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Andre Agassi victorious in pro pickleball debut!

<p>Andre Agassi, former tennis demigod and proud wearer of 1990s denim shorts, just served up a win in his professional pickleball debut, the sport that sounds like a snack and plays like a caffeine-fuelled family reunion in Florida.</p> <p>Fresh off turning 55 (and presumably fuelled by birthday cake and a lifetime supply of Voltarin), Agassi teamed up with 18-year-old phenom Anna Leigh Waters. Together, they defeated a duo of teens young enough to still ask permission before downloading apps. The final score: 11-8, 9-11, 11-7 – a tight match that was equal parts strategy, reflex and Agassi’s uncanny ability to intimidate opponents with his résumé.</p> <p>Let’s take a moment to appreciate this image: one of tennis’s all-time greats, who once faced Pete Sampras at Wimbledon, now facing… someone who probably wasn't alive when Agassi last hoisted a Grand Slam trophy. And yet, here he is, paddle in hand, knees holding together like true American heroes, navigating a sport that’s basically what would happen if tennis and ping pong had a baby in a Florida retirement community.</p> <p>Agassi, who retired from tennis in 2006 and was inducted into the Hall of Fame when flip phones still roamed the earth, has since dabbled in pickleball exhibition matches, mostly as an excuse to promote paddle gear online and to remind the world that he still has better footwork than most 25-year-olds.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">✅ make pro Pickleball debut<br />✅ WIN pro Pickleball debut</p> <p>Andre Agassi and Anna Leigh Waters take home the W! <a href="https://t.co/ONUqDLaxWc">pic.twitter.com/ONUqDLaxWc</a></p> <p>— CBS Sports Network (@CBSSportsNet) <a href="https://twitter.com/CBSSportsNet/status/1917629532716073248?ref_src=twsrc%5Etfw">April 30, 2025</a></p></blockquote> <p>Pickleball, in case you’ve been trapped under a yoga mat, is the fastest-growing sport in America, and is making huge strides here in Australia too. It’s played with paddles, a plastic wiffleball, and the unwavering confidence of people who own ergonomic lawn chairs. It now boasts over 13 million U.S. players and rising – about 12.9 million of whom are currently trying to explain the rules to their confused spouses.</p> <p>Naturally, Agassi wasn’t quite sure how to feel about entering the pro scene.</p> <p>"I have this conflict, like I can't tell. Is this fun? Is this anxiety?" he admitted, possibly while trying to remember if his insurance covers pickleball-related injuries. He also joked that many of his tennis peers were tuning in “to watch a slow-motion train wreck”. (Spoiler: it never crashed.)</p> <p>His personal goal for the tournament wasn’t medals or glory – it was approval from his teenaged partner. “A win for me will be when this is over and Anna Leigh looks at me and says, ‘Do you want to play again?’” he said. </p> <p>While it’s too early to say whether this marks the start of a new career or just an elaborate midlife crisis with a paddle, one thing’s for sure: pickleball will never be the same.</p> <p>And who knows? At this rate, Roger Federer could be lacing up orthopaedic sneakers any minute now...</p> <p><em>Images: Instagram</em></p>

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Brain disorder more common than MS – but often goes undiagnosed

<div class="theconversation-article-body"> <p>Imagine suddenly losing the ability to move a limb, walk or speak. You would probably recognise this as a medical emergency and get to hospital.</p> <p>Now imagine the doctors at the hospital run some tests and then say, “Good news! All your tests were normal, clear scans, and nothing is wrong. You can go home!” Yet, you are still experiencing very real and disabling symptoms.</p> <p>Unfortunately, <a href="https://doi.org/10.1080/09638288.2024.2333491">this is the experience of many people</a> with functional neurological disorder. Even worse, some are blamed and reprimanded for <a href="https://academic.oup.com/brain/article/148/1/27/7750481?login=false">exaggerating</a> or faking their symptoms.</p> <p>So, what is this disorder, and why is it so challenging to recognise and treat?</p> <h2>What is functional neurological disorder?</h2> <p><a href="https://my.clevelandclinic.org/health/diseases/neurological-disorders">Neurological disorders</a> are conditions that affect how the nervous system works. The nervous system sends and receives messages between the brain and other parts of your body to regulate a wide range of functions, such as movement, speaking, vision, thinking and digestion.</p> <p>To the untrained eye, functional neurological disorder can resemble other conditions such as stroke, multiple sclerosis or epilepsy.</p> <p>But, unlike these conditions, functional neurological symptoms <a href="https://neurosymptoms.org/en/causes/how-was-it-happened/">aren’t due</a> to damage or a disease process affecting the nervous system. This means the disorder doesn’t appear on routine brain imaging and other tests.</p> <p>Functional symptoms are, instead, due to dysfunction in the processing of information between several brain networks. Simply put, <a href="https://neurosymptoms.org/en/causes/how-was-it-happened/">it’s a problem</a> of the brain’s software, not the hardware.</p> <h2>What are the symptoms?</h2> <p>Functional neurological disorder can produce a kaleidoscope of diverse and changing symptoms. This often adds to confusion for patients and make diagnosis more challenging.</p> <p><a href="https://neurosymptoms.org/en/symptoms/">Symptoms</a> may include paralysis or abnormal movements such as tremors, jerks and tics. This often leads to difficulty walking or coordinating movements.</p> <p>Sensory symptoms may involve numbness, tingling or loss of vision.</p> <p>Dissociative symptoms, such as functional seizures and blackouts, are also common.</p> <p>Some people experience cognitive symptoms including brain fog or problems finding the right words. Fatigue and chronic pain frequently coexist with these symptoms.</p> <p>These symptoms can be severe and distressing and, without treatment, <a href="https://pubmed.ncbi.nlm.nih.gov/31167232/">can persist for years</a>. For example, some people with functional neurological disorder cannot walk and must use a wheelchair for decades.</p> <p>Diagnosis involves <a href="https://www.bmj.com/content/371/bmj.m3745">identifying established diagnostic signs</a> and ensuring no other diagnoses are missed. This process is best carried out by an experienced neurologist or neuropsychiatrist.</p> <h2>How common is it?</h2> <p>Functional neurological disorder is one of the most common medical conditions seen in <a href="https://doi.org/10.1001/jamaneurol.2020.3753">emergency care</a> and in <a href="https://doi.org/10.1093/brain/awp220">outpatient neurology clinics</a>.</p> <p>It affects around <a href="https://doi.org/10.1136/jnnp-2024-334767">10–22 people per 100,000 per year</a>. This makes it more common than multiple sclerosis.</p> <p>Despite this, it is often under-recognised and misunderstood by health-care professionals. This leads to <a href="https://academic.oup.com/brain/article/148/1/27/7750481?login=false">delays in diagnosis and treatment</a>.</p> <p>This lack of awareness also contributes to the perception that it’s rare, when it’s actually common among neurological disorders.</p> <h2>Who does functional neurological disorder affect?</h2> <p>This condition can affect anyone, although it is more common in women and younger people. Around two thirds of patients are female, but this <a href="https://jnnp.bmj.com/content/93/6/609">gender disparity reduces with age</a>.</p> <p>Understanding of the disorder has <a href="https://pubmed.ncbi.nlm.nih.gov/33722822/">developed significantly over the past few decades</a>, but there’s still more to learn. Several biological, psychological, and social factors can <a href="https://pubmed.ncbi.nlm.nih.gov/35430029/">predispose people</a>.</p> <p>Genetics, traumatic life experiences, anxiety and depression can increase the risk. Stressful life events, illness, or physical injuries can trigger or worsen existing symptoms.</p> <p>But not everyone with the disorder has experienced significant trauma or stress.</p> <h2>How is it treated?</h2> <p>If left untreated, about <a href="https://doi.org/10.1093/brain/awz138">half the people</a> with this condition will remain the same or their symptoms will worsen. However, with the help of experienced clinicians, many people can make rapid recoveries when treatment starts early.</p> <p>There are no specific medications for functional neurological disorder but personalised rehabilitation guided by experienced clinicians is <a href="https://fndhope.org/living-fnd/">recommended</a>.</p> <p>Some people may need a team of multidisciplinary clinicians that may include physiotherapists, occupational therapists, speech therapists, psychologists and doctors.</p> <p>People also need accurate information about their condition, because <a href="https://doi.org/10.1093/brain/aws129">understanding and beliefs</a> about the disorder play an important role in recovery. Accurate information helps patients to develop more realistic expectations, reduces anxiety and can empower people to be more active in their recovery.</p> <p>Treating common co-existing conditions, such as anxiety or depression, can also <a href="https://www.bmj.com/content/376/bmj.o64.abstract">be helpful</a>.</p> <h2>A dark history</h2> <p>The origins of the disorder are deeply rooted in the sexist <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8564048/">history of its pre-scientific ancestor – hysteria</a>. The legacy of hysteria has cast a long shadow, contributing to a misogynistic bias in perception and treatment. This historical context has led to ongoing stigma, where symptoms were often labelled as psychological and not warranting treatment.</p> <p>Women with functional symptoms often face scepticism and dismissal. In some cases, <a href="https://jnnp.bmj.com/content/94/10/855">significant harm</a> occurs through stigmatisation, inadequate care and poor management. Modern medicine has attempted to address these biases by recognising functional neurological disorder as a legitimate condition.</p> <p>A <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC11414792/">lack of education</a> for medical professionals likely contributes to stigma. Many <a href="https://doi.org/10.1016/j.jocn.2019.06.008">clinicians report low confidence and knowledge</a> about their ability to manage the disorder.</p> <h2>A bright future?</h2> <p>Fortunately, awareness, research and interest has grown over the past decade. Many treatment approaches are being trialled, including <a href="https://www.physio4fmd.org/">specialist physiotherapy</a>, <a href="https://jnnp.bmj.com/content/92/1/36.abstract">psychological therapies</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/35115389/">non-invasive brain stimulation</a>.</p> <p>Patient-led organisations and <a href="https://fndhope.org/">support networks</a> are making headway advocating for improvements in health systems, research and education. The goal is to unite patients, their families, clinicians, and researchers to advance a new standard of care across the world.<!-- 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/250501/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> <a href="https://theconversation.com/profiles/benjamin-scrivener-2329913"><em>Benjamin Scrivener</em></a><em>, PhD Candidate, Faculty of Medical and Health Sciences, <a href="https://theconversation.com/institutions/university-of-auckland-waipapa-taumata-rau-1305">University of Auckland, Waipapa Taumata Rau</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/tremors-seizures-and-paralysis-this-brain-disorder-is-more-common-than-multiple-sclerosis-but-often-goes-undiagnosed-250501">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

