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Do any non-drug treatments help back pain? Here’s what the evidence says

<div class="theconversation-article-body"> <p>Jason, a 42-year-old father of two, has been battling back pain for weeks. Scrolling through his phone, he sees ad after ad promising relief: chiropractic alignments, acupuncture, back braces, vibrating massage guns and herbal patches.</p> <p>His GP told him to “stay active”, but what does that even mean when every movement hurts? Jason wants to avoid strong painkillers and surgery, but with so many options (and opinions), it’s hard to know what works and what’s just marketing hype.</p> <p>If Jason’s experience sounds familiar, you’re not alone. Back pain is one of the most common reasons people visit a doctor. It can be challenging to manage, mainly due to widespread <a href="https://theconversation.com/having-good-posture-doesnt-prevent-back-pain-and-bad-posture-doesnt-cause-it-183732">misunderstandings</a> and the <a href="https://ebm.bmj.com/content/early/2025/03/02/bmjebm-2024-112974">overwhelming number</a> of ineffective and uncertain treatments promoted.</p> <p>We assessed the best available evidence of non-drug and non-surgical treatments to alleviate low back pain. <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD014691.pub2/full">Our review</a> – published today by the independent, international group the Cochrane Collaboration – includes 31 Cochrane systematic reviews, covering 97,000 people with back pain.</p> <p>It <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD014691.pub2/full">shows</a> bed rest doesn’t work for back pain. Some of the treatments that do work can depend on how long you’ve been in pain.</p> <h2>Is back pain likely to be serious?</h2> <p>There are different types of low back pain. It can:</p> <ul> <li>be short-lived, lasting less than six weeks (acute back pain)</li> <li>linger for a bit longer, for six to twelve weeks (sub-acute)</li> <li>stick around for months and even years (chronic, defined as more than 12 weeks).</li> </ul> <p>In <a href="https://www.thelancet.com/article/S0140-6736(16)30970-9/abstract">most cases</a> (90-95%), back pain is non-specific and cannot be reliably linked to a specific cause or underlying disease. This includes common structural changes seen in x-rays and MRIs of the spine.</p> <p>For this reason, imaging of the back is <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60172-0/abstract">only</a> recommended in rare situations – typically when there’s a clear suspicion of serious back issues, such as after physical trauma or when there is numbness or loss of sensation in the groin or legs.</p> <p>Many people expect to receive <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013815.pub2/full">painkillers</a> for their back pain or even surgery, but these are no longer the front-line treatment options due to limited benefits and the high risk of harm.</p> <p>International <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)30489-6/fulltext">clinical guidelines</a> recommend people choose non-drug and non-surgical treatments to relieve their pain, improve function and reduce the distress commonly associated with back pain.</p> <p>So what works for different types of pain? Here’s what <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD014691.pub2/full">our review found</a> when researchers compared these treatments with standard care (the typical treatment patients usually receive) or no treatment.</p> <h2>What helps for short-term back pain</h2> <p><strong>1. Stay active – don’t rest in bed</strong></p> <p>If your back pain is new, the best advice is also one of the simplest: keep moving despite the pain.</p> <p>Changing the way you move and use your body to protect it, or resting in bed, can seem like to right way to respond to pain – and may have even been recommended in the past. But we know know this excessive protective behaviour can make it harder to return to meaningful activities.</p> <p>This doesn’t mean pushing through pain or hitting the gym, but instead, trying to maintain your usual routines as much as possible. Evidence suggests that doing so won’t make your pain worse, and may improve it.</p> <p><strong>2. Multidisciplinary care, if pain lingers</strong></p> <p>For pain lasting six to 12 weeks, multidisciplinary treatment is likely to reduce pain compared to standard care.</p> <p>This involves a coordinated team of doctors, physiotherapists and psychologists working together to address the many factors contributing to your back pain persisting:</p> <ul> <li> <p>neurophysiological influences refer to how your nervous system is currently processing pain. It can make you more sensitive to signals from movements, thoughts, feelings and environment</p> </li> <li> <p>psychological factors include how your thoughts, feelings and behaviours affect your pain system and, ultimately, the experience of pain you have</p> </li> <li> <p>occupational factors include the physical demands of your job and how well you can manage them, as well as aspects like low job satisfaction, all of which can contribute to ongoing pain.</p> </li> </ul> <h2>What works for chronic back pain</h2> <p>Once pain has been around for more than 12 weeks, it can become more difficult to treat. But relief is still possible.</p> <p><strong>Exercise therapy</strong></p> <p>Exercise – especially programs tailored to your needs and preferences – is likely to reduce pain and help you move better. This could include aerobic activity, strength training or Pilates-based movements.</p> <p>It doesn’t seem to matter what type of exercise you do – it matters more that you are consistent and have the right level of supervision, especially early on.</p> <p><strong>Multidisciplinary treatment</strong></p> <p>As with short-term pain, coordinated care involving a mix of physical, occupational and psychological approaches likely works better than usual care alone.</p> <p><strong>Psychological therapies</strong></p> <p>Psychological therapies for chronic pain include approaches to help people change thinking, feelings, behaviours and reactions that might sustain persistent pain.</p> <p>These approaches are likely to reduce pain, though they may not be as effective in improving physical function.</p> <p><strong>Acupuncture</strong></p> <p>Acupuncture probably reduces pain and improves how well you can function compared to placebo or no treatment.</p> <p>While some debate remains about how it works, the evidence suggests potential benefits for some people with chronic back pain.</p> <h2>What doesn’t work or still raises uncertainty?</h2> <p>The review found that many commonly advertised treatments still have uncertain benefits or probably do not benefit people with back pain.</p> <p>Spinal manipulation, for example, has uncertain benefits in acute and chronic back pain, and it likely does not improve how well you function if you have acute back pain.</p> <p>Traction, which involves stretching the spine using weights or pulleys, probably doesn’t help with chronic back pain. Despite its popularity in some circles, there’s little evidence that it works.</p> <p>There isn’t enough reliable data to determine whether advertised treatments – such back braces, vibrating massage guns and herbal patches – are effective.</p> <h2>How can you use the findings?</h2> <p>If you have back pain, start by considering how long you’ve had it. Then explore treatment options that research supports and discuss them with your GP, psychologist or physiotherapist.</p> <p>Your health provider should reassure you about the importance of gradually increasing your activity to resume meaningful work, social and life activities. They should also support you in making informed decisions about which treatments are most appropriate for you at this stage.</p> <p><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><em><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/253122/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" />By <a href="https://theconversation.com/profiles/rodrigo-rossi-nogueira-rizzo-1544189">Rodrigo Rossi Nogueira Rizzo</a>, Postdoctoral Research Fellow, <a href="https://theconversation.com/institutions/neuroscience-research-australia-976">Neuroscience Research Australia</a> and <a href="https://theconversation.com/profiles/aidan-cashin-2355450">Aidan Cashin</a>, NHMRC Emerging Leadership Fellow, <a href="https://theconversation.com/institutions/neuroscience-research-australia-976">Neuroscience Research Australia</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/do-any-non-drug-treatments-help-back-pain-heres-what-the-evidence-says-253122">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

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Amid claims of abuse, neglect and poor standards, what is going wrong with childcare in Australia?

<div class="theconversation-article-body"> <p>On Monday, an ABC’s Four Corners <a href="https://www.abc.net.au/news/2025-03-17/betrayal-of-trust/105063150">investigation</a> reported shocking cases of abuse and neglect in Australian childcare centres. This included examples of children being sexually abused, restrained for hours in high chairs, and fed nutritionally substandard meals such as pasta with ketchup.</p> <p>While acknowledging there are high-quality services operating in the community, the program also showed how centre-based childcare is big business, dominated by for-profit providers, who may not be meeting regulatory standards.</p> <p>What is going wrong with childcare in Australia?</p> <h2>Differing levels of quality</h2> <p>Data from Australia’s childcare regulator <a href="https://www.acecqa.gov.au/sites/default/files/2025-02/NQF%20Snapshot%20Q4%202024%20FINAL.pdf">consistently shows</a> for-profit childcare services are, on average, rated as <a href="https://www.acecqa.gov.au/sites/default/files/2021-02/NQFSnapshot_Q4_2020.pdf">lower quality</a> than not-for-profit services.</p> <p>Of those rated by regulators, 11% of for-profit long daycare centres are not meeting national minimum quality standards (they are just “working towards”). This compares with 7% of not-for-profit centres not meeting minimum standards.</p> <p>There are 13% of for-profit centres exceeding the standards, compared to 28% of not-for-profits.</p> <p>Inquiries suggest this divergence is due to staffing levels, qualifications and pay. In 2023, the Australian Competition and Consumer Commission (ACCC) <a href="https://www.accc.gov.au/inquiries-and-consultations/childcare-inquiry-2023/december-2023-final-report">found</a> large for-profit providers spend significantly less on staffing than not-for-profit providers.</p> <p>Large for-profit providers <a href="https://www.accc.gov.au/inquiries-and-consultations/childcare-inquiry-2023/september-2023-interim-report">have a higher proportion of part-time and casual staff</a> than not-for-profits. They also employ less experienced early childhood teachers. On top of this, they are more likely to use award rates of pay, which are typically lower than enterprise agreement rates.</p> <p>Lower pay and less job security is related to higher turnover of staff, which makes it <a href="https://theconversation.com/covid-chaos-has-shed-light-on-many-issues-in-the-australian-childcare-sector-here-are-4-of-them-174404">difficult for educators to establish and maintain</a> the trusting relationships with children and families that underpin high quality.</p> <p>Despite this, the federal government continues to support for-profit services through <a href="https://www.education.gov.au/early-childhood/providers/child-care-subsidy">childcare subsidies</a>.</p> <p>These subsidies are designed to help families with the costs of childcare. But they do not stop some providers increasing their fees. The ACCC <a href="https://www.accc.gov.au/media-release/changes-proposed-to-make-childcare-affordable-and-accessible-for-all-families">found a consistent pattern</a> of increased government subsidies leading to higher out-of-pocket expenses for families, due to subsequent fee increases.</p> <h2>It hasn’t always been like this</h2> <p>Childcare subsidies haven’t always worked in this way. “Operational subsidies” were introduced in 1972 through the historic <a href="https://classic.austlii.edu.au/au/legis/cth/consol_act/cca197275/">Child Care Act</a>, which set the precedent for Australian governments to fund childcare.</p> <p>This aimed to support women’s workforce participation through an expanded, high-quality childcare sector. Subsidies at the time were only available to not-for-profit services and required the employment of qualified staff, including teachers. In these ways, Commonwealth funding positioned childcare as a public good, like school education.</p> <p>Then, in 1991, federal government subsidies were extended to for-profit providers. This prompted dramatic changes in the childcare landscape, leading to a dominance of for-profit centres.</p> <p>Today, more than 70% of all long day-care centres are <a href="https://www.pc.gov.au/inquiries/completed/childhood/report/childhood-volume1-report.pdf">operated by private providers</a>. Between <a href="https://www.pc.gov.au/inquiries/completed/childhood/report/childhood-volume2-supporting.pdf">2013 and 2023</a>, the number of for-profit long daycare services jumped by 60%, while not-for-profits only grew by 4%.</p> <h2>Quality concerns</h2> <p>There are <a href="https://www.startingblocks.gov.au/large-providers">25 large long daycare providers</a> in Australia and of these, 21 are run for profit. Large for-profit providers impact sector quality in several ways.</p> <p>Many have disproportionately high numbers of staffing waivers, granted by regulators, permitting them to operate centres without the required number of qualified staff.</p> <p>According to unpublished research by Gabrielle Meagher, as of October 2024, 11 large for-profit providers held waivers for a quarter or more of their services and five held waivers for more than a third. This compares to 15% of the sector overall.</p> <p>Large for-profit providers also serve investors as well as families. So there are extra <a href="https://academic.oup.com/qje/article-abstract/112/4/1127/1911721">incentives to cut costs</a> and maximise profits.</p> <p>The dominance of for-profit providers also makes them <a href="https://www.cambridge.org/core/journals/world-politics/article/abs/institutional-sources-of-business-power/E9D9D945CB59843C4DF8CE4835350602">powerful players</a> in policy-making circles, as governments depend on them to provide an essential service.</p> <h2>Why isn’t the system working?</h2> <p>Given Australia has a <a href="https://www.acecqa.gov.au/national-quality-framework">regulatory and quality assurance system</a> for childcare services, why do we have these quality issues?</p> <p>As the Productivity Commission <a href="https://www.pc.gov.au/inquiries/completed/childhood/report/childhood-volume2-supporting.pdf">found</a>, regulators are under-resourced, and inspections are infrequent. Services that repeatedly fail to meet the minimum standards are still allowed to operate, sometimes for more than a decade.</p> <p>Services are notified about upcoming inspections, potentially giving them time to give a false impression of their quality and safety standards.</p> <p>As Four Corners highlighted, poor-quality services, with bad pay and working conditions are driving good educators away from the sector.</p> <h2>What next?</h2> <p>The Albanese government recently passed legislation to “guarantee” eligible families <a href="https://www.education.gov.au/newsroom/articles/3day-guarantee-legislation-passed#:%7E:text=The%203-day%20guarantee%20will,each%20week%20for%20each%20child">three days of subsidised childcare</a> per week from January 2026.</p> <p>But families need more than access. They also require a guarantee this childcare will be high-quality and keep children safe.</p> <p>Even without the extra spending on the three-day guarantee, government spending on childcare subsidies <a href="https://www.accc.gov.au/system/files/ACCC%20Childcare%20Inquiry-final%20report%20December%202023.pdf?ref=0&amp;download=y">is due to reach nearly A$15 billion</a> by 2026–27. Thus there is also a corresponding duty to taxpayers to ensure these funds are going to high-quality providers.</p> <p>In the wake of the Four Corners report, the <a href="https://www.abc.net.au/listen/programs/worldtoday/childcare-wrap/105066270">Greens are calling</a> for a royal commission into childcare. But we do not need this level of inquiry to tell us the current system needs fundamental change.</p> <p>Stronger regulatory powers, while important, will not be enough on their own. High-quality services need well-educated and well-supported staff. They also need governance and leadership that value educators’ expertise and enable consistently high standards.<!-- 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/252493/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>By <a href="https://theconversation.com/profiles/gabrielle-meagher-594155">Gabrielle Meagher</a>, Professor Emerita, School of Society, Communication and Culture, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a> and <a href="https://theconversation.com/profiles/marianne-fenech-228936">Marianne Fenech</a>, Professor, Early Childhood Governance, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</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/amid-claims-of-abuse-neglect-and-poor-standards-what-is-going-wrong-with-childcare-in-australia-252493">original article</a>.</em></p> <p><em>Image: ABC</em></p> </div>

