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Ozempic, Wegovy, Rybelsus: Are we losing sight of overall health? Here’s what the science says

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/aude-bandini-1488512">Aude Bandini</a>, <a href="https://theconversation.com/institutions/universite-de-montreal-1743">Université de Montréal</a>; <a href="https://theconversation.com/profiles/jean-philippe-drouin-chartier-1533338">Jean-Philippe Drouin-Chartier</a>, <a href="https://theconversation.com/institutions/universite-laval-1407">Université Laval</a>; <a href="https://theconversation.com/profiles/pierre-marie-david-1375228">Pierre-Marie David</a>, <a href="https://theconversation.com/institutions/universite-de-montreal-1743">Université de Montréal</a>, and <a href="https://theconversation.com/profiles/remi-rabasa-lhoret-1533515">Rémi Rabasa-Lhoret</a>, <a href="https://theconversation.com/institutions/universite-de-montreal-1743">Université de Montréal</a></em></p> <p>The craze for new drugs in the GLP-1 (Glucagon-like peptide 1) and GIP (Gastric inhibitory polypeptide) analogue class, better known under the trade names Ozempic and Wegovy, is remarkable, but it’s not totally unprecedented in the history of pharmaceutical blockbusters.</p> <p>The volume of prescriptions and the budget allocated to them by public health insurance schemes are exploding, as are the <a href="https://www.forbes.com/sites/roberthart/2024/05/02/ozempic-maker-novo-nordisk-beats-profit-forecasts-amid-weight-loss-drug-frenzy/">profits of the companies that manufacture them</a>.</p> <p>Part of the popularity of these drugs owes to social networks, but these are not always the best source for health information. When it comes to the subject of weight loss, both fantasy and prejudice come into play. This works to the detriment of everyone’s well-being, but particularly those who are already stigmatized.</p> <p>As specialists in the philosophy of medicine (Université de Montréal), nutrition and food science (Université Laval), the sociology of medication (Université de Montréal) and endocrinology (Institut de recherches cliniques de Montréal), we feel it’s necessary to step back and take stock of both the promises and the limitations of these new treatments.</p> <h2>The best of both worlds</h2> <p>GLP-1/GIP analogues were originally developed to regulate glycemia (blood sugar levels) in people with Type 2 diabetes, thereby preventing the complications associated with this disease. When studies were carried out to assess their safety and efficacy, it was discovered that these drugs also led to weight loss. This prompted new research which showed that at higher doses, the drugs could lead to <a href="https://pubmed.ncbi.nlm.nih.gov/38078870/">very significant weight loss</a>, from 15 to 25 per cent of the starting weight.</p> <p>The mode of action of these drugs on blood sugar regulation is clear: they simulate incretin hormones which, in turn, increase insulin secretion. Weight loss, on the other hand, was only explained after the fact: in addition to the pancreas, these molecules also act on the brain by regulating the sensation of satiety and, indirectly, on the stomach by slowing gastric emptying. These two combined effects reduce appetite and lead to weight reduction.</p> <p>This is how a new use for the drug appeared, at which point the company Novo Nordisk began marketing the same drug under two different names: Ozempic to treat Type 2 diabetes, and <a href="https://theconversation.com/considering-taking-wegovy-to-lose-weight-here-are-the-risks-and-benefits-and-how-it-differs-from-ozempic-237308">Wegovy to manage obesity</a>.</p> <h2>A new era</h2> <p>GLP-1/GIP analogues are a welcome therapeutic breakthrough at a time when the <a href="https://www.diabetes.ca/advocacy---policies/advocacy-reports/national-and-provincial-backgrounders/diabetes-in-canada">prevalence of Type 2 diabetes</a> and <a href="https://www.statcan.gc.ca/o1/en/plus/5742-overview-weight-and-height-measurements-world-obesity-day">obesity</a> is exploding and affecting people younger and younger.</p> <p>These diseases particularly affect women, members of racialized groups and socio-economically disadvantaged populations. The physical and mental suffering these cause and the costs associated with treating them are both considerable. So the arrival of new weapons in the therapeutic arsenal is a source of hope.</p> <p>Draconian changes in lifestyle are certainly effective. But they are very difficult to implement and maintain over time for reasons that go beyond the individual sphere; on the one hand, genetic predisposition plays a major role in the development of Type 2 diabetes and obesity; on the other, because these conditions are <a href="https://obesitycanada.ca/managing-obesity/">multifactorial</a>, management of them must be comprehensive to be effective and long lasting: it must combine medical interventions but also nutritional, functional, psycho-social, environmental and even institutional interventions.</p> <p>Support services of this kind do exist, but only in large university hospital centres to which many people do not have access. Nor do many people have easy access to <a href="https://health-infobase.canada.ca/health-inequalities/index">healthy and varied food options</a>, sports facilities or social and psychological support.</p> <h2><strong>Treating the effects but not the causes</strong></h2> <p>To be effective over the long term, GLP-1/GIP analogues must be taken continuously: without drastic lifestyle changes, the <a href="https://pubmed.ncbi.nlm.nih.gov/35441470/">weight that was lost is regained within a year of stopping</a>, and glycemic control is compromised once again.</p> <p>In other words, the drugs treat the effects of Type 2 diabetes and obesity but not their causes. And yet some of these causes are modifiable: for example, according to <a href="https://www150.statcan.gc.ca/n1/pub/75-006-x/2023001/article/00013-eng.htm">Statistics Canada</a>, less than half the Canadian population (49.2 per cent for adults; 43.9 per cent for young people and children) achieves the recommended amount of weekly physical activity. According to the same source, <a href="https://www150.statcan.gc.ca/n1/pub/75-006-x/2023001/article/00013-eng.htm">food insecurity</a> affects around 14 per cent of the Québec population (22 per cent in Alberta).</p> <p>Pharmacological treatment, even if it allows an individual to eat less, does not necessarily mean that person will <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10837702/">eat better</a>. Similarly, losing weight does not mean one will become more active or healthier. So these new drugs do not cure Type 2 diabetes or obesity. Nor do they prevent these diseases from developing, although they do help to limit the many complications to which they give rise.</p> <h2><strong>Prescribe and treat</strong></h2> <p>A drug such as Mounjaro is as effective at weight loss as bariatric surgery. Much easier to administer and much less risky, it could be a real game changer in the treatment of obesity. Prescribed directly by family doctors and dispensed in pharmacies, it would also be much more accessible and easier to administer for those who need it.</p> <p>This raises the question of costs and reimbursement, but not only that: prescribing is not the same as treating. Here, the manufacturers are following the recommendations of the health authorities: this treatment must be preceded by a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10748770/">careful assessment</a>, then management, and above all a close and regular monitoring of diet, physical activity, mental health, and if necessary, socio-economic assistance.</p> <p>This requires not only time that GPs do not have, but also co-ordination with other players in the health-care network. The problem is not whether the treatment will be effective, but what can happen if it is. Losing 25 per cent of your body weight in just a few months has serious consequences, which are not always beneficial: it involves a loss of body fat, but also of muscle mass, which is associated with intense fatigue. Nor should we underestimate the <a href="https://pubmed.ncbi.nlm.nih.gov/37990685/">challenge of adapting physically and psychologically</a> to a body transformation of this scale. Losing weight doesn’t solve everything, and expectations must remain realistic.</p> <h2>What lessons can we learn?</h2> <p>The clinical effectiveness of GLP-1/GIP analogues in reducing the complications associated with Type 2 diabetes and obesity is indisputable. However, these drugs are not suitable for everyone, and they are certainly not miracle cures that will make it possible for one to regain health without making any changes to lifestyle or environment.</p> <p>We must bear in mind that their success, both commercial and medical, is also the result of a failure: that of our societies to prevent these diseases, to promote healthy lifestyles and to develop environments conducive to the health of all.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/238484/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/aude-bandini-1488512"><em>Aude Bandini</em></a><em>, Professeure agrégée, Philosophie (épistémologie et philosophie de la médecine), <a href="https://theconversation.com/institutions/universite-de-montreal-1743">Université de Montréal</a>; <a href="https://theconversation.com/profiles/jean-philippe-drouin-chartier-1533338">Jean-Philippe Drouin-Chartier</a>, Professeur agrégé, Faculté de pharmacie, <a href="https://theconversation.com/institutions/universite-laval-1407">Université Laval</a>; <a href="https://theconversation.com/profiles/pierre-marie-david-1375228">Pierre-Marie David</a>, Professeur adjoint à la faculté de pharmacie, <a href="https://theconversation.com/institutions/universite-de-montreal-1743">Université de Montréal</a>, and <a href="https://theconversation.com/profiles/remi-rabasa-lhoret-1533515">Rémi Rabasa-Lhoret</a>, Professeur de médecine et de nutrition, <a href="https://theconversation.com/institutions/universite-de-montreal-1743">Université de Montréal</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/ozempic-wegovy-rybelsus-are-we-losing-sight-of-overall-health-heres-what-the-science-says-238484">original article</a>.</em></p> </div>

