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Why do some people need less sleep than others?

<div class="theconversation-article-body"> <p>Have you ever noticed how some people bounce out of bed after just a few hours of sleep, while others can barely function without a solid eight hours?</p> <p>Take Margaret Thatcher, for example. The former British prime minister was known for sleeping <a href="https://www.bbc.com/news/magazine-22084671">just four hours a night</a>. She worked late, rose early, and seemed to thrive on little sleep.</p> <p>But for most of us, that kind of sleep schedule would be disastrous. We’d be groggy, unfocused, and reaching for sugary snacks and caffeinated drinks by mid-morning.</p> <p>So why do some people seem to need less sleep than others? It’s a question that’s fascinated scientists for years. Here’s what we know so far.</p> <h2>Natural short sleepers</h2> <p>There is a small group of people who don’t need much sleep. We call them <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC6879540/">natural short sleepers</a>. They can function perfectly well on just four to six hours of sleep each night, often for their entire lives.</p> <p>Generally they <a href="https://academic.oup.com/sleep/article/44/Supplement_2/A154/6260529">don’t feel tired</a>, they don’t nap, and they don’t suffer the usual negative consequences of sleep deprivation. Scientists call this the natural short sleep phenotype – a biological trait that allows people to get all the benefits of sleep in less time.</p> <p>In 2010 researchers discovered genetic mutations that help explain this phenomenon. Natural short sleepers carry rare variants <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC2884988/">in certain genes</a>, which seem to make their sleep more efficient.</p> <p>More recently, a <a href="https://www.pnas.org/doi/epub/10.1073/pnas.2500356122">2025 study</a> assessed a woman in her 70s with one of these rare mutations. Despite sleeping just six hours a night for most of her life, she remained physically healthy, mentally sharp, and led a full, active life. Her body, it seems, was simply wired to need less sleep.</p> <p>We’re still learning about how common these genetic mutations are and why they occur.</p> <h2>Not everyone who sleeps less is a natural short sleeper</h2> <p>But here’s the catch: most people who think they’re natural short sleepers aren’t. They’re just chronically sleep-deprived. Often, their short sleep is due to long work hours, social commitments, or a belief sleeping less is a sign of strength or productivity.</p> <p>In today’s hustle culture, it’s common to hear people boast about getting by on only a few hours of sleep. But for the average person, that’s not sustainable.</p> <p>The effects of short sleep build up over time, creating what’s known as a “sleep debt”. This <a href="https://www.sciencedirect.com/science/article/pii/S0149763417301641">can lead to</a> poor concentration, mood swings, micro-sleeps (brief lapses into sleep), reduced performance and even <a href="https://www.sciencedirect.com/science/article/pii/S1389945716301381">long-term health risks</a>. For example, short sleep has been linked to an increased risk of obesity, diabetes, high blood pressure and cardiovascular disease (heart disease and stroke).</p> <h2>The weekend catch-up dilemma</h2> <p>To make up for lost sleep during the week, many people try to “catch up” on weekends.</p> <p>This can help repay some of the sleep debt that has accumulated in the short term. Research <a href="https://www.sciencedirect.com/science/article/pii/S2352721823001663?via%3Dihub">suggests</a> getting one to two extra hours of sleep on the weekend or taking naps when possible may help reduce the negative effects of short sleep.</p> <p>However, it’s not a perfect fix. Weekend catch-up sleep and naps may not fully resolve sleep debt. The topic remains one of ongoing scientific debate.</p> <p>A recent <a href="https://academic.oup.com/sleep/article/47/11/zsae135/7696120">large study</a> suggested weekend catch-up sleep may not offset the cardiovascular risks associated with chronic short sleep.</p> <p>What’s more, large swings in sleep timing can disrupt your body’s <a href="https://www.nature.com/articles/s41598-017-03171-4">internal clock</a>, and sleeping in too much on weekends may make it harder to fall asleep on Sunday night, which can mean starting the working week less rested.</p> <p>Increasing evidence indicates <a href="https://academic.oup.com/sleep/article/47/1/zsad253/7280269">repeated cycles of irregular sleep</a> may have an important influence on general health and the risk of early death, potentially even more so than how long we sleep for.</p> <p>Ultimately, while moderate catch-up sleep might offer some benefits, it’s no substitute for consistent, high-quality sleep throughout the week. That said, maintaining such regularity can be particularly challenging for people with non-traditional schedules, such as shift workers.</p> <h2>So, was Thatcher a true natural short sleeper?</h2> <p>It’s hard to say. Some reports suggest <a href="https://www.theguardian.com/lifeandstyle/2021/aug/27/from-aristotle-to-einstein-a-brief-history-of-power-nappers">she napped during the day</a> in the back of a car between meetings. That could mean she was simply sleep-deprived and compensating for an accumulated sleep debt when she could.</p> <p>Separate to whether someone is a natural short sleeper, there are a range of other reasons people may need more or less sleep than others. Factors <a href="https://www.sleephealthfoundation.org.au/sleep-topics/how-much-sleep-do-you-really-need">such as age</a> and underlying health conditions can significantly influence sleep requirements.</p> <p>For example, older adults often experience changes in their circadian rhythms and are more likely to suffer from fragmented sleep due to conditions <a href="https://link.springer.com/article/10.1007/s00702-019-02067-z">such as arthritis</a> or <a href="https://link.springer.com/article/10.1007/s11886-023-01939-x">cardiovascular disease</a>.</p> <p>Sleep needs vary from person to person, and while a lucky few can thrive on less, most of us need <a href="https://www.sleephealthfoundation.org.au/sleep-topics/how-much-sleep-do-you-really-need">seven to nine hours</a> a night to feel and function our best. If you’re regularly skimping on sleep and relying on weekends to catch up, it might be time to rethink your routine. After all, sleep isn’t a luxury – it’s a biological necessity.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/256342/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>By <a href="https://theconversation.com/profiles/kelly-sansom-2390567">Kelly Sansom</a>, Research Associate, College of Medicine and Public Health, Flinders University; Research Associate, Centre for Healthy Ageing, <a href="https://theconversation.com/institutions/murdoch-university-746">Murdoch University</a> and <a href="https://theconversation.com/profiles/peter-eastwood-2316718">Peter Eastwood</a>, Deputy Vice Chancellor, Research and Innovation, <a href="https://theconversation.com/institutions/murdoch-university-746">Murdoch University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-do-some-people-need-less-sleep-than-others-a-gene-variation-could-have-something-to-do-with-it-256342">original article</a>.</em></p> <p><em>Image: </em></p> </div>

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A new COVID variant is on the rise: what you need to know

<div class="theconversation-article-body"> <p>More than five years since COVID was <a href="https://www.who.int/europe/emergencies/situations/covid-19">declared a pandemic</a>, we’re still facing the regular emergence of new variants of the virus, SARS-CoV-2.</p> <p>The latest variant on the rise is LP.8.1. It’s <a href="https://www.health.gov.au/resources/collections/australian-respiratory-surveillance-reports-2025">increasing in Australia</a>, making up close to <a href="https://www.health.nsw.gov.au/Infectious/covid-19/Documents/respiratory-surveillance-20250322.pdf">one in five COVID cases</a> in New South Wales.</p> <p>Elsewhere it’s become even more dominant, comprising at least three in five cases <a href="https://inews.co.uk/news/health/lp-covid-variant-cases-future-waves-3598768">in the United Kingdom</a>, for example.</p> <p>So what is LP.8.1? And is it cause for concern? Let’s look at what we know so far.</p> <h2>An offshoot of Omicron</h2> <p>LP.8.1 was first <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">detected in July 2024</a>. It’s a descendant of Omicron, specifically of KP.1.1.3, which is descended from <a href="https://theconversation.com/the-emergence-of-jn-1-is-an-evolutionary-step-change-in-the-covid-pandemic-why-is-this-significant-220285">JN.1</a>, a subvariant that caused large waves of COVID infections around the world in late 2023 and early 2024.</p> <p>The <a href="https://www.who.int/activities/tracking-SARS-CoV-2-variants">World Health Organization</a> (WHO) designated LP.8.1 as a <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">variant under monitoring</a> in January. This was in response to its significant growth globally, and reflects that it has genetic changes which may allow the virus to spread more easily and pose a greater risk to human health.</p> <p>Specifically, LP.8.1 has mutations at six locations in its spike protein, the protein which allows SARS-CoV-2 to attach to our cells. One of these mutations, V445R, is thought to allow this variant to spread more easily relative to other circulating variants. V445R has been shown to increase binding to human lung cells in <a href="https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(25)00015-5/fulltext">laboratory studies</a>.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=468&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=468&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=468&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=588&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=588&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/658901/original/file-20250401-56-eywcgb.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=588&amp;fit=crop&amp;dpr=3 2262w" alt="A chart showing the distribution of different COVID variants in different colours." /><figcaption><span class="caption">The proportion of COVID cases caused by LP.8.1 has been rising in New South Wales.</span> <span class="attribution"><a class="source" href="https://www.health.nsw.gov.au/Infectious/covid-19/Documents/respiratory-surveillance-20250322.pdf">NSW Health</a></span></figcaption></figure> <p>Notably, the symptoms of LP.8.1 don’t appear <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">to be any more severe</a> than other circulating strains. And the WHO has evaluated the additional public health risk LP.8.1 poses at a global level to be low. What’s more, LP.8.1 remains a variant under monitoring, rather than a variant of interest or a variant of concern.</p> <p>In other words, these changes to the virus with LP.8.1 are small, and not likely to make a big difference to the trajectory of the pandemic.</p> <h2>That doesn’t mean cases won’t rise</h2> <p>COVID as a whole is still a major national and international health concern. So far this year there have been close to <a href="https://www.health.gov.au/resources/collections/australian-respiratory-surveillance-reports-2025">45,000 new cases recorded in Australia</a>, while around <a href="https://covidlive.com.au/report/daily-hospitalised/aus">260 people are currently in hospital</a> with the virus.</p> <p>Because many people are no longer testing or reporting their infections, the real number of cases is probably far higher.</p> <p>In <a href="https://www.health.gov.au/resources/collections/australian-respiratory-surveillance-reports-2025">Australia</a>, LP.8.1 has become the <a href="https://www.health.nsw.gov.au/Infectious/covid-19/Documents/respiratory-surveillance-20250322.pdf">third most dominant strain in NSW</a> (behind <a href="https://theconversation.com/xec-is-now-in-australia-heres-what-we-know-about-this-hybrid-covid-variant-239292">XEC</a> and KP.3).</p> <p>It <a href="https://www.health.nsw.gov.au/Infectious/covid-19/Documents/respiratory-surveillance-20250322.pdf">has been growing</a> over the past couple of months and this trend looks set to continue.</p> <p>This is not to say it’s not growing similarly in other states and territories, however NSW Health publishes <a href="https://www.health.nsw.gov.au/Infectious/covid-19/Pages/reports.aspx">weekly respiratory surveillance</a> with a breakdown of different COVID variants in the state.</p> <p>Sequences of LP.8.1 in the <a href="https://gisaid.org/">GISAID database</a>, used to track the prevalence of variants around the world, increased from <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">around 3%</a> at the end of 2024 to 38% of global sequences as of <a href="https://x.com/Mike_Honey_/status/1905816340331728914">mid March</a>.</p> <p>In some countries it’s climbed particularly high. In the United States LP.8.1 is responsible for <a href="https://covid.cdc.gov/covid-data-tracker/#variant-proportions">55% of cases</a>. In <a href="https://inews.co.uk/news/health/lp-covid-variant-cases-future-waves-3598768">the UK</a>, where LP.8.1 is making up at least 60% of cases, scientists fear <a href="https://inews.co.uk/news/science/new-covid-wave-cases-hospitalisations-3611459?srsltid=AfmBOor_V7pQrPMPhUYQA2KCZgRfsI_CpxTwIRiHDFJHIJhq2kbAmD42">it may be driving a new wave</a>.</p> <h2>Will COVID vaccines work against LP.8.1?</h2> <p>Current COVID vaccines, including the most recently available <a href="https://theconversation.com/new-covid-vaccines-may-be-coming-to-australia-heres-what-to-know-about-the-jn-1-shots-237652">JN.1 shots</a>, are still expected to <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">offer good protection</a> against symptomatic and severe disease with LP.8.1.</p> <p>Nonetheless, due to its designation as a variant under monitoring, WHO member countries will continue to study the behaviour <a href="https://www.who.int/publications/m/item/risk-evaluation-for-sars-cov-2-variant-under-monitoring-lp81">of the LP.8.1 variant</a>, including any potential capacity to evade our immunity.</p> <p>While there’s no cause for panic due to LP.8.1 variant at this stage, COVID can still be a severe disease for some. Continued vigilance and vaccination, particularly <a href="https://www.health.gov.au/our-work/covid-19-vaccines/getting-your-vaccination">for medically vulnerable groups</a>, is essential in minimising the impact of the disease.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/253237/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>By <a href="https://theconversation.com/profiles/thomas-jeffries-1511629">Thomas Jeffries</a>, Senior Lecturer in Microbiology, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/a-new-covid-variant-is-on-the-rise-heres-what-to-know-about-lp-8-1-253237">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Caring

