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Why do airlines charge so much for checked bags? This obscure rule helps explain why

<p><em><a href="https://theconversation.com/profiles/jay-l-zagorsky-152952">Jay L. Zagorsky</a>, <a href="https://theconversation.com/institutions/boston-university-898">Boston University</a></em></p> <p>Five out of the six <a href="https://www.oag.com/blog/biggest-airlines-in-the-us">biggest U.S. airlines</a> have <a href="https://www.cnbc.com/2024/03/05/delta-is-the-latest-airline-to-raise-its-checked-bag-fee.html">raised their checked bag fees</a> since January 2024.</p> <p>Take American Airlines. In 2023, it cost US$30 to check a standard bag in with the airline; <a href="https://www.usatoday.com/story/travel/airline-news/2024/02/20/american-airlines-bag-fees-mileage-earning/72669245007/">today, as of March 2024, it costs $40</a> at a U.S. airport – a whopping 33% increase.</p> <p>As a <a href="https://www.bu.edu/questrom/">business school</a> <a href="https://www.bu.edu/questrom/profile/jay-zagorsky/">professor who studies travel</a>, I’m often asked why airlines alienate their customers with baggage fees instead of bundling all charges together. <a href="https://www.vox.com/2015/4/16/8431465/airlines-carry-on-bags">There are</a> <a href="https://www.usatoday.com/story/travel/columnist/2023/06/21/bag-fees-will-stay-a-while-cruising-altitude/70338849007/">many reasons</a>, but an important, often overlooked cause is buried in the U.S. tax code.</p> <h2>A tax-law loophole</h2> <p>Airlines pay the federal government <a href="https://www.ecfr.gov/current/title-26/chapter-I/subchapter-D/part-49/subpart-D">7.5% of the ticket price</a> when <a href="https://www.pwc.com/us/en/services/tax/library/aircraft-club-nov-2023-air-transport-excise-tax-rates-for-2024.html">flying people domestically, alongside other fees</a>. The airlines dislike these charges, with their <a href="https://www.airlines.org/dataset/government-imposed-taxes-on-air-transportation/">trade association arguing</a> that they boost the cost to the consumer of a typical air ticket by around one-fifth.</p> <p>However, the U.S. Code of Federal Regulations <a href="https://www.ecfr.gov/current/title-26/chapter-I/subchapter-D/part-49/subpart-D/section-49.4261-8">specifically excludes baggage</a> from the 7.5% transportation tax as long as “the charge is separable from the payment for the transportation of a person and is shown in the exact amount.”</p> <p>This means if an airline charges a combined $300 to fly you and a bag round-trip within the U.S., it owes $22.50 in tax. If the airline charges $220 to fly you plus separately charges $40 each way for the bag, then your total cost is the same — but the airline only owes the government $16.50 in taxes. Splitting out baggage charges saves the airline $6.</p> <p>Now $6 might not seem like much, but it can add up. Last year, passengers took <a href="https://www.transtats.bts.gov/Data_Elements.aspx?Data=1">more than 800 million trips on major airlines</a>. Even if only a fraction of them check their bags, that means large savings for the industry.</p> <p>How large? The government has <a href="https://www.bts.dot.gov/topics/airlines-and-airports/baggage-fees-airline-2023">tracked revenue from bag fees</a> for decades. In 2002, airlines charged passengers a total of $180 million to check bags, which worked out to around 33 cents per passenger.</p> <p>Today, as any flyer can attest, bag fees are a lot higher. Airlines collected over 40 times more money in bag fees last year than they did in 2002.</p> <p>When the full data is in for 2023, <a href="https://www.bts.dot.gov/baggage-fees">total bag fees</a> will likely top $7 billion, which is about $9 for the average domestic passenger. <a href="https://viewfromthewing.com/the-real-reason-airlines-charge-checked-bag-fees-and-its-not-what-you-think">By splitting out the cost of bags</a>, airlines avoided paying about half a billion dollars in taxes just last year.</p> <p>In the two decades since 2002, flyers paid a total of about $70 billion in bag fees. This means separately charging for bags saved airlines about $5 billion in taxes.</p> <p><iframe id="88MYD" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/88MYD/2/" width="100%" height="400px" frameborder="0"></iframe></p> <p>It seems clear to me that tax savings are one driver of the unbundling of baggage fees because of a quirk in the law.</p> <p>The U.S. government doesn’t apply the 7.5% tax to <a href="https://www.ecfr.gov/current/title-26/chapter-I/subchapter-D/part-49/subpart-D/section-49.4261-3">international flights that go more than 225 miles</a> beyond the nation’s borders. Instead, there are fixed <a href="https://www.airlines.org/dataset/government-imposed-taxes-on-air-transportation">international departure and arrival taxes</a>. This is why major airlines charge $35 to $40 <a href="https://www.aa.com/i18n/travel-info/baggage/checked-baggage-policy.jsp">for bags if you’re flying domestically</a>, but don’t charge a bag fee when you’re flying to Europe or Asia.</p> <h2>Do travelers get anything for that money?</h2> <p>This system raises an interesting question: Do baggage fees force airlines to be more careful with bags, since customers who pay more expect better service? To find out, I checked with the Bureau of Transportation Statistics, which has been <a href="https://www.bts.gov/content/mishandled-baggage-reports-filed-passengers-largest-us-air-carriersa">tracking lost luggage for decades</a>.</p> <p>For many years, it calculated the number of mishandled-baggage reports per thousand airline passengers. The government’s data showed mishandled bags peaked in 2007 with about seven reports of lost or damaged luggage for every thousand passengers. That means you could expect your luggage to go on a different trip than the one you are taking about once every 140 or so flights. By 2018, that estimate had fallen to once every 350 flights.</p> <p>In 2019, the government <a href="https://www.bts.gov/topics/airlines-and-airports/number-30a-technical-directive-mishandled-baggage-amended-effective-jan">changed how it tracks</a> mishandled bags, calculating figures based on the total number of bags checked, rather than the total number of passengers. The new data show about six bags per thousand checked get lost or damaged, which is less than 1% of checked bags. Unfortunately, the data doesn’t show improvement since 2019.</p> <p>Is there anything that you can do about higher bag fees? Complaining to politicians probably won’t help. In 2010, two senators <a href="https://www.nj.com/business/2010/04/us_senators_present_bill_to_ba.html">tried to ban bag fees</a>, and their bill went nowhere.</p> <p>Given that congressional action failed, there’s a simple way to avoid higher bag fees: <a href="https://www.cnn.com/travel/article/packing-expert-travel-world-handbag/index.html">travel light</a> and <a href="https://www.nytimes.com/2023/07/08/opinion/carry-on-packing-airlines-lost-luggage.html">don’t check any luggage</a>. It may sound tough not to have all your belongings when traveling, but it might be the best option as bag fees take off.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/225857/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/jay-l-zagorsky-152952">Jay L. Zagorsky</a>, Associate Professor of Markets, Public Policy and Law, <a href="https://theconversation.com/institutions/boston-university-898">Boston University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-do-airlines-charge-so-much-for-checked-bags-this-obscure-rule-helps-explain-why-225857">original article</a>.</em></p>

Travel Trouble

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Could you cope with a shock to your bank balance? 5 ways to check you are financially resilient

<p><em><a href="https://theconversation.com/profiles/bomikazi-zeka-680577">Bomikazi Zeka</a>, <a href="https://theconversation.com/institutions/university-of-canberra-865"><em>University of Canberra</em></a></em></p> <p>Imagine the dentist has just said you urgently need a A$2,000 dental crown. A week later, a pipe in your bathroom bursts, causing $8,000 worth of damage. Suddenly, you’ve been hit with a $10,000 financial shock.</p> <p>As the cost-of-living crisis plunges more households into financial uncertainty and at least <a href="https://melbourneinstitute.unimelb.edu.au/data/taking-the-pulse-of-the-nation-2022/2023/australians-face-challenging-budgetary-constraints#:%7E:text=Over%20the%20past%20six%20months,has%20increased%20to%2060%20percent.">one-third</a> of Australians struggle to make ends meet, it’s more important than ever to ask yourself: how financially resilient am I?</p> <p>Being financially resilient means you aren’t left financially devastated when an expensive emergency creeps up on you. Here are five key signs of financial resilience.</p> <h2>1. You have a plan for what you’d do if you suddenly lost your salary</h2> <p>Financial resilience means having a plan to fall back on during tough times. This extends to how you’d make money if you lost your job.</p> <p>In practice, that means things like making sure your skills and contacts are kept up to date so you can more easily find a new job. You might also consider whether a “side hustle” job such as tutoring could work for you in the short term, and how you’d put that plan into practice if needed. Perhaps you have a spare room in your home you could rent out for a period of time if you lost your salary.</p> <p>Those examples won’t work for everyone, of course, but it’s still worth asking yourself the question: what would I do if I lost my salary tomorrow?</p> <h2>2. You have enough liquid assets to meet an unexpected financial expense</h2> <p>Liquid assets means money that can be accessed quickly and easily to overcome an unplanned financial expense. Savings are a good example. They provide a buffer so you can cope in the short term if a financial shock strikes. The federal government’s Moneysmart website suggests you aim to have enough in your emergency savings fund to cover <a href="https://moneysmart.gov.au/saving/save-for-an-emergency-fund">three months of expenses</a>.</p> <p>Having an <a href="https://moneysmart.gov.au/glossary/offset-account">offset account</a> as part of a mortgage is another option that provides a buffer. Putting money in an offset account helps you save while reducing the amount of interest on a home loan. You can still access the money in an offset account at any time.</p> <h2>3. You have bought the right financial products, such as insurance</h2> <p>Financial products, such as insurance, hedge against potential losses.</p> <p>Personal insurance is important because it provides income in the event of death, illness or injury. Examples include:</p> <ul> <li> <p>life insurance (which pays out to your beneficiaries, such as your partner or children, when you die)</p> </li> <li> <p>total and permanent disability insurance (which means you may get some money if you acquire a disability that prevents you from working)</p> </li> <li> <p>income protection (which provides you with an income if you can no longer work)</p> </li> <li> <p>trauma cover (which covers a life-changing illness or injury, such as cancer or a stroke).</p> </li> </ul> <p>Check if your superannuation has any of these insurances included in it. <a href="https://www.griffith.edu.au/__data/assets/pdf_file/0030/295770/FPRJ-V4-ISS1-pp-53-75-insurance-literacy-in-australia.pdf">Research</a> has found that many Australians are underinsured.</p> <h2>4. You can still pay your debts when times are tough</h2> <p>Being able to borrow money can help when you’re in a tight spot. But knowing where to borrow from, how much to borrow and how to manage debt repayments is crucial.</p> <p>Financially resilient people use debt responsibly. That means:</p> <ul> <li> <p>not using debt for frivolous expenses like after-work drinks</p> </li> <li> <p>staying away from private money lenders</p> </li> <li> <p>being cautious about buy-now-pay-later services</p> </li> <li> <p>watching out for debts with high interest rates, such as payday loans and credit card debt</p> </li> <li> <p>maintaining debt repayments consistently.</p> </li> </ul> <p>If you’re having debt problems, talk to your lender about renegotiating your repayment arrangements, or contact the <a href="https://ndh.org.au/">National Debt Helpline</a> on 1800 007 007.</p> <h2>5. You are financially literate</h2> <p>Being financially literate means you can assess the benefits and risks of using savings or taking out debt to meet an unplanned financial need.</p> <p>As I have <a href="https://theconversation.com/are-you-financially-literate-here-are-7-signs-youre-on-the-right-track-202331">written</a> before on The Conversation, key signs of financial literacy include tracking your cashflow, building a budget, as well as understanding what debts you have and which to pay first.</p> <p>It also means storing your money across different places (such as superannuation, savings accounts, property and the share market) and understanding how financial assets like cash, shares and bonds work.</p> <p>Being aware of your financial strengths and weaknesses, and having financial goals is also important.</p> <p>Nobody is born knowing how to make sound financial decisions; it’s a skill that must be learned.</p> <p>It’s good to think about the resources you would draw upon to help get yourself out of a difficult financial situation – well before disaster strikes.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/218126/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/bomikazi-zeka-680577"><em>Bomikazi Zeka</em></a><em>, Assistant Professor in Finance and Financial Planning, <a href="https://theconversation.com/institutions/university-of-canberra-865">University of Canberra</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/could-you-cope-with-a-shock-to-your-bank-balance-5-ways-to-check-you-are-financially-resilient-218126">original article</a>.</em></p>

