the body that can hit harder than you expect.</p> <p>One of the most common problems encountered at this transitional stage of life is joint stiffness. Often dismissed or tolerated as “creaking bones”, it nevertheless may lead to a loss of flexibility as we get older – and can even be exacerbated by other factors to become more serious conditions such as osteoarthritis.</p> <p>Taking precautionary steps now may help reduce health risks and could also help with maintaining an active lifestyle going forward.</p> <p><strong>Supporting joint mobility</strong></p> <p>As joints get older, their movement becomes stiffer due to thinning cartilage and decreased lubricating fluid. However, there are some very simple and effective steps you can take to support joint mobility.</p> <p>Aside from exercising and maintaining a healthy weight, maintaining an anti-inflammatory diet can also help keep joint stiffness at bay. <a href="https://seatome.co.nz/blogs/about-inflammation/inflammation-what-is-it-exactly">Chronic inflammation</a>, which can result from the stresses of modern lifestyles and poor diet, may not only affect our energy levels and cognitive ability, but also contribute to conditions such as rheumatoid arthritis and other joint and muscle problems.</p> <p>Eating more dark leafy greens, legumes, healthy fats and cold-water fish and shellfish among others can also help reduce inflammation and improve wellbeing.</p> <p>Supplements are also an incredibly effective way to help complement a healthy diet, with one of the best options found right here on our shores, New Zealand Greenshell Mussels. They have been <a href="https://mro.massey.ac.nz/bitstream/handle/10179/14931/The%20Preventive%20Effects%20of%20Greenshell%20Mussel%20%28Perna%20canaliculus%29%20on%20Early-Stage%20Metabolic%20Osteoarthritis%20in%20Rats%20with%20Diet-Induced%20Obesity.pdf?sequence=1&amp;isAllowed=y">found to successfully reduce symptoms such as cartilage degradation in a recent Massey University study</a>. They are a good source of long-chain omega-3 fatty acids such as EPA and DHA as well as GAGs (glycosaminoglycans), which serve as <a href="https://seatome.co.nz/blogs/about-inflammation/inflammation-joint-health">shock absorbers and lubricant</a> to keep cartilage around joints flexible, elastic and strong.</p> <p>According to Sabrina Tian, research science manager at New Zealand fishing company Sanford, “Greenshell mussels contain many health benefits but are particularly helpful in the management of inflammation, bone loss and cartilage breakdown.”</p> <p><img style="width: 500px; height: 281.25px; display: block; margin-left: auto; margin-right: auto;" src="https://oversixtydev.blob.core.windows.net/media/7836894/stm2.jpg" alt="" data-udi="umb://media/beab7337f17147a2be4d597d44ff7bf2" /></p> <p><strong>Sea To Me</strong></p> <p>Sea To Me* provides the benefits of Greenshell Mussels in a capsule format with the highest quality and sustainability at every step of the process. From coast to capsule, Sea To Me prepares its Greenshell Mussel Powder capsules from start to finish right here in New Zealand.</p> <p>The mussels – rated as one of the world’s most sustainable seafood products by the <a href="http://www.seafoodwatch.org/seafood-recommendations/groups/mussels?type=new-zealand-green&amp;q=Mussels,%20New%20Zealand%20Green&amp;t=green%20l&amp;o=1422637138,1361924471#tab=seafood-watch">Monterey Bay Seafood Watch Programme</a> – are grown and harvested in pristine New Zealand waters before being powdered in a natural flash dry process, encapsulated and packaged – all locally.</p> <p>Two capsules a day of the 100 per cent natural wholefood product can help manage inflammation effectively throughout adult life and allow you to keep doing what you love.</p> <p> Available in selected pharmacies. For more information, visit <a href="https://seatome.co.nz/">Sea To Me</a>.</p> <p><strong><em>This is a sponsored article produced in partnership with </em></strong><a href="https://seatome.co.nz/"><strong><em>Sea To Me</em></strong></a><strong><em>.</em></strong></p> <p><strong><em>*Dietary supplement </em></strong><em>Always read the label and use as directed. If symptoms persist, see your health professional. Dietary Supplements are not a replacement for a balanced diet. </em></p>

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New Zealand hits zero active coronavirus cases: Here are 5 measures to keep it that way