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Refinancing your home later in life – what you need to know

<p>There are many reasons why you may look to refinance your home. The obvious one is to lower mortgage repayments with a better rate. However, other reasons people refinance later in life include:</p> <ul> <li>unlocking equity to invest</li> <li>paying down other debts</li> <li>buying a holiday home</li> <li>funding extended travel</li> <li>launching a new business</li> <li>supporting children with a property deposit</li> </ul> <p>Regardless of why you want to refinance, the points below will help you navigate your options.</p> <p><strong>Changing lenders</strong></p> <p>It may have been a while since you last revisited your mortgage, meaning you may not be aware of current lending options and traps.</p> <p>A common trick lenders use is the so-called “headline rate” to grab your attention. However, this interest rate is typically not what you end up paying. It may only be an introductory rate for the first few months, or hefty fees attached may wipe out any savings.</p> <p>Banks aren’t the only ones offering loans nowadays. Registered non-bank lenders, fintechs and online lenders can refinance your mortgage and provide other credit services the same as any bank; they just don’t take cash deposits. Alternatively, you could explore credit unions and mutual societies.</p> <p>Also consider any shareholder benefits you may have. Most banks have done away with them now but may still honour pre-existing ones. If you change lenders, you could lose this entitlement – permanently.</p> <p><strong>Reverse mortgages</strong></p> <p>Generally, only available to people aged 60-plus, a reverse mortgage effectively allows you to unlock equity in your home without you needing to make immediate repayments.</p> <p>However, they often have strict conditions including:</p> <ul> <li>minimum borrowing amounts</li> <li>maximum borrowing ratios</li> <li>higher interest rates than standard mortgages</li> </ul> <p>Crucially, the interest accrues over time and is repaid when you sell, move or pass away. As such, your debt liability grows over time – potentially impacting your future living arrangements and how much is left for beneficiaries in your will.  The Govt has the “loan equity scheme” as another option to lenders.  I just want to highlight the need to be careful with reverse mortgages.</p> <p><strong>Changing homes</strong></p> <p>Rather than selling, downsizing could involve making an investment property your primary residence and then renting out your existing home.</p> <p>This approach may require you to refinance both loans simultaneously. There will also be tax considerations to work through – including Capital Gains Tax liabilities when you do sell, negative gearing, depreciation, and changes to your income tax.</p> <p>Then there are the lifestyle factors to weigh up, especially if you are moving to a different area:</p> <ul> <li>living expenses</li> <li>insurance and travel costs</li> <li>access to healthcare</li> <li>rental income</li> <li>property management expenses</li> </ul> <p>Remember that if you have a Self Managed Super Fund (SMSF), it CANNOT own any property that you directly use yourself, including your home.</p> <p><strong>Becoming Bank of Mum and Dad</strong></p> <p>Refinancing can unlock equity to support adult children with their first property deposit. However, it isn’t without its risks.</p> <p>Ask yourself honestly:</p> <ul> <li>Will this be a gift or loan?</li> <li>If a loan, under what terms? Will interest be applied? How and when will repayments be made? What if they default?</li> <li>What happens if their relationship breaks down, will you get your money back?</li> <li>How does going without that money affect your retirement?</li> <li>Do you have alternative assets to support you if your circumstances change?</li> <li>How does this affect inheritances or deposit contributions to your other children?</li> <li>Can you assist them another way without using your home equity?</li> </ul> <p>Draw up a written agreement outlining all conditions and scenarios to avoid disagreements in the future.</p> <p><strong>Pension impacts</strong></p> <p>Don’t overlook how refinancing your home could impact your pension. While your home is exempt from the means test, any income or assets you generate from unlocking equity is not.</p> <p>You could inadvertently see your pension amount reduced or your eligibility voided altogether. This would come as a nasty shock if you haven’t pre-budgeted for such a change!</p> <p><strong>Getting advice</strong></p> <p>To ensure you get the best bang for your buck when refinancing, be sure to enlist the help of a good:</p> <ul> <li>mortgage broker to source the best loans for your circumstances</li> <li>insurance broker to ensure your cover is right sized for your needs, risk and budget</li> <li>accountant to work through any tax implications</li> <li>estate planner to manage any changes</li> <li>financial adviser to keep your investments and financial strategy working for you</li> </ul> <p>Ultimately, decisions – including about refinancing – are only as good the information you have at hand. So, make sure you have all the relevant facts before signing on the dotted line.</p> <p><em><span style="line-height: 18.4px; font-family: Calibri, sans-serif; color: #242424;">Helen Baker is a licensed Australian financial adviser and author of the new book, Money For Life: How to build financial security from firm foundations (Major Street Publishing $32.99). Helen is among the 1% of financial planners who hold a master’s degree in the field. Proceeds from book sales are donated to charities supporting disadvantaged women and children. Find out more at </span><a style="color: #467886;" title="http://www.onyourowntwofeet.com.au/" href="http://www.onyourowntwofeet.com.au/"><span style="line-height: 18.4px; font-family: Calibri, sans-serif;">www.onyourowntwofeet.com.au</span></a></em></p> <p><em><span style="line-height: 18.4px; font-family: Calibri, sans-serif; color: #242424;">Disclaimer: The information in this article is of a general nature only and does not constitute personal financial or product advice. Any opinions or views expressed are those of the authors and do not represent those of people, institutions or organisations the owner may be associated with in a professional or personal capacity unless explicitly stated. Helen Baker is an authorised representative of BPW Partners Pty Ltd AFSL 548754.</span></em></p>

Money & Banking

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Best hotels in Australia revealed

<p>The <a href="https://www.forbestravelguide.com/award-winners" target="_blank" rel="noopener">2025 Forbes Travel Guide</a> has announced the winners of the Star Awards, with nine hotels and experiences in Australia being named in the list.</p> <p>Every property in the running for the awards is visited by highly trained inspectors who provide an evaluation based on up to 900 objective criteria.</p> <p>According to Forbes, the Star Rating system "emphasises service because your experience at a hotel, restaurant or spa goes beyond looks".</p> <p>Over 2000 hotels, experiences, restaurants and cruises were named on the global list, with nine Aussie winners featuring in the prestigious list. </p> <p>The only property in the country to receive a 5-star accommodation rating in the 2025 Forbes Travel Guide was Crown Towers in Perth. </p> <p>Touted as "the pinnacle of Perth luxury", Forbes described the property as "Perth's most extravagant stay. Exuding understated glamour."</p> <p>In the spa category the Crown Spa Perth, which is tucked away in Crown Towers Perth, was awarded 4-stars for its "unbridled opulence".</p> <p>The Darling Sydney has once again received recognition in the Forbes Travel Guide for the ninth consecutive year, while The Darling's "world class" spa was also featured. </p> <p>Check out the list below.</p> <p>9. The Langham - Sydney</p> <p>8. Park Hyatt - Sydney</p> <p>7. Park Hyatt - Melbourne </p> <p>6. Capella - Sydney</p> <p>5. Como The Treasury - Perth</p> <p>4. The Darling Spa - Sydney</p> <p>3. The Darling - Sydney </p> <p>2. Crown Spa - Perth</p> <p>1. Crown Towers - Perth</p> <p><em>Image credits: Crown Hotels</em></p> <p style="box-sizing: border-box; margin: 0px 0px 16px; padding: 0px; border: 0px; font-stretch: inherit; font-size: 18px; line-height: 24px; font-family: 'Proxima Nova', system-ui, -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Fira Sans', 'Droid Sans', 'Helvetica Neue'; 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; vertical-align: baseline; color: #333333;"> </p>

Domestic Travel

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

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

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"People need answers": Police issue statement on anniversary of Samantha Murphy's disappearance