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I’m avoiding a hearing test because I don’t want chunky hearing aids. What are my options?

<div class="theconversation-article-body"><a href="https://www.health.gov.au/hearing-health/resources/publications/one-in-six-australians-experience-hearing-loss-poster-0?language=en">One in six Australians</a> have hearing loss and, for most adults, hearing starts to decline from <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0107720">middle age onwards</a>.</p> <p>Many of us, however, hesitate to seek help or testing for our hearing. Perhaps you’re afraid you’ll be told to wear hearing aids, and envision the large and bulky hearing aids you might have seen on your grandparents decades ago.</p> <p>In fact, hearing aids have changed a lot since then. They’re often now very small; some are barely noticeable. And hearing aids aren’t the only option available for people experiencing hearing loss.</p> <h2>Why you shouldn’t ignore hearing loss</h2> <p>Acquired hearing loss can have a serious impact on our life. It is <a href="https://journals.sagepub.com/doi/10.1177/2331216517734088">associated</a> with or can <a href="https://pubmed.ncbi.nlm.nih.gov/29222544/">contribute</a> to:</p> <ul> <li>social isolation</li> <li>loneliness</li> <li>not being able to work as much, or at all</li> <li>memory problems</li> <li>trouble thinking clearly</li> <li>conditions such as dementia.</li> </ul> <p>Hearing loss has also been associated with depression, anxiety and stress. A <a href="https://academic.oup.com/gerontologist/article-abstract/60/3/e137/5369884?redirectedFrom=fulltext">systematic review and meta-analysis</a> found adults with hearing loss are 1.5 times more likely to experience depression than those without hearing loss.</p> <p>A <a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2768374">large population study</a> in the US found self-reported hearing loss was associated with:</p> <ul> <li>higher levels of psychological distress</li> <li>increased use of antidepressant and anti-anxiety medications, and</li> <li>greater utilisation of mental health services.</li> </ul> <p>The good news is that doing something about your hearing loss can help you live a <a href="https://pubmed.ncbi.nlm.nih.gov/36385406/">happier</a> and <a href="https://www.thelancet.com/journals/lanhl/article/PIIS2666-7568(23)00232-5/fulltext">longer</a> life.</p> <h2>So why don’t people get their hearing checked?</h2> <p><a href="https://pubmed.ncbi.nlm.nih.gov/17927921/">Research</a> has found adults with hearing loss typically wait ten years to seek help for their hearing.</p> <p>Less than a quarter of those who need hearing aids actually go ahead with them.</p> <p>Hearing declines slowly, so people may perceive their hearing difficulties <a href="https://www.tandfonline.com/doi/full/10.3109/14992027.2013.839888">aren’t concerning</a>. They may feel they’re now used to not being able to hear properly, without fully appreciating the impact it’s having on their life.</p> <p>Some people harbour <a href="https://www.tandfonline.com/doi/full/10.3109/14992027.2013.839888">negative attitudes to hearing aids</a> or don’t think they’ll actually help.</p> <p>Others may have overheard their <a href="https://www.tandfonline.com/doi/full/10.3109/14992027.2013.839888">partner, family or friends</a> say negative things or make jokes about hearing aids, which can put people off getting their hearing checked.</p> <p><a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2023.2293651">Stigma</a> can play a big part.</p> <p>People often associate hearing loss with <a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2024.2353862">negative stereotypes</a> such as ageing, weakness and “being different”.</p> <p>Our recent <a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2024.2446480">research</a> found that around one in four people never tell anyone about their hearing loss because of experiences of stigma.</p> <p>Adults with hearing loss who experience stigma and choose not to disclose their hearing loss were also likely not to go ahead with hearing aids, we found.</p> <h2>What are my options for helping my hearing?</h2> <p>The first step in helping your hearing is to have a hearing check with a hearing care professional such as an an audiologist. You can also speak to your GP.</p> <p>If you’ve got hearing loss, hearing aids aren’t the only option.</p> <p>Others include:</p> <ul> <li>other assistive listening devices (such as amplified phones, personal amplifiers and TV headphones)</li> <li>doing a short course or program (such as the <a href="https://shrs.uq.edu.au/active-communication-education-ace">Active Communication Education program</a> developed via University of Queensland researchers) aimed at giving you strategies to manage your hearing, for instance, in noisy environments</li> <li>monitoring your hearing with regular checkups</li> <li>strategies for protecting your hearing in future (such as wearing earplugs or earmuffs in loud environments, and not having headphone speakers too loud)</li> <li>a cochlear implant (if hearing loss is severe)</li> </ul> <p>Hearing care professionals should take a <a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2023.2190864">holistic approach</a> to hearing rehabilitation.</p> <p>That means coming up with individualised solutions based on your preferences and circumstances.</p> <h2>What are modern hearing aids like?</h2> <p>If you do need hearing aids, it’s worth knowing there are several different types. All modern hearing aids are extremely small and discrete.</p> <p>Some sit behind your ear, while others sit within your ear. Some look the same as air pods.</p> <p>Some are even completely invisible. These hearing aids are custom fitted to sit deep within your ear canal and contain no external tubes and wires.</p> <p>Some types of hearing aids are more expensive than others, but even the basic styles are discrete.</p> <p>In Australia, children and many adults are eligible for <a href="https://www.health.gov.au/our-work/hearing-services-program/accessing/eligibility">free or subsidised hearing services</a> and many health funds offer hearing aid rebates as part of their extras cover.</p> <p>Despite being small, modern hearing aids have advanced technology including the ability to:</p> <ul> <li>reduce background noise</li> <li>direct microphones to where sound is coming from (directional microphones)</li> <li>use Bluetooth so you can hear audio from your phone, TV and other devices directly in your hearing aids.</li> </ul> <p>When used with a smartphone, some hearing aids can even track your health, detect if you have fallen, and translate languages in real time.</p> <h2>What should I do next?</h2> <p>If you think you might be having hearing difficulties or are curious about the status of your hearing, then it’s a good idea to get a hearing check.</p> <p>The earlier you do something about your hearing, the greater the likelihood that you can prevent further hearing decline and reduce other health risks.</p> <p>And rest assured, there’s a suitable option for everyone.<!-- 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/250925/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>By </em><em><a href="https://theconversation.com/profiles/katie-ekberg-1534998">Katie Ekberg</a>, Senior Lecturer, College of Nursing and Health Sciences, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> and <a href="https://theconversation.com/profiles/barbra-timmer-1199057">Barbra Timmer</a>, Senior Lecturer and Researcher in Audiology, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</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/im-avoiding-a-hearing-test-because-i-dont-want-chunky-hearing-aids-what-are-my-options-250925">original article</a>.</em></p> <p><em>Image: Getty</em></p> </div>

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Australian women will soon be eligible for a menopause health check. Here’s what to expect