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"Absolutely stunning!": Jelena Dokic wows fans with new look

<p>Former tennis star Jelena Dokic has debuted a striking new look, showcasing her dramatic weight loss and inspiring thousands with her message of self-love.</p> <p>The 41-year-old, once ranked world No. 4, made a radiant return to the spotlight as part of Channel 9’s coverage of the Billie Jean King Cup. A photo from the broadcast set quickly sparked an outpouring of support from fans, celebrating not just her transformation, but her ongoing role as a symbol of strength and positivity.</p> <p>“Back in the studio and back doing the tennis and TV with my @channel9 @wwos family,” Dokic shared with her 285,000 Instagram followers on Thursday. “Nice little lead into the next 3 grand slams of the year with a @billiejeankingcup week.”</p> <p>Supportive messages flooded the post, with fans praising her radiant presence. “You’re a dead set LEGEND Jelena,” one admirer wrote, while another added, “Absolutely stunning!”</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/DIQMMW5pIcp/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/DIQMMW5pIcp/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by JELENA DOKIC 🇦🇺🇦🇺🇦🇺 (@dokic_jelena)</a></p> </div> </blockquote> <p>Dokic has been open about her personal struggles, candidly discussing her battles with mental health, weight challenges and online bullying. In a heartfelt Instagram post from March 11, she reflected on her journey, using side-by-side images to convey a powerful message about body image.</p> <p>“What is the difference between the two images?” she asked. “Nothing except what you see on the outside, my BODY SIZE. I am the same hardworking person, respectful, generous, empathetic, compassionate, humble, kind, driven, strong, resilient, capable and loving person, woman and friend.”</p> <p>She continued, urging her followers to look beyond appearances: “Beauty has nothing to do with looks. It’s how you are as a person. It’s how you make others feel especially about themselves. No beauty shines brighter than that of a kind heart.”</p> <p>Now thriving as an author, expert tennis commentator and vocal advocate for mental health and body positivity, Dokic continues to inspire others with her authenticity and courage. Her documentary <em>Unbreakable</em>, which aired on Channel 9 earlier this year after its successful cinematic release in December 2024, has been met with rave reviews for its raw and honest portrayal of her life and career.</p> <p><em>Image: Instagram</em></p>

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Sweet feat: high schooler smashes Raelene Boyle's 57-year-old sprint record

<p>Australian sprinting has a new superstar in the making! In a jaw-dropping performance at the national junior athletics championships in Perth, 17-year-old Leah O’Brien rocketed to glory, obliterating a 57-year-old record set by the legendary Raelene Boyle.</p> <p>O’Brien, a WA schoolgirl, stunned the athletics world by storming to victory in the under-18 100 metres, clocking an electrifying 11.14 seconds – with a perfectly legal tailwind of +1.7 metres per second. Her blistering run toppled Boyle’s iconic mark of 11.20 seconds from the 1968 Mexico City Olympics, a record many believed would stand for generations.</p> <p>“I think I have really put my name out there,” an elated O’Brien said, beaming with pride. “It's crazy to be running these times while still in high school!”</p> <p>But the milestones didn’t stop there. O’Brien’s dazzling dash also catapulted her into Australian sprinting history, drawing level with Olympic gold medallist Sally Pearson on the all-time national open 100m list – now tied at fourth-fastest ever. Only Torrie Lewis (11.10), Melissa Breen (11.11) and Melinda Gainsford-Taylor (11.12) have ever run faster.</p> <p>To make the feat even sweeter, O’Brien now finds herself ranked ninth in the world under-18 rankings, a remarkable achievement for the young star.</p> <p>Cheered on by family and friends, O’Brien soaked up the moment. “This is definitely the most support I’ve ever had. It’s so great to experience this moment with the people I love and share the happiness.”</p> <p>And she wasn’t done yet.</p> <p>Earlier in the championships, O’Brien also stormed to victory in the 200m, clocking a personal best of 23.37 seconds despite facing a stiff headwind of -1.1 m/s. In a thrilling race, she powered past Queensland’s Thewbelle Philp with her trademark long stride and high knee lift, leaving the field in her wake.</p> <p>The sprint sensation isn’t slowing down anytime soon. O’Brien will return to the track this week at the WA Athletics Stadium to contest the open 100m, where she’ll face established stars like Torrie Lewis, Bree Rizzo and Ebony Lane.</p> <p>With talents like O’Brien, Lewis, <a href="https://www.oversixty.com.au/entertainment/tv/i-m-saying-that-hands-down-matt-shirvo-s-bold-prediction" target="_blank" rel="noopener">Gout Gout</a> and Lachlan Kennedy rising rapidly through the ranks, Australia’s sprinting future looks brighter than ever as the countdown to the Brisbane 2032 Olympics begins.</p> <p><em>Images: Australian Athletics</em></p>

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Robert Irwin trades khakis for undies in bold new shoot

<p>Move over, crocodiles – there’s a new reptilian threat to Australian wildlife, and yes . . . you guessed it: it’s Robert Irwin’s python. </p> <p>The 21-year-old wildlife warrior and noted khaki enthusiast has undergone a full-scale metamorphosis, trading in his signature cargo shorts for something a little more… breathable. That’s right, Robert Irwin is now an underwear model</p> <p>The <em>I’m A Celeb</em> co-host has been unveiled as the latest face (and torso) of Bonds Underwear, joining Australian rapper Tkay Maidza in a new campaign aimed at expanding the brand’s reach in the US. And reach it certainly has – thanks to a campaign that features Irwin draped in snakes, a strategically placed spider... and very little else.</p> <p>Since going live at midnight on the Bonds Instagram account, the photos have sent the internet into a tailspin. Some fans were quick to declare the campaign “iconic” and “hot”, while others are grappling with the existential crisis of finding Steve Irwin’s son attractive. “I feel dirty,” one commenter admitted, presumably before closing their laptop in shame.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/DH_D93lsD3j/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/DH_D93lsD3j/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by BONDS (@bondsaus)</a></p> </div> </blockquote> <p>Morning show hosts, meanwhile, are struggling to keep it together. <em>Today</em> host Sarah Abo, upon seeing the revealing images, was left flustered on-air, musing about Irwin’s “python”. “It is quite long, isn’t it?” she remarked, before realising what she had just said and attempting to backpedal – unsuccessfully.</p> <p>In a strategic move to maximise thirst levels, Bonds has launched the campaign in the US alongside a <em>People</em> magazine interview, in which Irwin confirmed that, yes, he is single. “I’m single. It’s funny, I’m at this point in my life where I’m like, I’m so open to that, but I’m just waiting for the stars to align,” he told the outlet, prompting an immediate rush of applications from hopeful admirers worldwide.</p> <p>And while this is far from Irwin’s first foray into the world of high-fashion photoshoots – he’s previously graced the pages of <em>GQ</em> and <em>Stellar – </em>this marks the first time we’ve seen quite so… much of him.</p> <p>One thing’s for certain: Steve Irwin wrestled crocodiles, but Robert Irwin is wrestling with the internet’s thirst.</p> <p>Crikey, indeed.</p> <p><em>Images: Bonds, Instagram</em></p>