Money & Banking

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"They checked the lungs": Jackie O rushed to hospital mid-show

<p>Radio star Jackie O Henderson, known for her vibrant presence on the airwaves, has faced a serious health scare that led to her being rushed to Sydney’s Royal North Shore Hospital in the middle of the Kyle and Jackie O show. The 48-year-old opened up about the incident, revealing details of the tests and emotions she experienced during this unexpected hospital visit.</p> <p>Jackie O's health ordeal unfolded during a live segment on her KIIS FM radio show,  where she left the show abruptly, citing symptoms akin to a heart attack, including tingling down her arm – a classic indicator of cardiac distress.</p> <p>Upon arriving at the hospital, Jackie O underwent a battery of urgent tests, ranging from an ECG to a CAT scan. Speaking to her concerned listeners the next morning, she highlighted the professionalism and dedication of the hospital staff, emphasising the seriousness with which they approached her situation.</p> <p>“I just got a bunch of tests done all day and they have to go all out on everything so I had to get an ECG done," she explained. “Then they checked the lungs because those are the two things that cause chest pains. They take it super seriously, and they were incredible at the hospital.”</p> <p>Despite the initial concerns, Jackie O shared the relief of being given the all-clear by the hospital. Surprisingly, her symptoms were attributed to an infection rather than cardiac issues.</p> <p>Even in the midst of health concerns, Jackie O found moments of levity during her hospital stay. She humorously recounted an encounter with a man who, even in a post-anaesthesia haze, was able to recognise her.</p> <p>“He looks at me and he locks eyes with me and gives me this puzzled look of recognition," she recounted. "I’m laughing so much because I’ve never seen someone bewildered so much in my life.” </p> <p>Henderson said the man then looked at another man resting on the other side of her before he “turned to me and said, ‘Is that Kyle?’”</p> <p>Jackie O had recently undergone surgery to remove a uterine polyp, a procedure she <a href="https://www.oversixty.com.au/health/body/john-laws-hangs-up-in-disgust-on-kyle-and-jackie-o" target="_blank" rel="noopener">infamously shared with her audience</a>. The lack of sleep post-surgery, combined with the impact of melatonin tablets and energy drinks, likely contributed to her overall fatigue and health episode.</p> <p> </p>

Caring

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Widow "cranky" after Qantas denied late husband's points claim

<p>A widowed grandmother has been left frustrated after Qantas refused to let her claim the 6,800 frequent flyer points in her late husband's account. </p> <p>72-year-old Rhonda told <em>Yahoo</em> that she reached out to the airline after Brian - her husband of 52 years - passed away in May.</p> <p>Rhonda hoped to claim his frequent flyer points, but was met with a brutal rejection letter instead.</p> <p>While they offered their "sincere condolences", it also stated Qantas' "terms and conditions" didn't allow such a transfer, and Rhonda was asked to send through a copy of Brian's death certificate so they could close his account. </p> <p>"I know it's not a lot of points but it's the principle of it because, damn, you get hardly anything out of it anyway," she told <em>Yahoo</em>. </p> <p>"I just thought it would naturally come to me so, once I told them he passed away, I could've easily gone in and transferred them to myself without telling them but I wanted to do the right thing."</p> <p>Four months later, Qantas announced that from October they would change their policy to allow next of kin to claim frequent flyer points. </p> <p>When Rhonda heard about this, she reached out to the airline again.</p> <p>"I immediately wrote back and said that, 'After hearing the news item, I was under the impression you were now looking at this'," she said. </p> <p>"I haven't heard a word back since. I don't know if they're just ignoring me.</p> <p>"I've just had enough," she added. </p> <p>The grandmother-of-five added that she was "cranky" with the airline. </p> <p>"Everywhere I turn there's a barrier, and what's 6,800 points to them? </p> <p>"They are trying to keep their reputation intact and until I heard that announcement I was done with it. Now I still haven't heard and I am cranky about it," she concluded. </p> <p>Fortunately, after Rhonda shared her complaints with the media, Qantas eventually credited her the points, although she remains unimpressed with the "ridiculous" process. </p> <p>A Qantas spokesperson has also offered their sincere apologies to Rhonda. </p> <p>"Our customer team have been in contact with her to advise that her husbands' points have now been transferred to her frequent flyer account," they said. </p> <p>Rhonda said that she hopes to use the points for a holiday and explore the outback in the iconic <em>The Ghan</em> train next year. </p> <p><em>Image: Daily Mail/ Getty</em></p> <p> </p>

Travel Trouble

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5 important things to check off your list before your next cruise

<p>The tickets are booked! Here’s what you need to do before you set sail.</p> <p><strong>1. Visit your doctor</strong></p> <p>Hope for the best and plan for the worst – it’s a good motto to travel by. Visit your doctor to see if you need any vaccinations or medications for exotic locations, and make sure you’re stocked up on all your regular medications.</p> <p>It is a good idea to bring some extras as well as some basic first aid meds (think pain killers and anti nausea tablets) as these can be expensive or hard to come by.</p> <p><strong>2. Research your ports</strong></p> <p>You only have a short time in each port, so you’ll want to make the most of it. Do some research before you leave and decide what you want to see, how long it will (realistically take) and think about whether you want to take an organised tour.</p> <p>We’re not saying you have to plan a rigid schedule and stick to it, but a rough plan of how you want to spend your day will save time and stress.</p> <p><strong>3. Check the weather</strong></p> <p>It’s amazing how quickly the weather can change or an unexpected storm can spring up. Keep an eye on the weather for the days before your cruise so you can pack accordingly. That might mean adding in a few extra jumpers or doubling up on the sunscreen.</p> <p>You will have limited opportunities to buy these things onboard and they can be really expensive. You also don’t want to waste a day in port running around looking for something to wear.</p> <p><strong>4. Talk to your travel buddy</strong></p> <p>How do you imagine you’ll be spending your days? Flopped by the pool or out exploring your next port? Hitting the dancefloor til the wee hours or getting an early night so you can be up for sunrise yoga? These are good conversations to have with your travel partner before you set sail.</p> <p>There’s no right or wrong answer, but many travel arguments have started because people have different ideas of the perfect holiday.</p> <p><strong>5. Organise your insurance</strong></p> <p>You really should do this when you book your tickets as you’ll be covered from then right up until your cruise at no extra cost. But if you’re left it to the last minute, never fear! Jump online and get yourself insured.</p> <p>Many companies offer policies specific to cruising, so everything you need will be covered. And don’t think that you can skip it if you’re only cruising in Australian waters – Medicare won’t cover you onboard.</p> <p><em>Image credits: Getty Images</em></p>

Cruising

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Should I be getting my vitamin D levels checked?

<p><em><a href="https://theconversation.com/profiles/elina-hypponen-108811">Elina Hypponen</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>Australia has seen a <a href="https://insightplus.mja.com.au/2023/29/gps-urged-not-to-routinely-test-children-for-vitamin-d/">surge in vitamin D testing</a> of children, with similar trends reported for adults around the <a href="https://pubmed.ncbi.nlm.nih.gov/29659534/">world</a>. GPs are now <a href="https://insightplus.mja.com.au/2023/29/gps-urged-not-to-routinely-test-children-for-vitamin-d/">being urged</a> not to test for vitamin D unnecessarily.</p> <p>So when is low vitamin D a potential concern? And when might you need to get your levels tested?</p> <h2>How much vitamin D do we need?</h2> <p>Vitamin D is not only a nutrient – when metabolised in the body it acts as a <a href="https://pubmed.ncbi.nlm.nih.gov/29080638/">hormone</a>. We have receptors for this hormone all around our body and it helps regulate the metabolism of calcium and phosphorus.</p> <p>Vitamin D also has many other roles, including helping our immune defences and contributing to <a href="https://pubmed.ncbi.nlm.nih.gov/11295155/">DNA repair</a> and cell differentiation.</p> <p>We can thank the sun for most of our vitamin D. A chemical in our skin called 7-dehydrocholesterol is converted to vitamin D after contact with UVB radiation from the sun.</p> <p>While we get some vitamin D also <a href="https://pubmed.ncbi.nlm.nih.gov/35253289/">through our diet</a>, this makes a relatively small contribution. It’s difficult to get much more than one-third of our daily vitamin D requirement from diet without supplementation.</p> <p>Nutritional vitamin D status is <a href="https://en.wikipedia.org/wiki/Calcifediol">typically measured</a> via a blood test. This checks the calcidiol (calcifediol, 25-hydroxyvitamin D) concentrations, which reflect the average intakes from the sun and diet over the past three to four weeks.</p> <p>The <a href="https://pubmed.ncbi.nlm.nih.gov/22708765/">current recommendation</a> is that we should all aim to have at least 50nmol/L (20ng/mL) at the end of winter.</p> <p>However, one problem with vitamin D tests is that there is <a href="https://pubmed.ncbi.nlm.nih.gov/37182753/">variation</a> in measured concentrations between the laboratories and between the assays, and whether you’re deemed to have a deficiency can depend on the testing method used.</p> <p>Doctors do not always agree with what is deficiency. While very low concentrations are likely to prompt doctors to recommend a supplement (and, potentially, follow-up testing), some may consider even relatively high concentrations as inadequate.</p> <p>This is all understandable as research in this space is still evolving, and we know low concentrations do not always cause any symptoms.</p> <h2>Why avoid vitamin D deficiency?</h2> <p>Prolonged, severe vitamin D deficiency will lead to softening of bone tissue and cause diseases such as rickets (children) and osteomalacia (adults).</p> <p>However, avoiding low concentrations is likely to be good for <a href="https://pubmed.ncbi.nlm.nih.gov/37483080/">many aspects of health</a>, with consistent evidence suggesting benefits for <a href="https://www.bmj.com/content/356/bmj.i6583">infectious diseases</a> and autoimmune conditions such as multiple sclerosis.</p> <p>Randomised trials have also provided evidence for lower <a href="https://pubmed.ncbi.nlm.nih.gov/35676320/">cancer</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/24414552/">all cause mortality</a> by daily supplementation, although any benefit is likely to be restricted to those who otherwise have insufficient intakes.</p> <h2>Who is at risk of deficiency?</h2> <p>Most of us do not need tests to have a relatively good idea whether we might be at risk of a clinically important deficiency.</p> <p>If it’s not late winter, we spend regularly at least some time outside with skin exposed to the sun, and we do not belong to a specific high-risk group, it is unlikely that our <a href="https://pubmed.ncbi.nlm.nih.gov/22168576/">levels would be very low</a>.</p> <p>The two main reasons for vitamin D deficiency typically relate to:</p> <p><strong>1. not getting (enough) vitamin D through sun exposure.</strong> Deficiency risk <a href="https://www.healthdirect.gov.au/vitamin-d-deficiency">can be high</a> for anyone who is housebound, such as older or disabled people in residential care. The risk of deficiency increases if we always cover our skin carefully by <a href="https://pubmed.ncbi.nlm.nih.gov/19211395/">modest cultural dress,</a> and also <a href="https://pubmed.ncbi.nlm.nih.gov/6119494/">dark skin pigmentation</a> is known to reduce vitamin D synthesis.</p> <p><strong>2. having a chronic disease that alters your requirement.</strong> Medications such as anticonvulsants used to treat epilepsy, and conditions such as <a href="https://my.clevelandclinic.org/health/diseases/15050-vitamin-d-vitamin-d-deficiency">liver and kidney diseases</a> can interfere with vitamin D metabolism. Some <a href="https://my.clevelandclinic.org/health/diseases/15050-vitamin-d-vitamin-d-deficiency">digestive diseases</a> can reduce vitamin D absorption from your diet, while <a href="https://pubmed.ncbi.nlm.nih.gov/30020507">obesity</a> will increase your vitamin D requirement and make it more difficult to raise your blood levels.</p> <h2>Am I getting enough sun exposure?</h2> <p>In Australia, it is possible to get enough vitamin D from the sun <a href="https://healthybonesaustralia.org.au/your-bone-health/vitamin-d-bone-health">throughout the year</a>. This isn’t so for many people living in the northern hemisphere.</p> <p>For those who live in the top half of Australia – and for all of us during summer – we <a href="https://healthybonesaustralia.org.au/your-bone-health/vitamin-d-bone-health">only need</a> to have skin exposed to the sun a few minutes on most days.</p> <p>The body can only produce a certain amount of vitamin D at the time, so staying in the sun any longer than needed is not going to help increase your vitamin D levels, while it will increase your risk of skin cancer.</p> <p>During winter, catching enough sun can be difficult, especially if you spend your days confined indoors. Typically, the required exposure increases to two to three hours per week in winter. This is because sunlight exposure can only help produce vitamin D if the UVB rays reach us at the correct angle. So in winter we should regularly spend time outside in the middle of the day to get our dose of vitamin D.</p> <p>If you are concerned, you have very dark skin, or are otherwise in a high-risk group, you may want to talk to your GP.</p> <p>In any case, taking a modest daily dose of vitamin D (1,000-2,000 IU) during the darker winter months is unlikely to cause harm and it <a href="https://pubmed.ncbi.nlm.nih.gov/37483080/">may be beneficial</a>.</p> <h2>Why does excess vitamin D testing matter?</h2> <p>When not indicated, testing can cause unnecessary worry and promote a cascade of <a href="https://pubmed.ncbi.nlm.nih.gov/32675268/">laboratory, prescription and imaging services</a> that are of low value.</p> <p>Excessive testing is also a waste of health-care resources, with one <a href="https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.50619">single test</a> costing about the same as a years’ worth of vitamin D supplementation.</p> <p>Very often, we can make relatively small changes to our lifestyles to reduce the risks of vitamin D deficiency. <!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/211268/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/elina-hypponen-108811">Elina Hypponen</a>, Professor of Nutritional and Genetic Epidemiology, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/should-i-be-getting-my-vitamin-d-levels-checked-211268">original article</a>.</em></p>