Body

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"What do you say?" TV host's heartbreaking parenting plea

<p>An Aussie TV host has shared a heartfelt plea for advice after revealing that his 12-year-old daughter has been bullied at school.</p> <p>Barry Du Bois, co-host of <em>The Living Room</em>, shared an emotional post on Instagram admitting he is struggling to help Arabella with the bullying issue, and asked other parents for advice. </p> <p>“I just watched my little girl walk out the gate of our home, a place where I know she is safe and feels a sense of security and belonging,” Barry said.</p> <p>“She is heading to a place that doesn’t offer that same security, her school. As a parent, I’m supposed to protect and guide her through difficult times, but this morning, I am lost.”</p> <p>“Yesterday, Arabella came home from school claiming she was sick,” he continued. "This isn’t the first time it has happened. She wasn’t actually sick but is instead being bullied again.”</p> <p>Barry then asked for help from his followers on how to help his daughter, asking, “What do you say to a child when you’ve already said, ‘Don’t let them upset you. Just keep being kind. You are not the horrible things they say’.”</p> <p>“She said, ‘I don’t want to be special; I just want to be liked’,” the TV star added before revealing he felt “weak, angry, confused and a little fearful”.</p> <p>The touching post encouraged some of his famous friends to share their own stories of helping their kids deal with bullying. </p> <p>“My mate sent his daughter to Jiu Jitsu after being bullied. She fell in love with it and gained another level of confidence,” wrote <em><span id="U841310982414ULB">The Bachelor Australia</span></em> star Tim Robards. </p> <p>“Sometimes you’ve just got to go up to the parents and say, ‘your kid bullies mine’,” added <em><span id="U841310982414cBD">Married At First Sight’s</span></em> Ryan Gallagher.</p> <p><em>Image credits: Instagram </em></p>

Family & Pets

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Anti-cellulite products are big business – but here’s what the science says