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Incredible new pacemaker tinier than a grain of rice

<p>Engineers from Northwestern University in the US have developed a groundbreaking pacemaker so tiny that it can fit inside the tip of a syringe – is smaller than a grain of rice – and be non-invasively injected into the body. This innovation could revolutionise cardiac care by offering a minimally invasive alternative to traditional pacemakers.</p> <p>"We have developed what is, to our knowledge, the world's smallest pacemaker," said bioelectronics pioneer John A Rogers, who led the development. The small, wireless device is biocompatible and designed to be gradually broken down and absorbed by the body, reducing the need for surgical extraction.</p> <p>Rogers and his colleagues tested the effectiveness of their tiny, temporary pacemaker in human heart tissue and animal models. Measuring just 1.8mm by 3.5mm by 1mm, the device is smaller than any previously reported pacemaker. It is paired with a soft, flexible, wireless wearable device mounted on a patient’s chest, which controls the pacing. When an irregular heartbeat is detected, the wearable device emits a light pulse that penetrates through the skin, breastbone and muscles to activate the pacemaker and regulate heart rhythm.</p> <p>While designed to work for hearts of all sizes, the pacemaker is particularly well-suited for newborns with congenital heart defects. Northwestern experimental cardiologist Igor Efimov, who co-led the study, said this device could play a<span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;"> critical role in the effective treatment</span><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;"> of infants.</span></p> <p>"Our major motivation was children," Efimov explained. "About 1 percent of children are born with congenital heart defects, regardless of whether they live in a low-resource or high-resource country. The good news is that these children only need temporary pacing after surgery. In about seven days or so, most patients’ hearts will self-repair. But those seven days are absolutely critical."</p> <p>Researchers believe this pacemaker could provide a safer alternative to traditional pacemakers for temporary pacing in patients with bradycardia, a condition characterised by a resting heart rate below 60 beats per minute. Additionally, they suggest that the technology’s versatility could extend to broader medical applications in bioelectronic medicine, such as aiding nerve and bone healing and blocking pain.</p> <p>This revolutionary development represents a significant step forward in cardiac treatment, potentially improving outcomes for both infants and adults requiring temporary heart pacing.</p> <p><em>Images: Northwestern University</em></p>

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Do stem cell injections for knee osteoarthritis actually work?

<div class="theconversation-article-body">More than 500 million people around the world <a href="https://www.thelancet.com/journals/lanrhe/article/PIIS2665-9913(23)00163-7/fulltext">live with osteoarthritis</a>. The knee is affected more often than any other joint, with symptoms (such as pain, stiffness and reduced movement) affecting work, sleep, sport and <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/osteoarthritis">daily activities</a>.</p> <p>Knee osteoarthritis is often thought of as thinning of the protective layer of cartilage within the joint. But we now understand it affects all the structures of the joint, including the bones, muscles and nerve endings.</p> <p>While there are things that <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard/information-consumers-osteoarthritis-knee-clinical-care-standard">can be done to manage</a> the symptoms of knee osteoarthritis, there is no cure, and many people experience persistent pain. As a result, an opportunity exists for <a href="https://www.rheuma.com.au/stem-cell-therapy-good-bad-ugly/174">as yet unproven treatments</a> to enter the market, often before regulatory safeguards can be put in place.</p> <p>Stem cell injections are one such treatment. A <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013342.pub2">new review</a> my colleagues and I published this week finds that evidence of their benefits and harms remains elusive.</p> <h2>Stem cell treatments</h2> <p>Stem cells are already established as treatments for some diseases – <a href="https://www.lymphoma.org.au/lymphoma/treatments/stem-cell-transplants/autologous-stem-cell-transplant/">mostly disorders of the blood</a>, bone marrow or immune system – which has led to suggestions they could be used for a much wider array of conditions.</p> <p>Stem cells have been touted as promising treatments for osteoarthritis because they have special properties which allow them to replicate and develop into the mature healthy cells that make up our body’s organs and other tissues, including cartilage.</p> <p>Stem cell treatments for osteoarthritis generally involve <a href="https://www.aboutstemcells.org/treatments">taking a sample of tissue</a> from a site that is rich in stem cells (such as bone marrow or fat), treating it to increase the number of stem cells, then injecting it into the joint.</p> <p>The hope is that if the right type of stem cells can be introduced into an osteoarthritic joint in the right way and at the right time, they may help to repair damaged structures in the joint, or have other effects such as reducing inflammation.</p> <p>But no matter how convincing the theory, we need good evidence for effectiveness and safety before a new therapy is adopted into practice.</p> <p>Stem cell injections have not been approved by Australia’s <a href="https://www.tga.gov.au/news/news/stem-cell-treatments-and-regulation-quick-guide-consumers#:%7E:text=Does%20the%20TGA%20regulate%20stem,does%20not%20regulate%20medical%20practice">Therapeutic Goods Administration</a> for the treatment of osteoarthritis. Nonetheless, some clinics in Australia and around the world still offer them.</p> <p>Because of the regulatory restrictions, we don’t have reliable numbers on how many procedures are being done.</p> <p>They’re not covered by Medicare, so the procedure can cost the consumer thousands of dollars.</p> <p>And, as with any invasive procedure, both the <a href="https://coroners.nsw.gov.au/documents/findings/2016/Findings%20Drysdale.pdf">harvest of stem cells</a> and the joint injection procedure may carry the potential for harm, such as infection.</p> <h2>What we found</h2> <p>Our <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013342.pub2">new review</a>, published by the independent, international group the Cochrane Collaboration, looks at all 25 randomised trials of stem cell injections for knee osteoarthritis that have been conducted worldwide to date. Collectively, these studies involved 1,341 participants.</p> <p>We found stem cell injections may slightly improve pain and function compared with a placebo injection, but the size of the improvement may be too small for the patient to notice.</p> <p>The evidence isn’t strong enough to determine whether there is any improvement in quality of life following a stem cell injection, whether cartilage regrows, or to estimate the risk of harm.</p> <p>This means we can’t confidently say yet whether any improvement that might follow a stem cell injection is worth the risk (or the cost).</p> <h2>Hope or hype?</h2> <p>It’s not surprising we invest hope in finding a transformative treatment for such a common and disabling condition. Belief in the benefits of stem cells is widespread – more than <a href="https://www.arthroscopyjournal.org/article/S0749-8063(21)00571-5/abstract">three-quarters of Americans</a> believe stem cells can relieve arthritis pain and more than half believe this treatment to be curative.</p> <p>But what happens if a new treatment is introduced to practice before it has been clearly proven to be safe and effective?</p> <p>The use of an unproven, invasive therapy is not just associated with the risks of the intervention itself. Even if the treatment were harmless, there is the risk of unnecessary cost, inconvenience, and a missed opportunity for the patient to use existing therapies that are known to be effective.</p> <p>What’s more, if we need to play catch-up to try to establish an evidence base for a treatment that’s already in practice, we risk diverting scarce research resources towards a therapy that may not prove to be effective, simply because the genie is out of the bottle.</p> <h2>Working towards a clearer answer</h2> <p>Several more large <a href="https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12620000870954">clinical trials</a> are currently underway, and should increase our understanding of whether stem cell injections are safe and effective for knee osteoarthritis.</p> <p>Our review incorporates “<a href="https://www.cochrane.org/news/cochranes-pioneering-role-living-evidence">living evidence</a>”. This means we will continue to add the results of new trials as soon as they’re published, so the review is always up to date, and offers a comprehensive and trustworthy summary to help people with osteoarthritis and their health-care providers to make informed decisions.</p> <p>In the meantime, there are a number of <a href="https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/knee-and-hip-osteoarthritis/summary-plain-language">evidence-based treatment options</a>. Non-drug treatments such as physiotherapy, regular exercise, maintaining a healthy weight, and cognitive behavioural therapy can be more effective than you think. Anti-inflammatory and pain medications can also play a supporting role.</p> <p>Importantly, it’s not inevitable that osteoarthritic joints get worse with time. So, even though <a href="https://aoanjrr.sahmri.com/background">joint replacement surgery</a> is often highly effective, it’s the last resort and fortunately, many people never need to take this step.<!-- 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/253404/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/samuel-whittle-2357927">Samuel Whittle</a>, ANZMUSC Practitioner Fellow, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/people-are-getting-costly-stem-cell-injections-for-knee-osteoarthritis-but-we-dont-know-if-they-work-253404">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

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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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"Game changer": Aussie women welcome new early-detection cancer test

