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Hospice nurse shares the four physical stages of dying

A hospice nurse has shared the four things that happen to your body in the months, weeks and days before you die. Julie McFadden, who specialises in end of life care, shares videos about death and dying on social media to open up the conversation on the taboo topic, to help better prepare people for death. In her latest video, a viewer asked Julie what the dying process actually looks like, as the nurse explained that it all depends on how, when and why you pass away. However, she said there are four things that happen to the body as the end draws near. The first stage of dying is slowing down, which can happen up to six months before you die, with the symptoms being very "generalised". Julie says, "For instance, you’re just going to be generally tired, generally lethargic, not eating and drinking as much, probably being less social." According to Julie, the second stage is a sharp decline in strength, as she explains, "The closer you get to death – let’s say three months out – you’re going to be more debilitated." "It’s going to be difficult for you to leave the house, you probably are eating and drinking very little throughout the day, and you’re sleeping more than you’re awake." <p style="font-size: 1rem; border: 0px; font-stretch: inherit; line-height: 1.375rem; font-family: -apple-system, system-ui, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif; font-size-adjust: inherit; font-kerning: inherit; font-variant-alternates: inherit; font-variant-ligatures: inherit; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-position: inherit; font-feature-settings: inherit; font-optical-sizing: inherit; font-variation-settings: inherit; margin: 0px 0px 1.4rem; padding: 0px; vertical-align: baseline;">Before the last stage of life, Julie describes a period of "transitioning" which happens around a month before death and can include a phenomenon known as "visioning". <p style="font-size: 1rem; border: 0px; font-stretch: inherit; line-height: 1.375rem; font-family: -apple-system, system-ui, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif; font-size-adjust: inherit; font-kerning: inherit; font-variant-alternates: inherit; font-variant-ligatures: inherit; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-position: inherit; font-feature-settings: inherit; font-optical-sizing: inherit; font-variation-settings: inherit; margin: 0px 0px 1.4rem; padding: 0px; vertical-align: baseline;">The nurse says, "This is when people will start seeing dead relatives, dead loved ones, dead pets, things like that." She says that typically, someone "can be up and having a normal conversation with their family", all the while "saying they’re seeing their dead father in the corner who is smiling and telling them he’s coming to get them soon and not to worry." <p style="font-size: 1rem; border: 0px; font-stretch: inherit; line-height: 1.375rem; font-family: -apple-system, system-ui, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif; font-size-adjust: inherit; font-kerning: inherit; font-variant-alternates: inherit; font-variant-ligatures: inherit; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-position: inherit; font-feature-settings: inherit; font-optical-sizing: inherit; font-variation-settings: inherit; margin: 0px 0px 1.4rem; padding: 0px; vertical-align: baseline;">According to Julie, this final stage of death is considered the most "distinct time in the dying process" when the body starts to fully shut down. <p style="font-size: 1rem; border: 0px; font-stretch: inherit; line-height: 1.375rem; font-family: -apple-system, system-ui, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif; font-size-adjust: inherit; font-kerning: inherit; font-variant-alternates: inherit; font-variant-ligatures: inherit; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-position: inherit; font-feature-settings: inherit; font-optical-sizing: inherit; font-variation-settings: inherit; margin: 0px 0px 1.4rem; padding: 0px; vertical-align: baseline;">"The actively dying phase is what scares people, because they’re not used to seeing it and they don’t know what the heck’s going on," she says. <p style="font-size: 1rem; border: 0px; font-stretch: inherit; line-height: 1.375rem; font-family: -apple-system, system-ui, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif; font-size-adjust: inherit; font-kerning: inherit; font-variant-alternates: inherit; font-variant-ligatures: inherit; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-position: inherit; font-feature-settings: inherit; font-optical-sizing: inherit; font-variation-settings: inherit; margin: 0px 0px 1.4rem; padding: 0px; vertical-align: baseline;">‘Metabolic changes’ such as a difference in skin colour, high and low temperature, or the ‘death rattle’ – a gurgling noise (also known as terminal secretions) caused by a buildup of fluids in the throat and upper airways – follow before they later pass on. <p style="font-size: 1rem; border: 0px; font-stretch: inherit; line-height: 1.375rem; font-family: -apple-system, system-ui, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif; font-size-adjust: inherit; font-kerning: inherit; font-variant-alternates: inherit; font-variant-ligatures: inherit; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-position: inherit; font-feature-settings: inherit; font-optical-sizing: inherit; font-variation-settings: inherit; margin: 0px 0px 1.4rem; padding: 0px; vertical-align: baseline;">However, while it’s natural to find these things upsetting, Julie assures people this stage is a "normal part of death and dying", and "it’s not hurting your loved one." "It’s important to be educated about what death actually looks like. Movies and television don’t do it justice, then people see it in real life when it’s their loved ones and they freak out," she said. <p style="font-size: 1rem; border: 0px; font-stretch: inherit; line-height: 1.375rem; font-family: -apple-system, system-ui, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif; font-size-adjust: inherit; font-kerning: inherit; font-variant-alternates: inherit; font-variant-ligatures: inherit; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-position: inherit; font-feature-settings: inherit; font-optical-sizing: inherit; font-variation-settings: inherit; margin: 0px 0px 1.4rem; padding: 0px; vertical-align: baseline;">Image credits: YouTube / Instagram

Caring

You don’t need a doctor to get more physically active – here are 10 simple steps you can take by yourself

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/nerys-m-astbury-410114">Nerys M Astbury</a>, <a href="https://theconversation.com/institutions/university-of-oxford-1260">University of Oxford</a> We all know physical activity has many <a href="https://www.nhs.uk/live-well/exercise/exercise-health-benefits/">health benefits</a>, including for mental health. It helps <a href="https://theconversation.com/exercise-can-reduce-stress-and-improve-sleep-particularly-for-women-with-breast-cancer-186144">manage stress</a>, ease joint or back pain, and boost energy levels. Exercise can also improve <a href="https://theconversation.com/exercise-and-the-brain-three-ways-physical-activity-changes-its-very-structure-150203">brain function</a> and <a href="https://theconversation.com/exercise-really-can-help-you-sleep-better-at-night-heres-why-that-may-be-192427">sleep</a>, and lift mood. In contrast, inactivity or spending too much time <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6308180/">sedentary</a> is a leading factor in developing a range of diseases. The <a href="https://www.who.int/publications/i/item/9789240015128">World Health Organization</a> recommends we should do a weekly minimum of 150-300 minutes of moderate intensity physical activity, such as walking, or 75 minutes of vigorous physical activity, such as swimming, jogging or an exercise class – as well as <a href="https://theconversation.com/strength-training-could-be-the-answer-to-one-of-the-worlds-worst-killers-228665">regular strength training</a>. However, many people <a href="https://www.who.int/teams/health-promotion/physical-activity/global-status-report-on-physical-activity-2022">fail to meet these guidelines</a>. So what to do about this <a href="https://www.weforum.org/agenda/2022/12/lack-exercise-inactivity-preventable-diseases/">health crisis</a>? There is already <a href="https://www.bmj.com/content/376/bmj-2021-068465">evidence</a> that when GPs give patients guidance and continued support to increase physical activity, this encourages them to be more physically active – at least in the short term. However, we don’t yet know the best way for doctors to communicate with patients to help them sustain these increased activity levels so the current guidance and support on offer to patients isn’t as effective as it could be. <figure><iframe src="https://www.youtube.com/embed/vCCD1xHKpZc?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> For example, my <a href="https://www.bmj.com/content/386/bmj-2023-078713">latest research</a> examines the <a href="https://www.bmj.com/content/340/bmj.c1900">“motivational interviewing” (MI)</a> method GPs currently use to encourage patients to change their lifestyle. MI is a patient-centred, non-confrontational communication style that helps patients address any problem behaviour by exploring their ambivalence towards changing it. MI has been shown to help patients with a host of health problems, including <a href="https://pubmed.ncbi.nlm.nih.gov/25577724/">addiction issues</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/23001832/">eating disorders</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/25726920/">smokers</a> and those with <a href="https://pubmed.ncbi.nlm.nih.gov/33637368/">diabetes</a> to change their behaviour. However, I found that while MI programmes can help patients increase their total amount of physical activity – the benefits are only short term. <h2>Ten simple ways to be more physically active</h2> If you want more physical activity in your life, then, there are many self-directed things you can do to help yourself, without joining a programme or seeing your GP. Here are ten simple and effective ways to help you become – and stay – more physically active: 1) Don’t sit, stand We <a href="https://theconversation.com/sitting-is-bad-for-your-health-and-exercise-doesnt-seem-to-offset-the-harmful-effects-225056">sit a lot</a>. In fact, it’s likely you’re sitting right now – and you needn’t be. Sitting for long periods has been <a href="https://doi.org/10.1016/j.amepre.2010.05.024">linked</a> with many adverse health outcomes, so try to stand more. <figure><iframe src="https://www.youtube.com/embed/wUEl8KrMz14?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> 2) Take the stairs Being physically active needn’t mean expensive gym memberships. Try building physical activity into your daily routine. One easy way to do this is by swapping the lift or escalator for the stairs. 3) Make it fun If you like doing something, you’re <a href="https://theconversation.com/why-you-shouldnt-let-guilt-motivate-you-to-exercise-220342">more likely</a> to continue doing it. Why not try an activity you liked doing as a child, or even something new? Who knows, you might enjoy it. 4) Phone a friend Exercising <a href="https://theconversation.com/exercise-can-be-punishing-but-heres-how-to-stop-thinking-of-it-as-a-punishment-76167">with a friend</a> or loved one is a great way to stay motivated, and it can make physical activity more fun too. 5) Do less, more often <a href="https://pilotfeasibilitystudies.biomedcentral.com/articles/10.1186/s40814-023-01272-8">“Snacktivity”</a> – a term for breaking up your activity into shorter <a href="https://theconversation.com/forget-the-gym-in-january-exercise-snacking-is-the-way-forward-69702">activity “snacks”</a> – can help you increase activity in convenient, manageable bursts while reaping the health benefits. 6) Track your progress Activity trackers aren’t a fad. There is <a href="https://doi.org/10.1016/S2589-7500(22)00111-X">evidence</a> that just using an activity tracker such as a pedometer to count steps or a smart watch that logs activity can help increase your activity levels, reduce body fat and increase muscle mass – and increase your overall physical fitness. 7) Get into a habit We know it takes about ten weeks to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3505409/">form a habit</a>. Repetition is key – so stick with it and keep going. Once you’ve formed a physical activity habit, it will be <a href="https://www.psychologytoday.com/gb/basics/habit-formation#:%7E:text=Building%20healthy%20habits%20can%20involve,listening%20to%20music%20while%20exercising">hard to shake it off</a>.). 8) Hold still Try to incorporate <a href="https://en.wikipedia.org/wiki/Isometric_exercise">isometric exercises</a> like the plank or wall squats into your routine. These exercises, which need no equipment, require you to tighten muscles and hold still – and have been shown to <a href="https://bjsm.bmj.com/content/57/20/1317">lower your blood pressure</a>. 9) Set a goal Give yourself an achievable target to work towards – it will <a href="https://theconversation.com/three-tips-to-help-you-stay-motivated-to-keep-exercising-all-year-long-175868">motivate you</a> to reach your goal. 10) Reward yourself And don’t forget to reward yourself when you meet that goal. You can also build in rewards to mark your progress along the way. After all, who doesn’t like to treat themselves when they’ve done well?<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/231991/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/nerys-m-astbury-410114">Nerys M Astbury</a>, Associate professor, <a href="https://theconversation.com/institutions/university-of-oxford-1260">University of Oxford</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/you-dont-need-a-doctor-to-get-more-physically-active-here-are-10-simple-steps-you-can-take-by-yourself-231991">original article</a>. </div>