<p><em>Editor’s update: New Zealand has<span> </span><a href="https://www.beehive.govt.nz/release/new-zealand-moves-alert-level-1">“eliminated”</a><span> </span>COVID-19 “for now”, Prime Minister Jacinda Ardern<span> </span><a href="https://www.rnz.co.nz/news/political/418524/prime-minister-jacinda-ardern-reveals-move-to-level-1-from-midnight">has declared</a>, announcing the nation will move to<span> </span><a href="https://covid19.govt.nz/alert-system/covid-19-alert-system/#alert-level-1-%E2%80%94-prepare">alert level 1</a><span> </span>from midnight on June 8, lifting all requirements for social distancing and restrictions on businesses.</em></p> <p>We are confident we have eliminated transmission of the virus in New Zealand for now, but elimination is not a point in time – it is a sustained effort.</p> <p><em>Below, two of the key epidemiologists who worked on New Zealand’s elimination strategy explain today’s news – and the challenges ahead.</em></p> <p>Today is also the 17th day since the last new case was reported. New Zealand has a total of<span> </span><a href="https://www.health.govt.nz/our-work/diseases-and-conditions/covid-19-novel-coronavirus/covid-19-current-situation/covid-19-current-cases#summary">1,154 confirmed cases</a><span> </span>(combined total of confirmed and probable cases is 1,504) and 22 people have died.</p> <p>This is an important milestone and a time to celebrate. But as we continue to rebuild the economy, there are several challenges ahead if New Zealand wants to retain its COVID-19-free status while the pandemic continues elsewhere.</p> <p>It remains important that good science supports the government’s risk assessment and management. Below, we recommend several ways people can protect themselves. But we also argue New Zealand needs an urgent overhaul of the health system, including the establishment of a new national public health agency for disease prevention and control.</p> <h2>What elimination means</h2> <p>Elimination is defined as the absence of a disease at a national or regional level. Eradication refers to its global extinction (as with smallpox).</p> <p>Elimination requires a high-performing surveillance system to provide assurance that, should border control fail, any new cases would be quickly found. Agreed<span> </span><a href="https://blogs.otago.ac.nz/pubhealthexpert/2020/05/05/the-need-for-a-robust-scientific-definition-for-the-elimination-of-covid-19-from-new-zealand/">definitions are important</a><span> </span>for public reassurance and as a basis for expanding travel links with other countries that have also achieved elimination.</p> <p>It is important to remind ourselves that active cases are not the ones we need to worry about. By definition, they have all been identified and placed in isolation and are very unlikely to infect others. The real target of elimination is to stop the unseen cases silently spreading in the community. This is why we need mathematical modelling to tell us that elimination is likely.</p> <h2>Avoiding complacency – and new outbreaks</h2> <p>New Zealand’s<span> </span><a href="https://www.nzma.org.nz/journal-articles/new-zealands-elimination-strategy-for-the-covid-19-pandemic-and-what-is-required-to-make-it-work">decisive elimination strategy</a><span> </span>appears to have succeeded, but it is easy to become complacent. Many other countries pursuing a containment approach have had new outbreaks, notably<span> </span><a href="https://theconversation.com/this-is-why-singapores-coronavirus-cases-are-growing-a-look-inside-the-dismal-living-conditions-of-migrant-workers-136959">Singapore</a>,<span> </span><a href="https://www.theguardian.com/world/2020/may/28/south-korea-faces-return-to-coronavirus-restrictions-after-spike-in-new-cases">Korea</a><span> </span>and<span> </span><a href="https://www.theguardian.com/world/2020/may/10/lessons-learned-what-australia-needs-to-do-to-avoid-a-second-covid-19-wave">Australia</a>.</p> <p>New Zealand has spent months expanding its capacities to eliminate COVID-19. But maintaining elimination will be challenging. Airports, seaports and quarantine facilities remain potential sites of transmission from overseas, particularly given the<span> </span><a href="https://www.theguardian.com/world/2020/may/27/australia-new-zealand-travel-bubble-jacinda-ardern-says-plan-will-be-presented-in-june-coronavirus">pressure to increase numbers of arrivals</a>.</p> <p>New Zealand’s move to<span> </span><a href="https://covid19.govt.nz/alert-system/covid-19-alert-system/#alert-level-1-%E2%80%94-prepare">alert level 1</a><span> </span>will end all physical distancing restrictions. If the virus is reintroduced, this creates the potential for outbreaks arising from indoor social gatherings. New Zealand is also moving into winter when respiratory viruses can spread more easily, as is seen with the<span> </span><a href="https://academic.oup.com/jid/advance-article/doi/10.1093/infdis/jiaa161/5815743">highly seasonal coronaviruses</a><span> </span>which cause the common cold.