<p>Australian women will soon have access to a revolutionary blood test designed to aid in the early detection of breast cancer. The innovative test, known as BREASTEST plus™, was developed by BCAL Diagnostics and is set to complement traditional breast cancer screening methods such as mammograms and ultrasounds.</p> <p>BCAL Diagnostics chair Jayne Shaw <a href="https://7news.com.au/news/public-health/australian-first-blood-test-to-help-early-detection-of-breast-cancer-comes-to-sydney-before-nationwide-rollout-c-18153750" target="_blank" rel="noopener">revealed to 7NEWS</a> that the development of the test had taken 15 years, describing it as a "game changer" for women worldwide.</p> <p>“The breast test is a game changer for all women everywhere because it’s a blood test to detect breast cancer alongside other diagnostic tools like ultrasound and a mammogram,” Shaw said.</p> <p>She pointed out that a similar blood test for prostate cancer, which has been available since 1989, has significantly improved clinical outcomes for men. “Early diagnosis for all cancers will lead to improved survivability rates, and it was only inevitable that a blood test would be developed to diagnose breast cancer earlier,” she added.</p> <p>One of the major advantages of the new blood test is its ability to detect breast cancer in women with high breast density. Around 40-50% of Australian women undergoing screening have high breast density, which can obscure abnormalities on mammograms and make diagnosis more difficult.</p> <p>With the ability to identify breast cancer markers, the blood test will provide a valuable additional tool for detecting cancers that might otherwise go unnoticed.</p> <p>Breast Cancer Network Australia director Vicki Durston welcomed the new test, especially for its potential to improve the reporting of high breast density cases, where cancers are often missed. “Breast Cancer Network Australia has long been calling for the uplift in the breast density statement nationally to see standardised reporting across the country,” Durston said.</p> <p>She also noted that while high breast density is just one of many risk factors, the new test represents an innovative step forward in improving early detection and treatment.</p> <p>Breast cancer remains the most commonly diagnosed cancer among Australian women, accounting for approximately 28% of all new cancer cases. In 2024 alone, around 21,194 people were diagnosed with breast cancer in Australia, including 20,973 women and 221 men. However, survival rates have improved dramatically, with Australia’s peak breast cancer body reporting that the five-year survival rate has risen from 78% in 1994 to 92% in 2020, with many people living long and healthy lives beyond this period.</p> <p>While the test currently comes at an out-of-pocket cost, there is hope that the Australian government will eventually provide subsidies under Medicare to make it more accessible. The first tests will be available at the <a href="https://www.sydneybreastclinic.com.au/" target="_blank" rel="noopener">Sydney Breast Clinic</a> starting Thursday, followed by a rollout in Melbourne, with plans to expand nationwide by the end of the year.</p> <p><em>Images: Shutterstock / 7NEWS</em></p>

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White Island volcano survivor's inspirational milestone

<p>Australian White Island volcano survivor Stephanie Coral Browitt has shared a milestone moment in her continued recovery. Browitt, who suffered burns to 70 percent of her body in <a href="https://oversixty.com.au/news/news/he-put-his-life-on-the-line-white-island-tour-guide-praised-for-rescuing-more-than-20-survivors" target="_blank" rel="noopener">the devastating 2019 disaster</a>, is embracing her "new skin" with courage and confidence.</p> <p>Now 28, Browitt recently opened up about her journey towards self-love, admitting that learning to embrace herself has been a gradual process. "I was extremely self-conscious and worried about being judged every day," she said.</p> <p>That fear took a significant step back on March 11, when Browitt posted a groundbreaking photo on social media – wearing a swimsuit for the first time since the eruption. The post, brimming with vulnerability, marked a huge moment of self-acceptance following the loss of her father Paul and sister Krystal in the tragedy.</p> <p>"Due to the fear of being so visible, vulnerable & judged I haven't worn a swimsuit since before I suffered burns. Yet apparently all it took was a business trip to force me to face my fear," she wrote on Instagram.</p> <p>"One big step forward was taken today & I'm so glad I've finally jumped this scary hurdle & for a good reason."</p> <p>Accompanying her words was a photo of Browitt in a sleek black two-piece swimsuit, radiating confidence and strength.</p> <p>In a recent interview, she also revealed that finding the right swimsuit took time, and when she finally put it on, she felt "nervous and could feel my heart racing".</p> <p>However, what followed was an outpouring of support and love from her community. Encouraging comments flooded in, reassuring Browitt of her beauty, strength and unwavering spirit.</p> <p>"Girlfriend, I’m sincere when I say this…you have absolutely nothing to be ashamed or embarrassed about!!" one follower wrote. "You look beautiful and full-of-life!!! Your journey brings me hope and joy in my own life. You are amazing!! And don’t you ever forget it!"</p> <p>Another supporter echoed the sentiment: "Your scars don’t define you!! They are proof you have survived a remarkable battle ❤️ Be confident in your skin - you are beautiful!!"</p> <p>One particularly touching message from an older woman carried words of wisdom and encouragement: "You are a beautiful young woman, burns and all. Take it from a seventy-year-old woman, get out there and do everything. Time goes by so quickly, looks fade, your body may not want to work with you forever. Don't waste a minute worrying about these things. Love the suit! ❤️❤️"</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/DHCFdsYsP5K/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/DHCFdsYsP5K/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Stephanie Coral Browitt (@stephaniecoral96)</a></p> </div> </blockquote> <p><em>Images: Instagram</em></p>

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An artificial heart may save your life. But it can also change you in surprising ways

