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How was Halloween invented? Once a Celtic pagan tradition, the holiday has evolved to let kids and adults try on new identities

<a href="https://theconversation.com/profiles/linus-owens-457047">Linus Owens</a>, <a href="https://theconversation.com/institutions/middlebury-1247">Middlebury</a> “It’s alive!” Dr. Frankenstein cried as his creation stirred to life. But the creature had a life of its own, eventually escaping its creator’s control. Much like Frankenstein’s monster, traditions are also alive, which means they can change over time or get reinvented. Built from a hodgepodge of diverse parts, Halloween is one such tradition that has been continually reinvented since its ancient origins as <a href="https://press.uchicago.edu/ucp/books/book/distributed/T/bo46408548.html">a Celtic pagan ceremony</a>. Yet beneath the superhero costumes and bags of candy still beats the heart of the original. The Celts lived in what’s now Ireland as far back as 500 B.C. They celebrated New Year’s Day on Nov. 1, which they called <a href="https://www.loc.gov/folklife/halloween-santino.html">Samhain</a>. They believed that leading up to the transition to the new year, the door between the worlds of the living and the dead swung open. The souls of the recently dead, previously trapped on Earth, could now pass to the underworld. Since they thought spirits came out after dark, this supernatural activity reached its peak the night before, on Oct. 31. The Celts invented rituals to protect themselves during this turbulent time. They put on costumes and disguises to fool the spirits. They lit bonfires and stuck candles inside carved turnips – the first jack-o’-lanterns – to scare away any spirits looking for mischief. If all else failed, they carried a pocketful of treats to pay off wayward spirits and send them back <a href="https://global.oup.com/academic/product/halloween-9780195168969?cc=us&lang=en&">on their way to the underworld</a>. Sound familiar? <a href="https://theconversation.com/halloweens-celebration-of-mingling-with-the-dead-has-roots-in-ancient-celtic-celebrations-of-samhain-191300">Although focused on the dead</a>, Samhain was ultimately <a href="https://utpress.org/title/halloween-other-festivals/">for the living</a>, who needed plenty of help of their own when transitioning to the new year. Winter was cold and dark. Food was scarce. Everyone came together for one last bash to break bread, share stories and stand tall against the dead, strengthening community ties at the time they were needed most. When Catholics arrived in Ireland around A.D. 300, they opened another door between worlds, unleashing considerable conflict. They sought to convert the Celts by changing their pagan rituals into Christian holidays. They rechristened Nov. 1 “All Saints Day,” which today remains a celebration of Catholic saints. But the locals held on to their old beliefs. They believed the dead still wandered the Earth. So the living still dressed in costumes. This activity still took place the night before. It just had a new name to fit the Catholic calendar: “All Hallows Eve,” which is <a href="https://www.loc.gov/folklife/halloween-santino.html">where we got the name Halloween</a>. Irish immigrants <a href="https://www.irishpost.com/heritage/how-irish-great-famine-brought-halloween-to-america-161376">brought Halloween to America in the 1800s</a> while escaping the Great Potato Famine. At first, Irish Halloween celebrations were an oddity, viewed suspiciously by other Americans. As such, Halloween wasn’t celebrated much in America at the time. As the Irish integrated into American society, Halloween was reinvented again, this time as an all-American celebration. It became a holiday primarily for kids. Its religious overtones faded, with supernatural saints and sinners being replaced by generic ghosts and goblins. Carved turnips gave way to the <a href="https://www.merriam-webster.com/words-at-play/the-history-of-jack-o-lantern">pumpkins</a> now emblematic of the holiday. Though trick-or-treating resembles ancient traditions like guising, where costumed children went door to door for gifts, <a href="https://www.bakersfield.com/opinion/jack-santino-five-myths-about-halloween/article_6fe79e19-d106-52cc-a895-4a3a72d09c93.html">it’s actually an American invention</a>, created to entice kids away from rowdy holiday pranks toward more wholesome activities. Halloween has become a tradition many new immigrants adopt along their journey toward American-ness and is increasingly <a href="https://www.cambridgescholars.com/product/978-1-4438-0153-9">being exported around the world</a>, with locals reinventing it in new ways to adapt it to their own culture. What’s so special about Halloween is that it turns the world upside down. The dead walk the Earth. Rules are meant to be broken. And kids exercise a lot of power. They decide what costume to wear. They make demands on others by asking for candy. “Trick or treat” is their battle cry. They do things they’d never get away with any other time, but on Halloween, they get to act like adults, trying it on to see how it fits. Because Halloween allows kids more independence, it’s possible to mark significant life stages through holiday firsts. First Halloween. First Halloween without a parent. First Halloween that’s no longer cool. First Halloween as a parent. Growing up used to mean growing out of Halloween. But today, <a href="https://www.usatoday.com/story/money/business/2012/10/24/halloween-adults-costumes-elvira-mistress-of-the-dark/1593177/">young adults</a> seem even more committed to Halloween than kids. What changed: adults or Halloween? Both. Caught between childhood and adulthood, today’s young adults find Halloween a perfect match to their struggles to find themselves and make their way in the world. Their participation has reinvented Halloween again, now bigger, more elaborate and <a href="https://www.newsweek.com/halloween-prices-cost-more-expensive-pumpkin-candy-costumes-1754635">more expensive</a>. Yet in <a href="https://theconversation.com/why-has-halloween-become-so-popular-among-adults-104896">becoming an adult celebration</a>, it comes full circle to return to its roots as a holiday celebrated mainly by adults. Halloween is a living tradition. You wear a costume every year, but you’d never wear the same one. You’ve changed since last year, and your costume reflects that. Halloween is no different. Each year, it’s the same celebration, but it’s also something totally new. In what ways are you already reinventing the Halloween of the future today? <a href="https://theconversation.com/profiles/linus-owens-457047">Linus Owens</a>, Associate Professor of Sociology, <a href="https://theconversation.com/institutions/middlebury-1247">Middlebury</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-was-halloween-invented-once-a-celtic-pagan-tradition-the-holiday-has-evolved-to-let-kids-and-adults-try-on-new-identities-192379">original article</a>.

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Trying to lose weight? Here’s why your genetics could be just as important as your exercise regime

<a href="https://theconversation.com/profiles/henry-chung-1279176">Henry Chung</a>, <a href="https://theconversation.com/institutions/university-of-essex-1291">University of Essex</a>; <a href="https://theconversation.com/profiles/chris-mcmanus-2226445">Chris McManus</a>, <a href="https://theconversation.com/institutions/university-of-essex-1291">University of Essex</a>, and <a href="https://theconversation.com/profiles/sally-waterworth-2226444">Sally Waterworth</a>, <a href="https://theconversation.com/institutions/university-of-essex-1291">University of Essex</a> Weight loss is a complicated process. There are so many factors involved including your diet, how much sleep you get each night and the kind of exercise you do. Our recent study shows that your <a href="https://www.tandfonline.com/doi/full/10.1080/02701367.2024.2404981">specific genetic profile</a> may also have a dominant effect on how well you lose weight through exercise. This might explain why two people who do an identical workout will see very different results. We identified 14 genes that appeared to significantly contribute to how much weight a person lost through running. This suggests that some of us have a natural talent when it comes to burning fat and losing weight through exercise. To conduct our study, we recruited 38 men and women born in the UK aged between 20 and 40. None of the participants regularly exercised at the start of the study. The group was randomly divided, with one half following a strict eight-week endurance programme that consisted of three weekly runs of 20-30 minutes. The other group acted as a <a href="https://www.britannica.com/science/control-group">control</a>. They were instructed to refrain from exercise and continue their daily routines as normal over this study period, including diet and lifestyle habits. All participants conducted a running test to see how far they could run in 12 minutes, and were weighed before and after the study period. This was to gauge their initial fitness level and see how much they changed over the duration of the study. <a href="https://www.nhs.uk/conditions/obesity/">Body mass index</a> (BMI) was also calculated. Additionally, a saliva sample was collected from each person with a <a href="https://muhdo.com/?gclid=Cj0KCQjwiIOmBhDjARIsAP6YhSUB3WI81JP4Q_snYLhh-SBVNeCJNy2m63C8bKJFvO-nJ5UsHuCCdqMaAhTeEALw_wcB">DNA test kit</a> at the end of the study to assess their unique genetic profile. It’s important to note that everyone who participated in the study had a similar body weight, BMI and aerobic fitness level at the start of the study. This is beneficial for <a href="https://casp-uk.net/news/homogeneity-in-research/">multiple reasons</a>. It meant everyone was at the same starting point, and some <a href="https://www.sciencedirect.com/topics/nursing-and-health-professions/confounding-variable">confounding variables</a> were already controlled for such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10128125/">fitness level</a>. This ultimately improves accuracy in interpreting the results. <h2>Exercise genes</h2> Everyone in the exercise group managed to lose weight – around 2kg on average. The control group, on the other hand, put on a little bit of weight. While a 2kg weight loss may not sound like a lot, it’s significant considering the exercise regime only lasted eight weeks and participants made no <a href="https://www.intechopen.com/chapters/87186">changes to their diet</a>. More significant, however, was the large variation in results among those that exercised – with an up to 10kg difference in weight loss between some of the participants. In fact, everyone within the exercise group improved at different rates. Since we controlled for factors such as the <a href="https://pubmed.ncbi.nlm.nih.gov/3529283/">intensity, duration and frequency</a> of the exercises and used participants who’d had a similar body weight and fitness level at the start of the study, this suggests that some people naturally benefited more than others from endurance training. When we looked at the genetic profiles of our participants, we found that differences in each person’s response to the exercise was strongly associated with their specific genetics. We showed there was a strong linear correlation between the amount of weight participants lost and 14 genes that have previously been shown to be associated with body weight, metabolism or <a href="https://www.nature.com/articles/s41380-018-0017-5">psychological conditions</a> that affect BMI. The greater number of these genes a participant had, the more weight they lost. Our results also revealed that around 63% of the variance in weight lost among participants were explained by the genes identified. For example, research has shown the <a href="https://www.ncbi.nlm.nih.gov/gene/10891">PPARGC1A gene</a> plays a role in metabolism and the <a href="https://link.springer.com/article/10.1007/S11033-020-05801-Z">use of fats for energy</a> while exercising. Our study found that all participants who lost more than 1.5kg from exercise had this gene. Those who lost less than this did not have this gene. Our findings align with what <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0249501&s2=P875440273_1683331208925004155">previous studies</a> have shown. But while previous papers have only looked at the link between individual genes and weight loss, ours is the first to show that 14 different genes appear to work in combination to affect whether a person loses weight from endurance exercise. <h2>Piece of the puzzle</h2> Our study also suggests that while some people possess genes that make it easier for them to get fit and lose weight, people with these favourable genetics can only flourish if they actually exercise. In fact, our control group also had a number of these listed genes, but without exercise these genes could not activate, and so the participants did not lose any weight. While our study provides compelling findings, it’s not without limitations. Since we only looked at endurance-based exercise, it will be important for future studies to investigate whether there are similar links between weight loss, genetics and combinations of different types of training (such as a mixture of endurance and strength sessions into a training plan). It’s also worth mentioning that exercise is only <a href="https://www.who.int/activities/controlling-the-global-obesity-epidemic">one piece of the puzzle</a> when it comes to weight loss. So even if you have all 14 of these genes, you won’t lose any weight or get fit if you don’t exercise and maintain a healthy diet and sleep pattern. On the flip side, someone that only has a few of these favourable genes can still benefit if they exercise and are mindful of other aspects of their lifestyle.<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/240506/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/henry-chung-1279176">Henry Chung</a>, Lecturer in Sport and Exercise Science, <a href="https://theconversation.com/institutions/university-of-essex-1291">University of Essex</a>; <a href="https://theconversation.com/profiles/chris-mcmanus-2226445">Chris McManus</a>, Lecturer, School of Sport, Rehabilitation and Exercise Sciences, <a href="https://theconversation.com/institutions/university-of-essex-1291">University of Essex</a>, and <a href="https://theconversation.com/profiles/sally-waterworth-2226444">Sally Waterworth</a>, Lecturer, School of Sport, Rehabilitation and Exercise Sciences, <a href="https://theconversation.com/institutions/university-of-essex-1291">University of Essex</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/trying-to-lose-weight-heres-why-your-genetics-could-be-just-as-important-as-your-exercise-regime-240506">original article</a>.