</p> <p>At midnight tonight, Monday 8th June, New Zealand will shift to Alert Level 1.</p> <p>At Alert Level 1, everyone can return without restriction to work, school, sports and domestic travel, and you can get together with as many people as you want.</p> <h2>5 key ways to protect New Zealand’s long-term health</h2> <p>Just as New Zealand prepared for the pandemic, the post-elimination period requires “<a href="https://blogs.otago.ac.nz/pubhealthexpert/2020/02/06/nz-should-prepare-for-a-potentially-severe-global-coronavirus-pandemic/">maximum proactivity</a>”. Here are five key risk management approaches to achieve lasting protection for New Zealand against COVID-19 and other serious public health threats.</p> <p><strong>1. Establish public use of fabric face masks in specific settings</strong></p> <p>Health protection relies on multiple barriers to infection or contamination. This is the cornerstone of<span> </span><a href="https://www.dia.govt.nz/diawebsite.nsf/Files/Report-Havelock-North-Water-Inquiry-Stage-2/%24file/Report-Havelock-North-Water-Inquiry-Stage-2.pdf">protecting drinking water</a>, food safety and borders from incursions by biological agents.</p> <p>With the end of physical distancing, we recommend the government seriously considers making mask wearing mandatory on public transport, on aircraft and at border control and quarantine facilities. Other personal hygiene measures (staying home if sick, washing hands, coughing into elbows) are insufficient when transmission is often from people who appear well and can<span> </span><a href="https://science.sciencemag.org/content/early/2020/06/02/science.abc6197.1">spread the virus simply by breathing and talking</a>.</p> <p>The evidence base for the effectiveness of even simple fabric face masks is now strong, according to a<span> </span><a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)31142-9/fulltext">recent systematic review</a><span> </span>published in the Lancet. The World Health Organization has also<span> </span><a href="https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public/when-and-how-to-use-masks">updated its guidelines</a><span> </span>to recommend that everyone wear fabric face masks in public areas where there is a risk of transmission. Establishing a culture of using face masks in specific settings in New Zealand will make it easier to expand their use if required in future outbreaks.</p> <p><strong>2. Improve contact tracing effectiveness with suitable digital tools</strong></p> <p>New Zealand’s<span> </span><a href="https://www.health.govt.nz/our-work/diseases-and-conditions/covid-19-novel-coronavirus/covid-19-health-advice-general-public/contact-tracing-covid-19">national system for contact tracing</a><span> </span>remains a critical back-stop measure to control outbreaks, should border controls fail. But there is significant potential for new digital tools to<span> </span><a href="https://blogs.otago.ac.nz/pubhealthexpert/2020/04/15/we-need-rapid-progress-on-digital-solutions-to-help-eliminate-covid-19-from-new-zealand/">enhance current processes</a>, albeit with appropriate privacy safeguards built in. To be effective, such digital solutions must have<span> </span><a href="https://csda.aut.ac.nz/news/digital-contact-tracing-for-covid-19-new-policy-primer">high uptake and support very rapid contact tracing</a>. Downloadable apps appear insufficient and both<span> </span><a href="https://www.newsroom.co.nz/2020/04/17/1132682/nz-considering-100m-contact-tracing-covidcard">New Zealand</a><span> </span>and<span> </span><a href="https://www.independent.co.uk/news/world/asia/coronavirus-singapore-contact-tracing-wearable-device-a9550841.html">Singapore</a><span> </span>are investigating bluetooth-enabled devices which appear to perform better and could be distributed to all residents.</p> <p><strong>3. Apply a science-based approach to border management</strong></p> <p>A cautious return to higher levels of inbound and outbound travel is important for economic and humanitarian reasons, but we need to assess the risk carefully. This opening up includes two very different processes. One is a broadening of the current categories of people permitted to enter New Zealand beyond residents, their families and a small number of others. This will typically require the continuation of<span> </span><a href="https://www.health.govt.nz/our-work/diseases-and-conditions/covid-19-novel-coronavirus/covid-19-current-situation/covid-19-border-controls">routine 14-day quarantine</a>, until improved methods are developed.