<div class="theconversation-article-body"><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>The federal government has recently pledged to create a new Medicare rebate for menopause health assessments. It’s due to be available <a href="https://www.health.gov.au/sites/default/files/2025-02/more-choice-lower-costs-and-better-health-care-for-women.pdf">from July 1</a>.</p> <p>The announcement featured in the <a href="https://www.health.gov.au/resources/publications/government-response-to-inquiry-issues-related-to-menopause-and-perimenopause?language=en">government’s response</a> to the <a href="https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Community_Affairs/Menopause/Report">Senate inquiry</a> into menopause, released last week, though was first flagged earlier this month as part of the government’s pre-election funding package <a href="https://www.abc.net.au/news/2025-02-08/federal-labor-promises-funding-boost-for-womens-health/104914202">for women’s health</a>.</p> <p>So what is a menopause health assessment? And how will it improve the health care women receive during this stage in their lives?</p> <h2>Why we need this</h2> <p>Outside reproductive health, women’s health care has generally been modelled on the needs of men. A prime example is the government-funded <a href="https://www9.health.gov.au/mbs/fullDisplay.cfm?type=note&amp;q=AN.0.38&amp;qt=noteID">midlife health check</a> for people aged 45 to 49. This is intended to identify and manage risks to prevent chronic diseases such as diabetes and heart disease.</p> <p>The recent <a href="https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Community_Affairs/Menopause">Senate inquiry</a> into issues related to menopause and perimenopuase highlighted that the timing of this health check is not fit for purpose for women. This is because at <a href="https://www.cell.com/cell/fulltext/S0092-8674(23)00905-4?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0092867423009054%3Fshowall%3Dtrue">menopause</a>, which occurs on average at the <a href="https://www.menopause.org.au/hp/information-sheets/what-is-menopause">age of 51 in Australia</a>, women’s health profiles change.</p> <p>Women <a href="https://www.cell.com/cell/fulltext/S0092-8674(23)00905-4?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0092867423009054%3Fshowall%3Dtrue">gain tummy fat</a>, their <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2682462/">cholesterol levels go up</a>, and glucose (sugar) metabolism <a href="https://pubmed.ncbi.nlm.nih.gov/28953212/">becomes less efficient</a>. All these changes <a href="https://www.cell.com/cell/fulltext/S0092-8674(23)00905-4?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0092867423009054%3Fshowall%3Dtrue">increase a woman’s risk</a> of heart disease and diabetes.</p> <p>Vast numbers of women are given a clean bill of health at this midlife health check in their late 40s. But when they subsequently go through menopause, they can go on to develop heart disease and diabetes <a href="https://www.cell.com/cell/fulltext/S0092-8674(23)00905-4?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS0092867423009054%3Fshowall%3Dtrue">risk factors</a>, which may go undetected.</p> <p>Some women also go through <a href="https://www.imsociety.org/wp-content/uploads/2024/11/INTERNATIONAL-GUIDELINE-ON-POI-2024.pdf">early menopause</a>: around 12% between the ages of 40 and 45, and around 4% before 40.</p> <p>Those women who experience menopause before age 45 are known to be at significantly <a href="https://jamanetwork.com/journals/jamacardiology/fullarticle/2551981">higher risk of heart disease</a> than other women. But, by the time women with early menopause qualify for the midlife health check, <a href="https://www.imsociety.org/wp-content/uploads/2024/11/INTERNATIONAL-GUIDELINE-ON-POI-2024.pdf">crucial metabolic changes</a> may have silently occurred, and the opportunity to intervene early to address them may be missed.</p> <h2>What will a menopause health check involve?</h2> <p>The federal government has committed <a href="https://www.health.gov.au/sites/default/files/2025-02/government-response-to-inquiry-issues-related-to-menopause-and-perimenopause.pdf">A$26 million</a> over two years to fund the new menopause health assessments, as part of a $64.5 million package designed to improve health care for women experiencing perimenopause and menopause.</p> <p>Some <a href="https://www.health.gov.au/sites/default/files/2025-02/government-response-to-inquiry-issues-related-to-menopause-and-perimenopause.pdf">$12.8 million</a> will also be dedicated to a menopause-related community awareness campaign.</p> <p>My own research has shown women understand menopause means the loss of fertility, but often have little <a href="https://www.tandfonline.com/doi/10.1080/13697137.2020.1791072?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed">knowledge of the health changes</a> that occur as part of the menopause transition. So increasing health literacy around menopause is much needed.</p> <p>Similarly, for the introduction of these menopause-specific consultations to be effective, women will need to know what these health checks are for, if they’re eligible, and how to access a menopause health check.</p> <p>The new menopause health checks will be provided by GPs. Exactly what they will involve is yet to be clarified. But I would anticipate they will include a combination of the assessment and management of perimenopause and menopause, overall health and wellbeing, and assessment of risk and prevention of future ill health, notably heart disease, diabetes and osteoporosis.</p> <h2>Upskilling health-care providers</h2> <p>Equally, health-care providers will need to understand the impact of menopause on long-term health and how best to mitigate against disease risks, including the role of <a href="https://onlinelibrary.wiley.com/doi/10.1111/cen.15211">menopausal hormone therapy</a>.</p> <p>My research has shown <a href="https://www.tandfonline.com/doi/10.1080/13697137.2021.1936486?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed">health-care providers lack confidence</a> in delivering menopause-related care, indicating a need for more education around menopause.</p> <p>In line with this, the <a href="https://www.health.gov.au/sites/default/files/2025-02/government-response-to-inquiry-issues-related-to-menopause-and-perimenopause.pdf">Senate inquiry</a> called for the upskilling of the medical workforce in the field of menopause through medical school training, postgraduate specialist programs, and ongoing education of clinicians.</p> <p>While the government cannot mandate what is taught in medical schools or the content of specialist training programs, its <a href="https://www.health.gov.au/sites/default/files/2025-02/government-response-to-inquiry-issues-related-to-menopause-and-perimenopause.pdf">response to the inquiry</a> encourages these institutions to incorporate menopause in their curricula.</p> <p>Further, part of the government funding will go towards expanding a professional development program on managing menopause offered by <a href="https://www.jeanhailes.org.au/health-professionals/elearning-modules/courses-for-gps">Jean Hailes for Women’s Health</a>.</p> <h2>A good start, but still not enough</h2> <p>The government’s new funding, and the new menopause health checks in particular, recognises that women’s health is strongly dictated by major biological events, such as menopause, as opposed to age.</p> <p>This is good news. But we need to do more to equip health professionals to provide the best menopause care to women in these health assessments and beyond.</p> <p>Adding new menopause modules to medical school and specialist training programs will ensure greater awareness of the impact of menopause on women’s health and wellbeing. However, awareness alone won’t ensure high-level training for the complex care many perimenopausal and menopausal women need.</p> <p>The opportunities for medical graduates to gain hands-on clinical experience in menopausal medicine are mostly limited to the select few who get to work in a hospital specialist menopause clinic during their training.</p> <p>Notably, there’s no credentialed training program in menopause medicine in Australia. Meanwhile, the North American Menopause Society does offer a <a href="https://menopause.org/professional-resources/mscp-certification">credentialed program</a>.</p> <p>The challenge has been that menopause does not belong to one medical specialty. This is why we need an accredited training program – for both GPs and medical specialists – to ensure a truly skilled workforce able to deliver gold standard menopause care.</p> <p>But without further federal funding to set this up, it will not happen.<!-- 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/249499/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/susan-davis-10376"><em>Susan Davis</em></a><em>, Chair of Women's Health, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/australian-women-will-soon-be-eligible-for-a-menopause-health-check-heres-what-to-expect-249499">original article</a>.</em></p> </div>

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Protein and healthy ageing: What you need to know if you're over 50

<p>Healthy ageing is the new middle-aged mantra, but where do you start? If you’re over 50, one of the quickest wins in the battle to feeling great and ageing well is to increase your protein intake.</p> <p>Protein is an essential pro-ageing nutrient; it’s not just for gym junkies. It is vital to combat the serious impacts of ageing.</p> <p>Protein helps to stop age-related muscle loss and keep bones strong, when combined with exercise. It supports immune function and plays an essential role in maintaining and repairing body tissues and wound healing.</p> <p>Nutrition scientist Louise Fisher specialises in healthy ageing. She helped <a href="https://www.boldhealth.com.au" target="_blank" rel="noopener">Bold Health</a> develop its +50 pro-ageing protein powder and she has recently reviewed the past five years of published scientific research on protein and ageing to determine how much protein you really need to age well.</p> <p>The science on protein is moving fast. So, we asked Louise Fisher to share the latest insights on the eight most common questions about protein and healthy ageing. Here are her answers:</p> <p><strong>Does protein help with healthy ageing?</strong></p> <p>Protein is essential for healthy ageing. It helps keep your bones healthy and most importantly, it helps preserve muscle mass to stay strong.</p> <p>From as young as 30, you start to lose muscle mass and strength. This decline is barely noticeable at first, but it can accelerate to become a major problem as you get older impacting strength and mobility, increasing the likelihood of falls and even reducing your lifespan.</p> <p>The good news is you can slow down muscle loss, and even build muscle well into your 90s. Many studies have shown that a higher protein diet, combined with resistance training, is the best way to combat age-related muscle loss and preserve mobility.</p> <p>If you think of your muscles as a brick wall, the protein makes up the bricks and the resistance exercise is the work to build the wall. You need both to build that muscle.</p> <p>That’s not the only way protein helps you age well. Every cell in your body contains protein and your body is constantly using protein. Apart from building and maintaining muscles, protein helps repair tissues, forms the antibodies for your immunity system and the blood cells of our circulatory system, makes up many hormones, such as insulin, builds body structures of bones and collagen, and forms the enzymes we need to absorb nutrients from food and use energy.</p> <p><strong>Why do you need more protein once you turn 50?</strong></p> <p>The 50s are a good time to reassess your diet because simple changes now can have a big effect on your quality of life. Generally, as you age, you need fewer carbohydrates, because insulin resistance and higher blood glucose levels can become a common problem, while more protein becomes essential for muscle health, bone health and general wellbeing.Protein is made up of amino acids. As you get older, your body needs more amino acids to maintain, repair and build muscle. It also becomes less effective at using the amino acids. This is called anabolic resistance.</p> <p>As an example, one study revealed men in their 20s could build muscle with 20g of protein, while men in their 70s needed 40g of protein.</p> <p>Women, especially, need to prioritise protein for optimal bone health, because the drop in oestrogen with menopause increases the risk of developing osteoporosis. As you build and move your muscles, muscle contractions stimulate bone rebuilding. This helps maintain your bone density and reduce the risk of fractures. Stronger muscles help build stronger bones. Higher protein intakes are associated with a lower risk of hip fractures in older adults. </p> <p><strong>How much protein do you need for healthy ageing?</strong></p> <p>The latest science, combined with newer methods of assessing protein needs, show most healthy adults over 50 should consume at least 1g-1.2g of protein for each kilo they weigh, to help maintain muscle mass and age well.</p> <p>The formula is the same, whether you’re male or female. So, as an example a 70kg woman should aim for at least 70-84g of protein a day, and at least 90-108g of protein a day for a 90kg man. If you are doing strength training, as recommended, or other strenuous physical activity, you’ll need even more protein. I recommend at least an extra 20-30g of protein to help with muscle recovery on training days. </p> <p>The other group that needs higher protein intakes are people who might have a poor diet or those recovering from surgery or illness.</p> <p><strong>What are the signs that you’re not getting enough protein?</strong></p> <p>The early warning signs that you are not getting enough protein can be hard to spot. It could be that you are picking up more colds and viruses than normal, or that scratches do not heal as quickly.</p> <p>Sometimes that muscle weakness can show up in little things, for example it’s harder to open jars because of a small drop in grip strength. If you’re not getting enough protein, your body prioritises protein use for functions that keep you alive, such as repairing tissues, maintaining immunity, making new blood cells, hormones and enzymes.</p> <p>Building and maintaining muscle becomes a lower priority. On average most Australians do eat enough protein, but for some groups that’s not the case. People over 50 are at real risk of not getting enough protein to thrive.</p> <p><strong>When is the best time to consume protein for healthy ageing?</strong></p> <p>It may be best to spread your protein intake across the day, getting at least 20-30 g at main meals. Some studies indicate you absorb protein better this way, rather than relying on one high protein meal. In practice, it makes reaching your protein targets much more achievable.</p> <p>In my experience, people often miss protein at breakfast, especially if they just have a coffee or tea and toast or a piece of fruit to start the day. For something quick and easy, I’d suggest Greek yoghurt topped with nuts and fruit or high protein cereal with high protein milk.</p> <p>If you find it hard to eat first thing in the morning, or need something on the go, a protein shake is a great option.If you have been exercising, aim to get that extra 20-30g of protein soon afterwards. Again, a protein shake is often the easiest way to do this.</p> <p><strong>What are the best sources of protein for people over 50?</strong></p> <p>To age well, you need to choose the right sources of protein. It’s not just a matter of eating more sausages, bacon or a bigger steak. To help manage risk factors for heart disease such as cholesterol, it is important to have most of your protein from foods that are low in saturated fats.</p> <p>This means focusing on plant protein and lean animal sources, including lean meat, chicken, fish, legumes (dried and tinned beans, lentils), plant protein powders, tofu, nuts and seeds, reduced fat dairy, and eggs.</p> <p><strong>What’s the best protein powder for people over 50?</strong></p> <p>Look for a protein powder that is low in sugar and has added vitamins and minerals, because, as you get older, you need to make every mouthful count. It’s also a better bang for your buck.</p> <p>On my checklist are vitamin B12, vitamin D, calcium, folate and magnesium. These essential nutrients also support healthy ageing by helping to maintain muscle, bone, and heart health, as well as fight fatigue.</p> <p><span style="text-decoration: underline;"><em>Tip:</em></span> To avoid that bloated feeling you can sometimes get after drinking a protein shake, choose a protein powder that is lactose-free. Some people find blends with prebiotic fibres and digestive enzymes also help.</p> <p><strong>Why is eating more protein important if you’re dieting?</strong></p> <p>When you lose weight, you also generally lose some muscle mass as well. And the greater the rate of weight loss, the greater the loss of lean muscle.</p> <p>Maintaining protein intakes and resistance training, while trying to lose weight, is important to keep your strength, but not all weight loss methods make it easy to get enough protein.</p> <p>Intermittent fasting often involves people regularly skipping a meal. If poorly planned, this can lead to a shortfall in protein intake. With the increase in use of GLP-1 agonist drugs, such as Ozempic or Wegovy, for weight loss, we’re also starting to see nutritionists suggest that people prioritise protein intake to reduce the risk of sarcopenia, severe muscle and strength loss.</p> <p>Using a protein shake that is low in sugar and contains additional vitamins and minerals is a convenient way to get the nutrients you need and minimise muscle loss.</p> <p><em><strong>Louise Fisher is a highly qualified nutrition scientist with more than 10 years of experience as a clinical dietitian. Her key areas of expertise are healthy aging, diet, and exercise.</strong></em></p> <p><em><strong>Image credits: Supplied</strong></em></p>

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What’s the difference between ageing and frailty? One is inevitable – the other is not