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Sam Newman grilled point-blank: "Are you a racist?"

<p>Sam Newman has been left struggling to come up with an answer after being asked if he is a racist.</p> <p>The former AFL player spoke with Tony Jones on 3AW radio on Thursday, as he doubled down on recent comments that encouraged Australians to boo during Welcome to Country acknowledgements.</p> <p>While defending his opinions, Newman was asked point-blank by Jones, "Are you a racist?"</p> <p>Newman stuttered in response, "Now... what a... No, no, please..."</p> <p>Jones clarified his question, "I think there would be people listening to this at the moment with an open mind that would want me to ask that question."</p> <p>Newman became immediately defensive, asking in retaliation, "Please... now you tell me what you think a racist is besides saying me ... Who have I vilified? I don't think you know what racism is. </p> <p>"Racism is about hate primarily and it's if you defile, decry or degrade someone, think you're superior than them or try to dominate them."</p> <p>"It's the most overworked word in the English lexicon at the minute... you tell me why anything I've said and what I've done is anything to do with racism."</p> <p>Newman then went on to highlight the past controversy surrounding Indigenous AFL legend Adam Goodes, saying he was relentlessly booed while playing because of an incident on the field, and not because of his race.</p> <p>"[In 2015] Adam Goodes was booed because he pretended to throw a spear at the Carlton cheer squad after the Swans were beating them by 10 goals at half-time and wondered why people... people get booed on the football field, not because of their skin colour, but because of things they do," Newman said.</p> <p>"I know that, everyone knows that. Then the AFL waded into this... and said 'please don't boo Adam Goodes'. That's like red rag to a bull."</p> <p>Contrary to Newman's comments, Goodes had been booed for weeks prior to tha incident by the crowd every time he neared the ball, with the crowd escalating their behaviour, which resulted in fans being kicked out of the stadium.</p> <p>Newman also insisted he was not attempting to incite violence against First Nations Australians after he urged people to boo the Welcome to Country at the AFL Grand Final.</p> <p>"We like to go to the football and watch the game without being told to vote for the gay marriage proposal, which is fine, without being told to vote for the Voice - I know (the AFL) has retracted their direction to vote Yes for the Voice. Why do they get involved?" he said.</p> <p>"I'll tell you. It's an absolute hoax. It's a rort. Welcome to Country. Why do we have to be welcomed to the country we live in? Why is that? It is just a mark of division. The people who welcome you to country get a nice stipend out of it. Why do they charge to have it? It is just a rort."</p> <p>Just prior to his radio appearance, senator Lidia Thorpe once again blasted his comments on the <em>Today Show</em>.</p> <p>"Sam Newman, I'm not sure why he's even in the news. He's irrelevant to any debate of the time," she said on Thursday morning.</p> <p>"It's about peace. The whole message behind it is respect."</p> <p>"Sam Newman is not a respectful man at the best of times. He needs to educate himself."</p> <p><em>Image credits: Getty Images</em></p>

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Don’t believe the hype. Menopausal women don’t all need to check – or increase – their testosterone levels

<p><em><a href="https://theconversation.com/profiles/susan-davis-10376">Susan Davis</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p>Ever heard “low testosterone” blamed for low mood, brain fog and loss of vitality? Despite all evidence to the contrary, social media influencers are increasingly promoting testosterone therapy as an elixir for women experiencing troubling symptoms of menopause.</p> <p>In a series of documentaries and <a href="https://www.dailymail.co.uk/health/article-11792553/Davina-McCall-effect-sparks-menopause-testosterone-treatment-rush-putting-women-risk.html">social media posts</a> about menopause in 2021 and 2022, British TV presenter Davina McCall promoted the use of testosterone therapy in addition to standard <a href="https://www.menopause.org.au/hp/information-sheets/combined-menopausal-hormone-therapy-mht">menopausal hormone therapy</a>. The “<a href="https://www.telegraph.co.uk/news/2023/02/17/davina-effect-fuels-surge-menopausal-women-using-testosterone/#:%7E:text=Chelsea%20Magazine%20Company-,'Davina%20effect'%20fuels%20surge%20in%20menopausal%20women%20using%20testosterone,NHS%20prescriptions%20for%20the%20hormone">Davina effect</a>” has helped fuel a <a href="https://pharmaceutical-journal.com/article/news/nhs-testosterone-prescribing-in-women-rises-ten-fold-in-seven-years#:%7E:text=The%20number%20of%20women%20in,The%20Pharmaceutical%20Journal%20has%20revealed">ten-fold increase</a> in prescribing of testosterone for women in the United Kingdom since 2015.</p> <p>Data isn’t available for Australia, but in my clinical practice, women are increasingly asking to have their testosterone level checked, and seeking testosterone to treat fatigue and brain fog.</p> <p>But while testosterone continues to be an important hormone before and after menopause, this doesn’t mean women should be having a blood test to get their testosterone levels checked – or taking testosterone therapy.</p> <h2>What does testosterone do?</h2> <p>Testosterone is an important hormone in women’s bodies, affecting the blood vessels, skin, muscle and bone, breast tissue and the brain. In both women and men, testosterone can act on its own or be converted into estrogen.</p> <p>Before menopause, testosterone is made in the ovaries, where it helps developing eggs grow and aids in estrogen production.</p> <p>The ovaries release both testosterone and estrogen into the bloodstream, and the levels of the two hormones in the blood peak around ovulation.</p> <p>Some of the testosterone measured in blood is also produced outside the ovaries, such as in fat, where it is made from “pre-hormones” secreted by the adrenal glands. This source of production of testosterone takes over after menopause.</p> <h2>Do we have more testosterone before menopause?</h2> <p>The claim is often made that pre-menopausal women have more testosterone in their bloodstream than estrogen, to justify the need for testosterone replacement after menopause.</p> <p>But, when sex hormones have been measured with precision, studies have shown this is not true. <a href="https://pubmed.ncbi.nlm.nih.gov/31390028/">Our research</a> found estrogen levels are higher than testosterone levels at all stages of the menstrual cycle.</p> <p>Blood testosterone levels <a href="https://pubmed.ncbi.nlm.nih.gov/31390028/">fall</a> by about 25% between the ages of 18 and 40 years in healthy women. The fall in testosterone coincides with the decline in eggs in the ovaries but whether this is a marker of the decline, a consequence, or a cause of the decline is not known.</p> <p>From around 40, the rate of decline slows and blood testosterone levels don’t change when <a href="https://www.menopause.org.au/hp/information-sheets/what-is-menopause">menopause</a> occurs naturally. Studies have not shown testosterone levels change meaningfully during the menopause transition.</p> <h2>Can blood tests detect ‘low testosterone’?</h2> <p>Some influencers claim to have a condition called “testosterone deficiency syndrome” or low levels of testosterone detected in blood tests.</p> <p>But there is no “normal” blood level below which a woman can be diagnosed as having “testosterone deficiency”. So there’s no such thing as having a testosterone deficiency or testosterone deficiency syndrome.</p> <p>This is also in part, because women have very low testosterone concentrations compared with men, and most commercial methods used to measure testosterone cannot separate normal from low levels in women with any certainty.</p> <p>Pre-menopausal women might also be told they have “low” testosterone if blood is drawn early in the menstrual cycle when it is normal for testosterone to be low. (However, it would only be clinically necessary to do this type of blood test to look for <em>high</em> testosterone, in someone with with excessive hair growth or severe acne, for example, not for <em>low</em> testosterone.)</p> <p>In post-menopausal women, much of the action of testosterone occurs in the tissues where it is made, after which testosterone is either converted to estrogen or broken down before it leaks back into the circulation. So blood testosterone concentrations are not a true reflection of tissue concentrations.</p> <p>Further complicating the picture is the enormous variability in the effects of testosterone. At a given blood level of testosterone, some women might have oily skin, acne, increased body hair growth or balding, while others will have no such effects.</p> <p>So, looking for a “low” blood testosterone in women is not helpful.</p> <h2>Can testosterone improve sexual desire? What about other conditions?</h2> <p>There is sound evidence that testosterone therapy may improve sexual desire in post-menopausal women who have developed low sexual desire that bothers them.</p> <p>This was <a href="https://www.tandfonline.com/doi/full/10.1080/13697137.2019.1637079">confirmed by</a> a <a href="https://pubmed.ncbi.nlm.nih.gov/31353194/">systematic review</a> of clinical trials comparing testosterone with a placebo or an alternative. These trials, all of which involved a treatment time of at least 12 weeks, showed testosterone therapy, overall, improved desire, arousal, orgasm and sexual satisfaction in post-menopausal women with low desire that caused them distress.</p> <p>Treatment is only indicated for women who want an improvement in sexual desire (after excluding other factors such as depression or medication side effects) and its success can only be determined by each woman’s personal self-reported response.</p> <p>But there is <a href="https://www.tandfonline.com/doi/full/10.1080/13697137.2019.1637079">not enough evidence</a> to show testosterone is beneficial for any other symptom or medical condition. The overall available data has shown no effect of testosterone on mood or cognition.</p> <p>As such, testosterone therapy <a href="https://www.tandfonline.com/doi/full/10.1080/13697137.2019.1637079">should not be used</a> to treat symptoms such as fatigue, low mood, muscle weakness and poor memory, or to prevent bone loss, dementia or breast cancer.</p> <p>However research continues to investigate these potential uses, including from my <a href="https://www.monash.edu/medicine/sphpm/units/womenshealth">research team</a>, which is investigating whether testosterone therapy can <a href="https://asbmr.onlinelibrary.wiley.com/doi/10.1002/jbmr.534">protect against bone density loss and muscle loss after menopause</a>.</p> <p><em>You can learn more about participating in one of our studies <a href="https://www.monash.edu/medicine/sphpm/units/womenshealth/join-a-study">here</a>.</em> <!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/209516/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/susan-davis-10376">Susan Davis</a>, Chair of Women's Health, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/dont-believe-the-hype-menopausal-women-dont-all-need-to-check-or-increase-their-testosterone-levels-209516">original article</a></em>.</p>