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/rebecca-shepherd-423135">Rebecca Shepherd</a>, <em><a href="https://theconversation.com/institutions/university-of-bristol-1211">University of Bristol</a></em></p> <p>Although <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/jocd.14815">90% of women have cellulite</a>, we’re yet to see it represented as a normal anatomical characteristic in popular culture. In Greta Gerwig’s 2023 Hollywood blockbuster, for instance, Stereotypical Barbie, played by Margot Robbie, develops dimples on her upper thigh as part of her existential crisis – along with other human faults such as halitosis, flat feet and irrepressible thoughts of death.</p> <p>When Stereotypical Barbie asks doll sage Weird Barbie what the dimples are, she explains: “That’s cellulite. That’s going to spread everywhere. Then you’re going to start getting sad and mushy and complicated.” Barbie’s perfect smooth plastic perfection is marred.</p> <p>Despite its prevalence, then, cellulite has been constructed as a flaw in need of correction. Consumers, it seems, agree, especially when fed a diet of the <a href="https://www.tandfonline.com/doi/full/10.1080/21604851.2021.1913827">photoshop smoothed skin</a> of models, social media influencers – and Hollywood stars.</p> <figure><iframe src="https://www.youtube.com/embed/rmThigh1i8s?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">“NO!” Barbie shouts when Weird Barbie tells her she has cellulite.</span></figcaption></figure> <p>Cellulite’s usually found in areas that have greater amounts of subcutaneous fat, when fat deposits push through the connective tissue beneath the skin, leading to a lumpy appearance. It is common, <a href="https://www.sciencedirect.com/science/article/pii/S0738081X1300076X?via%3Dihub">usually painless</a> and harmless.</p> <p>The human skin is the <a href="https://theconversation.com/the-skin-is-a-very-important-and-our-largest-organ-what-does-it-do-91515">body’s largest organ</a>, made up of three layers. At the surface, the epidermis acts as our first line of defence against the environment. This outermost, impermeable layer is made up of cells that are constantly renewed and shed, protecting our body from external elements.</p> <p>Beneath the epidermis lies the dermis, a robust layer containing fibroblasts, the cells responsible for producing essential proteins such as collagen and elastin. These proteins provide structure and elasticity, contributing to the skin’s strength and flexibility.</p> <p>Deeper still is the hypodermis, also known as the subcutaneous layer. This layer is rich in adipose tissue – mostly made up of fat, which plays a crucial role in cushioning and insulating the body, as well as storing fat that can be used when needed. Beneath these three layers of skin, there is muscle. Running from the muscle to the dermis are <a href="https://journals.lww.com/amjdermatopathology/fulltext/2000/02000/cellulite__from_standing_fat_herniation_to.7.aspx">bands of connective tissue</a>, that holds the adipose tissue in “pockets”.</p> <p>Cellulite does not affect health, although some people report that it affects their <a href="https://www.tandfonline.com/doi/abs/10.1080/07853890.2018.1561731">self-esteem and body image</a> but that’s more to do with the social pressure on women to be physically perfect – or spend money, time and energy trying to be as close to perfect as possible.</p> <p>Cellulite, then, has become big business for the beauty industry. In the lead up to summer especially, companies will promote <a href="https://www.asa.org.uk/advice-online/weight-control-cellulite.html">all manner of products</a> from creams and serums to gadgets and pills, all aimed at creating perfectly smooth limbs. The most popular question seems to be, “Do these treatments work?” but as an anatomist I think the more pressing question is, “Why are healthy women’s bodies considered something to treat, cure or correct?”</p> <p>The beauty and wellness industry has long capitalised on societal standards of beauty. The idea that cellulite is undesirable and <a href="https://journals.lww.com/dermatologicsurgery/abstract/1978/03000/So_Called_Cellulite.9.aspx">should be corrected</a> has been perpetuated since Vogue magazine was the <a href="https://archive.vogue.com/article/1968/4/cellulite-the-new-word-for-fat-you-couldnt-lose-before">first English language magazine</a> to use the term “cellulite”, introducing the concept to thousands of women. This marketing strategy taps into the insecurities of consumers, particularly women, and promotes an endless pursuit of “perfection” for bodies that have normal anatomical variation.</p> <p>By framing cellulite as a condition that needs treatment, companies can sell a wide range of products and services, bolstered by celebrity endorsements, which lend credibility and aspirational value to pseudo-medical “smoothing” products. However, there is limited scientific evidence supporting the effectiveness of these supplements in treating cellulite. In fact, the <a href="https://onlinelibrary.wiley.com/doi/10.1111/j.1524-4725.1978.tb00416.x">first scientific paper</a> on cellulite, published in 1978, referred to it as “so called cellulite: the invented disease”.</p> <p>Recent product launches include, <a href="https://lemmelive.com/en-gb/products/lemme-smooth-capsules?variant=45597048111318">Lemme Smooth</a>, Kourtney Kardashian-Barker’s latest addition to her vitamin and supplement range. The product’s promotional materials claim that the capsule “visibly reduces cellulite in 28 days”. But what does the science tell us?</p> <p>Supplements like Lemme Smooth claim to improve skin texture and reduce cellulite from within. Kardashian-Barker’s supplement contains a mixture of <a href="https://link.springer.com/article/10.1007/s10298-015-0977-4">french cantaloupe melon</a>, hyaluronic acid, chromium and vitamin C among other ingredients. The body’s ability to absorb and utilise these ingredients in a way that would impact cellulite is still a subject of debate.</p> <p>There is evidence that <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4110621/#:%7E:text=In%20a%20randomized%2C%20double%2Dblind,in%20part%2C%20to%20the%20skin.">ingested hyaluronic acid</a> can migrate into the skin, stimulating the production of collagens within the dermis – and vitamin C has been shown to <a href="https://www.nature.com/articles/s41598-020-72704-1">thicken the surface layer</a> of the skin. However, the lack of standardisation in testing for the use of these ingredients in the treatment of cellulite means it’s still not clear if they will have a <a href="https://onlinelibrary.wiley.com/doi/10.1111/j.1467-2494.2006.00318.x">significant effect</a>.</p> <p>Other products marketed to reduce the appearance of cellulite include topical creams and lotions, containing ingredients like <a href="https://karger.com/books/book/763/chapter-abstract/5600478/Specific-Use-Cosmeceuticals-for-Body-Skin-Texture?redirectedFrom=fulltext">caffeine, retinol, and herbal extracts</a>. Cosmetic products are not able to penetrate the epidermis enough to significantly affect the underlying fat deposits and connective tissue.</p> <p>Some invasive treatments, such as <a href="https://www.aad.org/public/cosmetic/fat-removal/cellulite-treatments-what-really-works">laser therapy, subcision, and acoustic wave therapy</a> can offer more promising results. These procedures work by breaking down the connective tissue bands that cause dimpling and stimulating collagen production in the dermis to improve skin elasticity. While these methods <a href="https://www.aad.org/public/cosmetic/fat-removal/cellulite-treatments-what-really-works">may be more effective</a>, they are often expensive, require multiple sessions to achieve results – and aren’t without risk.</p> <p>Maintaining a healthy diet, drinking lots of water, and regular physical activity can help improve the overall appearance of the skin and reduce the visibility of cellulite. Losing weight and strengthening the muscles in the legs, buttocks and abdomen may make cellulite less noticeable, but it won’t make it <a href="https://jndc-chemistryarticles.info/ijn/article/318">disappear altogether</a>.</p> <p>The bottom line, though, is that cellulite does not need to be treated. It’s a normal anatomical variation that’s been transformed into a condition driving a lucrative market for cures <a href="https://link.springer.com/article/10.1007/s40257-015-0129-5">that don’t exist</a>.</p> <p>My top expert advice in the run up to summer? Be wary of claims from cosmetic companies and save your money.</p> <hr /> <p><em>The Conversation has approached the Lemme Live brand for comment.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/232318/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/rebecca-shepherd-423135">Rebecca Shepherd</a>, Senior Lecturer in Human Anatomy, School of Anatomy, <a href="https://theconversation.com/institutions/university-of-bristol-1211">University of Bristol</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/anti-cellulite-products-are-big-business-but-heres-what-the-science-says-232318">original article</a>.</em></p> </div>

Body

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Want to reduce your dementia risk? Eat these 4 foods, says new study