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/julee-mcdonagh-1525476">Julee McDonagh</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/caleb-ferguson-72">Caleb Ferguson</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <p>Ageing is a normal part of the life course. It doesn’t matter how many green smoothies you drink, or how many “anti-ageing” skin care products you use, you can’t stop the <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2685272/">ageing process</a>.</p> <p>But while we’re all getting older, not everyone who ages will necessarily become frail. Ageing and frailty are closely related, but they’re not the same thing.</p> <p>Let’s break down the difference between the two.</p> <h2>What is ageing?</h2> <p>On a biological level, ageing is the result of the build-up of <a href="https://www.who.int/news-room/fact-sheets/detail/ageing-and-health">cellular and molecular damage</a> in the body over time.</p> <p>The ageing process causes a gradual decline in physical and mental function, a higher risk of disease, and eventual (and unavoidable) death.</p> <p>Still, some people think they can cheat the system, <a href="https://fortune.com/well/article/bryan-johnson-live-longer-unrecognizable-anti-aging-procedure/">spending millions</a> trying to stay young forever. While we may be able to reduce the <a href="https://theconversation.com/do-these-three-popular-anti-ageing-skincare-ingredients-work-heres-what-the-evidence-says-182200">appearance of ageing</a>, ultimately there’s <a href="https://www.nature.com/articles/s44324-024-00040-3">no magic pill</a> to <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2685272/">increase our longevity</a>.</p> <p>Around one in six Australians are over the age of 65 (<a href="https://www.aihw.gov.au/reports/older-people/older-australians/contents/demographic-profile">16% of the total population</a>). Yet <a href="https://www.tandfonline.com/doi/full/10.1080/03601277.2024.2402056">as individuals</a> and <a href="https://theconversation.com/fear-of-ageing-is-really-a-fear-of-the-unknown-and-modern-society-is-making-things-worse-220925">a society</a> many of us still have a <a href="https://www.smh.com.au/lifestyle/health-and-wellness/we-ve-been-constructed-to-think-a-certain-way-the-psychology-of-ageing-20231213-p5er6a.html">fear of ageing</a>.</p> <p>But what is it about ageing we are so afraid of? When it comes down to it, many people are probably less afraid of ageing, and more afraid of becoming frail.</p> <h2>What is frailty?</h2> <p><a href="https://www.afn.org.au/what-is-frailty/">Frailty</a> is defined as a state of vulnerability characterised by a loss of reserve across multiple parts of the body.</p> <p>Frailty is generally characterised by <a href="https://www1.racgp.org.au/newsgp/clinical/frailty-declared-a-medical-condition">several physical symptoms</a>, such as weakness, slow walking speed, exhaustion, unintentional weight loss, and low activity level.</p> <p>Lower bone density and osteoporosis (a condition where the bones become weak and brittle) are also <a href="https://josr-online.biomedcentral.com/articles/10.1186/s13018-024-04875-w">associated with frailty</a>, increasing the risk of <a href="https://www.sciencedirect.com/science/article/pii/S1279770723020250">falls and fractures</a>.</p> <p>Notably, someone who is frail is less able to “bounce back” (or recover) after a stressor event compared to someone who is not frail. A stressor event could be, for example, having a fall, getting a urinary infection, or even being admitted to hospital.</p> <p>Frailty is more common in older people. But in some cases, frailty can affect younger people too. For example, people with advanced chronic diseases, such as <a href="https://academic.oup.com/eurjcn/article/22/4/345/6775229">heart failure</a>, can <a href="https://onlinelibrary.wiley.com/doi/full/10.5694/mja15.00801">develop frailty</a> much younger.</p> <p>Frailty is dynamic. While it can get worse over time, in some cases <a href="https://www.sciencedirect.com/science/article/pii/S037851221830478X">frailty can also be reversed</a> or even prevented through health and lifestyle changes.</p> <p>For example, we know physical inactivity and a sedentary lifestyle can <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)31786-6/abstract">significantly increase a person’s risk</a> of becoming frail. On the flip side, evidence shows doing more exercise can <a href="https://pubmed.ncbi.nlm.nih.gov/36746389/">reduce frailty in older adults</a>.</p> <p>There are other lifestyle modifications we can make too. And the earlier we make these changes, the better.</p> <h2>Preventing frailty</h2> <p>Here are some <a href="https://youtu.be/41cMkvsaOOM">key things</a> you can do to <a href="https://www.self.com/story/how-to-avoid-frailty-old-age">help prevent frailty</a>:</p> <p><strong>1. Get moving</strong></p> <p>Exercise more, including resistance training (such as squats and lunges, or grab some stretchy resistance bands). Many of these sorts of exercises can be done at home. YouTube has some <a href="https://youtu.be/XDQo4wslr7I?si=FAoyHLDZgSG5AN1r">great resources</a>.</p> <p>You might also consider joining a gym, or asking your GP about seeing an accredited exercise physiologist or physiotherapist. Medicare <a href="https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&amp;q=10953&amp;qt=item">subsidies may be available</a> for these specialists.</p> <p>The <a href="https://www.health.gov.au/topics/physical-activity-and-exercise/physical-activity-and-exercise-guidelines-for-all-australians/for-older-australians-65-years-and-over">physical activity guidelines</a> for older Australians recommend at least 30 minutes of moderate intensity physical activity on most days or preferably every day.</p> <p>The guidelines also highlight the importance of incorporating different types of activities (such as resistance, balance or flexibility exercises) and reducing the time you spend sitting down.</p> <p><strong>2. Stay socially active</strong></p> <p>Social isolation and loneliness can <a href="https://academic.oup.com/gerontologist/article-abstract/64/10/gnae114/7734069">contribute to the progression of frailty</a>. Reach out to friends and family for support or contact local community groups that you may be able to join. This might include your local Zumba class or bridge club.</p> <p><strong>3. Ask your doctor or pharmacist to regularly check your medications</strong></p> <p>“Polypharmacy” (when someone is prescribed <a href="https://www.safetyandquality.gov.au/our-work/healthcare-variation/fourth-atlas-2021/medicines-use-older-people/61-polypharmacy-75-years-and-over">five or more medications</a>) is associated with an increased <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6005607/">risk of frailty</a>. The presence of frailty can also interfere with how the <a href="https://www.sciencedirect.com/science/article/pii/S0047637419300387">body absorbs medicines</a>.</p> <p><a href="https://www.healthdirect.gov.au/home-medicines-review">Home medicine reviews</a> are available for older adults with a <a href="https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&amp;q=900">chronic medical condition or a complex medication regimen</a>. These reviews aims to help people get the most benefit from their medicines and reduce their risk of <a href="https://www.safetyandquality.gov.au/sites/default/files/2021-04/fourth_atlas_2021_-_6.2_medications_management_reviews_75_years_and_over_0.pdf">experiencing adverse effects</a>.</p> <p>Always consult your doctor before making any changes to your current medications.</p> <p><strong>4. Eat a protein-rich diet with plenty of fruit and vegetables</strong></p> <p><a href="https://academic.oup.com/biomedgerontology/article/61/6/589/589472?login=true#9578331">Low nutrient intake</a> can negatively impact physical function and may increase your risk of becoming frail. There’s some evidence to suggest eating more protein may <a href="https://academic.oup.com/ageing/article/49/1/32/5618813">delay the onset of frailty</a>.</p> <p>A food-first approach is best when looking to increase the <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7598653/#:%7E:text=Many%20studies%20have%20described%20an,are%20necessary%20to%20prevent%20frailty.">protein in your diet</a>. Protein is found in <a href="https://www.betterhealth.vic.gov.au/health/healthyliving/protein#protein-foods">foods such as</a> lean meats, poultry, seafood, eggs, dairy products, legumes and nuts.</p> <p>Adults over 50 should aim to eat <a href="https://www.eatforhealth.gov.au/nutrient-reference-values/nutrients/protein">64 grams of protein</a> per day for men and 46g per day for women. Adults over 70 should aim for 81g per day for men and 57g per day for women.</p> <p>Ask your GP for a referral to a dietitian who can provide advice on a dietary regime that is best for you.</p> <p>Supplements may be recommended if you are struggling to meet your protein needs from diet alone.<!-- 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/247450/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/julee-mcdonagh-1525476"><em>Julee McDonagh</em></a><em>, Senior Research Fellow of Frailty Research, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/caleb-ferguson-72">Caleb Ferguson</a>, Professor of Nursing and Director of Health Innovations, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/whats-the-difference-between-ageing-and-frailty-one-is-inevitable-the-other-is-not-247450">original article</a>.</em></p> </div>

Body

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What are sleep retreats? A sleep scientist explains the latest wellness trend

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/jason-ellis-280919">Jason Ellis</a>, <a href="https://theconversation.com/institutions/northumbria-university-newcastle-821">Northumbria University, Newcastle</a></em></p> <p>Considering the effect of poor sleep on the individual as well as on <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5627640/">society and the economy</a>, it is hardly surprising sleep has become an intense area of research focus in recent years. Most recently we have seen an <a href="https://www.voguebusiness.com/story/beauty/the-beauty-consumer-trends-set-to-define-2025">increase</a> in the <a href="https://www.aspiretravelclub.co.uk/insight/in-focus-the-rise-of-sleep-retreats">offering of and appetite for</a> so-called <a href="https://www.countryandtownhouse.com/style/health-and-beauty/sleep-retreats/">sleep retreats</a>. But what are sleep retreats and are they helpful?</p> <p>As with any specialised retreat, there is no set formula for what a sleep retreat should focus on. As such, the range of what is available is incredibly variable, from retreats that just focus on a sleep-friendly environment (a cool, dark, quiet and comfortable bedroom in a luxurious location) to ones specifically aimed at managing a specific sleep disorder, using evidence-based therapies, such as cognitive behavioural therapy for insomnia.</p> <p>There are even ones that provide, among other things, a regimen of vitamins and minerals delivered intravenously. Most, however, fall somewhere between focusing on meditation, exercise and relaxation.</p> <p>Although there is good evidence that exercise, at the right intensity and duration, can be <a href="https://www.researchgate.net/profile/Helen-Driver-3/publication/10948102_Exercise_and_sleep/links/5f578ffca6fdcc9879d67d41/Exercise-and-sleep.pdf">beneficial for sleep</a>, it is unlikely that a lack of exercise alone causes poor sleep.</p> <p>Similarly, there is some, albeit poor quality, evidence that <a href="https://rsdjournal.org/index.php/rsd/article/view/40186">meditation and relaxation improve sleep quality</a>. As such, it is unlikely that these treatments alone will fix a sleep problem.</p> <p>The main challenge is that sleep, as with diet or exercise, is just an overarching term for a complex behaviour, one that is influenced and can influence almost every area of a person’s life. For example, I am <a href="https://link.springer.com/article/10.1007/s12011-022-03162-1">hearing a lot</a> about supplementing with magnesium to aid sleep, but this is only likely to be beneficial if you are <a href="https://www.sciencedirect.com/science/article/abs/pii/B9780124201682000314">deficient in the first place</a>.</p> <h2>What to consider before you splash the cash</h2> <p>So, should we approach the sleep retreat with caution? Not necessarily, it is more a case of doing your homework.</p> <p>First, who does the sleep retreat cater for, and what do you hope to get from the retreat? The busy executive who only allows themselves four hours of sleep a night will have very different expectations and experiences to a person who has undiagnosed sleep apnoea and sleeps for nine hours but wants to know why they are so sleepy during the day.</p> <p>This leads to the second consideration: what kind of pre-screening (for conditions that might be causing insomnia) and personalisation do they offer?</p> <p>Many retreats advertise an individual consultation as part of the package but don’t really say what that will cover (a sleep, medical and psychiatric history and lifestyle assessment should be done as a <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/jsr.14035">bare minimum</a>. This is vital when we consider that while well-established, evidence-based treatments for a variety of sleep disturbances and disorders exist, they are not suitable for everyone.</p> <p>Also, there is a <a href="https://pubs.rsc.org/en/content/articlelanding/2024/fo/d4fo01113a/unauth">perception</a> that non-pharmacological therapies, including nutraceuticals (products derived from food sources that said to have health benefits) and over-the-counter remedies (such as antihistamines, melatonin and valerian), don’t have side-effects, which is <a href="https://pubs.rsc.org/en/content/articlelanding/2024/fo/d4fo01113a/unauth">not necessarily the case</a>.</p> <p>The final considerations are: who is delivering the retreat? And is what they are offering based on sound scientific evidence?</p> <p>Considering certification in sleep medicine is a hot topic in the sleep community at the moment, it is worth doing some research. For example, in the UK there is no pathway to becoming a sleep medicine specialist, consultant or coach. So who is leading the sleep retreat and is what they offering evidence-based?<!-- 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/247632/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/jason-ellis-280919"><em>Jason Ellis</em></a><em>, Professor of Sleep Science, <a href="https://theconversation.com/institutions/northumbria-university-newcastle-821">Northumbria University, Newcastle</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-are-sleep-retreats-a-sleep-scientist-explains-the-latest-wellness-trend-247632">original article</a>.</em></p> </div>

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Readers response: What does ‘self-care’ look like for you now compared to earlier years?