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5 memorable locations from ‘80s films to check out

<p><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">Everyone loves a good movie, and everyone loves a holiday, so what do you get when you combine the two? The time of your life! </span></p> <p>It’s widely known that the ‘80s spawned a whole host of films that went on to become cult classics - from the likes of <em>Heathers </em>to <em>Footloose</em>, <em>Dirty Dancing</em>, and <em>The Terminator</em> - and forged the way for cultural changes that ring true decades later. </p> <p>But did you also know that for many of these iconic films, real-life locations served as the inspiration for many memorable scenes? </p> <p>And while some may have changed slightly in the years since cast and crew flocked to them, some are like stepping into a time capsule - or a stage for you to re-enact the films as you see fit. </p> <p><strong>Lake Lure, North Carolina - <em>Dirty Dancing</em> (1987)</strong></p> <p>Anyone who’s seen<em> Dirty Dancing</em> can tell you that ‘the lift scene’ is one of the film’s most iconic moments. And it - along with a few others from the film - were filmed in North Carolina’s very own Lake Lure. And with the spot boasting its very own Lake Lure Inn &amp; Spa - where, coincidentally, the movie’s stars stayed while working on the project - it could be the perfect getaway location for your next holiday. </p> <p><strong>Guesthouse International Hotel, California - <em>National Lampoon Vacation</em> (1983) </strong></p> <p>For those embarking on their very own<em> National Lampoon Vacation</em>, you’re in luck - the hexagonal pool is near exactly the same as it was when Chevy Chase’s Clark Griswold enjoyed a nighttime swim with Christie Brinkley’s The Girl in the Ferrari. </p> <p><strong>New York Public Library, New York - <em>Ghostbusters </em>(1984)</strong></p> <p>The 1984 film sparked an entire host of sequels, games, parodies, and conventions for avid fans across the globe - as well as one incredibly catchy song. However, for those that would like to go above and beyond just calling their friendly neighbourhood ghostbusters, the  New York Public Library’s flagship Stephen A Schwarzman building is the spot where the team had their very first encounter with the film’s ghosts. </p> <p><strong>Griffith Observatory, California - <em>The Terminator</em> (1984)</strong></p> <p>Fans of<em> The Terminator </em>should immediately recognise this site as the one where Arnold Schwarzenegger’s Terminator arrived in the nude, and basked in the glory of LA at night. It’s a popular location, and while a must-see for fans of the film, it also makes for a good afternoon out - the observatory itself boasts free entry, stunning views, and a range of fascinating exhibits inside to entertain the keen mind. </p> <p><strong>The Grand Hotel, Michigan - <em>Somewhere in Time </em>(1980)</strong></p> <p>The Grand Hotel was the primary location for romantic drama <em>Somewhere in Time</em>, and they’re proud of it. In fact, a poster for the film is reportedly even still on display there, and hosts weekends of celebration for the 1980 hit, too. </p> <p>The island the hotel is set on doesn’t allow cars, so anyone hoping to throw themselves back in time and fully immerse themselves in a ‘different world’, this National Historic Landmark may be just the place to do it. </p> <p><em>Images: Getty, Booking.net</em></p>

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“Insensitive to the point of ghoulish”: ABC slammed over ‘intrusive’ interview with bus crash saviours

<p> An ABC interview with two bystanders who rushed to help injured children trapped in a horrifying Melbourne bus crash has been blasted by viewers as “insensitive” and “ghoulish”.</p> <p>On May 17, a school bus full of 45 children was hit from behind by a truck, leading it to overturn, and <a href="https://www.oversixty.com.au/news/news/several-children-to-undergo-amputations-after-melbourne-school-bus-crash" target="_blank" rel="noopener">trapping several children</a> inside at the Eynesbury intersection in Melbourne’s west.</p> <p>Victorian tradesmen Cameron Chalmers and Dean Eastway were heading home from work when they witnessed the accident, they shared their heartbreaking experience with reported Sarah Ferguson on an episode of 7.30.</p> <p>The interview came after Royal Children’s Hospital chief executive Bernadette McDonald gave a chilling update to the media the following day, revealing a number of children had “partial” amputations of arms and one underwent a “complete amputation” due to the severity of their injuries.</p> <p>“We ripped the sunroofs off and found all these kids in the bus. That was horrible,” Mr Chalmers told 7.30.</p> <p>“The kids were screaming and there was smoke and dust. And we just started pulling out as many kids as we could out of those sunroofs.”</p> <p>Eastway noted the children were “obviously terrified, they were trapped and yelling out, ‘I don’t want to be in a bus again. Where’s Mum?’ All sorts of stuff, and there were all sorts of injuries. It was just terrible.”</p> <p>Mr Chalmers estimated he and Mr Eastwood had rescued around 30 children from the wreckage and began helping those who remained trapped inside the bus.</p> <p>“We just kept talking to them and held their hands and just looked after them,” he said.</p> <p>“We sat there and we asked them their names … and just tried to keep them calm, just talking to them and reassuring them,” Mr Eastway added.</p> <p>Both men stayed on the scene until all children were freed, and said the reality of the traumatic incident was hard to process.</p> <p>However, social media users were quick to slam the interview, accusing the ABC of acting insensitively by airing the interview and Ferguson for her rapid-fire questioning and “seeming lack of empathy”, including her asking for details about individual children, like their names and state of their condition.</p> <p>“The bus crash looked horrific and I’m sad for all involved. I’m also disturbed by this interview with Sarah Ferguson and the men who assisted … How is this OK?” one person wrote on Twitter.</p> <p>Another added, “The two rescuers from the Victorian bus crash are so dignified and respectful in responding to the insensitive and highly intrusive questioning by Sarah Ferguson … even asking them to describe the individual children they rescued. It’s unethical and wrong.”</p> <p>“The men who helped at the bus crash scene are heroes. They deserve more respect than to be asked ongoing inconsiderate, unfeeling questions about the kids, only to relive their trauma for Sarah Ferguson,” one wrote.</p> <p>Another chimed in, “I have great respect for Sarah Ferguson – and also, given the gravity of the bus crash incident, it was in poor taste to seek details so intrusive and sensitive of the children’s trauma.</p> <p>“The rescuers, indeed heroes, are likely traumatised themselves. Dismayed, ABC.”</p> <p>One more wrote, “The two men did a great job. Your interview of them was belaboured and insensitive to the point of ghoulish.”</p> <p>While another said, “#abc730 trying to get victims names in the bus crash is unforgivable Sarah Ferguson!”</p> <p><em>Image credit: ABC 7.30</em></p>

Caring

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"What am I going to do?”: Centrelink mother points out crucial flaw in new budget policy for parents

<p>An unemployed mother who relies on Centrelink benefits has broken down while noting a fatal flaw in Treasurer Jim Chalmers’ Federal Budget promises to parents.</p> <p>Jessica Blowers told ABC’s <em>Q&amp;A</em> program that she will be forced off the Single Parent Payment when her daughter turns eight in August, leaving her unable to afford the rent increases.</p> <p>Currently, single parents can claim the Parenting Payment of $949.30 a fortnight until their youngest child turns eight. By September 2023, the age limit for the pay rise to when the youngest child is 14, as part of Chalmers’ budget.</p> <p>Ms Blowers is one of many copping the brunt of it as her daughter’s 8th birthday is four weeks before the new rules begin.</p> <p>She will also see a rent increase during that period from $900 a fortnight to $960.</p> <p>“What am I going to do? What is my choice, other than I am doing my best to get a job so that I can keep a house over my daughter's head,” she stressed to the treasurer.</p> <p>“When I'm applying for the jobs, I am faced with being told that more than 100 other candidates have applied for the same jobs - I'm not sure how I am supposed to compete against 100 other people for one job.”</p> <p>Ms Blowers added she “would like to know what measures the government has in place to bridge the gap that I and other parents in similar situations will find ourselves in”.</p> <p>“I don't have anywhere to go because I am paying my entire pension in rent. Everywhere else in Sydney is comparable to that.”</p> <p>Although sympathetic to her situation, Chalmers said those suffering like Ms Blowers were “the reason why we are lifting the age from eight to 14”.</p> <p>“This is something we were really keen to do in the Budget because we recognise the pressure that you are under as a single mum,” he explained.</p> <p>However, Chalmers was adamant that the new system could not be introduced any earlier than September 20, 2023.</p> <p>“We've tried to do is bring that change in as soon as possible. We think September is the soonest that we can do it,” he said.</p> <p>“I understand that that means a few weeks for you going from the current payment onto JobSeeker and (then) back onto the single parenting payment.</p> <p>“I would love to avoid that if we could, but what we're trying to do is provide this extra assistance ... that you need and deserve. If we could avoid those couple of weeks, we would, but September is the best we can do.”</p> <p>In total, some 57,000 single parents, 90 per cent of whom are women, will benefit from the new scheme.</p> <p>Previously they would have been moved onto the lower JobSeeker rate when their youngest child turned eight.</p> <p>“By age 14, children have typically settled into high school and need less parental supervision, and single parents are in a much stronger position to take on paid work," Prime Minister Anthony Albanese said when the policy was announced.</p> <p>Historically, the single parent payment was eligible for singles with children aged up to 16.</p> <p>But former prime minister John Howard, later supported by Julia Gillard, cut the age to eight in an attempt to encourage parents back into the workforce.</p> <p>Two advisory bodies have called for the government to extend the payment and the eligibility criteria.</p> <p>It is understood mutual obligation requirements will remain in order to continue encouraging parents to go back to work.</p> <p>Speaking to Nova radio in Perth, Mr Albanese explained he knew “firsthand what it's like to grow up with a single mum doing it tough”.</p> <p>“We want to look after single parents because we know that the role that they play in raising their children is such a priority for them and they’re deserving of more support,” he said.</p> <p><em>Image credit: ABC Q&amp;A</em></p>