Body

Thinking of trying a new diet? 4 questions to ask yourself before you do

<a href="https://theconversation.com/profiles/melissa-eaton-1522868">Melissa Eaton</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a>; <a href="https://theconversation.com/profiles/verena-vaiciurgis-1647095">Verena Vaiciurgis</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a>, and <a href="https://theconversation.com/profiles/yasmine-probst-235268">Yasmine Probst</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> We live in a society that glorifies dieting, with around <a href="https://doi.org/10.1111%2Fobr.12466">42% of adults globally</a> having tried to lose weight. Messages about <a href="https://doi.org/10.2196/38245">dieting and weight loss</a> are amplified on social media, with a never-ending cycle of weight loss fads and diet trends. Amid often conflicting messages and misinformation, if you’re looking for diet advice online, it’s easy to become confused and overwhelmed. So before diving into the latest weight loss trend or extreme diet, consider these four questions to help you make a more informed decision. <h2>1. Is the diet realistic?</h2> Have you considered the financial cost of maintaining the diet or lifestyle, and the time and resources that would be required? For example, do you need to purchase specific products, supplements, or follow a rigid meal plan? If the diet is coming from someone who is trying to sell you something – such as a particular weight-loss product you need in order to follow the diet – this could be a particular red flag. Many extreme diet recommendations come from a place of privilege and overlook food access, affordability, cooking skills, where you live, or even your culture and ethics. If the diet has these sorts of issues it can lead to <a href="https://doi.org/10.1017/S1368980024000132">frustration, stress, stigmatisation</a> and feelings of failure for the person trying to adhere to the diet. But the problem may be with the diet itself – not with you. <h2>2. Is there evidence to support this diet?</h2> Self-proclaimed “experts” online will often make claims focused on specific groups, known as <a href="https://doi.org/10.4103%2F0972-6748.77642">target populations</a>. This might be 30- to 50-year-old men with diabetes, for example. In some cases, evidence for claims made may come from animal studies, which might not be applicable to humans at all. So be aware that if research findings are for a group that doesn’t match your profile, then the results might not be relevant to you. It takes time and a lot of high-quality studies to tell us a “diet” is safe and effective, not just one study. Ask yourself, is it supported by multiple studies in humans? Be critical and question the claims before you accept them. For accurate information look for government websites, or ask your GP or dietitian. <h2>3. How will this diet affect my life?</h2> Food is much more than calories and nutrients. It plays many roles in our lives, and likewise diets can influence our lives in ways we often overlook. Socially and culturally, food can be a point of <a href="https://doi.org/10.1017/S1368980024000132">connection and celebration</a>. It can be a source of enjoyment, a <a href="https://doi.org/10.1016/j.jbusres.2018.12.024">source of</a> comfort, or even a way to explore new parts of the world. So when you’re considering a new diet, think about how it might affect meaningful moments for you. For example, if you’re going travelling, will your diet influence the food choices you make? Will you feel that you can’t sample the local cuisine? Or would you be deterred from going out for dinner with friends because of their choice of restaurant? <h2>4. Will this diet make me feel guilty or affect my mental health?</h2> What is your favourite meal? Does this diet “allow” you to eat it? Imagine visiting your mum who has prepared your favourite childhood meal. How will the diet affect your feelings about these special foods? Will it cause you to feel stressed or guilty about enjoying a birthday cake or a meal cooked by a loved one? Studies have shown that dieting can negatively impact our <a href="https://doi.org/10.1007%2FBF03405201">mental health</a>, and skipping meals can increase symptoms of <a href="https://doi.org/10.1016/j.jagp.2020.01.160">depression and anxiety</a>. Many diets fail to consider the psychological aspects of eating, even though our mental health is just as important as physical health. Eating should not make you feel stressed, anxious, or guilty. So before starting another diet, consider how it might affect your mental health. <h2>Moving away from a dieting mindset</h2> We’re frequently told that weight loss is the path to better health. Whereas, we can prioritise our health without focusing on our weight. Constant messages about the need to lose weight can also be harmful to mental health, and not necessarily helpful for <a href="https://doi.org/10.1152/ajpregu.00755.2010">physical health</a>. Our research has found eating in a way that prioritises health over weight loss is linked to a range of <a href="https://doi.org/10.1016/j.appet.2024.107361">positive outcomes</a> for our health and wellbeing. These include a more <a href="https://books.google.com.au/books?hl=en&lr=&id=IuZzDgAAQBAJ&oi=fnd&pg=PT9&dq=%22relationship+with+food%22&ots=e-NxLzUIFF&sig=s7p6_SijfgZE6Odx7ztV4xXPGp8&redir_esc=y#v=onepage&q=%22relationship%20with%20food%22&f=false">positive relationship</a> with food, and less guilt and stress. Our research also indicates <a href="https://doi.org/10.1016/j.appet.2024.107361">mindful and intuitive eating</a> practices – which focus on internal cues, body trust, and being present and mindful when eating – are related to lower levels of depression and stress, and greater body image and self-compassion. But like anything, it takes practice and time to build a positive relationship with food. Be kind to yourself, seek out <a href="https://www.sizeinclusivehealth.org.au/find-a-provider">weight-inclusive</a> health-care professionals, and the changes will come. Finally, remember you’re allowed to find joy in food.<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/237766/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/melissa-eaton-1522868">Melissa Eaton</a>, Accredited Practising Dietitian; PhD Candidate, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a>; <a href="https://theconversation.com/profiles/verena-vaiciurgis-1647095">Verena Vaiciurgis</a>, Accredited Practising Dietitian; PhD Candidate, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a>, and <a href="https://theconversation.com/profiles/yasmine-probst-235268">Yasmine Probst</a>, Associate Professor, School of Medical, Indigenous and Health Sciences, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/thinking-of-trying-a-new-diet-4-questions-to-ask-yourself-before-you-do-237766">original article</a>.

Body

Do you have knee pain from osteoarthritis? You might not need surgery. Here’s what to try instead

<a href="https://theconversation.com/profiles/belinda-lawford-1294188">Belinda Lawford</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/giovanni-e-ferreira-1030477">Giovanni E. Ferreira</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/joshua-zadro-504754">Joshua Zadro</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/rana-hinman-1536232">Rana Hinman</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> Most people with knee osteoarthritis can control their pain and improve their mobility without surgery, according to <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard">updated treatment guidelines</a> from the Australian Commission on Safety and Quality in Health Care. So what is knee osteoarthritis and what are the best ways to manage it? <h2>More than 2 million Australians have osteoarthritis</h2> Osteoarthritis is the most common joint disease, affecting <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/osteoarthritis">2.1 million Australians</a>. It <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/osteoarthritis">costs the economy</a> A$4.3 billion each year. Osteoarthritis commonly <a href="https://pubmed.ncbi.nlm.nih.gov/33560326/">affects</a> the knees, but can also affect the hips, spine, hands and feet. It impacts the whole joint including bone, cartilage, ligaments and muscles. Most people with osteoarthritis have persistent pain and find it difficult to perform simple daily tasks, such as walking and climbing stairs. <h2>Is it caused by ‘wear and tear’?</h2> Knee osteoarthritis is most likely to affect older people, those who are overweight or obese, and those with previous knee injuries. But contrary to popular belief, knee osteoarthritis is <a href="https://pubmed.ncbi.nlm.nih.gov/31192807/">not caused by</a> “wear and tear”. <a href="https://pubmed.ncbi.nlm.nih.gov/21281726/">Research shows</a> the degree of structural wear and tear visible in the knee joint on an X-ray does not correlate with the level of pain or disability a person experiences. Some people have a low degree of structural wear and tear and very bad symptoms, while others have a high degree of structural wear and tear and minimal symptoms. So X-rays are <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard">not required</a> to diagnose knee osteoarthritis or guide treatment decisions. Telling people they have wear and tear can make them worried about their condition and afraid of damaging their joint. It can also encourage them to try invasive and potentially unnecessary treatments such as surgery. We have <a href="https://pubmed.ncbi.nlm.nih.gov/37795555/">shown this</a> in people with osteoarthritis, and other common pain conditions such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9545091/">back</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/33789444/">shoulder</a> pain. This has led to a global call for a <a href="https://pubmed.ncbi.nlm.nih.gov/38354847/">change in the way</a> we think and communicate about osteoarthritis. <h2>What’s the best way to manage osteoarthritis?</h2> Non-surgical treatments work well for most people with osteoarthritis, regardless of their age or the severity of their symptoms. These <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard">include</a> education and self-management, exercise and physical activity, weight management and nutrition, and certain pain medicines. Education is important to dispel misconceptions about knee osteoarthritis. This includes information about what osteoarthritis is, how it is diagnosed, its prognosis, and the most effective ways to self-manage symptoms. Health professionals who use positive and reassuring language <a href="https://pubmed.ncbi.nlm.nih.gov/35750241/">can improve</a> people’s knowledge and beliefs about osteoarthritis and its management. Many people believe that exercise and physical activity will cause further damage to their joint. But it’s safe and can reduce pain and disability. Exercise has fewer side effects than commonly used pain medicines such as <a href="https://pubmed.ncbi.nlm.nih.gov/36593092/">paracetamol and anti-inflammatories</a> and can <a href="https://pubmed.ncbi.nlm.nih.gov/26488691/">prevent or delay</a> the need for joint replacement surgery in the future. Many types of exercise <a href="https://pubmed.ncbi.nlm.nih.gov/30830561/">are effective</a> for knee osteoarthritis, such as strength training, aerobic exercises like walking or cycling, Yoga and Tai chi. So you can do whatever type of exercise best suits you. Increasing general physical activity is also important, such as taking more steps throughout the day and reducing sedentary time. Weight management is important for those who are overweight or obese. Weight loss <a href="https://pubmed.ncbi.nlm.nih.gov/34843383/">can reduce knee pain and disability</a>, particularly when combined with exercise. Losing as little as 5–10% of your body weight <a href="https://pubmed.ncbi.nlm.nih.gov/36474793/">can be beneficial</a>. Pain medicines should not replace treatments such as exercise and weight management but can be used alongside these treatments to help manage pain. <a href="https://pubmed.ncbi.nlm.nih.gov/33786837/">Recommended medicines</a> include paracetamol and non-steroidal anti-inflammatory drugs. Opioids are <a href="https://pubmed.ncbi.nlm.nih.gov/35137418/">not recommended</a>. The risk of harm outweighs any potential benefits. <h2>What about surgery?</h2> People with knee osteoarthritis commonly undergo two types of surgery: knee arthroscopy and knee replacement. Knee arthroscopy is a type of keyhole surgery used to remove or repair damaged pieces of bone or cartilage that are thought to cause pain. However, high-quality research <a href="https://pubmed.ncbi.nlm.nih.gov/24369076/">has shown</a> arthroscopy is not effective. Arthroscopy should therefore not be used in the management of knee osteoarthritis. Joint replacement involves replacing the joint surfaces with artificial parts. In 2021–22, <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/osteoarthritis">53,500 Australians</a> had a knee replacement for their osteoarthritis. Joint replacement is often seen as being inevitable and “necessary”. But most people can effectively manage their symptoms through exercise, physical activity and weight management. The new guidelines (known as “care standard”) recommend joint replacement surgery only be considered for those with severe symptoms who have already tried non-surgical treatments. <h2>I have knee osteoarthritis. What should I do?</h2> The <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard">care standard</a> links to free evidence-based resources to support people with osteoarthritis. These include: <ul> <li>education, such as a <a href="https://www.england.nhs.uk/wp-content/uploads/2023/07/making-a-decision-about-knee-osteoarthritis-v1.pdf.pdf">decision aid</a> and <a href="http://www.futurelearn.com/courses/taking-control-hip-and-knee-osteoarthritis">four-week online course</a></li> <li>self-directed <a href="https://healthsciences.unimelb.edu.au/departments/physiotherapy/chesm/patient-resources/my-knee-exercise">online exercise</a> and <a href="https://myjointyoga.com.au/">yoga</a> programs</li> <li><a href="https://www.gethealthynsw.com.au/program/standard-coaching/">weight management support</a></li> <li>pain management strategies, such as <a href="https://www.myjointpain.org.au/">MyJointPain</a> and <a href="http://www.paintrainer.org/">painTRAINER</a>.</li> </ul> If you have osteoarthritis, you can use the <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard">care standard</a> to inform discussions with your health-care provider, and to make informed decisions about your care.<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/236779/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/belinda-lawford-1294188">Belinda Lawford</a>, Postdoctoral research fellow in physiotherapy, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/giovanni-e-ferreira-1030477">Giovanni E. Ferreira</a>, NHMRC Emerging Leader Research Fellow, Institute of Musculoskeletal Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/joshua-zadro-504754">Joshua Zadro</a>, NHMRC Emerging Leader Research Fellow, Sydney Musculoskeletal Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/rana-hinman-1536232">Rana Hinman</a>, Professor in Physiotherapy, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/do-you-have-knee-pain-from-osteoarthritis-you-might-not-need-surgery-heres-what-to-try-instead-236779">original article</a>.

Body

Thinking about trying physiotherapy for endometriosis pain? Here’s what to expect