<p>If you are what you eat, this might make you hungrier for foods that are bright in every sense. Research has shown that living, vibrant foods can slow down aging at a cellular level; while fruit and vegetables in particular have been associated with lower incidence of cognitive decline as individuals age.</p> <p>However, research has been relatively lacking on just how much of these brain-healthy foods you really need and which fruit and vegetables are best for the job.</p> <p>In collaboration with public health experts at Harvard University, medical researchers at China’s Zhejiang University School of Medicine conducted a meta-analysis that’s slated to be published in the June 2024 issue of <em>The Journal of Nutrition, Health, and Aging</em>. They combined data from two large-scale population-representative studies that analysed the diets and cognitive function of more than 10,000 participants ages 55 and older from China and the US.</p> <h2>What daily diets revealed</h2> <p>The data included diet questionnaires that honed in on the average of participants’ total daily intake of several different types of foods, including fruit and vegetables, and also broke them down into sub-types like green leafy vegetables and berries. Over a period of five years, the participants also took part in activities designed to assess their cognitive function and the average rate of cognitive decline.</p> <p>Overall, participants who included the most fruit and vegetables in their daily diets performed best on the brain tests and maintained those results over time. This suggested that both fruit and vegetables had protective elements that slowed cognitive decline.</p> <h2>Vegetables that help protect cognition</h2> <p>Interestingly, certain types of vegetables appeared to be more beneficial than others—say the researchers: “Our findings support the potential beneficial roles of VF, especially cruciferous vegetables, green leafy vegetables, and red and yellow vegetables, in maintaining cognitive function and slowing cognitive decline in middle-aged and older adults.”</p> <p>The researchers pointed to several reasons these particular vegetables might have shown a substantial impact, including anti-inflammatory and antioxidation nutrients like flavonoids and various vitamins or even gut improvements that have been shown to help improve or protect cognition.</p> <p>While beans didn’t figure prominently in both studies, they showed a protective element in the US study, so they are also worth keeping on your plate. (Beans are also thought to be one of the top foods for longevity.)</p> <h2>Fruit that pack a punch</h2> <p>As for fruit, while some didn’t show as much of a protective effect across the board, berries and apples are two examples of fruit that experts have previously said provide major polyphenol and antioxidant effect.</p> <p>Participants whose brains maintained performance were shown to have eaten three or more servings of vegetables and two or more servings of fruit per day. This is on par with the five servings of vegetables and two servings of fruit recommended we eat every day.</p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.com.au/healthsmart/want-to-reduce-your-dementia-risk-eat-these-4-foods-says-new-study" target="_blank" rel="noopener">Reader's Digest</a>. </em></p>

Mind

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Never say never: Ash Barty's surprising new career move

<p>Ash Barty is set for a return to Wimbledon this year, but not in the way you'd expect. </p> <p>The Aussie legend who retired from competitive tennis in 2022 at the age of 25, has been persistent about not returning to the court. </p> <p>Since her retirement, she <a href="https://www.oversixty.com.au/lifestyle/relationships/game-set-and-match-ash-barty-ties-the-knot" target="_blank" rel="noopener">married </a>her long-term partner Garry Kissick, and the pair welcomed <a href="https://www.oversixty.com.au/news/news/best-year-yet-ash-barty-shares-pregnancy-announcement" target="_blank" rel="noopener">their son</a> Hayden in July 2023. She has also written some books and played a few golf tournaments around the world. </p> <p>In November 2022, when promoting her memoir <em>My Dream Time</em>, Barty was asked if she’d ever consider a move into the commentary box, to which she replied: “No, never.” </p> <p>But now, she is making her return into the spotlight, particularly the commentary box as she has been announced as part of the BBC’s team for Wimbledon.</p> <p>“A host of Wimbledon champions will be joining the studio," BBC’s content boss Charlotte Moore said. </p> <p>Barty will be joining Nick Kyrgios and former Aussie Wimbledon champ Pat Cash for the Summer of Sport event in London. </p> <p>“This will include John McEnroe, Martina Navratilova, Billie Jean King and Pat Cash, alongside Tim Henman, Tracey Austin, Annabel Croft and Johanna Konta," Moore said. </p> <p>“Joining the line-up this year will be 2021 champion Ashleigh Barty and, if he’s not playing, 2022 Wimbledon finalist Nick Kyrgios, so anything could happen there.”</p> <p>While her attitude towards taking a commentary role has changed, she has not changed her stance on making a comeback on the court. </p> <p>“I don’t have the time – I don’t have the time to train, I don’t have the time to prepare, and I have so many great memories out on this court and now I just get to create new memories,” she said late last year.</p> <p>“I’m certainly not coming out of retirement.”</p> <p><em>Image: JONO SEARLE/EPA-EFE/ Shutterstock Editorial</em></p>

TV

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Do optimists really live longer? Here’s what the research says