Money & Banking

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Slowing down in old age may point to a more sinister concern

<p dir="ltr">It’s widely accepted that we tend to lose muscle strength and general mobility as we get older, which tends to make completing general tasks, and simply moving through the world, more difficult. </p> <p dir="ltr">While these aches and pains are a common symptom of getting older, new <a href="https://www.ecu.edu.au/schools/medical-and-health-sciences/our-staff/profiles/post-doctoral-research-fellows/dr-marc-sim">research</a> conducted by the Edith Cowan University (ECU) indicates this could also be a signal for another sinister health concern of ageing: late-life dementia.</p> <p dir="ltr">Research teams from ECU’s Nutrition &amp; Health Innovation Research Institute and Centre for Precision Health have investigated the link between muscle function and dementia, examining more than 1000 women with an average age of 75. </p> <p dir="ltr">In collaboration with the University of Western Australia, the team measured the women’s grip strength and the time it took for them to rise from a chair, walk three metres, turn around and sit back down — known as a timed-up-and-go (TUG) test.</p> <p dir="ltr">These tests were repeated after five years to monitor any loss of physical performance.</p> <p dir="ltr">Over the next 15 years, almost 17 per cent of women involved in the study were found to have had a dementia event, categorised as a dementia-related hospitalisation or death.</p> <p dir="ltr">The team found lower grip strength and slower TUG were significant risk factors for presenting with dementia, independent of genetic risk and lifestyle factors such as smoking, alcohol intake and physical activity levels.</p> <p dir="ltr">The women with the weakest grip strength were found to be more than twice as likely to have a late-life dementia event than the strongest individuals. </p> <p dir="ltr">A similar relationship emerged between TUG performance and dementia, with the slowest in their TUG test more than twice as likely to experience dementia than the quickest.</p> <p dir="ltr">Senior researcher Dr Marc Sim said grip strength may be a measure of brain health due to the overlapping nature of cognitive and motor decline.</p> <p dir="ltr">“Possibly due to a range of underlying similarities, grip strength may also present as a surrogate measure of cardiovascular disease, inflammation and frailty, which are known risk factors for dementia,” Dr Sim said.</p> <p dir="ltr">Dr Sim went on to say that the findings could help healthcare professionals to identify dementia risk in patients earlier.</p> <p dir="ltr">“Incorporating muscle function tests as part of dementia screening could be useful to identify high-risk individuals, who might then benefit from primary prevention programs aimed at preventing the onset of the condition such as a healthy diet and a physically active lifestyle.”</p> <p dir="ltr">“The exciting findings were that decline in these measures was associated with substantially higher risk, suggesting that if we can halt this decline, we may be able to prevent late-life dementias.”</p> <p dir="ltr"><em>Image credits: Getty Images</em></p>

Caring

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Jackie O sends welfare check for concerning caller

<p>Radio giant Jackie ‘O’ Henderson has requested a welfare check for a listener after receiving a distressing phone call on The Kyle and Jackie O show.</p> <p>The caller, Michael, who made it on air at about 6:30 am during the First Calls segment on the show, proceeded to sing a song about suicide, blindsiding the presenters.</p> <p>The song was Fade to Black by U.S heavy metal band Metallica, from their 1984 album <em>Ride the Lightning</em>. The bleak track is about wondering if life is worth living and wishing for death.</p> <p>Michael did not advise the hosts that he would be singing the song, and had told producer ‘Intern Pete’ Deppeler off air that he was a ‘comedian’ and ‘had a few jokes to tell’.</p> <p>Henderson seemed concerned and asked the team to make sure the listener was okay.</p> <p>The dismal segment started soon after an ad break, with host Kyle Sandilands asking, “You want to ring up for anything? First Calls, 13 10 65 will get you through. Michael has called in. Hey, Michael.”</p> <p>“Hello,” Michael responded, sounding dismal, which the hosts recognised was off as Sandilands was quick to mimic ‘hello’ back.</p> <p>Sandilands asked how the listener was doing, to which Michael replied, “Oh, not bad. I [inaudible] have a quick ten-second song I'd like to... sing for you.”</p> <p>'What, sorry? A song?' Henderson asked.</p> <p>“It goes like this,” Michael said, before singing the lyrics to Fade to Black, “.. lost the will to live / Simply nothing more to give / There is nothing more for me / Need the end to set me free.”</p> <p>Michael put his own spin on the song, singing lyrics that don’t appear on the track, “Never cared for no one else” before quickly hanging up.</p> <p>“Don't be like that…”, a baffled Sandilands said after Michael abruptly ended the call.</p> <p>Henderson feared the worst, immediately asking producers, “Is he alright? That didn't sound good, guys. What were you getting off air? Because that sounded like a goodbye song to me.”</p> <p>Sandilands tried to reassure Henderson, saying “He seems fine. He seems fine.”</p> <p>Deppeler, who had spoken to Michael during the ad break and briefed him on what would be discussed on air said, “He was normal to me,”</p> <p>When Henderson asked what they’d spoken about during the ad break, Deppeler told the presenter, "He said, 'I'm a comedian, I've got a few jokes to tell, I've got a new song.'”</p> <p>“So he went rogue on you?' Henderson asked, with Deppeler replying, “A little bit rogue, yeah”.</p> <p>Henderson asked Deppeler to “call him back and check he's okay,” adding, "He just hung up and said this is the end for me. Just check he's alright, that guy.”</p> <p>She awkwardly laughed as she and Sandilands scolded Deppeler for having such a grim listener as the first caller following a two-week break.</p> <p>The presenters then moved on to the second caller, A woman called Debbie.</p> <p><em><strong>Help is available, speak with someone today.</strong></em></p> <p><em><strong>Crisis support is available from <a href="https://www.lifeline.org.au/" target="_blank" rel="noopener">Lifeline</a> on 13 11 14.</strong></em></p> <p><em><strong>Support is available from <a href="https://www.beyondblue.org.au/" target="_blank" rel="noopener">Beyond Blue</a> on 1300 22 4636.</strong></em></p> <p><em>Image credit: Instagram</em></p>

Caring

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12 things you should always do before you leave your hotel room

<p><strong>Check under the bed and dresser</strong></p> <p>“I always get down on my hands and knees and look under the bed and under the dresser,” says Suzanne Markham-Bagnera, a former general manager at hotels. Young kids especially like to hide things, and then forget about them.</p> <p>“You get the frantic phone call that a child has left their Lovey, their stuffed animal, or their toy and they realised once they get in their car and start driving, but they’re not able to come right back to the hotel,” she adds.</p> <p><strong>Pull the bed linens back</strong></p> <p>Markham-Bagnera typically removes the bedding to both help out the housekeeper and make sure she hasn’t forgotten anything. “That’s my way of securing: I’ve done the clean sweep of the bed. I’m good,” she says.</p> <p>Guest aren’t expected to strip the bed, but should you decide to, make sure to leave the comforter on a chair or in the closet, not on the floor. And don’t ball the bed linens up with the blanket, keep them separate.</p> <p><strong>Leave the used towels in the tub</strong></p> <p>Markham-Bagnera puts all the towels on the bathtub, especially if they’re still wet. That way they’re out of the way and all together in the pile. And the room attendant only has to pick up one pile of dirty linen. “It makes it a lot faster to pick up,” Markham-Bagnera says.</p> <p><strong>Take the food you want to keep</strong></p> <p>If you’ve used the refrigerator, make sure that you take out the items that you want. “The ones that you don’t want, throw away,” she says. Some guests leave alcohol as a tip for the housekeeper, but policies vary from hotel to hotel on whether they can accept it or not.</p> <p><strong>Stack overflow takeaway boxes next to a waste bin</strong></p> <p>Hotel waste bin are pretty small, and the remnants of last night’s dinner may not fit. If you’ve got overflow, pile the boxes next to the waste bin instead of leaving them scattered all around the room. “The messier you leave the room, the harder it is for the room attendant to clean that room,” Markham-Bagnera says.</p> <p><strong>Check between the mattress and box spring</strong></p> <p>When a room doesn’t have a safe, hotel guests will sometimes hide items they don’t want to leave around the room between the mattress and the box spring. Housekeepers have recovered weapons and sex toys there, Markham-Bagnera says.</p> <p><strong>Move the furniture back </strong></p> <p>If hotel guests are travelling with children, they sometimes move one of the beds against the wall so there’s less opportunity for a child to fall out of the bed. That’s fine, but the courtesy is to move the furniture back where you found it before you leave.</p> <p><strong>Take your medications and supplies with you</strong></p> <p>Forgetting your medication can be dangerous for you, but leaving supplies like needles in your room could also be hazardous to your housekeeper. Also, if you gashed yourself shaving and used a towel to stop the blood flow, separate the towel out from the rest.</p> <p>“Hotels will have protocols for how to clean it or for how they have to bag it and have a company come and dispose of it. Because they can’t just put that in the regular trash and be done with it in a hotel,” Markham-Bagnera says.</p> <p><strong>Make sure you have your charger!</strong></p> <p>“If I had a dollar for every charger that I found, I could take my whole family on vacation,” says hotel manager, Adam Sperling. These days, it’s bad news if your phone dies, so take that last look around. “It’s things that get left behind that can often cause you stress at the end of your journey,” he says.</p> <p><strong>Think about a tip</strong></p> <p>Room attendants are typically paid hourly, so their position is different from a bellhop or a server that might make less per hour with the expectation that they will make more in gratuities, Markham-Bagnera says. That said, room attendants work incredibly hard and tipping is appreciated.</p> <p>Things to consider? The quality of the hotel, whether you’re staying one night or multiple nights, and how messy you’re leaving the room. “If you’ve got a lot of people staying in the room and you’ve got a pullout sofa or a cot, and you’ve used a lot more towels, it certainly is nicer to leave a little extra,” Markham-Bagnera says.</p> <p><strong>Call down to the front desk for transportation </strong></p> <p>Mornings can be hectic at hotels, with out-of-town guests rushing to make meetings and flights in cities they don’t know. You can save yourself some of the hassle by doing a little prep before you leave the hotel room.</p> <p>“Call down and say, ‘hey, I’m leaving at 7.30 tomorrow, can my car be waiting for me?’” Sperling suggests. “That helps everybody. Your car’s waiting for you and we’re not scrambling to go get it at 7.25 when you need it at 7.30.”</p> <p><strong>Book your next stay</strong></p> <p>If you really liked your room and are planning to be back in the area, before you leave your hotel is a great time to rebook, Sperling says. He recommends you ask for the front desk manager for face-to-face treatment that can trump the savings online. “You’re likely to get a great rate, and you’re likely to get upgraded,” he says.</p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.com.au/travel/12-things-you-should-always-do-before-you-leave-your-hotel-room?pages=1" target="_blank" rel="noopener">Reader's Digest</a>. </em></p>