<div class="theconversation-article-body"> <p>This week, <a href="https://www.theguardian.com/australia-news/2025/mar/12/australian-man-survives-100-days-with-artificial-heart-in-world-first-success">doctors announced</a> that an Australian man with severe heart failure had left hospital with an artificial heart that had kept him alive until he could receive a donor heart.</p> <p>The patient, a man from New South Wales in his 40s, was not the world’s first person to receive this type of artificial heart. However, he is <a href="https://www.svhs.org.au/newsroom/news/australia-first-total-artificial-heart-implant">said to be</a> the <a href="https://www.monash.edu/news/articles/australias-first-durable-total-artificial-heart-implant-announced-as-a-success">first with one to be discharged from hospital</a> to wait for a heart transplant, which he’s since had.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">WARNING: GRAPHIC CONTENT<br />This machine has enabled an Australian man with severe heart failure to be the first person in the world to leave hospital with an artificial heart transplant <a href="https://t.co/6S12mINwBm">pic.twitter.com/6S12mINwBm</a></p> <p>— Reuters (@Reuters) <a href="https://twitter.com/Reuters/status/1899862954155126824?ref_src=twsrc%5Etfw">March 12, 2025</a></p></blockquote> <p>I am a philosopher and bioethicist. I <a href="https://bridges.monash.edu/articles/thesis/Phenomenology_and_Artificial_Hearts/22312204">completed my PhD</a> on artificial hearts – particularly how these implants can change people’s lives in profound ways.</p> <p>Here’s what patients and their families need to consider.</p> <h2>What is an artificial heart?</h2> <p>Artificial hearts began to be developed in the 1960s, sponsored by the United States government and funded in a similar way to space and military programs.</p> <p>In 1982, a man named <a href="https://www.historynewsnetwork.org/article/hero-or-victim-the-25th-anniversary-of-barney-clar">Barney Clark</a> received the Jarvik-7 total artificial heart. Doctors removed his failing biological heart and replaced it with a plastic and metal device to circulate blood to his lungs and around his body. He lived for 112 days before dying from multi-organ failure. He never left hospital.</p> <p>In the 1980s and 1990s, medical device companies began to develop alternatives to total artificial hearts. These partial artificial hearts, known as ventricular assist devices, help out a biological heart by supplementing or replacing one of its two pumping chambers.</p> <p>These are more straightforward and versatile than total artificial hearts, and can be used for earlier stages of heart failure.</p> <p>Not all artificial hearts generate a pulse.</p> <p>Artificial hearts with a pulse generally mimic the biological heart. They pump blood in the same way the heart beats, by filling with blood and squeezing to circulate blood in waves or pulses.</p> <p>But some devices continuously push blood around the body instead of pulsing. So with these continuous-flow devices neither the patient nor their health team can <a href="https://link.springer.com/article/10.1007/s11906-017-0782-6">detect a pulse</a>.</p> <p><a href="https://linkinghub.elsevier.com/retrieve/pii/S0003497524008749">In the US between 2014 and 2024</a>, almost 30,000 patients received continuous-flow ventricular assist devices. In the same period, more than 310 total artificial hearts were implanted.</p> <p>The total artificial hearts <a href="https://www.syncardia.com/syncardia-total-artificial-heart-stah.html">commercially</a> <a href="https://www.carmatsa.com/en/our_product/">available</a> today are licensed exclusively as bridging therapies – to keep people alive until a donor heart becomes available – rather than permanent implants.</p> <h2>How about the device making news this week?</h2> <p>The device in the news – the <a href="https://www.monash.edu/news/articles/australias-first-durable-total-artificial-heart-implant-announced-as-a-success">BiVACOR Total Artificial Heart</a> – was developed by a US-Australian collaboration. This device is innovative, mainly because it is the first continuous-flow device designed to replace the whole heart. Designers are also aiming for it to be the first total artificial heart suitable as a permanent transplant (known as destination therapy).</p> <p>A reliable, durable and responsive total artificial heart is, <a href="https://www.abc.net.au/news/2025-03-12/sydney-hospital-artificial-heart-implant-operation-success/105036154">in the words</a> of Paul Jansz, the surgeon who implanted the device, “the Holy Grail”.</p> <p>The BiVACOR’s clinical success so far gives us reason to be optimistic about an alternative to scarce donor hearts for responding to severe heart failure.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/655013/original/file-20250313-56-4w24qy.jpg?ixlib=rb-4.1.0&amp;rect=12%2C12%2C8231%2C5475&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/655013/original/file-20250313-56-4w24qy.jpg?ixlib=rb-4.1.0&amp;rect=12%2C12%2C8231%2C5475&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/655013/original/file-20250313-56-4w24qy.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/655013/original/file-20250313-56-4w24qy.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/655013/original/file-20250313-56-4w24qy.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/655013/original/file-20250313-56-4w24qy.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/655013/original/file-20250313-56-4w24qy.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/655013/original/file-20250313-56-4w24qy.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="Hand holding the BiVACOR artificial heart" /></a><figcaption><span class="caption">This device is designed to replace the whole heart, and for now, is licensed as a temporary implant, ahead of a heart transplant.</span> <span class="attribution"><span class="source">BiVACOR TIQ</span></span></figcaption></figure> <h2>Transplants can change lives</h2> <p>However, patients do not just resume their old lives when they leave hospital with an artificial heart.</p> <p>While the pumping component is inside their chest, there are also <a href="https://www.instagram.com/p/BHW0ATvgFDu/?hl=en">external components</a> to manage and monitor. A thick tube perforates their abdomen and connects to an external controller unit and power supply, which the patient carries around in a bag. Controllers must be closely monitored, and batteries must be regularly recharged.</p> <p>My research showed that even a perfectly safe and reliable total artificial heart could transform patients’ lives in at least three major areas.</p> <p><strong>1. Is it part of me? Do I trust it?</strong></p> <p>Patients must <a href="https://www.tandfonline.com/doi/10.1080/09638288.2020.1717648">trust, tolerate and receive sensory feedback about how the device is working</a> for it to feel like part of them. In the case of an artificial heart, this might mean the device feels responsive to exercise and the body’s needs.</p> <p>But it may be difficult for artificial hearts to meet these criteria, especially for devices that do not generate a pulse.</p> <p>Patients may also question whether their heart is located in their body, or in the controller unit. They may wonder if they even have a heart, particularly if they can’t feel a pulse.</p> <p><strong>2. Beeps and alarms</strong></p> <p>An artificial heart also changes how patients live their lives and <a href="https://link.springer.com/article/10.1007/s11097-024-10050-7">navigate the world</a>.</p> <p>Interruptions from <a href="https://journals.sagepub.com/doi/10.1177/1049732317700853">loud device alarms</a> distract patients from their normal activities. And patients must switch between mains power and batteries when they <a href="https://linkinghub.elsevier.com/retrieve/pii/S0147956311002718">wake in the night and need to visit the toilet</a>.</p> <p><strong>3. Marking time</strong></p> <p>Our hearts may be our <a href="https://www.frontiersin.org/journals/neurorobotics/articles/10.3389/fnbot.2014.00015/full">natural</a> <a href="https://linkinghub.elsevier.com/retrieve/pii/S0301051111000032">metronomes</a>, marking time. So removing someone’s heart rhythm can confuse their sense of time.</p> <p>The need for batteries to be recharged periodically can also reshape patients’ days.</p> <p>Waiting around for a transplant heart, or the latest software update, may change patients’ perspectives on what months and years feel like.</p> <h2>We need to give patients the whole picture</h2> <p>Artificial hearts are remarkable devices with great promise. But patients and families also deserve to know how these extraordinary treatments might change how they feel about themselves and the world.</p> <p>They need to know this before they sign up for them. Artificial hearts don’t just save lives – they also change them.<!-- 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/252165/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/pat-mcconville-2344684">Pat McConville</a>, Lecturer in Ethics, Law, and Professionalism, School of Medicine, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/an-artificial-heart-may-save-your-life-but-it-can-also-change-you-in-surprising-ways-252165">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

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Acquapole lands in Sydney - Because fitness should never be dry! 

<p>Sydney Gymnastic and Aquatic Centre (SGAC) at West HQ is redefining workouts with the launch of Acquapole, an exciting aquatic fitness experience making its splashy debut in Sydney this February.  </p> <p>Forget the monotony of the gym or swimming laps – Acquapole combines the resistance of water with the strength-building benefits of pole fitness for a workout that’s effective, accessible and a whole lot of fun. </p> <p>Brad Vella, Aquatics Manager at SGAC, said Acquapole, which was designed in Italy, has proven to be a big hit in Europe given its ability to build strength, improve flexibility, and enhance coordination while being gentle on joints. </p> <p>“It’s a workout like no other, combining the strength-building benefits of pole fitness with the natural resistance of water for a full-body experience that’s as enjoyable as it is effective,” Brad Vella said. </p> <p>“It’s perfect for anyone looking to try something new, from seasoned fitness lovers to those just starting their wellness journey. </p> <p>“Acquapole brings a fresh and exciting approach to fitness for both enthusiasts and beginners. This is exactly what SGAC is all about—making fitness accessible and enjoyable for everyone.” </p> <p>The introduction of Acquapole is part of West HQ’s larger mission to bring cutting-edge fitness experiences to Greater Sydney. Acquapole is one of four innovative aquatic fitness programs now available at SGAC, alongside Acquapole Boxing, Acquapole Elastics, and SAF AQUA Drums Vibes, each offering a unique and engaging way to work out in the water. </p> <p>West HQ CEO, Richard Errington, said SGAC was committed to redefining fitness to ensure its programs continue to be to be relevant, enjoyable and dynamic.   </p> <p>“That’s why both SGAC and our One55 fitness centre continually evolve programs to make working out more rewarding by bringing fresh experiences to our members and the local community in Western Sydney,” Mr Errington said.   </p> <p>“SGAC’s Acquapole is a perfect example of how we evolve fitness  as it combines fun and innovation in a new work out experience.” </p> <p>By combining world-class fitness options with exceptional dining and entertainment, West HQ is continuously enhancing what it means to be an all-encompassing lifestyle destination in Western Sydney. </p> <p> Why Everyone’s Talking About Acquapole: </p> <ul> <li>It’s Fun: Say goodbye to dull workouts and hello to a 45 minute splash of excitement. </li> <li>It’s Low-Impact: Perfect for those looking to stay active without stressing their joints. </li> <li>It’s Inclusive: Whether you’re a fitness pro, a beginner, or somewhere in between, Acquapole welcomes you.</li> </ul> <p><em>Image credits: Supplied </em></p>

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From sunscreen to essential oils, why some personal care products could be harmful to your health