<p><em><a href="https://theconversation.com/profiles/fuschia-sirois-331254">Fuschia Sirois</a>, <a href="https://theconversation.com/institutions/durham-university-867">Durham University</a></em></p> <p>Do you tend to see the glass as half full, rather than half empty? Are you always looking on the bright side of life? If so, you may be surprised to learn that this tendency could actually be good for your health.</p> <p>A <a href="https://content.apa.org/record/2020-71981-001">number of studies</a> have shown that optimists enjoy higher levels of wellbeing, better sleep, lower stress and even better cardiovascular health and immune function. And now, <a href="https://pubmed.ncbi.nlm.nih.gov/35674052/">a recent study</a> has shown that being an optimist is linked to longer life.</p> <p>To conduct their study, researchers tracked the lifespan of nearly 160,000 women aged between 50 to 79 for a period of 26 years. At the beginning of the study, the women completed a <a href="https://local.psy.miami.edu/people/faculty/ccarver/availbale-self-report-instruments/lot-r/">self-report measure of optimism</a>. Women with the highest scores on the measure were categorised as optimists. Those with the lowest scores were considered pessimists.</p> <p>Then, in 2019, the researchers followed up with the participants who were still living. They also looked at the lifespan of participants who had died. What they found was that those who had the highest levels of optimism were more likely to live longer. More importantly, the optimists were also more likely than those who were pessimists to live into their nineties. Researchers refer to this as “exceptional longevity”, considering the average lifespan for women is about 83 years in developed countries.</p> <p>What makes these findings especially impressive is that the results remained even after accounting for other factors known to predict a long life – including education level and economic status, ethnicity, and whether a person suffered from depression or other chronic health conditions.</p> <p>But given this study only looked at women, it’s uncertain whether the same would be true for men. However, <a href="https://www.pnas.org/doi/abs/10.1073/pnas.1900712116">another study</a> which looked at both men and women also found that people with the highest levels of optimism enjoyed a lifespan that was between 11% and 15% longer than those who were the least optimistic.</p> <h2>The fountain of youth?</h2> <p>So why is it that optimists live longer? At first glance it would seem that it may have to do with their healthier lifestyle.</p> <p>For example, <a href="https://www.ahajournals.org/doi/10.1161/CIRCRESAHA.117.310828">research from several studies</a> has found that optimism is linked to eating a healthy diet, staying physically active, and being less likely to smoke cigarettes. These healthy behaviours are well known to improve heart health and <a href="https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases">reduce the risk</a> for cardiovascular disease, which is a <a href="https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)">leading cause of death</a> globally. Adopting a healthy lifestyle is also <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3857242/">important for reducing the risk</a> of other potentially deadly diseases, such as diabetes and cancer.</p> <p>But having a healthy lifestyle may only be part of the reason optimists live a longer than average life. This latest study found that lifestyle only accounted for 24% of the link between optimism and longevity. This suggests a number of other factors affect longevity for optimists.</p> <p>Another possible reason could be due to the way optimists manage stress. When faced with a stressful situation, optimists tend to deal with it head-on. They <a href="https://pubmed.ncbi.nlm.nih.gov/16859439/">use adaptive coping strategies</a> that help them resolve the source of the stress, or view the situation in a less stressful way. For example, optimists will problem-solve and plan ways to deal with the stressor, call on others for support, or try to find a “silver lining” in the stressful situation.</p> <p>All of these approaches are well-known to reduce feelings of stress, as well as the biological reactions that occur when we feel stressed. It’s these <a href="https://www.apa.org/topics/stress/body">biological reactions to stress</a> –- such as elevated cortisol (sometimes called the “stress hormone”), increased heart rate and blood pressure, and impaired immune system functioning –- that can take a toll on health over time and increase the risk for developing <a href="https://www.sciencedirect.com/science/article/pii/S0889159115004316?via%3Dihub">life-threatening diseases</a>, such as cardiovascular disease. In short, the way optimists cope with stress may help protect them somewhat against its harmful effects.</p> <h2>Looking on the bright side</h2> <p>Optimism is typically viewed by researchers as a relatively stable personality trait that is determined by both <a href="https://www.cambridge.org/core/journals/twin-research-and-human-genetics/article/sex-differences-in-the-genetic-architecture-of-optimism-and-health-and-their-interrelation-a-study-of-australian-and-swedish-twins/58F21AA11943D44B4BA4C63A966E6AC7">genetic</a> and early childhood influences (such as having a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6541423/">secure and warm relationship</a> with your parents or caregivers). But if you’re not naturally prone to seeing the glass as half full, there are some ways you can increase your <a href="https://www.tandfonline.com/doi/abs/10.1080/17439760.2016.1221122?journalCode=rpos20">capacity to be optimistic</a>.</p> <p>Research shows optimism can change over time, and can be cultivated by engaging in simple exercises. For example, visualising and then writing about your “<a href="https://www.psychologytoday.com/us/blog/what-matters-most/201303/what-is-your-best-possible-self">best possible self</a>” (a future version of yourself who has accomplished your goals) is a technique that studies have found can <a href="https://www.tandfonline.com/doi/full/10.1080/17439760.2016.1221122">significantly increase optimism</a>, at least temporarily. But for best results, the goals need to be both positive and reasonable, rather than just wishful thinking. Similarly, simply <a href="https://www.tandfonline.com/doi/abs/10.3200/SOCP.149.3.349-364">thinking about positive future events</a> can also be effective for boosting optimism.</p> <p>It’s also crucial to temper any expectations for success with an accurate view of what you can and can’t control. Optimism is reinforced when we experience the positive outcomes that we expect, and <a href="https://psycnet.apa.org/record/1970-20680-001">can decrease</a> when these outcomes aren’t as we want them to be. Although more research is needed, it’s possible that regularly envisioning yourself as having the best possible outcomes, and taking realistic steps towards achieving them, can help develop an optimistic mindset.</p> <p>Of course, this might be easier said than done for some. If you’re someone who isn’t naturally optimistic, the best chances to improve your longevity is by <a href="https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003332">living a healthy lifestyle</a> by staying physically active, eating a healthy diet, managing stress, and getting a good night’s sleep. Add to this cultivating a more optimistic mindset and you might further increase your chances for a long life.<!-- 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/184785/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/fuschia-sirois-331254">Fuschia Sirois</a>, Professor in Social &amp; Health Psychology, <a href="https://theconversation.com/institutions/durham-university-867">Durham University</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/do-optimists-really-live-longer-heres-what-the-research-says-184785">original article</a>.</em></p>

