Search

Placeholder Content Image

Why do some people need less sleep than others?

<div class="theconversation-article-body"> <p>Have you ever noticed how some people bounce out of bed after just a few hours of sleep, while others can barely function without a solid eight hours?</p> <p>Take Margaret Thatcher, for example. The former British prime minister was known for sleeping <a href="https://www.bbc.com/news/magazine-22084671">just four hours a night</a>. She worked late, rose early, and seemed to thrive on little sleep.</p> <p>But for most of us, that kind of sleep schedule would be disastrous. We’d be groggy, unfocused, and reaching for sugary snacks and caffeinated drinks by mid-morning.</p> <p>So why do some people seem to need less sleep than others? It’s a question that’s fascinated scientists for years. Here’s what we know so far.</p> <h2>Natural short sleepers</h2> <p>There is a small group of people who don’t need much sleep. We call them <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6879540/">natural short sleepers</a>. They can function perfectly well on just four to six hours of sleep each night, often for their entire lives.</p> <p>Generally they <a href="https://academic.oup.com/sleep/article/44/Supplement_2/A154/6260529">don’t feel tired</a>, they don’t nap, and they don’t suffer the usual negative consequences of sleep deprivation. Scientists call this the natural short sleep phenotype – a biological trait that allows people to get all the benefits of sleep in less time.</p> <p>In 2010 researchers discovered genetic mutations that help explain this phenomenon. Natural short sleepers carry rare variants <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2884988/">in certain genes</a>, which seem to make their sleep more efficient.</p> <p>More recently, a <a href="https://www.pnas.org/doi/epub/10.1073/pnas.2500356122">2025 study</a> assessed a woman in her 70s with one of these rare mutations. Despite sleeping just six hours a night for most of her life, she remained physically healthy, mentally sharp, and led a full, active life. Her body, it seems, was simply wired to need less sleep.</p> <p>We’re still learning about how common these genetic mutations are and why they occur.</p> <h2>Not everyone who sleeps less is a natural short sleeper</h2> <p>But here’s the catch: most people who think they’re natural short sleepers aren’t. They’re just chronically sleep-deprived. Often, their short sleep is due to long work hours, social commitments, or a belief sleeping less is a sign of strength or productivity.</p> <p>In today’s hustle culture, it’s common to hear people boast about getting by on only a few hours of sleep. But for the average person, that’s not sustainable.</p> <p>The effects of short sleep build up over time, creating what’s known as a “sleep debt”. This <a href="https://www.sciencedirect.com/science/article/pii/S0149763417301641">can lead to</a> poor concentration, mood swings, micro-sleeps (brief lapses into sleep), reduced performance and even <a href="https://www.sciencedirect.com/science/article/pii/S1389945716301381">long-term health risks</a>. For example, short sleep has been linked to an increased risk of obesity, diabetes, high blood pressure and cardiovascular disease (heart disease and stroke).</p> <h2>The weekend catch-up dilemma</h2> <p>To make up for lost sleep during the week, many people try to “catch up” on weekends.</p> <p>This can help repay some of the sleep debt that has accumulated in the short term. Research <a href="https://www.sciencedirect.com/science/article/pii/S2352721823001663?via%3Dihub">suggests</a> getting one to two extra hours of sleep on the weekend or taking naps when possible may help reduce the negative effects of short sleep.</p> <p>However, it’s not a perfect fix. Weekend catch-up sleep and naps may not fully resolve sleep debt. The topic remains one of ongoing scientific debate.</p> <p>A recent <a href="https://academic.oup.com/sleep/article/47/11/zsae135/7696120">large study</a> suggested weekend catch-up sleep may not offset the cardiovascular risks associated with chronic short sleep.</p> <p>What’s more, large swings in sleep timing can disrupt your body’s <a href="https://www.nature.com/articles/s41598-017-03171-4">internal clock</a>, and sleeping in too much on weekends may make it harder to fall asleep on Sunday night, which can mean starting the working week less rested.</p> <p>Increasing evidence indicates <a href="https://academic.oup.com/sleep/article/47/1/zsad253/7280269">repeated cycles of irregular sleep</a> may have an important influence on general health and the risk of early death, potentially even more so than how long we sleep for.</p> <p>Ultimately, while moderate catch-up sleep might offer some benefits, it’s no substitute for consistent, high-quality sleep throughout the week. That said, maintaining such regularity can be particularly challenging for people with non-traditional schedules, such as shift workers.</p> <h2>So, was Thatcher a true natural short sleeper?</h2> <p>It’s hard to say. Some reports suggest <a href="https://www.theguardian.com/lifeandstyle/2021/aug/27/from-aristotle-to-einstein-a-brief-history-of-power-nappers">she napped during the day</a> in the back of a car between meetings. That could mean she was simply sleep-deprived and compensating for an accumulated sleep debt when she could.</p> <p>Separate to whether someone is a natural short sleeper, there are a range of other reasons people may need more or less sleep than others. Factors <a href="https://www.sleephealthfoundation.org.au/sleep-topics/how-much-sleep-do-you-really-need">such as age</a> and underlying health conditions can significantly influence sleep requirements.</p> <p>For example, older adults often experience changes in their circadian rhythms and are more likely to suffer from fragmented sleep due to conditions <a href="https://link.springer.com/article/10.1007/s00702-019-02067-z">such as arthritis</a> or <a href="https://link.springer.com/article/10.1007/s11886-023-01939-x">cardiovascular disease</a>.</p> <p>Sleep needs vary from person to person, and while a lucky few can thrive on less, most of us need <a href="https://www.sleephealthfoundation.org.au/sleep-topics/how-much-sleep-do-you-really-need">seven to nine hours</a> a night to feel and function our best. If you’re regularly skimping on sleep and relying on weekends to catch up, it might be time to rethink your routine. After all, sleep isn’t a luxury – it’s a biological necessity.<!-- 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/256342/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/kelly-sansom-2390567">Kelly Sansom</a>, Research Associate, College of Medicine and Public Health, Flinders University; Research Associate, Centre for Healthy Ageing, <a href="https://theconversation.com/institutions/murdoch-university-746">Murdoch University</a> and <a href="https://theconversation.com/profiles/peter-eastwood-2316718">Peter Eastwood</a>, Deputy Vice Chancellor, Research and Innovation, <a href="https://theconversation.com/institutions/murdoch-university-746">Murdoch University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-do-some-people-need-less-sleep-than-others-a-gene-variation-could-have-something-to-do-with-it-256342">original article</a>.</em></p> <p><em>Image: </em></p> </div>

Body

Placeholder Content Image

"Three months to live": Channel 10 star shares emotional battle with incurable cancer

<p>Channel 10 presenter Barry Du Bois has opened up in a raw and heartbreaking letter about his ongoing battle with cancer, revealing the devastating moment he was told he had just months to live.</p> <p>In a deeply personal essay for <a href="https://www.goldcoastbulletin.com.au/entertainment/celebrity-life/channel-10-star-barry-du-bois-reveals-harrowing-moment-he-was-given-three-months-to-live/news-story/20a2e0a910358c1861d2c4d23c8cd617" target="_blank" rel="noopener">The Gold Coast Bulletin</a>, the father of two recalled the chilling day a doctor delivered a prognosis that shattered his world: “I had three months to live.”</p> <p>“I was sitting in a cold, unfamiliar consult room at the hospital, my wife’s hand holding mine … then a doctor who had known me for only a few hours looked me in the eye and told me I had three months to live,” Du Bois wrote.</p> <p>Du Bois was first diagnosed in 2010 with solitary plasmacytoma, a rare and aggressive form of blood cancer. While he survived that initial battle, the disease returned in 2017 – this time as multiple myeloma, an incurable cancer that attacks the immune system and bone marrow.</p> <p>Since then, the 63-year-old <em>Living Room</em> star has fought on, defying the odds with remarkable strength and grace. But as he revealed in the letter, his path has been anything but easy.</p> <p>His strength, he said, was forged through years of pain: breaking his back in a 14-metre fall, a gruelling and heartbreaking IVF journey with his wife Leonie that ended in miscarriage, and her own cervical cancer diagnosis just weeks later.</p> <p>“When I got my diagnosis – incurable cancer, three months to live – I didn’t fall apart,” he wrote. “I knew that from leaning into the previous adversities of life I had the resilience to give the fight of my life.”</p> <p>Still, Du Bois admitted there was a time he came perilously close to giving up. After Leonie’s miscarriage and illness, the darkness nearly swallowed him. “I avoided conversation and started a continual negative conversation with myself that took me into the darkness … depression is a lonely state and I refused to share my pain. I saw it as a weakness.”</p> <p>In the end, it was his family that pulled him back and helped him find purpose again. Since then, Du Bois has become a powerful voice for others fighting chronic illness and mental health struggles, using his platform to share candid updates on life, treatment and the importance of hope.</p> <p>“I was overwhelmed with fear, uncertainty and the unknown,” he said of that early diagnosis. “But through it all, I realised something that I feel is why I am here today: It wasn’t going to be cancer that defined me but the way I choose to approach it.”</p> <p>From his early TV days on <em>The Renovators</em> in 2011 to his long-running role on <em>The Living Room</em> alongside Amanda Keller, Miguel Maestre and Dr Chris Brown, Du Bois has become a familiar and much-loved face on Australian screens. But behind the smiles and strength lies a story of extraordinary pain and courage.</p> <p>His fight continues. And so too does his mission: to live fully, love deeply, and face each day not with fear, but with determination.</p> <p><em>Images: Instagram</em></p>

Caring

Placeholder Content Image

The surprising ways that coffee can interfere with medication

<div class="theconversation-article-body"> <p>For many of us, the day doesn’t start until we’ve had our first cup of coffee. It’s comforting, energising, and one of the most widely consumed beverages in the world. But while your morning brew might feel harmless, it can interact with certain medicines in ways that reduce their effectiveness – or increase the risk of side-effects.</p> <p>From common cold tablets to antidepressants, caffeine’s impact on the body goes far beyond a quick energy boost. Tea also contains caffeine but not in the same concentrations as coffee, and doesn’t seem to affect people in the same way. Here’s what you should know about how coffee can interfere with your medications – and how to stay safe.</p> <h2>1. Cold and flu medicines</h2> <p>Caffeine is a stimulant, which means it speeds up the central nervous system. Pseudoephedrine, a decongestant found in cold and flu remedies such as Sudafed, is <a href="https://medlineplus.gov/druginfo/meds/a682619.html">also a stimulant</a>. When taken together, the effects can be amplified – potentially leading to jitters or restlessness, headaches, fast heart rate and insomnia.</p> <p>Many cold medications already contain added caffeine, increasing these risks further. <a href="https://www.mdpi.com/1422-0067/22/10/5146">Some studies</a> also suggest that combining caffeine with pseudoephedrine can raise blood sugar and body temperature – particularly important for people with diabetes.</p> <p>Stimulant effects are also a concern when combining caffeine with ADHD medications such as amphetamines, or with <a href="https://allergyasthmanetwork.org/news/coffee-and-asthma/">asthma drugs</a> such as theophylline, which shares a similar chemical structure to caffeine. Using them together may increase the risk of side-effects such as a rapid heartbeat and sleep disruption.</p> <figure><iframe src="https://www.youtube.com/embed/9eL16Exry48?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>2. Thyroid medication</h2> <p>Levothyroxine, the standard treatment for an underactive thyroid, is highly sensitive to timing – and your morning coffee can get in the way. <a href="https://onlinelibrary.wiley.com/doi/10.1155/2020/7909703">Studies show</a> that drinking coffee too soon after taking levothyroxine can reduce its absorption by up to 50%.</p> <p>Caffeine speeds up gut motility (the movement of food and waste through the digestive tract), giving the drug <a href="https://www.jandonline.org/article/S2212-2672(16)00200-8/abstract">less time to be absorbed</a> – and <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8002057/#:%7E:text=Several%20studies%20on%20patients%20with,Benvenga%20et%20al.">may also bind</a> to it in the stomach, making it harder for the body to take in. These effects reduce the drug’s bioavailability, meaning less of it reaches your bloodstream where it’s needed. This interaction <a href="https://www.endocrine.org/news-and-advocacy/news-room/2022/drinking-coffee-does-not-hinder-the-absorption-of-liquid-thyroid-medication">is more common</a> with tablet forms of levothyroxine, and less likely with liquid formulations.</p> <p>If absorption is impaired, <a href="https://www.nhs.uk/conditions/underactive-thyroid-hypothyroidism/">symptoms of hypothyroidism</a> – including fatigue, weight gain and constipation – can return, even if you’re taking your medicine correctly.</p> <p>The same timing rule applies to a class of osteoporosis medications called <a href="https://medlineplus.gov/druginfo/meds/a601011.html#precautions">bisphosphonates</a>, including alendronate and risedronate, which also require an empty stomach and around 30-60 minutes before food or drink is taken.</p> <h2>3. Antidepressants and antipsychotics</h2> <p>The interaction between caffeine and mental health medications can be more complex.</p> <p><a href="https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/ssri-antidepressants/overview/">Selective serotonin reuptake inhibitors</a> (SSRIs), such as sertraline and citalopram, are a type of antidepressant medication <a href="https://purehost.bath.ac.uk/ws/portalfiles/portal/225886346/Lalji_McGrogan_and_Bailey_JADR_2021.pdf">widely used</a> to treat depression, anxiety and other psychiatric conditions. <a href="https://onlinelibrary.wiley.com/doi/10.1155/2020/7909703">Lab studies</a> suggest caffeine can bind to these drugs in the stomach, reducing absorption and potentially making them less effective.</p> <p>Tricyclic antidepressants (TCAs), such as amitriptyline and imipramine, are a class of older antidepressants that work by affecting the levels of neurotransmitters in the brain. They were among the first antidepressants developed and are <a href="https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/antidepressants/overview/#:%7E:text=Tricyclic%20antidepressants%20(TCAs),to%20treat%20chronic%20nerve%20pain.">less commonly used</a> today, compared with newer antidepressants such as SSRIs, due to their potential for more side-effects and higher risk of overdose.</p> <p>TCAs are broken down by the liver enzyme <a href="https://onlinelibrary.wiley.com/doi/10.1155/2020/7909703">CYP1A2</a>, which also metabolises caffeine. The competition between the two can slow drug breakdown, <a href="https://onlinelibrary.wiley.com/doi/10.1155/2020/7909703">increasing side-effects</a>, or delay caffeine clearance, making you feel jittery or wired longer than usual.</p> <p>Clozapine, an antipsychotic, is also processed by CYP1A2. <a href="https://onlinelibrary.wiley.com/doi/10.1155/2020/7909703">One study showed</a> that drinking two-to-three cups of coffee could increase blood levels of clozapine by up to 97%, <a href="https://medlineplus.gov/druginfo/meds/a691001.html#side-effects">potentially increasing risks</a> such as drowsiness, confusion, or more serious complications.</p> <h2>4. Painkillers</h2> <p>Some over-the-counter painkillers, such as those containing aspirin or paracetamol, include added caffeine. <a href="https://link.springer.com/article/10.2165/00003088-200039020-00004">Coffee can speed up</a> how quickly these drugs are absorbed by accelerating how fast the stomach empties and making the <a href="https://onlinelibrary.wiley.com/doi/10.1155/2020/7909703">stomach more acidic</a>, which improves absorption for some medications such as aspirin.</p> <p>While this may help painkillers work faster, it could also raise the risk of side-effects like stomach irritation or bleeding, especially when combined with other sources of caffeine. Though no serious cases have been reported, caution is still advised.</p> <h2>5. Heart medications</h2> <p>Caffeine can temporarily raise blood pressure and heart rate, typically lasting three-to-four hours after consumption. For people taking blood pressure medication or drugs that control irregular heart rhythms (arrhythmias), this <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8101832/#:%7E:text=Table%20I.&amp;text=The%20next%20stage%20of%20hypertension,response%20to%20calcium%20channel%20blockers.&amp;text=The%20potential%20for%20caffeine%20to,Table%20II%20summarizes%20these%20recommendations.">may counteract</a> the intended effects of the medication.</p> <p>This doesn’t mean people with heart conditions must avoid coffee altogether – but they should monitor how it affects their symptoms, and consider limiting intake or switching to decaf if needed.</p> <figure><iframe src="https://www.youtube.com/embed/r-YwCCNDOy0?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>What can you do?</h2> <p>Coffee may be part of your daily routine, but it’s also a potent chemical compound that can influence how your body processes medicine. Here’s how to make sure it doesn’t interfere.</p> <p>Take levothyroxine or bisphosphonates on an empty stomach with water, and wait 30-60 minutes before drinking coffee or eating breakfast.</p> <p>Be cautious with cold and flu remedies, asthma treatments and ADHD medications, as caffeine can amplify side-effects.</p> <p>If you’re on antidepressants, antipsychotics, or blood pressure drugs, discuss your caffeine habits with your doctor.</p> <p>Consider reducing intake or choosing a decaffeinated option if you experience side-effects like restlessness, insomnia or heart palpitations.</p> <p>Everyone metabolises caffeine differently – some people feel fine after three cups, while others get side-effects after just one. Pay attention to how your body responds and talk to your pharmacist or GP if anything feels off.</p> <p>If you’re ever unsure whether your medicine and your coffee are a good match, ask your pharmacist or doctor. A short conversation might save you weeks of side-effects or reduced treatment effectiveness – and help you enjoy your brew with peace of mind.<!-- 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/256919/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/dipa-kamdar-1485027">Dipa Kamdar</a>, Senior Lecturer in Pharmacy Practice, <a href="https://theconversation.com/institutions/kingston-university-949">Kingston 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/coffee-can-interfere-with-your-medication-heres-what-you-need-to-know-256919">original article</a>.</em></p> <p><em>Image: </em></p> </div>