Body

How do airplanes fly? An aerospace engineer explains the physics of flight

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/craig-merrett-1509278">Craig Merrett</a>, <a href="https://theconversation.com/institutions/clarkson-university-4276">Clarkson University</a> Airplane flight is one of the most significant technological achievements of the 20th century. The <a href="https://airandspace.si.edu/explore/stories/wright-brothers">invention of the airplane</a> allows people to travel from one side of the planet to the other in less than a day, compared with weeks of travel by boat and train. Understanding precisely why airplanes fly is an ongoing challenge for <a href="https://www.clarkson.edu/people/craig-merrett">aerospace engineers, like me</a>, who study and design airplanes, rockets, satellites, helicopters and space capsules. Our job is to make sure that flying through the air or in space is safe and reliable, by using tools and ideas from science and mathematics, like computer simulations and experiments. Because of that work, flying in an airplane is <a href="https://usafacts.org/articles/is-flying-safer-than-driving/">the safest way to travel</a> – safer than cars, buses, trains or boats. But although aerospace engineers design aircraft that are stunningly sophisticated, you might be surprised to learn there are still some details about the physics of flight that we don’t fully understand. <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/577439/original/file-20240222-28-v3tjb4.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/577439/original/file-20240222-28-v3tjb4.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/577439/original/file-20240222-28-v3tjb4.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=381&fit=crop&dpr=1 600w, https://images.theconversation.com/files/577439/original/file-20240222-28-v3tjb4.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=381&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/577439/original/file-20240222-28-v3tjb4.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=381&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/577439/original/file-20240222-28-v3tjb4.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=479&fit=crop&dpr=1 754w, https://images.theconversation.com/files/577439/original/file-20240222-28-v3tjb4.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=479&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/577439/original/file-20240222-28-v3tjb4.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=479&fit=crop&dpr=3 2262w" alt="A diagram of an airplane that shows the four forces of flight." /></a><figcaption>The forces of weight, thrust, drag and lift act on a plane to keep it aloft and moving. <a class="source" href="https://www1.grc.nasa.gov/beginners-guide-to-aeronautics/airplane-cruise-balanced-forces/">NASA</a></figcaption></figure> <h2>May the force(s) be with you</h2> There are <a href="https://www.nasa.gov/stem-content/four-forces-of-flight/#:%7E">four forces</a> that aerospace engineers consider when designing an airplane: weight, thrust, drag and lift. Engineers use these forces to help design the shape of the airplane, the size of the wings, and figure out how many passengers the airplane can carry. For example, when an airplane takes off, the thrust must be greater than the drag, and the lift must be greater than the weight. If you watch an airplane take off, you’ll see the wings change shape using flaps from the back of the wings. The flaps help make more lift, but they also make more drag, so a powerful engine is necessary to create more thrust. When the airplane is high enough and is cruising to your destination, lift needs to balance the weight, and the thrust needs to balance the drag. So the pilot pulls the flaps in and can set the engine to produce less power. That said, let’s define what force means. According to <a href="https://ca.pbslearningmedia.org/resource/4079abf0-7a4b-4f49-80ad-c69cd06a80f9/newtons-second-law-of-motion/">Newton’s Second Law</a>, a force is a mass multiplied by an acceleration, or F = ma. A force that everyone encounters every day is <a href="https://spaceplace.nasa.gov/what-is-gravity/en/#:%7E">the force of gravity</a>, which keeps us on the ground. When you get weighed at the doctor’s office, they’re actually measuring the amount of force that your body applies to the scale. When your weight is given in pounds, that is a measure of force. While an airplane is flying, gravity is pulling the airplane down. That force is the weight of the airplane. But its engines push the airplane forward because they create <a href="https://www1.grc.nasa.gov/beginners-guide-to-aeronautics/what-is-thrust/">a force called thrust</a>. The engines pull in air, which has mass, and quickly push that air out of the back of the engine – so there’s a mass multiplied by an acceleration. According to <a href="https://www.youtube.com/watch?v=a-wh3fJRdjo">Newton’s Third Law</a>, for every action there’s an equal and opposite reaction. When the air rushes out the back of the engines, there is a reaction force that pushes the airplane forward – that’s called thrust. As the airplane flies through the air, the shape of the airplane pushes air out of the way. Again, by Newton’s Third Law, this air pushes back, <a href="https://www1.grc.nasa.gov/beginners-guide-to-aeronautics/what-is-drag/#:%7E">which leads to drag</a>. You can experience something similar to drag when swimming. Paddle through a pool, and your arms and feet provide thrust. Stop paddling, and you will keep moving forward because you have mass, but you will slow down. The reason that you slow down is that the water is pushing back on you – that’s drag. <h2>Understanding lift</h2> <a href="https://www1.grc.nasa.gov/beginners-guide-to-aeronautics/what-is-lift/">Lift</a> is more complicated than the other forces of weight, thrust and drag. It’s created by the wings of an airplane, and the shape of the wing is critical; that shape is <a href="https://howthingsfly.si.edu/media/airfoil#:%7E">known as an airfoil</a>. Basically it means the top and bottom of the wing are curved, although the shapes of the curves can be different from each other. As air flows around the airfoil, <a href="https://www.youtube.com/watch?v=UO75jDwGCdQ">it creates pressure</a> – a force spread out over a large area. Lower pressure is created on the top of the airfoil compared to the pressure on the bottom. Or to look at it another way, air travels faster over the top of the airfoil than beneath. Understanding why the pressure and speeds are different on the top and the bottom is <a href="https://airandspace.si.edu/multimedia-gallery/lift-and-copjpg">critical to understand lift</a>. By improving our understanding of lift, engineers can design more fuel-efficient airplanes and give passengers more comfortable flights. <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/579698/original/file-20240304-24-6df49v.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/579698/original/file-20240304-24-6df49v.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/579698/original/file-20240304-24-6df49v.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=385&fit=crop&dpr=1 600w, https://images.theconversation.com/files/579698/original/file-20240304-24-6df49v.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=385&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/579698/original/file-20240304-24-6df49v.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=385&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/579698/original/file-20240304-24-6df49v.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=484&fit=crop&dpr=1 754w, https://images.theconversation.com/files/579698/original/file-20240304-24-6df49v.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=484&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/579698/original/file-20240304-24-6df49v.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=484&fit=crop&dpr=3 2262w" alt="A diagram that shows how the airfoil of a plane works." /></a><figcaption>Note the airfoil, which is a specific wing shape that helps keep a plane in the air. <a class="source" href="https://www.gettyimages.com/detail/illustration/how-airplanes-fly-royalty-free-illustration/1401215523?phrase=airfoil+diagram&adppopup=true">Dimitrios Karamitros/iStock via Getty Images Plus</a></figcaption></figure> <h2>The conundrum</h2> The reason why air moves at different speeds around an airfoil remains mysterious, and <a href="https://www.scientificamerican.com/video/no-one-can-explain-why-planes-stay-in-the-air/">scientists are still investigating</a> this question. Aerospace engineers have measured these pressures on a wing in both wind tunnel experiments and during flight. We can create models of different wings to predict if they will fly well. We can also change lift by changing a wing’s shape to create airplanes that fly for long distances or fly very fast. Even though we still don’t fully know why lift happens, aerospace engineers work with mathematical equations that recreate the different speeds on the top and bottom of the airfoil. Those equations describe a process <a href="https://howthingsfly.si.edu/media/circulation-theory-lift">known as circulation</a>. Circulation provides aerospace engineers with a way to model what happens around a wing even if we do not completely understand why it happens. In other words, through the use of math and science, we are able to build airplanes that are safe and efficient, even if we don’t completely understand the process behind why it works. Ultimately, if aerospace engineers can figure out why the air flows at different speeds depending on which side of the wing it’s on, we can design airplanes that use less fuel and pollute less.  <a href="https://theconversation.com/profiles/craig-merrett-1509278">Craig Merrett</a>, Professor of Mechanical and Aerospace Engineering, <a href="https://theconversation.com/institutions/clarkson-university-4276">Clarkson University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-do-airplanes-fly-an-aerospace-engineer-explains-the-physics-of-flight-222847">original article</a>. </div>