<p>Friends and family of Samantha Murphy have gathered to mark the one year anniversary of her disappearance. </p> <p>The 51-year old mother from Ballarat was last seen on February 4th 2024 when she left her home at 7am to go for a run. </p> <p>When she failed to return home for an event, an investigation into her disappearance was launched.</p> <p>One month after her disappearance, a now 23-year-old man was arrested and charged with one count of murder.</p> <p>Ballarat man Patrick Orren Stephenson has pleaded not guilty to murder over the disappearance of Murphy, electing to fast-track his trial.</p> <p>"I think people need answers," Councillor Samantha McIntosh told <em>9News</em>. "The family need answers. Sam's friends need answers."</p> <p>On Monday, detectives reaffirmed their vow to find Murphy's body following a year of exhaustive searches.</p> <p>Police said the investigation into the location of Murphy's body is still ongoing, with Detective Inspector Dave Dunstan saying the search this year will now widen to the Ballarat area, including new areas tipped off from sources.</p> <p>"Since Samantha's disappearance, police have worked tirelessly to locate her. While nothing can erase their grief and loss, being able to return Samantha to her family has always been incredibly important to us," Detective Dunstan said.</p> <p>"We also know that Samantha's death has had an enormous impact on the Ballarat community, as well as the wider Victorian community."</p> <p>"I want to reaffirm to the community that the Missing Persons Squad remains committed to doing everything we can to locate Samantha – while a year has passed, we still believe we can locate her."</p> <p>"We also ask people who may be using these areas, particularly in the Enfield State Forest, to be aware of their surroundings and if they believe they may have come across Samantha's remains to contact police immediately," he added.</p> <p>"There is nothing we want more than to return Samantha to her family and we remain committed to doing this."</p> <p><em>Image credits: Nine</em></p>

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Prince Harry and Meghan share rare glimpse of their kids in Christmas card

<p>Prince Harry and Meghan Markle have released their annual Christmas card, featuring a collage of photos of their humanitarian work. </p> <p>Amidst the photos was a charming family photo, with royal fans delighted for their first glimpse of Archie and Lilibet in many months. </p> <p>The Christmas card has been sent to those who signed up to their subscription list, compiling moments of Prince Harry and Meghan at various appearances throughout the year.</p> <p>The photo with Archie, five, and Lilibet, two, seems to have been taken on the grounds of the couple's Montecito mansion.</p> <p>In the photo, we see Harry and Meghan standing on the driveway at their home with their arms outstretched as their children run into them.</p> <p>Archie is running towards his mum and Harry is crouched down as his Lilibet runs into his arms.</p> <p>Fans were quick to point out both the children's flaming red hair, reminiscent of Prince Harry's signature red locks.</p> <p>The family's three dogs are also in the shot, a black Labrador called Pula, and two Beagles called Guy and Mamma Mia.</p> <p>The message on the card read: "On behalf of the office of Prince Harry and Meghan, the Duke and Duchess of Sussex. Archewell Productions and Archewell Foundations. We wish you a very Happy Holiday Season and a joyful new year."</p> <p>Other photos on the card include images from the couple's trip to Nigeria as well as snaps from their trip to Colombia in August.</p> <p>Archie and Lilibet last featured on the Sussexes Christmas card in 2021, when Lililbet was just six months old. </p> <p><em>Image credits: The Duke and Duchess of Sussex</em></p> <p> </p>

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How much do you need to retire? It’s probably a lot less than you think

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/brendan-coates-154644">Brendan Coates</a>, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</a> and <a href="https://theconversation.com/profiles/joey-moloney-1334959">Joey Moloney</a>, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</a></em></p> <p>How much do you need to save for a comfortable retirement?</p> <p>It’s a big question, and you’ll often hear <a href="https://www.google.com/search?q=australians+not+saving+enough+for+retirement&amp;oq=australians+not+saving+enough+for+retirement&amp;gs_lcrp=EgZjaHJvbWUyBggAEEUYOdIBCDM4MjRqMGo3qAIAsAIA&amp;sourceid=chrome&amp;ie=UTF-8">dire warnings</a> you don’t have enough.</p> <p>But for most Australians, it’s a lot less than you might think.</p> <h2>You spend less in retirement</h2> <p>Australians tend to overestimate how much they need in retirement.</p> <p>Retirees don’t have work-related expenses and have more time to do things for themselves.</p> <p>And retirees, especially pensioners, benefit from discounts on council rates, electricity, medicines, and other benefits worth thousands of dollars a year.</p> <p>While housing <a href="https://grattan.edu.au/news/the-great-australian-nightmare/">is becoming less affordable</a>, most retirees own their own home and have paid it off by the time they retire.</p> <p>Australians who own their home spend an average of 20–25% of their income on housing while working, largely to pay the mortgage.</p> <p>But that falls to just 5% among retiree homeowners, because they are just left with smaller things such as rates and insurance.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/631962/original/file-20241114-15-9h1dzt.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/631962/original/file-20241114-15-9h1dzt.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/631962/original/file-20241114-15-9h1dzt.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=337&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/631962/original/file-20241114-15-9h1dzt.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=337&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/631962/original/file-20241114-15-9h1dzt.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=337&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/631962/original/file-20241114-15-9h1dzt.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/631962/original/file-20241114-15-9h1dzt.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/631962/original/file-20241114-15-9h1dzt.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=3 2262w" alt="Notes: Housing costs include mortgage interest and principal repayments and general rates for homeowners, and rental payments for renters. Does not include imputed rent.:" /></a><figcaption><span class="caption">Notes: Housing costs include mortgage interest and principal repayments and general rates for homeowners, and rental payments for renters. Does not include imputed rent.</span> <span class="attribution"><span class="source">Grattan analysis of ABS (2022) Survey of Income and Housing.</span></span></figcaption></figure> <p>And whatever the income you need at the start of your retirement, it typically falls as you age.</p> <p>Retirees tend to spend 15–20% less at age 90 <a href="https://theconversation.com/why-we-should-worry-less-about-retirement-and-leave-super-at-9-5-106237">than they do at age 70</a>, after adjusting for inflation, as their health deteriorates and their discretionary spending falls.</p> <p>Most of their health and aged-care costs <a href="https://grattan.edu.au/report/money-in-retirement/">are covered by government</a>.</p> <h2>So how much superannuation do you need?</h2> <p>Consumer group Super Consumers Australia has crunched the numbers on retiree spending and presents three robust “<a href="https://superconsumers.com.au/journalism/how-much-do-you-need-to-save-for-your-retirement/">budget standards</a>”:</p> <ul> <li>a “low” standard (that is, enough for a person who wants to spend more than what 30% of retirees do)</li> <li>a “medium” standard (spending more than 50% of retirees do), and</li> <li>a “high” standard (more than 70%).</li> </ul> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/631963/original/file-20241114-19-9h1dzt.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/631963/original/file-20241114-19-9h1dzt.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/631963/original/file-20241114-19-9h1dzt.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=337&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/631963/original/file-20241114-19-9h1dzt.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=337&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/631963/original/file-20241114-19-9h1dzt.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=337&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/631963/original/file-20241114-19-9h1dzt.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/631963/original/file-20241114-19-9h1dzt.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/631963/original/file-20241114-19-9h1dzt.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=424&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><span class="caption">How much super do you need?</span> <span class="attribution"><span class="source">Super Consumers Australia (2023) Retirement Savings Targets</span></span></figcaption></figure> <p>Crucially, these estimates account for the significant role of the <a href="https://www.servicesaustralia.gov.au/how-much-age-pension-you-can-get?context=22526">Age Pension</a> in the retirement income of many Australians. The <a href="https://www.servicesaustralia.gov.au/how-much-age-pension-you-can-get?context=22526">maximum Age Pension</a> is now A$30,000 a year for singles, and $45,000 a year for couples.</p> <p>To meet Super Consumers Australia’s “medium” retirement standard, a single homeowner needs to have saved only $279,000 in super by age 65 to be able to spend $41,000 a year. A couple needs only $371,000 in super between them to spend $60,000 a year.</p> <p>To meet their “low” standard – which still enables you to spend more than 30% of retirees – single Australians need $76,000 in super at retirement, and couples $95,000 (while also qualifying for a full Age Pension of $30,000 a year).</p> <p>That’s provided that you own your own home (more on that later).</p> <h2>Ignore the super lobby’s estimates</h2> <p>Australians should ignore <a href="https://www.superannuation.asn.au/resources/retirement-standard/">the retirement standards</a> produced by super lobby group the Association of Superannuation Funds of Australia.</p> <p>Their “<a href="https://www.superannuation.asn.au/resources/retirement-standard/">comfortable</a>” standard assumes retirees need an annual income of $52,085 as a single, and $73,337 as a couple. This would require a super balance of $595,000 for a single person, and $690,000 for a couple.</p> <p>But this is a standard of living most Australians don’t have before retirement.</p> <p>It is higher than what 80% of single working Australians, and 70% of couples, <a href="https://insidestory.org.au/the-reassuring-truth-about-retirement-incomes/">spend today</a>.</p> <p>For most Australians, saving enough to meet the super lobby’s “comfortable” standard in retirement can only come by being uncomfortable during their working life.</p> <h2>Most Australians are on track for a comfortable retirement</h2> <p>The good news is most Australians are on track.</p> <p>The federal government’s <a href="https://treasury.gov.au/sites/default/files/2021-02/p2020-100554-udcomplete-report.pdf">2020 Retirement Income Review</a> concludes most future Australian retirees can expect an adequate retirement, replacing a more-than-reasonable share of their pre-retirement earnings – more than the 65–75% benchmark nominated by the review.</p> <p>Even most Australians who work part-time or have broken work histories will hit this benchmark.</p> <p>Most retirees today feel more comfortable financially than younger Australians. And typically, they have enough money to sustain the same, or a higher, living standard in retirement than they had when working.</p> <h2>Rising mortgage debt doesn’t change this story</h2> <p>More Australians are retiring with mortgage debt – about 13% of over-65s had a mortgage in 2019–20, <a href="https://www.ahuri.edu.au/sites/default/files/migration/documents/AHURI_RAP_Issue_176_Housing-equity-withdrawal-in-Australia.pdf">up from 4% in 2002–03</a>.</p> <p>But the government’s <a href="https://treasury.gov.au/sites/default/files/2021-02/p2020-100554-udcomplete-report.pdf">retirement income review</a> found most retirees who used $100,000 of their super to pay off the mortgage when they retire would still have an adequate retirement income.</p> <p>This is, in part, because many would qualify for more Age Pension after using a big chunk of super to pay off the mortgage.</p> <p>And retirees can get a loan via the government’s <a href="https://www.servicesaustralia.gov.au/home-equity-access-scheme">Home Equity Access Scheme</a> to draw equity out of their home up to a maximum value of 150% of the Age Pension, or $45,000 a year, irrespective of how much Age Pension you are eligible for.</p> <p>The outstanding debt accrues with interest, which the government recovers when the property is sold, or from the borrower’s estate when they die, reducing the size of the inheritance that goes to the kids.</p> <h2>But what about renters?</h2> <p>One group of Australians is not on track for a comfortable retirement: those who don’t own a home and must keep paying rent in retirement.</p> <p>Nearly half of retired renters <a href="https://grattan.edu.au/news/repairing-australias-retirement-income-system/">live in poverty today</a>.</p> <p>Most Australians approaching retirement own their own homes today, but fewer will do so in future.</p> <p>Among the poorest 40% of 45–54-year-olds, just 53% own their home today, <a href="https://grattan.edu.au/news/the-great-australian-nightmare/">down from 71% four decades ago</a>.</p> <p>But a single retiree renting a unit for $330 a week – cheaper than 80% of the one-bedroom units across all capital cities – would need an extra $200,000 in super, in addition to Commonwealth Rent Assistance (according to the government’s <a href="https://moneysmart.gov.au/retirement-income/retirement-planner">Money Smart Retirement Planner</a>).</p> <p>This is why raising Commonwealth Rent Assistance to help renting retirees keep a roof over their heads should be an urgent priority for the federal government.</p> <p>Australians have been told for decades that they’re not saving enough for retirement. But the vast majority of retirees today and in future are likely to be financially comfortable.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/243596/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/brendan-coates-154644"><em>Brendan Coates</em></a><em>, Program Director, Economic Policy, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</a> and <a href="https://theconversation.com/profiles/joey-moloney-1334959">Joey Moloney</a>, Deputy Program Director, Housing and Economic Security, <a href="https://theconversation.com/institutions/grattan-institute-1168">Grattan Institute</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-much-do-you-need-to-retire-its-probably-a-lot-less-than-you-think-243596">original article</a>.</em></p> </div>