</p> <p>The other potential expansion is quarantine-free entry, which will be safest from countries that meet similar elimination targets. This process could begin with<span> </span><a href="https://www.theguardian.com/world/commentisfree/2020/may/01/if-australia-and-new-zealand-restart-travel-they-should-include-the-pacific-in-their-bubble">Pacific Island nations</a><span> </span>free of COVID-19, notably Samoa and Tonga. It should be possible to extend this arrangement to various Australian states and other jurisdictions such as Fiji and Taiwan when they confirm their elimination status.</p> <p><strong>4. Establish a dedicated national public health agency</strong></p> <p>Even before COVID-19 hit New Zealand, it was clear our national public health infrastructure was failing after decades of neglect, fragmentation and erosion. Prominent examples of system failure include the<span> </span><a href="https://blogs.otago.ac.nz/pubhealthexpert/2017/12/20/the-havelock-north-drinking-water-inquiry-a-wake-up-call-to-rebuild-public-health-in-new-zealand/">Havelock North campylobacter outbreak</a><span> </span>in 2016 and the<span> </span><a href="https://blogs.otago.ac.nz/pubhealthexpert/2020/02/05/a-preventable-measles-epidemic-lessons-for-reforming-public-health-in-nz/">prolonged measles epidemic</a><span> </span>in 2019. The comprehensive<span> </span><a href="https://systemreview.health.govt.nz/">health and disability system review</a><span> </span>report was delivered to the Minister of Health in March and was widely expected to recommend significant upgrading of public health capacity. This report and its recommendations should now be released.</p> <p>We also recommend an interim evaluation of the public health response to COVID-19 now, rather than after the pandemic. These reviews would inform the needed upgrade of New Zealand’s public health capacity to manage the ongoing pandemic response and to prepare the country for other serious health threats. A key improvement would be a dedicated national public health agency to lead disease control and prevention. Such an agency could help avoid the need for lockdowns by early detection and action in response to emerging infectious disease threats, as achieved by<span> </span><a href="https://wwwnc.cdc.gov/eid/article/26/7/20-0574_article">Taiwan</a><span> </span>during the current pandemic.</p> <p><strong>5. Commit to transformational change to avoid major global threats</strong></p> <p>COVID-19 is having devastating health and social impacts globally. Even if it is brought under control with a vaccine or antivirals, other major health threats remain, including<span> </span><a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)32596-6/fulltext">climate change</a>, loss of biological diversity and existential threats (for example, pandemics arising from developments in synthetic biology). These threats need urgent attention. The recovery from lockdown provides an opportunity for a sustained transformation of our economy that addresses wider health, environmental and social goals.</p>

Caring

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How to stay fit and active at home during the coronavirus self-isolation

<p>The extensive social distancing policies put in place to limit the spread of COVID-19 mean most people will have to spend much, if not all, their time at home.</p> <p>Self-isolation means far fewer opportunities to be physically active if you are used to walking or cycling for transportation and doing leisure time sports.</p> <p>But equally worryingly, the home environment also offers abundant opportunity to be sedentary (sitting or reclining).</p> <p>While self-isolation measures are necessary, our bodies and minds still need exercise to function well, prevent weight gain and <a href="https://www.health.harvard.edu/mind-and-mood/more-evidence-that-exercise-can-boost-mood">keep the spirits up</a> during these challenging times.</p> <p>Exercise can help keep our immune system become strong, <a href="https://bjsm.bmj.com/content/45/12/987">less susceptible to infections</a> and their most <a href="https://www.sciencedirect.com/science/article/pii/S0091743519300775?via%3Dihub">severe consequences</a>, and better able to recover from them.</p> <p>Even before the restrictive conditions were announced, physical inactivity cost <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)61031-9/fulltext">5.3 million</a> lives a year globally.</p> <p>So we should consider ways to limit the effects of the impact of the COVID-19 crisis, as well as its wider impact of contributing to the long-term chronic disease crisis.</p> <p><strong>How much physical activity?</strong></p> <p>Global recommendations are for all <a href="https://www.who.int/dietphysicalactivity/factsheet_adults/en/">adults</a> to accumulate at least 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity physical activity per week, as well as muscle-strengthening activities on two or more days a week.