Travel Tips

The one in-flight activity to avoid to conquer jet lag

While many people love to travel and explore new destinations, there’s no doubt that the worst part of a holiday is often the long-haul flight. With many holidays, especially ones overseas, a drastic change of timezones can mean jet lag is unavoidable, but there are a few things you can do to make life easy when you land. According to one travel expert, how you feel when you disembark often boils down to your in-flight activities. Sarah Built, who has worked up a lifetime of long-haul travel as the Etihad Airways Vice President of Sales for Australasia, told <a href="https://travel.nine.com.au/latest/flight-tips-how-to-avoid-jet-lag/db8fbda1-2318-44c0-b9fe-e14d11dec70c">9Travel</a> that there is one thing she always avoids onboard in order to land at her destination feeling fresh: alcohol. "Whilst the allure of coffee, cocktails and snacks is real (particularly if you're travelling with kids), they can actually contribute to dehydration and worsen jet lag," she says. Instead of that in-flight beer glass of wine, Sarah says to drink water (with lime added for a twist) or herbal tea to boost your hydration and lessen that groggy mid-flight feeling. Drinking water is obviously also the key to staying hydrated, as Sarah says it's important to start drinking extra water the day before your flight, so you're going in prepared. "I carry a reusable water bottle to keep fluids up during the journey (most airports will have water stations for you to refill easily)," she says, which means you won't need to pay for an overpriced bottle at the airport. "Dehydration can cause headaches and fatigue, and you want to be able to hit the ground running on arrival, so always remember to drink plenty of water," she advises. Image credits: Shutterstock

Travel Tips

Thinking of using an activity tracker to achieve your exercise goals? Here’s where it can help – and where it probably won’t

<a href="https://theconversation.com/profiles/corneel-vandelanotte-209636">Corneel Vandelanotte</a>, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a> It’s that time of year when many people are getting started on their resolutions for the year ahead. Doing more physical activity is a popular and <a href="https://link.springer.com/article/10.1007/s13668-016-0175-5">worthwhile</a> goal. If you’re hoping to be more active in 2024, perhaps you’ve invested in an activity tracker, or you’re considering buying one. But what are the benefits of activity trackers? And will a basic tracker do the trick, or do you need a fancy one with lots of features? Let’s take a look. <h2>Why use an activity tracker?</h2> One of the <a href="https://doi.org/10.1186/s12966-020-01001-x">most powerful predictors</a> for being active is whether or not <a href="https://www.sciencedirect.com/science/article/abs/pii/S0140673621026301">you are monitoring</a> how active you are. Most people have a vague idea of how active they are, but this is inaccurate a lot of the time. Once people consciously start to keep track of how much activity they do, they often realise it’s less than what they thought, and this motivates them to be more active. You can self-monitor without an activity tracker (just by writing down what you do), but this method is hard to keep up in the long run and it’s also a lot less accurate compared to devices that track your every move 24/7. By tracking steps or “activity minutes” you can ascertain whether or not you are meeting the <a href="https://www.health.gov.au/topics/physical-activity-and-exercise/physical-activity-and-exercise-guidelines-for-all-australians/for-adults-18-to-64-years">physical activity guidelines</a> (150 minutes of moderate to vigorous physical activity per week). It also allows you to track how you’re progressing with any personal activity goals, and view your progress over time. All this would be difficult without an activity tracker. Research has shown the most popular brands of activity trackers are generally reliable when it comes to tracking basic measures such as <a href="https://doi.org/10.2196/18694">steps</a> and <a href="https://doi.org/10.1123/jmpb.2019-0072">activity minutes</a>. <h2>But wait, there’s more</h2> Many activity trackers on the market nowadays track a range of other measures which their manufacturers promote as important in monitoring health and fitness. But is this really the case? Let’s look at some of these. Resting heart rate This is your heart rate at rest, which is normally somewhere <a href="https://www.healthdirect.gov.au/resting-heart-rate">between 60 and 100 beats per minute</a>. Your resting heart rate will gradually go down as you become fitter, especially if you’re doing a lot of high-intensity exercise. Your risk of dying of any cause (all-cause mortality) is much lower when you have a <a href="https://pubmed.ncbi.nlm.nih.gov/28552551/">low resting heart rate</a>. So, it is useful to keep an eye on your resting heart rate. Activity trackers are pretty good at tracking it, but you can also easily measure your heart rate by monitoring your pulse and using a stopwatch. Heart rate during exercise Activity trackers will also measure your heart rate when you’re active. To improve fitness efficiently, professional athletes focus on having their heart rate in certain “<a href="https://chhs.source.colostate.edu/how-to-target-heart-rate-training-zones-effectively/">zones</a>” when they’re exercising – so knowing their heart rate during exercise is important. But if you just want to be more active and healthier, without a specific training goal in mind, you can exercise at a level that feels good to you and not worry about your heart rate during activity. The <a href="https://doi.org/10.1097/HCO.0000000000000437">most important thing</a> is that you’re being active. Also, a dedicated heart rate monitor with a strap around your chest will do a much better job at measuring your actual heart rate <a href="https://doi.org/10.1038/s41746-020-0226-6">compared</a> to an activity tracker worn around your wrist. Maximal heart rate This is the hardest your heart could beat when you’re active, not something you could sustain very long. Your maximal heart rate is not influenced by how much exercise you do, or your fitness level. Most activity trackers <a href="https://jamanetwork.com/journals/jamacardiology/article-abstract/2566167">don’t measure it accurately</a> anyway, so you might as well forget about this one. VO₂max Your muscles need oxygen to work. The more oxygen your body can process, the harder you can work, and therefore the fitter you are. VO₂max is the volume (V) of oxygen (O₂) we could breathe maximally (max) over a one minute interval, expressed as millilitres of oxygen per kilogram of body weight per minute (ml/kg/min). Inactive women and men would have a VO₂max lower than 30 and 40 ml/kg/min, respectively. A reasonably good VO₂max would be mid thirties and higher for women and mid forties and higher for men. VO₂max is another measure of fitness that <a href="https://doi.org/10.1001/jamanetworkopen.2018.3605">correlates well</a> with all-cause mortality: the higher it is, the lower your risk of dying. For athletes, VO₂max is usually measured in a lab on a treadmill while wearing a mask that measures oxygen consumption. Activity trackers instead look at your running speed (using a GPS chip) and your heart rate and compare these measures to values from other people. If you can run fast with a low heart rate your tracker will assume you are relatively fit, resulting in a higher VO₂max. These estimates are <a href="https://doi.org/10.1007/s40279-021-01639-y">not very accurate</a> as they are based on lots of assumptions. However, the error of the measurement is reasonably consistent. This means if your VO₂max is gradually increasing, you are likely to be getting fitter. So what’s the take-home message? Focus on how many steps you take every day or the number of activity minutes you achieve. Even a basic activity tracker will measure these factors relatively accurately. There is no real need to track other measures and pay more for an activity tracker that records them, unless you are getting really serious about exercise.<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/219235/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/corneel-vandelanotte-209636">Corneel Vandelanotte</a>, Professorial Research Fellow: Physical Activity and Health, <a href="https://theconversation.com/institutions/cquniversity-australia-2140">CQUniversity Australia</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/thinking-of-using-an-activity-tracker-to-achieve-your-exercise-goals-heres-where-it-can-help-and-where-it-probably-wont-219235">original article</a>.