<p>We asked our readers what self-care looks like for them during their retirement years. Here's what you said. </p> <p><strong>Anne Henderson</strong> - More time and focus on my strength and fitness, and all of those things that will help with independence in old age. More saying no to society’s expectations … (including whether my 70 year old face and my clothing are acceptable to others)…. my routine has become simpler for this reason, not more complicated. Self care in older age to me is liberation from the shackles of all of the above.</p> <p><strong>Marie Jones</strong> - Definitely focusing on strength and balance hence exercise class and walking. Happy with my grey hair but always moisturising and have toned down make-up. I wear what's comfortable for me.</p> <p><strong>Dawn Dominick</strong> - Endless moisturising of my entire body not just my face any more.</p> <p><strong>Margie Buckingham</strong> - Love having long baths to relax in. Going to the podiatrist every month. Moisturising twice daily. Not wearing makeup unless it’s a special occasion. Wearing comfortable clothes. Considering stopping the every 5 week hair colouring. </p> <div dir="auto" style="font-family: system-ui, -apple-system, BlinkMacSystemFont, '.SFNSText-Regular', sans-serif; caret-color: #080809; color: #080809; font-size: 15px;"><em>Image credits: Shutterstock </em></div>

Beauty & Style

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What is callisthenics? And how does it compare to running or lifting weights?

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/mandy-hagstrom-1180806">Mandy Hagstrom</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> and <a href="https://theconversation.com/profiles/justin-keogh-129041">Justin Keogh</a>, <a href="https://theconversation.com/institutions/bond-university-863"><em>Bond University</em></a></em></p> <p>Callisthenics is a type of training where you do bodyweight exercises to build strength. It’s versatile, low cost, and easy to start.</p> <p>Classic callisthenics moves include:</p> <ul> <li>push ups</li> <li>bodyweight squats</li> <li>chin ups</li> <li>burpees</li> <li>lunges using only your bodyweight.</li> </ul> <p>Advanced callisthenics includes movements like <a href="https://www.google.com/search?q=muscle-ups&amp;rlz=1C5GCCM_en&amp;oq=muscle-ups&amp;gs_lcrp=EgZjaHJvbWUyCQgAEEUYORiABDIGCAEQABgeMgYIAhAAGB4yBggDEAAYHjIGCAQQABgeMgYIBRAAGB4yBggGEAAYHjIGCAcQABgeMgYICBAAGB4yBggJEAAYHtIBBzkzOWowajmoAgCwAgE&amp;sourceid=chrome&amp;ie=UTF-8#fpstate=ive&amp;vld=cid:e41f29e0,vid:1fQdBZfIuIY,st:0">muscle-ups</a> (where you pull yourself above a bar) and <a href="https://www.youtube.com/watch?v=OFgk7ysG2fY">flagpole holds</a> (where you hold yourself perpendicular to a pole).</p> <p>In callisthenics, you often do a lot of repetitions (or “reps”) of these sorts of moves, which is what can make it a hybrid strength and cardio workout. In the gym, by contrast, many people take the approach of “<a href="https://theconversation.com/lift-heavy-or-smaller-weights-with-high-reps-it-all-depends-on-your-goal-190902">lifting heavy</a>” but doing fewer reps to build serious strength.</p> <p>Traditionally, callisthenics was more of a muscle sculpting, strength-based work out. It is reportedly based on techniques used by <a href="https://www.bbc.com/reel/video/p0757qbx/how-ancient-greeks-trained-for-war">ancient Greek</a> soldiers.</p> <p>The <a href="https://www.oed.com/dictionary/callisthenic_adj?tab=factsheet#10451225">Oxford Dictionary</a> says the term callisthenics – which is said to be based on the Greek word κάλλος or <em>kállos</em> (meaning beauty) and σθένος or <em>sthenos</em> (meaning strength) – first started showing up in popular discourse the early 1800s.</p> <p>Callisthenics is often associated with high intensity interval training (HIIT) routines, where jumping, skipping or burpees are combined with bodyweight strength-building exercises such as push ups and body weight squats (often for many reps).</p> <p>Callisthenics exercises draw on your natural movement; when children climb on monkey bars and jump between pieces of play equipment, they’re basically doing callisthenics.</p> <h2>What are the benefits of callisthenics?</h2> <p>It all depends on how you do callisthenics; what you put in will dictate what you get out.</p> <p>When exercise programs combine resistance training (such as lifting weights or doing bodyweight exercises) and aerobic exercise, the result is better health and a reduced likelihood of death <a href="https://academic.oup.com/eurjpc/article-abstract/26/15/1647/5925845#google_vignette">from a variety of different causes</a>.</p> <p>Callisthenics provide a low cost, time efficient way of exercising this way.</p> <p>With improvements in body composition, muscular strength, and <a href="https://content.iospress.com/articles/isokinetics-and-exercise-science/ies170001">posture</a>, it’s easy to see why it’s become a popular way to train.</p> <p>Research has also shown callisthenics is <a href="https://content.iospress.com/articles/physiotherapy-practice-and-research/ppr220688">better</a> at reducing body fat and controlling blood sugar for people with diabetes when compared to pilates.</p> <p>Research has also shown doing callisthenics can reduce body fat and increase lean muscle mass <a href="https://www.researchgate.net/profile/Ali-Erdem-Cigerci/publication/342339065_The_Effect_of_Calisthenics_Exercises_on_Body_Composition_in_Soccer_Players/links/5eee7aff299bf1faac68c131/The-Effect-of-Calisthenics-Exercises-on-Body-Composition-in-Soccer-Players.pdf">in soccer players</a>, although this research does not compare the benefits between different exercise program types.</p> <p>That means we don’t know if callisthenics is better than other traditional forms of exercise – just that it does more than nothing.</p> <h2>What are the potential drawbacks?</h2> <p>With callisthenics, it can be hard to progress past a certain point. If your goal is to get really big muscles, it may be hard to get there with callisthenics alone. It would likely be simpler for most people to <a href="https://theconversation.com/lift-heavy-or-smaller-weights-with-high-reps-it-all-depends-on-your-goal-190902">gain muscle in a gym</a> using traditional methods such as machine and free weights with a combination of various sets and reps.</p> <p>If you want to progress in the gym, you can increase your dumbbells by small increments, such as 1kg. In callisthenics, however, you may find the jump from one exercise to the next too big to achieve. You risk a plateau in your training without some challenging work-arounds.</p> <p>Another advantage of traditional strength training with bands, machines, or free weights is that it also increases flexibility and range of motion.</p> <p>However, 2023 <a href="https://link.springer.com/article/10.1007/s40279-022-01804-x">research</a> found “no significant range of motion improvement with resistance training using only body mass.” So, given its focus on bodyweight exercises, it seems unlikely callisthenics alone would significantly improve your flexibility and range of motion.</p> <p>Unfortunately, there is no long-term research examining the benefits of callisthenics in direct comparison to traditional aerobic training or resistance training.</p> <h2>Is callisthenics for me?</h2> <p>Well, that depends on your goal.</p> <p>If you want to get really strong, <a href="https://journals.lww.com/nsca-jscr/Fulltext/2017/12000/Strength_and_Hypertrophy_Adaptations_Between_Low_.31.aspx?casa_token=77cmEPgUQr0AAAAA:MchrZRbKBGLl5WCJbqYN5X06rkBHReifOetdXfzJiBg22P62ZnZl6m8OZKov8975QRAjTbYK0Gf2ivA62W0NiAA">lift heavy</a>.</p> <p>If you want to increase your <a href="https://www.ingentaconnect.com/content/wk/jsc/2022/00000036/00000002/art00012">muscle mass</a>, try lifting near to the point of “failure”. That means lifting a weight to the point where you feel that you are close to fatigue, or close to the point that you may need to stop. The key here is that you don’t have to get to the point of failure to achieve muscle growth – but you do have to put in sufficient effort.</p> <p>If you want to get lean, focus first on nutrition, and then understand that either <a href="https://onlinelibrary.wiley.com/doi/10.1111/obr.12536">cardio</a>, <a href="https://link.springer.com/article/10.1007/s40279-021-01562-2?fbclid=IwAR2NiI1tcKLIi0f0MLBlafT-hcHbObBvIrl6Sb5gBcSDImsmpEplSuJpRww">lifting</a> or both can help.</p> <p>What if you’re time poor, or don’t have a gym membership? Well, callisthenics exercises offer some of the cardio benefits of a run, and some of the muscular benefits of a lifting session, all tied up in one neat package.</p> <p>It can be a great holiday workout at a local park or playground, on public outdoor exercise equipment, or even on the deck of a holiday rental.</p> <p>But, as with all exercise, there are potential benefits and limitations of callisthenics.</p> <p>Callisthenics has its place, but, for most, it’s likely best used as just one part of a well-rounded training routine.<!-- 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/246326/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/mandy-hagstrom-1180806"><em>Mandy Hagstrom</em></a><em>, Senior Lecturer, Exercise Physiology. School of Health Sciences, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> and <a href="https://theconversation.com/profiles/justin-keogh-129041">Justin Keogh</a>, Associate Dean of Research, Faculty of Health Sciences and Medicine, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-is-callisthenics-and-how-does-it-compare-to-running-or-lifting-weights-246326">original article</a>.</em></p> </div>

Body

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“What is wrong with people?”: Baggage claims photo reignites age-old debate

<p dir="ltr">A single photo of an airport’s baggage claim area has kicked off a heated debate about travel etiquette.</p> <p dir="ltr">A frustrated traveller snapped the image of a crowded luggage carousel at Melbourne Airport and posted it to Reddit, reigniting the age-old debate about one of people’s most annoying habits when going on holiday.</p> <p dir="ltr">"I returned to Melbourne last night on an international full flight, and the lack of self-awareness from some people was astounding," the post read, accompanied by the photo of a crowded baggage claim carousel. </p> <p dir="ltr">"Despite the clear signs instructing passengers to stay behind the yellow line at baggage collection, many ignored them, standing right in front of it," she continued.</p> <p dir="ltr">"As someone who is on the shorter side, I already struggle to see over a 6ft grown man. After taking this photo, two more people stood directly in front of me.”</p> <p dir="ltr">"At that point, I firmly said in a loud voice, 'Stand behind the yellow line; it's there for a reason'. Thankfully, they moved."</p> <p dir="ltr">"Seriously, what is wrong with people? There's plenty of space around – why stand right in front of me? Rude AF!"</p> <p dir="ltr">The post quickly received hundreds of comments, with plenty of people equally baffled by the act and wondering why the selfish act takes over so many people in airports.</p> <p dir="ltr">"Those two are probably the first to stand up and get their carry-on bags out of the overhead compartments as soon as the wheels touch down," one person commented.</p> <p dir="ltr">"You really triggered them with this one. Imagine asking people to be considerate," another said.</p> <p dir="ltr">But others didn't see an issue at all, with one person writing, "I just say 'excuse me' and reach between people to grab my bag. Most people get out of your way."</p> <p dir="ltr"><em>Image credits: Shutterstock </em></p>