</p> <p>Any activity is better than none, and more activity provides more physical and mental health benefits.</p> <p>As several countries are <a href="https://www.euronews.com/2020/03/19/coronavirus-which-countries-are-under-lockdown-and-who-s-next">already under lockdown</a>, it is uncertain for how long you can go outside for a walk, run or cycle. The key question is how can people meet these guidelines when restricted to the home environment?</p> <p><strong>Sitting, standing and movement</strong></p> <p>Take <a href="https://www.heartandstroke.ca/articles/5-simple-ways-to-reduce-sedentary-time">regular breaks</a> from continuous sitting in front of your computer, tablet, or smartphone every 20 to 30 minutes.</p> <p>For example, you could take a few minutes break to walk around the house, take some fresh air on the balcony, in the garden or yard, or play with your dog for a few moments.</p> <p>Alternate periods of standing while working/studying with sitting by creating your own stand-up desk area.</p> <p><strong>Make stairs your best friend</strong></p> <p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6627027/">Using the stairs</a> is an extremely <a href="https://theconversation.com/dont-have-time-to-exercise-heres-a-regimen-everyone-can-squeeze-in-111600">time-efficient</a> way to maintain fitness. As little as three 20-second fast stair climbs a day <a href="https://nrc-prod.literatumonline.com/doi/10.1139/apnm-2018-0675">can improve fitness</a> in only six weeks.</p> <p>If you live in an apartment, avoid uncomfortable lift encounters with other self-isolating neighbours by using the staircase for any necessary outdoor journeys. Take care to avoid much contact with handrails.</p> <p>Internal stairs also offer more stairclimbing and <a href="https://www.mayoclinic.org/healthy-lifestyle/fitness/in-depth/7-quick-stair-exercises-to-do-at-home/art-20390063">strength exercise</a> opportunities.</p> <p><strong>Use your own bodyweight</strong></p> <p>A <a href="https://academic.oup.com/aje/article/187/5/1102/4582884">2017 British study</a> found home based strength exercises that utilise your own bodyweight – such as press-ups, sit-ups and planks – are <a href="https://theconversation.com/strength-training-can-have-unique-health-benefits-and-it-doesnt-have-to-happen-in-a-gym-84904">as important for health</a> as aerobic exercise.</p> <p>There are many great resources for such <a href="https://www.mayoclinic.org/healthy-lifestyle/fitness/in-depth/7-quick-stair-exercises-to-do-at-home/art-20390063">indoor</a> bodyweight exercises for <a href="https://www.youtube.com/channel/UCAxW1XT0iEJo0TYlRfn6rYQ">people of all ages</a> <a href="https://www.nhs.uk/live-well/exercise/strength-exercises/">online</a>.</p> <p>Aim for at least <a href="https://www.who.int/dietphysicalactivity/factsheet_adults/en/">a couple of own bodyweight sessions per week</a>, with <a href="https://insights.ovid.com/pubmed?pmid=21694556">each session involving</a> two to four sets of eight to 15 repetitions of each strength-promoting exercise. Make sure you take a two to three minutes rest between sets.</p> <p><strong>Dance the COVID-19 blues away!</strong></p> <p>An increasing number of live <a href="https://www.billboard.com/articles/columns/pop/9335531/coronavirus-quarantine-music-events-online-streams">concerts</a> are streamed online. Use the <a href="https://www.tandfonline.com/doi/full/10.1080/17437199.2019.1627897">stress-releasing</a> magic of music and dance at home like nobody’s watching (which is not unlikely).</p> <p>Dance alone like no one is watching.</p> <p>Dancing is an excellent way to <a href="https://www.ajpmonline.org/article/S0749-3797(16)00030-1/abstract">protect the heart</a> and maintain fitness as it can reach <a href="https://journals.lww.com/acsm-msse/Fulltext/2000/09001/Compendium_of_Physical_Activities__an_update_of.9.aspx">moderate and vigorous intensity</a> and can even imitate high-intensity interval training.</p> <p>Dancing also has established <a href="https://www.sciencedirect.com/science/article/abs/pii/S0197455613001676">mental health</a> benefits to help us cope with the coronavirus-imposed solitude.</p> <p>Whether it’s electronic beats, rock or traditional Irish music that floats your boat, it will not be difficult to turn up the volume of your stereo a little higher and turn your lounge or kitchen into a little dance hall every now and again.</p> <p><strong>Give them the play time they’ve always wanted</strong></p> <p>Social-distancing is a good opportunity to bond more with the little two and four legged members of your family through active play. Both children and dogs will love you replacing some of your online media and sitting time with playing in and around the house with them.