Body

Steep physical decline with age is not inevitable – here’s how strength training can change the trajectory

<a href="https://theconversation.com/profiles/zachary-gillen-1251178">Zachary Gillen</a>, <a href="https://theconversation.com/institutions/mississippi-state-university-1970">Mississippi State University</a> Raise your hand if you regularly find yourself walking up a flight of stairs. What about carrying heavy bags of groceries? How about picking up your child or grandchild? Most of us would raise our hands to doing at least one of those weekly, or even daily. As people age, it can become more and more difficult to perform some physical tasks, even those that are normal activities of daily living. However, prioritizing physical fitness and health as you get older can help you go through your normal day-to-day routine without feeling physically exhausted at the end of the day. It can also help you continue to have special memories with your family and loved ones that you might not have been able to have if you weren’t physically active. For example, I ran two half-marathons with my dad when he was in his 60s! I am an exercise physiologist who studies how people can <a href="https://scholar.google.com/citations?user=gn8ZiLMAAAAJ&hl=en">use resistance training to improve human performance</a>, whether it be in sports and other recreational settings, in everyday life, or both. I am also a certified strength and conditioning specialist. My career has given me the opportunity to design exercise programs for kids, college athletes and elderly adults. Staying physically active as you get older doesn’t need to include running a half-marathon or trying to be a bodybuilder; it could be as simple as trying to get through the day without feeling winded after you go up a flight of stairs. Although our muscles naturally get weaker as we age, there are ways we can combat that to help improve quality of life as we get older. <h2>Muscle loss and chronic disease</h2> One of the most important parts of exercise programming, no matter who I am working with, is proper resistance training to build muscle strength. Some amount of age-related loss of muscle function is normal and inevitable. But by incorporating resistance training that is appropriate and safe at any ability level, you can slow down the rate of decline and even prevent some loss of muscle function. The medical term for a condition that involves <a href="https://doi.org/10.1093/ageing/afy169">age-related loss of muscle function and mass is sarcopenia</a>. Sarcopenia can begin as early as age 40, but it tends to be <a href="https://doi.org/10.1097/01.mco.0000134362.76653.b2">more common in adults age 60 and older</a>. Sarcopenia is associated with a number of health issues such as <a href="https://doi.org/10.1093/gerona/glx245">increased risk of falling</a>, <a href="https://doi.org/10.1161/CIRCULATIONAHA.123.064071">cardiovascular disease</a> and <a href="https://doi.org/10.3390/nu13103519">metabolic disease</a>, among others. In one of our team’s previous studies, we saw that otherwise healthy individuals with sarcopenia had issues <a href="https://doi.org/10.1002/jcsm.12932">delivering vital nutrients to muscle</a>. This could lead to greater likelihood of various diseases, such as Type 2 diabetes, and slow down recovery from exercise. Recent estimates suggest that sarcopenia affects <a href="https://doi.org/10.1016/j.metabol.2023.155533">10% to 16% of the elderly population worldwide</a>. But even if a person doesn’t have clinically diagnosed sarcopenia, they may still have some of the underlying symptoms that, if not dealt with, could lead to sarcopenia. <h2>Strength training is key</h2> So the question is, what can be done to reverse this decline? Recent evidence suggests that one of the key factors leading to sarcopenia is <a href="https://doi.org/10.1093/gerona/glx245">low muscle strength</a>. In other words, combating or reversing sarcopenia, or both, may be best done with a proper resistance-training program that <a href="https://doi.org/10.1186/s12877-021-02642-8">prioritizes improving strength</a>. In fact, the decline in muscle strength seems to <a href="https://doi.org/10.3945/ajcn.2009.28047">occur at a much faster rate</a> than the decline in muscle size, underscoring the importance of proper strength training as people age. <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/552839/original/file-20231009-26-epspie.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/552839/original/file-20231009-26-epspie.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/552839/original/file-20231009-26-epspie.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=638&fit=crop&dpr=1 600w, https://images.theconversation.com/files/552839/original/file-20231009-26-epspie.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=638&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/552839/original/file-20231009-26-epspie.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=638&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/552839/original/file-20231009-26-epspie.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=802&fit=crop&dpr=1 754w, https://images.theconversation.com/files/552839/original/file-20231009-26-epspie.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=802&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/552839/original/file-20231009-26-epspie.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=802&fit=crop&dpr=3 2262w" alt="Chart showing the general pattern for changes in muscle strength and size across stage of life." /></a><figcaption>Typical age-related changes in muscle strength and size with and without strength training. Zachary Gillen</figcaption></figure> Continuing to regularly strength train with moderate to heavy weights has been shown to be not only effective at combating the symptoms of sarcopenia but also <a href="https://doi.org/10.1016/j.jamda.2018.09.011">very safe when done properly</a>. The best way to make sure you are strength training properly is to seek out guidance from a qualified individual such as a personal trainer or strength and conditioning specialist. Despite the clear benefits of strength training, it’s been shown that only about 13% of Americans age 50 and older do some form of <a href="https://pubmed.ncbi.nlm.nih.gov/17572957/">strength training at least twice a week</a>. <h2>Finding what works for you</h2> So how does a person properly strength train as they age? The National Strength and Conditioning Association, a leading organization in advancing strength and conditioning around the world, states that for older adults, <a href="https://doi.org/10.1519/JSC.0000000000003230">two to three days per week of strength training</a> can be incredibly helpful for maintaining healthy muscle and bone and combating a number of chronic conditions. The organization recommends that these workouts involve one to two exercises involving multiple joints per major muscle group, with six to 12 repetitions per set. These are done at an intensity of 50% to 85% of what’s known as one-repetition maximum – the most weight you could handle for a single repetition – with the exception of body weight exercises that use one’s own body weight as the resistance, such as pushups. I would also recommend resting for about two to three minutes between sets, or even up to five minutes if the set was challenging. For older adults, particularly those age 60 and older, the National Strength and Conditioning Association guidelines suggest that a program like this be performed two to three days per week, with 24 to 48 hours between sessions. <iframe id="sGvo5" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/sGvo5/3/" width="100%" height="400px" frameborder="0"></iframe> <h2>Making life’s tasks lighter</h2> The guidelines above are only one example out of many options, but they provide a framework that you can use to build your own program. However, I would highly recommend seeking out a professional in the field to give specific exercise programming advice that can be tailored to your own needs and goals as you age. Following such a program would give your muscles an excellent stimulus to enhance strength, while also allowing enough recovery, a very important consideration as people age. You might think it looks like a huge time commitment, but an exercise routine like this can be done in less than an hour. This means that in less than three hours of strength training per week you can help improve your muscle health and reduce the risk of getting sarcopenia and associated health issues. It’s also important to note that there is no one right way to do resistance training, and it needn’t involve traditional weight equipment. Group classes like Pilates and yoga or those that involve circuit training and work with resistance bands can all produce similar results. The key is to get out and exercise regularly, whatever that entails.<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/213131/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/zachary-gillen-1251178">Zachary Gillen</a>, Assistant Professor of Exercise Physiology, <a href="https://theconversation.com/institutions/mississippi-state-university-1970">Mississippi State University</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/steep-physical-decline-with-age-is-not-inevitable-heres-how-strength-training-can-change-the-trajectory-213131">original article</a>.

Caring

Climb the stairs, lug the shopping, chase the kids. Incidental vigorous activity linked to lower cancer risks

<a href="https://theconversation.com/profiles/emmanuel-stamatakis-161783">Emmanuel Stamatakis</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/matthew-ahmadi-1241767">Matthew Ahmadi</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> Many people know exercise reduces the risk of <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2521826">cancers</a>, including liver, lung, breast and kidney. But structured exercise is time-consuming, requires significant commitment and often financial outlay or travel to a gym. These practicalities can make it infeasible for <a href="https://bjsm.bmj.com/content/42/11/901">most adults</a>. There is <a href="https://www.nature.com/articles/s41591-022-02100-x">very little research</a> on the potential of incidental physical activity for reducing the risk of cancer. Incidental activities can include doing errands on foot, work-related activity or housework as part of daily routines. As such they do not require an extra time commitment, special equipment or any particular practical arrangements. In our <a href="https://jamanetwork.com/journals/jamaoncology/fullarticle/2807734">study</a> out today, we explored the health potential of brief bursts of vigorous physical activities embedded into daily life. These could be short power walks to get to the bus or tram stop, stair climbing, carrying heavy shopping, active housework or energetic play with children. <h2>How was the study done?</h2> Our <a href="https://jamanetwork.com/journals/jamaoncology/fullarticle/2807734">new study</a> included 22,398 <a href="https://www.ukbiobank.ac.uk/">UK Biobank</a> participants who had never been diagnosed with cancer before and did not do any structured exercise in their leisure time. Around 55% of participants were female, with an average age of 62. Participants wore wrist activity trackers for a week. Such trackers monitor activity levels continuously and with a high level of detail throughout the day, allowing us to calculate how hard and exactly for how long people in the study were moving. Participants’ activity and other information was then linked to future cancer registrations and other cancer-related health records for the next 6.7 years. This meant we could estimate the overall risk of cancer by different levels of what we call “<a href="https://pubmed.ncbi.nlm.nih.gov/33108651/">vigorous intermittent lifestyle physical activity</a>”, the incidental bursts of activity in everyday life. We also analysed separately a group of <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2521826">13 cancer sites in the body</a> with more established links to exercise, such such as breast, lung, liver, and bowel cancers. Our analyses took into account other factors that influence cancer risk, such as age, smoking, diet, and alcohol habits. <h2>What we found out</h2> Even though study participants were not doing any structured exercise, about 94% recorded short bursts of <a href="https://pubmed.ncbi.nlm.nih.gov/33108651/">vigorous activity</a>. Some 92% of all bouts were done in very short bursts lasting up to one minute. A minimum of around 3.5 minutes each day was associated with a 17–18% reduction in total cancer risk compared with not doing any such activity. Half the participants did at least 4.5 minutes a day, associated with a 20–21% reduction in total cancer risk. For cancers such as breast, lung and bowel cancers, which we know are impacted by the amount of exercise people do, the results were stronger and the risk reduction sharper. For example, a minimum of 3.5 minutes per a day of vigorous incidental activity reduced the risk of these cancers by 28–29%. At 4.5 minutes a day, these risks were reduced by 31–32%. For both total cancer and those known to be linked to exercise, the results clearly show the benefits of doing day-to-day activities with gusto that makes you huff and puff. <h2>Our study had its limits</h2> The study is observational, meaning we looked at a group of people and their outcomes retrospectively and did not test new interventions. That means it cannot directly explore cause and effect with certainty. However, we took several statistical measures to minimise the possibility those with the lowest levels of activity were not the unhealthiest, and hence the most likely to get cancer – a phenomenon called “<a href="https://www.sciencedirect.com/topics/computer-science/reverse-causation">reverse causation</a>”. Our study can’t explain the biological mechanisms of how vigorous intensity activity may reduce cancer risk. Previous <a href="https://journals.lww.com/acsm-msse/Fulltext/2017/02000/Brief_Intense_Stair_Climbing_Improves.10.aspx">early-stage trials</a> show this type of activity leads to rapid improvements in heart and lung fitness. And higher fitness is linked to lower <a href="https://www.sciencedirect.com/science/article/abs/pii/S0002934320300097">insulin resistance</a> and lower <a href="https://www.sciencedirect.com/science/article/pii/S0735109704017036">chronic inflammation</a>. High levels of these are risk <a href="https://www.sciencedirect.com/science/article/pii/S0735109704017036">factors for cancer</a>. There is very little research on incidental physical activity and cancer in general, because most of the scientific evidence on lifestyle health behaviours and cancer is based on questionnaires. This method doesn’t capture short bursts of activity and is very inaccurate for measuring the incidental activities of daily life. So the field of vigorous intensity activity and cancer risk is at its infancy, despite some <a href="https://academic.oup.com/eurheartj/article/43/46/4801/6771381">very promising</a> recent findings that vigorous activity in short bouts across the week could cut health risks. In another recent study of ours, we found benefits from daily <a href="https://www.nature.com/articles/s41591-022-02100-x%22%22">vigorous intermittent lifestyle activity</a> on the risk of death overall and death from cancer or cardiovascular causes. <h2>In a nutshell: get moving in your daily routine</h2> Our study found 3 to 4 minutes of vigorous incidental activity each day is linked with decreased cancer risk. This is a very small amount of activity compared to <a href="https://bjsm.bmj.com/content/54/24/1451">current recommendations</a> of 150–300 minutes of moderate intensity or 75–150 minutes of vigorous intensity activity a week. Vigorous incidental physical activity is a promising avenue for cancer prevention among people unable or unmotivated to exercise in their leisure time. Our study also highlights the potential of technology. These results are just a glimpse how wearables combined with machine learning – which our study used to identify brief bursts of vigorous activity – can reveal health benefits of unexplored aspects of our lives. The future potential impact of such technologies to prevent cancer and possibly a <a href="https://www.nature.com/articles/s41591-022-02100-x">host of other</a> conditions could be very large.<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/210288/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/emmanuel-stamatakis-161783">Emmanuel Stamatakis</a>, Professor of Physical Activity, Lifestyle, and Population Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> and <a href="https://theconversation.com/profiles/matthew-ahmadi-1241767">Matthew Ahmadi</a>, Postdoctoral Research Fellow, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/climb-the-stairs-lug-the-shopping-chase-the-kids-incidental-vigorous-activity-linked-to-lower-cancer-risks-210288">original article</a>.