Travel Trouble

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

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/linda-grosser-1461631">Linda Grosser</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/luana-main-2270550">Luana Main</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p>You wake up exhausted from yet another hot night of tossing and turning, with very little sleep.</p> <p>So you might be tempted to buy a “cooling blanket” after reading rave reviews on social media. Or you might have read online articles with <a href="https://www.news.com.au/checkout/home-and-garden/bedroom/bedding/best-cooling-blankets/news-story/118ce05eba1e7d5cdff3aeadae5ae940">taglines such as</a>:</p> <blockquote> <p>Stop waking up in a puddle of sweat with our roundup of the best cooling blankets – including a top-rated option from Amazon that ‘actually works’.</p> </blockquote> <p>But what are cooling blankets? And can they help you get a restful night?</p> <h2>We know a cooler bedroom is best</h2> <p>First, let’s look at why a cooler environment helps us sleep better at night.</p> <p>Our body’s internal temperature has a <a href="https://www.sleepfoundation.org/circadian-rhythm">circadian rhythm</a>, meaning it fluctuates throughout the day. A couple of hours before bed, it drops about <a href="https://www.sciencedirect.com/science/article/pii/S1087079203000236">0.31°C</a> to help you fall asleep. It will drop about <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7323637/">another 2°C</a> across the night to help you stay asleep.</p> <p>During sleep, your internal temperature and skin work together to achieve a balance between losing and producing heat. Your skin has sensors that pick-up changes in the environment around you. If it gets too warm, these sensors let your body know, which may cause you to kick-off blankets or bed clothes and wake more often leading to poorer sleep quality.</p> <p><a href="https://www.thensf.org/what-is-sleep-quality/">Sleep quality</a> is an important component of sleep health ensuring you get the physical, mental and emotional benefits that come from a good night’s sleep.</p> <p>The <a href="https://www.sciencedirect.com/science/article/pii/S0360132318300325">ideal temperature</a> for sleep varies depending on the season and type of bedding you have but falls between 17°C and 28°C. Keeping your sleeping environment within this range will help you to get the best night’s rest.</p> <h2>So what are cooling blankets?</h2> <p>Cooling blankets are designed to help regulate your body temperature while you sleep.</p> <p>Different technologies and materials are used in their design and construction.</p> <p>We’re not talking about <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2206487/">hospital-grade</a> cooling blankets that are used to reduce fever and prevent injury to the nervous system. These use gel pads with circulating water, or air-cooling systems, connected to automatic thermostats to monitor someone’s temperature.</p> <p>Instead, the type of consumer-grade cooling blankets you might see advertised use a blend of lightweight, breathable materials that draw moisture away from the skin to help you stay cool and dry through the night. They look like regular blankets.</p> <p>Common materials include cotton, bamboo, silk or the fibre <a href="https://goodonyou.eco/how-ethical-is-tencel/">Lyocell</a>, all of which absorb moisture.</p> <p>Manufacturers typically use a <a href="https://www.sleepfoundation.org/best-sheets/best-thread-count-for-sheets">thread count</a> of <a href="https://www.trustsleep.com/how-do-cooling-blankets-work/">300-500</a>, creating air pockets that enhance airflow and moisture evaporation.</p> <p>Some blankets feature a <a href="https://getrest.com.au/blogs/all/unveiling-the-secrets-of-q-max-the-key-to-a-perfect-nights-sleep">Q-Max rating</a>, which indicates how cool the fabric feels against your skin. The higher the value, the cooler the fabric feels.</p> <p>Others feature <a href="https://www.trustsleep.com/how-do-cooling-blankets-work/">phase change materials</a>. These materials were developed by <a href="https://spinoff.nasa.gov/Spinoff2009/ch_4.html">NASA</a> for space suits to keep astronauts comfortable during a spacewalk where temperatures are from roughly <a href="https://www.nasa.gov/humans-in-space/spacewalk-spacesuit-basics/">-157°C to 121°C</a>. Phase change materials in cooling blankets absorb and hold heat producing a cooling effect.</p> <h2>Do they work?</h2> <p>If you believe online reviews, yes, cooling blankets can cool you down and help you sleep better in warmer weather or if you get too hot using normal sheets and blankets.</p> <p>However, there is little scientific research to see if these consumer-grade products work.</p> <p>In a 2021 <a href="https://www.mdpi.com/2071-1050/13/16/9099">study</a> exploring sleep quality, 20 participants slept for three nights under two different conditions.</p> <p>First, they slept with regular bed sheets in an air-conditioned room with the temperature set to their preference. Then, they used cooling bed sheets in an air-conditioned room where the temperature was set 3°C higher than their preference.</p> <p>Participants reported good sleep quality in both conditions but preferred the warmer room with its cooling sheets.</p> <p>This may suggest the use of cooling bedding may help provide a more comfortable night’s sleep.</p> <p>But everyone’s cooling needs varies depending on things like age, health, body temperature, the space you sleep in, and personal preferences.</p> <p>So while these products may work for some people who may be motivated to leave a good review, they may not necessarily work for you.</p> <h2>Are they worth it?</h2> <p>There’s a wide variety of cooling blankets available at different prices to suit various budgets. Positive customer reviews might encourage a purchase, especially for individuals experiencing disrupted sleep at night due to heat.</p> <p>Yet, these cooling blankets have limited scientific research to show they work and to say if they’re worth it. So it’s up to you.</p> <h2>What else can I do if I’m a hot sleeper?</h2> <p>If a cooling blanket isn’t for you, there are other things you can do to stay cool at night, such as:</p> <ul> <li> <p>using air conditioning or a fan</p> </li> <li> <p>placing a damp towel under or over you</p> </li> <li> <p>wearing lightweight or minimal sleepwear and avoiding thick or synthetic fabrics, such as nylon, that can trap heat</p> </li> <li> <p>if you usually share a bed, on hot nights, consider sleeping by yourself to avoid excess body heat from your partner.</p> </li> </ul> <p>On a final note, if you often struggle with hot, disturbed sleep, you can check in with your health-care provider. They can see if there is a medical explanation for your disturbed sleep and advise what to try next.<!-- 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/244158/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/linda-grosser-1461631">Linda Grosser</a>, Research Associate, Behaviour-Brain-Body Research Centre, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/luana-main-2270550">Luana Main</a>, Associate Professor in Applied Sport Science, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-are-cooling-blankets-can-they-really-help-me-sleep-244158">original article</a>.</em></p> </div>

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Around 3% of us will develop a brain aneurysm in our lives. So what is it and how do you treat it?

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/theresa-larkin-952095">Theresa Larkin</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/jessica-nealon-1481995">Jessica Nealon</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <p>Australian radio host Kyle Sandilands announced on air that he <a href="https://www.abc.net.au/news/2025-02-03/kyle-sandilands-brain-aneurysm-diagnosis/104888826">has a brain aneurysm</a> and needs urgent brain surgery.</p> <p>Typically an aneurysm occurs when a part of the wall of an artery (a type of blood vessel) becomes stretched and bulges out.</p> <p>You can get an aneurysm <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/aneurysm">in any blood vessel</a>, but they are most common in the brain’s arteries and the aorta, the large artery that leaves the heart.</p> <p>Many people can have a brain aneurysm and never know. But a brain (or aortic) aneurysm that ruptures and bursts can be fatal.</p> <p>So, what causes a brain aneurysm? And what’s the risk of rupture?</p> <h2>Weakness in the artery wall</h2> <p>Our arteries need strong walls because blood is constantly pumped through them and pushed against the walls.</p> <p>An <a href="https://www.healthdirect.gov.au/aneurysms">aneurysm</a> can develop if there is a weak part of an artery wall.</p> <p>The walls of arteries are made of three layers: an inner lining of cells, a middle layer of muscle and elastic fibres, and a tough outer layer of mostly collagen (a type of protein). Damage to any of these layers causes the wall to become thin and stretched. It can then balloon outward, leading to an aneurysm.</p> <p><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4399795/">Genetics</a> and <a href="https://www.ninds.nih.gov/health-information/disorders/cerebral-aneurysms">certain inherited disorders</a> can cause weak artery walls and brain aneurysms in some people.</p> <p>For all of us, our artery walls become weaker as we age, and brain aneurysms are more common as we get older. The <a href="https://www.ncbi.nlm.nih.gov/books/NBK557867/">average age for a brain aneurysm</a> to be detected is 50 (Sandilands is 53).</p> <p>Females have a higher risk of brain aneurysm than males <a href="https://www.ncbi.nlm.nih.gov/books/NBK507902/">after about age 50</a>. Declining oestrogen around menopause reduces the collagen in the artery wall, causing it to become weaker.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/646696/original/file-20250204-15-i55mtq.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/646696/original/file-20250204-15-i55mtq.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/646696/original/file-20250204-15-i55mtq.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/646696/original/file-20250204-15-i55mtq.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/646696/original/file-20250204-15-i55mtq.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/646696/original/file-20250204-15-i55mtq.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/646696/original/file-20250204-15-i55mtq.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=3 2262w" alt="An illustration showing a brain aneurysm." /><figcaption><span class="caption">A brain aneurysm occurs when a part of the wall of an artery balloons out.</span> <span class="attribution"><a class="source" href="https://www.shutterstock.com/image-vector/human-brain-blocking-stroke-aneurysm-disease-2171173339">Alfmaler/Shutterstock</a></span></figcaption></figure> <p>High blood pressure can increase the risk of a brain aneurysm. In someone with high blood pressure, blood inside the arteries is pushed against the walls with greater force. This can <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3163429/">stretch and weaken the artery walls</a>.</p> <p>Another <a href="https://www.aihw.gov.au/reports/heart-stroke-vascular-diseases/hsvd-facts/contents/introduction">common condition</a> called atherosclerosis can also <a href="https://www.ninds.nih.gov/health-information/disorders/cerebral-arteriosclerosis">cause brain aneurysms</a>. In atherosclerosis, plaques made mostly of fat build up in arteries and stick to the artery walls. This directly damages the cell lining, and weakens the muscle and elastic fibres in the middle layer of the artery wall.</p> <h2>Several lifestyle factors increase risk</h2> <p>Anything that increases inflammation or causes atherosclerosis or high blood pressure in turn increases your risk of a brain aneurysm.</p> <p><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6527044/">Smoking and heavy drinking</a> affect all of these, and nicotine <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6214667/">directly damages</a> the artery wall.</p> <p>Sandilands mentioned <a href="https://www.news.com.au/entertainment/tv/radio/kyle-sandilands-reveals-shock-health-diagnosis-i-may-be-dead/news-story/62f9f05c6f0a03702632ec8d622cf97a">his cocaine use</a> in discussing his diagnosis. He said: "The facts are, a life of cocaine abuse and partying are not the way to go."</p> <p>Indeed, cocaine abuse <a href="https://www.nhs.uk/conditions/brain-aneurysm/causes/">increases the risk of a brain aneurysm</a>. It causes very high blood pressure because it causes arteries to spasm and constrict. Cocaine use is also <a href="https://www.sciencedirect.com/science/article/abs/pii/S1878875023017400">linked to worse outcomes</a> if a brain aneurysm ruptures.</p> <p><a href="https://onlinelibrary.wiley.com/doi/full/10.1111/ejn.15992">Stress</a> and a <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6243058/#:%7E:text=High%2Dfat%20diets%20(HFDs),many%20organs%20(see%20text).">high-fat diet</a> also increase inflammation. <a href="https://www.hopkinsmedicine.org/health/conditions-and-diseases/atherosclerosis#:%7E:text=Atherosclerosis%20is%20thickening%20or%20hardening,activity%2C%20and%20eating%20saturated%20fats.">High cholesterol</a> can also cause atherosclerosis. And <a href="https://www.aihw.gov.au/reports/heart-stroke-vascular-diseases/hsvd-facts/contents/risk-factors/overweight-and-obesity">being overweight</a> increases your blood pressure.</p> <p><a href="https://www.ahajournals.org/doi/10.1161/JAHA.121.022277">A study</a> of more than 60,000 people found smoking and high blood pressure were the strongest risk factors for a brain aneurysm.</p> <h2>Is it always a medical emergency?</h2> <p>About <a href="https://www.ncbi.nlm.nih.gov/books/NBK557867/">three in 100 people</a> will have a brain aneurysm, varying in size from <a href="https://www.ncbi.nlm.nih.gov/books/NBK557867/">less than 5mm to more than 25mm</a> in diameter. The majority are only discovered while undergoing imaging for something else (for example, head trauma), because small aneurysms may not cause any symptoms.</p> <p>Larger aneurysms can cause symptoms because they can <a href="https://www.mayoclinic.org/diseases-conditions/brain-aneurysm/symptoms-causes/syc-20361483">press against brain tissues and nerves</a>.</p> <p>Sandilands described “<a href="https://www.abc.net.au/news/2025-02-03/kyle-sandilands-brain-aneurysm-diagnosis/104888826">a lot of headache problems</a>” leading up to his diagnosis. Headaches can be due to <a href="https://www.mayoclinic.org/diseases-conditions/brain-aneurysm/symptoms-causes/syc-20361483">minor leaks of blood</a> from the aneurysm. They indicate a risk of the aneurysm rupturing in subsequent days or weeks.</p> <p>Less than <a href="https://www.nature.com/articles/s41467-024-46015-2">one in 100 brain aneurysms will rupture</a>, often called a “brain bleed”. This causes a <a href="https://www.hopkinsmedicine.org/health/conditions-and-diseases/subarachnoid-hemorrhage#:%7E:text=A%20subarachnoid%20hemorrhage%20is%20bleeding,brain%20and%20inside%20the%20skull.">subarachnoid haemorrhage</a>, which is a <a href="https://www.nhs.uk/conditions/subarachnoid-haemorrhage/">type of stroke</a>.</p> <p>If it does occur, rupture of a brain aneurysm is <a href="https://www.ncbi.nlm.nih.gov/books/NBK507902/">life-threatening</a>: nearly one in four people will die within 24 hours, and one in two within three months.</p> <p>If someone’s brain aneurysm ruptures, they usually experience a sudden, severe headache, often described as a “<a href="https://www.bafound.org/blog/three-signs-your-bad-headache-might-be-a-ruptured-brain-aneurysm/">thunderclap headache</a>”. They may also have <a href="https://www.ninds.nih.gov/health-information/disorders/cerebral-aneurysms">other symptoms of a stroke</a> such as changes in vision, loss of movement, nausea, vomiting and loss of consciousness.</p> <h2>Surgery can prevent a rupture</h2> <p>Whether surgery will be used to treat a brain aneurysm depends on its size and location, as well as the age and health of the patient. The medical team will balance the potential benefits with the risks of the surgery.</p> <p>A small aneurysm with low risk of rupture will usually <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2323531/">just be monitored</a>.</p> <p>However, once a brain aneurysm reaches <a href="https://www.ncbi.nlm.nih.gov/books/NBK507902/">7mm or more</a>, surgery is generally needed.</p> <p>In <a href="https://www.nhs.uk/conditions/brain-aneurysm/treatment/#:%7E:text=A%20cut%20is%20made%20in,permanently%20clamped%20on%20the%20aneurysm.">surgery to repair a brain aneurysm</a>, the surgeon will temporarily remove a small part of the skull, then cut through the coverings of the brain to place a tiny metal clip to close off the bulging part of the aneurysm.</p> <p>Another option is <a href="https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/endovascular-coiling">endovascular</a> (meaning within the vessel) coiling. A surgeon can pass a catheter into the femoral artery in the thigh, through the aorta to the brain. They can then place a coil inside the aneurysm which forms a clot to close off the aneurysm sac.</p> <p><a href="https://medlineplus.gov/ency/article/007372.htm">After either surgery</a>, usually the person will stay in hospital for up to a week. It can take <a href="https://www.healthline.com/health/brain-aneurysm-clipping-surgery#recovery">6–8 weeks</a> for full recovery, though doctors may continue monitoring with annual imaging tests for a few years afterwards.</p> <p>You can <a href="https://www.medicalnewstoday.com/articles/how-to-prevent-a-brain-aneurysm#prevention">lower your risk of a brain aneurysm</a> by not smoking, moderating alcohol intake, eating a healthy diet, exercising regularly and maintaining a healthy weight.<!-- 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/248882/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/theresa-larkin-952095">Theresa Larkin</a>, Associate Professor of Medical Sciences, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/jessica-nealon-1481995">Jessica Nealon</a>, Senior Lecturer in Medical Sciences (Neuroscience), <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/around-3-of-us-will-develop-a-brain-aneurysm-in-our-lives-so-what-is-it-and-how-do-you-treat-it-248882">original article</a>.</em></p> </div>