</p> <p>Dogs thrive on human attention and, given the opportunity, they would keep you on your feet 24/7. Take advantage of the extra time you will be in and around the house. There are many <a href="https://www.puppyleaks.com/easy-ways-to-keep-your-dog-busy-indoors/">great indoor games</a> to keep you active and improve your dog’s well-being.</p> <p>No matter <a href="https://activeforlife.com/49-fun-physical-activities-to-do-with-kids-aged-2-to-4/">how young or how old your children</a> are, there are <a href="https://www.nhs.uk/change4life/activities">many fun activities</a> you can do together indoors and in the garden.</p> <p><strong>Just do something!</strong></p> <p>Left unattended, the self-isolation imposed by COVID-19 will likely skyrocket sedentary time and will drastically reduce the physical activity levels for many. Our suggestions are only a few examples of ideas that need no special equipment and can be done within limited space.</p> <p>For more ideas take a look at the online resources of reputable organisations such as the <a href="http://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/novel-coronavirus-2019-ncov-technical-guidance/stay-physically-active-during-self-quarantine/_recache">World Health Organisation</a>, the <a href="https://www.exerciseismedicine.org/support_page.php/stories/?b=892">American College of Sports Medicine</a>, <a href="https://www.sportengland.org/news/how-stay-active-while-youre-home">Sport England</a> and the <a href="https://www.heart.org/en/healthy-living/fitness/getting-active/25-ways-to-get-moving-at-home-infographic">American Heart Association</a>.</p> <p>The end goal during self-isolation is to prevent long term physical and mental health damage by sitting less, moving as often as possible, and aiming to maintain fitness by huffing and puffing a few times a day.</p> <p><em>Written by Emmanuel Stamatakis, Dr Andrew Murray, Fiona Bull and Kate Edwards. Republished with permission of <a href="https://theconversation.com/how-to-stay-fit-and-active-at-home-during-the-coronavirus-self-isolation-134044">The Conversation.</a></em></p> <p><em> </em></p>

Beauty & Style

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“I’m just livid”: Cruise passengers claim they weren’t told about White Islands active volcano

<p>An Australian cruise passenger is furious and has claimed that tourists weren’t warned about the danger level of the New Zealand volcano White Island was raised just weeks before it erupted.</p> <p>At least six people have died after the volcano erupted when 47 tourists were on or around the volcano crater.</p> <p>Scientists had noted an increase in volcanic activity, which raises questions about why visitors were allowed to tour the volcano in the first place.</p> <p>'It showed increased activity for the last few weeks and so we raised the alert level,' GeoNet Project Director Dr Ken Gledhill said on Monday afternoon to<span> </span><em><a rel="noopener" href="https://www.msn.com/en-au/news/australia/furious-australian-cruise-passenger-says-tourists-werent-warned-new-zealand-volcano-could-erupt-at-any-moment-despite-danger-level-being-raised-weeks-before-deadly-explosion/ar-BBY26rR?li=AAgfYrC" target="_blank">MSN</a>.</em></p> <p>Venessa Lugo, who is a passenger on Ovation of the Seas, said that the cruise provided information about the White Island day trip but did not detail the raised danger level, according to<span> </span><em><a rel="noopener" href="https://www.dailytelegraph.com.au/news/world/new-zealand-white-island-volcanic-eruption-at-least-six-dead-31-injured/news-story/c24e5406b279ff5f40aeb78cd18b6345" target="_blank">The Daily Telegraph</a>.</em></p> <p>Lugo said that there were printed sheets on the ship as well as details accessible on a Royal Caribbean app about the shore excursion.</p> <p>“In those sheets we weren't advised of any warnings of anything going off,” she said.</p> <p>“It did ask about pre-existing medical conditions, and it was classified as strenuous activity because you would be in a gas mask, but it definitely didn't specify the possibility of (the volcano) going off.”</p> <p>A spokeswoman for Royal Caribbean did not comment on the claims when contacted but<span> </span><a rel="noopener" href="https://www.cruisehive.com/royal-caribbean-cruise-passengers-impacted-by-island-volcano-eruption/36288" target="_blank">released a statement</a><span> </span>about the incident.</p> <p>“The news from White Island is devastating. The details that are emerging are heartbreaking.</p> <p>“We are working to help our guests and the authorities in the aftermath of this tragedy in any way we can.