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/asit-kumar-mishra-1458839">Asit Kumar Mishra</a>, <a href="https://theconversation.com/institutions/university-college-cork-1321">University College Cork</a></em></p> <p>Each time you apply sunscreen to your face, you may inhale somewhere between <a href="https://www.mdpi.com/1660-4601/20/11/5944">10 to 30 milligrams of ethanol</a>, the type of alcohol used in alcoholic drinks. While the ethanol in sunscreen may not give you a buzz, it could make you think about what other chemicals you might be exposed to from personal care products.</p> <p>Products that are applied to the face, like sunscreen, can increase the inhalation of some chemicals by ten times or more than you would inhale from your <a href="https://pubmed.ncbi.nlm.nih.gov/34816489/">home air in the entire day</a>.</p> <p>The levels of ethanol in cosmetics and skincare products may be reasonably safe – although it can still dry out the skin, causing pain, redness and swelling, and <a href="https://www.gov.uk/government/publications/ethanol-properties-uses-and-incident-management/ethanol-general-information">irritate the eyes</a>, causing tears, burning and stinging – but personal care products such as shampoos, skin creams, deodorants, cosmetics and perfumes contain fragrances and other volatile organic compounds (VOCs), which can be inhaled, absorbed through skin or ingested and some are more toxic than others.</p> <p>Unfortunately, manufacturers of personal care products <a href="https://link.springer.com/article/10.1007/s11869-015-0327-6">do not have to disclose</a> every fragrance compound used. This is concerning when you consider the potential effects of toxic compounds that <a href="https://pubmed.ncbi.nlm.nih.gov/34816489/">have been detected</a> in the air from personal care products. For example, hair-smoothing products have released formaldehyde, a toxic chemical that can cause <a href="https://www.ncbi.nlm.nih.gov/books/NBK597627/">a range of symptoms</a> from dermatitis to low sperm count. Some perfumes and deodorants have generated monoterpenes, chemicals which <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8912113/#sec1-molecules-27-01716">can prove toxic</a> for some users.</p> <figure><iframe src="https://www.youtube.com/embed/cfloNXKeyX8?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Some of the VOCs found in personal care products <a href="https://pubmed.ncbi.nlm.nih.gov/36976159/">may trigger</a> skin irritation, headaches – and difficulty breathing, which can develop into an asthma attack in some users. The highest or peak concentration of these VOCs are likely to <a href="https://pubmed.ncbi.nlm.nih.gov/22406137/">occur within ten minutes</a> of application. But these concentrations may take up to <a href="https://pubmed.ncbi.nlm.nih.gov/34816489/">two hours to decrease to background levels</a>, depending on your home’s ventilation.</p> <h2>Natural doesn’t mean risk free</h2> <p>But even if the levels of <a href="https://pubmed.ncbi.nlm.nih.gov/20659630/">VOCs in personal care products</a> are kept <a href="https://pubmed.ncbi.nlm.nih.gov/22406137/">within safe limits</a>, they can still cause discomfort and a variety of health issues, including irritation of the eyes and airways, migraines and asthmatic reactions, in those who’re <a href="https://enveurope.springeropen.com/articles/10.1186/s12302-020-00311-y">fragrance sensitive</a>. In the UK, <a href="https://link.springer.com/article/10.1007/s11869-018-00655-8">27% of the population</a> self reports as fragrance sensitive.</p> <p>It makes sense then that some people attempt to avoid potentially toxic synthetic chemicals in cosmetics by opting for “natural” or “clean” personal care products. But, <a href="https://enveurope.springeropen.com/articles/10.1186/s12302-020-00311-y">natural does not mean safer</a>.</p> <p>For instance, essential oils are often used in “natural” personal care products as fragrance. Essential oils, though, are a source of terpenes, some of which can be <a href="https://www.lung.org/blog/essential-oils-harmful-or-helpful">toxic if absorbed, inhaled or swallowed</a>.</p> <p>Indoor concentration of terpenes are often at levels where you can smell them but not high enough to cause <a href="https://pubmed.ncbi.nlm.nih.gov/28126407/">eye or respiratory tract irritation</a>. However, the terpenes from essential oils can react with other chemicals, such as ozone from outdoor air, producing <a href="https://pubmed.ncbi.nlm.nih.gov/32162221/">byproducts like formaldehyde, a known carcinogen</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/22250748/">allergens</a>.</p> <h2>Beauty salon safety</h2> <p>Beauty salons can be particularly risky environments for exposure to VOCs. <a href="https://www.mdpi.com/1660-4601/19/7/4176">Studies have found</a> contaminants such as formaldehyde, ammonia and <a href="https://www.gov.uk/government/publications/toluene-properties-incident-management-and-toxicology/toluene-toxicological-overview">toluene</a>, a potentially harmful ingredient used in many personal care products, at high levels in salons, putting staff who work there at the highest risk.</p> <p>Formaldehyde levels in some salons have reached <a href="https://pubmed.ncbi.nlm.nih.gov/31321727/">above safety limits</a>. <a href="https://www.dcceew.gov.au/environment/protection/npi/substances/fact-sheets/methyl-methacrylate#tabs-2">Methyl methacrylate</a>, which can cause skin irritation, allergic reactions and potential <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3072694/">respiratory issues</a> has been <a href="https://pubmed.ncbi.nlm.nih.gov/30276513/">detected in the air of nail salons</a>.</p> <figure><iframe src="https://www.youtube.com/embed/ydRklqO01fE?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>These contaminants are not necessarily limited to the places in a salon <a href="https://pubmed.ncbi.nlm.nih.gov/23765035/">where a certain product is being used</a>. Beauty salons with poor ventilation are likely to expose workers and customers to <a href="https://pubmed.ncbi.nlm.nih.gov/29494285/">much higher levels of contaminants</a>. Some of the components of personal care products are known, harmful contaminants and carcinogens.</p> <p>Regulations specifically related to ventilation in environments where large volumes of these products are used do reduce exposures. For instance, studies show that after ventilation regulations came into effect in Boston, US in 2011, the <a href="https://pubmed.ncbi.nlm.nih.gov/31622145/">air quality inside nail salons improved</a>.</p> <p>When visiting your nail salon or hair stylist, check with them about their ventilation system and other steps they are taking to reduce exposure to VOCs.</p> <p>To limit exposure to potential VOCs at home when using personal care products, try to open windows and use extractor fans in wet rooms. Be especially careful when applying products to the face or when using a high temperature application – <a href="https://occup-med.biomedcentral.com/articles/10.1186/s12995-018-0213-x">high temperatures can increase emissions</a>.<!-- 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/248273/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/asit-kumar-mishra-1458839"><em>Asit Kumar Mishra</em></a><em>, Research Fellow in School of Public of Health, <a href="https://theconversation.com/institutions/university-college-cork-1321">University College Cork</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/from-sunscreen-to-essential-oils-why-some-personal-care-products-could-be-harmful-to-your-health-248273">original article</a>.</em></p> </div>

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Why physical affection can boost your health