<a href="https://theconversation.com/profiles/peter-stubbs-1531259">Peter Stubbs</a>, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a> and <a href="https://theconversation.com/profiles/caroline-wanderley-souto-ferreira-1563754">Caroline Wanderley Souto Ferreira</a>, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a> Endometriosis is a condition that affects women and girls. It occurs when tissue similar to the lining of the uterus ends up in other areas of the body. These areas <a href="https://www.mayoclinic.org/diseases-conditions/endometriosis/symptoms-causes/syc-20354656">include</a> the ovaries, bladder, bowel and digestive tract. Endometriosis will <a href="https://endometriosisaustralia.org/understanding-endometriosis/">affect</a> nearly one million Australian women and girls in their lifetime. Many high-profile Australians are affected by endometriosis including <a href="https://www.endofound.org/bindi-irwin-shares-her-endometriosis-story-in-detail-as-she-prepares-to-receive-endofounds-blossom-a">Bindi Irwin</a>, <a href="https://www.endofound.org/actress-sophie-monk-reveals-endometriosis-diagnosis">Sophie Monk</a> and former Yellow Wiggle, <a href="https://endometriosisaustralia.org/emma-watkins-ambassador/">Emma Watkins</a>. <a href="https://www.sciencedirect.com/science/article/pii/S0092867421005766">Symptoms</a> of endometriosis include intense pelvic, abdominal or low back pain (that is often worse during menstruation), bladder and bowel problems, pain during sex and infertility. But women and girls wait an average of <a href="https://www.epworth.org.au/newsroom/reducing-time-to-an-endometriosis-diagnosis">seven years to receive a diagnosis</a>. Many are living with the burden of endometriosis and not receiving treatments that could improve their quality of life. This includes physiotherapy. <h2>How is endometriosis treated?</h2> No treatments cure endometriosis. Symptoms can be reduced by taking <a href="https://www.nichd.nih.gov/health/topics/endometri/conditioninfo/treatment">medications</a> such as non-steriodal anti-inflammatories (ibuprofen, aspirin or naproxen) and hormonal medicines. Surgery is sometimes used to diagnose endometriosis, remove endometrial lesions, reduce pain and improve fertility. But these lesions can <a href="https://pubmed.ncbi.nlm.nih.gov/39098538/">grow back</a>. Whether they take medication or have surgery, many women and girls continue to experience pain and other symptoms. Pelvic health physiotherapy is <a href="https://australian.physio/inmotion/physiotherapists-can-help-endometriosis">often recommended</a> as a non-drug management technique to manage endometriosis pain, <a href="https://www1.racgp.org.au/ajgp/2024/january-february/endometriosis">in consultation</a> with a gynaecologist or general practitioner. The goal of physiotherapy treatment depends on the symptoms but is usually to reduce and manage pain, improve ability to do activities, and ultimately improve quality of life. <h2>What could you expect from your first appointment?</h2> Physiotherapy management can differ based on the severity and location of symptoms. Prior to physical tests and treatments, your physiotherapist will comprehensively explain what is going to happen and seek your permission. They will ask questions to better understand your case and specific needs. These will include your age, weight, height as well as the presence, location and intensity of symptoms. You will also be asked about the history of your period pain, your first period, the length of your menstrual cycle, urinary and bowel symptoms, sexual function and details of any previous treatments and tests. They may also assess your posture and movement to see how your muscles have changed because of the related symptoms. They will press on your lower back and pelvic muscles to spot painful areas (trigger points) and muscle tightness. If you consent to a vaginal examination, the physiotherapist will use one to two gloved fingers to assess the area inside and around your vagina. They will also test your ability to coordinate, contract and relax your pelvic muscles. <h2>What type of treatments could you receive?</h2> Depending on your symptoms, your physiotherapist may use the following treatments: General education Your physiotherapist will give your details about the disease, pelvic floor anatomy, the types of treatment and how these can improve pain and other symptoms. They might <a href="https://pubmed.ncbi.nlm.nih.gov/38452219/">teach you about</a> the changes to the brain and nerves as a result of being in long-term pain. They will provide guidance to improve your ability to perform daily activities, including getting quality sleep. If you experience pain during sex or difficulty using tampons, they may teach you how to use vaginal dilators to improve flexibility of those muscles. Pelvic muscle exercises Pelvic muscles often contract too hard as a result of pain. <a href="https://www.physio-pedia.com/Pelvic_Floor_Exercises">Pelvic floor exercises</a> will help you contract and relax muscles appropriately and provide an awareness of how hard muscles are contracting. This can be combined with machines that <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7843943/">monitor muscle activity or vaginal pressure</a> to provide detailed information on how the muscles are working. Yoga, stretching and low-impact exercises <a href="https://pubmed.ncbi.nlm.nih.gov/27869485/">Yoga</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/37467936/">stretching and low impact aerobic exercise</a> can improve fitness, flexibility, pain and blood circulation. These have <a href="https://pubmed.ncbi.nlm.nih.gov/28369946/">general pain-relieving properties</a> and can be a great way to contract and relax bigger muscles affected by long-term endometriosis. These exercises can help you regain function and control with a gradual progression to perform daily activities with reduced pain. Hydrotherapy (physiotherapy in warm water) Performing exercises in water improves blood circulation and muscle relaxation due to the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4049052/">pressure and warmth of the water</a>. Hydrotherapy allows you to perform aerobic exercise with low impact, which will reduce pain while exercising. However, while hydrotherapy shows positive results clinically, scientific studies to show its effectiveness studies <a href="https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12619001611112">are ongoing</a>. Manual therapy Women frequently have small areas of muscle that are tight and painful (trigger points) inside and outside the vagina. Pain can be temporarily reduced by <a href="https://pubmed.ncbi.nlm.nih.gov/37176750/">pressing, massaging or putting heat on</a> the muscles. Physiotherapists can teach patients how to do these techniques by themselves at home. <h2>What does the evidence say?</h2> Overall, patients report <a href="https://www.wmhp.com.au/blog/endo-story">positive experiences</a> pelvic health physiotherapists treatments. In a <a href="https://pubmed.ncbi.nlm.nih.gov/37176750/">study of 42 women</a>, 80% of those who received manual therapy had “much improved pain”. In studies investigating yoga, one study <a href="https://pubmed.ncbi.nlm.nih.gov/27869485/">showed</a> pain was reduced in 28 patients by an average of 30 points on a 100-point pain scale. Another study showed yoga was beneficial for pain in <a href="https://pubmed.ncbi.nlm.nih.gov/27552065/">all 15 patients</a>. But while some studies show this treatment <a href="https://pubmed.ncbi.nlm.nih.gov/36571475/">is effective</a>, a review <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9740037/">concluded</a> more studies were needed and the use of physiotherapy was “underestimated and underpublicised”. <h2>What else do you need to know?</h2> If you have or suspect you have endometriosis, consult your gynaecologist or GP. They may be able to suggest a pelvic health physiotherapist to help you manage your symptoms and improve quality of life. As endometriosis is a chronic condition you <a href="https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=10960">may be entitled</a> to five subsidised or free sessions per calendar year in clinics that accept Medicare. If you go to a private pelvic health physiotherapist, you won’t need a referral from a gynaecologist or GP. Physiotherapy rebates can be available to those with private health insurance. The Australian Physiotherapy Association has a <a href="https://choose.physio/find-a-physio">Find a Physio</a> section where you can search for women’s and pelvic physiotherapists. <a href="https://endometriosisaustralia.org/">Endometriosis Australia</a> also provides assistance and advice to women with Endometriosis. Thanks to UTS Masters students Phoebe Walker and Kasey Collins, who are researching physiotherapy treatments for endometriosis, for their contribution to this article.<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/236328/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/peter-stubbs-1531259">Peter Stubbs</a>, Senior Lecturer in Physiotherapy, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a> and <a href="https://theconversation.com/profiles/caroline-wanderley-souto-ferreira-1563754">Caroline Wanderley Souto Ferreira</a>, Visiting Professor of Physiotherapy, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/thinking-about-trying-physiotherapy-for-endometriosis-pain-heres-what-to-expect-236328">original article</a>.

Body

Want the health benefits of strength training but not keen on the gym? Try ‘exercise snacking’

<a href="https://theconversation.com/profiles/justin-keogh-129041">Justin Keogh</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> and <a href="https://theconversation.com/profiles/jackson-fyfe-134774">Jackson Fyfe</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> The science is clear: <a href="https://cdnsciencepub.com/doi/full/10.1139/apnm-2020-0245">resistance training</a> is crucial to ageing well. Lifting weights (or doing bodyweight exercises like lunges, squats or push-ups) can help you live independently for longer, make your bones stronger, reduce your risk of diseases such as diabetes, and may even improve your <a href="https://pubmed.ncbi.nlm.nih.gov/28919335/">sleep and mental health</a>. But not everyone loves the gym. Perhaps you feel you’re not a “gym person” and never will be, or you’re too old to start. Being a gym-goer can be expensive and time-consuming, and some people report feeling <a href="https://www.reddit.com/r/StartingStrength/comments/j3hq32/unwelcome_feeling_at_the_gym/">unwelcome</a> or <a href="https://www.quora.com/I-feel-awkward-and-I-want-to-start-a-gym-but-could-not-What-should-I-do">awkward</a> at the gym. The good news is you don’t need the gym, or lots of free time, to get the health benefits resistance training can offer. You can try “exercise snacking” instead. <h2>What is exercise snacking?</h2> Exercise snacking involves doing multiple shorter bouts (as little as 20 seconds) of exercise throughout the day – often with minimal or no equipment. It’s OK to have <a href="https://doi.org/10.1007/s40279-021-01605-8">several hours of rest</a> between. You could do simple bodyweight exercises such as: <ul> <li> chair sit-to-stand (squats) </li> <li> lunges </li> <li> box step-ups </li> <li> calf raises </li> <li> push-ups. </li> </ul> Exercise snacking like this can help improve muscle mass, strength and physical function. It’s OK to hold onto a nearby object for balance, if you need. And doing these exercises regularly will also improve your balance. That, in turn, reduces your risk of falls and fractures. <h2>OK I have done all those, now what?</h2> Great! You can also try using resistance bands or dumbbells to do the previously mentioned five exercises as well as some of the following exercises: <ul> <li> <a href="https://youtu.be/IP4wM2JpDdQ?si=1B1GyV_FY5rcArW8&t=6">seated rows</a> </li> <li> <a href="https://youtu.be/G6GIffCaJCQ?si=RxXZtzMqQ0DGxF3k&t=48">chest</a> and <a href="https://www.youtube.com/watch?v=TUnnz5i4Mnw&t=5s">shoulder presses</a> </li> <li> <a href="https://youtu.be/z0omicIkYu4?si=8WffT3ij12SNTqEs">bicep curls</a> </li> <li> <a href="https://www.youtube.com/watch?v=5wXVnxBgLHo">knee extensions</a> </li> <li> <a href="https://www.youtube.com/watch?v=LtTcXXgeRYo">leg curls</a>. </li> </ul> When using resistance bands, make sure you hold them tightly and that they’re securely attached to an immovable object. Exercise snacking works well when you pair it with an activity you do often throughout the day. Perhaps you could: <ul> <li> do a few extra squats every time you get up from a bed or chair </li> <li> do some lunges during a TV ad break </li> <li> chuck in a few half squats while you’re waiting for your kettle to boil </li> <li> do a couple of elevated push-ups (where you support your body with your hands on a chair or a bench while doing the push-up) before tucking into lunch </li> <li> sneak in a couple of calf raises while you’re brushing your teeth. </li> </ul> <h2>What does the evidence say about exercise snacking?</h2> One <a href="https://pubmed.ncbi.nlm.nih.gov/31687210/">study</a> had older adults without a history of resistance training do exercise snacks at home twice per day for four weeks. Each session involved five simple bodyweight exercises (chair sit-to-stand, seated knee extension, standing knee bends, marching on the spot, and standing calf raises). The participants did each exercise continuously for one minute, with a one-minute break between exercises. These short and simple exercise sessions, which lasted just nine minutes, were enough to improve a person’s ability to stand up from a chair by 31% after four weeks (compared to a control group who didn’t exercise). Leg power and thigh muscle size improved, too. Research involving one of us (Jackson Fyfe) has also <a href="https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-022-03207-z">shown</a> older adults found “exercise snacking” feasible and enjoyable when done at home either once, twice, or three times per day for four weeks. Exercise snacking may be a more sustainable approach to improve muscle health in those who don’t want to – or can’t – lift heavier weights in a gym. <h2>A little can yield a lot</h2> We know from other research that the more you exercise, the more likely it is you will <a href="https://www.sciencedirect.com/science/article/pii/S0167268119302586">keep exercising in future</a>. Very brief resistance training, albeit with heavier weights, may be more <a href="https://pubmed.ncbi.nlm.nih.gov/29975122/">enjoyable</a> than traditional approaches where people aim to do many, many sets. We also know brief-and-frequent exercise sessions can break up <a href="https://pubmed.ncbi.nlm.nih.gov/26378942/">periods</a> of sedentary behaviour (which usually means sitting too much). Too much sitting increases your risk of chronic diseases such as diabetes, whereas exercise snacking can help keep your <a href="https://pubmed.ncbi.nlm.nih.gov/36921112/">blood sugar levels steady</a>. Of course, longer-term studies are needed. But the evidence we do have suggests exercise snacking really helps. <h2>Why does any of this matter?</h2> As you age, you lose strength and mass in the muscles you use to walk, or stand up. Everyday tasks can become a struggle. All this <a href="https://pubmed.ncbi.nlm.nih.gov/36907247/">contributes</a> to disability, hospitalisation, chronic disease, and reliance on community and residential aged care support. By preserving your muscle mass and strength, you can: <ul> <li> reduce joint pain </li> <li> get on with activities you enjoy </li> <li> live independently in your own home </li> <li> delay or even eliminate the need for expensive health care or residential aged care. </li> </ul> <h2>What if I walk a lot – is that enough?</h2> Walking may maintain some level of lower body muscle mass, but it won’t preserve your <a href="https://pubmed.ncbi.nlm.nih.gov/38190393/">upper body muscles</a>. If you find it difficult to get out of a chair, or can only walk short distances without getting out of breath, resistance training is the best way to regain some of the independence and function you’ve lost. It’s even more important for women, as muscle mass and strength are typically lower in older women than men. And if you’ve been diagnosed with osteoporosis, which is more common in older women than men, resistance exercise snacking at home can improve your balance, strength, and bone mineral density. All of this reduces the risk of falls and fractures. You don’t need <a href="https://pubmed.ncbi.nlm.nih.gov/37171517/">heavy weights</a> or fancy equipment to benefit from resistance training. So, will you start exercise snacking today?<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/232374/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/justin-keogh-129041">Justin Keogh</a>, Associate Dean of Research, Faculty of Health Sciences and Medicine, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> and <a href="https://theconversation.com/profiles/jackson-fyfe-134774">Jackson Fyfe</a>, Senior Lecturer, Strength and Conditioning Sciences, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/want-the-health-benefits-of-strength-training-but-not-keen-on-the-gym-try-exercise-snacking-232374">original article</a>.

Body

I’m trying to lose weight and eat healthily. Why do I feel so hungry all the time? What can I do about it?