Body

Placeholder Content Image

What is mantle cell lymphoma? Magda Szubanski’s ‘rare and fast-moving’ cancer explained

<div class="theconversation-article-body"><em><a href="https://theconversation.com/institutions/wehi-walter-and-eliza-hall-institute-of-medical-research-822"> </a></em>Beloved Australian actor Magda Szubanski has revealed she’s been diagnosed with a “very rare, very aggressive, very serious” blood cancer called mantle cell lymphoma.</p> <p>In a <a href="https://www.instagram.com/magda_szubanski/reel/DKOM_tZSuO2/">post on social media</a>, Szubanski said she would be starting treatment in a few weeks for the stage 4 cancer, which she called “one of the nasty ones, unfortunately”.</p> <p>So, what is mantle cell lymphoma? And how is it treated?</p> <h2>What is mantle cell lymphoma?</h2> <p>There are more than 100 subtypes of blood cancers, but they are commonly divided into one of two groups. These are <a href="https://medschool.ucla.edu/news-article/leukemia-vs-lymphoma-what-is-the-difference">based on</a> where they originate: leukaemias develop in the bone marrow, and lymphomas develop in the lymphatic system.</p> <p>Lymphomas develop from white blood cells (lymphocytes), which circulate in the blood and lymphatic system and help fight infection.</p> <p>You may not have heard of the <a href="https://cancer.ca/en/cancer-information/what-is-cancer/lymphatic-system">lymphatic system</a>, but it plays a key role in your immune response.</p> <p>The lymphatic circulatory system is responsible for transporting fluids (lymph) around your body. <a href="https://www.cancer.gov/publications/dictionaries/cancer-terms/def/lymph#:%7E:text=Listen%20to%20pronunciation,the%20body%20in%20lymph%20vessels.">Lymph</a> comes from blood plasma, and helps remove waste from your tissues.</p> <p>As part of the lymphatic system, tissues like the spleen and thymus help produce many of the immune cells you use to fight infections.</p> <p>These cells are then housed in specialised organs called lymph nodes – small pea-sized glands located throughout your body.</p> <p>Lymph nodes are kind of like the “war room” of your <a href="https://www.ncbi.nlm.nih.gov/books/NBK279395/">immune</a> <a href="https://www.ncbi.nlm.nih.gov/books/NBK279396/">system</a>.</p> <p>Your body contains hundreds of lymph nodes, and each contains millions of lymphocytes. These include the T and B cells – the main fighting cells in adaptive immunity.</p> <p>If B cells in an area of the lymph node known as the “<a href="https://www.lymphoma.org.au/types-of-lymphoma/non-hodgkin-lymphoma/aggressive-fast-growing-b-cell-nhl/mantle-cell-lymphoma-mcl/">mantle zone</a>” become cancerous, it is called mantle cell lymphoma.</p> <h2>How rare is it?</h2> <p>In 2020, <a href="https://www.aihw.gov.au/reports/cancer/cancer-data-in-australia/contents/blood-cancer-incidence-and-survival-by-histology-e">there were 330 cases</a> of mantle cell lymphoma diagnosed in Australia, accounting for a small fraction (5%) of lymphoma cases.</p> <p>Overall, lymphomas account for around <a href="https://www.canceraustralia.gov.au/cancer-types/lymphoma/lymphoma-australia-statistics">one in twenty</a> new cancer diagnoses. This makes mantle cell lymphoma quite rare.</p> <p>Mantle cell lymphoma is about <a href="https://www.aihw.gov.au/reports/cancer/cancer-data-in-australia/contents/blood-cancer-incidence-and-survival-by-histology-e">three times more common in men than in women</a>, and mostly affects people over the age of 60.</p> <h2>Is there a cure?</h2> <p>Unfortunately, mantle cell lymphoma is largely <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/ajh.26523">considered incurable</a> with the therapies currently available.</p> <p>Like many cancers, mantle cell lymphoma can vary in how quickly it develops and its severity.</p> <p>As Szubanski’s cancer has been described as “fast-moving” and is already stage 4, it appears that it is a more serious case.</p> <p>Stage 4 is the most advanced stage – meaning the <a href="https://theconversation.com/how-does-cancer-spread-to-other-parts-of-the-body-219616">cancer has spread</a> (metastasised) to other tissues.</p> <p>Treatment at this stage can be more complicated than when the cancer is caught earlier. But treatment can still help people go on to live for many years.</p> <h2>What does treatment involve?</h2> <p>In her social media post, Szubanski said she will be receiving “one of the best treatments available (the Nordic protocol)”.</p> <p>This is one of the most common treatments for an aggressive lymphoma.</p> <p>The main component is “R-CHOP” – a <a href="https://www.cancer.gov/about-cancer/treatment/drugs/r-chop">combination therapy</a>. It involves a mixture of different drugs, including chemotherapy, to attack the cancer from multiple angles at the same time.</p> <p>Different strengths of the drugs can be used (the maximum strength is sometimes called R-maxi-CHOP).</p> <p>A stem cell transplantation may also be included in the regimen.</p> <p>How effective this treatment is will depend on many different factors, including the type and stage of the lymphoma.</p> <p>The aim is to kill as many cancer cells as possible, and therefore extend a patient’s life for as long as possible.</p> <p>Therapy also focuses on providing a high quality-of-life for patients.</p> <h2>How is it diagnosed?</h2> <p>Szubanski’s mantle cell lymphoma was detected during a breast cancer screen where, <a href="https://www.instagram.com/magda_szubanski/reel/DKOM_tZSuO2/">she says</a>, “they found my lymph nodes were up”.</p> <p>Imaging techniques, such as a mammogram or MRI, may detect tell-tale signs of lymphoma, such as swollen lymph nodes.</p> <p>However a biopsy – <a href="https://www.mayoclinic.org/diseases-conditions/cancer/in-depth/biopsy/art-20043922">a small sample of tissue from the affected area</a> – would then be required to confirm the presence of cancer cells and identify what type.</p> <p>Blood cancer symptoms can be vague, but it’s good to know what to look for.</p> <p>As well as swollen lymph nodes, <a href="https://www.leukaemia.org.au/blood-cancer/blood-cancer-signs-and-symptoms/">symptoms of lymphoma</a> include nausea, tiredness, loss of appetite, fevers, gastrointestinal issues, unexplained weight loss, and night sweats.</p> <p>If you have any concerns, you should consult a doctor.<!-- 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/257821/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/john-eddie-la-marca-1503690">John (Eddie) La Marca</a>, Senior Research Officer, Blood Cells and Blood Cancer, <a href="https://theconversation.com/institutions/wehi-walter-and-eliza-hall-institute-of-medical-research-822">WEHI (Walter and Eliza Hall Institute of Medical Research) </a> and <a href="https://theconversation.com/profiles/sarah-diepstraten-1495268">Sarah Diepstraten</a>, Senior Research Officer, Blood Cells and Blood Cancer Division, <a href="https://theconversation.com/institutions/wehi-walter-and-eliza-hall-institute-of-medical-research-822">WEHI (Walter and Eliza Hall Institute of Medical Research) </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/what-is-mantle-cell-lymphoma-magda-szubanskis-rare-and-fast-moving-cancer-explained-257821">original article</a>.</em></p> <p><em>Image: ABC / Instagram</em></p> </div>

Body

Placeholder Content Image

From tragedy to joy: Channel 9 star shares baby news

<p>In a beautiful announcement that has touched hearts across the country, 9News Perth presenter Tracy Vo has shared the joyful news that she and husband Liam Connolly are expecting a baby girl – their rainbow baby – due on October 7.</p> <p>The couple’s exciting news comes just months after they experienced the devastating loss of their son, James, when Vo was five months pregnant in 2024. Now, the couple is embracing hope and healing with the anticipation of a new chapter in their lives.</p> <p>“We had some extra baggage during our Vietnam adventure,” Vo shared on Instagram, accompanied by a radiant photo. “Our rainbow baby is due in Spring 🌈 We can’t wait to meet our baby girl and Sophia is excited to be a big sister. We know our boy James is looking after his little sister already 🤍.”</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/DKQjHGYTHqE/?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/DKQjHGYTHqE/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Tracy Vo (@tracy_vo)</a></p> </div> </blockquote> <p>The due date carries a special significance – October 7 marks Tracy and Liam’s second wedding anniversary. “We were like, ‘Oh, well, it’s meant to be!’” she <a href="https://honey.nine.com.au/parenting/irena-gilbert-pregnancy-after-loss-no-one-tells-you-experience-rainbow-baby-anxiety-regret/6a00d6cd-32a8-47fd-82ff-9c414a1bfe47" target="_blank" rel="noopener">told 9News</a>.</p> <p>Vo, 41, opened up about the complex emotions that come with expecting after loss, describing their journey as “cautiously excited”. She and Liam waited until 21 weeks to share the news with loved ones, choosing to keep it close as they processed both hope and anxiety.</p> <p>“I think as the months go on it becomes more real and a step closer to having our little girl in our arms,” she said. “We’re just counting down those weeks.”</p> <p>Tracy says the experience has brought her and Liam even closer, strengthening their marriage through shared grief, healing and unwavering support.</p> <p>“I’m very grateful that Liam was a huge support,” she said. “We also had a great support network as well – our family, our friends.”</p> <p>The couple gently shared the happy news with Connolly’s six-year-old daughter, Sophia, by giving her a teddy bear that revealed the baby’s gender. Now eagerly preparing to be a big sister, Sophia is joining the family in their excitement.</p> <p>As for pregnancy cravings? “Cookies and ice cream,” Tracy revealed. “And then oranges. I’m just loving oranges. I could just eat oranges all day!”</p> <p>Vo hopes their story brings comfort and encouragement to others who have experienced pregnancy loss. Since sharing her journey, she has received messages from people with similar stories – all bound by strength.</p> <p>“Hopefully it just spreads the hope and the love for people out there,” Vo said.</p> <p><em>Images: Instagram</em></p>

Family & Pets

Placeholder Content Image

What’s the difference between ageing and frailty?

<div class="theconversation-article-body"> <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><em>By <a href="https://theconversation.com/profiles/julee-mcdonagh-1525476">Julee McDonagh</a>, 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>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> <p><em>Image: Mikhail Nikov / Pexels</em></p> </div>

Body

Placeholder Content Image

"Haven’t got long to live": Beloved Harry Potter star's sad health update

<p>Veteran actress Miriam Margolyes, best known to many as Professor Sprout in the Harry Potter franchise, has spoken movingly about her deteriorating health and approaching mortality, revealing she likely has only a few years left to live.</p> <p>In a recent interview with <em>The Times</em>, the 84-year-old star discussed her decision to step away from the big screen, admitting that her body is no longer strong enough to perform the roles she once loved.</p> <p>“When you know that you haven’t got long to live – and I’m probably going to die within the next five or six years, if not before – I’m loathe to leave behind performing,” she said. “It’s such a joy. I yearn to play roles that don’t confine me to wheelchairs, but I’m just not strong enough.”</p> <p>Margolyes has been increasingly open about her health challenges in recent years. In 2023, during an appearance on the Table Manners podcast, she revealed she had undergone heart surgery, <a href="https://www.oversixty.com.au/health/caring/aussie-harry-potter-star-undergoes-heart-surgery" target="_blank" rel="noopener">receiving a cow’s aortic</a> valve to replace her own. “I don’t know how common it is. I’d never heard of that operation,” she said. “But it saves you from having open-heart surgery, which would be infinitely more invasive.”</p> <p>She later told <em>British Vogue</em> that her perspective on death had changed with age. “When you’re young, you never think about death. You just think about your next f**k, basically,” she joked. “I think about death a lot. You can’t help but be aware that the amount of time ahead is less than the time before you.”</p> <p>Despite the seriousness of her condition, Margolyes maintains her trademark wit and philosophical outlook. “I’m still ducking and diving. I’m still open to new experiences. I’m just very conscious that there is no light at the end of the tunnel.”</p> <p>In 2024, Margolyes publicly disclosed she is living with spinal stenosis, a painful and debilitating condition that has severely impacted her mobility. “I’m registered disabled. I use all kinds of assistance,” she shared with <em>Closer Magazine</em>. “I’ve got two sticks and a walker and they’re such a bore, but I’ve just got a mobility scooter, which is a lot of fun.”</p> <p>The <em>Age of Innocence</em> actress also acknowledged her financial worries, saying her biggest fear is outliving her resources. Yet, through it all, she remains strong, funny and honest – qualities that have endeared her to fans for decades.</p> <p><em>Images: Instagram</em></p>

Caring

Placeholder Content Image

The Project in peril as Channel Ten plots bold news overhaul

<p>Speculation is mounting over the future of Channel Ten’s flagship current affairs program <em>The Project</em>, <a href="https://www.dailymail.co.uk/tvshowbiz/article-14748609/Brutal-sign-Project-canned-Channel-10.html" target="_blank" rel="noopener">with reports suggesting</a> the long-running panel show may be on the chopping block amid a broader shakeup at the network.</p> <p>According to <a href="https://www.theaustralian.com.au/business/media/the-project-under-review-as-ten-plans-to-announce-new-show/news-story/280ab62724d67c2eed16bb04cafc3e97" target="_blank" rel="noopener">The Australian</a>, <em>The Project</em> is “100 per cent” under review as Ten’s current affairs division undergoes scrutiny in response to dwindling ratings. The show, which first aired in 2009, is reportedly struggling to connect with audiences across key demographics.</p> <p>“<em>The Project</em> is a bit too old and irritating for younger viewers online… and a bit too young and irritating for older viewers on television,” the outlet reported, summarising the show’s struggle to appeal to either end of the age spectrum.</p> <p>Recent ratings appear to reflect this disconnect. Over the past week, <em>The Project</em> failed to break into the top ten most-watched programs, with Tuesday night’s episode recording its highest audience at 945,000 viewers. Friday’s episode fared worst, drawing just 626,000 viewers. In contrast, rival bulletins from Seven and Nine consistently drew more than 2 million viewers during the same 6pm timeslot.</p> <p>The program’s declining viewership comes amid broader criticism of its perceived political slant and the fallout from the departures of several high-profile hosts, including Carrie Bickmore, Peter Helliar and Lisa Wilkinson. Despite a relaunch in 2023 featuring Sarah Harris, Sam Taunton, Michael Hing and Waleed Aly, the shakeup has yet to reverse the trend. Michael Hing’s departure earlier this year marked another shift in the panel’s makeup.</p> <p>Adding to the uncertainty, Daily Mail Australia <a href="https://www.dailymail.co.uk/news/article-14509357/Channel-Ten-cancels-Project.html" target="_blank" rel="noopener">reported earlier this year</a> that Channel Ten executives were eyeing a new "news magazine show" to rival established programs like Nine's <em>60 Minutes</em>, Seven's <em>Spotlight</em>, and the ABC's <em>Four Corners</em>.</p> <p>A “crack team” of producers – referred to internally as the “investigations unit” – is reportedly being assembled to lead this new venture. Dan Sutton, a seasoned Channel Ten reporter, is tipped to serve as the executive producer, with screen testing currently underway for potential reporters.</p> <p>Network Ten confirmed the formation of the investigative unit in a statement to Daily Mail Australia, saying: “Following the continued growth and success of our news brand, 10 News, we are investing in a 10 News investigative unit that will work on long-form investigative stories as part of our news offering across all our platforms.”</p> <p>When pressed about the future of <em>The Project</em>, however, a network spokesperson maintained that there were “no changes” currently planned. "The Project remains an integral part of our content line-up and rest assured, it’s not going anywhere," they reiterated, echoing a similar statement made in July of last year.</p> <p>The show has also been experimenting with new distribution strategies, including the decision earlier this year to upload full episodes to YouTube in a bid to capture younger audiences. Segments from the show continue to be shared widely across social media platforms like Instagram and X (formerly Twitter).</p> <p>One glimmer of hope for the embattled program came last Tuesday, when former host Carrie Bickmore made a brief return to the panel to celebrate the tenth anniversary of her charity, Carrie’s Beanies 4 Brain Cancer. The special appearance helped boost ratings to 945,000 viewers – the highest for the week.</p> <p>Despite the network’s reassurances, the combination of faltering ratings, a changing panel and mounting speculation over a new investigative format suggests that <em>The Project</em> could be heading into uncertain territory.</p> <p>Whether it can reestablish its place in the Australian television landscape – or be quietly phased out – remains to be seen.</p> <p><em>Image: Channel Ten / The Project</em></p>

TV

Placeholder Content Image

Could cold sores increase the risk of Alzheimer’s disease?