Body

“Papa activities”: Jock Zonfrillo’s widow shares bittersweet post

The widow of late MasterChef star Jock Zonfrillo has shared a bittersweet post on how she is trying to fill his shoes. Following Zonfrillo’s <a href="https://www.oversixty.com.au/news/news/shattered-hearts-culinary-world-mourns-tragic-death-of-jock-zonfrillo" target="_blank" rel="noopener">passing in Apri</a>l, his wife Lauren Fried has been keeping his Instagram account active to share memories of him, his last projects, and provide updates on how her family is coping. In the most recent post, Fried shared that their young son Alfie had asked her to do some things he had traditionally enjoyed doing with his dad. “Alfie has asked me to do some of his Papa activities with him - making crepes and doing hours of Lego were in his requests,” she wrote in the caption. “I went with the easiest option of a trip to the barber, which the boys used to do together, followed by gelato,” she added. “It put a smile on his face which was beautiful.” She shared a series of photos of Alfie getting his haircut and smiling proudly as he showed off the final look. In the last photo, Alfie is pictured with his new haircut and enjoying a scoop of gelato. <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/CugXCsrPZIO/?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/CugXCsrPZIO/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Jock Zonfrillo (posts by Loz) (@zonfrillo)</a> </div> </blockquote> Fans have flooded the comment section with their love and support for them. “Lovely to see him smiling,” wrote one person. “So beautiful , Alfie looks so much like his Daddy ♥️” commented another. “Oh bless him. I hope somewhere in all of this ...that you are able to find a moment for you. Take care loz xx,” wrote a third. “So beautiful that you are keeping the memories he shared with his Papa fresh in his mind,” commented a fourth. “Beautiful! What a sweet moment! So nice to see that big smile! So happy this was the first thing to pop up on my insta feed!” Zonfrillo and Fried also have a daughter, Isla together and the late chef also has two adult children, Ava and Sophia, from his previous marriage. Images: Instagram

Family & Pets

Sore joints now it’s getting cold? It’s tempting to be less active – but doing more could help you feel better

<a href="https://theconversation.com/profiles/charlotte-ganderton-1170940">Charlotte Ganderton</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>; <a href="https://theconversation.com/profiles/inge-gnatt-1425767">Inge Gnatt</a>, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a>, and <a href="https://theconversation.com/profiles/matthew-king-1177304">Matthew King</a>, <a href="https://theconversation.com/institutions/la-trobe-university-842">La Trobe University</a> <a href="https://www.health.gov.au/topics/chronic-conditions/what-were-doing-about-chronic-conditions/what-were-doing-about-musculoskeletal-conditions#:%7E:text=In%20Australia%3A,stiff%2C%20painful%2C%20swollen%20or%20deformed">One in three</a> Australians has a musculoskeletal condition involving joint pain, and the most common cause is arthritis. Around <a href="https://arthritisaustralia.com.au/1in7witharthritis/">3.6 million</a> Australians have arthritis and this is projected to rise to <a href="https://www.arthritiswa.org.au/arthritis/australians-in-the-dark-with-arthritis-one-of-our-most-prevalent-and-costly-diseases/#:%7E:text=Arthritis%20is%20a%20leading%20cause,to%205.4%20million%20by%202030">5.4 million by 2030</a>. For some people with joint pain, cold weather <a href="https://doi.org/10.1186/1471-2474-15-66">seems to make it worse</a>. But temperature <a href="https://doi.org/10.1016/S0304-3959(99)00010-X">is just one factor</a> impacting perceptions of <a href="https://doi.org/10.1097/j.pain.0000000000001776">greater pain</a> during winter. Other factors include those we have some level of influence over, including <a href="https://link.springer.com/article/10.1007/s00702-019-02067-z">sleep</a>, <a href="https://link.springer.com/article/10.1007/s00702-019-02067-z">behavioural patterns, mood</a> and <a href="https://link.springer.com/content/pdf/10.1038/s41598-019-44664-8.pdf">physical activity</a>. Emerging research suggests greater pain levels in winter may also be related to a person’s <a href="https://doi.org/10.1371/journal.pone.0216902">perception of the weather</a>, lack of <a href="https://doi.org/10.1016/j.sjpain.2010.05.030">vitamin D</a> and <a href="https://doi.org/10.1093/rheumatology/kel414">fluctuations in their disease</a>. <a href="https://doi.org/10.1002/msc.1191">Physical activity</a> is one of the best treatments to increase function, strength and mobility – and improve quality of life. It also <a href="https://doi.org/10.1002/msc.1191">promotes</a> mental and physical health and <a href="https://www.sciencedirect.com/science/article/pii/S1466853X21000304?via%3Dihub">reduces the risk</a> of other chronic diseases. But pain can be a barrier to exercise and activities you’d usually do. So what can you do about it? <h2>Our brain tries to protect us</h2> When it comes to pain, our brain is very protective: it’s like an inbuilt alarm system and can warn us about impending danger or harm that has occurred so we can respond. But it’s not always a reliable indicator of actual damage or trauma to the skin, muscle or bone, even when it feels like it is. In some instances, this warning system can become unhelpful by setting off “false alarms”. Joint pain and stiffness can also appear to worsen during colder weather, prompting <a href="https://doi.org/10.1177/26335565221100172">fears</a> we could <a href="https://doi.org/10.1002/jor.25151">make it worse</a> if we undertake or overdo movement. This <a href="https://doi.org/10.1016/j.jbspin.2017.07.007">can result in</a> people avoiding physical activity – even when it would be beneficial – which can worsen the pain. <h2>We tend to exercise less when it’s cold</h2> Seasons <a href="https://doi.org/10.1016/j.jshs.2016.07.007">affect</a> how much physical activity we get. Summer months bring warmer weather, longer daylight hours and people get outdoors more. Warmer weather also tends to elicit a positive outlook, a lift in mood and burst of physical activity to fulfil New Year’s resolutions. Cooler months can mean a decline in physical activity and more time being cosy indoors. A reduction in movement and less exposure to light may evoke higher levels of joint pain and can be associated with a reduction in our overall sense of well-being and mood. This can create a cycle where symptoms worsen over time. <figure class="align-center "><img src="https://images.theconversation.com/files/526947/original/file-20230518-19-gzmuv8.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/526947/original/file-20230518-19-gzmuv8.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=400&fit=crop&dpr=1 600w, https://images.theconversation.com/files/526947/original/file-20230518-19-gzmuv8.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=400&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/526947/original/file-20230518-19-gzmuv8.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=400&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/526947/original/file-20230518-19-gzmuv8.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=503&fit=crop&dpr=1 754w, https://images.theconversation.com/files/526947/original/file-20230518-19-gzmuv8.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=503&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/526947/original/file-20230518-19-gzmuv8.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=503&fit=crop&dpr=3 2262w" alt="Older woman exercises with weights" /><figcaption></figcaption>But with the right knowledge and support, people <a href="https://doi.org/10.1080/08870446.2022.2126473">can remain engaged in an active lifestyle</a> especially when it’s aligned to personal values and goals. Health professionals such as physiotherapists and GPs can assess any concerns and provide strategies that are right for you.</figure> <h2>How to motivate yourself to stay active in winter</h2> When looking for an approach to help you stay active during the cooler months and beyond, it can be helpful to become aware of the many <a href="https://doi.org/10.1002/msc.1191">interconnected factors</a> that impact you. They include: <ul> <li>biological (your genes, other illnesses you have)</li> <li>psychological (how you think, feel and behave)</li> <li>social (your relationships and social support).</li> </ul> Starting with the end goal in mind can be beneficial, but this can feel overwhelming. Try creating smaller, achievable steps to help get you there, like climbing a ladder. For example, park a short distance from the shops and increase this incrementally to increase your exercise tolerance. A little bit each day can often be less tolling on your body than a big effort once a week. Create goals that are personally meaningful and encourage you to celebrate success along the way (for example, catching up with friends or a healthy snack). Then, as you climb your “ladder”, one rung at a time, you will likely feel more motivated to continue. If you’re not sure where to start, talk to a friend or health provider to help you determine what is realistic and right for your situation. That way you can <a href="https://doi.org/10.1002/msc.1191">work towards your goals in a safe, non-threatening environment</a> and avoid developing fear and avoidance. They can also help you establish goals that align with your aspirations and pain experience.<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/200911/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> Image credit: Shutterstock <a href="https://theconversation.com/profiles/charlotte-ganderton-1170940">Charlotte Ganderton</a>, Senior Lecturer (Physiotherapy), <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a>; <a href="https://theconversation.com/profiles/inge-gnatt-1425767">Inge Gnatt</a>, Lecturer (Psychology), Provisional Psychologist, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a>, and <a href="https://theconversation.com/profiles/matthew-king-1177304">Matthew King</a>, Lecturer, Research Fellow, and Physiotherapist, <a href="https://theconversation.com/institutions/la-trobe-university-842">La Trobe University</a> This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/sore-joints-now-its-getting-cold-its-tempting-to-be-less-active-but-doing-more-could-help-you-feel-better-200911">original article</a>.