<a href="https://theconversation.com/profiles/nick-fuller-219993">Nick Fuller</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> Benjamin Franklin, one of the founding fathers of the United States, famously said nothing is certain except death and taxes. But I think we can include “you’ll feel hungry when you’re trying to lose weight” as another certainty. The reason is basic biology. So how does this work – and what can you do about it? <h2>Hormones control our feelings of hunger</h2> Several hormones play an essential role in regulating our feelings of hunger and fullness. The most important are ghrelin – often called the hunger hormone – and leptin. When we’re hungry, <a href="https://pubmed.ncbi.nlm.nih.gov/11739476/">ghrelin</a> is released by our stomach, lighting up a part of our brain called the hypothalamus to tell us to eat. When it’s time to stop eating, hormones, including <a href="https://pubmed.ncbi.nlm.nih.gov/8717038/">leptin</a>, are released from different organs, such as our gut and fat tissue, to signal to the brain that we’re full. <h2>Dieting disrupts the process</h2> But when we change our diet and start losing weight, we disrupt how these <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4766925/">appetite hormones function</a>. This triggers a process that stems from our hunter-gatherer ancestors. Their bodies developed this mechanism as a survival response to adapt to periods of deprivation and protect against starvation. The levels of hormones <a href="https://pubmed.ncbi.nlm.nih.gov/23126426/">managing our hunger increase</a>, making us feel hungrier to tell us to eat more, while the ones responsible for signalling we’re full decrease their levels, intensifying our feelings of hunger. We end up increasing our calorie consumption so we eat more to regain the weight we lost. But worse, even after the kilos creep back on, <a href="https://pubmed.ncbi.nlm.nih.gov/22029981/">our appetite hormones don’t restore</a> to their normal levels – they keep telling us to eat more so we put on a little extra fat. This is our body’s way of preparing for the next bout of starvation we will impose through dieting. Fortunately, there are things we can do to manage our appetite, including: <h2>1. Eating a large, healthy breakfast every day</h2> One of the easiest ways to manage our feelings of hunger throughout the day is to eat most of our food earlier in the day and taper our meal sizes so dinner is the smallest meal. <a href="https://pubmed.ncbi.nlm.nih.gov/32073608/">Research</a> shows a low-calorie or small breakfast leads to increased feelings of hunger, specifically appetite for sweets, across the course of the day. <a href="https://www.cell.com/cell-metabolism/fulltext/S1550-4131(22)00344-8">Another study</a> found the same effect. Participants went on a calorie-controlled diet for two months, where they ate 45% of their calories for breakfast, 35% at lunch and 20% at dinner for the first month, before switching to eat their largest meal in the evening and their smallest in the morning. Eating the largest meal at breakfast resulted in decreased hunger throughout the day. <a href="https://pubmed.ncbi.nlm.nih.gov/32073608/">Research</a> also shows we burn the calories from a meal 2.5-times more efficiently in the morning than the evening. So emphasising breakfast over dinner is good not just for hunger control, but also weight management. <h2>2. Prioritising protein</h2> Protein helps contain feelings of hunger. This is because protein-rich foods such as lean meats, tofu and beans suppress the appetite-stimulating ghrelin and stimulate another hormone called <a href="https://www.sciencedirect.com/science/article/pii/S1550413106002713">peptide YY</a> that makes you feel full. And just as eating a breakfast is vital to managing our hunger, what we eat is important too, with <a href="https://pubmed.ncbi.nlm.nih.gov/24703415/">research</a> confirming a breakfast containing protein-rich foods, such as eggs, will leave us feeling fuller for longer. But this doesn’t mean just eating foods with protein. Meals need to be balanced and include a source of protein, wholegrain carb and healthy fat to meet our dietary needs. For example, eggs on wholegrain toast with avocado. <h2>3. Filling up with nuts and foods high in good fats and fibre</h2> Nuts often get a bad rap – thanks to the misconception they cause weight gain – but nuts can help us manage our hunger and weight. The filling fibre and good fats found in nuts take longer to digest, meaning our hunger is satisfied for longer. <a href="https://pubmed.ncbi.nlm.nih.gov/12791613/">Studies</a> suggest you can include up to 68 grams per day of nuts without affecting your weight. Avocados are also high in fibre and heart-healthy monounsaturated fats, making them another excellent food for managing feelings of fullness. This is backed by a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6567160/">study</a> confirming participants who ate a breakfast incorporating avocado felt more satisfied and less hungry than participants who ate a meal containing the same calories but with lower fat and fibre content. Similarly, eating foods that are high in soluble fibre – such as <a href="https://pubmed.ncbi.nlm.nih.gov/24820437/">beans</a> and vegetables – make us feel fuller. This type of fibre attracts water from our gut, forming a gel that slows digestion. <h2>4. Eating mindfully</h2> When we take time to really be aware of and enjoy the food we’re eating, we slow down and eat far less. A <a href="https://pubmed.ncbi.nlm.nih.gov/28718396/">review</a> of 68 studies found eating mindfully helps us better recognise feelings of fullness. Mindful eating provides our brain enough time to recognise and adapt to the signals from our stomach telling us we’re full. Slow down your food consumption by sitting at the dinner table and use smaller utensils to reduce the volume of food you eat with each mouthful. <h2>5. Getting enough sleep</h2> Sleep deprivation disturbs our <a href="https://www.sciencedirect.com/science/article/abs/pii/S1389945708700133">appetite hormones</a>, increasing our feelings of hunger and <a href="https://www.nature.com/articles/ncomms3259">triggering cravings</a>. So aim to get at least seven hours of uninterrupted sleep a night. Try switching off your devices <a href="https://journals.sagepub.com/doi/full/10.1177/1477153515584979">two hours before bed</a> to boost your body’s secretion of sleep-inducing hormones like melatonin. <h2>6. Managing stress</h2> Stress increases our <a href="https://pubmed.ncbi.nlm.nih.gov/18568078/">body’s production of cortisol</a> and triggers food cravings. So take time out when you need it and set aside time for stress-relieving activities. This can be as simple as getting outdoors. A <a href="https://www.frontiersin.org/articles/10.3389/fpsyg.2019.00722/full">2019 study</a> found sitting or walking outdoors at least three times a week could reduce cortisol levels by 21%. <h2>7. Avoiding depriving ourselves</h2> When we change our diet to lose weight or eat healthier, we typically restrict certain foods or food groups. However, this <a href="https://pubmed.ncbi.nlm.nih.gov/18568078/">heightens activity</a> in our mesocorticolimbic circuit – the reward system part of the brain – often resulting in us craving the foods we’re trying to avoid. Foods that give us pleasure release feel-good chemicals called endorphins and learning chemicals called dopamine, which enable us to remember – and give in to – that feel-good response. When we change our diet, activity in our hypothalamus – the clever part of the brain that regulates emotions and food intake – <a href="https://pubmed.ncbi.nlm.nih.gov/18568078/">also reduces</a>, decreasing our control and judgement. It often triggers a psychological response dubbed the “what-the-hell effect”, when we indulge in something we think we shouldn’t feel guilty about and then go back for even more. Don’t completely cut out your favourite foods when you go on a diet or deprive yourself if you’re hungry. It will take the pleasure out of eating and eventually you’ll give into your cravings. At the Boden Group, Charles Perkins Centre, we are studying the science of obesity and running clinical trials for weight loss. You can <a href="https://redcap.sydney.edu.au/surveys/?s=RKTXPPPHKY">register here</a> to express your interest.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/215808/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/nick-fuller-219993">Nick Fuller</a>, Charles Perkins Centre Research Program Leader, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/im-trying-to-lose-weight-and-eat-healthily-why-do-i-feel-so-hungry-all-the-time-what-can-i-do-about-it-215808">original article</a>.

Body

Trying to spend less on food? Following the dietary guidelines might save you $160 a fortnight

<a href="https://theconversation.com/profiles/emily-burch-438717">Emily Burch</a>, <a href="https://theconversation.com/institutions/southern-cross-university-1160">Southern Cross University</a> and <a href="https://theconversation.com/profiles/lauren-ball-14718">Lauren Ball</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> A rise in the <a href="https://www.aph.gov.au/About_Parliament/Parliamentary_departments/Parliamentary_Library/pubs/BriefingBook47p/CostOfLiving#:%7E:text=Consumer%20Price%20Index%20over%20time,but%205.1%25%20in%20the%20second">cost of living</a> has led many households to look for ways to save money. New research suggests maintaining a healthy diet, in line with the <a href="https://www.eatforhealth.gov.au/guidelines/guidelines">Australian Dietary Guidelines</a>, is cheaper than an unhealthy diet and <a href="https://southwesthealthcare.com.au/wp-content/uploads/SWH-HP-Healthy-Diets-ASAP-Protocol-Warrnambool-Report-2023.pdf">could save A$160</a> off a family of four’s fortnightly shopping bill. Poor diet is the most common preventable risk factor contributing to chronic disease in <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30752-2/fulltext">Australia</a>. So improving your diet can also be an important way to reduce the chance of developing chronic disease. <h2>First, what are the dietary guidelines?</h2> The guidelines provide information on the quantity and types of foods most Australians should consume to promote overall health and wellbeing. Recommendations include eating a wide variety of nutritious foods from the main five food groups: <ul> <li>vegetables and legumes</li> <li>fruit</li> <li>grains</li> <li>lean meats and meat alternatives such as tofu, nuts and legumes</li> <li>dairy products.</li> </ul> The guidelines recommend limiting our intake of foods high in saturated fat, added salt, added sugars and alcohol. <h2>What are Australians eating?</h2> Fewer than <a href="https://www.abs.gov.au/statistics/health/health-conditions-and-risks/dietary-behaviour/latest-release">7%</a> of Australians eat sufficient vegetables, in line with the Australian Dietary Guidelines. In fact, Australians have an average healthy diet score of <a href="https://www.csiro.au/-/media/News-releases/2023/Total-Wellbeing-Diet-Health-Score/Diet-score-2023-Report_September.pdf">55 out of 100</a> – barely passing. Foods that aren’t part of a food group are known as “discretionary” items, which includes alcohol, cakes, biscuits, chocolate and confectionery and most takeaway foods. Because they’re typically high in kilojoules, saturated fat, sodium and added sugars, the Australian Dietary Guidelines recommend they only be eaten occasionally and in small amounts (ideally zero serves). For many households, discretionary items make up a big portion of their grocery shop. Australians consume an average of <a href="https://www.csiro.au/-/media/News-releases/2023/Total-Wellbeing-Diet-Health-Score/Diet-score-2023-Report_September.pdf">28 serves</a> of discretionary choices per week (equal to 28 doughnuts, 28 slices of cake, or 28 cans of soft drink or beer). This is an increase of ten serves since 2015. One recent <a href="https://link.springer.com/article/10.1186/s12966-022-01389-8">study</a> estimated 55% of Australians’ total energy intake was from discretionary items. <h2>What did the researchers find?</h2> Researchers from the Health Promotion Team at South West Healthcare <a href="https://southwesthealthcare.com.au/wp-content/uploads/SWH-HP-Healthy-Diets-ASAP-Protocol-Warrnambool-Report-2023.pdf">recently</a> visited four local supermarkets and takeaway stores in Warrnambool, Victoria, and purchased two baskets of groceries. One basket met the Australian Dietary Guidelines (basket one), the other aligned with the typical dietary intake of Australians (basket two). They compared prices between the two and found basket one would cost approximately $167 less per fortnight for a family of four at the most affordable supermarket. That’s equal to $4,342 a year. Basket one was sufficient to supply a family of four for a fortnight, and aligned with the Australian Dietary Guidelines. It cost $724 and included: <ol> <li>fruit and vegetables (made up 31% of the fortnightly shop)</li> <li>grains and cereals (oats, cornflakes, bread, rice, pasta, Weet-bix)</li> <li>lean meats and alternatives (mince, steak, chicken, tuna, eggs, nuts)</li> <li>milk, yoghurt and cheese</li> <li>oils and spreads (olive oil).</li> </ol> Basket two reflected the current average Australian fortnightly shop for a family of four. In the project, the team spent over half of the fortnightly shop on processed and packaged foods, of which 21% was spent on take-away. This is based on actual dietary intake of the general population reported in the 2011-2012 <a href="https://www.abs.gov.au/statistics/health/health-conditions-and-risks/australian-health-survey-nutrition-first-results-foods-and-nutrients/latest-release#:%7E:text=Food%20consumption,across%20the%20major%20food%20groups.">Australian Health Survey</a>. Basket two cost $891 and included: <ol> <li>fruit and vegetables (made up 13% of the fortnightly shop)</li> <li>grains and cereals (oats, cornflakes, bread, rice, pasta, Weet-bix)</li> <li>lean meats and alternatives (mince, steak, chicken, tuna, eggs, nuts)</li> <li>milk, yogurt and cheese</li> <li>oils and spreads (olive oil, butter)</li> <li>drinks (soft drink, fruit juice)</li> <li>desserts and snacks (muffins, sweet biscuits, chocolate, ice cream, potato chips, muesli bars)</li> <li>processed meats (sausages, ham)</li> <li>convenience meals</li> <li>fast food (pizza, meat pie, hamburger, fish and chips)</li> <li>alcohol (beer, wine).</li> </ol> <h2>But a healthy basket is still unaffordable for many</h2> While this piece of work, and other <a href="https://www.mdpi.com/1660-4601/15/11/2469">research</a>, suggests a healthy diet is less expensive than an unhealthy diet, affordability is still a challenge for many families. The Warrnambool research found basket one (which aligned with guidelines) was still costly, requiring approximately 25% of a median household income. This is unaffordable for many. For a household reliant on welfare, basket one would require allocating 26%-38% of their income. This highlights how the rising cost of living crisis is affecting those already facing financial difficulties. Around 3.7 <a href="https://reports.foodbank.org.au/foodbank-hunger-report-2023/">million</a> Australian households did not have access to enough food to meet their basic needs at some point in the last 12 months. Policy action is needed from the Australian government to make recommended diets more affordable for low socioeconomic groups. This means lowering the costs of healthy foods and ensuring household incomes are sufficient. <h2>What else can you do to cut your spending?</h2> To help reduce food costs and support your health, reducing discretionary foods could be a good idea. Other ways to reduce your grocery bill and keep your food healthy and fresh include: <ul> <li> planning for some meatless meals each week. Pulses (beans, lentils and legumes) are nutritious and cheap (a can is <a href="https://coles.com.au/product/coles-chick-peas-420g-8075852?uztq=46abcbb7e16253b0cdc3e6c5bbe6a3f0&cid=col_cpc_Generic%7cColesSupermarkets%7cPLA%7cCatchAll%7cAustralia%7cBroad&s_kwcid=AL!12693!3!675842378376!!!g!326304616489!&gad_source=1&gclid=CjwKCAjwkY2qBhBDEiwAoQXK5SceYhU2VtKepNLXWN218GH8Cp8Vs9cnYynCBwRqQPaW3UYNX2SVIBoC_6EQAvD_BwE&gclsrc=aw.ds">less than $1.50</a>. Here are some great pulse recipes to <a href="https://nomoneynotime.com.au/healthy-easy-recipes/filter/keywords--vegetarian/p2">try</a> </li> <li> checking the specials and buy in bulk (to store or freeze) when items are cheaper </li> <li> making big batches of meals and freezing them. Single-serve portions can help save time for lunches at work, saving on takeaway </li> <li> Australian supermarkets are <a href="https://www.theguardian.com/australia-news/datablog/2023/jul/27/cost-of-living-grocery-store-price-rises-cheapest-fresh-produce-australia-woolworths-coles#:%7E:text=The%20results%20showed%20independent%20and,best%20place%20for%20affordable%20groceries">almost never</a> the cheapest place for fresh produce, so shop around for farmers markets or smaller local grocery shops </li> <li> buying generic brands when possible, as they are <a href="https://www.cambridge.org/core/journals/public-health-nutrition/article/streamlined-datagathering-techniques-to-estimate-the-price-and-affordability-of-healthy-and-unhealthy-diets-under-different-pricing-scenarios/872EA6396533166E0C6FA94C809D9CAC#r">notably cheaper</a>. Supermarkets usually <a href="https://theconversation.com/the-science-that-makes-us-spend-more-in-supermarkets-and-feel-good-while-we-do-it-23857">promote</a> the items they want you to buy at eye-level, so check the shelves above and below for cheaper alternatives.<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/216749/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> </li> </ul> <a href="https://theconversation.com/profiles/emily-burch-438717">Emily Burch</a>, Dietitian & Academic, <a href="https://theconversation.com/institutions/southern-cross-university-1160">Southern Cross University</a> and <a href="https://theconversation.com/profiles/lauren-ball-14718">Lauren Ball</a>, Professor of Community Health and Wellbeing, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> Image credits: Getty Images 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/trying-to-spend-less-on-food-following-the-dietary-guidelines-might-save-you-160-a-fortnight-216749">original article</a>.