<div class="theconversation-article-body"> <p>A <a href="https://bmjopen.bmj.com/content/15/5/e093946">new study</a> has found the herpes simplex virus type 1 (HSV-1), which causes cold sores, may be linked to the development of Alzheimer’s disease.</p> <p>This idea is not entirely new. Previous research has suggested there <a href="https://onlinelibrary.wiley.com/doi/10.1002/jmv.1890330403">may be an association</a> between HSV-1 and Alzheimer’s disease, the <a href="https://www.who.int/news-room/fact-sheets/detail/dementia">most common form of dementia</a>.</p> <p>So what can we make of these new findings? And how strong is this link? Let’s take a look at the evidence.</p> <h2>First, what is HSV-1?</h2> <p>HSV-1 is a neurotropic virus, meaning it can infect nerve cells, which send and receive messages to and from the brain. It’s an extremely common virus. The <a href="https://www.who.int/news-room/fact-sheets/detail/herpes-simplex-virus">World Health Organization estimates</a> nearly two-thirds of the global population aged under 50 carries this virus, often unknowingly.</p> <p>An initial infection can cause mild to severe symptoms including fever, headache and muscle aches, and may manifest as blisters and ulcers around the mouth or lips.</p> <p>After this, HSV-1 typically <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8923070/">lies dormant</a> in the body’s nervous system, sometimes reactivating due to stress or illness. During reactivation, it can cause symptoms such as cold sores, although in many people it doesn’t cause any symptoms.</p> <h2>What did the new research look at?</h2> <p>In a study published this week <a href="https://bmjopen.bmj.com/content/15/5/e093946">in BMJ Open</a>, researchers analysed data from hundreds of thousands of people drawn from a large United States health insurance dataset.</p> <p>They conducted a matched “case-control” analysis involving more than 340,000 adults aged 50 and older diagnosed with Alzheimer’s disease between 2006 and 2021. Each Alzheimer’s disease patient (a “case”) was matched to a control without a diagnosis of Alzheimer’s disease based on factors such as age, sex and geographic region, a method designed to reduce statistical bias.</p> <p>The team then examined how many of these people had a prior diagnosis of HSV-1 and whether they had been prescribed antiviral treatment for the infection.</p> <p>Among people with Alzheimer’s disease, 0.44% had a previous HSV-1 diagnosis, compared to 0.24% of controls. This translates to an 80% increased relative risk of Alzheimer’s disease in those diagnosed with HSV-1, however the absolute numbers are small.</p> <p>The researchers also found people who received antiviral treatment for HSV-1 had roughly a 17% lower risk of developing Alzheimer’s disease compared to those who were untreated.</p> <h2>Not a new hypothesis</h2> <p>This isn’t the first time researchers have speculated about a viral role in Alzheimer’s disease. <a href="https://onlinelibrary.wiley.com/doi/10.1002/jmv.1890330403">Earlier studies</a> have detected <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(96)10149-5/abstract">HSV-1 DNA in postmortem brain tissues</a> from people who had Alzheimer’s disease.</p> <p>Laboratory research has also shown <a href="https://doi.org/10.1016/j.neuron.2018.06.030">HSV-1 can trigger amyloid-beta plaque accumulation</a> in nerve cells and mouse brains. Amyloid-beta plaques are one of the defining features of Alzheimer’s disease pathology, so this has led to speculation that reactivation of the virus may contribute to brain inflammation or damage.</p> <p>But importantly, previous research and the current study show associations, not proof HSV-1 causes Alzheimer’s disease. These links do not confirm the virus initiates or drives disease progression.</p> <blockquote class="bluesky-embed" data-bluesky-uri="at://did:plc:f3ph3ymzcnhpchwqiu4u37g2/app.bsky.feed.post/3lpn5axtbvj2i" data-bluesky-cid="bafyreifwdab7rnvdpu6t3vnupdymct77ojzrhjkwxcndc2lo5b4ipjkvee" data-bluesky-embed-color-mode="system"> <p lang="">Got Cold Sores? You Might Be at Higher Risk for Alzheimer’s https://gizmodo.com/got-cold-sores-you-might-be-at-higher-risk-for-alzheimers-2000603873</p> <p><a href="https://bsky.app/profile/did:plc:f3ph3ymzcnhpchwqiu4u37g2/post/3lpn5axtbvj2i?ref_src=embed">[image or embed]</a></p> <p>— Gizmodo (<a href="https://bsky.app/profile/did:plc:f3ph3ymzcnhpchwqiu4u37g2?ref_src=embed">@gizmodo.com</a>) <a href="https://bsky.app/profile/did:plc:f3ph3ymzcnhpchwqiu4u37g2/post/3lpn5axtbvj2i?ref_src=embed">May 21, 2025 at 8:31 AM</a></p></blockquote> <h2>Some other important caveats</h2> <p>The study relied on insurance claim data, which may not always reflect accurate or timely clinical diagnoses. HSV-1 is also frequently underdiagnosed, especially when symptoms are mild or absent. These points could explain why both the Alzheimer’s group and the control group saw such low rates of HSV-1, when population rates of this virus <a href="https://www.who.int/news-room/fact-sheets/detail/herpes-simplex-virus">are estimated to be far higher</a>.</p> <p>This means many carriers of HSV-1 in the study may have gone unrecorded and therefore makes the link harder to interpret clearly. The dataset also doesn’t capture how often people had recurring symptoms, or the severity or duration of infections – conditions which might influence risk more directly.</p> <p>Another complicating factor is people with HSV-1 might differ in other ways from those without it. Differences in health-care access, the health of a person’s <a href="https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(21)00144-4/fulltext">immune system</a>, <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01296-0/abstract">lifestyle</a>, <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)60630-3/abstract">genetics</a>, or even <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01296-0/abstract">education</a> – could all influence Alzheimer’s disease risk.</p> <h2>So should you be concerned if you have cold sores?</h2> <p>The short answer is no – at least not based on current evidence. Most people with HSV-1 will never develop Alzheimer’s disease. The vast majority live with the virus without any serious neurological issues.</p> <p>The “herpes hypothesis” of Alzheimer’s disease is an interesting area for further research, but far from settled science. This study adds weight to the conversation but doesn’t offer a definitive answer.</p> <p>Alzheimer’s disease is a complex condition with <a href="https://www.thelancet.com/commissions-do/dementia-prevention-intervention-and-care">multiple risk factors</a>, including age, genetics, heart health, education, lifestyle and environmental exposures.</p> <p>Infections such as HSV-1 may be one part of a larger, interconnected puzzle, but they are highly unlikely to be the sole cause.</p> <p>With this in mind, the best thing to do is to focus on what we already know can help keep your brain healthy as you age. <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)00184-9/abstract#:%7E:text=Emerging%20evidence%20suggests%20that%20sedentary,impairment%20and%20reduce%20dementia%20risk.">Regular physical activity</a>, <a href="https://www.health.harvard.edu/blog/sleep-well-and-reduce-your-risk-of-dementia-and-death-2021050322508">good quality sleep</a>, <a href="https://www.alzheimers.org.uk/about-dementia/managing-the-risk-of-dementia/reduce-your-risk-of-dementia/social-isolation">social engagement</a>, <a href="https://www.alzheimersresearchuk.org/dementia-information/dementia-risk/diet-and-dementia-risk/">a balanced diet</a> and <a href="https://www.health.harvard.edu/mind-and-mood/protect-your-brain-from-stress">managing stress</a> can all support long-term brain health.<!-- 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/257140/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/joyce-siette-1377445">Joyce Siette</a>, Associate Professor | Deputy Director, The MARCS Institute for Brain, Behaviour, and Development, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney 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/could-cold-sores-increase-the-risk-of-alzheimers-disease-a-new-study-is-no-cause-for-panic-257140">original article</a>.</em></p> <p><em>Image: Gizmodo</em></p> </div>

Body

Placeholder Content Image

Can you treat headaches with physiotherapy?

<div class="theconversation-article-body">You might’ve noticed some physiotherapists advertise they offer treatments for headaches and wondered: would that work?</p> <p>In fact, there’s a solid body of research showing that physiotherapy treatments can be really helpful for certain types of headache.</p> <p>Sometimes, however, medical management is also necessary and it’s worth seeing a doctor. Here’s what you need to know.</p> <h2>Cervicogenic headache: when pain travels up your neck</h2> <p>Cervicogenic headache is where pain is referred from the top of the neck (an area known as the upper cervical spine).</p> <p>Pain is usually one-sided. It generally starts just beneath the skull at the top of the neck, spreading into the back of the head and sometimes into the back of the eye.</p> <p>Neck pain and headache are often triggered by activities that put strain on the neck, such as holding one posture or position for a long time, or doing repetitive neck movements (such as looking up and down repeatedly).</p> <p>Unlike in migraine, people experiencing cervicogenic headache don’t usually get nausea or sensitivity to light and sound.</p> <p>Because this is a musculoskeletal condition of the upper neck, physiotherapy treatments that <a href="https://pubmed.ncbi.nlm.nih.gov/12221344/">improve</a> neck function – such as manual therapy, exercise and education – can <a href="https://pubmed.ncbi.nlm.nih.gov/27497890/">provide</a> <a href="https://pubmed.ncbi.nlm.nih.gov/38902195/">short- and long-term benefits</a>.</p> <h2>Can physio help with migraine?</h2> <p>Migraine is a neurological disorder whereby the brain has difficulty processing sensory input.</p> <p>This can cause episodic attacks of moderate to severe headache, as well as:</p> <ul> <li>sensitivity to light and noise</li> <li>nausea and</li> <li>intolerance to physical exertion.</li> </ul> <p>There are many triggers. Everyone’s are different and identifying yours is crucial to self-management of migraine. Medication can also help, so seeing a GP is the first step if you <a href="https://headacheaustralia.org.au/migraine/">suspect you have migraine</a>.</p> <p>About <a href="https://pubmed.ncbi.nlm.nih.gov/35166137/">70-80%</a> of people with migraine also have neck pain, commonly just before or at the onset of a migraine attack. This can make people think their neck pain is triggering the migraine.</p> <p>While this may be true in some people, our <a href="https://pubmed.ncbi.nlm.nih.gov/34214181/">research</a> has shown many people with migraine have nothing wrong with their neck despite having neck pain.</p> <p>In those cases, neck pain is part of migraine and can be a warning (but not a cause or trigger) of an imminent migraine attack. It can signal patients need to take steps to prevent the attack.</p> <p>On the other hand, if the person has musculoskeletal neck disorder, physiotherapy neck treatments may help improve their migraine. Musculoskeletal neck disorder is what physiotherapists call typical neck pain caused by, for instance, a sports injury or sleeping in a weird way.</p> <p>You may have heard of the Watson manual therapy technique being used to treat migraine. It involves applying manual pressure to the upper cervical spine and neck area.</p> <p>There are currently no peer-reviewed studies looking at how effective this technique is for migraine.</p> <p>However, recent studies investigating a combination of manual therapy, neck exercises and education tailored to the individual’s circumstances <a href="https://pubmed.ncbi.nlm.nih.gov/36739510/">show</a> some <a href="https://www.researchgate.net/publication/342117351_Neck_treatment_compared_to_aerobic_exercise_in_migraine_A_preference-based_clinical_trial">small effects</a> in improving the number of migraine attacks and the disabling effects of headache.</p> <p>Manual therapy and neck exercises can also give short-term pain relief.</p> <p>However, in some cases the neck can become very sensitive and easily aggravated in <a href="https://pubmed.ncbi.nlm.nih.gov/15907257/">migraine</a>. That means inappropriate assessment or treatment could end up triggering a migraine.</p> <p>Physiotherapy can help with migraine but you first need a comprehensive and skilled physical assessment of the neck by an experienced physiotherapist. It’s crucial to identify if a musculoskeletal neck disorder is present and, if so, which type of neck treatment is needed.</p> <p>It is also important people with migraine understand how their migraine is triggered, what lifestyle factors contribute to it and when to take the appropriate medications to help manage their migraines.</p> <p>A trained physiotherapist can provide some of this information and help patients make sense of their condition and recommend the patient see their GP for medication, when appropriate.</p> <h2>What about tension headaches?</h2> <p>Tension type headache is the most common type of headache, characterised by a feeling of “tightness” or “band-like” pain around the head.</p> <p>Nausea and sensitivity to light and noise are not usually present with this type of headache.</p> <p>Like migraine, tension type headache is often associated with neck pain and also has different aggravating factors, not all of which are due to the neck.</p> <p>Again, a detailed assessment by a trained physiotherapist is needed to identify if the neck is involved and what type of neck treatment is best.</p> <p>There is some evidence a combination of <a href="https://pubmed.ncbi.nlm.nih.gov/35236143/">manual therapy and exercise</a> can reduce tension type headache.</p> <p>Physiotherapists can also provide education and advice on aggravating factors and self management.</p> <h2>Seeking help</h2> <p>There are many types and causes of headache. If you suffer frequent headaches or have a new or unusual headache, ask a doctor to investigate.</p> <p>There is good evidence physiotherapy treatment will improve cervicogenic headache and emerging evidence it might help migraine and tension type headache (alongside usual medical care).</p> <p>If you are wondering if you have cervicogenic headache or if you have bothersome neck pain associated with headache, ask your doctor to refer you to a skilled physiotherapist trained in headache treatment. A careful assessment can determine if physiotherapy treatment will help.<!-- 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/256581/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/zhiqi-liang-2392952"><em>Zhiqi Liang</em></a><em>, Lecturer in Physiotherapy, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a>; <a href="https://theconversation.com/profiles/julia-treleaven-2393094">Julia Treleaven</a>, Associate Professor in Physiotherapy, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a>, and <a href="https://theconversation.com/profiles/lucy-thomas-2392963">Lucy Thomas</a>, Teaching and research academic in Physiotherapy, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/can-you-treat-headaches-with-physiotherapy-heres-what-the-research-says-256581">original article</a>.</em></p> <p><em>Image: Marcus Aurelius / Pexels</em></p> </div>