Travel Tips

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“Welcome to reality”: Dad fined for daughter's seatbelt mistake receives little sympathy

<p dir="ltr">A Queensland father has posted a plea for help on social media, after he received two hefty fines adding up to $2,156 for his daughter’s simple seatbelt mistake.</p> <p dir="ltr">The father claimed that he was completely unaware of what his daughter was doing, after cameras caught her wearing her seatbelt incorrectly twice as a passenger.</p> <p dir="ltr">"Just received two x $1078 fines plus total 8 demerit points, only 2 weeks apart for my 13yo daughter not wearing her seatbelt correctly. Had no idea that she was wearing it that way as can’t see from the driver's point of view," he wrote on Facebook.</p> <p dir="ltr">The frustrated dad revealed that his daughter had made the same mistake twice within two weeks and asked whether it was worth taking it to court.</p> <p dir="ltr">He also asked if "any chance of somehow reducing the penalty".</p> <p dir="ltr">According to the <a href="https://www.qld.gov.au/transport/safety/rules/road/seatbelt-rules#:~:text=Everyone%207%20years%20or%20older,are%20not%20frayed%20or%20loose." target="_blank" rel="noopener">Queensland Government</a> fines and demerit points apply for not wearing a seatbelt or wearing it incorrectly, and that drivers “may be fined for each unrestrained or incorrectly restrained passenger in the vehicle”.</p> <p dir="ltr">Dozens of people have responded, but many didn’t sympathise with the dad saying that they both should’ve known better.</p> <p dir="ltr">"You as a driver are responsible for everyone in the car. Perhaps you need to be firm with your daughter. Welcome to reality," commented one person.</p> <p dir="ltr">"She's old enough to know how to wear a seat belt, just give her the fines to pay and she will wear it properly from then on," wrote another.</p> <p dir="ltr">Others have said that they should learn from this mistake and be more aware of the dangers of wearing a seatbelt incorrectly.</p> <p dir="ltr">"Both learn from this and fix the problem for next time before your daughter flies out of the car in a crash," said one person.</p> <p dir="ltr">"I’d suggest you forget about the law and just think of the damage done to your daughter in an accident with the seatbelt worn like this," wrote another.</p> <p dir="ltr">A few others did sympathise and acknowledge that kids can make mistakes despite the adults knowing better.</p> <p dir="ltr">"I feel for you, I caught my 13-year-old doing this and yelled at her," commented one user.</p> <p dir="ltr">"These fines are crippling people. I understand to a certain degree but mistakes are made," wrote another.</p> <p><em>Image: Facebook</em></p> <p> </p>

Travel Trouble

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Check your rates: Couple's warning after being overcharged for more than a decade

<p>A disgruntled couple from the NSW south coast town of Kiama have slammed their local council after discovering they have been overcharged by around $8,000 for a rubbish bin they weren’t even using.</p> <p>The couple, Kim and Geoff Oppert reached out to <em>A Current Affair</em> to warn other ratepayers to carefully check the fine print on their bills.</p> <p>The pair had made the decision to downsize their red-lid general waste bin after their daughter moved out of the family home, which ideally would have lowered their rates.</p> <p>Due to a mistake on their bills - clouded by legal jargon - the couple were paying twice as much for their red-lid garbage bin.</p> <p>This meant Kiama Council had been charging them for TWO bins for the past 12 years.</p> <p>"Look at your rates notice and check you're paying for just one bin," Mr Oppert told A Current Affair.</p> <p>"Over 12 years we paid $16,000 in garbage waste disposal and it really should have been half that," he said.</p> <p>"Our rate notice doesn't clearly say how many bins we have. It's bureaucratic speak no one could understand."</p> <p>When the couple finally realised the mistake they went straight to the council.</p> <p>"But they would only give us a refund for two years and quoted some tax act as the reason why," Mr Oppert explained.</p> <p>"It is so unfair and just not right," Mrs Oppert added.</p> <p>"It was their mistake not ours, and they admitted it.”</p> <p>Mr Oppert seeks to warn all Australians paying a council for a bin service, "Check your rates notice and make sure you're not getting ripped off.”</p> <p>Kiama Council were made aware of the situation and gave a partial refund to the couple.</p> <p>"When this matter was brought to our attention, Kiama Council acted quickly to rectify the situation, in accordance with the law, as outlined below.”, a Kiama Municipal Council spokesperson said in a statement.</p> <p>“We refunded the amounts of $805.72 for 2021-22 and $818.61 for 2022-23.</p> <p>The couple have not received a full refund due to tax laws.</p> <p>"The Office of Local Government has advised that, where charges go back more than 1 year, the Recovery of Imposts Tax Act 1963 applies as follows", the spokesperson continued.</p> <p><img src="https://oversixtydev.blob.core.windows.net/media/2023/03/BINS-PIC.jpg" alt="" width="1280" height="720" /></p> <p>"In addition, Kiama Council is now working on an audit of all our urban and residential waste services to ensure our charges are correct.</p> <p>"Council reminds all ratepayers to check their bills and if anything is unclear, please get in touch with us to discuss, we are always happy to help."</p> <p><em>Image credit: A Current Affair/Kiama Municipal Council</em></p>

Real Estate

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What’s the ‘weight set point’, and why does it make it so hard to keep weight off?

<p>If you’ve ever tried to lose weight but found the kilos return almost as quickly as they left, you’re not alone.</p> <p>In fact, the challenge of maintaining weight loss is confirmed by research, including an analysis of 29 <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764193/">long-term weight loss studies</a> that found more than half of the weight lost by participants was regained within two years, and more than 80% of lost weight was regained within five years.</p> <p>When we regain weight, we tend to blame it on a lack of willpower. </p> <p>But there’s a scientific reason many people return to their previous weight after dieting, and understanding the science – known as the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2990627/">weight set point theory</a> – is key to achieving long-term weight loss.</p> <h2>What is the weight set point?</h2> <p>We each have a predetermined weight – a set point – which our body protects. It’s the weight you’ll remember being at for a long period of time in your adult years (over 20 years of age) and it’s the weight you’ll remember bouncing back to after any bout of dieting.</p> <p>It’s programmed in the early years of life – particularly during the first 2,000 days of life – from conception to five years of age. Our <a href="https://pubmed.ncbi.nlm.nih.gov/6538464/">genes</a> play a role in programming our weight set point. Just as DNA prescribes whether we’re shorter or taller than others, we’re <a href="https://fn.bmj.com/content/86/1/F2.2">born</a> with a tendency to be slim or overweight. But our genetic make-up is just a predisposition, not an inevitable fate.</p> <p>Weight set point is also influenced by the environmental factors genes may be exposed to during pregnancy and the first years of life. It explains why some children who are fed a poor diet are more susceptible to unhealthy weight gain (due to their genetic make-up) while others are not. Research shows unhealthy weight gain during the early years of life is likely to persist throughout <a href="https://pubmed.ncbi.nlm.nih.gov/26696565/">adolescence and adulthood</a>.</p> <p>Lastly, our body weight is influenced by the environment itself. For example, an unhealthy diet, sedentary lifestyle and poor sleep will result in an increase in your weight set point over time and at a rate of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3151731/">0.5 kilograms per year</a>. </p> <p>Our bodies work hard to keep our weight around our set point by adjusting our biological systems, regulating how much we eat, how we store fat and expend energy. This stems from our hunter-gatherer ancestors, whose bodies developed this survival response to adapt to periods of deprivation when food was scarce to protect against starvation. Unfortunately, this means our body is very good at protecting against weight loss but not weight gain.</p> <h2>How our bodies work to protect our set point when we diet</h2> <p>When we change our diet to lose weight, we take our body out of its comfort zone and trigger its survival response. It then counteracts weight loss, triggering <a href="https://pubmed.ncbi.nlm.nih.gov/25896063/">several physiological responses</a> to defend our body weight and “survive” starvation. </p> <p>Our body’s survival mechanisms want us to regain lost weight to ensure we survive the next period of famine (dieting), which is why many people who regain weight after dieting end up weighing more than when they started.</p> <p>Our bodies achieve this result in several ways.</p> <p>1. Our metabolism slows and our thyroid gland misfires</p> <p>Our metabolic rate – how much energy we burn at rest – is determined by how much muscle and fat we have. Muscle is more metabolically active than fat, meaning it burns more calories. Typically, when we diet to lose weight, we lose both fat and muscle, and the decrease in our calorie-burning muscle mass slows our metabolism, slowing the rate at which we lose weight.</p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/7632212/">Research</a> also shows that for every diet attempt, the rate at which we burn off food <a href="https://pubmed.ncbi.nlm.nih.gov/22535969/">slows by 15%</a> and that even after we regain lost weight, our metabolism <a href="https://pubmed.ncbi.nlm.nih.gov/27136388/">doesn’t recover</a>. But exercise can help restore and speed up our <a href="https://pubmed.ncbi.nlm.nih.gov/10956341/">metabolism</a> as it improves our muscle to fat ratio.</p> <p>Dieting also affects our thyroid gland – the gatekeeper to our metabolism. When our thyroid functions correctly, it produces vital hormones that control our energy levels and metabolism, but when we restrict our food intake, <a href="https://pubmed.ncbi.nlm.nih.gov/16322796/">fewer hormones are secreted</a>, reducing the energy we burn at rest</p> <p>2. our energy sources are used differently</p> <p>Our bodies predominantly burn fat stores at rest, but when we diet and start losing weight, our body adapts for protection. It <a href="https://pubmed.ncbi.nlm.nih.gov/7572701/">switches</a> from using fat as its energy source to carbohydrates and holds onto its fat, resulting in less energy being burned at rest</p> <p>3. our appetite hormones adjust</p> <p>Appetite hormones play a large part in weight management. When we’re hungry, the stomach releases a hormone called ghrelin to let our brain know it’s time to eat. Our gut and fat tissue also release hormones to signal fullness and tell us it’s time to stop eating. </p> <p>However, when we diet and deprive our bodies of food, these hormones work differently to defend our set point weight, suppressing feelings of fullness and <a href="https://pubmed.ncbi.nlm.nih.gov/22029981/">telling us to eat more</a>. Like our metabolism, appetite hormones don’t return to the same levels before dieting, meaning feelings of hunger can prevail, even after weight is regained</p> <p>4. our adrenal gland functions differently</p> <p>Our adrenal gland manages the hormone cortisol, which it releases when a stressor – <a href="https://pubmed.ncbi.nlm.nih.gov/10918539/">like dieting</a> – is imposed. Excess cortisol production and its presence in our blood leads to weight gain because it plays a vital role in how our bodies process, store and burn fat</p> <p>5. our brain works differently</p> <p>Typically, diets tell us to restrict certain foods or food groups to reduce our calorie intake. However, this heightens activity in our mesocorticolimbic circuit (the reward system in our brain) resulting in us <a href="https://pubmed.ncbi.nlm.nih.gov/18568078/">overeating</a> the foods we’ve been told to avoid. This is because foods that give us pleasure release feel-good chemicals called endorphins and a learning chemical called dopamine, which enable us to remember – and give in to – that feel-good response when we see that food. </p> <p>When we diet, activity in our hypothalamus – the clever part of the brain that regulates emotions and food intake – also reduces, <a href="https://pubmed.ncbi.nlm.nih.gov/18568078/">decreasing our control and judgement</a>. It often triggers a psychological response dubbed the “what-the-hell effect” – the vicious cycle we enter when we indulge in something we feel we shouldn’t, feel guilty about it, and then go back for even more.</p> <h2>The take-home message</h2> <p>We are biologically wired to protect our weight set point. Conventional diets, including the latest hype surrounding “intermittent fasting” and “keto”, fail to promote healthy eating and fail to address the weight set point. You’ll eventually regain the weight you lost.</p> <p>Just as the problem is evolutionary, the solution is evolutionary too.</p> <p>Successfully losing weight long-term comes down to: </p> <ol> <li> <p>following evidence-based care from health-care professionals that have studied the science of obesity, not celebrities </p> </li> <li> <p>losing weight in small manageable chunks you can sustain, specifically periods of weight loss, followed by periods of weight maintenance, and so on, until your goal weight is achieved</p> </li> <li> <p>making gradual changes to your lifestyle to ensure you form habits that last a lifetime.</p> </li> </ol> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/whats-the-weight-set-point-and-why-does-it-make-it-so-hard-to-keep-weight-off-195724" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Body