Food & Wine

Thinking of trying a detox? Here’s what you need to know first

<a href="https://theconversation.com/profiles/clare-collins-7316">Clare Collins</a>, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a> What is a “detox”? It’s a process that involves using particular products, diets or other detoxification methods to try and rid the body of so-called “toxins”. Detoxes are <a href="https://www.sciencedirect.com/science/article/abs/pii/S1499404619308127">prevalent on social media</a> and spruiked by brands offering detox products, celebrities and influencers. A documentary airing on Channel 10 this week – Todd Sampson’s <a href="https://tvblackbox.com.au/page/2023/11/06/todd-sampson-returns-with-new-mirror-mirror-testing-wellness-industry/">Mirror Mirror: Are You Well?</a> – explores our fascination with detoxing, and the science (or lack thereof) behind it. So if you’re thinking of trying a detox, here’s what you need to know. <h2>Detoxing is not new</h2> Detoxing has held an attraction since the time of <a href="https://bcmj.org/premise/history-bloodletting">Hippocrates</a>, who believed four bodily fluids or “humors” – blood, phlegm, black bile and yellow bile – had to remain in balance to maintain good health. Being unwell meant the body’s organs and fluids were somehow imbalanced and in need of correction. Throughout the centuries these “imbalances” have been treated with everything from <a href="https://www.smh.com.au/national/nsw/leeches-bloodletting-enemas-and-emetics-the-uncomfortable-history-of-medicine-20220726-p5b4u2.html">enemas and emetics</a> to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3757849/">leech therapy</a> and <a href="https://en.wikipedia.org/wiki/Bloodletting">bloodletting</a>. An enema sees a tube <a href="https://www.healthline.com/health/enema-administration#administration">inserted into the anus</a> to deliver medication or fluids to the rectum or colon. An <a href="https://www.britannica.com/science/emetic">emetic</a> is a compound designed to make you vomit. <a href="https://bcmj.org/premise/history-bloodletting">Bloodletting</a> involved using certain techniques – not for the faint of heart – to remove blood from a patient and supposedly cure disease. Meanwhile, throughout history, the <a href="https://pubmed.ncbi.nlm.nih.gov/26133274/">ritual of fasting</a> as a display of self-discipline, purity and holiness was common, particularly among women. <h2>What are the different types of detox?</h2> Fast forward to today, and detoxes look a bit different. Detox products sold over the counter or online are typically teas or drinks to be consumed instead of food. These approaches sometimes start with a fasting phase or use intermittent fasting throughout the program. The “detox” tag is appearing on a growing range of teas, coffee, infused waters, drinks with added fruit, vegetables, herbal mixes, nutrients or added blends of “natural” ingredients. These products often claim to flush toxins from the body, or to boost immunity. <a href="https://www.fortunebusinessinsights.com/detox-drinks-market-107122">Global predictions</a> indicate the detox drink market, estimated at more than US$5 billion in 2022, will grow in value by another 50% before 2030. A <a href="https://pubmed.ncbi.nlm.nih.gov/22103982/">survey of detoxification therapies</a> used by naturopaths in the United States reported that more than three-quarters recommended dietary measures, including “cleansing foods” (such as beetroot), vitamin, mineral or antioxidant supplements, organic foods, elimination diets and probiotics. While drinks and dietary measures represent typical approaches to a detox, there are also some more unusual detox practices. One-third of patients in that same US study had undergone colonic irrigation, which involves <a href="https://www.healthline.com/health/digestive-health/pros-cons-colon-cleanse#what-is-it?">infusing fluids into the colon</a> to remove digestive waste. More than one-quarter had used <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/homeopathy">homeopathic remedies</a> or laxative herbs. While we don’t have equivalent data for Australia, a survey of <a href="https://pubmed.ncbi.nlm.nih.gov/30470778/">more than 2,000 Australian adults</a> found 63% had either used or consulted someone about complementary therapies in the previous year. A portion of these were likely detox therapies. <h2>Do detoxes work?</h2> The short answer is no. A <a href="https://pubmed.ncbi.nlm.nih.gov/35866077/">review published in 2022</a> found detox diets failed to identify plausible pathways by which toxins could be eliminated, or the specific toxins supposedly removed by a particular diet. This review also pointed out that detoxes defy the general principles of human physiology, in that the liver and kidneys are quite efficient at removing toxins from our bodies. A previous <a href="https://pubmed.ncbi.nlm.nih.gov/25522674/">review from 2015</a> similarly found studies did not provide convincing evidence to support the use of detox diets. Detox products don’t have to prove they’re effective to be on the market. In Australia, complementary medicines sold over the counter are regulated by the <a href="https://www.tga.gov.au/what-tga-regulates">Therapeutic Goods Administration</a>, with ingredients assessed for quality and safety, but not whether the products actually work. You should check any product and marketing claims before purchasing to see what the manufacturers say. Big promises to be sceptical about include eliminating toxins, rapid weight loss, stronger willpower, improved self-esteem, an energy or immunity boost, feeling happier, inner peace, or better skin, hair and nails. <h2>Potential dangers of detoxing</h2> Consuming detox products in place of a regular diet leads to a very low total kilojoule intake, and therefore may lead to <a href="https://pubmed.ncbi.nlm.nih.gov/29124370/">weight loss</a> in the short term. But they’re not a sustainable way to lose weight. Detox diets that severely restrict kilojoules or food groups increase the risk of nutrient deficiencies. Adverse effects <a href="https://www.healthline.com/nutrition/detox-diets-101#safety-and-side-effects">include</a> fatigue, irritability and <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/halitosis-or-bad-breath">bad breath</a>. There’s also a risk detox product ingredient labels <a href="https://pubmed.ncbi.nlm.nih.gov/35866077/">might not be accurate</a>, increasing the risk of side effects, potential overdoses or other adverse events. In Spain, a <a href="https://pubmed.ncbi.nlm.nih.gov/22884574/">50-year-old man</a> died after an incorrect ingredient was added to a liver cleanse detox product he used, leading to manganese poisoning. A 2018-19 <a href="https://www.phrp.com.au/issues/july-2023-volume-33-issue-2/compliance-audit-of-colonic-lavage-businesses/">audit of premises in New South Wales</a> performing colonic irrigation found failures to meet infection control standards. Some people should definitely not try detoxing. This includes people with chronic medical conditions, eating disorders, older adults, children and women who are pregnant or breastfeeding. One positive aspect of detox programs is that they may help raise awareness of your current food, alcohol or lifestyle habits that could be improved. Reflecting on these can potentially provide the motivation to try and eat more healthily.<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/212776/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/clare-collins-7316">Clare Collins</a>, Laureate Professor in Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a> Image credits: Getty Images 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-trying-a-detox-heres-what-you-need-to-know-first-212776">original article</a>.

Body

Lots of women try herbs like black cohosh for menopausal symptoms like hot flushes – but does it work?

<a href="https://theconversation.com/profiles/sasha-taylor-1461085">Sasha Taylor</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> and <a href="https://theconversation.com/profiles/susan-davis-10376">Susan Davis</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> Menopause is the stage of life where the ovaries stop releasing eggs and menstrual periods cease. Most Australian women go through menopause between <a href="https://www.nature.com/articles/nrdp20154">45 and 55</a> years of age, with the average age being 51 years, although some women may be younger. Hot flushes and night sweats are <a href="https://www.nature.com/articles/nrendo.2017.180">typical symptoms</a> of menopause, with vaginal dryness, muscle and joint pains, mood changes and sleep disturbance also commonly reported. Up to <a href="https://pubmed.ncbi.nlm.nih.gov/25706184/">75% of women</a> experience menopausal symptoms, with nearly 30% severely affected. These symptoms can negatively impact day-to-day life and wellbeing. The main therapies available include menopausal hormone therapy (MHT) and non-hormonal prescription therapy. Some women will elect to try complementary and alternative medicines, such as herbal medicines and nutritional supplements. Black cohosh is one of them. <h2>What causes hot flushes</h2> The cause of hormonal hot flushes (also called hot flashes) still isn’t completely understood, but the decline in oestrogen at menopause appears to play a role in a process that involves the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3833827/">area of the brain that regulates temperature</a> (the hypothalamus). Factors linked to a greater likelihood of hot flushes include <a href="https://pubmed.ncbi.nlm.nih.gov/19675142/">being overweight or having obesity</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/25706184/">smoking</a>. MHT, previously known as hormone replacement therapy (HRT), usually includes oestrogen and is the <a href="https://pubmed.ncbi.nlm.nih.gov/26444994/">most effective treatment</a> for menopausal symptoms, such as hot flushes. But women may choose complementary and alternative medicines instead – either because they shouldn’t take hormone therapy, for example because they have breast cancer, or because of personal preference. Close <a href="https://pubmed.ncbi.nlm.nih.gov/26224187/">to 40%</a> of Australian women report using complementary and alternative medicines for menopausal symptoms, and up to 20% using them specifically to treat hot flushes and sweats. <h2>A long history</h2> Complementary and alternative medicines have a long history of use in many cultures. Today, their potential benefits for menopausal symptoms are promoted by the companies that make and sell them. The <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419242/">complementary and alternative medicines</a> women often try for menopausal symptoms include phytoestrogens, wild yam, dong quai, ginseng and black cohosh. Black cohosh (plant name Cimicifuga racemosa) was <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6599854/">traditionally</a> used by Native Americans to treat a variety of health concerns such as sore throat, kidney trouble, musculoskeletal pain and menstrual problems. It is now a popular herbal choice for hot flushes and night sweats, as well as vaginal dryness and mood changes. There are <a href="https://pubmed.ncbi.nlm.nih.gov/37252752/">many theories</a> for how the active ingredients in black cohosh might work in the body, such as acting like oestrogen, or affecting chemical pathways in the brain. But despite extensive research, the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6599854/">evidence to support these theories remains inconclusive</a>. It is also not clear whether black cohosh is effective for hot flushes. Results from individual studies are mixed, with <a href="https://pubmed.ncbi.nlm.nih.gov/17565936/">some</a> finding black cohosh improves hot flushes, while <a href="https://pubmed.ncbi.nlm.nih.gov/18257142/">others</a> have found it doesn’t. A 2012 <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6599854/">review</a> combined all the results from studies of menopausal women using black cohosh to that date and found overall there was no proof black cohosh reduces hot flushes more effectively than an inactive treatment (placebo). <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6599854/">This review</a> also revealed that many studies did not use rigorous research methods, so the findings are hard to interpret. A more recent <a href="https://pubmed.ncbi.nlm.nih.gov/33021111/">review</a> of clinical trials claimed black cohosh may ease menopausal symptoms, but the included studies were mostly small, less than six months long, and included women with mild symptoms. There is also no meaningful evidence black cohosh helps other symptoms of menopause, such as vaginal symptoms, sexual problems, or poor general wellbeing, or that it protects against bone loss. Evidence for how black cohosh is absorbed and metabolised by the body is also lacking, and it is not known what dose or formulation is best to use. More good quality studies are needed to decide whether black cohosh works for hot flushes and other menopausal symptoms. <h2>Is it safe to try?</h2> A <a href="https://pubmed.ncbi.nlm.nih.gov/33021111/">review of studies</a> suggests black cohosh is safe to use, although many of the studies have not reported possible adverse reactions in detail. Side effects such as gastrointestinal upset and rashes may occur. While there have been <a href="https://www.mja.com.au/journal/2008/188/7/liver-failure-associated-use-black-cohosh-menopausal-symptoms#0_i1091948">rare reports of liver damage</a>, there is <a href="https://pubmed.ncbi.nlm.nih.gov/21228727/">no clear evidence</a> black cohosh was the cause. Even so, in Australia, black cohosh manufacturers and suppliers are required to put a warning label for the potential of harm to the liver on their products. It is recommended black cohosh is not used by women with menopausal symptoms <a href="https://www.canceraustralia.gov.au/cancer-types/breast-cancer/impacted-by-breast-cancer/physical-changes/menopause/treatments-menopausal-symptoms">after breast cancer</a>, as its safety after breast cancer is uncertain. All women should consult with their doctor before using black cohosh if they are taking other medications in case of possible drug interactions. Many women like to try herbal therapies for hot flushes and other menopausal symptoms. While black cohosh is generally considered safe and some women may find it helps them, at the moment there is not enough scientific evidence to show its effects are any better than placebo. Women experiencing troublesome menopausal symptoms, such as hot flushes, should talk to their doctor about the best treatment options for them.<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/211272/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/sasha-taylor-1461085">Sasha Taylor</a>, Research fellow, Chronic Disease & Ageing, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> and <a href="https://theconversation.com/profiles/susan-davis-10376">Susan Davis</a>, Chair of Women's Health, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> Image credits: Getty Images 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/lots-of-women-try-herbs-like-black-cohosh-for-menopausal-symptoms-like-hot-flushes-but-does-it-work-211272">original article</a>.