Caring

Placeholder Content Image

Beloved Cheers star passes away

<p>The world of television has lost a beloved figure. George Wendt, best known as the affable barfly Norm Peterson on the iconic sitcom <em>Cheers</em>, has passed away at the age of 76. His family confirmed that the actor and comedian died peacefully in his sleep.</p> <p>"George was a doting family man, a well-loved friend and confidant to all of those lucky enough to have known him," a representative for the Wendt family said in a heartfelt statement. "He will be missed forever. The family has requested privacy during this time."</p> <p>Wendt’s passing marks the end of an era. For over a decade, he brought warmth, humour and quiet depth to the character of Norm – a man who was more than just a fixture at the bar. His role earned him six consecutive Emmy nominations, a testament to the quiet brilliance of his performance.</p> <p>He began his career in comedy during the 1970s, cutting his teeth in the world of sketch and improv before making his mark on television. Cheers, which ran for 11 seasons, became his home – and he became part of America’s family. Wendt’s Norm was always there, beer in hand, ready with a witty remark or a knowing glance that said more than words ever could.</p> <p>But behind the scenes, Wendt once admitted the job wasn’t always as easy as he made it look. He joked that the hardest part of playing Norm was pretending to enjoy the flat, salty, non-alcoholic drinks he had to consume all day during filming. “It not only tastes disgusting, I was afraid of keeling over from high blood pressure,” he once told <em>The Washington Post</em>. Yet, like the seasoned actor he was, he mastered the craft – not by drinking, but by knowing exactly when the camera was watching. "That's how I make my money. That’s acting."</p> <p>After <em>Cheers</em> ended in 1993, Wendt attempted to forge a new path with <em>The George Wendt Show</em>. Unfortunately, the show struggled to find its audience and was cancelled after just six episodes aired. Still, his passion for comedy never wavered. He made memorable appearances on <em>Saturday Night Live</em> in the 1990s and took on roles in films like <em>The Little Rascals</em>, <em>Airplane II: The Sequel</em>, and <em>Santa Buddies</em>.</p> <p>Off-screen, Wendt found joy and stability in his family life. He married actress Bernadette Birkett in 1978 – who, in a sweet twist of art imitating life, voiced Norm’s elusive wife Vera on <em>Cheers</em>. Together they raised five children: Hilary, Joe, Daniel, Joshua and Andrew.</p> <p>Wendt came from a large, close-knit family, with six sisters and a nephew who would go on to become a comedic star in his own right – <em>Ted Lasso</em> actor Jason Sudeikis.</p> <p><em>Images: CBS</em></p>

Caring

Placeholder Content Image

Seven things to eat or avoid to lower your blood pressure

<div class="theconversation-article-body"> <p>High blood pressure is called the <em>silent killer</em>. That’s because it has <a href="http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/SymptomsDiagnosisMonitoringofHighBloodPressure/What-are-the-Symptoms-of-High-Blood-Pressure_UCM_301871_Article.jsp#.V7OWWI9OI2w">no symptoms</a>. Having high blood pressure (hypertension) increases your risk of heart disease, stroke, heart failure and kidney disease.</p> <p>Six million Australian adults (34%) have high blood pressure – 140/90 millimetres of mercury (mmHg) or more – or take medications for it. Of those, <a href="https://heartfoundation.org.au/images/uploads/publications/PRO-167_Hypertension-guideline-2016_WEB.pdf">four million have high blood pressure that isn’t treated or under control</a>.</p> <p>No wonder heart disease and stroke directly cost the Australian economy <a href="http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=60129546379">A$7.7 billion a year</a>.</p> <p>There is some good news. High blood pressure can be treated or prevented. Eating oats, fruit and vegetables – and beetroot, in particular – helps. So does avoiding salt, liquorice, caffeine and alcohol.</p> <p>Optimal blood pressure is <a href="https://theconversation.com/blood-pressure-targets-what-does-the-new-guideline-say-and-how-low-should-you-go-62684">120 mmHg or less</a> over 80 mmHg or less. Lowering it by 1-2 mmHg can have a big impact on reducing your risk of heart disease and stroke, and the nation’s health care costs.</p> <h2>What to eat to lower your blood pressure</h2> <p><strong>Rolled oats</strong></p> <p>A <a href="http://www.ncbi.nlm.nih.gov/pubmed/25668347">review with five research trials included</a> tested the impact of oats on systolic blood pressure (the first blood pressure number, which is the pressure at which the heart pumps blood) and diastolic blood pressure (the second number, which is when the heart relaxes) in about 400 healthy adults.</p> <p>The researchers found that systolic blood pressure was 2.7  mmHg lower and diastolic blood pressure was 1.5 mmHg lower when participants ate around 60 grams of rolled oats (a packed half-cup raw oats) or 25 grams of oat bran per day.</p> <p>This quantity of oats or oat bran contains around four grams of a type of fibre called <a href="http://www.healthline.com/health/beta-glucan-heart-healthy">beta-glucan</a>.</p> <p>For each extra one gram of total daily fibre, there was an extra 0.11 mmHg reduction in diastolic blood pressure.</p> <figure class="align-right "><figcaption></figcaption></figure> <p>Recommended <a href="https://www.nrv.gov.au/nutrients/dietary-fibre">minimum daily adult fibre intakes</a> are 30 grams for men and 25 grams for women.</p> <p>While some of fibre’s effect is due to weight loss, soluble fibres produce bioactive products when they’re fermented in the large bowel. These work directly to lower blood pressure.</p> <p>To improve your blood pressure, eat rolled oats or oat bran for breakfast, add to meat patties, or mix with breadcrumbs in recipes that call for crumbing.</p> <p><strong>Beetroot</strong></p> <p>Beetroot is extremely rich in a compound called inorganic nitrate. During digestion, this gets converted into nitric oxide, which causes arteries to dilate. This directly lowers the pressure in them.</p> <p>A <a href="http://www.ncbi.nlm.nih.gov/pubmed/23596162">review of 16 trials</a> of mostly healthy young men found drinking beetroot juice was associated with a 4.4 mmHg reduction in systolic blood pressure. But it found no change in diastolic blood pressure.</p> <p>However a recent <a href="http://www.ncbi.nlm.nih.gov/pubmed/25421976">trial in 68 adults</a> who already had high blood pressure found beetroot juice reduced systolic and diastolic blood pressure.</p> <figure class="align-right "><figcaption></figcaption></figure> <p>The men were randomly assigned to drink 250ml (one cup) of beetroot juice daily for four weeks or a non-active placebo.</p> <p>Blood pressure in the men who drank the beetroot juice reduced over 24 hours, with systolic blood pressure 7.7 mmHg lower and diastolic blood pressure 5.2 mmHg lower.</p> <p>Try wrapping whole fresh beetroot in foil and baking in the oven until soft, or grate beetroot and stir-fry with red onion and curry paste and eat as a relish.</p> <p><strong>Vitamin C</strong></p> <p>Vitamin C, or <a href="https://en.wikipedia.org/wiki/Vitamin_C">ascorbic acid</a>, is found in fresh vegetables and fruit. An average serve contains 10-40mg of vitamin C.</p> <p>In a review of 29 short-term <a href="http://www.ncbi.nlm.nih.gov/pubmed/22492364">trials of vitamin C supplements</a>, people were given 500 mg of vitamin C per day for about eight weeks.</p> <p>Blood pressure significantly improved, with an average reduction in systolic blood pressure of 3.84 mmHg and 1.48 mmHg for diastolic blood pressure.</p> <figure class="align-right "><figcaption></figcaption></figure> <p>When only those with existing high blood pressure were considered, the drop in systolic blood pressure was 4.85 mmHg.</p> <p>However, those <a href="http://www.ncbi.nlm.nih.gov/pubmed/26463139">at risk of kidney stones</a> need to be cautious about taking vitamin C supplements. Excess vitamin C is excreted via the kidneys and can contribute to the formation of kidney stones.</p> <p>One advantage of getting more vitamin C from eating more vegetables and fruit is that you boost your potassium intake, which helps <a href="http://www.bloodpressureuk.org/microsites/salt/Home/Whypotassiumhelps">counter the effects of sodium</a> from salt.</p> <h2>What to avoid to lower your blood pressure</h2> <p><strong>Salt</strong></p> <p>Salt or <a href="https://en.wikipedia.org/wiki/Salt">sodium chloride</a> has been used to preserve foods and as a flavour enhancer for centuries.</p> <p>High salt intakes are <a href="http://www.bmj.com/content/312/7041/1249?ijkey=cd4b7840cc559055a2997d90100361217218f6e8&keytype2=tf_ipsecsha">associated with higher blood pressure</a>.</p> <figure class="align-right "><figcaption></figcaption></figure> <p>Adults <a href="https://www.nrv.gov.au/nutrients/sodium">need between 1.2 to 2.4g of salt each day</a> (one-quarter to a half teaspoon), which is equivalent to 460 to 920mg of sodium.</p> <p>But in Australia seven out of ten men and three in ten women eat way more than that – and much more than the upper recommended limit of 5.9 grams of salt (about one teaspoon) or <a href="http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/4364.0.55.008%7E2011-12%7EMain%20Features%7ESodium%7E403">2,300 mg of sodium per day</a>.</p> <p>If you add salt to food yourself this pushes your sodium intake even higher.</p> <p>A <a href="http://www.ncbi.nlm.nih.gov/pubmed/23558162">review of studies</a> involving 3,230 people showed that reducing salt intakes by 4.4 grams a day could reduce systolic blood pressure by about 4.2 mmHg and diastolic by 2.1 mmHg.</p> <p>In those who had high blood pressure there were even bigger reductions of 5.4 mmHg (systolic) and 2.8 mmHg (diastolic).</p> <p>Avoid foods high in sodium. Don’t add salt and try to choose lower-salt versions of processed foods.</p> <p><strong>Alcohol</strong></p> <p>Consuming one or more alcoholic drink a day is <a href="http://www.ncbi.nlm.nih.gov/pubmed/15752957">associated with systolic blood pressure</a> that is about 2.7 mmHg and diastolic blood pressure 1.4 mmHg higher than non-drinkers.</p> <p>Interestingly, when you first drink an alcoholic beverage, blood pressure goes down, only to rise later.</p> <figure class="align-right "><figcaption></figcaption></figure> <p>A rise in blood pressure after drinking alcohol is <a href="http://www.ncbi.nlm.nih.gov/pubmed/26123682">more likely to happen when you’re awake</a>, rather during sleep.</p> <p>The bad news is that larger amounts of alcohol increase your risk of high blood pressure, <a href="http://www.ncbi.nlm.nih.gov/pubmed/23126352">especially in men</a>, but also to a lesser extent <a href="http://www.ncbi.nlm.nih.gov/pubmed/19804464">in women</a>.</p> <p><strong>Liquorice</strong></p> <p>High blood pressure due to eating black liquorice is rare, but <a href="http://www.ncbi.nlm.nih.gov/pubmed/26380428">case reports have occurred</a>.</p> <p>Most liquorice candy sold currently contains very little true liquorice root and therefore, little <a href="https://en.wikipedia.org/wiki/Glycyrrhizin">glycyrrhizic acid</a> (GZA), the active ingredient.</p> <figure class="align-right "><figcaption></figcaption></figure> <p>Occasionally, liquorice candy does contain GZA in large amounts. <a href="http://www.ncbi.nlm.nih.gov/pubmed/10944880">GZA causes sodium retention and potassium loss</a>, which contributes to high blood pressure.</p> <p>So check liquorice food labels. Take care <em>if</em> it contains liquorice root.</p> <p><strong>Caffeine</strong></p> <p>Caffeine is most commonly consumed in coffee, tea, cola and energy drinks.</p> <p>High intakes of caffeine from coffee <a href="http://www.ncbi.nlm.nih.gov/pubmed/21880846">increase blood pressure</a> in the short term.</p> <figure class="align-right "><figcaption></figcaption></figure> <p>In a <a href="https://www.ncbi.nlm.nih.gov/pubmed/21880846">review of five trials</a>, people given one to two cups of strong coffee had an increase in their systolic blood pressure of 8.1 mmHg and 5.7 mmHg for diastolic blood pressure, up to about three hours after drinking it.</p> <p>But three studies that lasted two weeks found drinking coffee did not increase blood pressure compared with decaffeinated coffee or avoiding caffeine. So you need to monitor your individual response to caffeine.<!-- 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/63940/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/clare-collins-7316">Clare Collins</a>, Professor in Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>; <a href="https://theconversation.com/profiles/tracy-burrows-172931">Tracy Burrows</a>, Senior Lecturer Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>, and <a href="https://theconversation.com/profiles/tracy-schumacher-295602">Tracy Schumacher</a>, Research Associate, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</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/seven-things-to-eat-or-avoid-to-lower-your-blood-pressure-63940">original article</a>.</em></p> <p><em>Image: St Mary's Healthcare System</em></p> </div>