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Eating some chocolate really might be good for you – here’s what the research says

<p><em><a href="https://theconversation.com/profiles/dan-baumgardt-1451396">Dan Baumgardt</a>, <a href="https://theconversation.com/institutions/university-of-bristol-1211">University of Bristol</a></em></p> <p>Although it always makes me scoff slightly to see Easter eggs making their first appearance in supermarkets at the end of December, there are few people who aren’t delighted to receive a bit of chocolate every year.</p> <p>It makes sense that too much chocolate would be bad for you because of the high fat and sugar content in most products. But what should we make of common claims that eating some chocolate is actually good for you?</p> <p>Happily, there is a fair amount of evidence that shows, in the right circumstances, chocolate may be both beneficial for your heart and good for your mental state.</p> <p>In fact, chocolate – or more specifically cacao, the raw, unrefined bean – is a medicinal wonder. It contains many different active compounds which can evoke pharmacological effects within the body, like medicines or drugs.</p> <p>Compounds that lead to neurological effects in the brain have to be able to cross the <a href="https://link.springer.com/chapter/10.1007/978-3-642-13443-2_7">blood-brain barrier</a>, the protective shield which prevents harmful substances – like toxins and bacteria – entering the delicate nervous tissue.</p> <p>One of these is the compound <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3672386/">theobromine</a>, which is also found in tea and contributes towards its bitter taste. Tea and chocolate also contain caffeine, which theobromine is related to as part of the purine family of chemicals.</p> <p>These chemicals, among others, contribute to chocolate’s addictive nature. They have the ability to cross the blood-brain barrier, where they can influence the nervous system. They are therefore known as <a href="https://pubmed.ncbi.nlm.nih.gov/15549276/">psychoactive</a> chemicals.</p> <figure><iframe src="https://www.youtube.com/embed/HloqayQdR6M?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>What effects can chocolate have on mood? Well, <a href="https://academic.oup.com/nutritionreviews/article/71/10/665/1931144?login=false">a systematic review</a> looked at a group of studies which examined the feelings and emotions associated with consuming chocolate. Most demonstrated improvements in mood, anxiety, energy and states of arousal.</p> <p>Some noted the feeling of guilt, which is perhaps something we’ve all felt after one too many Dairy Milks.</p> <h2>Health benefits of cocoa</h2> <p>There are other organs, aside from the brain, that might benefit from the medicinal effects of cocoa. For centuries, chocolate has been used as a medicine to treat a <a href="https://pubmed.ncbi.nlm.nih.gov/10917925/">long list of diseases</a> including anaemia, tuberculosis, gout and even low libido.</p> <p>These might be spurious claims but there is evidence to suggest that eating cacao has a positive effect on the cardiovascular system. First, it can prevent <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8068178/">endothelial dysfunction</a>. This is the process through which arteries harden and get laden down with fatty plaques, which can in turn lead to heart attacks and strokes.</p> <p>Eating dark chocolate may also reduce <a href="https://www.sciencedirect.com/science/article/pii/S1537189115001135?via%3Dihub">blood pressure</a>, which is another risk factor for developing arterial disease, and prevent formation of clots which block up blood vessels.</p> <figure><iframe src="https://www.youtube.com/embed/8VUcPCbSSCY?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Some studies have suggested that dark chocolate might be useful in adjusting ratios of <a href="https://pubmed.ncbi.nlm.nih.gov/20968113/">high-density lipoprotein cholesterol</a>, which can help protect the heart.</p> <p>Others have examined insulin resistance, the phenomenon associated with Type 2 diabetes and weight gain. They suggest that the <a href="https://www.sciencedirect.com/science/article/pii/S0963996900000697#:%7E:text=Cocoa%20is%20rich%20in%20polyphenols%20particularly%20in%20catechins,and%20cocoa%20powder%20have%20been%20published%20only%20recently.">polyphenols</a> – chemical compounds present in plants – found in foodstuffs like chocolate may also lead to <a href="https://pubmed.ncbi.nlm.nih.gov/29993262/">improved control of blood sugars</a>.</p> <h2>Chocolate toxicity</h2> <p>As much as chocolate might be considered a medicine for some, it can be a poison for others.</p> <p>It’s well documented that the ingestion of caffeine and theobromine is highly toxic for domestic animals. Dogs are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4801869/">particularly affected</a> because of their often voracious appetites and generally unfussy natures.</p> <p>The culprit is often dark chocolate, which can provoke symptoms of agitation, rigid muscles and even seizures. In certain cases, if ingested in high enough quantities, it can lead to comas and abnormal, even fatal heart rhythms.</p> <p>Some of the compounds found in chocolate have also been found to have potentially negative effects in humans. Chocolate is a source of oxalate which, along with calcium, is one of the main components of <a href="https://pubmed.ncbi.nlm.nih.gov/20301742/">kidney stones</a>.</p> <p>Some clinical groups have advised against consuming oxalate rich foods, such as spinach and rhubarb – and chocolate, for those who suffer from recurrent kidney stones.</p> <p>So, what should all this mean for our chocolate consumption habits? Science points in the direction of chocolate that has as high a cocoa solid content as possible, and the minimum of extras. The potentially harmful effects of chocolate are more related to fat and sugar, and may counteract any possible benefits.</p> <p>A daily dose of 20g-30g of plain or dark chocolate with cocoa solids above 70% – rather than milk chocolate, which contains fewer solids and white chocolate, which contains none – could lead to a greater health benefit, as well as a greater high.</p> <p>But whatever chocolate you go for, please don’t share it with the dog.<!-- 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/226759/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/dan-baumgardt-1451396"><em>Dan Baumgardt</em></a><em>, Senior Lecturer, School of Physiology, Pharmacology and Neuroscience, <a href="https://theconversation.com/institutions/university-of-bristol-1211">University of Bristol</a></em></p> <p><em>Image credits: Getty Images </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/eating-some-chocolate-really-might-be-good-for-you-heres-what-the-research-says-226759">original article</a>.</em></p>