Body

Try these tricks the next time small talk becomes unbearable

Real talk Bonnie Todd runs 250 food tours a year – a job that puts her in contact with hundreds of new people every week. Food-lovers come to her for an introduction to local tastes and flavours. And a large part of what keeps her guests satisfied, and willing to recommend her business to others, is the personal connection she makes with them. “I try to get past the small talk and general recommendations pretty quickly,” says the 42-year-old. “It’s all about finding common ground within the group, and trying to make it a unique experience. So I’m always asking questions. And when I find that spark of commonality, I dig into it.” The practice is key to Todd’s approach because, unlike many tours, hers require people to sit together sharing food and drinks. When groups don’t gel, or never get past the “Where are you from?” stage, what should be a stimulating experience can turn into an awkward and draining couple of hours. We’ve all been there: trapped in a superficial exchange that bounces aimlessly from one meaningless topic to the next. It can make you never want to step foot into another party again. But don’t despair: there are some tactics that can help you turn boring small talk into an energising conversation. Put yourself out there Improv performer Natalie Metcalfe’s job is to keep a scene going – to create an exchange that’s compelling for both the people involved and for a live audience. “In improv, it’s all about offers,” she says, referring to the act of bringing new information into the dialogue. Through these back-and-forths, the relationship between the characters is established and that kicks things off. “It’s the same thing in a regular conversation. You’re constantly making offers to see if you and the person you’re talking to can connect.” An offer in real life can be as simple as complimenting someone on what they’re wearing, and asking them about it. You can try sharing something you recently learned, or an interest you’ve just developed, creating an opening for the other person to ask you a question. Or, you can describe a relatable problem you’re having – a noisy neighbour, a plant that’s not thriving, a question of etiquette – as a prompt for advice, or some cooperative troubleshooting. One of Todd’s go-to approaches is to share a personal story of her own that relates to the other person’s experience. “If I find out someone has been to a place I’ve travelled, I’ll tell them an anecdote about what I did there, and ask them to share their own story.” Of course, putting yourself out there can sometimes feel scary, even when you’re not on stage. But Misha Glouberman, who runs a course called How to Talk to People About Things, says taking that leap pays off. “A lot of the time in conversations, there’s something we’re interested in, but there’s a part of us that doesn’t want to take the risk of revealing it because we think it might be boring or inappropriate.” But the result of following those internal cues of fascination has the opposite effect, he says. “People like learning about other people’s interests. So be more open about yours, and a little more curious about theirs as well.” Be inquisitive and listen Radio interviewer Terry Gross once said, that the only icebreaker you’ll ever need is, “Tell me about yourself.” Instead of asking a pointed question like “What do you do?”, this type of open question gives someone a chance to offer up a topic they might be more excited to discuss. “Talking about yourself is really pleasurable. It activates the exact same hormone in your brain as sex,” says Celeste Headlee, the author of We Need to Talk: How to Have Conversations That Matter. “Another tip you can take from neuroscience is that if you start a conversation by allowing someone to feel good about themselves, then they’ll be more open to new ideas and new thoughts for the rest of the conversation.” Of course, upping your curiosity quotient needs to be paired with actually paying attention to the answer. “Listening is hard for homo sapiens. It’s not something our species does easily,” says Headlee. Indeed, people often start crafting their response before the person they’re talking to has finished speaking. Or they’ll get distracted, thinking about an email they forgot to answer. Since a great conversation is by definition a two-way street, these habits have the effect of ending one before it can even begin. Intentional listening, on the other hand, is a key to an empathetic, engaging dialogue. Use disagreement wisely According to Headlee, one of the other things that gets in the way of a meaningful conversation is the all-too-human need to be right. “A really common mistake is the ‘well, actually’ response,” she says, referring to that deflating moment when a person lets their need to correct you about a small detail you’ve just mentioned get in the way of continuing a story. “Google has made this worse,” she adds. “You’ll say, I went to the hotel with the largest patio in the entire world, and while you’re still talking, the person is already on their phone looking to see if that’s actually true.” But while trivial arguments can be an obstacle to a good conversation, Glouberman points out that differences of opinion can also help propel a chat into richer territory. “We assume that the world is just as we see it, that we see it directly,” he says. “But of course all of psychology and neuroscience tells us that’s not the case.” A respectful disagreement, if the other party is open to it, is a great opportunity to enrich your view of the world by understanding someone else’s. Image credits: Getty Images This article originally appeared on <a href="https://www.readersdigest.co.nz/uncategorized/try-these-tricks-the-next-time-small-talk-becomes-unbearable" target="_blank" rel="noopener">Reader's Digest</a>.

Relationships

Try these 12 clever pillowcase hacks you’ll wish you knew sooner

Use a pillowcase as a laundry bag while travelling When you travel, you always want to keep your dirty laundry separate from your clean clothes. Stick a pillowcase in your suitcase and toss in the dirty laundry as it accumulates. When you get home, just empty the pillowcase into the washer and throw in the pillowcase as well. Use a pillowcase to dust ceiling fan blades Have you ever seen dust bunnies careening off your ceiling fan when you turn it on for the first time in weeks? Grab an old pillowcase and place it over one of the ceiling fan blades. Slowly pull off the pillowcase. The blades get dusted and the dust bunnies stay in the pillowcase, instead of parachuting to the floor. Turn a pillowcase into napkins Who needs formal linen napkins that need to be pressed every time you use them? Pillowcases are available in a wide array of colours and designs. Pick a colour or design you like, and start cutting. Prevent fraying by sewing a hem on each side, or simply finish with iron-on hemming tape. You’ll have a new set of colourful napkins for a fraction of the cost of regular cloth napkins. Use a pillowcase to keep matching bedding together Your recently arrived overnight guests want to go to bed, but it’s not made. You run to the linen closet, but you can’t find a matched set of sheets. Next time, file away your linens. Place newly laundered and folded sheets in their matching pillowcase before putting them in the closet. Prepare travel pillows Family road trips can be a lot of fun, but they can also get a little grimy too. Your youngsters may want to bring their own pillows along for the ride, but after several days in the car, they’re likely to get dirty with candy, food and markers. Take their favourite pillows and layer several pillowcases on each. When the outside one gets dirty, remove it for a fresh start! Use a pillowcase to wrap a present Trying to wrap a basketball or an odd-shaped piece of art? Is your wrapping paper not doing the trick? Place the gift in a pillowcase and tie closed with a ribbon. Use a pillowcase to store your jumpers Stored in plastic, winter jumpers can get musty. But stored in a wardrobe, they’re prey to moths. The solution can be found among your linens. Put the sweaters in a pillowcase for seasonal storage. They will stay free from dust but the pillowcase fabric will allow them to breathe. Use old pillowcases as garment bags You’ve just laundered a favourite dress shirt or skirt and you know you won’t be wearing it again for a while. To protect the garment, cut a hole in the top of an old pillowcase and slip it over the hanger and clothing. Psst – you can also use this trick when you’re packing for a holiday. Use pillowcases as dust bags You reach up to pull a leather purse or suede shoes down from a shelf. Of course, the item is dusty and now you have to clean it. Save yourself the time and hassle next time by storing infrequently used items in a pillowcase. They’ll be clean and ready to use when the occasion arises. Wash your delicates in a pillowcase Jumpers and pantyhose can get pulled out of shape when they twist around in the washer. To protect these garments during washing, toss them into a pillowcase and close with string or rubber band. Set the machine on the delicate setting, add the soap, and worry not about knots. Machine-wash stuffed animals in pillowcases Your child’s favourite stuffed animal is cute, but mighty dusty. Time for a bath! Place it in a pillowcase and put it in the washer. The pillowcase will ensure it gets a gentle but thorough wash. If any parts fall off the stuffed animal, it’ll be caught in the pillowcase so you can reattach them after the washing machine bath. Use a pillowcase to clear out cobwebs There’s a cobweb way up high in the corner of your dining room. Before you take a broom to it, cover the broom with an old pillowcase. Now you can wipe away the cobweb without scratching the wall paint. It’s also easier to remove the cobweb from the pillow than to pull it out of the broom bristles. Image credits: Getty Images This article originally appeared on <a href="https://www.readersdigest.co.nz/food-home-garden/home-tips/12-clever-uses-for-pillowcases-youll-wish-you-knew-sooner?pages=1" target="_blank" rel="noopener">Reader's Digest</a>.

Home & Garden

No, you can’t reverse ageing by injecting ‘young blood’ and fasting. But that doesn’t stop people trying