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5 reasons to check on your elderly neighbour during a heatwave

<p>We all know someone who insists on wearing a cardigan in summer or refuses to turn on the air conditioning because “it’s not that hot”. Chances are this is an older person, and there’s a good reason for that.</p> <p>As we get older, we tend to not “feel” the heat <a href="https://www.sciencedirect.com/science/article/pii/S1568163710000450?casa_token=LxiONa0xZXQAAAAA:8IYLW0YquTHHUGkd2qiMgz6FNU3y2f4FIW96Lu9a-gjbAWw8iOgt7AOQ9C0UWMmDtXWOkqw#fig4">as much</a> even though our bodies are <a href="https://journals.physiology.org/doi/full/10.1152/japplphysiol.00202.2003">less able to handle the heat</a>. This contradiction can have <a href="https://www.sciencedirect.com/science/article/pii/S0160412017321980?casa_token=-nCG3M20MawAAAAA:VYwlO1kZIpibQnCLlm4LuSKMkK9nNvOgvdrXzUPHglOknNKp20UX0oty1DS2uWrlCZnoZhg">lethal consequences</a>, especially during periods of extreme heat.</p> <p>So, why is extreme heat so dangerous for older people? And what can we do to help?</p> <h2>Why are older people at risk?</h2> <p><a href="https://www.sciencedirect.com/science/article/pii/S2212420921006324">Extreme heat kills</a> more Australians than <a href="https://www.sciencedirect.com/science/article/pii/S1462901114000999">all other natural hazards</a>, and people aged 60 or older account for 69% of those deaths.</p> <p>There are five key reasons we’re more susceptible to heat as we get older.</p> <p>1. Bodily changes</p> <p>One of the main ways we lose excess heat, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3228253/">blood flowing to our skin</a>, isn’t as effective as we get older. This is in part because the blood vessels in our skin don’t expand fast enough, and we may have less blood pumping with each beat of our heart.</p> <p><a href="https://www.sciencedirect.com/science/article/pii/S016041202031864X#f0010">Many other changes</a> in our bodies also lead us to gain and store more heat as we get older. These include how our bodies control sweat and how well our kidneys balance fluid, which are both important for staying cool.</p> <p>2. Social isolation</p> <p>Loneliness and social isolation are <a href="https://www.sciencedirect.com/science/article/pii/S1064748120304425">health risks</a> on their own, but also <a href="https://www.sciencedirect.com/science/article/pii/S0160412020318237#b0065">multiply the risk</a> of heat-related illness.</p> <p>A South Australian <a href="https://www.mdpi.com/1660-4601/10/12/6721">survey</a> of older people showed those who were socially isolated were less confident in asking for help during a heatwave.</p> <p>This is concerning as many older Australians <a href="https://www.aihw.gov.au/reports/older-people/older-australians/contents/housing-and-living-arrangements">live alone</a>, and we are more likely to live alone as we get older.</p> <p>3. Beliefs and behaviour</p> <p>Older Australians may not respond to heat in ways that protect their own health and wellbeing. Australian culture tends to view heat tolerance as a matter of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3290974/">resilience</a> and <a href="https://www.tandfonline.com/doi/full/10.3402/gha.v5i0.19277">identity</a>, where there is a sense of generational pride in being able to cope with the heat.</p> <p><a href="https://www.sahealth.sa.gov.au/wps/wcm/connect/c67cf100436d8e7082a2dfc9302c1003/Adaptive+capabilities+in+elderly+people+during+extreme+heat+events+in+SA+-+Public+Health+Service+-+scientific+services+20140328.pdf?MOD=AJPERES&CACHEID=ROOTWORKSPACE-c67cf100436d8e7082a2dfc9302c1003-nKKgCmQ">Reports also suggest</a> many older people have concerns about the cost of air conditioning, may be hesitant to use it, or accidentally use reverse cycle units as heaters.</p> <p>4. Medical issues</p> <p>Many chronic illnesses that are more common with age are also associated with an increased risk for heat-related illness. Because blood flow is so important for regulating our body temperature, it’s not surprising that conditions such as <a href="https://www.sciencedirect.com/science/article/pii/S1071916417300969?casa_token=LEe23NWx7V0AAAAA:-cw7TgysaYdqXq0FTuTtIxxE3Oua1NImlwmmvWWSyt39guUUWbzOsevcsoBI8tw5hbbkwaI">heart failure</a> and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4861190/">diabetes</a> are associated with increased heat risk.</p> <p>Similarly, many medications commonly prescribed for chronic illnesses can <a href="https://www.health.vic.gov.au/environmental-health/extreme-heat-information-for-clinicians">interfere</a> with how our body regulates temperature. For instance, some blood pressure medicines reduce our ability to sweat and lose heat.</p> <p>5. Home environment</p> <p>It is <a href="https://www.anglicare.asn.au/wp-content/uploads/2022/09/Australia-Fair-Ageing-in-Place.pdf">increasingly difficult</a> for older Australians to find affordable and appropriate housing, especially pensioners and renters.</p> <p>Poor home design, lack of insulation, inability to pay their energy bills, and limited income <a href="https://cur.org.au/cms/wp-content/uploads/2016/12/heatwaveshomeshealth-briefing-paper_rmit-2.pdf">all contribute</a> to being vulnerable to heatwaves in Australia. This is particularly troubling as energy prices soar.</p> <h2>What can we do?</h2> <p>Older Australians</p> <p>Knowing the risks of extreme heat is the first step. Don’t <a href="https://www.mdpi.com/1660-4601/10/1/1">underestimate</a> your own risk during a heatwave.</p> <p>There are many practical ways we can all keep ourselves and our homes cool, both safely and efficiently. These include:</p> <ul> <li>using a fan, <a href="https://theconversation.com/how-humid-is-it-3-things-to-keep-you-cool-in-a-hot-and-sticky-summer-and-3-things-that-wont-176365">which is effective</a>, especially when it’s humid, but may <a href="https://www.sciencedirect.com/science/article/pii/S0003687014001355?casa_token=NoCMHlZZ_SUAAAAA:vu-Yk1WnHpy5RsumlwQ-5_SvvuMjJLeV5Cm087QTUYKI6kLUKwjnZ1-FuATlzGDC36WyCTI">not be enough</a> when it’s very hot and dry. If you have an air conditioner, consider using it</li> <li> <p>knowing the conditions inside your home by installing thermometers that ideally also <a href="https://theconversation.com/how-humid-is-it-3-things-to-keep-you-cool-in-a-hot-and-sticky-summer-and-3-things-that-wont-176365">measure humidity</a> so you know which ways will work best to cool down</p> </li> <li> <p>opening windows facing away from the sun when it’s cooler outside; otherwise keep blinds closed in the heat of the day</p> </li> <li> <p>taking cool showers or applying a damp cloth to the back of your neck can help cool the skin</p> </li> <li> <p>taking regular, small drinks of water, even when you’re not thirsty (unless you have <a href="https://www.betterhealth.vic.gov.au/health/healthyliving/heat-stress-and-older-people#how-to-help-an-older-relative-or-friend">heart or kidney problems</a> in which case you need to talk to your doctor first as too much water may be a problem for you)</p> </li> <li> <p><a href="https://www.sahealth.sa.gov.au/wps/wcm/connect/6023f98b-bdcf-416b-9d3a-cfff9ea728c8/A4+Poster+-+Signs+and+symptoms+of+heat+illness.pdf?MOD=AJPERES&CACHEID=ROOTWORKSPACE-6023f98b-bdcf-416b-9d3a-cfff9ea728c8-nwMnDGl">knowing the signs</a> of heat exhaustion and heat stroke.</p> </li> </ul> <p>Older relatives, friends and neighbours</p> <p>We can all keep an eye on our older relatives, friends and neighbours as:</p> <ul> <li> <p>keeping in touch is <a href="https://link.springer.com/article/10.17269/s41997-020-00309-2">great protection</a> from heat-related illness; check in regularly</p> </li> <li> <p>when an older person can’t keep the house cool, support a day trip to a cooler place such as a library, cinema, or shopping centre</p> </li> <li> <p>encourage them to talk to their doctor about how medical conditions or medications might increase their risk to heat.</p> </li> </ul> <h2>We need to raise awareness</h2> <p>Australians are growing complacent about the health risks of extreme heat, see heatwaves as normal and public health messages <a href="https://widgets.figshare.com/articles/7618403/embed?show_title=1">aren’t cutting through</a> any more.</p> <p>It’s also important to remember that older people aren’t all the same, so any public health approaches to extreme heat should be tailored to <a href="https://www.sciencedirect.com/science/article/pii/S0959378010001135?casa_token=e3YcjpeKWsgAAAAA:jzFlD6Wk7dvO05YEuoteZ0jUmMVc6eJczVhLxpDcw8qrLvCoTkvo2dz_wH_puWE-frzQNx4">communities and individuals</a>.</p> <p>One way we’re trying to help is by working directly with older people. Together, we’re <a href="https://www.griffith.edu.au/research/climate-action/climate-transitions/health/ethos-project">researching and developing a smart device</a> that makes it easier to know when your house is getting warm, and customising strategies you can use to cool down safely.</p> <p style="font-size: 16px; box-sizing: border-box; margin-top: 0px; margin-bottom: 1rem; color: #212529; font-family: -apple-system, 'system-ui', 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; background-color: #ffffff;"><em style="box-sizing: border-box;">Image credits: Getty Images</em></p> <p style="font-size: 16px; box-sizing: border-box; margin-top: 0px; margin-bottom: 0px; color: #212529; font-family: -apple-system, 'system-ui', 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; background-color: #ffffff;"><em style="box-sizing: border-box;">This article originally appeared on <a href="https://theconversation.com/5-reasons-to-check-on-your-elderly-neighbour-during-a-heatwave-196218" target="_blank" rel="noopener">The Conversation</a>. </em></p>

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New book points to Queen Elizabeth's true cause of death