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What is minoxidil, the anti-balding hair growth treatment? Here’s what the science says

<p><a href="https://theconversation.com/profiles/jacinta-l-johnson-1441348">Jacinta L. Johnson</a>, <em><a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em> and <a href="https://theconversation.com/profiles/kirsten-staff-1494356">Kirsten Staff</a>, <em><a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>Hair loss (also known as alopecia) often affects the scalp but can occur anywhere on the body. It’s very common and usually nothing to worry about; about <a href="https://www.sciencedirect.com/science/article/pii/S0022202X15525840">half of Australian men</a> show signs of visible baldness at age 50 and <a href="https://www.sciencedirect.com/science/article/pii/S0022202X15525840">over a quarter of Australian women</a> report hair thinning by the same age. It’s often genetic.</p> <p>But if you’ve noticed hair loss and are worried by it, see a GP or dermatologist for a diagnosis before trying any treatments. Products claiming to reverse hair loss are everywhere, but few have been scientifically tested for how well they work.</p> <p>One group of products that have actually been scientifically tested, however, are known as topical minoxidil products. These include products such as Regaine®.</p> <p>So, do they work? Here’s what the research evidence says, what you can realistically expect and what you need to know if you’re considering this treatment.</p> <h2>What is minoxidil – and does it work?</h2> <p>Topical minoxidil usually comes as a kind of foam or serum you apply to your scalp.</p> <p>It’s been approved by the <a href="https://www.tga.gov.au/">Therapeutic Goods Administration</a>, Australia’s regulatory authority for therapeutic goods, for the treatment of hereditary hair loss in males and females. Minoxidil is also available in tablet form, but this isn’t currently approved for hair loss (more on that later).</p> <p>So, is topical minoxidil effective? In short – yes, but the results vary widely from person to person, and it needs to be used consistently over several months to see results.</p> <p>Scientists don’t know exactly how minoxidil works. It may affect the different phases of the hair life cycle, thereby encouraging growth. It also <a href="https://www.tandfonline.com/doi/full/10.1080/09546634.2021.1945527?casa_token=KhIM_u0u8nwAAAAA:5njp_XE5cHhip454ycvU1p9p_t0VVzpjRu0ozDZ9YqNb04fmhmngWzYeiowZcG5UugLQkTVIzCcj7A">opens up blood vessels</a> near hair follicles.</p> <p>This increases blood flow, which in turn delivers more oxygen and nutrients to the hair.</p> <p>While minoxidil is unlikely to restore a full head of thick, lush, hair, it can slow down hair loss and can <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007628.pub4/full?highlightAbstract=minoxidil">stimulate regrowth</a>.</p> <p>It is the over-the-counter option with the most evidence. Two strengths are available: 5% and 2%.</p> <p>An analysis of randomised controlled trials found minoxidil applied to the scalp twice a day increased the number of hairs per square centimetre by <a href="https://pubmed.ncbi.nlm.nih.gov/28396101/">eight to 15 hairs</a>, with the higher strength treatment having a slightly greater effect.</p> <h2>Can I use it for non-genetic balding?</h2> <p>There are many causes of hair loss. The main cause in both males and females is a hereditary condition called androgenic alopecia.</p> <p>Although topical minoxidil is only approved for use in Australia for androgenic alopecia, there is some evidence it can also help in other conditions that cause hair loss.</p> <p>For example, it may hasten hair regrowth in patients who have lost hair due to <a href="https://www.jaad.org/article/S0190-9622(96)90500-9/abstract">chemotherapy</a>.</p> <p>Unfortunately, minoxidil is not effective when the hair follicle is gone, like after a burn injury.</p> <p>Although small studies have found promising results using minoxidil to promote hair growth on the face (for <a href="https://onlinelibrary.wiley.com/doi/epdf/10.1111/1346-8138.13312">beard</a> or <a href="https://pubmed.ncbi.nlm.nih.gov/24471459/">eyebrow</a> enhancement), topical minoxidil products are not currently approved for this use. More research is required.</p> <h2>What else do I need to know?</h2> <p>Minoxidil won’t work well for everyone. Early in treatment you might notice a temporary increase in <a href="https://pubmed.ncbi.nlm.nih.gov/22409453/">hair shedding</a>, as it alters the hair cycle to make way for new growth. Minoxidil needs to be trialled for three to six months to determine if it’s effective.</p> <p>And as it doesn’t cure hair loss, you must <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/jdv.14624?casa_token=P-zW7kDNRs8AAAAA%3AaUgUzxU7lbwBpg1BYPajOfXFhpb_mU5g_ounZ6GtjsLLkHO_AdVQ2Kf-8zZkW80ykBj3N_sOsyn392uc">continue</a> to use it each day to maintain the effect. If you stop, you will start losing the new hair growth <a href="https://www.nps.org.au/assets/medicines/1f8127a5-2a98-4013-a7c3-a53300feb0e5-reduced.pdf">within three to four months</a>.</p> <p>Minoxidil products may not be suitable for everyone. If you have any medical conditions or take any medications, you should speak with your doctor or pharmacist before using minoxidil products.</p> <p>It has not been tested for safety in <a href="https://www.nps.org.au/assets/medicines/1f8127a5-2a98-4013-a7c3-a53300feb0e5-reduced.pdf">people under 18, over 65, or those who are pregnant</a>.</p> <p>You can read the <a href="https://www.nps.org.au/medicine-finder/regaine-for-men-regular-strength-application">consumer medicines information sheet</a> for more information about using over-the-counter minoxidil products.</p> <p>Many people do not like to use minoxidil solution or foams long-term because they need to be applied everyday day, which can be inconvenient. Or they may notice side effects, such as scalp irritation and changes to hair texture.</p> <p>Some people <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/jdv.14624?casa_token=P-zW7kDNRs8AAAAA%3AaUgUzxU7lbwBpg1BYPajOfXFhpb_mU5g_ounZ6GtjsLLkHO_AdVQ2Kf-8zZkW80ykBj3N_sOsyn392uc">tolerate the foam products better</a> than the solution, as the solution contains more of a compound called propylene glycol (which can irritate the skin).</p> <h2>What about the oral tablet form of minoxidil?</h2> <p>Minoxidil is also available on prescription as an oral tablet. While traditionally used for high blood pressure, it has also been used as a treatment for hair loss.</p> <p>In 2020, a <a href="https://www.jaad.org/article/S0190-9622(20)32109-5/abstract">systematic review</a> identified 17 studies involving 634 patients using oral minoxidil for various hair loss conditions.</p> <p>The authors found oral minoxidil was effective and generally well tolerated in healthy people who were having trouble using the topical products.</p> <p>The review noted oral minoxidil may increase hair growth over the whole body and may cause heart-related side effects in some patients. More research is required.</p> <p>In Australia, oral minoxidil is available under the trade name <a href="https://www.nps.org.au/assets/medicines/df29e16f-6464-4652-ba1f-a53300fed275.pdf">Loniten</a>®. However, it is currently only approved for use in high blood pressure.</p> <p>When people seek a prescription treatment for a non-approved purpose, this is called “off-label” prescribing. Off-label prescribing of oral minoxidil, potentially for use in alopecia, may have contributed to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10170338/">shortages</a> of Loniten® tablets in recent years. This can reduce availability of this medicine for people who need it for high blood pressure.<!-- 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/223736/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/jacinta-l-johnson-1441348">Jacinta L. Johnson</a>, Senior Lecturer in Pharmacy Practice, <em><a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em> and <a href="https://theconversation.com/profiles/kirsten-staff-1494356">Kirsten Staff</a>, Senior Lecturer in Pharmacy, <em><a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-is-minoxidil-the-anti-balding-hair-growth-treatment-heres-what-the-science-says-223736">original article</a>.</em></p> <p><em>Image: Getty</em></p>