Retirement Income

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A glow for every tone: The inclusive summer moisturiser you need

<p dir="ltr">If you’re looking for naturally glowing skin this summer look no further than <a href="https://www.jergens.com/en-au/products/" target="_blank" rel="noopener">Jergens’</a> new Melanin Glow illuminating moisturiser. </p> <p dir="ltr">This is the perfect addition to your skincare routine as it delivers a beautiful, natural glow that is suitable for all skin tones and is impressively long-lasting, even through sweat and a full day out.</p> <p dir="ltr">The standout feature of the <a href="https://www.jergens.com/en-au/products/melanin-glow/" target="_blank" rel="noopener">Melanin Glow range</a> is its unique formulation tailored specifically for women of colour and those with more melanated skin tones.</p> <p dir="ltr">With two radiant options—bronze or gold—this moisturiser offers extra shine for any season or occasion. It's also deeply hydrating, thanks to a blend of shea and cocoa butter, along with coconut oil, leaving skin supple and refreshed.</p> <p dir="ltr">The moisturiser helps even out skin tone and provides an extra glow without needing to tan.  </p> <p dir="ltr">Designed to even out skin tone and add a healthy glow without tanning, the moisturiser works best when applied straight out of the shower. The glycerin in the lotion helps lock in moisture, keeping skin hydrated for longer.</p> <p dir="ltr">For those concerned about a sticky-residue that often comes with moisturising lotions, the Melanin Glow Illuminating Moisturiser is exceptionally light on the skin and leaves behind a dessert-like scent. </p> <p dir="ltr">While the gold option may appear bright on warmer skin tones, it adds a fun, luminous touch for a night out. The bronze version, ideal for darker skin tones, creates a more natural look suitable for daily use, and despite its name, complements lighter skin tones as well with its subtle, non-tinted finish.</p> <p dir="ltr">Packaged in a 207ml bottle and priced at an affordable $15.99, this moisturiser offers excellent value for achieving radiant, long-lasting skin.</p> <p dir="ltr">It’s available nationwide at Priceline or on their<a href="https://www.jergens.com/en-au/products/" target="_blank" rel="noopener"> website</a>.</p> <p dir="ltr"><em>Images: Supplied</em></p> <p dir="ltr"> </p>

Beauty & Style

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Elizabeth Hurley reunites with Shane Warne's kids

<p>Two years after Shane Warne's death, his ex-fiancé, Elizabeth Hurley has reunited with his three kids. </p> <p>Elizabeth and her son Damian Hurley, 22, caught up with Brooke Warne, 27, Jackson Warne, 25, and Summer Warne, 23, at Oaks Day.</p> <p>"Today deserves a double upload," Brooke captioned a series of photos with Warne's kids. </p> <p>"Special memories with this bunch, a special day with our special people!"</p> <p>In one photo, the 59-year-old actress had her arm around Brooke as the pair smiled for the camera. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/DCEGMZMyMpD/?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/DCEGMZMyMpD/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by B R O O K E 🍿 W A R N E (@brookewarne)</a></p> </div> </blockquote> <p>Elizabeth and her son flew out to Australia for the race, with Damian opening up about how important the trip was for him in his own Instagram post. </p> <p>"My forever family ♥️ Coming back to Australia was always going to be hard. Part of me wanted to put it off forever, knowing that once here, the reality of SW’s passing would truly sink in," he wrote on Instagram. </p> <p>"Now, being back in this beautiful place which I was once lucky enough to call home, I’m overwhelmed with more love than I’ll ever be able to put into words. My heart is full." </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/p/DCEsxMxviXc/?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/DCEsxMxviXc/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Damian Hurley (@damianhurley1)</a></p> </div> </blockquote> <p>Brooke also shared a video on her Instagram stories with Damian, with the caption: "Baby brother, missed you." </p> <p>Elizabeth and Shane were together from 2010-2013 and they got engaged in 2011. </p> <p>The former couple often made appearances together at race days, including Royal Ascot in the UK and the 2011 Melbourne Cup Carnival. </p> <p>Despite their split, Shane and Elizabeth stayed good friends. </p> <p>On Tuesday, the actress opened up about how "bittersweet" it was to be back in Australia. </p> <p>"Bittersweet to be back in Melbourne - home to so many memories. Thank you @flemingtonvrc for inviting me and my son. We had a beautiful day," she wrote. </p> <p><em>Images: Instagram</em></p>

Family & Pets

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How was Halloween invented? Once a Celtic pagan tradition, the holiday has evolved to let kids and adults try on new identities

<div class="theconversation-article-body"> <figure class="align-left "></figure> <p><em><a href="https://theconversation.com/profiles/linus-owens-457047">Linus Owens</a>, <a href="https://theconversation.com/institutions/middlebury-1247">Middlebury</a></em></p> <p>“It’s alive!” Dr. Frankenstein cried as his creation stirred to life. But the creature had a life of its own, eventually escaping its creator’s control.</p> <p>Much like Frankenstein’s monster, traditions are also alive, which means they can change over time or get reinvented. Built from a hodgepodge of diverse parts, Halloween is one such tradition that has been continually reinvented since its ancient origins as <a href="https://press.uchicago.edu/ucp/books/book/distributed/T/bo46408548.html">a Celtic pagan ceremony</a>. Yet beneath the superhero costumes and bags of candy still beats the heart of the original.</p> <p>The Celts lived in what’s now Ireland as far back as 500 B.C. They celebrated New Year’s Day on Nov. 1, which they called <a href="https://www.loc.gov/folklife/halloween-santino.html">Samhain</a>. They believed that leading up to the transition to the new year, the door between the worlds of the living and the dead swung open. The souls of the recently dead, previously trapped on Earth, could now pass to the underworld. Since they thought spirits came out after dark, this supernatural activity reached its peak the night before, on Oct. 31.</p> <p>The Celts invented rituals to protect themselves during this turbulent time. They put on costumes and disguises to fool the spirits. They lit bonfires and stuck candles inside carved turnips – the first jack-o’-lanterns – to scare away any spirits looking for mischief. If all else failed, they carried a pocketful of treats to pay off wayward spirits and send them back <a href="https://global.oup.com/academic/product/halloween-9780195168969?cc=us&amp;lang=en&amp;">on their way to the underworld</a>.</p> <p>Sound familiar?</p> <p><a href="https://theconversation.com/halloweens-celebration-of-mingling-with-the-dead-has-roots-in-ancient-celtic-celebrations-of-samhain-191300">Although focused on the dead</a>, Samhain was ultimately <a href="https://utpress.org/title/halloween-other-festivals/">for the living</a>, who needed plenty of help of their own when transitioning to the new year. Winter was cold and dark. Food was scarce. Everyone came together for one last bash to break bread, share stories and stand tall against the dead, strengthening community ties at the time they were needed most.</p> <p>When Catholics arrived in Ireland around A.D. 300, they opened another door between worlds, unleashing considerable conflict. They sought to convert the Celts by changing their pagan rituals into Christian holidays. They rechristened Nov. 1 “All Saints Day,” which today remains a celebration of Catholic saints.</p> <p>But the locals held on to their old beliefs. They believed the dead still wandered the Earth. So the living still dressed in costumes. This activity still took place the night before. It just had a new name to fit the Catholic calendar: “All Hallows Eve,” which is <a href="https://www.loc.gov/folklife/halloween-santino.html">where we got the name Halloween</a>.</p> <p>Irish immigrants <a href="https://www.irishpost.com/heritage/how-irish-great-famine-brought-halloween-to-america-161376">brought Halloween to America in the 1800s</a> while escaping the Great Potato Famine. At first, Irish Halloween celebrations were an oddity, viewed suspiciously by other Americans. As such, Halloween wasn’t celebrated much in America at the time.</p> <p>As the Irish integrated into American society, Halloween was reinvented again, this time as an all-American celebration. It became a holiday primarily for kids. Its religious overtones faded, with supernatural saints and sinners being replaced by generic ghosts and goblins. Carved turnips gave way to the <a href="https://www.merriam-webster.com/words-at-play/the-history-of-jack-o-lantern">pumpkins</a> now emblematic of the holiday. Though trick-or-treating resembles ancient traditions like guising, where costumed children went door to door for gifts, <a href="https://www.bakersfield.com/opinion/jack-santino-five-myths-about-halloween/article_6fe79e19-d106-52cc-a895-4a3a72d09c93.html">it’s actually an American invention</a>, created to entice kids away from rowdy holiday pranks toward more wholesome activities.</p> <p>Halloween has become a tradition many new immigrants adopt along their journey toward American-ness and is increasingly <a href="https://www.cambridgescholars.com/product/978-1-4438-0153-9">being exported around the world</a>, with locals reinventing it in new ways to adapt it to their own culture.</p> <p>What’s so special about Halloween is that it turns the world upside down. The dead walk the Earth. Rules are meant to be broken. And kids exercise a lot of power. They decide what costume to wear. They make demands on others by asking for candy. “Trick or treat” is their battle cry. They do things they’d never get away with any other time, but on Halloween, they get to act like adults, trying it on to see how it fits.</p> <p>Because Halloween allows kids more independence, it’s possible to mark significant life stages through holiday firsts. First Halloween. First Halloween without a parent. First Halloween that’s no longer cool. First Halloween as a parent.</p> <p>Growing up used to mean growing out of Halloween. But today, <a href="https://www.usatoday.com/story/money/business/2012/10/24/halloween-adults-costumes-elvira-mistress-of-the-dark/1593177/">young adults</a> seem even more committed to Halloween than kids.</p> <p>What changed: adults or Halloween? Both.</p> <p>Caught between childhood and adulthood, today’s young adults find Halloween a perfect match to their struggles to find themselves and make their way in the world. Their participation has reinvented Halloween again, now bigger, more elaborate and <a href="https://www.newsweek.com/halloween-prices-cost-more-expensive-pumpkin-candy-costumes-1754635">more expensive</a>. Yet in <a href="https://theconversation.com/why-has-halloween-become-so-popular-among-adults-104896">becoming an adult celebration</a>, it comes full circle to return to its roots as a holiday celebrated mainly by adults.</p> <p>Halloween is a living tradition. You wear a costume every year, but you’d never wear the same one. You’ve changed since last year, and your costume reflects that. Halloween is no different. Each year, it’s the same celebration, but it’s also something totally new. In what ways are you already reinventing the Halloween of the future today?</p> <p><a href="https://theconversation.com/profiles/linus-owens-457047"><em>Linus Owens</em></a><em>, Associate Professor of Sociology, <a href="https://theconversation.com/institutions/middlebury-1247">Middlebury</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-was-halloween-invented-once-a-celtic-pagan-tradition-the-holiday-has-evolved-to-let-kids-and-adults-try-on-new-identities-192379">original article</a>.</em></p> </div>