Body

Fun camping activities for the whole family

Dust off the tent and grab the sleeping bags because it is well and truly camping season! A traditional summer pursuit for many families, camping is not only great fun for all ages but a wonderful family bonding times. If you’re camping with the extended family this season, here are some activities that will engage even the most disinterested kid. Get ready for some wholesome fun that does not involve technology! Scavenger hunt Make it a competition so everyone, even the adults, get involved and active! As you will likely be around nature, create a nature-themed hunt. It can be as simple as collecting items like leaves of certain colours, different shaped rocks, snail shells or even spotting different types of bugs and animals. In this case, get everyone to take a photo of the item. Make sure you warn kids of things to avoid like certain poisonous or prickly plants that might be around. Obstacle course Create the ultimate outdoor obstacle course to challenge the whole family. It can be as easy or hard as you want so set it to accommodate all ages and activity levels in the family. Obstacles like crawling under picnic tables, skipping stones, long jumps on a beach, hanging off a branch are all options. Use what is at your campsite and race each other with the ‘losers’ having to cook dinner or collect firewood. Nature watching Since the whole family will be in the thick of the bush, take the time to get to know nature better! Most national parks and campsites will have brochures of types of animals and birds in the area or grab a guidebook and go bird and animal watching. Or learn about the different types of flora in the area. Just be sure to respect nature and not damage anything. Learn new skills A camping trip is a great time to teach the kids how to read maps and compasses (or brush up if you are rusty). Reading a map and compass is quickly becoming a lost skill but one which is still important. Make it a bit more fun by going orienteering. Create an easy compass course and see how well the family follows directions. Cook up a treat If you are lucky enough to have a big campfire blazing away at night don’t waste the opportunity and cook up some camp favourites. The classic damper is a great option, otherwise toasting marshmallows while sharing stories is the perfect way to unwind at night. Or you can create s’mores, an American favourite of marshmallows and chocolate sandwiched between crackers. Ghost stories Even the most disinterested grandkids will be engrossed with a night time session of ghost stories around the campfire. Engulfed in the blackness of night with not much signs of civility, the scare factor is heightened. If nobody can think of any good ones (we recommend you have some prepared to scare everyone!) or the grandkids are too young, play the game where everyone contributes a sentence which slowly builds an often outrageous and hilarious tale. Image credit: Shutterstock

Travel Tips

"I'm not afraid to challenge myself": J-Lo's secret to staying physically and mentally fit

Jennifer Lopez has shared an insight into her gruelling workout routine, revealing it is the best thing for both her physical and mental wellness. The 53-year-old singer and actress told US Weekly how important moving her body is to help keep a positive mental attitude. "It's no secret that fitness is a very important part of my life... I think there's a positive correlation between exercise and mental health," she said. J-Lo's claims have long been backed up by healthcare professionals, with the MentalHealth.org website reading, "Research shows that people who exercise regularly have better mental health and emotional wellbeing, and lower rates of mental illness." "Taking up exercise seems to reduce the risk of developing mental illness... and seems to help in treating some mental health conditions, like depression and anxiety." Lopez went on to say, "When you find a good balance through determination and focus, we're naturally pushing to be the best version of ourselves." She usually begins her workouts "first thing in the morning", which usually means rolling out of bed before 5am. J-Lo regularly mixes up her workouts, explaining, "I'm always evolving and looking for things that keep me excited and motivated." "I'm not afraid to challenge myself, so I'm open to pushing myself, which is what I'm doing right now as I rehearse for my new album, [This Is Me… Now], coming out this summer." Even Jennifer's trainer Tracy Anderson said the pop star goes above and beyond for her health and fitness, pushing herself for maximum results. '"She shows up no matter what, she takes the time seriously, she knows her body, she wants to be herself," Anderson has said. "She knows that putting in the hard work to get her workout in is part of it." Image credits: Getty Images

Body

Get two for the price of one with top ways to have fun and keep active

Physical activity is a key factor in a person’s health at any age, and experts have long preached the physical benefits of keeping fit. However, as good things often come in pairs, it’s always important to note that while exercise can mean excellent things physically - from preventing certain health conditions such as diabetes and cardiovascular diseases to benefiting mental health - it comes with the additional bonus of introducing people to like-minded souls. This socialisation is especially important towards tackling boredom and the loneliness that comes along with isolation. As life goes on, it may become harder to take part in the activities of youth - sports, for example, are not so kind to older joints. This by no means limits what someone can and cannot try out, with plenty of options still available for those who dream of keeping active and having some fun along the way. <ul> <li dir="ltr">Community centres </li> </ul> Community/leisure centres and senior clubs feature a whole host of activities on their calendars, and a quick Google search will reveal the closest ones on offer. With many covering everything from sports to hiking, dancing, art classes, and new learning opportunities, these can prove a great way to gain a new skill and make some new friends in the process. <ul> <li dir="ltr">New hobbies</li> </ul> On a similar note, picking up a new hobby can introduce you to a whole host of people with the same interests, especially if you find a group or community page to share your newfound enthusiasm. You’ll pick up new tips and tricks faster, and with your new social circle, may even find a second or third hobby to dabble in. A local walking group could even introduce you to new spots in your area that you’d never even heard of - or perhaps even a post-trek coffee shop to enjoy a well-deserved pastry. And, of course, bowling never goes amiss, nor a little competitive spirit when it comes to forging new bonds and a drive to improve. <ul> <li dir="ltr">Gardening </li> </ul> Not only does gardening provide fresh air and exercise, but if you play your cards right (or water your crops right) you could find yourself with a garden that’s the envy of the whole neighbourhood, or one that’s fully self-sufficient to save you a few dollars on your next trip to the supermarket. Weeding, watering, mowing, and planting are just some of the productive tasks to leave you feeling proud of your hard work that also have the added benefit of counting towards your exercise goal for the day - you probably just won’t realise it at the time. <ul> <li dir="ltr">Play</li> </ul> Grandchildren and pets provide the perfect opportunity for some free and entertaining physical activity, even if sometimes they might move a little too quickly for comfort. From pushing the youngest in strollers, to taking a dog on a leisurely walk around the block, there are ample opportunities to enjoy the outdoors and get some steps in the process. And if all else fails, a game of hide-and-seek in the backyard or living room can’t steer you wrong. Images: Getty