Caring

Placeholder Content Image

New Aussie film starring Nicolas Cage is an absolute blast

<div class="theconversation-article-body">Nicolas Cage has made a career from his highly entertaining scenery chewing. He follows a performance style he calls “<a href="https://filmschoolrejects.com/nouveau-shamanic-the-enigmatic-style-of-nicolas-cage/">Nouveau Shamanic</a>” – an exaggerated form of method acting where he acts according to the character’s impulses. This allows for the wild, unpredictable outbursts his characters are known for.</p> <p>Cage films are also usually about masculinity: its worst excesses, the parameters restricting it, and what ennobling versions of it might look like.</p> <p>The Surfer, a new Australian feature film from Irish director Lorcan Finnegan, leans right into masculinity as a theme.</p> <p>Our unnamed protagonist (Cage) is returning to his former Australian home from the United States. He is newly divorced, and trying to buy a beachside property to win back his family.</p> <p>He takes his teenage son (Finn Little) for a surf near the property, but they are run off by an unfriendly pack of locals.</p> <figure><iframe src="https://www.youtube.com/embed/Tb6iY_p1Qi0?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Returning alone to the beachside car park to make some calls, he is besieged there over the next several days by the same gang. They are led by a terrifying middle-aged Andrew Tate-esque influencer, Scally (Julian McMahon), who runs the beach like a combination of a frat bro party and wellness retreat.</p> <p>The protagonist’s fast descent into dishevelled, dehydrated delirium as the group’s hazing escalates, fuels much of the first two acts.</p> <h2>Fish out of water</h2> <p>It is impossible to think of an actor other than Cage who could make a character like this so enjoyable to watch.</p> <p>From the first moments, he seems pathetic: giving his uninterested teenage son metaphorical speeches about surfing, losing arguments on the phone with his broker and real estate agent, reeking of pomposity and desperation.</p> <p>The sense of a man out of his depth is compounded by his Americanness contrasting with the particular brand of Australian masculinity the locals display. Both types are brash and entitled, but with entirely different ways of expressing it.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/668067/original/file-20250515-74-v46zis.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/668067/original/file-20250515-74-v46zis.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/668067/original/file-20250515-74-v46zis.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/668067/original/file-20250515-74-v46zis.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/668067/original/file-20250515-74-v46zis.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/668067/original/file-20250515-74-v46zis.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/668067/original/file-20250515-74-v46zis.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/668067/original/file-20250515-74-v46zis.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="Cage is in the face of another surfer, wearing a Santa hat." /></a><figcaption><span class="caption">This is a man out of his depth.</span> <span class="attribution"><span class="source">Madman Entertainment</span></span></figcaption></figure> <p>Cage’s distinctively American confidence has no resistance to the terrifying switches of Australian masculinity from friendly to teasing to violent.</p> <p>“Don’t live here, don’t surf here,” they hiss at him on first meeting, forcing him to retreat, cowed, to the car park, where he remains for most of the rest of the film.</p> <h2>The wide-open and the claustrophobic</h2> <p>What a stroke of genius it is to use this single location.</p> <p>Filmed in Yallingup, Western Australia, The Surfer beautifully captures the natural surroundings, stunning views and shimmering heat of Australian coastal summer.</p> <p>At the same time, a confined, interstitial semi-urban feature like a beachside car park feels so bleak and uninviting. The only amenities are an overpriced coffee cart, ancient payphone and a dingy toilet block.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/668068/original/file-20250515-68-lj0ags.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/668068/original/file-20250515-68-lj0ags.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/668068/original/file-20250515-68-lj0ags.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/668068/original/file-20250515-68-lj0ags.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/668068/original/file-20250515-68-lj0ags.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/668068/original/file-20250515-68-lj0ags.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/668068/original/file-20250515-68-lj0ags.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/668068/original/file-20250515-68-lj0ags.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=3 2262w" alt="Cage stands next to a phone booth." /></a><figcaption><span class="caption">The beachside car park feels so bleak and uninviting.</span> <span class="attribution"><span class="source">Madman Entertainment</span></span></figcaption></figure> <p>As a film setting, it is both a spectacular wide-open vista and stiflingly claustrophobic – a perfect mechanism for The Surfer’s psychological horror.</p> <p>It must have been attractive in getting the script funded as well. With such an affordable location, more of the budget would have been freed up for a big name like Cage.</p> <h2>A modern Wake in Fright</h2> <p>With its oppressive setting, overexposed orange and yellow light and grade, and a sweaty spiral into madness, The Surfer invites comparisons to <a href="https://theconversation.com/thats-not-us-wake-in-fright-at-50-a-portrait-of-an-ugly-australia-that-became-a-cinema-classic-159221">Wake in Fright</a>, Ted Kotcheff’s 1971 brutal depiction of Australian men and their drinking culture.</p> <p>Both take place at Christmas and feature an antagonist who enjoys confidently explaining their dubious moral worldview to everyone. However, Wake in Fright’s horror lingers because we know the culture remains even after the hero escapes it. The Surfer struggles a little more in landing the ending.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/668069/original/file-20250515-56-ea6rb1.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/668069/original/file-20250515-56-ea6rb1.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/668069/original/file-20250515-56-ea6rb1.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/668069/original/file-20250515-56-ea6rb1.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/668069/original/file-20250515-56-ea6rb1.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=338&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/668069/original/file-20250515-56-ea6rb1.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/668069/original/file-20250515-56-ea6rb1.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/668069/original/file-20250515-56-ea6rb1.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=3 2262w" alt="Men in a sweaty hug: perhaps they are cheering, or maybe they are yelling." /></a><figcaption><span class="caption">The film’s depiction of masculinity echoes Wake In Fright.</span> <span class="attribution"><span class="source">Madman Entertainment</span></span></figcaption></figure> <p>For the mean, violent, misogynistic villains to be defeated, it would be unsatisfying for Cage to stoop to their level. This means – without spoiling too much – Cage remains an oddly passive character throughout the film, while others perform the avenging actions.</p> <p>The only way the protagonist’s masculinity can be resurrected as upright, ethical and empowering is for the character to literally turn his back on the vengeance we’ve been waiting for him to deliver.</p> <p>It’s not that the film has an inarticulate grasp of its own politics, but more that the otherwise terrific script by Thomas Martin feels written into a difficult corner.</p> <h2>A blast along the way</h2> <p>I don’t want to imply that this ending means The Surfer isn’t an absolute blast along the way. A lot of the fun is in anticipating each dreadful humiliation – and it somehow turning out worse than you could have expected.</p> <p>A spilled coffee leads to drinking recycled wastewater which leads to chewing on a dead rat, and we still haven’t reached the lowest rung on the ladder of indignities that Cage’s character suffers.</p> <p>In less skilled hands this could feel nasty or gross, but the hallucinatory quality of Finnegan’s direction makes it feel almost sublime. And Cage’s pleading, groaning, sobbing and gibbering feel believable and relatable.</p> <p>The pathos works – and it’s pretty funny too.</p> <p><em>The Surfer is in cinemas now and streaming on Stan from June 15.<!-- 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/254580/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 --></em></p> <p><em><a href="https://theconversation.com/profiles/grace-russell-1459623">Grace Russell</a>, Lecturer, School of Media, Film and Journalism, <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/dishevelled-dehydrated-delirium-new-aussie-film-the-surfer-starring-nicolas-cage-is-an-absolute-blast-254580">original article</a>.</em></p> <p><em>Main Image: Madman Entertainment</em></p> </div>

Movies

Placeholder Content Image

Why do some people get a curved back as they age and what can we do to avoid it?

<div class="theconversation-article-body"> <p>As we age, it’s common to notice posture changes: shoulders rounding, head leaning forward, back starting to curve. You might associate this with older adults and wonder: will this happen to me? Can I prevent it?</p> <p>It’s sometimes called “hunchback” or “roundback”, but the medical term for a curved back is kyphosis.</p> <p>When the curve is beyond what’s considered normal (greater than 40 degrees), we refer to this as hyperkyphosis. In more <a href="https://www.jospt.org/doi/10.2519/jospt.2010.3099#_i12:%7E:text=gold%2Dstandard%20radiograph.-,Clinical%20Consequences%20of%20Hyperkyphosis,-Functional%20Limitations">severe cases</a>, it may lead to pain, reduced mobility and physical function, or lower quality of life.</p> <p>Here’s how it happens, and how to reduce your risk.</p> <h2>What causes a curved back?</h2> <p>A healthy spine has an elongated s-shape, so a curve in the upper spine is completely normal.</p> <p>But when that curve becomes exaggerated and fixed (meaning you can’t stand up straight even if you try), it can signal a problem.</p> <p>One common cause of a curved back is poor posture. This type, called postural kyphosis, usually develops over time due to muscle imbalances, particularly in younger people who spend hours:</p> <ul> <li>hunched over a desk</li> <li>slouched in a chair, or</li> <li>looking down at a phone.</li> </ul> <p>Fortunately, this kind of curved back is often reversible with the right exercises, stretches and posture awareness.</p> <p>Older adults often develop a curved back, known as age-related kyphosis or hyperkyphosis.</p> <p>This is usually due to wear and tear in the spine, including vertebral compression fractures, which are tiny cracks in the bones of the spine (vertebrae).</p> <p>These cracks are most often caused by osteoporosis, a condition that makes bones more fragile with age.</p> <p>In these cases, it’s not just bad posture – it’s a structural change in the spine.</p> <h2>How can you tell the difference?</h2> <p>Signs of age-related hyperkyphosis include:</p> <ul> <li>your back curves even when you try to stand up straight</li> <li>back pain or stiffness</li> <li>a loss of height (anything greater than 3-4 centimetres compared to your peak adult height may be considered outside of “normal” ageing).</li> </ul> <p>Other causes of a curved back include:</p> <ul> <li><a href="https://pubmed.ncbi.nlm.nih.gov/30407981/">Scheuermann’s kyphosis</a> (which often develops during adolescence when the bones in the spine grow unevenly, leading to a forward curve in the upper back)</li> <li><a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC4347150/">congenital kyphosis</a> (a rare condition present from birth, caused by improper formation of the spinal bones. It can result in a more severe, fixed curve that worsens as a child grows)</li> <li>scoliosis (where the spine curves sideways into a c- or s-shape when viewed from behind), and</li> <li>lordosis (an excessive inward curve in the lower back, when viewed from the side).</li> </ul> <p>In addition to these structural conditions, arthritis, and in rare cases, spinal injuries or infections, can also play a role.</p> <h2>Should I see a doctor about my curved back?</h2> <p>Yes, especially if you’ve noticed a curve developing, have ongoing back pain, or have lost height over time.</p> <p>These can be signs of vertebral fractures, which can occur in the absence of an obvious injury, and are often painless.</p> <p>While one in five older adults have a vertebral fracture, as many as two-thirds of these fractures are <a href="https://www.sciencedirect.com/science/article/abs/pii/S0002934315010128?casa_token=DzXngmS6GIoAAAAA:3ub0V4PuHbKjrqO9xYDo8vx2m9k6tbOtmz4yIVzkQvH-VylhgO_KnKaTYDLXpiHc9_4Jz0iNdQ">not diagnosed and treated</a>.</p> <p>In Australia, the Royal Australian College of General Practitioners and Healthy Bones Australia <a href="https://healthybonesaustralia.org.au/wp-content/uploads/2022/12/oa-racgp-osteoporosis-clinical-guidelines-2nd-ed.pdf">recommend</a> a spine x-ray for:</p> <ul> <li>people with kyphosis</li> <li>height loss equal to or more than 3 centimetres, or</li> <li>unexplained back pain.</li> </ul> <h2>What can I do to reduce my risk?</h2> <p>If you’re young or middle-aged, the habits you build today matter.</p> <p>The best way to prevent a curved back is to keep your bones strong, muscles active, and posture in check. That means:</p> <ul> <li>doing regular resistance training, especially targeting upper back muscles</li> <li>staying physically active, aiming for at least <a href="https://www.who.int/initiatives/behealthy/physical-activity">150 minutes per week</a></li> <li>getting enough protein, calcium, and vitamin D to support bone and muscle health</li> <li>avoiding smoking and limiting alcohol to reduce risk factors that worsen bone density and overall wellbeing</li> </ul> <p>Pay attention to your posture while sitting and standing. Position your head over your shoulders and shoulders over your hips. This reduces strain on your spine.</p> <h2>What exercises help prevent and manage a curved back?</h2> <p>Focus on <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC5112023/">exercises that strengthen the muscles</a> that support an upright posture, particularly the upper back and core, while improving mobility in the chest and shoulders.</p> <p>In general, you want to prioritise extension-based movements. These involve straightening or lifting the spine and pulling the shoulders back.</p> <p>Repeated forward-bending (or flexion) movements may make things worse, especially in people with osteoporosis or spinal fractures.</p> <p>Good exercises include:</p> <ul> <li>back extensions (gently lift your chest off the floor while lying face down)</li> <li>resistance exercises targeting the muscles between your shoulder blades</li> <li>weight-bearing activities (such as brisk walking, jogging, stair climbing, or dancing) to keep bones strong and support overall fitness</li> <li>stretching your chest and hip flexors to open your posture and relieve tightness.</li> </ul> <p>Flexibility and balance training (such as yoga and pilates) can be <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3700806/">beneficial</a>, particularly for posture awareness, balance, and mobility. But <a href="https://pubmed.ncbi.nlm.nih.gov/31034509/">research</a> increasingly supports muscle strengthening as the cornerstone of prevention and management.</p> <p>Muscle strengthening exercises, such as weight lifting or resistance training, reduces spinal curvature while enhancing muscle and bone mass.</p> <p>If you suspect you have kyphosis or already have osteoporosis or a vertebral fracture, consult a health professional before starting an exercise program. There may be some activities to avoid.</p> <h2>Can a curved back be reversed?</h2> <p>If it’s caused by poor posture and muscle weakness, then yes, it’s possible.</p> <p>But if it’s caused by bone changes, especially vertebral fractures, then full reversal is unlikely. However, treatment can reduce pain, improve function, and slow further progression.</p> <p>Protecting your posture isn’t just about appearance. It’s about staying strong, mobile and independent as you age.<!-- 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/252811/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/jakub-mesinovic-2351870">Jakub Mesinovic</a>, Research Fellow at the Institute for Physical Activity and Nutrition, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> and <a href="https://theconversation.com/profiles/david-scott-1258511">David Scott</a>, Associate Professor (Research) and NHMRC Emerging Leadership Fellow, <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/why-do-some-people-get-a-curved-back-as-they-age-and-what-can-i-do-to-avoid-it-252811">original article</a>.</em></p> <p><em>Image: Life Care Home Health</em></p> </div>

Body

Placeholder Content Image

What is a blood cholesterol ratio? And what should yours be?

<div class="theconversation-article-body"> <p>Have you had a blood test to check your cholesterol level? These check the different blood fat components:</p> <ul> <li>total cholesterol</li> <li>LDL (low-density lipoprotein), which is sometimes called “bad cholesterol”</li> <li>HDL (high-density lipoprotein), which is sometimes called “good cholesterol”</li> <li>triglycerides.</li> </ul> <p>Your clinician then compares your test results to normal ranges – and may use ratios to compare different types of cholesterol.</p> <p><iframe id="8KC9s" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/8KC9s/6/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <p>High blood cholesterol is a major risk factor for cardiovascular disease. This is a broad term that includes disease of blood vessels throughout the body, arteries in the heart (known as coronary heart disease), heart failure, heart valve conditions, arrhythmia and stroke.</p> <p>So what does cholesterol do? And what does it mean to have a healthy cholesterol ratio?</p> <h2>What are blood fats?</h2> <p>Cholesterol is a waxy type of fat made in the liver and gut, with a small amount of pre-formed cholesterol coming from food.</p> <p>Cholesterol is found in all cell membranes, contributing to their structure and function. Your body <a href="https://www.ncbi.nlm.nih.gov/books/NBK513326/">uses cholesterol to make</a> vitamin D, bile acid, and hormones, including oestrogen, testosterone, cortisol and aldosterone.</p> <p>When there is too much cholesterol in your blood, it gets deposited into artery walls, making them hard and narrow. This process is called <a href="https://en.wikipedia.org/wiki/Atherosclerosis">atherosclerosis</a>.</p> <p>Cholesterol is <a href="https://www.ncbi.nlm.nih.gov/books/NBK513326/">packaged with</a> <a href="https://en.wikipedia.org/wiki/Triglyceride">triglycerides</a> (the most common type of fat in the body) and specific <a href="https://en.wikipedia.org/wiki/Apolipoprotein">“apo” proteins</a> into “lipo-proteins” as a package called “very-low-density” lipoproteins (VLDLs).</p> <p>These are transported via the blood to body tissue in a form called low-density lipoprotein (LDL) cholesterol.</p> <p>Excess cholesterol can be transported back to the liver by high-density lipoprotein, the HDL, for removal from circulation.</p> <p>Another less talked about blood fat is Lipoprotein-a, or Lp(a). This is determined by your genetics and <a href="https://www.victorchang.edu.au/heart-disease/high-cholesterol">not influenced by lifestyle factors</a>. About one in five (<a href="https://www1.racgp.org.au/ajgp/2021/may/lipid-management-and-implications-for-australian-g">20%</a>) of Australians are carriers.</p> <p>Having a high Lp(a) level is an independent cardiovascular disease risk factor.</p> <h2>Knowing your numbers</h2> <p>Your blood fat levels <a href="https://www.heartfoundation.org.au/your-heart/high-blood-cholesterol">are affected by</a> both modifiable factors:</p> <ul> <li>dietary intake</li> <li>physical activity</li> <li>alcohol</li> <li>smoking</li> <li>weight status.</li> </ul> <p>And non-modifiable factors:</p> <ul> <li>age</li> <li>sex</li> <li>family history.</li> </ul> <p><iframe id="S7Xp4" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/S7Xp4/1/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <h2>What are cholesterol ratios?</h2> <p>Cholesterol ratios are sometimes used to provide more detail on the balance between different types of blood fats and to evaluate risk of developing heart disease.</p> <p>Commonly used ratios include:</p> <h2>1. Total cholesterol to HDL ratio</h2> <p>This ratio is used in Australia to <a href="https://www.cvdcheck.org.au/calculator">assess risk of heart disease</a>. It’s calculated by dividing your total cholesterol number by your HDL (good) cholesterol number.</p> <p>A higher ratio (<a href="https://www.medicalnewstoday.com/articles/cholesterol-ratio-calculator#how-to-calculate">greater than 5</a>) is associated with a higher risk of heart disease, whereas a lower ratio is associated with a lower risk of heart disease.</p> <p>A <a href="https://pubmed.ncbi.nlm.nih.gov/36589799/">study</a> of 32,000 Americans over eight years found adults who had either very high, or very low, total cholesterol/HDL ratios were at 26% and 18% greater risk of death from any cause during the study period.</p> <p>Those with a ratio of greater than 4.2 had a 13% higher risk of death from heart disease than those with a ratio lower than 4.2.</p> <h2>2. Non-HDL cholesterol to HDL cholesterol ratio (NHHR)</h2> <p>Non-HDL cholesterol is the total cholesterol minus HDL. Non-HDL cholesterol includes all blood fats such as LDL, triglycerides, Lp(a) and others. This ratio is abbreviated as NHHR.</p> <p>This ratio has been used more recently because it compares the ratio of “bad” blood fats that can contribute to atherosclerosis (hardening and narrowing of the arteries) to “good” or anti-atherogenic blood fats (HDL).</p> <p>Non-HDL cholesterol is a <a href="https://pubmed.ncbi.nlm.nih.gov/31170997/">stronger predictor of cardiovascular disease risk</a> than LDL alone, while <a href="https://pubmed.ncbi.nlm.nih.gov/37228232/">HDL is associated with</a> lower cardiovascular disease risk.</p> <p>Because this ratio removes the “good” cholesterol from the non-HDL part of the ratio, it is not penalising those people who have really high amounts of “good” HDL that make up their total cholesterol, which the first ratio does.</p> <p>Research has suggested this ratio may be a stronger <a href="https://pubmed.ncbi.nlm.nih.gov/39949279/">predictor of atherosclerosis in women than men</a>, however more research is needed.</p> <p>Another <a href="https://pubmed.ncbi.nlm.nih.gov/39415313">study</a> followed more than 10,000 adults with type 2 diabetes from the United States and Canada for about five years. The researchers found that for each unit increase in the ratio, there was around a 12% increased risk of having a heart attack, stroke or death.</p> <p>They identified a risk threshold of 6.28 or above, after adjusting for other risk factors. Anyone with a ratio greater than this is at very high risk and would require management to lower their risk of heart disease.</p> <h2>3. LDL-to-HDL cholesterol ratio</h2> <p>LDL/HDL is calculated by dividing your LDL cholesterol number by the HDL number. This gives a ratio of “bad” to “good” cholesterol.</p> <p>A lower ratio (<a href="https://www.medicalnewstoday.com/articles/cholesterol-ratio-calculator#how-to-calculate">ideal is less than 2.0</a>) is associated with a lower risk of heart disease.</p> <p>While there is lesser focus on LDL/HDL, these ratios have been shown to be predictors of occurrence and <a href="https://pubmed.ncbi.nlm.nih.gov/35843962/">severity of heart attacks</a> in patients presenting with chest pain.</p> <p>If you’re worried about your cholesterol levels or cardiovascular disease risk factors and are aged 45 and over (or over 30 for First Nations people), consider seeing your GP for a Medicare-rebated <a href="https://www.heartfoundation.org.au/your-heart/heart-health-checks">Heart Health Check</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/253126/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/clare-collins-7316">Clare Collins</a>, Laureate Professor in Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a> and <a href="https://theconversation.com/profiles/erin-clarke-1314081">Erin Clarke</a>, Postdoctoral Researcher, Nutrition and Dietetics, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</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/what-is-a-blood-cholesterol-ratio-and-what-should-yours-be-253126">original article</a>.</em></p> <p><em>Image: Everlabs</em></p> </div>