Art

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New report reveals huge amount of super needed to retire

<p>Australians will need nearly $600,000 in their superannuation to retire comfortably, according to a new report. </p> <p>The Association of Superannuation Funds (ASFA) Retirement Standard report found that home-owning singles would need $595,000 to retire at 67 with a “comfortable” lifestyle, while a home-owning couple in relatively good health would need $690,000.</p> <p>This means that home-owning couples would need $73,337 per year while home-owning singles would need  $52,085 for a comfortable lifestyle. </p> <p>Their analysis also found that for a more modest lifestyle, a superannuation balance of $100,000 is needed for both singles or couples. </p> <p>Both budgets assume the retirees own their homes and are relatively healthy. </p> <p>On Wednesday, financial commentator Betsy Westcott told <em>Sunrise</em> that Aussies needed to start thinking about retirement earlier to make the most of their savings. </p> <p>“The longer that you contribute to super and pay attention it to it, the less you have to do to create that really golden retirement because age is your superpower,” Westcott said.</p> <p>“If you’re not paying attention to your super, which, let’s be honest, most of us aren’t, you could be missing out on some really big gains (to the overall balance).”</p> <p>She added that most people retired closer to 65 than 67 and ended up with a lot less superannuation than the benchmark. </p> <p>While the ASFA retirement standard took into account  “everyday spending,” Wescott said it did not factor in expenses like helping children buy a home, or buying into a retirement village.</p> <p>She also stressed that these benchmarks were just a guide saying:  "Personal finance is just that, it is personal.”</p> <p>“Your idea of a golden retirement will look different to your neighbour’s, your cousin’s, your best friend’s."</p> <p><em>Image: Shutterstock</em></p>

Retirement Life

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Are you over 75? Here’s what you need to know about vitamin D

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/elina-hypponen-108811">Elina Hypponen</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/joshua-sutherland-1646406">Joshua Sutherland</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>Vitamin D is essential for bone health, immune function and overall wellbeing. And it becomes even <a href="https://pubmed.ncbi.nlm.nih.gov/38337682/">more crucial</a> as we age.</p> <p>New guidelines from the international Endocrine Society <a href="https://pubmed.ncbi.nlm.nih.gov/38828931/">recommend</a> people aged 75 and over should consider taking vitamin D supplements.</p> <p>But why is vitamin D so important for older adults? And how much should they take?</p> <h2>Young people get most vitamin D from the sun</h2> <p>In Australia, it is possible for most people under 75 to get enough vitamin D from the sun <a href="https://healthybonesaustralia.org.au/your-bone-health/vitamin-d-bone-health">throughout the year</a>. For those who live in the top half of Australia – and for all of us during summer – we <a href="https://healthybonesaustralia.org.au/your-bone-health/vitamin-d-bone-health">only need</a> to have skin exposed to the sun for a few minutes on most days.</p> <p>The body can only produce a certain amount of vitamin D at a time. So staying in the sun any longer than needed is not going to help increase your vitamin D levels, while it will increase your risk of skin cancer.</p> <p>But it’s difficult for people aged over 75 to get enough vitamin D from a few minutes of sunshine, so the Endocrine Society <a href="https://pubmed.ncbi.nlm.nih.gov/38828931/">recommends</a> people get 800 IU (international units) of vitamin D a day from food or supplements.</p> <h2>Why you need more as you age</h2> <p>This is higher than the recommendation for younger adults, reflecting the increased needs and reduced ability of older bodies to produce and absorb vitamin D.</p> <p>Overall, older adults also tend to have <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3356951/">less exposure</a> to sunlight, which is the primary source of natural vitamin D production. Older adults may spend more time indoors and wear more clothing when outdoors.</p> <p>As we age, our skin also becomes <a href="https://pubmed.ncbi.nlm.nih.gov/18290718/">less efficient</a> at synthesising vitamin D from sunlight.</p> <p>The kidneys and the liver, which help convert vitamin D into its active form, also lose some of their efficiency with age. This makes it <a href="https://www.sciencedirect.com/science/article/abs/pii/S0889852913000145">harder for the body to maintain</a> adequate levels of the vitamin.</p> <p>All of this combined means older adults need more vitamin D.</p> <h2>Deficiency is common in older adults</h2> <p>Despite their higher needs for vitamin D, people over 75 may not get enough of it.</p> <p>Studies <a href="https://www.abs.gov.au/articles/vitamin-d">have shown</a> one in five older adults in Australia have vitamin D deficiency.</p> <p>In higher-latitude parts of the world, such as the United Kingdom, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6627050/">almost half</a> don’t reach sufficient levels.</p> <p>This increased risk of deficiency is partly due to <a href="https://pubmed.ncbi.nlm.nih.gov/33309415/">lifestyle factors</a>, such as spending less time outdoors and insufficient dietary intakes of vitamin D.</p> <p>It’s difficult to get enough vitamin D from food alone. <a href="https://dietitiansaustralia.org.au/health-advice/vitamin-d">Oily fish, eggs and some mushrooms</a> are good sources of vitamin D, but few other foods contain much of the vitamin. While foods can be fortified with the vitamin D (margarine, some milk and cereals), these may not be readily available or be consumed in sufficient amounts to make a difference.</p> <p>In some countries such as the <a href="https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/">United States</a>, most of the dietary vitamin D comes from fortified products. However, in <a href="https://pubmed.ncbi.nlm.nih.gov/35253289">Australia</a>, dietary intakes of vitamin D are typically very low because only a few foods are fortified with it.</p> <h2>Why vitamin D is so important as we age</h2> <p>Vitamin D <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367643/">helps the body absorb calcium</a>, which is essential for maintaining bone density and strength. As we age, our bones become more fragile, increasing the risk of fractures and conditions like osteoporosis.</p> <p>Keeping bones healthy is crucial. Studies <a href="https://pubmed.ncbi.nlm.nih.gov/28726112/">have shown</a> older people hospitalised with hip fractures are 3.5 times more likely to die in the next 12 months compared to people who aren’t injured.</p> <p>Vitamin D may also help <a href="https://pubmed.ncbi.nlm.nih.gov/28202713/">lower the risk</a> of respiratory infections, which can be more serious in this age group.</p> <p>There is also emerging evidence for other potential benefits, including <a href="https://pubmed.ncbi.nlm.nih.gov/29233204/">better brain health</a>. However, this requires more research.</p> <p>According to the society’s systematic review, which summarises evidence from randomised controlled trials of vitamin D supplementation in humans, there is <a href="https://pubmed.ncbi.nlm.nih.gov/38828931/">moderate evidence</a> to suggest vitamin D supplementation can lower the risk of premature death.</p> <p>The society estimates supplements can prevent six deaths per 1,000 people. When considering the uncertainty in the available evidence, the actual number could range from as many as 11 fewer deaths to no benefit at all.</p> <h2>Should we get our vitamin D levels tested?</h2> <p>The Endocrine Society’s guidelines <a href="https://pubmed.ncbi.nlm.nih.gov/38828931/">suggest</a> routine blood tests to measure vitamin D levels are not necessary for most healthy people over 75.</p> <p>There is no clear evidence that regular testing provides significant benefits, unless the person has a specific medical condition that affects vitamin D metabolism, such as kidney disease or certain bone disorders.</p> <p>Routine <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10498906">testing</a> can also be expensive and inconvenient.</p> <p>In most cases, the <a href="https://pubmed.ncbi.nlm.nih.gov/38828931/">recommended approach</a> to over-75s is to consider a daily supplement, without the need for testing.</p> <p>You can also try to boost your vitamin D by adding fortified foods to your diet, which might lower the dose you need from supplementation.</p> <p>Even if you’re getting a few minutes of sunlight a day, a daily vitamin D is still recommended.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/231820/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/elina-hypponen-108811">Elina Hypponen</a>, Professor of Nutritional and Genetic Epidemiology, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/joshua-sutherland-1646406">Joshua Sutherland</a>, PhD Candidate - Nutrition and Genetic Epidemiology, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/are-you-over-75-heres-what-you-need-to-know-about-vitamin-d-231820">original article</a>.</em></p> </div>

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"Super uncomfortable for everyone": Qantas plays R-rated movie for every passenger