<a href="https://theconversation.com/profiles/rachael-jefferson-buchanan-297850">Rachael Jefferson-Buchanan</a>, <a href="https://theconversation.com/institutions/charles-sturt-university-849">Charles Sturt University</a> Like many celebrities and entrepreneurs, 45-year-old US tech billionaire Bryan Johnson is <a href="https://www.smh.com.au/lifestyle/health-and-wellness/taking-the-blood-of-your-17-year-old-son-anti-ageing-has-gone-too-far-20230530-p5dcd6.html">trying to reverse the ageing process</a>. Spending an average of US$2 million a year on an anti-ageing regimen, Johnson <a href="https://medium.com/future-literacy/at-45-i-now-age-slower-than-the-average-10-year-old-6932448fc608">claims</a> he now ages slower than some children. He explains: “the pace my body accumulates ageing damage is less than the average ten year old”. Many of Johnson’s age-reversal methods are questionable, involve dodgy science, and have known side effects. While you can’t stop the ageing process, and the gradual decline our bodies experience as we advance in years, there are some things we can all do – for free – to maintain our health as we age. <h2>What does Johnson do? And is it scientific?</h2> Fasting Johnson reports fasting for 23 hours a day. He then eats <a href="https://medium.com/future-literacy/one-meal-23-hr-fast-100-nutrition-18187a2f5b">one meal a day</a>: 2,250 calories of nutrient-dense food “customised” to his body’s needs. Eating for time-restricted periods in the day can have a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9650338/">positive effect</a> on how we <a href="https://pubmed.ncbi.nlm.nih.gov/29955217/">metabolise nutrients</a>, inflammation levels, hormonal regulation, and <a href="https://www.health.harvard.edu/blog/how-good-is-your-cardiometabolic-health-and-what-is-that-anyway-202208182803">cardiometabolic health</a> (blood sugar, <a href="https://www.mayoclinic.org/diseases-conditions/high-blood-cholesterol/in-depth/triglycerides/art-20048186">triglycerides</a>, cholesterol, blood pressure, BMI and waist circumference). However, a Spartan-like food intake can <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2121099/">impair</a> how our body responds to sugar (known as glucose tolerance). And it’s not necessarily any more effective for weight maintenance than <a href="https://pubmed.ncbi.nlm.nih.gov/29419624/">reducing calorie intake at each meal</a>. Large-scale, long-term human trials are needed to confirm the <a href="https://pubmed.ncbi.nlm.nih.gov/34728336/">limited risk-benefit</a> findings of fasting. Acid peels Johnson has weekly <a href="https://www.asds.net/skin-experts/skin-treatments/chemical-peels/chemical-peels-for-aging-skin">acid peels</a> (which use a mild acid to exfoliate the skin) to maintain a “youthful glow”. But you cannot smooth sagging facial skin or remove deep scars or wrinkles. Acid peels also <a href="https://www.mayoclinic.org/tests-procedures/chemical-peel/about/pac-20393473">come with risks</a>, including organ damage, infection, scarring and swelling. Plasma infusions Perhaps the most bizarre youth-inducing procedure Johnson has attempted is receiving blood transfusions from his 17-year-old son. US biotech companies have explored <a href="https://www.theguardian.com/society/2020/feb/02/could-young-blood-stop-us-getting-old-transfusions-experiments-mice-plasma">plasma infusions</a> to tackle age-related diseases in humans for decades. But there are no proven clinical benefits. <a href="https://www.redcrossblood.org/donate-blood/blood-donation-process/what-happens-to-donated-blood/blood-transfusions/risks-complications.html">Side effects from blood transfusions</a> include blood-borne infections, fever and allergic reactions. <h2>Historical attempts to stay youthful</h2> Humans have been experimenting with <a href="https://academic.oup.com/biomedgerontology/article/59/6/B515/662071">anti-ageing methods for centuries</a>. These have included all sorts of behavioural and lifestyle practices that are quirky, questionable, and even sadistic. Ancient practices included <a href="https://www.marieclaire.com/beauty/news/a14382/anti-aging-beauty-through-history/">crocodile dung face masks</a>, which the Greeks and Romans used to brighten their complexions. Romans also used <a href="https://beautytap.com/2019/03/donkey-milk">donkey milk</a> and <a href="https://www.ancient-origins.net/history/swans-fat-crocodile-dung-and-ashes-snails-achieving-beauty-ancient-rome-003240">swan fat</a> to minimise wrinkles, due to their acclaimed rejuvenating properties. <a href="https://www.livescience.com/44071-cleopatra-biography.html">Cleopatra</a> apparently took daily baths in sour donkey milk. To sustain this lavish habit, she had a <a href="https://www.naturanecosmetics.com/en/content/26-faits-historiques">herd of 700 donkeys</a>. Sour milk contains <a href="https://science.jrank.org/pages/3780/Lactic-Acid-Lactic-acid-in-foods.html">lactic acid</a>, a naturally occurring <a href="https://www.mecca.com.au/edits/ingredients/alpha-hydroxy-acids/">alpha-hydroxy acid (AHA)</a> that exists in many modern-day exfoliants. So this idea was grounded in basic science, at least. <figure class="align-center "><img src="https://images.theconversation.com/files/530478/original/file-20230607-27-bv0w1t.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/530478/original/file-20230607-27-bv0w1t.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=400&fit=crop&dpr=1 600w, https://images.theconversation.com/files/530478/original/file-20230607-27-bv0w1t.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=400&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/530478/original/file-20230607-27-bv0w1t.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=400&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/530478/original/file-20230607-27-bv0w1t.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=503&fit=crop&dpr=1 754w, https://images.theconversation.com/files/530478/original/file-20230607-27-bv0w1t.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=503&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/530478/original/file-20230607-27-bv0w1t.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=503&fit=crop&dpr=3 2262w" alt="Milk bath with dried fruits and flowers" /><figcaption>Don’t waste milk on a bath. <a class="source" href="https://www.shutterstock.com/image-photo/bath-milk-flowers-1051210370">Shutterstock</a></figcaption></figure> During the 16th and 17th century, “Countess Dracula” aka <a href="https://en.wikipedia.org/wiki/Elizabeth_B%C3%A1thory">Elizabeth Bathory</a> allegedly resorted to serial killing to quench her thirst for youthfulness, <a href="https://www.nationalgeographic.com/travel/article/the-bloody-legend-of-hungarys-serial-killer-countess">bathing in the blood of her young victims</a>. <h2>The quest continues with cryotherapy</h2> Fountain of youth fixations have inspired many contemporary anti-ageing trends. Exposure to cold is a firm favourite. <a href="https://www.nature.com/articles/s43587-023-00383-4">Some research</a> suggests this could have <a href="https://neurosciencenews.com/cold-aging-22928/">benefits</a> relating to longevity, by slowing cellular degeneration, <a href="https://www.cryo.com.au/anti-ageing-benefits-of-whole-body-cryotherapy/">stimulating collagen and elastin production</a>, increasing the metabolism, and reducing inflammation. Dutch motivational speaker Wim Hof includes <a href="https://www.wimhofmethod.com/cold-water-immersion">cold water immersion</a> as one of the three pillars of his <a href="https://www.wimhofmethod.com/">Wim Hof Method</a> to “increase mind-body connection”. Athletes such as <a href="https://www.dailymail.co.uk/sport/football/article-2469985/Cristiano-Ronaldo-buys-Cryotherapy-chamber.html">Cristiano Ronaldo</a> use <a href="https://my.clevelandclinic.org/health/treatments/21099-cryotherapy">cryotherapy</a>, exposing their bodies to extremely cold temperatures for two to four minutes to decrease the signs of ageing and enhance their general health. However, the <a href="https://www.medicinenet.com/what_are_the_side_effects_of_cryotherapy/article.htm">risks of cryotherapy</a> include bone fractures, frostbite, nerve damage, bleeding, cramping, swelling and skin infections. <h2>So what can we do to age well?</h2> Two of the more mainstream anti-ageing methods that Johnson recommends are the daily self-care habits of sleep and exercise. He has a <a href="https://medium.com/future-literacy/sleep-and-impulse-control-87e844218ff2">strict sleep schedule</a> that involves retiring to bed at 8pm, with a one-hour wind-down in a darkened room. Adults report poorer sleep quality and difficulty being able to sleep for long enough <a href="https://www.news-medical.net/health/How-Does-the-Suprachiasmatic-Nucleus-(SCN)-Control-Circadian-Rhythm.aspx">as they age</a>. Sleeping too much or too little is <a href="https://www.frontiersin.org/articles/10.3389/fpubh.2023.1043347/full">associated with</a> a greater risk of obesity, heart disease and <a href="https://theconversation.com/research-check-can-sleeping-too-much-lead-to-an-early-death-101323">premature death</a>. Developing a regular sleep routine, reducing bedroom distractions such as mobile phones, and exercising regularly can all help to <a href="https://www.sleepfoundation.org/aging-and-sleep">alleviate sleep problems</a>. <figure class="align-center "><img src="https://images.theconversation.com/files/530491/original/file-20230607-29-cw0f29.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/530491/original/file-20230607-29-cw0f29.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=383&fit=crop&dpr=1 600w, https://images.theconversation.com/files/530491/original/file-20230607-29-cw0f29.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=383&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/530491/original/file-20230607-29-cw0f29.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=383&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/530491/original/file-20230607-29-cw0f29.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=482&fit=crop&dpr=1 754w, https://images.theconversation.com/files/530491/original/file-20230607-29-cw0f29.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=482&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/530491/original/file-20230607-29-cw0f29.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=482&fit=crop&dpr=3 2262w" alt="Child and grandfather walk on a beach" /><figcaption>Exercise is also important for healthy ageing. <a class="source" href="https://unsplash.com/photos/s-vhziQHngM">Vidar Nordi Mathisen/Unsplash</a></figcaption></figure> Exercise, often cited as a <a href="https://www.marketwatch.com/story/exercise-is-the-wonder-drug-for-healthy-aging-11633642719">wonder drug for healthy ageing</a>, is something Johnson takes very seriously. He does a “<a href="https://www.youtube.com/watch?v=HNywRJgCRaQ">Blueprint</a>” workout that includes specially designed daily techniques, as well as <a href="https://www.hsph.harvard.edu/nutritionsource/high-intensity-interval-training/">high-intensity interval training sessions</a>, hiking and playing sport. From middle age onwards, we all need to exercise regularly, to increase our muscle mass, bone density, strength, endurance, coordination and balance. One of the greatest health risks for older people is <a href="https://www.ncbi.nlm.nih.gov/books/NBK560761/">falling</a>, which balance, flexibility, endurance and strength training <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC381224/">can help</a> reduce. Physical activity can bring <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5408452/">social benefits</a> in older adults if undertaken in groups, and there are well-known <a href="https://www.whiddon.com.au/yourlife/the-mental-health-benefits-of-exercise-for-older-adults/">mental health gains</a>. Small changes in sleep, diet (eating <a href="https://health.gov/news/202107/nutrition-we-age-healthy-eating-dietary-guidelines">plenty of vegetables, fruit, wholegrains, healthy fats, and enough protein</a>), and exercise can support <a href="https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-020-01900-5">healthy ageing</a>, reducing the chance of early death, and helping us all to lead an active and independent life in our senior years. Now that is something worth investing in.<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/207038/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/rachael-jefferson-buchanan-297850">Rachael Jefferson-Buchanan</a>, Lecturer in Human Movement Studies (Health and PE) and Creative Arts, <a href="https://theconversation.com/institutions/charles-sturt-university-849">Charles Sturt University</a> 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/no-you-cant-reverse-ageing-by-injecting-young-blood-and-fasting-but-that-doesnt-stop-people-trying-207038">original article</a>. Images: Getty

Body

Lumps, bumps and oil slicks: what your skin is really trying to tell you

It is common knowledge to drink water, cleanse, tone and moisture to ensure your skin is healthy, but sometimes these methods aren’t enough. Skincare expert and touch therapist, Sarah Jones, believes that skincare starts from the inside and her approach is based around the idea that your skin reflects the tensions and emotions in your life. “Have you ever noticed that your skin reacts badly when you’re under stress? I can sometimes point to a spot and say, 'This is from that terrible traffic jam I got stuck in yesterday.' Or when you’re giddy with good news, people often comment on your skin, saying you’re “glowing”. Don’t underestimate how emotions play a huge role in how our skin behaves,” Sarah said. Sarah explains the emotions behind common skin complaints. Dry skin Sarah suggests that dry skin can be linked to deep-rooted stress, self-criticism and a little sadness. This is common in those who are caring and help others but tend to forget to look after themselves. Be sure to look after yourself even if it is escaping to have a bath, and if you need to talk to someone, speak to a trusted friend or counsellor. Cold sores and breakouts Both of these skin problems can be an indication of unexpressed anger. Sarah explains that cold sores and spots are nature’s way of communicating that you have gotten off balance. Eczema Eczema, which causes crusting and red patches on the skin, is tedious to treat and can be a real battle to overcome. Sarah believes eczema can be a signal that you feel suffocated in your thoughts and emotionally overwhelmed. She suggests writing down how you feel and finding ways to tackle each emotion. Oily skin and acne Those who have oily skin are prone to large pores and regular but small breakouts. Sarah suggests that this can be a sign that you are not relaxed and you put a lot of pressure on yourself. You may also be prone to highly critiquing yourself. Be sure to focus on your confidence and surround yourself with people who encourage you. Images: Getty

Body

4 signs your body is trying to tell you something

Have you noticed any odd changes in your body? Perhaps your nails have become more brittle lately, or you’ve started to get cracks on the corners of your mouth. These small signs might seem insignificant, but they are your body’s way of signalling that a change has occurred. Here are some of the key signs that your body is trying to tell you something: Burping and indigestion Find yourself burping or struggling with indigestion more than usual? It could be a sign that you’re low on stomach acid. If your body is low on stomach acid, you won’t digest foods efficiently, especially those heavy in fat and protein. As digestion slows, food sits in the stomach along with the air you naturally swallow when you eat. The longer food stays in the stomach, the more likely you’ll burp. Yellow spots around your eyes Discoloured spots around your eyes and elbows can be a sign that your cholesterol levels are raised. It’s a condition known as xanthelasma, which can be your body’s way of telling you that your diet or exercise routine is amiss. Be sure to consult a doctor if you need to check your cholesterol. A routine blood test will be able to give you the answer, and you can talk to your doctor about what lifestyle changes will help. Itchy feet Summertime often means more visits to the pool or time exercising outdoors. But sweaty trainers and damp feet can also lead to an increase in fungal infections. If you notice your feet are itchy, take a closer look at the skin. If it’s white and flaking off, or simply damp between the toes you may have a fungal infection. Head to the pharmacist for an anti-fungal cream to clear it up, stat. Cracks in the corners of your mouth Small cracks in the skin at the corner of your mouth is often a sign that your body isn’t getting enough B vitamins. If your diet is high in refined and processed foods- think soft drink, pastries and pasta- B vitamins are often the first to take a hit. The answer? Opt for a diet high in whole foods. Try eating more grains, legumes, salmon and red meat, all foods high in B vitamins. If in doubt, always contact a healthcare professional. Related links: <a href="../health/wellbeing/2015/10/how-to-lose-weight-after-60/">How to lose weight after 60</a> <a href="http://www.oversixty.co.nz/health/body/2015/11/how-to-stay-asleep/">5 tips to stay asleep all night</a> <a href="http://www.oversixty.co.nz/health/body/2015/11/best-outdoor-exercise-options/">The best ways to exercise outdoors</a> Image credit: Shutterstock