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

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/vasso-apostolopoulos-105605">Vasso Apostolopoulos</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a> and <a href="https://theconversation.com/profiles/jack-feehan-1239419">Jack Feehan</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p>In recent weeks, <a href="https://www.abc.net.au/news/2025-01-08/vitamin-b6-toxicity-peripheral-neuropathy-health-supplements/104793006">reports have been circulating</a> about severe reactions in people who’ve taken over-the-counter vitamin B6 supplements.</p> <p>Vitamin B6 poisoning can injure nerves and lead to symptoms including numbness, tingling and even trouble walking and moving.</p> <p>In some cases, those affected <a href="https://www.abc.net.au/news/2025-01-28/vitamin-b6-toxicity-cases-rise-vitamins-supplements-tga-review/104863232">didn’t know the product contained</a> any vitamin B6.</p> <p>So what is vitamin B6, where is it found and how much is too much? Here’s what you need to know about this essential nutrient.</p> <h2>What is vitamin B6?</h2> <p>Vitamin B6 (also known as pyridoxine) is a group of six compounds that share a similar chemical structure.</p> <p>It is an essential nutrient, meaning we need it for normal body functions, but we can’t produce it ourselves.</p> <p><a href="https://www.eatforhealth.gov.au/nutrient-reference-values/nutrients/vitamin-b6">Adults aged 19–50</a> need 1.3mg of vitamin B6 per day. The recommended dose is lower for teens and children, and higher for those aged 51 and over (1.7mg for men and 1.5mg for women) and people who are breastfeeding or pregnant (1.9mg).</p> <p>Most of us get <a href="https://www.nhs.uk/conditions/vitamins-and-minerals/vitamin-b/">this in our diet</a> – largely from animal products, including meat, dairy and eggs.</p> <p>The vitamin is also available in a range of different plant foods, including spinach, kale, bananas and potatoes, so deficiency is <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8150266/">rare</a>, even for vegetarians and vegans.</p> <p>The vitamin B6 we consume in the diet is inactive, meaning the body can’t use it. To activate B6, the liver transforms it into a compound called pyridoxal-5’-phosphate (PLP).</p> <p>In this form, vitamin B6 helps the body with more than 140 cellular functions, including building and breaking down proteins, producing red blood cells, regulating blood sugar and supporting brain function.</p> <p>Vitamin B6 is important for <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6071262/">overall health</a> and has also been associated with reduced <a href="https://pubmed.ncbi.nlm.nih.gov/28376200/">cancer</a> risk and <a href="https://www.sciencedirect.com/science/article/abs/pii/S0098299716300395">inflammation</a>.</p> <p>Despite being readily available in the diet, vitamin B6 is also widely included in various supplements, multivitamins and other products, such as Berocca and energy drinks.</p> <h2>Should we be worried about toxicity?</h2> <p>Vitamin B6 toxicity is extremely rare. It <a href="https://europepmc.org/article/nbk/nbk470579?crsi=6624972170&amp;cicada_org_src=healthwebmagazine.com&amp;cicada_org_mdm=direct&amp;client=bot">almost never occurs from dietary intake alone</a>, unless there is a genetic disorders or disease that stops nutrient absorption (such as coeliac disease).</p> <p>This is because all eight vitamins in the B group are water-soluble. If you consume more of the vitamin than your body needs, it can be excreted readily and harmlessly in your urine.</p> <p>However, in some rare cases, <a href="https://pubmed.ncbi.nlm.nih.gov/37447150/">excessive vitamin B6</a> accumulates in the blood, resulting in a condition called peripheral neuropathy. We’re still not sure why this occurs in some people but not others.</p> <p>Peripheral neuropathy <a href="https://my.clevelandclinic.org/health/diseases/14737-peripheral-neuropathy">occurs when the sensory nerves</a> – those outside our brain and spinal cord that send information to the central nervous system – are damaged and unable to function. This can be caused by a wide range of diseases (and is most well known in type 2 diabetes).</p> <p>The most common symptoms are numbness and tingling, though in some cases patients may experience difficulty with balance or walking.</p> <p>We don’t know exactly how excess vitamin B6 causes peripheral neuropathy, but it is thought to <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8483950/">interfere with how the neurotransmitter GABA</a> sends signals to the sensory nerves.</p> <p>Vitamin B6 can cause permanent damage to nerves. <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10343656/">Studies have shown</a> symptoms improved when the person stopped taking the supplement, although they didn’t completely resolve.</p> <h2>What is considered excessive? And has this changed?</h2> <p><a href="https://www.cureus.com/articles/199499-vitamin-b6-toxicity-secondary-to-daily-multivitamin-use-a-case-report#!/">Toxicity usually occurs</a> only when people take supplements with high doses of B6.</p> <p>Until 2022, only products with more than 50mg of vitamin B6 were required to display a warning about peripheral neuropathy. But the <a href="https://www.tga.gov.au/news/safety-updates/peripheral-neuropathy-supplementary-vitamin-b6-pyridoxine">Therapeutic Goods Administration lowered this</a> and now requires any product containing more than 10mg of vitamin B6 to carry a warning.</p> <p>The Therapeutic Goods Administration has also halved the daily upper limit of vitamin B6 a product can provide – from 200mg to 100mg.</p> <p>These changes followed a review by the administration, after receiving 32 reports of peripheral neuropathy in people taking supplements. Two thirds of these people were taking less than 50mg of vitamin B6.</p> <p>The <a href="https://www.tga.gov.au/news/safety-updates/peripheral-neuropathy-supplementary-vitamin-b6-pyridoxine#what-should-health-professionals-do">Therapeutic Goods Administration acknowledges</a> the risk varies between individuals and a lot is unknown. Its review could not identify a minimum dose, duration of use or patient risk factors.</p> <h2>But I thought B vitamins were good for me?</h2> <p>Too much of anything can cause problems.</p> <p>The updated guidelines are likely to significantly lower the risk of toxicity. They also make consumers more aware of which products contain B6, and the risks.</p> <p>The Therapeutic Goods Administration will continue to monitor evidence and revise guidelines if necessary.</p> <p>While vitamin B6 toxicity remains very rare, there are still many questions about why some people get peripheral neuropathy with lower dose supplements.</p> <p>It could be that some specific vitamin B compounds have a stronger effect, or some people may have genetic vulnerabilities or diseases which put them <a href="https://www.sciencedirect.com/science/article/pii/S2161831322004781">at higher risk</a>.</p> <h2>So what should I do?</h2> <p>Most people don’t need to actively seek vitamin B6 in supplements.</p> <p>However, many reports to the Therapeutic Goods Administration were of vitamin B6 being added to supplements labelled as magnesium or zinc – and some weren’t aware they were consuming it.</p> <p>It is important to always check the label if you are taking a new medicine or supplement, especially if it hasn’t been explicitly prescribed by a health-care professional.</p> <p>Be particularly cautious if you are taking multiple supplements. While one multivitamin is unlikely to cause an issue, adding a magnesium supplement for cramping, or a zinc supplement for cold and flu symptoms, may cause an excessive vitamin B6 dose over time, and increase your risk.</p> <p>Importantly, pay attention to symptoms that may indicate peripheral neuropathy, such as pins and needles, numbness, or pain in the feet or hands, if you do change or add a supplement.</p> <p>Most importantly, if you need advice, you should talk to your doctor, dietitian or pharmacist.<!-- 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/248443/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/vasso-apostolopoulos-105605">Vasso Apostolopoulos</a>, Distinguished Professor, Professor of Immunology, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a> and <a href="https://theconversation.com/profiles/jack-feehan-1239419">Jack Feehan</a>, Vice Chancellors Senior Research Fellow in Immunology, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/vitamin-b6-is-essential-but-too-much-can-be-toxic-heres-what-to-know-to-stay-safe-248443">original article</a>.</em></p> </div>

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What’s the difference between Hass and Shepard avocados? It’s not just the colour