<p>Qantas has issued an apology after an R-rated movie was played for every passenger onboard a flight from Sydney to Tokyo. </p> <p>On Saturday, the flight was delayed by an hour due to problems with the in-flight entertainment system, which resulted in cabin crew only being able to play one film on everyone's individual screens. </p> <p>After requests were taken by passengers, the movie <em>Daddio</em> was chosen. </p> <p>The 2023 drama stars Sean Penn and Dakota Johnson as a taxi driver and his passenger as they discuss their relationships, including an affair Johnson’s character had with a married man.</p> <p>One passenger took to Reddit to share their experience of the flight, saying it was "extremely inappropriate", due to scenes of “graphic nudity and a lot of sexting”.</p> <p>“The kind where you could literally read the texts on screen without needing headphones,” the passenger wrote.</p> <p>“It was super uncomfortable for everyone, especially with families and kids on board.”</p> <p>Another passenger said the airline made the switch to <em>Inside Out 2</em> followed by a New Zealand nature show after playing “40 minutes of penis and boobs”.</p> <p>“These poor kids and the parents because y’all should’ve heard the audible gasps across the plane,” the passenger said.</p> <p>Cabin crew members attempted to fix the screens of those who didn't want to watch the R-rated film, but when this didn't work, resorted to switching the movie entirely. </p> <p>“The movie was clearly not suitable to play for the whole flight and we sincerely apologise to customers for this experience,” a Qantas spokesperson stated.</p> <p>“All screens were changed to a family-friendly movie for the rest of the flight, which is our standard practice for the rare cases where individual movie selection isn’t possible."</p> <p>“We are reviewing how the movie was selected.”</p> <p><em>Image credits: Shutterstock</em></p>

Travel Trouble

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"I need answers": Devastated widow vows to stage hunger strike

<p>A woman who lost her husband and son in the devastating crash at a pub in Victoria last year has vowed to stage a protest, just days after the driver of the car was dismissed of all charges. </p> <p>In November 2023, 66-year-old William Swale was behind the wheel of his BMW when he suffered a medical episode, crashing into the beer garden of The Royal Daylesford Hotel, killing five people. </p> <p>Charges against Mr Swale were <a href="https://oversixty.com.au/finance/legal/charges-dropped-over-crash-that-killed-five-people" target="_blank" rel="noopener">dropped</a> on Thursday, after a magistrate ruled the evidence against him was “so weak”.</p> <p>Mr Swale's lawyers successfully argued his actions were not voluntary because he was in a state of severe hypoglycaemia, as he is an insulin-dependent diabetic. </p> <p>After hearing that the charges were dropped, Ruchi Bhatia, whose husband Vivek, their son Vihaan, 11, were killed as a result of the crash, says the ruling is as though she has lost them all over again. </p> <p>Ruchi and her nine-year-old son were also injured in the crash, but survived after spending months in hospital. </p> <p>Speaking for the first time since the deadly incident, Bhatia expressed her pain and said it feels like her life has been torn apart again, recalling the horrifying moment she woke in hospital to learn her husband and eldest son did not make it.</p> <p>“Still today I don’t believe that they are not with me,” she told <a href="https://7news.com.au/news/daylesford-beer-garden-crash-victim-ruchi-bhatia-plans-protest-after-driver-charges-dismissed-c-16164598" target="_blank" rel="noopener"><em>7News</em></a>.</p> <p>“We were just having fun, we were outside, we were all together and the next moment they were gone and I’m never going to see them again.”</p> <p>In court on Thursday, Magistrate Guillaume Bailin found the prosecution case was flawed and decided not to commit Swale to stand criminal trial, as all charges were dropped and Mr Swale walked out of court a free man. </p> <p>Despite the ruling, Bhatia is demanding answers and says her fight for justice is far from over.</p> <p>“He stopped the car in the middle of the road — why did he start his engine again? I need answers for that,” she said.</p> <p>Bhatia and her family are planning to protest, which will include a hunger strike. </p> <p>While Bhatia said she knew the protest wouldn't bring back her family, she said they needed justice to move on from the tragedy. </p> <p><em>Image credits: 7News </em></p>

Family & Pets

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Yes, you do need to clean your tongue. Here’s how and why

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/dileep-sharma-1562149">Dileep Sharma</a>, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p>Has your doctor asked you to stick out your tongue and say “aaah”? While the GP assesses your throat, they’re also checking out your tongue, which can reveal a lot about your health.</p> <p>The doctor will look for any changes in the tongue’s surface or how it moves. This can indicate issues in the mouth itself, as well as the state of your overall health and immunity.</p> <p>But there’s no need to wait for a trip to the doctor. Cleaning your tongue <a href="https://pubmed.ncbi.nlm.nih.gov/21797979/">twice a day</a> can help you check how your tongue looks and feels – and improve your breath.</p> <h2>What does a healthy tongue look like?</h2> <p>Our tongue plays a crucial role in eating, talking and other vital functions. It is not a single muscle but rather a muscular organ, made up of eight muscle pairs that help it move.</p> <p>The surface of the tongue is covered by tiny bumps that can be seen and felt, called papillae, giving it a rough surface.</p> <p>These are sometimes mistaken for taste buds – they’re not. Of your 200,000-300,000 papillae, only a small fraction contain taste buds. Adults have up to 10,000 taste buds and they are invisible to the naked eye, concentrated mainly on the tip, sides and back of the tongue.</p> <figure><iframe src="https://www.youtube.com/embed/uYvpUl7li9Y?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>A healthy tongue is pink although the shade may vary from person to person, ranging from dark to light <a href="https://my.clevelandclinic.org/health/symptoms/24600-tongue-color">pink</a>.</p> <p>A small amount of white coating can be normal. But significant changes or discolouration may indicate a disease or <a href="https://www.healthline.com/health/tongue-problems-2">other issues</a>.</p> <h2>How should I clean my tongue?</h2> <p>Cleaning your tongue only takes around 10-15 seconds, but it’s is a good way to check in with your health and can easily be incorporated into your teeth brushing routine.</p> <p>You can clean your tongue by gently scrubbing it with a regular toothbrush. This dislodges any food debris and helps prevent microbes building up on its rough textured surface.</p> <p>Or you can use a special <a href="https://pubmed.ncbi.nlm.nih.gov/26865433/">tongue scraper</a>. These curved instruments are made of metal or plastic, and can be used alone or accompanied by scrubbing with your toothbrush.</p> <p>Your co-workers will thank you as well – cleaning your tongue can help combat <a href="https://pubmed.ncbi.nlm.nih.gov/24165218/">stinky breath</a>. Tongue scrapers are particularly <a href="https://pubmed.ncbi.nlm.nih.gov/15341360/">effective</a> at removing the bacteria that commonly causes bad breath, hidden in the tongue’s surface.</p> <h2>What’s that stuff on my tongue?</h2> <p>So, you’re checking your tongue during your twice-daily clean, and you notice something different. Noting these signs is the first step. If you observe any changes and they worry you, you should talk to your GP.</p> <p>Here’s what your tongue might be telling you.</p> <p><em><strong>White coating</strong></em></p> <p>Developing a white coating on the tongue’s surface is one of the <a href="https://pubmed.ncbi.nlm.nih.gov/31309703/">most common changes</a> in healthy people. This can happen if you stop brushing or scraping the tongue, even for a few days.</p> <p>In this case, food debris and microbes have accumulated and caused plaque. Gentle scrubbing or scraping will remove this coating. Removing microbes reduces the risk of chronic infections, which can be transferred to other organs and cause <a href="https://www.nature.com/articles/s41368-022-00163-7">serious illnesses</a>.</p> <p><em><strong>Yellow coating</strong></em></p> <p>This may indicate oral thrush, a <a href="https://www.nidirect.gov.uk/conditions/oral-thrush-adults">fungal infection</a> that leaves a raw surface when scrubbed.</p> <p>Oral thrush is <a href="https://www.aafp.org/pubs/afp/issues/2008/1001/p845.html">common</a> in elderly people who take multiple medications or have diabetes. It can also affect children and young adults after an illness, due to the temporary <a href="https://pubmed.ncbi.nlm.nih.gov/7636666/">suppression of the immune system</a> or <a href="https://www.stanfordchildrens.org/en/topic/default?id=candidiasis-in-children-90-P01888">antibiotic</a> use.</p> <p>If you have oral thrush, a doctor will usually prescribe a course of anti-fungal medication for at least a month.</p> <p><em><strong>Black coating</strong></em></p> <p>Smoking or consuming a lot of strong-coloured food and drink – such as tea and coffee, or dishes with tumeric – can cause a furry appearance. This is known as a <a href="https://my.clevelandclinic.org/health/diseases/17918-black-hairy-tongue">black hairy tongue</a>. It’s not hair, but an overgrowth of bacteria which may indicate poor oral hygiene.</p> <p><em><strong>Pink patches</strong></em></p> <p>Pink patches surrounded by a white border can make your tongue look like a map – this is called “<a href="https://www.mayoclinic.org/diseases-conditions/geographic-tongue/symptoms-causes/syc-20354396">geographic tongue</a>”. It’s <a href="https://www.mayoclinic.org/diseases-conditions/geographic-tongue/diagnosis-treatment/drc-20354401">not known</a> what causes this condition, which usually doesn’t require treatment.</p> <p><em><strong>Pain and inflammation</strong></em></p> <p>A red, sore tongue can indicate a <a href="https://medlineplus.gov/ency/article/003047.htm">range of issues</a>, including:</p> <ul> <li>nutritional deficiencies such as folic acid or vitamin B12</li> <li>diseases including <a href="https://my.clevelandclinic.org/health/diseases/22377-pernicious-anemia">pernicious</a> anaemia, <a href="https://www.rch.org.au/kidsinfo/fact_sheets/kawasaki_disease/">Kawasaki disease</a> and <a href="https://www.childrens.health.qld.gov.au/health-a-to-z/scarlet-fever">scarlet fever</a></li> <li>inflammation known as <a href="https://www.ncbi.nlm.nih.gov/books/NBK560627/">glossitis</a></li> <li>injury from hot beverages or food</li> <li>ulcers, including cold sores and canker sores</li> <li><a href="https://www.nidcr.nih.gov/health-info/burning-mouth">burning mouth syndrome</a>.</li> </ul> <p><em><strong>Dryness</strong></em></p> <p>Many medications can cause dry mouth, also called xerostomia. These include antidepressants, anti-psychotics, muscle relaxants, pain killers, antihistamines and diuretics. If your mouth is very dry, it may hurt.</p> <h2>What about cancer?</h2> <p>White or red patches on the tongue that can’t be scraped off, are long-standing or growing need to checked out by a dental professional as soon as possible, as do painless ulcers. These are at a <a href="https://oralcancerfoundation.org/cdc/premalignant-lesions/">higher risk</a> of turning into cancer, compared to other parts of the mouth.</p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/36852511/">Oral cancers</a> have low survival rates due to delayed detection – and they are on the rise. So <a href="https://youtu.be/Y6QkKhEjS5M">checking your tongue</a> for changes in colour, texture, sore spots or ulcers is <a href="https://www.dhsv.org.au/oral-health-programs/oral-cancer-screening-and-prevention">critical</a>.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/237130/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/dileep-sharma-1562149">Dileep Sharma</a>, Professor and Head of Discipline - Oral Health, <a href="https://theconversation.com/institutions/university-of-newcastle-1060">University of Newcastle</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/yes-you-do-need-to-clean-your-tongue-heres-how-and-why-237130">original article</a>.</em></p> </div>