Body

Prince Harry alleges physical fight with brother William

Prince Harry has accused his brother, William, of physically assaulting him during an argument over his wife, Meghan, Duchess of Sussex in 2019. UK newspaper The Guardian claim to have seen an advance copy of Prince Harry's highly anticipated memoir, Spare, in which Harry reportedly alleges William knocked him to the floor during the altercation. The alleged incident took place after a conversation between the two brothers, during which William, the heir to the British throne, called Meghan Markle "difficult," "rude" and “abrasive”. "The confrontation escalated until William "grabbed me by the collar, ripping my necklace, and ... knocked me to the floor," The Guardian reported. The Guardian article focuses on the alleged physical altercation between the brothers but describes the entirety of the book as a "remarkable volume." The article reports Harry's version of events, in which William arrives at Harry and Meghan's then home, Nottingham Cottage on Kensington Palace grounds, to allegedly discuss "'the whole rolling catastrophe' of their relationship and struggles with the press.” Harry alleges that William attacked him after he had offered him water and attempted to cool a heated verbal exchange, according to The Guardian. The article quotes Harry, "He set down the water, called me another name, then came at me. It all happened so fast. So very fast. He grabbed me by the collar, ripping my necklace, and he knocked me to the floor. I landed on the dog's bowl, which cracked under my back, the pieces cutting into me. I lay there for a moment, dazed, then got to my feet and told him to get out.” The article says Harry states in the book that William urged him to hit back, but he refused to do so. William left but later returned "looking regretful" and apologised, according to The Guardian article, quoting the book. Spare is due to be released on January 10. Image: Shutterstock

Family & Pets

World’s largest active volcano erupts

The world’s largest active volcano has begun to erupt for the first time in 38 years, with officials warning locals to prepare in the event of a worst-case scenario. Hawaii’s Mauna Loa, located inside Hawaii Volcanoes National Park, began to erupt on Sunday night local time at Moku'āweoweo, the volcano’s summit caldera (a hollow that forms beneath the summit after an eruption). While the lava has been mostly contained within the summit, US officials said the situation could change rapidly and have urged Big Island’s 200,000 residents to prepare to evacuate if lava begins to flow towards populated areas. A warning about ashfall was previously issued to residents, given that falling ash can contaminate water supplies, kill vegetation and irritate the lungs, but the advisory has since been lifted. "Based on past events, the early stages of a Mauna Loa eruption can be very dynamic and the location and advance of lava flows can change rapidly," the US Geological Service (USGS) said. The public has also been urged to stay away from Mauna Loa, given the threat caused by lava that has been shooting 30 to 60 metres into the air, as well as the emission of harmful volcanic gases such as sulfur dioxide. The eruption - Moana Loa’s 33rd since 1843 - comes after a series of recent earthquakes hit the region, with more than a dozen reported on Sunday. <img src="https://oversixtydev.blob.core.windows.net/media/2022/11/mauna-lua1.jpg" alt="" width="1280" height="720" />Aerial photos show the first time Mauna Loa has erupted in the past 38 years. Image: USGS Bobby Camara, a lifelong resident who lives in Big Island’s Volcano Village, told The Guardian that he had seen the volcano erupt three times in his life and warned that everyone on the island should be vigilant. “I think everybody should be a little bit concerned,” he said. “We don’t know where the flow is going, we don’t know how long it’s going to last.” Gunner Mench, an art gallery owner in Kamuela, told the outlet that he saw the eruption alert on his phone shortly after midnight on Sunday before venturing out to film the red glow over the island and lava spilling down the side of the volcano. “You could see it spurting up into the air, over the edge of this depression,” Mench said. “Right now it’s just entertainment, but the concern is (it could reach populated areas).” Dr Jessica Johnson, a volcano geophysicist who has worked at the Hawaiian Volcano Observatory, told the BBC that although the lava poses “little risk” to people, it could be a threat for infrastructure. She warned that lava flows could pose a threat to Hilo and Kona, two nearby population centres, and that the volcanic gases could cause breathing problems. While the USGS has noted there is no indication the lava will spill out of the summit, the agency has opened evacuation shelters due to reports of locals self-evacuating along the South Kona coast. Mauna Loa is the world’s largest active volcano and one of five that make up Hawaii’s Big Island, the southernmost island in the archipelago. Image: H24 NET (Twitter)

International Travel

Lucid dying - what some patients experience as they’re going through CPR

A study of people who received cardiopulmonary resuscitation (CPR) in hospital has found that some of them had what’s being dubbed “lucid experiences of death,” accompanied by spikes in brain activity. The research found that roughly one in five CPR survivors described unique experiences, including feeling separated from their bodies, observing the events without pain or distress, and a meaningful evaluation of life. These experiences were different to hallucinations, dreams, or CPR-induced consciousness, according to the researchers, who presented their findings at the American Heart Association’s Scientific Sessions 2022 conference. The international team of researchers collected data on 567 patients whose hearts stopped beating, in UK and US hospitals, between May 2017 and March 2020. While they were all treated immediately, fewer than 10% of these people were ultimately discharged from hospital. In addition to hearing the patients’ experiences, the researchers observed spikes in brain activity – specifically, in so-called gamma, delta, theta, alpha and beta waves. In some cases, these activity spikes were observed when CPR had been going on for up to an hour. “These recalled experiences and brain wave changes may be the first signs of the so-called near-death experience, and we have captured them for the first time in a large study,” says lead investigator Dr Sam Parnia, an intensive care physician and associate professor in the Department of Medicine at New York University Langone Health, US. “Our results offer evidence that while on the brink of death and in a coma, people undergo a unique inner conscious experience, including awareness without distress.” While plenty of people have personal accounts of near-death experiences before, they’re difficult to judge empirically. “These lucid experiences cannot be considered a trick of a disordered or dying brain, but rather a unique human experience that emerges on the brink of death,” says Parnia. It may be linked to disinhibition – the release of barriers in the brain as it shuts down. The researchers are keen to investigate the lucid dying experiences further. This article originally appeared on <a href="https://cosmosmagazine.com/health/lucid-dying-cpr/" target="_blank" rel="noopener">cosmosmagazine.com</a> and was written by Ellen Phiddian. Image: Shutterstock

Mind

Why a renowned artist is burning his own masterpieces

Artist Damien Hirst has begun burning hundreds of his own artworks after his latest collection prompted the buyer to either choose the physical work or the NFT representing it. Those who chose to buy the NFT, or virtual version, of the artwork were told their corresponding physical piece would be destroyed. Asked how he felt about burning the works, Hirst said, "It feels good, better than I expected." The artist himself burned each work individually, with the estimated cost of the works being burned equated to almost $18 million (AUD). Live-streaming the event, the Turner Prize winner and assistants used tongs to deposit individual pieces stacked in piles into fireplaces in the gallery as onlookers watched. "A lot of people think I'm burning millions of dollars of art but I'm not," Hirst said. "I'm completing the transformation of these physical artworks into NFTs by burning the physical versions. "The value of art, digital or physical, which is hard to define at the best of times will not be lost; it will be transferred to the NFT as soon as they are burnt." Hirst launched his first NFT collection last year, called The Currency, which was made up of 10,000 NFTs, corresponding to 10,000 original pieces of art, forcing buyers to choose what medium they would receive. According to London’s Newport Street Gallery, 5,149 buyers opted for the physical works while 4,851 chose the NFTs. Hirst’s works will continue to be burned until The Currency exhibition closes on October 30th. Image credits: Getty Images

Art

How to find a hobby you love

Having hobbies is a great boredom buster, and they can also lead to new friendships or even new business opportunities. If you’re interested in taking up a new hobby but are not sure where to start, we can help. 1. Ask your inner child whether there were hobbies that you enjoyed when you were young that you could get back into? Whether it’s baking, knitting, bike riding or painting – any of these could be great options for the grown-up you to try again. 2. If nothing is coming to mind in terms of what you might enjoy, just have a look around. Visit a sports store, the library, a sewing store, or an arts supply store and just see if anything reaches out to you. 3. There’s nothing wrong with trying a few things on for size. You don’t need to go out and buy a brand new fishing rod and all the equipment when you could just hire a rod for a day and see what you think. Try your hand at a few ideas and see which take your fancy. 4. Find a friend to start a new hobby with. Sharing the experience with someone else can often make the activity even more enjoyable. 5. Make the hobby fit with your lifestyle. If you are home a lot, collecting something like records or art could be a good option. But if you spend a lot of time travelling, a hobby like Sudoku that fits in your bag might be a better option. 6. Consider “borrowing” a hobby from a friend. Ask your relatives or neighbours what they are into and see if it strikes a chord with you. Maybe you could borrow a digital camera for the weekend and see if you might be interested in photography. 7. Make the hobby a social one by joining a group. It could be a wine tasters club or a flower-arranging course. Meeting a group of like-minded people will be great for expanding your social circle too. Image: Getty

Caring

7 free activities to do at a port stop

Having a fun during your port stop doesn’t mean you have to spend lots of money. Depending on where you have stopped, there are various activities that you can spend your time doing that will still allow you to soak up the country that you are in. 1. Beach Beaches not only provide some of the most beautiful views on earth but they are an enjoyable activity that requires no money. You can spend your time taking in some Vitamin D, reading a book, searching for seashells or cooling off in the crystal waters. 2. Explore Depending on where you are, you can choose to go on a nice walk to take in the outdoor views or explore the streets and local life. You will be able to stretch your legs, take in the views and you will also be bound to meet some friendly faces that might be willing to give you some insider tips to where to go next. If you prefer not to walk too much when you explore, research prior to your trip to see if there are any free bus rides where you are stopping. 3. Tour the city If you have great navigation skills, don’t bother paying for a tour but visit the most prominent sites by yourself. From churches, to statutes and museums, you can explore the history of the location on your own terms. This will allow you to spend more time on the places you don’t want to rush or skip the attractions that don’t interest you at all. 4. Browse markets Markets are often free and will definitely entertain you as you browse through the local handmade goods and food. If you find some cheap items you can also purchase them as souvenirs and save yourself from spending lots of money at the tourist trap shops. You will also be supporting locals who may need the money. The markets will also provide a lot of options to meet different people. Be sure to know the conversion rate before you go to the markets so you don’t get ripped off. 5. See live music Live music is delightful to watch in another country and is a great way to see how the country’s culture and history has influenced the music. Live music can be found anywhere whether it be in front of prominent attractions, street corners or in bars. If you stumble upon an act that you enjoy, feel free to dance along or start clapping. Be aware of pickpocket thieves when you listen to live music as they love crowds. 6. People-watch People-watching is a great way to learn about the culture of a country. If you feel like relaxing in a park or at a café, be sure to pick a spot that gives you a great view of the crowds. You will be easily entertained watching people going about their lives oblivious of your gaze. 7. Attend local events There are so many local events on in all countries around the world, it is just a matter of being aware of where they are and what time they are occurring. Check out the events calendars for your cruise ports to see which events take your fancy. What free activities are your favourite in cruise ports? Let us know in the comments below.