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/yasmine-probst-235268">Yasmine Probst</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/karen-zoszak-1474727">Karen Zoszak</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <p>Whether with crumbled feta or poached eggs, you’d be challenged to find a cafe in Australia or farther afield that doesn’t have avocado somewhere on the menu.</p> <p>This fruit (yep, it’s a fruit from a tree, not a vegetable) is widely associated with brunch culture and other trendy eating habits.</p> <p>The Australian avocado industry developed in the 1960s, 30 years after the start of the first large-scale <a href="https://australianfoodtimeline.com.au/wp-content/uploads/2019/04/Avocado-history.pdf">production in California</a>. Orchards producing avocados now span most parts of Australia.</p> <p>Avocados are considered a <a href="https://theconversation.com/what-actually-makes-avocados-bad-for-the-environment-230571">monoculture crop</a>: they’re grown on the same land each year, making them more susceptible to pests and creating a need for increased fertiliser use. The carbon footprint of avos is almost twice as high as that of apples, but much lower than many animal food sources.</p> <p>There are now over 50 different avocado types globally, but only a few are grown commercially.</p> <h2>Not all avos are the same</h2> <p>You may not notice a difference when you get your avocado toast at a cafe. But at the shops or the market, a striking difference occurs each year in Australia.</p> <p>In autumn, the familiar dark purple Hass avocado disappears and is replaced with the lighter green Shepard variety. In Australia, this typically happens between February and May.</p> <p>If you don’t know the difference between the two, you may expect Shepard avos to perform the same way as Hass – and be left disappointed. There are some important differences.</p> <h2>Hass avocados</h2> <p>Hass avocados are known for their dark, pebbly-looking skin that appears almost black when ripe. They have an ovoid shape with a slight pear-like appearance. The thick skin can be a challenge to peel, often requiring a sharp knife or avocado slicer.</p> <p>Hass avocado flavour is rich, creamy and buttery, with nutty undertones. Their texture is ideal for mashing, blending and spreading, creating a creamy texture in dips, guacamole and smoothies.</p> <p>Hass avocados ripen – and darken in colour – slowly over several days. They remain firm to the touch when ripe, and will feel squishy when overripe. A slight give when pressed confirms Hass avos are ready to eat.</p> <p>Available in Australia from May to January, Hass are the dominant variety of commercially grown avocado worldwide. They were <a href="https://modernfarmer.com/2019/08/scientists-crack-the-genetic-code-of-the-hass-avacado/">cultivated by horticulturalist Rudolph Hass</a> in California in the 1920s.</p> <h2>Shepard avocados</h2> <p>Shepard avocados have smooth, green skin that remains green even when they are fully ripe. They are round to slightly oblong in shape and have a slightly milder and sweeter taste, with less pronounced nutty undertones.</p> <p>Shepard avocados ripen more quickly than Hass, but you won’t be able to tell that by the colour. Instead, check for softness – Shepard avocados are very soft when ripe. What might feel overripe when handling a Hass will likely be ideal ripeness if it’s a Shepard. The thin, smooth skin makes them easy to peel by hand or with a gentle squeeze.</p> <p>Their buttery soft texture is firm and creamy, and they hold their shape well when cut, making them ideal for slicing, dicing and spreading despite being structurally firm.</p> <p>Interestingly, Shepard avocados brown much more slowly than Hass, making them perfect for garnishes. Their milder flavour also makes Shepard avos well suited to sweet dishes, such as chocolate mousse.</p> <p>Shepard avos account for approximately 10–15% of Australian avocados and are in season from February to April each year while there is a gap in the Hass season.</p> <p><a href="https://www.abc.net.au/news/rural/2023-04-13/hass-avocados-more-popular-variety-shepard/102154678">Australia is the only country in the world</a> that grows Shepard avocados commercially. (They are grown in Queensland.)</p> <h2>Avocados and our health</h2> <p>As avocados contain <a href="https://afcd.foodstandards.gov.au/fooddetails.aspx?PFKID=F000162">roughly 13 grams of fat per 100g</a>, people <a href="https://theconversation.com/four-simple-food-choices-that-help-you-lose-weight-and-stay-healthy-112054">wishing to lose weight</a> were previously advised to avoid or limit eating them.</p> <p>We now know that a majority of this fat is oleic acid, a monounsaturated (healthy) fat that helps to reduce cholesterol and improve <a href="https://nutritionj.biomedcentral.com/articles/10.1186/s12937-024-00915-7/tables/1">heart health</a>.</p> <p>Additionally, only 1% of an avocado is made up of carbohydrates, making the fruit popular with people following a ketogenic (keto) diet of low carbs and high fat.</p> <p>People who consume avos also tend to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361124/">follow a better pattern of eating</a> in general. They eat more whole grains, fruit and vegetables and fewer discretionary or takeaway foods.</p> <p>As an energy-dense food, consuming a whole avocado is about the same as eating 2.5 whole apples. Per 100 grams, avocado actually gives you less energy than an equivalent amount of cooked white rice.</p> <p>As avocado dishes are visually appealing and often featured in food photography, they have become a symbol of modern eating habits.</p> <p><em>Correction: this article has been amended to clarify that most parts of Australia now have avocado orchards, and that avocados have roughly 13g of fat per 100g, not 53%.</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/233243/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/yasmine-probst-235268"><em>Yasmine Probst</em></a><em>, Professor, School of Medical, Indigenous and Health Sciences, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/karen-zoszak-1474727">Karen Zoszak</a>, Accredited Practising Dietitian, PhD Candidate, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/whats-the-difference-between-hass-and-shepard-avocados-its-not-just-the-colour-233243">original article</a>.</em></p> </div>

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What’s the difference between a food allergy and an intolerance?

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/jennifer-koplin-13384">Jennifer Koplin</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> and <a href="https://theconversation.com/profiles/desalegn-markos-shifti-1530163">Desalegn Markos Shifti</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p>At one time or another, you’ve probably come across someone who is lactose intolerant and might experience some unpleasant gut symptoms if they have dairy. Maybe it’s you – food intolerances are estimated to affect <a href="https://nutritionaustralia.org/fact-sheets/food-intolerances/#How-common-are-food-intolerance-reactions?">up to 25%</a> of Australians.</p> <p>Meanwhile, cow’s milk allergy is one of the most common food allergies in infants and young children, affecting around <a href="https://pubmed.ncbi.nlm.nih.gov/38992429/">one in 100</a> infants.</p> <p>But what’s the difference between food allergies and food intolerances? While they might seem alike, there are some fundamental differences between the two.</p> <h2>What is an allergy?</h2> <p>Australia has one of the <a href="https://theconversation.com/were-the-allergy-capital-of-the-world-but-we-dont-know-why-food-allergies-are-so-common-in-australian-children-228786">highest rates of food allergies</a> in the world. Food allergies can develop at any age but are more common in children, affecting more than <a href="https://pubmed.ncbi.nlm.nih.gov/38992429/">10% of one-year-olds</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/38597846/">6% of children</a> at age ten.</p> <p>A food allergy happens when the body’s <a href="https://www.allergy.org.au/patients/immune-system">immune system</a> mistakenly reacts to certain foods as if they were dangerous. The <a href="https://pubmed.ncbi.nlm.nih.gov/24388012/">most common foods</a> that trigger allergies include eggs, peanuts and other nuts, milk, <a href="https://pubmed.ncbi.nlm.nih.gov/37375617/">shellfish</a>, fish, soy and wheat.</p> <p>Mild to moderate signs of food allergy include a swollen face, lips or eyes; hives or welts on your skin; or vomiting. A <a href="https://www.allergy.org.au/patients/fast-facts/food-allergy">severe allergic reaction</a> (called anaphylaxis) can cause trouble breathing, persistent dizziness or collapse.</p> <h2>What is an intolerance?</h2> <p>Food <a href="https://www.allergy.org.au/patients/food-other-adverse-reactions/food-intolerance">intolerances</a> (sometimes called non-allergic reactions) are also reactions to food, but they don’t involve your immune system.</p> <p>For example, lactose intolerance is a metabolic condition that happens when the body doesn’t produce enough lactase. This enzyme is needed to break down the lactose (a type of sugar) in dairy products.</p> <p>Food intolerances can also include reactions to natural chemicals in foods (<a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4604636/">such as salicylates</a>, found in some fruits, vegetables, herbs and spices) and problems with artificial preservatives or flavour enhancers.</p> <p>Symptoms of <a href="https://www.allergy.org.au/patients/food-other-adverse-reactions/food-intolerance">food intolerances</a> can include an upset stomach, headaches and fatigue, among others.</p> <p>Food intolerances don’t cause life-threatening reactions (anaphylaxis) so are less dangerous than allergies in the short term, although they can cause problems in the longer term <a href="https://www.foodauthority.nsw.gov.au/consumer/life-events-and-food/allergy-and-intolerance">such as malnutrition</a>.</p> <p>We don’t know a lot about how common food intolerances are, but they appear to be <a href="https://www.foodauthority.nsw.gov.au/consumer/life-events-and-food/allergy-and-intolerance">more commonly reported</a> than allergies. They can develop at any age.</p> <h2>It can be confusing</h2> <p>Some foods, such as <a href="https://pubmed.ncbi.nlm.nih.gov/33510829/">peanuts and tree nuts</a>, are more often associated with allergy. Other foods or ingredients, such as caffeine, are more often associated with intolerance.</p> <p>Meanwhile, certain foods, such as cow’s milk and wheat or gluten (a protein found in wheat, rye and barley), can cause both allergic and non-allergic reactions in different people. But these reactions, even when they’re caused by the same foods, are quite different.</p> <p>For example, children with a cow’s milk allergy can react to very small amounts of milk, and serious reactions (such as throat swelling or difficulty breathing) can happen within minutes. Conversely, many people with lactose intolerance can tolerate small amounts of lactose <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10708184/">without symptoms</a>.</p> <p>There are other differences too. Cow’s milk allergy is more common in children, though many infants will <a href="https://pubmed.ncbi.nlm.nih.gov/36185550/">grow out</a> of this allergy during childhood.</p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/30388735/">Lactose intolerance</a> is more common <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11155274/">in adults</a>, but can also sometimes be temporary. One type of lactose intolerance, <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10708184/">secondary lactase deficiency</a>, can be caused by damage to the gut after infection or with medication use (such as antibiotics or cancer treatment). This can go away by itself when the underlying condition resolves or the person stops using the relevant medication.</p> <p>Whether an allergy or intolerance is likely to be lifelong depends on the food and the reason that the child or adult is reacting to it.</p> <p>Allergies to some foods, such as milk, egg, wheat and soy, often resolve during childhood, whereas allergies to nuts, fish or shellfish, often (but not always) <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7899184/">persist into adulthood</a>. We don’t know much about how likely children are to grow out of different types of food intolerances.</p> <h2>How do you find out what’s wrong?</h2> <p>If you think you may have a <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8152468/">food allergy or intolerance</a>, see a doctor.</p> <p><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7794657/">Allergy tests</a> help doctors find out which foods might be causing your allergic reactions (but can’t diagnose food intolerances). There are two common types: skin prick tests and blood tests.</p> <p>In a skin prick test, doctors put tiny amounts of allergens (the things that can cause allergies) on your skin and make small pricks to see if your body reacts.</p> <p>A blood test checks for allergen-specific immunoglobulin E (IgE) antibodies in your blood that show if you might be allergic to a particular food.</p> <p>Food intolerances can be tricky to figure out because the symptoms depend on what foods you eat and how much. To diagnose them, doctors look at your health history, and may do <a href="https://www.allergy.org.au/patients/food-other-adverse-reactions/food-intolerance">some tests</a> (such as a breath test). They may ask you to keep a record of foods you eat and timing of symptoms.</p> <p>A temporary elimination diet, where you stop eating certain foods, can also help to work out which foods you might be intolerant to. But this should only be done with the help of a doctor or dietitian, because eliminating particular foods can lead to <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4604636/">nutritional deficiencies</a>, especially in children.</p> <h2>Is there a cure?</h2> <p>There’s currently no cure for food allergies or intolerances. For allergies in particular, it’s important to strictly avoid allergens. This means reading food labels carefully and being vigilant when eating out.</p> <p>However, researchers are studying a treatment called <a href="https://www.allergy.org.au/patients/allergy-treatments/oral-immunotherapy-for-food-allergy">oral immunotherapy</a>, which may help some people with food allergies become less sensitive to certain foods.</p> <p>Whether you have a food allergy or intolerance, your doctor or dietitian can help you to make sure you’re eating the right foods.</p> <p><em>Victoria Gibson, a Higher Degree by Research student and Research Officer at the School of Nursing, Midwifery and Social Work at the University of Queensland, and Rani Scott-Farmer, a Senior Research Assistant at the University of Queensland, contributed to this article.</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/243685/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/jennifer-koplin-13384">Jennifer Koplin</a>, Group Leader, Childhood Allergy &amp; Epidemiology, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> and <a href="https://theconversation.com/profiles/desalegn-markos-shifti-1530163">Desalegn Markos Shifti</a>, Postdoctoral Research Fellow, Child Health Research Centre, Faculty of Medicine, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/whats-the-difference-between-a-food-allergy-and-an-intolerance-243685">original article</a>.</em></p> </div>

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Man reveals what it's like to spend 25 years at sea

<p>Mario Salcedo has mastered life at sea, living on cruise ships for 25 years and completing his 1,000th voyage with Royal Caribbean. </p> <p>Salcedo, also known as "Super Mario" in cruise circles revealed that he spends around  $101,000 on on cruises per year for a cabin with a balcony. </p> <p>The senior funds his ocean-bound lifestyle through investment management work. </p> <p>His loyalty to Royal Caribbean has earned him some recognition among the crew, with some ships creating makeshift offices for him on deck, complete with cordoned-off tables, chairs and signs reading "Super Mario's Office".</p> <p>Salcedo spoke about his love for cruising in an interview with <em>allthingscruise.com. </em></p> <p>"Cruising never gets old," he began. </p> <p>"I'm so used to being on ships that it feels more comfortable to me than being on land."</p> <p>The full-time cruiser began his life at sea after "tiring of the suit-and-tie business world and the long flights to international clients."</p> <p>The Cuban-born businessman went on his first cruise in 1997 and became hooked since then. </p> <p>In 2000 he began living on Royal Caribbean ships, spending only a few days per year on land, and taking a short 15 month break during the Covid pandemic. </p> <p>Salcedo said he spends about five hours a day working and "has fun" for the rest of it. </p> <p>"It's zero stress," he said. "The best lifestyle I can find."</p> <p><em>Image: Wayleebird / Shutterstock.com</em></p> <p> </p>

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