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200-year-old message in a bottle unearthed

<p>In a discovery that has the archaeology world buzzing (and possibly rolling its ancient eyes), a team of student volunteers in northern France has unearthed something rather unexpected during their dig at a Gaulish village.</p> <p>While they were hoping for the usual – ancient pottery shards, perhaps a coin or two – they instead stumbled upon what can only be described as the 19th-century equivalent of a DM in a bottle.</p> <p>The scene played out like a low-budget historical drama: volunteers painstakingly sifting through centuries-old dirt on the cliff-tops near Dieppe when, voilà! They found an earthenware pot containing a small glass vial, like something you might see in a vintage pharmacy, but with fewer essential oils and more existential surprises.</p> <p>Guillaume Blondel, the team leader and head of the archaeological service for the nearby town of Eu, was immediately intrigued. “It was the kind of vial that women used to wear around their necks containing smelling salts,” he explained, before casually dropping the bombshell: inside the vial was a note.</p> <p>Cue dramatic music.</p> <p>After what we can only assume was a long, suspenseful pause, Blondel and his team opened the note, which turned out to be written by none other than P.J. Féret, a 19th-century intellectual who clearly had a flair for both excavation and theatrics.</p> <p>The note, written with all the panache of a man who had just unearthed Caesar’s salad fork, read:</p> <p>"P.J. Féret, a native of Dieppe, member of various intellectual societies, carried out excavations here in January 1825. He continues his investigations in this vast area known as the Cité de Limes or Caesar’s Camp."</p> <p>Naturally, Blondel was floored. “It was an absolutely magic moment,” he said, no doubt imagining Féret winking at him from the beyond. “We knew there had been excavations here in the past, but to find this message from 200 years ago? It was a total surprise.”</p> <p>Local records confirm that P.J. Féret was indeed the real deal. He wasn’t just a dabbler in dirt – he was a notable dabbler in dirt who had conducted an earlier dig at the site in 1825.</p> <p>In a stroke of irony not lost on Blondel, he mused, “Most archaeologists prefer to think that there won’t be anyone coming after them because they’ve done all the work.” Féret, however, clearly believed in leaving a trail of breadcrumbs – or, in this case, a literal note in a bottle, just to remind future archaeologists that he got there first. Féret: 1, Modern Archaeology: 0.</p> <p>Of course, this whole affair raises some important questions: Did Féret expect someone to find this? Did he laugh to himself as he buried it, imagining Blondel’s reaction? Did Féret know how cliff erosion would eventually turn his humble Gaulish village into a treasure trove for future archaeologists? Or was he simply trolling them from the past?</p> <p>Whatever the case, Féret’s note may not have contained ancient secrets, but it certainly delivered some 19th-century sass. And if we’ve learned anything from this dig, it’s this: archaeology isn’t just about discovering the past – it’s also about being occasionally roasted by it.</p> <p>As Blondel and his team continue their emergency dig (which was ordered due to cliff erosion eating away at the site like a bad buffet), they’ve already uncovered a number of artefacts, mostly pottery, from around 2,000 years ago. But will any of <em>them</em> have the audacity to leave a note for the archaeologists of 2225?</p> <p>We’ll have to wait and see. In the meantime, Féret is probably laughing somewhere in the afterlife, shaking his head and muttering, “Amateurs”.</p> <p><em>Images: <span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">Guillaume Blondel / Facebook</span></em></p>

International Travel

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Why do I need to take some medicines with food?

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/mary-bushell-919262">Mary Bushell</a>, <a href="https://theconversation.com/institutions/university-of-canberra-865">University of Canberra</a></em></p> <p>Have you ever been instructed to take your medicine with food and wondered why? Perhaps you’ve wondered if you really need to?</p> <p>There are varied reasons, and sometimes complex science and chemistry, behind why you may be advised to take a medicine with food.</p> <p>To complicate matters, some similar medicines need to be taken differently. The antibiotic amoxicillin with clavulanic acid (sold as Amoxil Duo Forte), for example, is recommended to be taken with food, while amoxicillin alone (sold as Amoxil), can be taken with or without food.</p> <p>Different brands of the same medicine may also have different recommendations when it comes to taking it with food.</p> <h2>Food impacts drug absorption</h2> <p>Food can affect how fast and how much a drug is absorbed into the body in up to <a href="https://academic.oup.com/jpp/article-abstract/71/4/510/6122024?login=false">40% of medicines</a> taken orally.</p> <p>When you have food in your stomach, the makeup of the digestive juices change. This includes things like the fluid volume, thickness, pH (which becomes less acidic with food), surface tension, movement and how much salt is in your bile. These changes can impair or enhance drug absorption.</p> <p>Eating a meal also delays how fast the contents of the stomach move into the small intestine – this is known as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9505616/">gastric emptying</a>. The small intestine has a large surface area and rich blood supply – and this is the primary site of drug absorption.</p> <p>Eating a larger meal, or one with lots of fibre, delays gastric emptying more than a smaller meal. Sometimes, health professionals will advise you to take a medicine with food, to help your body absorb the drug more slowly.</p> <p>But if a drug can be taken with or without food – such as paracetamol – and you want it to work faster, take it on an empty stomach.</p> <h2>Food can make medicines more tolerable</h2> <p>Have you ever taken a medicine on an empty stomach and felt nauseated soon after? Some medicines can cause stomach upsets.</p> <p>Metformin, for example, is a drug that reduces blood glucose and treats type 2 diabetes and polycystic ovary syndrome. It commonly causes gastrointestinal symptoms, with <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4452716/">one in four users affected</a>. To combat these side effects, it is generally recommended to be taken with food.</p> <p>The same <a href="https://amhonline.amh.net.au/auth">advice</a> is given for corticosteroids (such as prednisolone/prednisone) and certain antibiotics (such as doxycycline).</p> <p>Taking some medicines with food makes them more tolerable and improves the chance you’ll take it for the duration it’s prescribed.</p> <h2>Can food make medicines safer?</h2> <p>Ibuprofen is one of the most widely used over-the-counter medicines, with around one in five Australians reporting use <a href="https://www.abs.gov.au/statistics/health/health-conditions-and-risks/medications/latest-release">within a two-week period</a>.</p> <p>While effective for pain and inflammation, ibuprofen can impact the stomach by inhibiting protective prostaglandins, increasing the risk of <a href="https://www.tandfonline.com/doi/full/10.1586/14737175.6.11.1643#d1e212">bleeding, ulceration and perforation</a> with long-term use.</p> <p>But there <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4574824/">isn’t enough research</a> to show taking ibuprofen with food reduces this risk.</p> <p>Prolonged use may also affect kidney function, particularly in those with pre-existing conditions or dehydration.</p> <p>The <a href="https://amhonline.amh.net.au/auth">Australian Medicines Handbook</a>, which guides prescribers about medicine usage and dosage, advises taking ibuprofen (sold as Nurofen and Advil) with a glass of water – or with a meal if it upsets your stomach.</p> <p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4574824/">A systematic review published in 2015</a> found food delays the transit of ibuprofen to the small intestine and absorption, which delays therapeutic effect and the time before pain relief. It also found taking short courses of ibuprofen without food reduced the need for additional doses.</p> <p>To reduce the risk of ibuprofen causing damage to your stomach or kidneys, use the lowest effective dose for the shortest duration, stay hydrated and avoid taking other <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/medications-non-steroidal-anti-inflammatory-drugs">non-steroidal anti-inflammatory medicines</a> at the same time.</p> <p>For people who use ibuprofen for prolonged periods and are at higher risk of gastrointestinal side effects (such as people with a history of ulcers or older adults), your prescriber may start you on a <a href="https://australianprescriber.tg.org.au/articles/peptic-ulcer-disease-and-non-steroidal-anti-inflammatory-drugs.html">proton pump inhibitor</a>, a medicine that reduces stomach acid and protects the stomach lining.</p> <h2>How much food do you need?</h2> <p>When you need to take a medicine with food, how much is enough?</p> <p>Sometimes a full glass of milk or a couple of crackers may be enough, for medicines such as prednisone/prednisolone.</p> <p>However, most head-to-head studies that compare the effects of a medicine “with food” and without, usually use a heavy meal to define “with food”. So, a cracker may not be enough, particularly for those with a sensitive stomach. A more substantial meal that includes a mix of fat, protein and carbohydrates is generally advised.</p> <p>Your health professional can advise you on which of your medicines need to be taken with food and how they interact with your digestive system.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/235782/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/mary-bushell-919262">Mary Bushell</a>, Clinical Associate Professor in Pharmacy, <a href="https://theconversation.com/institutions/university-of-canberra-865">University of Canberra</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-do-i-need-to-take-some-medicines-with-food-235782">original article</a>.</em></p> </div>

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John Boland’s battle against prostate cancer and the urgent need for reform