</p> <p>“We are communicating with our guests and their families. We're making sure they are taken care of in terms of medical help, counselling, accommodations, and transport. Our hearts go out to them, and we want to be as supportive as we can.”</p> <blockquote class="twitter-tweet" data-lang="en-gb"> <p dir="ltr">My god, White Island volcano in New Zealand erupted today for first time since 2001. My family and I had gotten off it 20 minutes before, were waiting at our boat about to leave when we saw it. Boat ride home tending to people our boat rescued was indescribable. <a href="https://twitter.com/hashtag/whiteisland?src=hash&amp;ref_src=twsrc%5Etfw">#whiteisland</a> <a href="https://t.co/QJwWi12Tvt">pic.twitter.com/QJwWi12Tvt</a></p> — Michael Schade (@sch) <a href="https://twitter.com/sch/status/1203893996566634496?ref_src=twsrc%5Etfw">9 December 2019</a></blockquote> <p>Barbara Barhamn, the mother of Lauren Urey, said that her daughter and her husband Matthew would have “never booked the excursion” had they known about the risks.</p> <p>“I'm just livid,” she said after learning the couple had been rescued with burns. </p> <p>“There's been warnings about it ... my son-in-law never would have booked the excursion if he knew there was any chance of them being injured,” she said.</p> <p>White Islands Tours chairman Paul Quinn said that decisions not to tour the island is determined by the weather.</p> <p>“In the normal course of events, we'd actually make that call the night before, and that principally and invariably is around the weather,” he explained to<span> </span><em><a rel="noopener" href="https://www.tvnz.co.nz/one-news/new-zealand/its-big-tragedy-us-white-island-tours-chairman-says-iwi-owned-business-missing-two-employees" target="_blank">TVNZ</a>.</em></p> <p>Quinn also explained that they work off data sent from the Geological and Nuclear Sciences (GNS).</p> <p>“They send us reports as to what the activity levels are and if in fact it is deemed safe - which is a level two which it was yesterday - the next step is the weather and then we make our choice from there,” he said.</p> <p>Quinn said that a level two has been deemed safe for tours.</p> <p>Others have said that the eruption was just a matter of time, including Monash University Emeritus Professor Ray Cas.</p> <p>“White Island has been a disaster waiting to happen for many years,” he said to the<span> </span><em><a rel="noopener" href="https://www.abc.net.au/news/2019-12-10/a-disaster-waiting-to-happen:-prof-raymond-cas-on-eruption/11786046" target="_blank">ABC</a>.</em></p> <p>"It's 50 kilometres offshore from New Zealand with no habitation, no emergency services available.</p> <p>"When you actually get onto the island, you walk straight into this amphitheatre-like volcanic crater.</p> <p>"The floor is littered with many gas-emitting vents and also several volcanic crater lakes which are emitting steam at near-boiling temperatures.”</p>

News

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Prince William opens up about George, Charlotte and Louis’s newest favourite activity

<p>Prince William has revealed that his three children have learnt how to swim while at a royal engagement.</p> <p>The Duke of Cambridge made a comment to British swimming legend Eileen Fenton while presenting her with an MBE during an investiture ceremony at Buckingham Palace.</p> <p>He told the swimming legend that his three kids, Prince George, six, Princess Charlotte, four, and Prince Louis, 17-months, had recently just learnt to swim.</p> <p>Eileen was the first woman to complete the Cross-Channel Swimming Race in 1950, across the English Channel when she was just 21 years old.</p> <p>The three Cambridge children are likely to have spent their afternoons and free time, swimming at the Buckingham Palace pool with the Duchess of Cambridge.</p> <p>The 37-year-old mother of three has also been known to treat her children to water park days at an exclusive members’ club in the heart of London.</p> <p>When they are enjoying the comfort of their Norfolk home, the Duchess has been seen taking Prince George and Princess Charlotte to a luxury hotel complex where they enjoyed the water and "both the children swam unaided and were super confident" <a rel="noopener" href="https://www.hellomagazine.com/royalty/2019022570161/kate-middleton-half-term-swim-prince-george-princess-charlotte/" target="_blank" title="Hello"><em>Hello</em></a><span> </span>reports said.</p> <p>Duchess Kate’s sister, Pippa, revealed she had started her son in swimming lessons from an early age.</p> <p>"Starting my son Arthur swimming at four months old has given him confidence and enjoyment in water," Pippa said in April.</p> <p>"He's now six months old, and swimming is one of our favourite activities."</p>

Family & Pets