Cruising

Making a ComeBACK to physical activity

COVID-19 has changed the way we live in Australia. Whilst we are encouraged to limit our contact with others to reduce the spread of COVID-19, it has restricted the opportunities we have to be active in our lives. Being active is an important factor in maintaining our physical functioning and mental wellbeing, particularly in these challenging times. But how active do we need to be? The World Health Organisation (WHO) recommends that adults aged 65+ should be doing at least 30 minutes of moderate intensity physical activity on most, if not all, days of the week. This includes activities that incorporate fitness, strength, balance, and flexibility to improve or maintain physical functioning (such as walking and standing up from a chair) and to prevent falls. Guidelines are good at telling us how much activity we should be doing, but they may not be enough to change our behaviour without additional support. The ComeBACK trial is looking for adults who have difficulty walking 800m to evaluate the effect of two phone-based interventions on improving physical activity and walking over 12 months. ComeBACK participants have come from a range of backgrounds, walking ability and experience with physical activity. ComeBACK participant Carla said, “Setting the goals was a really good thing and having the prompt reminders to take time for yourself and stick to your goals”. Participants are randomly assigned to one of three groups. The first group, Coaching to ComeBACK, receives fortnightly health coaching calls with a physiotherapist for 6 months to support and progress their current levels of activity. The second group, Texting to ComeBACK, receives an initial phone call with a physiotherapist followed by text messages for 6 months to motivate them to get active. The third group also receives the one-off phone call and text messages, but during the second half of the trial. People who have been involved in the trial have reported benefits across all ComeBACK groups. Coaching to ComeBACK participant, Suzie, reported “My coach is very personable and informative whilst supportive and encouraging. It’s been perfect support. Also I hear from some of the participants in the trial who were recently interviewed on the ABC Radio National segment <a href="https://www.abc.net.au/radionational/programs/sporty/how-to-move-more/13324250?fbclid=IwAR26oAJZ-nG6A52xoqPnpp3iunYmeg37n2nyse3EX7WUBEa5dLjjv3YNU0s" target="_blank" rel="noopener">Sporty</a>. If you are interested in joining the ComeBACK trial or to learn more, please get in touch with the research staff at comeback.trial@sydney.edu.au, or call (02) 8627 6235, or register your interest at <a href="http://www.comebacktrial.org.au/" target="_blank" rel="noopener">www.comebacktrial.org.au</a>. Image: Shutterstock

Body

10 activities to help you connect with your loved one with dementia

Dementia affects relationships Every year, there are more than 10 million new dementia cases, according to Alzheimer’s Disease International. This means many of us navigate this condition with spouses, parents, grandparents, siblings and more. If you love someone who has dementia, you know the disease is often accompanied by symptoms that go beyond memory loss. For the patient, dementia can trigger paranoia, speech difficulties and, at times, even a lack of empathy. These symptoms usually only make the caregiver’s experience more complicated and emotional. Fortunately, finding moments to connect with a loved one who has dementia, and enriching their life with things you can do together, is possible. In fact, welcoming them into a few of your regular tasks may not only help the two of you enjoy some one-on-one time, but as you might discover with a few of the ideas listed below, it could also help to remind you that there can be joy in the most basic routines. Read on for wisdom and ideas from geriatrics clinician Dr Jeffrey Landsman and longtime family caregiver Breeda Miller. Many activities for dementia patients and their caregivers are relatively easy to plan. Pull out old photo albums For some dementia patients, looking through old photos can unlock memories from childhood and early adulthood. “Though someone may not remember you – they may have no short-term memory – long-term memory can persist,” Dr Landsman says. “Somebody with pretty advanced dementia may still have some of the old memories available.” Digging out old albums or boxes of photos might take a little time, but it’s likely to be very rewarding. Your loved one with dementia might be able to talk about old times in a way that they haven’t for months (possibly years). Organise a cabinet or shelf together This simple activity can check an item off your to-do list while also reconnecting with an older family member. Miller recalls that her mother, who had Alzheimer’s, loved “the tactile exercise of smoothing and folding paper” while unpacking and organising a box of fragile china dishes. Not only can this be good for a dementia patient’s spirit but, according to a 2018 review of studies that suggested sensory activities might also improve dementia symptoms, published in the journal Clinical Interventions in Aging, it might actually “help improve dementia-specific issues”. Listen to music together Music can help dementia patients with symptoms of long-term depression and cognitive function, according to recent research published in Frontiers in Medicine. Dr Landman echoes this finding. He explains that playing music from your loved one’s younger years may help them perk up emotionally and even physically. He’s seen some dementia patients begin to sing or dance along to old favourites. Watch old movies Like music, old movies can spark long-lost memories. Dr Landman says some dementia patients have memories linked to old films – perhaps they remember the plot or even a childhood friend who attended the theatre with them. Watching classics alongside your loved one with dementia could help you relax together, and potentially lead to an engaging chat after the film. Fold laundry together Like organising a cabinet, folding laundry can be a ho-hum chore that suddenly turns more meaningful when you include your loved one who is losing his or her memory. “When my mother and mother-in-law would get ‘antsy,’ I would have several simple tasks ready that they could ‘help’ me with,” says Miller. One of these activities was folding laundry. Miller says simple, useful activities can help people with dementia stop fixating on negative emotions, focusing on doing a task that makes them feel purposeful, and connect with the people around them. So rather than folding and putting away laundry before a visit with your grandparent or parent who’s been diagnosed with dementia, think about saving the task to enjoy together. When conversation lapses, connect by doing something together is still possible. Clean together The National Institute on Aging (NIA) suggests sweeping or vacuuming with a friend or family member with Alzheimer’s disease. When it came to doing things around the house, Miller says her mother-in-law loved washing dishes and wiping down benchtops. Meanwhile, Miller would assist (and provide some safe oversight) by supplying the soap and water. “She was in her element, and I was thrilled to have help,” Miller recalls. These simple activities for dementia patients can help them feel useful while offering an opportunity to connect with loved ones. Go for a walk Walking is linked to better health, boosted mood and even longer life. Walking can be so beneficial that the experts at NIA also recommend walking as a good activity for dementia patients. (It goes without saying, someone with dementia should always be accompanied on a stroll.) For a loved one who struggles to remember your shared history, regular walks offer a chance for sharing observations about the weather, the sunlight, the flowers you see, and more. Or, even if you walk together in silence, a little fresh air and activity to get the blood flowing will almost certainly do you both good. Play a card game Some older adults with dementia can still remember playing classic card games such as Euchre, Rummy and Go Fish. This entertaining activity is a great way for family members of all ages to share some laughs and also experience some cognitive stimulation with their loved ones. Dr Landsman suggests that if the person with dementia says something incorrect – whether it’s a family member’s name or a rule in a card game – it’s best to let them be, as correcting inconsequential errors can create unnecessary tension and take the spotlight off the fun. Bake family recipes While cooking and baking are useful as activities to promote healthy eating in dementia patients, Miller notes this is also a beautiful way to put everything else aside and connect on an emotional level, when it really matters most. Her mother, for instance, loved baking apple pies. But one time when they baked together, Miller says she initially felt exhausted and overwhelmed for having to add another item to her to-do list. As it turned out, the process of baking together would become a monumental memory. “It wasn’t about the pie,” she says. “It was about making the pie. I am so grateful that I made the time to make that pie with her.” Miller says her mother passed away just three weeks later. That pie would be the last one they baked together. Work on a puzzle together Working on a puzzle can help engage dementia or Alzheimer’s patients’ minds, according to NIA. Whether visual puzzles or crossword puzzles, any cognitively challenging activity can help improve thinking skills over the long-term, according to research published in Frontiers in Aging Neuroscience. Of course, this is not meant to be a means to ‘fix’ your loved one’s memory loss. Completing a puzzle will not cure dementia. But it can support your loved one’s functioning and make them feel accomplished in the hours you spend in partnership on the task. Written by Leandra Beabout. This article first appeared in <a href="https://www.readersdigest.com.au/healthsmart/conditions/mental-health/10-activities-to-help-you-connect-with-your-loved-one-with-dementia" target="_blank" rel="noopener">Reader’s Digest</a>. For more of what you love from the world’s best-loved magazine, <a href="http://readersdigest.innovations.com.au/c/readersdigestemailsubscribe?utm_source=over60&utm_medium=articles&utm_campaign=RDSUB&keycode=WRA87V" target="_blank" rel="noopener">here’s our best subscription offer.</a> Image: Getty Images

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