<p>John Boland, a 74-year-old retired Navy Reserve Lieutenant Commander, found himself at a crossroads – a place where hope and despair often meet in the lives of those battling life-threatening illnesses like prostate cancer. </p> <p>Diagnosed five years ago, John’s journey has been a relentless fight against a disease that, despite medical advancements, still claims the lives of 10 men in Australia every day.</p> <p>After undergoing surgery and 37 rounds of radiation therapy, John’s battle was far from over. His PSA (Prostate-Specific Antigen) levels, an indicator of prostate cancer activity, were not dropping sufficiently, signalling that the fight was only getting tougher. It was then that John was introduced to a groundbreaking treatment: Lutetium-177 PSMA therapy (LuPSMA), a targeted radionuclide therapy with pinpoint accuracy to attack cancer cells.</p> <p>This innovative treatment offered a glimmer of hope, a chance to strike at the heart of the disease that had disrupted his life. But there was a catch – the cost. Each round of LuPSMA treatment costs $10,000, and while some patients may require up to eight rounds, John’s doctors recommended two based on his response. Even so, the financial burden was immense, forcing John to dip into his superannuation, ultimately spending $60,000 on the treatment that was not covered by insurance.</p> <p>Despite the financial strain, the results were nothing short of miraculous. After just the first round, John’s PSA levels dropped by a staggering 95%. After the second, they fell to nearly zero. The treatment had not only attacked the cancer but had also restored his quality of life, allowing him to once again enjoy the simple pleasures – time with family, daily activities and even golf. It was a victory that brought renewed hope and confidence for the future, a victory that made the $60,000 investment worth every cent.</p> <p>“My case was remarkably successful after the second treatment, which are eight weeks apart, after the scan had no cancer, and my PSA was effective to zero. So it was a reliable result for me and a huge boost, but unfortunately, they're $10,000 a time, and you can require up to eight treatments,” says John. “Fortunately we were able to fund it from our superannuation pension account, the $20,000, but I imagine that a lot of people, they can’t find that $20,000.”</p> <p>But John’s story, while inspiring, also highlights a grim reality: many Australians are not as fortunate. The LuPSMA treatment that worked so well for John remains out of reach for many others due to its prohibitive cost. And this isn’t just an isolated issue; it’s a systemic problem affecting thousands of men across the country.</p> <p>A new report, the <a href="https://www.pcfa.org.au/media/nbennwom/aus-np-1123-80001-amgen-access-gap-report_april-2024-data-final-approved.pdf" target="_blank" rel="noopener">Australian Patient Access Gap Report</a>, has shed light on the alarming delay in the public availability of new medicines in Australia. The report reveals that Australians with life-threatening illnesses are waiting an average of 591 days – more than 18 months – for access to new, potentially life-saving medicines. For some, the wait can be as long as three years. These delays are not just statistics; they represent real people, real lives hanging in the balance.</p> <p>The Prostate Cancer Foundation of Australia (PCFA), the country’s leading organisation in the fight against prostate cancer, is calling for urgent reform. They argue that the current system, which often requires multiple rounds of review before new treatments are approved for public use, is failing Australians. </p> <p>PCFA CEO Anne Savage points out that while 10 men die from prostate cancer every day, the approval process for new treatments drags on, leaving patients like John Boland to fend for themselves – often at great financial and emotional cost. “In almost every instance, Australians are being denied access to new medicines that can extend and save their lives, simply because our approval systems have not kept up with the pace of change,” she says. </p> <p>“In relation to prostate cancer, applications typically undergo two or three rounds of review before achieving a positive recommendation, while 10 men die a day from the disease. It’s simply not good enough.”</p> <p>John’s story serves as a strong call to action. His successful treatment with LuPSMA is a testament to the power of modern medicine, but it also underscores the urgent need for change. No one should have to choose between their life savings and their life; it’s time for Australia to modernise its pharmaceutical benefits scheme, ensuring that all Australians, regardless of their financial situation, have access to the treatments they need.</p> <p>As we move forward, the PCFA is urging Australians to take part in initiatives like <a href="https://www.thelongrun.org.au/" target="_blank" rel="noopener">The Long Run</a> during Prostate Cancer Awareness Month in September, raising awareness and funds to support the fight against this devastating disease. </p> <p>For John Boland, and for the thousands of others who share his struggle, we must work towards a future where no one is left behind in the fight against cancer.</p> <p><em>Image: Courtesy of John Boland.</em></p>

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Do you have knee pain from osteoarthritis? You might not need surgery. Here’s what to try instead

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/belinda-lawford-1294188">Belinda Lawford</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/giovanni-e-ferreira-1030477">Giovanni E. Ferreira</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/joshua-zadro-504754">Joshua Zadro</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/rana-hinman-1536232">Rana Hinman</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p>Most people with knee osteoarthritis can control their pain and improve their mobility without surgery, according to <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard">updated treatment guidelines</a> from the Australian Commission on Safety and Quality in Health Care.</p> <p>So what is knee osteoarthritis and what are the best ways to manage it?</p> <h2>More than 2 million Australians have osteoarthritis</h2> <p>Osteoarthritis is the most common joint disease, affecting <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/osteoarthritis">2.1 million Australians</a>. It <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/osteoarthritis">costs the economy</a> A$4.3 billion each year.</p> <p>Osteoarthritis commonly <a href="https://pubmed.ncbi.nlm.nih.gov/33560326/">affects</a> the knees, but can also affect the hips, spine, hands and feet. It impacts the whole joint including bone, cartilage, ligaments and muscles.</p> <p>Most people with osteoarthritis have persistent pain and find it difficult to perform simple daily tasks, such as walking and climbing stairs.</p> <h2>Is it caused by ‘wear and tear’?</h2> <p>Knee osteoarthritis is most likely to affect older people, those who are overweight or obese, and those with previous knee injuries. But contrary to popular belief, knee osteoarthritis is <a href="https://pubmed.ncbi.nlm.nih.gov/31192807/">not caused by</a> “wear and tear”.</p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/21281726/">Research shows</a> the degree of structural wear and tear visible in the knee joint on an X-ray does not correlate with the level of pain or disability a person experiences. Some people have a low degree of structural wear and tear and very bad symptoms, while others have a high degree of structural wear and tear and minimal symptoms. So X-rays are <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard">not required</a> to diagnose knee osteoarthritis or guide treatment decisions.</p> <p>Telling people they have wear and tear can make them worried about their condition and afraid of damaging their joint. It can also encourage them to try invasive and potentially unnecessary treatments such as surgery. We have <a href="https://pubmed.ncbi.nlm.nih.gov/37795555/">shown this</a> in people with osteoarthritis, and other common pain conditions such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9545091/">back</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/33789444/">shoulder</a> pain.</p> <p>This has led to a global call for a <a href="https://pubmed.ncbi.nlm.nih.gov/38354847/">change in the way</a> we think and communicate about osteoarthritis.</p> <h2>What’s the best way to manage osteoarthritis?</h2> <p>Non-surgical treatments work well for most people with osteoarthritis, regardless of their age or the severity of their symptoms. These <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard">include</a> education and self-management, exercise and physical activity, weight management and nutrition, and certain pain medicines.</p> <p>Education is important to dispel misconceptions about knee osteoarthritis. This includes information about what osteoarthritis is, how it is diagnosed, its prognosis, and the most effective ways to self-manage symptoms.</p> <p>Health professionals who use positive and reassuring language <a href="https://pubmed.ncbi.nlm.nih.gov/35750241/">can improve</a> people’s knowledge and beliefs about osteoarthritis and its management.</p> <p>Many people believe that exercise and physical activity will cause further damage to their joint. But it’s safe and can reduce pain and disability. Exercise has fewer side effects than commonly used pain medicines such as <a href="https://pubmed.ncbi.nlm.nih.gov/36593092/">paracetamol and anti-inflammatories</a> and can <a href="https://pubmed.ncbi.nlm.nih.gov/26488691/">prevent or delay</a> the need for joint replacement surgery in the future.</p> <p>Many types of exercise <a href="https://pubmed.ncbi.nlm.nih.gov/30830561/">are effective</a> for knee osteoarthritis, such as strength training, aerobic exercises like walking or cycling, Yoga and Tai chi. So you can do whatever type of exercise best suits you.</p> <p>Increasing general physical activity is also important, such as taking more steps throughout the day and reducing sedentary time.</p> <p>Weight management is important for those who are overweight or obese. Weight loss <a href="https://pubmed.ncbi.nlm.nih.gov/34843383/">can reduce knee pain and disability</a>, particularly when combined with exercise. Losing as little as 5–10% of your body weight <a href="https://pubmed.ncbi.nlm.nih.gov/36474793/">can be beneficial</a>.</p> <p>Pain medicines should not replace treatments such as exercise and weight management but can be used alongside these treatments to help manage pain. <a href="https://pubmed.ncbi.nlm.nih.gov/33786837/">Recommended medicines</a> include paracetamol and non-steroidal anti-inflammatory drugs.</p> <p>Opioids are <a href="https://pubmed.ncbi.nlm.nih.gov/35137418/">not recommended</a>. The risk of harm outweighs any potential benefits.</p> <h2>What about surgery?</h2> <p>People with knee osteoarthritis commonly undergo two types of surgery: knee arthroscopy and knee replacement.</p> <p>Knee arthroscopy is a type of keyhole surgery used to remove or repair damaged pieces of bone or cartilage that are thought to cause pain.</p> <p>However, high-quality research <a href="https://pubmed.ncbi.nlm.nih.gov/24369076/">has shown</a> arthroscopy is not effective. Arthroscopy should therefore not be used in the management of knee osteoarthritis.</p> <p>Joint replacement involves replacing the joint surfaces with artificial parts. In 2021–22, <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/osteoarthritis">53,500 Australians</a> had a knee replacement for their osteoarthritis.</p> <p>Joint replacement is often seen as being inevitable and “necessary”. But most people can effectively manage their symptoms through exercise, physical activity and weight management.</p> <p>The new guidelines (known as “care standard”) recommend joint replacement surgery only be considered for those with severe symptoms who have already tried non-surgical treatments.</p> <h2>I have knee osteoarthritis. What should I do?</h2> <p>The <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard">care standard</a> links to free evidence-based resources to support people with osteoarthritis. These include:</p> <ul> <li>education, such as a <a href="https://www.england.nhs.uk/wp-content/uploads/2023/07/making-a-decision-about-knee-osteoarthritis-v1.pdf.pdf">decision aid</a> and <a href="http://www.futurelearn.com/courses/taking-control-hip-and-knee-osteoarthritis">four-week online course</a></li> <li>self-directed <a href="https://healthsciences.unimelb.edu.au/departments/physiotherapy/chesm/patient-resources/my-knee-exercise">online exercise</a> and <a href="https://myjointyoga.com.au/">yoga</a> programs</li> <li><a href="https://www.gethealthynsw.com.au/program/standard-coaching/">weight management support</a></li> <li>pain management strategies, such as <a href="https://www.myjointpain.org.au/">MyJointPain</a> and <a href="http://www.paintrainer.org/">painTRAINER</a>.</li> </ul> <p>If you have osteoarthritis, you can use the <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard">care standard</a> to inform discussions with your health-care provider, and to make informed decisions about your care.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/236779/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/belinda-lawford-1294188"><em>Belinda Lawford</em></a><em>, Postdoctoral research fellow in physiotherapy, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/giovanni-e-ferreira-1030477">Giovanni E. Ferreira</a>, NHMRC Emerging Leader Research Fellow, Institute of Musculoskeletal Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/joshua-zadro-504754">Joshua Zadro</a>, NHMRC Emerging Leader Research Fellow, Sydney Musculoskeletal Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/rana-hinman-1536232">Rana Hinman</a>, Professor in Physiotherapy, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/do-you-have-knee-pain-from-osteoarthritis-you-might-not-need-surgery-heres-what-to-try-instead-236779">original article</a>.</em></p> </div>

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