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/viren-swami-241976">Viren Swami</a>, <a href="https://theconversation.com/institutions/anglia-ruskin-university-1887">Anglia Ruskin University</a></em></p> <p>In the opening scene of <a href="https://www.youtube.com/watch?v=H9Z3_ifFheQ">Love, Actually</a>, Hugh Grant’s character says how, whenever he gets gloomy with the state of the world, he thinks about the arrivals gate at Heathrow airport. The reason is on screen: we see couples kissing, old friends embracing, children smiling and laughing as they jump into the arms of their parents.</p> <p>Airports are great places to really understand the importance of physical affection – hugging, kissing, cuddling, holding hands, or even just touching. But physical affection is ubiquitous in everyday life, too – and with good reason. Science shows that non-sexual physical affection produces more than just moments of joy – it also <a href="https://www.tandfonline.com/doi/abs/10.1080/03637751.2020.1805480?casa_token=DrsRLnkOANAAAAAA:u8gR6dQFL2Jp99tIr3m1Bcm14hc-EwVrbckdpuDX0HyWEBDrzoUcxNYpkCQzXP5oD_IhHqzYo7Fj">benefits</a> our mental and physical health.</p> <figure><iframe src="https://www.youtube.com/embed/PlyMXYys16U?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Physical affection is one of the <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1475-6811.1998.tb00157.x?casa_token=Rq8rCHwvKboAAAAA%3AxmDZvSXM6wTZuZzCCotRMro4nC_xcSbnw6Em8Od29q__XfYEhuwW9Iigpr2c8WlZJ_aMY4ng5m-DM40">most direct</a> and important ways that people communicate intimacy in their romantic relationships. And it seems to occur in romantic relationships all over the <a href="https://journals.sagepub.com/doi/abs/10.1177/0146167220988373?casa_token=2rLs7-9M9bAAAAAA:UduYJMPaWQmLGFZXW0YcLvaBf-Lor1jITDDSIpqVTtTVuznW7YC89p-Jp0WUtebc2UTE8-ikrrxp&amp;casa_token=2_f_mSXK3YYAAAAA:AkLcZq_uAkQ7HyQL9jCDdubu7zuseAslE864obd1OYUMR1JLq7JPDM3C7lLMJTzDHEnQwgs6kQRi">world</a>, despite cross-cultural differences in ideas of love and romance.</p> <p>People in romantic relationships report more <a href="https://link.springer.com/article/10.1007/s10919-018-0281-8">intimate physical affection</a> than singletons. They’re also more comfortable allowing their partners to touch more of their bodies than strangers or friends. For example, most people are comfortable being touched on their <a href="https://www.pnas.org/doi/abs/10.1073/pnas.1519231112">thighs and abdomen</a> by their partner, but not by other people.</p> <p>Even how we touch our partners is different to how we touch other people. When participants in one study were asked to stroke their partner, a friend, a stranger, or an artificial arm, they did so more <a href="https://link.springer.com/article/10.1007/s10919-020-00334-2">slowly</a> with their partner. Slower strokes may may be experienced as more pleasant and <a href="https://academic.oup.com/jsm/article/14/5/645/6973562">erotic</a> than quicker strokes. Even just <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0203039">thinking</a> about physical affection from a partner evokes pleasant and erotic sensations.</p> <p>There is now strong evidence showing that physical contact is associated with better physical and mental health. One <a href="https://www.nature.com/articles/s41562-024-01841-8">review</a> of “touch interventions” – think massage – in 212 studies involving more than 13,000 participants found that physical touch benefited everything from sleep patterns to blood pressure to fatigue. Touch interventions were especially helpful in reducing pain, depression and anxiety.</p> <h2>Couple’s therapy</h2> <p>Before you rush off to book yourself a massage, you should know that much of the evidence suggests the strongest benefits come from physical affection with romantic partners. Several studies have found that, in couples, physical affection is associated with a range of <a href="https://www.sciencedirect.com/science/article/pii/S0273229711000025?casa_token=ER4aGB-3vusAAAAA:IBMtXZdEpTywjizJ4kwcOPO2HykSwgaK3GS3qYWh5JTYvWJCLW-x1I3IYDYKbzLZ9aX8QIhOLlA">physiological</a> effects, including lower blood pressure and better immune responses.</p> <p>In couples, physical affection is also associated with better psychological <a href="https://journals.sagepub.com/doi/abs/10.1177/0146167213497592?casa_token=_OtVkA13hgkAAAAA%3AU6eWWQLI4CXadtUanBR1PEGBA-Xh8en3plwOayvC4KNF_Ybi8zyzHjheM1m2XWLxjgczoQstUEEbDg&amp;journalCode=pspc">wellbeing</a>. One study found that couples who <a href="https://link.springer.com/article/10.1007/s42761-021-00093-3">sleep-touched</a> – cuddling shortly before or after sleep – felt happier and calmer in the morning, which meant they were more likely to enjoy the company of their partners.</p> <p>Physical affection – including <a href="https://link.springer.com/article/10.1007/s10508-013-0190-1?correlationId=bbd6ba1a-a372-4cae-83b3-6d9ba5704f4e&amp;error=cookies_not_supported&amp;code=dc878548-1748-44ed-bf6b-36dd348ea060">kissing</a> and <a href="https://link.springer.com/article/10.1007/s10508-014-0305-3">affection after sex</a> – is also associated with greater relationship and <a href="https://link.springer.com/article/10.1007/s10508-016-0820-5">sexual satisfaction</a>, and better ratings of one’s relationship overall, which in turn contribute to better psychological wellbeing. And even when conflicts do occur, <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0203522">hugging</a> seems to reduce levels of negative mood in couples.</p> <p>Cuddle up, because there’s more. Receiving physical affection from a partner makes us feel psychologically stronger. One study found that women showed less activation in parts of the brain that respond to threat when <a href="https://journals.sagepub.com/doi/10.1111/j.1467-9280.2006.01832.x">holding their husband’s hand</a>. Even just imagining touch from a partner can increase one’s willingness to take on <a href="https://www.sciencedirect.com/science/article/abs/pii/S0022103116302013?via%3Dihub">challenging tasks</a>.</p> <p>Another way to look at this is to examine what happens when we lose physical affection. Studies have shown that “<a href="https://onlinelibrary.wiley.com/doi/full/10.1002/ijop.12616">touch deprivation</a>” – the absence of touch – is associated with greater symptoms of depression and anxiety. Indeed, the loss of affection from others during the pandemic <a href="https://esmed.org/MRA/mra/article/view/2204">hit many people hard</a>. Among couples, a <a href="https://www.tandfonline.com/doi/abs/10.1080/10570314.2014.927071?casa_token=D34OY4K-RBIAAAAA:GY-MyGWWcZfOZgOYLmtjYbn3buO5fL1FUiD7whf1fs_aFQPGORTPwOS9Eh0ODdbeRmW32ehtrtntug">lack of physical affection</a> is associated with lower relationship satisfaction, stress, and feelings of loneliness.</p> <figure><iframe src="https://www.youtube.com/embed/ErWfdjdOah8?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>There are several ways in which physical affection provides these benefits. Affectionate touch is known to activate <a href="https://onlinelibrary.wiley.com/doi/epdf/10.1002/hbm.23679">reward centres</a> of the brain, which boosts our mood and promotes feelings of wellbeing. Touch also stimulates the release of <a href="https://www.sciencedirect.com/science/article/abs/pii/S0163638320301107?casa_token=I6GG0M3UAQEAAAAA:qSsExsEvHY9NHduwUF26okRMUm1Ls-gYHbrVNzaYgMkmS-Ohk2Y5ZvowbF2iWfpa6SO-mw6duuI">oxytocin</a>, which can strengthen social bonds and increase feelings of trust between individuals. It’s for these reasons that oxytocin is sometimes called the “cuddle chemical”.</p> <p>Physical affection also reduces levels of the stress hormone <a href="https://doi.org/10.1016/j.psyneuen.2007.03.011">cortisol</a> and reduces perceived pain, which suppress physiological stress systems. One study found that a ten-minute neck-and-shoulder <a href="https://www.sciencedirect.com/science/article/abs/pii/S0306453007000698?casa_token=2Bzr1YblT_wAAAAA:U9SNg8zkf30IXRI9MHpvdrJHJm6SWSbmnwpMu5pmMVElt5xifUTAkaM8Vp3vvOcas9JTUYHZlwQ">massage</a> from one’s partner helped lower cortisol responses, helping to regulate levels of stress.</p> <p>Psychologically, physical affection in romantic relationships is an important way <a href="https://journals.sagepub.com/doi/abs/10.1177/0146167213497592?casa_token=_OtVkA13hgkAAAAA%3AU6eWWQLI4CXadtUanBR1PEGBA-Xh8en3plwOayvC4KNF_Ybi8zyzHjheM1m2XWLxjgczoQstUEEbDg&amp;journalCode=pspc">to keep our emotions under control</a>. Touching one’s partner in a caring manner helps to improve their mood and makes them feel loved, secure, and safe. As feelings of <a href="https://link.springer.com/article/10.1007/s10508-006-9071-1">connection</a>, trust, and belonging are strengthened through non-sexual physical signs of affection, negative effect is reduced and psychological well-being is improved.</p> <p>However, not everyone likes to be touched, even if it is by their romantic partners. Some people are “<a href="https://link.springer.com/article/10.1007/BF00990960">touch avoidant</a>” – and some people may actually be apprehensive about being touched. For instance, people with avoidant attachment styles – characterised by a discomfort with emotional closeness – often have very <a href="https://doi.org/10.1016/j.paid.2014.05.035">negative views about cuddling</a> and are more <a href="https://journals.sagepub.com/doi/10.1177/0146167295213008">hesitant</a> to touch their partners. Conversely, people with anxious attachment styles – characterised by a fear of abandonment – may desire <a href="https://journals.sagepub.com/doi/10.1177/0146167295213008">more touch</a> than they receive.</p> <p>But when couples have similar touch preferences, it can lead to greater attraction, <a href="https://journals.sagepub.com/doi/abs/10.1177/0265407520910791?casa_token=Q1265G4ynqsAAAAA%3AWuu40ji4ca-_TKKA7P2CeSqeTTFfYH-Bfz1c0pBUCJ6fD0_twBugXqg3Geon-ncaS2VhjfUTdp9HiQ&amp;journalCode=spra">closeness</a>, and commitment to one another. And if you’re looking for a fun way to incorporate non-sexual physical affection into your relationships, consider home massage. One study found that couples who <a href="https://www.mdpi.com/2254-9625/11/2/33">took turns massaging</a> each other at home felt a deeper connection with each other, and felt more relaxed and less stressed.<!-- 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/247858/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/viren-swami-241976">Viren Swami</a>, Professor of Social Psychology, <a href="https://theconversation.com/institutions/anglia-ruskin-university-1887">Anglia Ruskin 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/why-physical-affection-can-boost-your-health-247858">original article</a>.</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>

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Ozempic shown to reduce alcohol intake in world-first trial

<p>A world-first study has shown that Ozempic can reduce drinking among those with alcohol-use disorder (AUD). </p> <p>A small clinical trial, published in <a href="https://jamanetwork.com/journals/jama/fullarticle/10.1001/jamapsychiatry.2024.4789?utm_campaign=articlePDF%26utm_medium=articlePDFlink%26utm_source=articlePDF%26utm_content=jamapsychiatry.2024.4789">JAMA Psychiatry</a>, studied 48 people with signs of moderate alcohol-use disorder and found that those taking semaglutide – the generic name of Ozempic – for nine weeks saw significantly reductions in how much alcohol they drank, as well as cravings for alcohol, compared with people on a placebo.</p> <p>The findings underscore many real-world claims of those taking these medicines have already hinted at: Ozempic and similar drugs, already incredibly popular, could help reduce risks of over-consuming alcohol, if the results bear out in larger and longer trials.</p> <p>Christian Hendershot, director of clinical research at the University of Southern California Institute for Addiction Science and the lead author of the study, said, "We hoped to see a reduction in drinking and craving."</p> <p>"What I didn't expect was the magnitude of the effects looks fairly good … compared to other alcohol-use disorder medications."</p> <p>The drug works in both the gut and the brain, which may be the way they could help with alcohol-use disorder, said Lorenzo Leggio, a physician-scientist at the US National Institutes of Health who wasn't involved in this study.</p> <p>"More research is needed to understand the mechanism(s) of action of these medications in AUD," Leggio, who's published research on semaglutide's ability to reduce alcohol drinking in animals, wrote to <em><a href="https://edition.cnn.com/2025/02/12/health/ozempic-alcohol-use-disorder-trial/index.html" target="_blank" rel="noopener">CNN</a></em>.</p> <p>"Nonetheless, the work done now suggests that mechanisms may include their effect in reducing alcohol craving and in reducing the rewarding effects of alcohol."</p> <p>Whether Ozempic and other similar drugs present a new way of treating AUD will depend on larger trials in patients more heavily afflicted by the disorder, experts said, and potentially whether research can yield a better understanding of how the medicines work to reduce drinking.</p> <p><em>Image credits: Shutterstock </em></p>