<p dir="ltr">When Queen Elizabeth died, her <a href="https://www.oversixty.com.au/health/caring/queen-s-official-death-certificate-released" target="_blank" rel="noopener">official death certificate</a> read that she had died of “old age”.</p> <p dir="ltr">But now a biographer has claimed that the late monarch was battling a form of myeloma, bone marrow cancer, before her death.</p> <p dir="ltr">In British author Gyles Brandreth's new book, Elizabeth: An Intimate Portrait, he claims that he “heard” the Queen had cancer in the lead-up to her death, and that she kept it to herself after Prince Philip died.</p> <p dir="ltr">“I had heard that the Queen had a form of myeloma — bone marrow cancer — which would explain her tiredness and weight loss and those ‘mobility issues’ we were often told about during the last year or so of her life,” an extract from the book published in The Daily Mail reads.</p> <p dir="ltr">“The most common symptom of myeloma is bone pain, especially in the pelvis and lower back, and multiple myeloma is a disease that often affects the elderly.</p> <p dir="ltr">“Currently, there is no known cure, but treatment — including medicines to help regulate the immune system and drugs that help prevent the weakening of the bones — can reduce the severity of its symptoms and extend the patient’s survival by months or two to three years.”</p> <p dir="ltr">Brandreth was a friend of the late Prince Philip and a former politician, and explained that the Queen wanted to be by her husband’s side in his final moments.</p> <p dir="ltr">She, however, considered it her duty to continue despite her “intense personal grief” after Prince Philip’s death.</p> <p dir="ltr">Sunrise royal editor Rob Jobson said that the bone cancer rumours were upsetting but the truth of the matter is that they were going around for quite some time as the Queen’s health deteriorated.</p> <p dir="ltr">“She was clearly suffering in that build-up.”</p> <p dir="ltr">“I think even Brandreth himself wrote that [cancer] was what he heard, he’s not actually saying it was definite.</p> <p dir="ltr">“But the details were swirling around for a very long time and that was one of the main things that was reoccurring.”</p> <p dir="ltr">The rumours continue just months after royal biographer <a href="https://www.oversixty.com.au/health/caring/royal-biographer-hints-at-queen-s-cause-of-death" target="_blank" rel="noopener">Lady Colin Campbell</a>, who is most well-known for her books about Princess Diana and the Queen Mother, also claimed that the Queen was suffering from a serious bone condition.</p> <p dir="ltr">Lady Campbell, however, wouldn’t reveal “the word that accurately conveys her diagnosis” out of respect for her “dignity and privacy”.</p> <p dir="ltr">“If she wants to reveal that word, or her advisors wish to reveal it, that is up to them. I don’t think one needs to use the word to get across the point that I think most people will be able to pick up, that this is a really serious situation,” Lady Campbell said in a video just prior to announcing the monarch’s passing.</p> <p dir="ltr">“The condition has been induced, in part, according to people who know her well, has been created by the tremendous stress to which she has been subjected over the last three years.</p> <p dir="ltr">“Can you imagine an older woman, as her life is winding down, and she is hoping to enjoy the last few years of her life in good health, being bombarded by the tremendous abuse to which she and the monarchy have been subjected?"</p> <p dir="ltr">She went on to say she had tried to warn people that the Queen was “far more ill than they thought she was” over the few months prior to Her Majesty’s death.</p> <p dir="ltr">“I have on several occasions in the last few weeks, if not months, made the point that she had been affected to her bones. I used that repeatedly to get across the point that what she was suffering from was a malady of the bones,” she continued.</p> <p dir="ltr">“There are two maladies of the bones, one is more painful than the other. Fortunately the Queen’s malady, although it falls in the same category and condition of the more painful one, has been the less painful one.</p> <p dir="ltr">“It has been restrictive, and I will not go into the medical treatments she has been receiving. I have previously indicated that her bruising was due to cannulas and I have left it at that.”</p> <p dir="ltr"><em>Image: Getty</em></p>

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When’s the best time to use frequent flyer miles to book flights? Two economists crunched the numbers on maximizing their dollar value

<p>Traveling during major holidays like Thanksgiving can be expensive, since so many people want to see their friends and families, wherever they might be.</p> <p>It’s especially hard this year with <a href="https://fred.stlouisfed.org/series/CPIAUCSL">inflation soaring</a> at the fastest pace since the early 1980s. Airline fares <a href="https://fred.stlouisfed.org/series/CUSR0000SETG01#0">were up 43% in October</a> from a year earlier – only a <a href="https://www.bls.gov/news.release/cpi.t02.htm">handful of categories increased by more</a>.</p> <p>One way to ease the blow to your wallet or purse is by using frequent flyer miles. While there’s <a href="https://doi.org/10.1145/2733384">quite a bit</a> of research on when is the <a href="https://conservancy.umn.edu/handle/11299/215872">best time to use cash</a> to buy flights, <a href="https://www.bu.edu/questrom/profile/huseyin-karaca/">we wondered</a> – as travel lovers – if there’s an optimal time to use miles. So with the help of <a href="https://drive.google.com/file/d/1HikpvLqt_M8OfXrCXta4rm76Z_JreLJt/view">our research assistant</a>, we investigated this question, with a focus on flights over the Thanksgiving holiday.</p> <h2>Americans return to the skies</h2> <p>The day before Thanksgiving is one of the busiest days to travel in the U.S.</p> <p>Before the COVID-19 pandemic upended travel, the Transportation Security Administration <a href="https://www.tsa.gov/coronavirus/passenger-throughput">screened 2.6 million people</a> on Thanksgiving eve of 2019, just shy of the 2.9 million record. While the number plunged in 2020 as demand dropped, it picked up to 2.3 million last year and <a href="https://www.wsj.com/articles/this-thanksgiving-is-expected-to-be-one-of-the-busiest-for-travel-in-decades-11668532148">is expected to return</a> to pre-COVID-19 levels this year.</p> <p>The surge in demand, along with significantly higher jet fuel costs, are key factors in leading to more expensive air fares.</p> <p>To offset these higher costs, <a href="https://newsroom.wf.com/English/news-releases/news-release-details/2022/New-Study-Americans-Lean-Into-Credit-Card-Rewards-to-Offset-Rising-Costs--Including-Travel/default.aspx">many consumers</a> may turn to frequent flyer miles – whether accumulated from other travel or from credit cards – to avoid forking over so much cash.</p> <h2>Frequent flying 101</h2> <p><a href="https://doi.org/10.1080/10253866.2015.1096095">Frequent flyer mile programs started</a> in the late 1970s after the <a href="https://www.faa.gov/about/history/brief_history">federal government stopped regulating</a> airfares. Before the change, fares, routes and schedules for all domestic flights were set by the federal Civil Aeronautics Board.</p> <p>Besides slashing fares, <a href="https://abcnews.go.com/Travel/airline-frequent-flyer-miles-30-years/story?id=13616082">airlines reacted by creating frequent flyer programs</a>. Texas International Airlines, which ultimately merged with United, and Western Airlines, which later joined Delta, were among the first to institute frequent flyer programs.</p> <p>In a particular airline’s frequent flyer program, you earn miles when you fly with that airline. Many people get miles by using their credit cards as well. These accumulated miles can then be redeemed for free air travel.</p> <p>Frequent flyer programs were designed to <a href="https://doi.org/10.1108/02634509810199535">build customer loyalty</a>, as they provide a rebate to regular passengers. They are also <a href="https://hbr.org/1995/05/do-rewards-really-create-loyalty">meant to lock travelers</a> into a particular airline – since they have a strong incentive to only fly with that carrier.</p> <p>One downside is that many business flyers go out of their way to use their preferred airline, <a href="https://www.informs.org/About-INFORMS/News-Room/Press-Releases/Study-Finds-that-Frequent-Flyer-Programs-Increase-Cost-of-Business-Travel">which boosts their company’s travel costs</a>.</p> <p>And although airlines use frequent flyer programs to increase customer goodwill, they frequently <a href="https://www.thrillist.com/news/nation/united-airlines-loyalty-program-status-update">change the rules and rewards</a>, which often <a href="https://www.inc.com/jason-aten/delta-just-announced-a-change-that-will-make-people-very-mad-its-actually-a-brilliant-move.html">frustrates customers</a>.</p> <p><a href="https://doi.org/10.1145/2733384">Researchers have looked</a> at the <a href="https://conservancy.umn.edu/handle/11299/215872">optimal time to buy</a> airplane <a href="https://doi.org/10.1057/s41272-019-00193-7">tickets</a> with cash. In general, <a href="https://www.forbes.com/sites/suzannerowankelleher/2022/08/31/best-time-to-book-a-cheap-flight/?sh=23fdd1e72ebc">they have found prices</a> tend to dip anywhere from two months to three weeks before the travel dates. Prices are highest for those who want to book their flights very early, to lock it in, and last-minute travelers booking just before their departure dates.</p> <h2>How frequent flyer miles compare</h2> <p>To see when’s the best time to book with miles, we looked at <a href="https://www.oag.com/busiest-routes-right-now">one of the busiest routes in the U.S.</a> – New York (JFK) to Los Angeles (LAX). Each month, airlines have over a quarter of a million seats flying direct on that route. There are about 30 nonstop flights a day, run by <a href="https://www.aa.com/en-us/flights-from-new-york-to-los-angeles">three</a> <a href="https://www.delta.com/us/en/flight-deals/united-states-flights/flights-to-los-angeles">different</a> <a href="https://www.jetblue.com/destinations/los-angeles-california-flights">airlines</a>.</p> <p>Starting about three months before Thanksgiving, we collected weekly data from the online booking sites of these three airlines. We tracked the frequent flyer miles needed as well as the price for every coach flight scheduled to take place within one week of Thanksgiving.</p> <p>As miles are not interchangeable between airlines in general, we needed an alternative measure for more direct comparison between different airlines. So we calculated how much a frequent flyer mile is worth by dividing the number of frequent flyer miles needed by the ticket price. We then compared the dollar worth of 1,000 miles, depending on the airline, when the booking was made and the flight date.</p> <p><a href="http://businessmacroeconomics.com/">Economic theory</a> tells us that when there is lots of competition and the product is almost identical, competition should result in all businesses charging roughly the same price.</p> <p>That wasn’t what we found.</p> <p>In mid-October, Delta was asking 69,000 miles to fly the Tuesday before Thanksgiving. American Airlines was only asking 33,000 miles for roughly the same flight. This means if you have a <a href="https://www.cnbc.com/select/best-travel-credit-cards/">general travel rewards credit card</a> that lets you use miles on different airlines, it pays to shop around.</p> <p>Just because an airline has a high price in miles doesn’t mean the price will not come down. At the start of November, Delta wanted 69,000 miles to fly at dinnertime on the Tuesday before Thanksgiving. A week later the airline cut the price to 53,000 miles. A week after that, it was down to 36,500 miles, a price drop of almost 50% in two weeks.</p> <p>While in general the earlier you book, the better, booking too early can cost you. We found the best time to spend your frequent flyer miles for Thanksgiving travel was to book during the first week of October, which was about eight weeks out. In early October, 1,000 frequent flyer miles were worth over $14 in airfare. The last week of October, about four weeks before Thanksgiving, those same miles were only worth shy of $12.</p> <h2>The best day to fly</h2> <p>As for what is the best day on which to travel to get the most from your miles, there are two answers. On the Monday before Thanksgiving, your miles are typically worth the most, on average $15 per 1,000 miles. This is in sharp contrast to $11 for the day before Thanksgiving. However, flying Thanksgiving Day itself had required the lowest average number of miles, about 27,000 miles.</p> <p>If you haven’t booked flights yet, you may be too late to find the best value in frequent flyer miles. However, while we are still gathering and analyzing data, these tips look like they will hold up for future holidays.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/whens-the-best-time-to-use-frequent-flyer-miles-to-book-flights-two-economists-crunched-the-numbers-on-maximizing-their-dollar-value-194893" target="_blank" rel="noopener">The Conversation</a>. </em></p>

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