Caring

Placeholder Content Image

It’s almost winter. Why is Australia still so hot?

<div class="theconversation-article-body"> <p>This year, for many Australians, it feels like summer never left. The sunny days and warm nights have continued well into autumn. Even now, in May, it’s still unusually warm.</p> <p>Much of the southern half of the continent is experiencing both unseasonable warmth and dry conditions. This is linked to persistent high atmospheric pressure (called “blocking”) to the south and southeast of Australia.</p> <p>While temperatures will fall across southern Australia as we approach the winter solstice, early indications are that this winter will be a warm one. Rainfall predictions are less certain.</p> <p>The extra warmth we’ve experienced raises obvious questions about the influence of human-caused climate change. The warming signal is clear and it’s a sign of things to come.</p> <h2>A warm and dry autumn for many</h2> <p><a href="http://www.bom.gov.au/jsp/awap/temp/index.jsp?colour=colour&amp;time=latest&amp;step=1&amp;map=meananom&amp;period=month&amp;area=nat">March</a> and <a href="http://www.bom.gov.au/jsp/awap/temp/index.jsp?colour=colour&amp;time=latest&amp;step=0&amp;map=meananom&amp;period=month&amp;area=nat">April</a> brought unseasonal heat to much of Australia.</p> <p>March was widely hot, with temperatures several degrees above normal across much of the country. But April’s heat was largely restricted to the southeast.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/666591/original/file-20250507-68-vjvcb5.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/666591/original/file-20250507-68-vjvcb5.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/666591/original/file-20250507-68-vjvcb5.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/666591/original/file-20250507-68-vjvcb5.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/666591/original/file-20250507-68-vjvcb5.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/666591/original/file-20250507-68-vjvcb5.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/666591/original/file-20250507-68-vjvcb5.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/666591/original/file-20250507-68-vjvcb5.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=3 2262w" alt="Graph of rising Australian-average temperatures in March from 1900-2025" /></a><figcaption><span class="caption">Australia had its hottest March on record and the heat has continued, especially in Victoria and parts of New South Wales.</span> <span class="attribution"><a class="source" href="http://www.bom.gov.au/cgi-bin/climate/change/timeseries.cgi?graph=tmean&amp;area=aus&amp;season=03&amp;ave_yr=0&amp;ave_period=6190">Bureau of Meteorology</a></span></figcaption></figure> <p>Victoria had its <a href="http://www.bom.gov.au/cgi-bin/climate/change/timeseries.cgi?graph=tmean&amp;area=vic&amp;season=04&amp;ave_yr=0&amp;ave_period=6190">warmest April</a> on record, and parts of the state experienced temperatures more than 3°C above normal across both March and April.</p> <p>Temperatures normally fall quite quickly over the southeast of Australia during April and May as the days shorten and the continent’s interior cools. But this year, southern Australia was unusually warm at the start of May. Some locations experienced days with maximum temperatures more than 10°C above normal for the time of year.</p> <p>Records were broken in <a href="https://www.skynews.com.au/australia-news/weather/hobart-parts-of-melbourne-sweat-through-hottest-may-night-on-record-as-warm-windy-weather-sweeps-across-australias-southeast/news-story/8b1c76fc40c7a84842a5aaf6a57eb038">Hobart</a> and <a href="https://7news.com.au/news/jane-bunn-weather-tuesdays-balmy-morning-in-melbourne-was-just-shy-of-all-time-record-c-18600201">parts of Melbourne</a>, which had their warmest May nights since observations began.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/666592/original/file-20250507-62-nf86bk.gif?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/666592/original/file-20250507-62-nf86bk.gif?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/666592/original/file-20250507-62-nf86bk.gif?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=412&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/666592/original/file-20250507-62-nf86bk.gif?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=412&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/666592/original/file-20250507-62-nf86bk.gif?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=412&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/666592/original/file-20250507-62-nf86bk.gif?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=518&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/666592/original/file-20250507-62-nf86bk.gif?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=518&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/666592/original/file-20250507-62-nf86bk.gif?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=518&amp;fit=crop&amp;dpr=3 2262w" alt="GIF of Australian daily maximum temperature anomalies for 1st to 6th May" /></a><figcaption><span class="caption">The start of May saw daytime maximum temperatures across much of Australia well above average for the time of year.</span> <span class="attribution"><a class="source" href="http://www.bom.gov.au/jsp/awap/temp/index.jsp?colour=colour&amp;time=history%2Fnat%2F2025050520250505&amp;step=0&amp;map=maxanom&amp;period=daily&amp;area=nat">Bureau of Meteorology</a></span></figcaption></figure> <p>While Queensland and the New South Wales coast have had very wet spells, including downpours from Tropical Cyclone Alfred at the start of March, other parts of Australia have been quite dry.</p> <p>The area between Adelaide and Melbourne has been exceptionally dry. <a href="http://www.bom.gov.au/climate/maps/rainfall/?variable=rainfall&amp;map=drought&amp;period=3month&amp;region=nat&amp;year=2025&amp;month=04&amp;day=30">A drought is unfolding</a> in the region after a <a href="http://www.bom.gov.au/climate/maps/rainfall/?variable=rainfall&amp;map=drought&amp;period=12month&amp;region=nat&amp;year=2025&amp;month=04&amp;day=30">severe lack of rainfall</a>, with deficits stretching back over the past year or so. Western Tasmania is also suffering from a severe lack of rainfall since the start of autumn, although welcome rain fell in the past week.</p> <p>And it’s not just on land that unusual heat has been observed. The seas around Australia have been warmer than normal, causing severe coral bleaching to <a href="https://theconversation.com/synchronised-bleaching-ningaloo-and-the-great-barrier-reef-are-bleaching-in-unison-for-the-first-time-252906">the west and east</a> of the continent, <a href="https://www.epa.sa.gov.au/environmental_info/water_quality/harmful-algal-blooms">harmful algal blooms</a> and other ecosystem disruptions.</p> <h2>Blocking highs largely to blame</h2> <p>A high pressure system has dominated over the south and southeast of Australia over the past few months.</p> <p>High pressure in the Tasman Sea can sometimes get stuck there for a few days. This leads to what’s known as “blocking”, when the usual passage of weather systems moving from west to east is obstructed. This can lock in weather patterns for several days or even a week.</p> <p>Repeated blocking occurred this autumn. As winds move anticlockwise around high pressure systems in the Southern Hemisphere, blocking highs in the Tasman Sea can bring moist, onshore winds to the New South Wales and Queensland coasts, increasing rainfall. But such high pressure systems also bring drier conditions for the interior of the southeast and much of Victoria and South Australia.</p> <p>Often, these high pressure systems also bring northerly winds to Victoria, and this can cause warmer conditions across much of the state.</p> <p>High pressure systems also tend to bring more clear and sunny conditions, which increases daytime temperatures in particular. Air in high pressure systems moves down towards the surface and this process causes warming, too.</p> <p>Australia sits between the Pacific and Indian Oceans and is subject to their variability, so we often look there to help explain what’s happening with Australia’s climate. In autumn though, our climate influences, such as the El Niño-Southern Oscillation and the Indian Ocean Dipole, are less active and have weaker relationships with Australian climate than at other times of year. Neither of these climate influences is <a href="http://www.bom.gov.au/climate/outlooks/#/overview/influences">in a strong phase</a> at the moment.</p> <h2>A warm winter on the cards</h2> <p>One big question is how long the heat will last. In parts of southeast Australia, including <a href="http://www.bom.gov.au/jsp/ncc/cdio/cvg/av?p_stn_num=086071&amp;p_prim_element_index=0&amp;p_display_type=statGraph&amp;period_of_avg=ALL&amp;normals_years=allYearOfData&amp;staticPage=">Melbourne</a>, average temperatures drop quickly at this time of year as we approach the winter solstice.</p> <p>However, the seasonal outlook from the Bureau of Meteorology points to a high likelihood of a relatively <a href="http://www.bom.gov.au/climate/outlooks/#/temperature/maximum/median/seasonal/0">warm winter</a>.</p> <p>Australians rarely escape having a winter without any significant cold spells, but the long-range forecast suggests we should anticipate above-normal temperatures on average. Both daytime maximum temperatures and nighttime minimum temperatures are expected to be above average generally this winter.</p> <figure><iframe src="https://www.youtube.com/embed/Y5NIa7X2H-s?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Climate and water long-range forecast, issued 1 May 2025 (Bureau of Meteorology)</span></figcaption></figure> <h2>Global warming is here</h2> <p>The elephant in the room is climate change. Human-caused climate change is increasing autumn temperatures and the frequency of late season heat events. As greenhouse gas emissions continue at a <a href="https://theconversation.com/global-carbon-emissions-inch-upwards-in-2024-despite-progress-on-evs-renewables-and-deforestation-243133">record pace</a>, expect continued warming and a greater chance of autumn heatwaves in future.</p> <p>The effect of climate change on rainfall is less clear though. For the vast majority of Australia, there is <a href="https://interactive-atlas.ipcc.ch/regional-information">high uncertainty</a> as to whether autumn will become wetter or drier as the world warms.<!-- 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/256071/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/andrew-king-103126">Andrew King</a>, Associate Professor in Climate Science, ARC Centre of Excellence for 21st Century Weather, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</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/its-almost-winter-why-is-australia-still-so-hot-256071">original article</a>.</em></p> <p><em>Image: Supplied</em></p> </div>

Travel Trouble

Placeholder Content Image

What is grounding and can it improve your sleep?

<div class="theconversation-article-body">Have you ever felt an unexpected sense of calm while walking barefoot on grass? Or noticed your stress begin to fade as you stood ankle deep in the ocean? If so, you may have unknowingly “grounded” yourself to the earth.</p> <p>Grounding, <a href="https://www.sciencedirect.com/science/article/pii/S2319417022001573">also known as earthing</a>, is the practice of making direct physical contact with the Earth’s surface. Our ancestors embraced this trend without knowing it. But with the invention of indoor homes, footpaths, roads, and even shoes, we have become <a href="https://onlinelibrary.wiley.com/doi/10.1155/2012/291541">less physically connected with the earth</a>.</p> <p>Grounding has been suggested to have <a href="https://www.healthline.com/health/grounding">a number of benefits</a>, such as improving mood, and reducing stress and pain. But overall, there’s limited conclusive evidence on the benefits of grounding.</p> <p>Somewhat ironically, the concept of grounding in 2025 is heavily influenced by technology, rather than getting out into nature. Consumers are being hit with social media reels promoting a range of technologies that ground us, and improve our health.</p> <p>Among the most common are promises of improved sleep with the use of a grounding sheet or mat. But is this just another TikTok trend, or could these products really help us get a better night’s sleep?</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/reel/DHne7CasELA/?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/reel/DHne7CasELA/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Grounding (@groundingofficial)</a></p> </div> </blockquote> <h2>Bringing the outdoors in</h2> <p>The <a href="https://www.sciencedirect.com/science/article/pii/S2319417022001585">human body is conductive</a>, which means it can exchange electricity with Earth and artificial sources, such as electronic devices or objects. (Sometimes, this exchange can result in an electric or <a href="https://theconversation.com/why-do-i-get-static-shocks-from-everyday-objects-is-it-my-shoes-240554">static shock</a>.)</p> <p>Proponents of grounding <a href="https://www.sciencedirect.com/science/article/pii/S1550830719305476">claim the practice reconnects</a> “the conductive human body to the Earth’s natural and subtle surface electric charge”.</p> <p>They credit this process with physiological and psychological benefits (but again, the evidence is limited).</p> <p>Grounding technologies can vary in type (for example, under-desk foot mats, mattress toppers and bed sheets) but all are designed to provide a path for electric charges to flow between your body and the earth.</p> <p>The bottom prong you see in your three-prong wall socket is a “ground” or “earth” terminal. It provides a direct connection to earth via your building’s wiring, diverting excess or unsafe voltage into the ground. This protects you and your devices from potential <a href="https://store.standards.org.au/reader/as-nzs-3112-2017?preview=1&amp;utm">electrical faults</a>.</p> <p><a href="https://www.mdpi.com/2227-9059/11/1/57">Grounding technology</a> uses this terminal as a pathway for the proposed electrical exchange between you and earth, while in the comfort of your home.</p> <h2>Could grounding improve your sleep?</h2> <p>The research in this area is still emerging.</p> <p>A <a href="https://www.sciencedirect.com/science/article/pii/S2212958825000059">2025 study</a> from Korea recruited 60 participants, gave half of them a grounding mat, and gave the other half a visually identical mat that didn’t have grounding technology. The researchers used a “double-blind” protocol, meaning neither the participants nor the researchers knew which participants were given grounding mats.</p> <p>All participants wore sleep trackers and were asked to use their mat (that is, sit or lie on it) for six hours per day. The researchers found that after 31 days, participants in the grounding mat group slept longer on average (as measured by their sleep trackers) than those in the control group.</p> <p>The researchers also used questionnaires to collect measures of insomnia, sleep quality, daytime sleepiness, and stress. After 31 days, participants in both groups improved on all measures.</p> <p>There were no differences between the grounded and ungrounded groups for sleep quality, daytime sleepiness, and stress. And while grounded participants showed significantly lower insomnia severity after the intervention, this difference was also present at the start of the study. So it’s unclear if grounding had a tangible impact on sleep.</p> <p>In another double-blind study, published in 2022, researchers in Taiwan examined the effectiveness of using grounding mats to improve sleep among patients with Alzheimer’s disease. The findings indicated that spending <a href="https://www.mdpi.com/2227-9032/10/3/581">30 minutes on a grounding mat</a> five times per week resulted in improved sleep quality.</p> <p>While previous research has suggested using grounding technologies may lead to <a href="https://pubmed.ncbi.nlm.nih.gov/25748085/">improvements in mood</a>, no differences were seen in measures of anxiety and depression in this study.</p> <h2>Grounding for gains?</h2> <p>Grounding technology has also been touted as <a href="https://www.tiktok.com/@down_to_ground/video/7310937768811597074?q=grounding%20mattress&amp;t=1742787657768">having other benefits</a>, such as reducing pain and inflammation.</p> <p>A <a href="https://doi.org/10.3389/fphys.2019.00035">2019 study</a> found participants who slept on a grounding mat after intense exercise felt less sore and showed lower levels of inflammation in their blood compared to those who were ungrounded.</p> <p>Grounding after a workout may help you feel better and recover faster, but it’s still unclear whether and how grounding affects long-term training results or fitness gains.</p> <h2>Add to cart?</h2> <p>So should you cash in on your favourite influencer’s discount code and grab a grounding mat? At the risk of spouting a common cliche of cautious scientists, our answer is that we don’t know yet.</p> <p>What we do know is the existing research, albeit emerging, has shown no evidence grounding technology can negatively affect your sleep or recovery after exercise. So if you love your grounding mat or grounding sheet, or want to see if grounding works for you, feel free to give it a go.</p> <p>Keep in mind, grounding products can retail for anywhere from around A$30 to $300 or more.</p> <p>On the other hand, grounding on the grass in the great outdoors is free. While there’s limited evidence that grounding outdoors can improve sleep, spending time in outdoor light may itself benefit <a href="https://pubmed.ncbi.nlm.nih.gov/34488088/">sleep, regulate circadian rhythms</a>, and improve mood.</p> <p>Finally, while grounding could be an interesting strategy to try, if you’re experiencing ongoing problems with your sleep, or suspect you may have a sleep disorder, the first step should be reaching out to a medical professional, such as your GP.<!-- 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/253347/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/dean-j-miller-808724">Dean J. Miller</a>, Senior Lecturer, Appleton Institute, HealthWise Research Group, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a> and <a href="https://theconversation.com/profiles/charlotte-gupta-347235">Charlotte Gupta</a>, Senior Postdoctoral Research Fellow, Appleton Institute, HealthWise Research Group, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity 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/what-is-grounding-and-could-it-improve-my-sleep-heres-the-science-behind-this-tiktok-trend-253347">original article</a>.</em></p> <p><em>Images: Instagram</em></p> </div>