Body

8 mistakes insomniacs make when they’re trying to fall asleep

<h2>Going to bed too early</h2> If you slept poorly the night before, you may want to slide into bed ahead of schedule. But this can actually make sleeplessness worse. People with insomnia frequently have irregular sleep-wake cycles. Sticking with a consistent sleep routine – a regular bedtime and a regular wake time – strengthens your body’s circadian rhythms and the biological cues (like melatonin release) that help you fall asleep. Hitting the sack unusually early may garner you some ‘extra’ sleep in the early part of the night, but you’re likely to wake up earlier than normal, throwing your sleep routine even more off-kilter. Aim to have your bedtime deviate by no more than 30 minutes from one night to the next. <h2>Getting in bed before you’re sleepy</h2> I recently had a patient who was often anxious and alert at bedtime – she described the feeling as “wired and tired”. She’d crawl into bed anyway, and lie wide awake late for an hour or more, frustrated and sleepless. I recommended she delay her bedtime until she felt ready to fall asleep. A restless, wired mind is one symptom of sleep deprivation. Learn to recognise the difference between being tired and being sleepy – and hold off going to bed until you feel ready to nod off. Take some extra time with your nightly routine, or find other ways to relax away from bright lights and screens near your face. <div> </div> <h2>Drinking alcohol to help you nod off</h2> Plenty of people are looking for ways to cut back on their drinking. It’s a good idea, according to the US National Sleep Foundation. The relationship between alcohol and sleep is complicated. One drink in the evening may help you fall asleep, but drinking more heavily can be stimulating, not sedating. Even if a nightcap does help you doze off initially, alcohol in your system at night disrupts your rest in other ways, causing lighter, more restless sleep, exacerbating snoring, and making you more likely to have to get up to use the bathroom. If you’re already having trouble sleeping, skip the before-bed glass of wine. <h2>Eating just before bed</h2> People with insomnia may be more prone to late-night snacking. Up later, they’re more likely to get hungry again after dinner. And the presence of stress – whether about daily life or sleep itself – does more than interfere with slumber. It also boosts the inclination for late-night eating, which can disrupt sleep. The evidence is growing about the hazards of late-night eating, and new research suggests that weight gain and rising insulin and cholesterol levels are among the risks. Make your last full meal two to three hours before bedtime, and don’t do a lot of snacking right before bed – or in bed. A light, sleep-friendly snack 90 minutes or an hour before turning in is OK, but eating right before sleep can keep you awake, especially if you have insomnia. <h2>Logging onto social media from bed</h2> Do you do a final check of social media right before lights out? This is a behaviour that often gets pegged to 20- and 30-somethings, but I have patients in their 40s, 50s, and 60s who share this sleep-disrupting habit. Holding your phone close to your face exposes you to bright, blue-wavelength light, which is especially disruptive to sleep. A new study by scientists at the University of Pittsburgh indicates using social media within 30 minutes of bedtime increases disturbances to sleep. Scrolling through Facebook and liking your friends’ Instagram stories will stimulate your mind and keep you alert, just when you need to wind down. Establish a social media cut-off time of at least 60 minutes before bed. <h2>Thinking negatively about sleep</h2> What causes insomnia? Chronic difficulty sleeping can stem from many factors, including health conditions, medications, poor sleep habits and stress. Anxiety about sleep itself often compounds the problem. Negative, distorted thoughts about sleep can trigger the body’s stress response, including raising blood pressure, heart rate and brain activity. This makes it harder to nod off, which further increases anxiety about your inability to sleep. To break this anxious, sleep-depriving cycle, replace negative sleep thoughts with positive ones – a technique known as ‘cognitive restructuring’. For example: “I’ll never be able to fall asleep” becomes, “As I allow myself to relax, sleep will happen.” Use mindfulness practices and relaxation breathing to help you re-focus your thoughts. <h2>Staring at the clock</h2> Sometimes my patients struggling to find a cure for their insomnia go in search of complicated solutions. Clock-watching is a common pitfall for people who struggle with sleep – and the remedy couldn’t be simpler, or more effective. If you’re having trouble falling asleep, stash your bedside clock. Constantly checking the time ratchets up sleep-related stress, and makes it almost impossible to drift off. “The later it gets, the more afraid I feel about the sleep I’m missing, and how tired I’ll be the next day,” a patient told me recently. Place the clock firmly out of your view, so you’re not tempted to check the time again and again. If you struggle to get to sleep, try these <a href="https://www.readersdigest.com.au/healthsmart/conditions/sleep/10-relaxation-techniques-to-help-you-wind-down-for-sleep" target="_blank" rel="noopener">10 relaxation techniques that help you to wind down for sleep.</a> <h2>Trying to get more sleep than you need</h2> The standard recommendation of eight hours of nightly rest is a good one, but it isn’t for everybody, all the time. Individual sleep needs vary. Some people who regularly experience insomnia aren’t built to achieve – or even need – a full eight hours of sleep. For some people struggling with sleeplessness, six or six-and-a-half hours might be a more realistic goal. By focusing too narrowly on hitting the eight-hour mark, you may inadvertently create stress that makes sleep harder to come by. Instead, put your attention on the quality of your rest. Practise good sleep hygiene, create a restful sleep environment, give yourself some relaxing night-time rituals, and pat yourself on the back for making high-quality sleep a priority. This article originally appeared on <a href="https://www.readersdigest.com.au/healthsmart/conditions/sleep/8-mistakes-insomniacs-make-when-theyre-trying-to-fall-asleep" target="_blank" rel="noopener">Reader's Digest</a>. Images: Getty

Body

Here’s what happens in your brain when you’re trying to make or break a habit

Did you set a New Year’s resolution to kick a bad habit, only to find yourself falling back into old patterns? You’re not alone. In fact, research suggests up to <a href="https://doi.apa.org/doiLanding?doi=10.1037/0022-3514.83.6.1281">40% of our daily actions are habits</a> – automatic routines we do without thinking. But how do these habits form, and why are they so difficult to break? Habits can be likened to riverbeds. A well-established river has a deep bed and water is likely to consistently flow in that direction. A new river has a shallow bed, so the flow of water is not well defined – it can vary course and be less predictable. Just like water down a riverbed, habits help our behaviour “flow” down a predictable route. But what we are really talking about here is learning and unlearning. <h2>What happens in the brain when we form a habit?</h2> <a href="https://doi.org/10.1146/annurev-psych-122414-033417">During the early stages of habit formation</a>, the decision parts of your brain (pre-frontal cortices) are activated, and the action is very deliberate (instead of hitting snooze you make the choice to get out of bed). When a new routine is initiated, brain circuits – also called neural networks – are activated. The more often you repeat the new action, the stronger and more efficient these neural networks become. This reorganising and strengthening of connections between neurons is called neuroplasticity, and in the case of building habits – <a href="https://en.wikipedia.org/wiki/Long-term_potentiation">long-term potentiation</a>. Each time you perform the new action while trying to form a habit, you need smaller cues or triggers to activate the same network of brain cells. <a href="https://oce.ovid.com/article/00006832-200710000-00001/HTML">Habits strengthen over time</a> as we form associations and earn rewards – for example, not hitting snooze makes getting to work on time easier, so you feel the benefits of your new habit. Later, as habits strengthen, the decision parts of the brain no longer need to kick in to initiate the action. The habit is now activated in memory and considered automatic: the neural circuits can perform the habit without conscious thought. In other words, you don’t need to choose to perform the action any more. <h2>How long does it really take to form a habit?</h2> Popular media and lifestyle advice from social media influencers often suggest it takes 21 days to make or break a habit – an idea <a href="https://books.google.com.au/books/about/Psycho_Cybernetics.html?id=J8dqtO6XqPMC&redir_esc=y">originally presented in the 1960s</a>. This is generally considered an oversimplification, though empirical evidence is surprisingly sparse. A seminal study published in the <a href="https://doi.org/10.1002/ejsp.674">European Journal of Social Psychology</a> is often cited as showing habits take anywhere from 18 to 254 days to form, with an average of about 66 days. In that study, 96 people were asked to choose a new health habit and practice it daily for 84 days. Of the original 96 participants, 39 (41%) successfully formed the habit by the end of the study period. The level of success in forming a habit, and the length of time to form the habit, appeared to vary based on the type of goal. For example, goals related to drinking a daily glass of water were more likely to be successful, and be performed without conscious thought faster than goals related to eating fruit or exercising. Furthermore, the time of day appeared important, with habits cued earlier in the day becoming automatic more quickly than those cued later in the day (for example, eating a piece of fruit with lunch versus in the evening, and walking after breakfast versus walking after dinner). The study was fairly small, so these findings aren’t definitive. However, they suggest that if you haven’t been able to embed a new habit in just 21 days, don’t fret – there’s still hope! <h2>What about breaking unwanted habits?</h2> Most of us will also have habits we don’t like – unwanted behaviours. Within the brain, breaking unwanted habits is associated with a different form of neuroplasticity, called <a href="https://en.wikipedia.org/wiki/Long-term_depression">long-term depression</a> (not to be confused with the mental health condition). Instead of strengthening neural connections, long-term depression is the process of weakening them. So, how do you silence two neurons that previously have been firing closely together? One popular approach to <a href="http://dx.doi.org/10.1080/17437199.2011.603640">breaking a bad habit</a> is pinpointing the specific cue or trigger that prompts the behaviour, and the reward that reinforces the habit. For example, someone might bite their nails when feeling stressed, and the reward is a temporary feeling of distraction, or sensory stimulation. Once the person has identified this connection, they can try to experiment with disrupting it. For example, by using a bitter nail polish, and focusing on deep breathing exercises when feeling stressed. Once disrupted, over time the old behaviour of biting their nails can gradually fade. <h2>Tips on how to form or break a habit</h2> To break a habit: <ul> <li>identify your triggers, and then avoid or modify them</li> <li>find a substitute: try replacing the old habit with a new and healthier one</li> <li>practise self-compassion: setbacks are a natural part of the process. Recommit to your goal and carry on.</li> </ul> To form a habit: <ul> <li>start small: begin with a simple and achievable habit that you can easily integrate into your daily routine</li> <li>be consistent: repeat the habit consistently until it becomes automatic</li> <li>reward yourself along the way to stay motivated.</li> </ul> If you think of habits like that riverbed, what deepens a river is the volume of water flowing through. With behaviour, that means repetition and similarity in repetition: practising your new habit. Because new habits might be overwhelming, practising in small chunks can help – so that you are not creating a new riverbed, but maybe just deepening parts of the main stream. <a href="https://doi.org/10.1111/jcpp.12811">Finding meaning</a> in the new habit is critical. <a href="https://doi.org/10.1016/j.chb.2022.107373">Some studies</a> have reported strong findings that the belief you can change a habit is also critical. Believing in change and being aware of its potential, along with your commitment to practice, is key. Image credits: Shutterstock This article originally appeared on <a href="https://theconversation.com/heres-what-happens-in-your-brain-when-youre-trying-to-make-or-break-a-habit-201189" target="_blank" rel="noopener">The Conversation</a>.

Mind

5 vitamin deficiencies your body is trying to tell you

It’s so common to have marks, bumps or blemishes on our body and just ignore them until they go away. But what if they don’t? What if your eyes, skin or hair is trying to tell you that you are lacking in a specific vitamin or mineral, which could be affecting your health and wellbeing? Speak to your doctor if you have any of these symptoms, and they can help you diagnose and treat any deficiencies. 1. Calcium deficiency Do you have weak or brittle nails, numbness in your extremities, or regular muscle cramps? Calcium deficiency could be a problem for you. It’s not just in dairy (though that is a great source) but also in seaweed, leafy greens, legumes and nuts. You can also find calcium-fortified products such as specific cereals, orange juice and soy milk. 2. Vitamin C deficiency Do you bruise more easily than you used to? Do you have cuts and wounds that seem to take a long time to heal? This could be a sign that you are low in vitamin C. And it’s not just from a lack of oranges. The best places to find this vitamin include strawberries, kiwi, broccoli and red capsicums. 3. Iron deficiency If you look unusually pale, have cold hands and feet, or a swollen tongue, you could be lacking in iron. As well as iron supplements, you can bulk up your iron intake with iron-rich foods such as red meat, fish and legumes. 4. Omega 3 deficiency Do you have bumps on the skin on your upper arms, dandruff, dry hair or dry eyes? You could be low in omega 3. Generally found in fish, seeds and nuts, leafy greens and eggs – it can also be ingested as a supplement from the chemist. 5. B12 deficiency B12 is readily available in meat, so this is a common deficiency in vegetarians and vegans. B12 is also less able to be absorbed from food as we get older. Signs of deficiency include skin irritation and dermatitis, lethargy and unusual weakness, pins and needles, and a smooth red tongue is also common (the little bumps disappear). You can get B12 in tablets or as an injection, but ideally you can get it from your food. Go for meat, leafy greens, mushrooms and nuts. Do you have any of these symptoms? Will this article encourage you to speak to your doctor to get checked out?

Body

Hero dad coward-punched while trying to rescue car crash victim

A 63-year-old father is fighting for his life after being coward-punched in the head while helping a teen in a car accident. Rob Seddon rushed to help a 17-year-old who crashed his Toyota Corolla into a caravan outside his home on Skyhawk Ave in Hamlyn Terrace on the Central Coast around 10pm on Saturday. Along with other neighbours, Mr Seddon assisted the teen before they were ambushed by a group of males who attacked them. Mr Seddon was allegedly hit from the back on the head which caused him to fall backwards, hit his head and lose consciousness. He was flown to John Hunter Hospital in a critical condition where he underwent brain surgery and remains in intensive care in a coma. Mr Seddon’s 21-year-old son was also allegedly attacked and suffered a broken nose. “I could hear the sheer horrible noises from this guy that was being hurt, I had tears in my eyes, I knew it was bad,” neighbour Diane Gardner told Nine News. “It was absolutely horrible. You could hear his pain and he wanted help.” Police are asking anyone with information about the alleged attackers to come forward. The 17-year-old driver who crashed into Mr Seddon’s caravan was breathalysed at the scene and returned a positive blood-alcohol reading. He was then charged with negligent driving and drink-driving on P-plates. Images: Nine News

Caring

3 very good reasons to try a senior singles cruise

Sometimes the most rewarding things we do in life are those that force us to get out of our comfort zone. Whilst the thought of going on a cruise by yourself might be terrifying, all the other passengers onboard will be in the same boat. Here are some of the great benefits of embarking on a senior singles cruise. 1. Meet new people Whether you end up finding love on the cruise or not, you will have the opportunity to meet plenty of people who are in the same season as life as you. If you don’t meet a partner, you could still end up finding terrific friends. Singles cruises are very social, so expect to meet new people on a day-to-day basis. Singles cruises will strategically help you form friendships with fun classes, social mixers and seating at mealtime. 2. Same motives Singles cruises are exclusive to singles so all passengers can have an opportunity to find love. While enjoying the ocean views and blue skies, whoever you come across you will know they are on the cruise as the same reason as you – to meet someone new in an exciting way! Knowing that everyone on board is single, will help you know that whoever catches your eye is open to starting a relationship. 3. Fun environment Whatever way you like to have fun, whether that be pottery or dance classes or playing golf, senior singles cruises have it all. If you find someone on board, you have a list of great date activities that you can do together as you get to know them. If you are finding it hard to strike up a conversation with someone or feel like you are getting lost in the crowd, you can do a social activity to get out of your cabin. Image: Getty

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Hero dad coward-punched while trying to rescue car crash victim

3 very good reasons to try a senior singles cruise