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Restless legs syndrome is incurable – here’s how to manage the symptoms

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/adam-taylor-283950">Adam Taylor</a>, <a href="https://theconversation.com/institutions/lancaster-university-1176">Lancaster University</a></em></p> <p>Restless legs syndrome (RLS), also known as <a href="https://www.ninds.nih.gov/health-information/disorders/restless-legs-syndrome#toc-what-is-restless-legs-syndrome-rls-">Willis-Ekbom Disease</a>, is a neurological condition that affects <a href="https://pubmed.ncbi.nlm.nih.gov/38843039/">about 7%</a> of people.</p> <p>Typical symptoms include an irresistible urge to move your legs, alongside sensations of aching, crawling, creeping, itching, pulling or throbbing. Until the age of 35, the condition is <a href="https://cks.nice.org.uk/topics/restless-legs-syndrome/background-information/prevalence/">equally common</a> in men and women, but after that age, RLS affects <a href="https://www.racgp.org.au/getattachment/87576673-c695-48f6-a806-065da7e5fcc7/Restless-legs-syndrome.aspx">twice the number</a> of women than men.</p> <p>Each person’s condition is categorised as mild, moderate, severe or very severe according to the <a href="https://biolincc.nhlbi.nih.gov/media/studies/masm/IRLS.pdf?link_time=2019-07-07_21:09:19.282153">international rating scale</a>, which measures the effects of RLS on limb discomfort and sleep disruption, as well as frequency of symptoms.</p> <p>RLS symptoms have a 24-hour cycle known as a <a href="https://www.sciencedirect.com/science/article/pii/S0301008205001371">circadian rhythm</a>. Symptoms tend to peak at night, coinciding with the body’s <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/ana.10843">increase in melatonin release</a>. Melatonin reduces dopamine – the brain chemical that affects movement and mood – to help us sleep but, because dopamine helps control muscles, low dopamine levels can cause involuntary movements.</p> <p>There is <a href="https://cks.nice.org.uk/topics/restless-legs-syndrome/diagnosis/investigations/">no test for RLS</a>. Diagnosis is based on symptoms and medical history. Primary RLS runs in families – there are <a href="https://pubmed.ncbi.nlm.nih.gov/12764067/">genetic</a> links to a <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2653903/">number of chromosomes</a>. RLS has an autosomal dominant inheritance pattern, meaning you only need one “defective” copy to present with symptoms. Some cases, however, develop with no known cause.</p> <p>Other people may develop “secondary” RLS as a result of other conditions, such as <a href="https://pubmed.ncbi.nlm.nih.gov/34732752/">iron deficiency anaemia</a>, <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6464953/">chronic kidney disease</a>, <a href="https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(22)00087-6/fulltext">diabetes</a>, <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3900617/">Parkinson’s disease</a>, <a href="https://onlinelibrary.wiley.com/doi/10.1111/1756-185X.14710">rheumatoid arthritis</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/32483857/">underactive thyroid gland</a>, and <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2952743/">fibromyalgia</a>. While primary RLS is more common than secondary, the latter is usually <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6073788/">more severe and progresses more rapidly</a>.</p> <figure><iframe src="https://www.youtube.com/embed/hnTKtp5PZGo?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>Risk factors</h2> <p>Age seems to be a risk factor for RLS. In 2000, <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/485413">a study found</a> that 10% of adults aged 30 to 79 have RLS, increasing to 19% of those over the age of 80. However, understanding of the condition has improved since that study was conducted, so it’s likely these figures are higher – particularly in children, where <a href="https://mecp.springeropen.com/articles/10.1186/s43045-022-00226-9">some RLS symptoms</a> have been confused with “growing pains” or ADHD in the past.</p> <p>Women have an increased chance of developing RLS. Approximately <a href="https://pubmed.ncbi.nlm.nih.gov/29169861/">one in five women</a> will suffer from restless legs at some point, and some studies suggest as many as <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5562408/">one in three women</a> are affected. <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4478054/">Women are</a> <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9176156/">more likely</a> to suffer from <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4478054/">other comorbidities</a> that affect the central nervous system, such as <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10982394/">anxiety, depression</a> and <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8634649/">migraine</a>, which may be linked to the development of RLS.</p> <p>Pregnancy is another risk factor. The further you are through the trimesters, the higher your chance of being affected BY RLS – with 8%, 16% and 22% of women suffering through their respective first, second and third trimesters. Multiple pregnancies increase the <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5562408/">risk of pregnancy-related RLS</a>, and research has found that women who’ve given birth may have a <a href="https://www.sciencedirect.com/science/article/pii/S1389945709001890">higher incidence of RLS</a> in later life, compared with women of the same age who haven’t given birth.</p> <p><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4751426/">Obesity</a> is also considered a risk factor for RLS. One study showed that each 5kg/m² increase in body mass index increased the likelihood of developing RLS <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2677487/">by 31%</a>.</p> <h2>Triggers and treatments</h2> <p>Research has shown smoking and alcohol consumption seem to <a href="https://jcsm.aasm.org/doi/10.5664/jcsm.11390">make RLS worse</a>, so <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4751426/">lifestyle changes</a> such as stopping smoking and drinking alcohol can help manage symptoms.</p> <figure><iframe src="https://www.youtube.com/embed/x1hizeYdBFk?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p><a href="https://movementdisorders.onlinelibrary.wiley.com/doi/full/10.1002/mdc3.13833">Research has also found</a> that exercise and stretching is beneficial for symptom relief or reduction – although <a href="https://onlinelibrary.wiley.com/doi/10.1111/jsr.13980">study participants</a> suggest that morning exercise is more effective for improving symptoms, while evening exercise can make restless legs worse. Patients with secondary forms of RLS, lower BMI and less severe cases of the condition <a href="https://www.sciencedirect.com/science/article/pii/S1389945724005409">may benefit the most</a> from lifestyle changes to manage symptoms.</p> <p>Also, treatment of underlying issues can also alleviate or reduce some of the symptoms. For instance, iron deficiency anaemia <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5434142/">reduces</a> dopamine levels, which can lead to restless legs. Iron supplements <a href="https://jcsm.aasm.org/doi/10.5664/jcsm.7810">may benefit</a> some sufferers – but <a href="https://academic.oup.com/sleep/article/47/7/zsae022/7585953">the evidence</a> is mixed so supplements won’t help everyone.</p> <p>In terms of medication, research has found that neurological therapies, such as the anticonvulsant Gabapentin – usually prescribed as a treatment for epilepsy – can improve <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2878254/">symptoms</a> and overall <a href="https://pubmed.ncbi.nlm.nih.gov/27067343/">quality of life</a> for those suffering with restless legs. <a href="https://pubmed.ncbi.nlm.nih.gov/26456872/">These therapies</a> target <a href="https://www.sciencedirect.com/science/article/abs/pii/B9780123745309000073">nerve cells</a> in the brain, <a href="https://www.sciencedirect.com/science/article/abs/pii/B9780123745309000073">reducing</a> <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3349794/">their activity</a>.</p> <p>Other medicines – known as dopamine agonists – <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3543080/">activate dopamine receptors in the brain</a> to control movement. They are primarily used as a <a href="https://www.parkinsons.org.uk/information-and-support/dopamine-agonists-pramipexole-ropinirole">treatment</a> for Parkinson’s disease and are effective in <a href="https://pubmed.ncbi.nlm.nih.gov/38761607/">managing</a> <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8908466/">symptoms</a> of RLS. However, they can disturb your sleep pattern and may <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5762774/">increase impulse control disorders</a>, and are not <a href="https://cks.nice.org.uk/topics/restless-legs-syndrome/management/management/">recommended during pregnancy</a> or breastfeeding as they can <a href="https://www.ncbi.nlm.nih.gov/books/NBK551686/">inhibit lactation</a>.</p> <p>While there may not be a cure for RLS, there is hope for sufferers – and options for managing and reducing symptoms.<!-- 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/248169/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/adam-taylor-283950"><em>Adam Taylor</em></a><em>, Professor of Anatomy, <a href="https://theconversation.com/institutions/lancaster-university-1176">Lancaster 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/restless-legs-syndrome-is-incurable-heres-how-to-manage-the-symptoms-248169">original article</a>.</em></p> </div>

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