Body

Placeholder Content Image

7 films to watch this Mother’s Day

<div class="theconversation-article-body"> <p>With Mother’s Day almost upon us, you may be wondering what gift you’ll give mum – or any of the mums in your life. This year, why not skip the fancy dinner and offer one of the most precious gifts there is: quality time, in front of the TV.</p> <p>When I asked seven experts what movies they’d recommend for Mother’s Day, I wasn’t expecting I, Tonya or Alien: Romulus – but their responses have made me realise just how multifaceted the experience of motherhood is, and how weirdly and wonderfully it can be reflected onscreen.</p> <p>So here’s what to watch if you want to laugh, cry, or scream, in an ode to mothers everywhere.</p> <h2>I, Tonya (2017)</h2> <p>The first film from Margot Robbie’s production company LuckyChap Entertainment – which earned Robbie an Oscar nomination for best actress – is an ideal viewing choice for anyone wanting to support Aussie female talent.</p> <p>Former American figure skater Tonya Harding became a household name in 1994, after her then-husband Jeff Gillooly <a href="https://time.com/5027311/i-tonya-movie-true-story/">orchestrated an assault</a> on her primary rival, Nancy Kerrigan, in a bid to block Kerrigan from representing the United States at that year’s Winter Olympics.</p> <p>I, Tonya presents the event, and those of Harding’s career leading up to it, from a more sympathetic perspective than usual. Although it is careful to open with the caveat that the story is derived from “irony-free, wildly contradictory, totally true interviews with Tonya Harding and Jeff Gillooly”, the film presents Harding’s life as one of abuse and cruelty at every turn.</p> <figure><iframe src="https://www.youtube.com/embed/OXZQ5DfSAAc?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>The judges can’t stand her “unfeminine” power. Her husband only shows love through violence. And her heartless mother, LaVona (Alison Janney) is desperate to cash-in on the financial gains from her career success, while simultaneously resenting it.</p> <p>Janney’s performance as LaVona won her the Academy Award for best supporting actress, a title thoroughly deserved as an ice-cold LaVona chainsmokes through barbed criticisms and physical threats. While I, Tonya may not be the most obvious choice for a film to watch on Mother’s Day, it certainly will make you appreciate yours.</p> <p><em><strong>– Jessica Gildersleeve</strong></em></p> <h2>Stepmom (1998)</h2> <p>Stepmom, starring Julia Roberts and Susan Sarandon, is a family weepy for anyone who needs a cathartic cry. Directed by Chris Columbus, the comedy–drama follows the story of terminally ill woman Jackie Harrison (Sarandon) as she comes to grips with the fact her ex-husband’s new girlfriend Isabel (Roberts) will soon be her children’s stepmother.</p> <p>The film, like others under Columbus’ direction, is a critique of domestic dysfunction (think Home Alone, Mrs Doubtfire, or Nine Months), and an exploration of the lengths characters will go in order to restore the ruptured (nuclear) family, whether literally or symbolically.</p> <figure><iframe src="https://www.youtube.com/embed/QNUu1d7i26g?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Despite its melodramatic machinery and predictable ending, Stepmom offers a nuanced portrayal of the struggles of children during separation or divorce. We see 12-year-old Anna and her little brother, Ben, an aspiring magician, caught in an emotional tug-of-war between their loyalty to their dying mother and their natural affection for their new stepmum.</p> <p>In an honest moment, an anxious Ben asks his dad, “can you ever fall out of love with your kids?”</p> <p>“No, that’s impossible,” Dad responds.</p> <p>In an equally realistic thread, the sullen Anna begrudgingly turns to Isabel for advice on boys, clothes and makeup – their relationship soon resembling one of sisters rather than adversaries (controversially, Roberts’ character even takes it upon herself to explain the concept of “snowblowing” to the tween).</p> <p>In 1998, Stepmom was ahead of its time – not in its representation of motherhood, but in its acknowledgement the nuclear family was, even back then, a thing of the past.</p> <p><strong><em>– Kate Cantrell</em></strong></p> <h2>Double Jeopardy (1999)</h2> <p>Like most thrillers made in the 1990s, Double Jeopardy begins in the Pacific Northwest region of the United States: the epicentre for murder and mist.</p> <p>Libby Parsons (Ashley Judd) is living the idyllic waterfront life with her husband Nick (Bruce Greenwood) and son Matty. After being convinced by Nick to go yachting, Libby wakes up on the boat (during what could best be described as a mist storm) to discover Nick is missing, and there is an endless path of blood from her hands to the yacht’s edge.</p> <p>Libby is tried and convicted for Nick’s murder. While grieving her son in jail, she finds out her husband is actually alive and has framed her. Libby’s cellmate tells her about the “double jeopardy” rule: you can’t be tried for the same crime twice.</p> <p>The montage of Libby preparing for revenge in jail signals an uptick in campy action. Upon her release, we’re introduced to parole officer Travis (Tommy Lee Jones). A game of cat and mouse ensues that is equal parts thrilling and ridiculous.</p> <figure><iframe src="https://www.youtube.com/embed/u22fy9OTaxo?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Ultimately, Libby must choose between vengeance and getting her son back. Will she follow the rules and wait, or will she put her relentless jail workouts to good use? Double Jeopardy is profoundly stupid and fun, with all the unexpected charm of a midday movie that pulls you in, despite not making much sense.</p> <p>It’s just the kind of movie my mum and I have found ourselves glued to on a Saturday afternoon – cheerleaders for revenge.</p> <p><strong><em>– Kathleen Williams</em></strong></p> <h2>Monster-in-Law (2005)</h2> <p>What lengths would you go to protect your son from marrying someone unsuitable? One of the first references to the roles of the mother-in-law can be traced back to <a href="https://www.google.com.au/books/edition/Representations_of_the_Mother_in_Law_in/gdxfDwAAQBAJ?hl=en&amp;gbpv=1&amp;dq=mother+in+law+latin&amp;pg=PA73&amp;printsec=frontcover">Latin literature</a>, and the comedic play Hecyra, by Roman playwright Terence, which was first <a href="https://www.litencyc.com/php/sworks.php?rec=true&amp;UID=13480">successfully performed</a> in 160 BC. The play’s comedic twist is that the mother-in-law is accused of hating her son’s wife.</p> <p>The 2005 box office hit Monster-in-Law (2005) follows this trajectory and takes it to the extreme. Viola Fields (Jane Fonda) becomes manipulative and acts downright dirty to prevent her son, Kevin (Michael Vartan), from getting married to his fiancée Charlie (Jennifer Lopez) – who she thinks is not good enough for him.</p> <figure><iframe src="https://www.youtube.com/embed/njLr1z66EfA?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>This romantic comedy has the conventions of love, romance, a wedding, and overall impending chaos. It is about a mother trying to do what she thinks is best for her son, as well as the fragile links between romantic love, familial love and matriarchy.</p> <p>In parts, the film transgresses into slapstick territory, as Kevin remains oblivious of Viola’s volatile antics towards Charlie. The tension between the two strong female leads hilariously spirals out of control in the lead-up to the wedding.</p> <p>Monster-in-Law is a feel-good film that draws on the close bond between mother and child, making it good viewing for Mother’s Day.</p> <p><em><strong>– Panizza Allmark</strong></em></p> <h2>The Wild Robot (2024)</h2> <p>There’s a cultural belief that once your baby is in your arms, you’ll immediately know how to look after them, or that you can draw on your own experience of being mothered, or find the right path in one of eleventy billion parenting books.</p> <p>But even if you did have a good experience of being mothered (and many don’t), or you find some great books, parenthood remains a journey of uncertainty and trial and error.</p> <p>When I took my young children to see The Wild Robot, I laughed and cried way more than them. Not just because the animation was so beautiful, or because the story was so moving, but because of the non-didactic moments that resonated so strongly with how we parents feel.</p> <p>We often don’t know what we’re doing; we’re trying our best, and wishing it will be the right thing – playing out an internal war between wanting to protect our children and wanting them to forge their own path.</p> <p>In The Wild Robot, Roz the robot (voiced by Lupita Nyong'o) is focused on helping her adopted gosling Brightbill (Kit Connor) learn how to fly – something she has no experience of. More importantly, Brightbill must fly on a migration flight with other birds, where she can’t join him.</p> <figure><iframe src="https://www.youtube.com/embed/67vbA5ZJdKQ?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>The film mirrors the beautiful and horrifying knowledge parents carry: if we do our job, our children will become their own individuals who are able and willing to leave us. All we can hope is we’ve formed a bond that will make them want to return.</p> <p><em><strong>– Rebecca Beirne</strong></em></p> <h2>My Big Fat Greek Wedding (2002)</h2> <p>Was your mother born overseas? It’s likely. Nearly half of all Australians <a href="https://www.abs.gov.au/media-centre/media-releases/2021-census-nearly-half-australians-have-parent-born-overseas">have a parent born overseas</a>. Or perhaps you married into a family where your “new mum” was born overseas?</p> <p>Your mother-in-law counts on Mother’s Day. Don’t forget it. And if you married into a wonderfully loud Greek/Italian family as I did, then your mother-in-law is likely a hard worker who deserves to be entertained. So why not offer her, and all the mums in your life, a sweet, disarming rom-com about a clash of cultures and a life milestone all mums can get behind: a wedding. A Big Fat Greek Wedding, to be precise.</p> <p>Written by and starring Nia Vardalos, this film tells the tale of Toula Portokalos, who, at the “advanced” age of 30, remains persistently unmarried in the early aughts Chicago. In Greek terms, this is already a tragedy. The title does a lot of heavy lifting in terms of what comes next.</p> <p>The real charm of the film is the clash of cultures that anyone with any ethnic background will recognise.</p> <figure><iframe src="https://www.youtube.com/embed/O2mecmDFE-Q?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>My Big Fat Greek Wedding was a small film with huge global success. Will your mum care it was made with a budget of just US$5 million but <a href="https://fivethirtyeight.com/features/the-first-my-big-fat-greek-wedding-was-the-blockbuster-nobody-saw-coming/">grossed more than US$360 million worldwide</a>, making it one of the most profitable films of all time, with a more than 6,150% return? Probably not.</p> <p>But she’ll love John Corbett, that tall guy who was also in Sex in City (and he’s really good in this one). Just make sure you skip the sequels.</p> <p><strong><em>– Ruari Elkington</em></strong></p> <h2>Alien: Romulus (2024)</h2> <p>Not everyone wants to watch saccharine romantic comedies on Mothers’ Day. If you can relate, dystopian horror film Alien: Romulus (2024) offers much darker pleasures.</p> <p>Feminist scholars have long found the Alien franchise to be rife with symbolism and repressed fears about motherhood, birth and reproductive organs. Alien: Romulus goes further than the original 1979 film in making the theme of sexual violation explicit. As you might expect from Fede Álvarez, the director of Evil Dead (2013), there is plenty of body horror as human characters are assaulted and orally impregnated by Alien species.</p> <p>The film also includes neo-Marxist messages about “the company” and its violation of workers’ bodies. Working mums may enjoy the dark humour of a futuristic corporation that literally sucks the life out of workers before politely thanking them for their service.</p> <figure><iframe src="https://www.youtube.com/embed/OzY2r2JXsDM?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Leading action woman Rain Carradine (Cailee Spaeny) is more vulnerable and relatable than the iconic character Ripley of previous films. When Rain discovers her work contract has tipped over into slavery, she joins up with her ex-boyfriend Tyler (Archie Renaux) and his pregnant sister Kay (Isabela Merced) to hijack a space station.</p> <p>They must then manage a coolly indifferent IT operating system called “MU/TH/UR” to control the ship. The fact Kay is pregnant does not bode well; her baby eventually bursts out as a hideous alien-human mutant which tries to eat her.</p> <p>Alien Romulus is basically every unspeakable anxiety about pregnancy and motherhood realised through spectacular special effects. It’s also the franchise’s best film since the original.</p> <p><em><strong>– Susan Hopkins</strong></em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/255004/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>By <em><a href="https://theconversation.com/profiles/jessica-gildersleeve-141286">Jessica Gildersleeve</a>, Professor of English Literature, <a href="https://theconversation.com/institutions/university-of-southern-queensland-1069">University of Southern Queensland</a>; <a href="https://theconversation.com/profiles/kate-cantrell-444834">Kate Cantrell</a>, Senior Lecturer – Writing, Editing, and Publishing, <a href="https://theconversation.com/institutions/university-of-southern-queensland-1069">University of Southern Queensland</a>; <a href="https://theconversation.com/profiles/kathleen-williams-538927">Kathleen Williams</a>, Senior Lecturer in Media, <a href="https://theconversation.com/institutions/university-of-tasmania-888">University of Tasmania</a>; <a href="https://theconversation.com/profiles/panizza-allmark-198784">Panizza Allmark</a>, Professor of Visual &amp; Cultural Studies, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a>; <a href="https://theconversation.com/profiles/rebecca-beirne-183948">Rebecca Beirne</a>, Senior Lecturer in Film, Media and Cultural Studies, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a>; <a href="https://theconversation.com/profiles/ruari-elkington-105955">Ruari Elkington</a>, Senior Lecturer in Creative Industries &amp; Chief Investigator at QUT Digital Media Research Centre (DMRC), <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a>, and <a href="https://theconversation.com/profiles/susan-hopkins-157472">Susan Hopkins</a>, Senior Lecturer in Education (Curriculum and Pedagogy), <a href="https://theconversation.com/institutions/university-of-the-sunshine-coast-1068">University of the Sunshine Coast</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/stepmums-alien-mums-robot-mums-vengeful-mums-7-films-to-watch-this-mothers-day-255004">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Movies

Placeholder Content Image

What’s the difference between osteoarthritis and rheumatoid arthritis?

<div class="theconversation-article-body"> <p><a href="https://www.arthritis.org/health-wellness/about-arthritis/understanding-arthritis/what-is-arthritis">Arthritis</a> – an umbrella term for around <a href="https://www.arthritis.org/health-wellness/healthy-living/managing-pain/understanding-pain/sources-of-arthritis-pain">100 conditions</a> that damage the joints – affects <a href="https://pubmed.ncbi.nlm.nih.gov/39647490/">4.1 million</a> Australians. This is expected <a href="https://pubmed.ncbi.nlm.nih.gov/39647490/">to rise</a> by 31% to 5.4 million by 2040 and cost the Australian health-care system an estimated $12 billion each year.</p> <p>The two most common types, osteoarthritis and rheumatoid arthritis, can both cause joint pain, swelling and stiffness. Both are more common in <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/arthritis">women</a>. Neither can be cured.</p> <p>But their causes, risk factors and treatments are different – here’s what you need to know.</p> <h2>What is osteoarthritis?</h2> <p>Osteoarthritis is the most common form of arthritis. It affects <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/osteoarthritis">2.1 million Australians</a>, mostly older people. About a third of <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/osteoarthritis">Australians</a> aged 75 and older have the condition.</p> <p>It can affect any joint but is most common in the knees, hips, fingers, thumbs and big toes.</p> <p>The main symptom is pain, especially during movement. Other symptoms may include swelling, stiffness and changes to the shape of joints.</p> <p>The <a href="https://www.who.int/news-room/fact-sheets/detail/osteoarthritis">main risk factors</a> are ageing and obesity, as well as previous injuries or surgery. For osteoarthritis in the hands, <a href="https://pubmed.ncbi.nlm.nih.gov/35843480/">genetics</a> also play a big role.</p> <p>Signs of osteoarthritis can appear on knee scans from around <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/osteoarthritis">age 45</a> and become more common with age.</p> <p>However, this type of arthritis not simply the “wear and tear” of ageing. Osteoarthritis is a complex disease that affects the <a href="https://www.nature.com/articles/nrdp201672">whole joint</a>. This includes the <a href="https://my.clevelandclinic.org/health/body/23173-cartilage">cartilage</a> (“shock-absorbing” connective tissue protecting your bones), bones, <a href="https://my.clevelandclinic.org/health/body/21604-ligament">ligaments</a> (connective tissue holding bones and body parts in place) and joint lining.</p> <h2>How is it diagnosed?</h2> <p>Diagnosis is <a href="https://www.nice.org.uk/guidance/ng226/chapter/Recommendations#diagnosis">based on</a> symptoms (such as pain and restricted movement) and a physical exam.</p> <p>The disease generally worsens over time and cannot be reversed. But the severity of damage does not always <a href="https://pubmed.ncbi.nlm.nih.gov/21281726/">correlate with pain</a> levels.</p> <p>For this reason, x-rays and <a href="https://pubmed.ncbi.nlm.nih.gov/29886437/">MRI scans</a> are usually unhelpful. Some people with early osteoarthritis experience severe pain, but the damage won’t show up on a scan. Others with advanced and visible osteoarthritis may have few symptoms or none at all.</p> <h2>What about rheumatoid arthritis?</h2> <p>Unlike osteoarthritis, rheumatoid arthritis is an autoimmune disease. This means the immune system attacks the joint lining, causing inflammation and damage.</p> <p>Common symptoms include pain, joint swelling and stiffness, <a href="https://arthritis-research.biomedcentral.com/articles/10.1186/ar4146">especially in the morning</a>.</p> <p>Rheumatoid arthritis is less common than osteoarthritis, affecting <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/rheumatoid-arthritis">around 514,000 Australians</a>. It mostly impacts the wrists and small joints in the hands and feet, though larger joints such as the elbows, shoulders, knees and ankles can also be involved.</p> <p>It can also affect other organs, including the skin, lungs, eyes, heart and blood vessels. Fortunately, disease outside the joint has become <a href="https://pubmed.ncbi.nlm.nih.gov/38240831/">less common</a> in recent years, likely due to better and earlier treatment.</p> <p><a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/rheumatoid-arthritis?request=smoothstate">Rheumatoid arthritis</a> often develops earlier than osteoarthritis but can occur at any age. Onset is most frequent in those aged <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/musculoskeletal-conditions/contents/rheumatoid-arthritis">35–64</a>. <a href="https://pubmed.ncbi.nlm.nih.gov/21149499/">Smoking</a> increases your risk.</p> <h2>How is it diagnosed?</h2> <p>As with osteoarthritis, your doctor will diagnose rheumatoid arthritis based on your symptoms and a physical exam.</p> <p>Some other tests can be useful. Blood tests may pick up specific <a href="https://www.nature.com/articles/nrdp20181">antibodies</a> that indicate rheumatoid arthritis, although you can still have the condition <a href="https://arthritisaustralia.com.au/managing-arthritis/medical-management/blood-test-for-arthritis/">with negative results</a>.</p> <p>X-rays may also reveal joint damage if the disease is advanced. If there is uncertainty, an <a href="https://pubmed.ncbi.nlm.nih.gov/35022703/">ultrasound or MRI</a> can help detect inflammation.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=456&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=456&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=456&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=573&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=573&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/664530/original/file-20250429-56-okmp6o.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=573&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><span class="attribution"><span class="source">The Conversation</span>, <a class="license" href="http://creativecommons.org/licenses/by-sa/4.0/">CC BY-SA</a></span></figcaption></figure> <h2>How is osteoarthritis treated?</h2> <p>No treatment can stop osteoarthritis progressing. However many people manage their symptoms well with advice from their doctor and self-care. Exercise, weight management and pain medicines <a href="https://www.safetyandquality.gov.au/publications-and-resources/resource-library/osteoarthritis-knee-clinical-care-standard-2024">can help</a>.</p> <p>Exercise has been shown to be safe for osteoarthritis of the <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004376.pub4/full">knee</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/24756895/">hip</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/29032354/">hand</a>. Many types of exercise are <a href="https://theconversation.com/do-you-have-knee-pain-from-osteoarthritis-you-might-not-need-surgery-heres-what-to-try-instead-236779">effective</a> at reducing pain, so you can choose what suits you best.</p> <p>For knee osteoarthritis, managing weight through diet and/or exercise is <a href="https://www.safetyandquality.gov.au/publications-and-resources/resource-library/osteoarthritis-knee-clinical-care-standard-2024">strongly recommended</a>. This may be because it reduces pressure on the joint or because losing weight <a href="https://pubmed.ncbi.nlm.nih.gov/30390883/">can reduce inflammation</a>. <a href="https://theconversation.com/new-study-suggests-weight-loss-drugs-like-ozempic-could-help-with-knee-pain-heres-why-there-may-be-a-link-243159">Anti-obesity medicines</a> may also reduce pain.</p> <p>Topical and oral <a href="https://www.safetyandquality.gov.au/publications-and-resources/resource-library/osteoarthritis-knee-clinical-care-standard-2024">anti-inflammatories</a> are usually recommended to manage pain. However, <a href="https://pubmed.ncbi.nlm.nih.gov/35137418/">opioids</a> (such as tramadol or oxycodone) are not, due to their risks and limited evidence they help.</p> <p>In some cases <a href="https://pubmed.ncbi.nlm.nih.gov/33472813/">antidepressants</a> such as duloxetine may also be considered as a treatment for pain though, again, evidence they help is limited.</p> <h2>What about rheumatoid arthritis?</h2> <p>Treatments for rheumatoid arthritis focus on preventing joint damage and reducing inflammation.</p> <p>It’s essential to get an <a href="https://rheumatology.org.au/Portals/2/Documents/Public/Professionals/Clinical%20Care%20Standards/RAQS-UPDATE-Clinicians-ACCESS-03-7May24.pdf?ver=2024-05-07-135934-023">early referral to a rheumatologist</a>, so that treatment with medication – called “disease-modifying anti-rheumatic drugs” – can begin quickly.</p> <p>These <a href="https://app.magicapp.org/#/guideline/LqRV3n">medicines</a> suppress the immune system to stop inflammation and prevent damage to the joint.</p> <p>With no cure, the <a href="https://creakyjoints.org/about-arthritis/rheumatoid-arthritis/ra-treatment/remission-low-disease-activity-rheumatoid-arthritis/">overall goal</a> is to achieve remission (where the disease is inactive) or get symptoms under control.</p> <h2>Advances in treatment</h2> <p>There is an increasing interest in prevention for both types of arthritis.</p> <p>A large international <a href="https://pubmed.ncbi.nlm.nih.gov/38144515/">clinical</a> trial is currently investigating whether a diet and exercise program can prevent knee osteoarthritis in those with higher risk – in this case, women who are overweight and obese.</p> <p>For those already affected, <a href="https://acrabstracts.org/abstract/levi-04-a-novel-neurotrophin-3-inhibitor-substantially-improves-pain-and-function-without-deleterious-effects-on-joint-structure-in-people-with-knee-osteoarthritis-a-randomized-controlled-phase-ii/">new medicines</a> in early-stage clinical trials show promise in reducing pain and improving function.</p> <p>There is also hope for rheumatoid arthritis with Australian researchers <a href="https://www.uq.edu.au/news/article/2024/07/drug-free-life-rheumatoid-arthritis-patients-possible-within-decade">developing</a> a new immunotherapy. This treatment aims to reprogram the immune system, similar to a vaccine, to help people achieve long-term remission without lifelong treatment.<!-- 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/249154/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/giovanni-e-ferreira-1030477">Giovanni E. Ferreira</a>, NHMRC Emerging Leader Research Fellow, Institute of Musculoskeletal Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/rachelle-buchbinder-449750">Rachelle Buchbinder</a>, Professor of Clinical Epidemiology and Rheumatologist, <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/whats-the-difference-between-osteoarthritis-and-rheumatoid-arthritis-249154">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Body

Placeholder Content Image

Can drinking champagne reduce your risk of sudden cardiac arrest?

<div class="theconversation-article-body"> <p>“My only regret in life is that I didn’t drink enough champagne,” the English economist and philosopher John Maynard Keynes (1883–1946) is reported to have said. As it turns out, there may be a surprising ounce of truth to that quote.</p> <p>Picture this: a glass of champagne – bubbly, crisp and, for many, reserved for toasts and celebrations. Now imagine it being mentioned in the same sentence as a way to help prevent <a href="https://www.bhf.org.uk/informationsupport/conditions/cardiac-arrest">sudden cardiac arrest</a>: a condition where the heart abruptly stops beating, killing tens of thousands each year, often without warning. Sounds too good to be true, right?</p> <p>Yet, <a href="https://onlinecjc.ca/article/S0828-282X(25)00171-0/fulltext">a Canadian study</a> has uncovered a curious link. Using data from over half a million people in the health research database the <a href="https://www.ukbiobank.ac.uk/">UK Biobank</a>, researchers found that those who consumed moderate amounts of white wine or champagne had a lower risk of experiencing sudden cardiac arrest. Surprising, especially given the widely held belief <a href="https://academic.oup.com/eurheartj/article/46/2/173/7920813?login=false#google_vignette">that red wine</a>, not white, is what benefits the heart.</p> <figure><iframe src="https://www.youtube.com/embed/9JvI392Iep8?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>To rule out coincidence, the researchers double-checked their findings using genetic data – and the connection seemed to hold firm. This suggests there might be more to the story than chance alone.</p> <p>The study didn’t stop at wine. It explored more than 100 lifestyle and environmental factors tied to sudden cardiac arrest, including diet, exercise, air pollution, emotional wellbeing, body composition and education levels – all of which have been independently associated with risk. The conclusion? Up to 63% of sudden cardiac arrest cases could potentially be prevented by addressing these risk factors.</p> <p>Among all the protective factors identified, a few stood out: fruit consumption, regular computer use (yes, really) and moderate drinking of white wine or champagne were all linked to a reduced risk of sudden cardiac arrest. Why? That remains uncertain.</p> <p>One theory is that white wine contains antioxidants that may support heart health. Another possibility is that people who drink these types of beverages may also be more affluent and more likely to engage in other healthy behaviour, such as eating well, exercising regularly – and have access to better healthcare.</p> <p>But before you pop a cork in celebration, a word of caution: alcohol remains a complex and often contradictory player in heart health. Other large-scale studies suggest a <a href="https://www.bmj.com/content/356/bmj.j909">U-shaped relationship</a> between alcohol and cardiovascular disease. Non-drinkers may have a certain level of risk, moderate drinkers of one glass of wine a day <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC7020057/">may see</a> some benefit, but heavy drinking sharply increases the risk of high blood pressure, stroke and heart failure.</p> <p><a href="https://doi.org/10.1016/j.hrthm.2021.10.022">One observational study</a> involving over 400,000 participants even found that moderate drinking could raise the risk of <a href="https://www.nhs.uk/conditions/arrhythmia/">arrhythmias</a>, which in some cases can lead to sudden death.</p> <p>So while champagne may offer a hopeful glimmer, it’s no magic bullet. The study’s broader message was clear: it’s the overall lifestyle that matters most. Better sleep, regular physical activity and <a href="https://theconversation.com/why-heart-patients-have-trouble-sticking-to-a-healthy-diet-and-3-things-that-help-them-eat-better-239172">a balanced diet</a> significantly reduced the risk of sudden cardiac arrest – and could prevent nearly one in five cases.</p> <figure><iframe src="https://www.youtube.com/embed/jdgYN1QgKng?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>On the flip side, obesity, high blood pressure and chronic stress were among the strongest risk factors, along with lower education levels and exposure to air pollution. These findings underscore that preventing sudden cardiac arrest isn’t just about personal habits: it’s also about the environments we live in and the policies that shape them. Cleaner air, better education and easier access to nutritious food could all play a role.</p> <p>Sudden cardiac arrest is not entirely random. Many of the contributing factors are within our control. Managing stress, staying active, maintaining a healthy weight, getting quality sleep – and yes, perhaps enjoying the occasional glass of white wine – can all help. But the real power lies in stacking small, healthy choices over time. Prevention is rarely about a single change; it’s about the cumulative effect of many.</p> <p>And in case you were wondering: Keynes suffered a series of heart attacks in 1946, beginning during negotiations for the <a href="https://history.blog.gov.uk/2020/12/07/whats-the-context-signing-the-anglo-american-financial-agreement-6-december-1945/">Anglo-American loan</a> in Savannah, Georgia. He described the process as “absolute hell”. A few weeks after returning to his farmhouse in Firle, East Sussex, he died of a heart attack at the age of 62.</p> <p>Maybe he was right about drinking more champagne after all.<!-- 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/255708/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/david-c-gaze-312661">David C. Gaze</a>, Senior Lecturer in Chemical Pathology, <a href="https://theconversation.com/institutions/university-of-westminster-916">University of Westminster</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/can-drinking-champagne-reduce-your-risk-of-sudden-cardiac-arrest-heres-why-its-only-a-small-part-of-the-story-255708">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Caring

Our Partners

© Copyright 2025 OverSixty.All Rights Reserved.