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Does the royal family have a right to privacy? What the law says

<p><em><a href="https://theconversation.com/profiles/gemma-horton-1515949">Gemma Horton</a>, <a href="https://theconversation.com/institutions/university-of-sheffield-1147">University of Sheffield</a></em></p> <p>From court cases to conspiracy theories, the royal family’s right to privacy is, somewhat ironically, nearly always in the spotlight. The latest focus is Kate Middleton, Princess of Wales, whose whereabouts have been the subject of <a href="https://www.townandcountrymag.com/society/tradition/a60008117/kate-middleton-health-speculation-conspiracy-theories-online/">online speculation</a> after it was announced she was undergoing abdominal surgery and would be away from public duties until after Easter.</p> <p>This comes just weeks after King Charles <a href="https://www.bbc.co.uk/news/uk-68208157">revealed that he is undergoing treatment for cancer</a>, and a legal settlement between Prince Harry and Mirror Group Newspapers over <a href="https://www.bbc.co.uk/news/uk-68249009">illegal phone hacking</a>.</p> <p>Interest in the personal lives of the royals and other celebrities <a href="https://www.tandfonline.com/doi/full/10.1080/1461670X.2016.1150193">is a constant</a>, driving newspaper sales and online clicks for decades. You only needs to consider the media frenzy that followed Princess Diana to <a href="https://www.tandfonline.com/doi/full/10.1080/17512786.2013.833678">see this</a>, and its potentially devastating consequences.</p> <p>From a legal perspective, the British courts have ruled that everyone – the royal family included – is entitled to a right to privacy. The Human Rights Act incorporates into British law the rights set out by the European Convention on Human Rights. This includes article 8, which focuses on the right to privacy.</p> <p>In the years after the Human Rights Act came into force, courts ruled on a string of cases from celebrities claiming that the press invaded their privacy. Courts had to balance article 8 of the convention against article 10, the right to freedom of expression.</p> <p>Rulings repeatedly stated that, despite being in and sometimes seeking the limelight, celebrities should still be afforded a right to privacy. Some disagree with this position, such as prominent journalist <a href="https://www.independent.co.uk/news/uk/home-news/prince-harry-hacking-piers-morgan-b2336442.html">Piers Morgan, who has criticised</a> the Duke and Duchess of Sussex asking for privacy when they have also released a Netflix documentary, a broadcast interview with Oprah Winfrey and published a memoir.</p> <p>But the courts have made the position clear, as in the case concerning Catherine Zeta-Jones and Michael Douglas after Hello! Magazine published unauthorised photographs from their wedding. The <a href="https://eprints.whiterose.ac.uk/190559/3/Final%20Edited%20Version%20-%20Celebrity%20Privacy%20and%20Celebrity%20Journalism-%20Has%20anything%20changed%20since%20the%20Leveson%20Inquiry_.pdf">court stated</a> that: “To hold that those who have sought any publicity lose all protection would be to repeal article 8’s application to very many of those who are likely to need it.”</p> <p>There is no universal definition of privacy, but scholars have identified key concepts encompassing what privacy can entail. In my own research, I have argued that the <a href="https://eprints.whiterose.ac.uk/190559/3/Final%20Edited%20Version%20-%20Celebrity%20Privacy%20and%20Celebrity%20Journalism-%20Has%20anything%20changed%20since%20the%20Leveson%20Inquiry_.pdf">notion of choice</a> is one of these. Privacy allows us to control the spread of information about ourselves and disclose information to whom we want.</p> <h2>Privacy and the public interest</h2> <p>There are exceptions to these protections if the person involved had no reasonable expectation of privacy, or if it was in the public interest for this information to be revealed. There is no solid, legal definition of the “public interest”, so this is decided on a case-by-case basis.</p> <p><a href="https://www.tandfonline.com/doi/full/10.1080/17577632.2021.1889866">In the past</a>, the public interest defence has been applied because a public figure or official has acted hypocritically and the courts have stated there is a right for a publisher to set the record straight.</p> <p>When it comes to medical records and information concerning health, case law and journalistic <a href="https://www.ipso.co.uk/editors-code-of-practice/">editorial codes of conduct</a> are clear that this information is afforded the utmost protection.</p> <p>Model Naomi Campbell was pictured leaving a Narcotics Anonymous meeting and these images were published by the Daily Mirror. The court found that there had been a public interest in revealing the fact she was attending these meetings, as she had previously denied substance abuse.</p> <p>The House of Lords accepted that there was a public interest in the press “setting the record straight”. Nonetheless, the publication of additional, confidential details, and the photographs of her leaving the meeting were a <a href="https://www.theguardian.com/media/2004/may/06/mirror.pressandpublishing1">step too far</a>. The House of Lords highlighted the importance of being able to keep medical records and information private.</p> <h2>Royal health</h2> <p>When it comes to the royals, the history of <a href="https://www.townandcountrymag.com/society/tradition/a23798094/lindo-wing-st-marys-hospital-facts-photos/">publicity</a> around royal births, often posing with the newborn royal baby outside of the hospital, has set a precedent for what the public can expect about the royals’ medical information. When they choose to go against this tradition, it can frustrate both royal-watchers and publishers.</p> <p>King Charles made the choice to openly speak about his enlarged prostate to “assist public understanding”. And, as Prostate Cancer UK noted, this has worked – they noted a <a href="https://www.independent.co.uk/news/uk/home-news/king-charles-cancer-statement-treatment-b2494190.html">500% increase in people visiting their website</a>. However, he has chosen to not to divulge information about his cancer diagnosis beyond the fact that he is receiving treatment. This is his right.</p> <p>While revealing further information might stop speculation and rumours about his health, it is not the king’s duty to divulge private, medical information. However, if his health begins to impact his ability to act as monarch, the situation could change.</p> <p>It might be that the press finds more information about his health without his knowledge, but unless they have a genuine public interest in publishing this information, privacy should prevail.</p> <p>You would no doubt want your private medical information kept secret, not shared around your workplace and speculated on unless it was absolutely necessary. It is thanks to these laws and court precedent that you don’t have to worry about this. The royal family, regardless of their position, should expect the same standard.<!-- 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/gemma-horton-1515949"><em>Gemma Horton</em></a><em>, Impact Fellow for Centre for Freedom of the Media, <a href="https://theconversation.com/institutions/university-of-sheffield-1147">University of Sheffield</a></em></p> <p><em>Image credits: Getty Images</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/does-the-royal-family-have-a-right-to-privacy-what-the-law-says-224881">original article</a>.</em></p>

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Should Taylor Swift be taught alongside Shakespeare? A professor of literature says yes

<p><em><a href="https://theconversation.com/profiles/liam-e-semler-1507004">Liam E Semler</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>Does Taylor Swift’s music belong in the English classroom? No, obviously. We should teach the classics, like <a href="https://www.folger.edu/explore/shakespeares-works/shakespeares-sonnets/">Shakespeare’s Sonnets</a>. After all, they have stood the test of time. It’s 2024 and he was born in 1564, and she’s only 34. What’s more, she is a pop singer, not a poet. Sliding her into the classroom would be yet another example of a dumbed-down curriculum. It’s ridiculous. It makes everyone look bad.</p> <p>I’ve heard all that. And plenty more like it. But none of it is right. Well, the dates might be, but not the assumptions – about Shakespeare, about English, about teaching, and about Swift.</p> <p>Swift is, by the way, a poet. She sees herself this way and her songs bear her out. In Sweet Nothing, on the <a href="https://pitchfork.com/reviews/albums/taylor-swift-midnights/">Midnights</a> album, she sings:</p> <blockquote> <p>On the way home<br />I wrote a poem<br />You say “What a mind”<br />This happens all the time.</p> </blockquote> <p>I’m sure it does. Swift is relentlessly productive as a songwriter. With Midnights, she picked up <a href="https://edition.cnn.com/2024/02/04/entertainment/taylor-swift-album-of-the-year-grammys/index.html">her fourth Grammy for Album of the Year</a>. And here we are, on the brink of another studio album, <a href="https://en.wikipedia.org/wiki/The_Tortured_Poets_Department">The Tortured Poets Department</a>, somehow written and produced amid the gargantuan success of Midnights and the Eras World Tour.</p> <h2>An ally of literature</h2> <p>Regardless of what The Tortured Poets Department ends up being about, Swift is already a firm ally of literature and reading. She is <a href="https://www.cbsnews.com/news/taylor-swift-donates-6000-books-to-library/">a donor of thousands of books</a> to public libraries in the United States, an advocate to schoolchildren of the importance of reading and songwriting, and a lover of the process of crafting lyrics.</p> <p>In a <a href="https://www.youtube.com/watch?v=XnbCSboujF4">2016 Vogue interview</a>, Swift declared with glee that, if she were a teacher, she would teach English. The literary references in her songs are endlessly noted. “I love Shakespeare as much as the next girl,” she wrote in a <a href="https://www.elle.com/uk/life-and-culture/a26546099/taylor-swift-pop-music/">2019 article for Elle</a>.</p> <figure><iframe src="https://www.youtube.com/embed/mdgKhdcQrNw?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Her interview Read Every Day gives a good sense of this. Swift speaks about her writing process in ways that make it accessible. She explains how songs come to her anywhere and everywhere, like an idea randomly appearing “on a cloud” that becomes the first piece in a “puzzle” that will be assembled into a song. She furtively whisper-sings song ideas into her phone when out with friends.</p> <p>In her <a href="https://www.thelineofbestfit.com/news/read-taylor-swifts-full-nsai-songwriter-artist-of-the-decade-award-speech">acceptance speech for the Nashville Songwriter-Artist of the Decade Award</a> in 2022, Swift explained how she writes in three broad styles, imagining she is holding either a “quill”, a “fountain pen”, or a “glitter gel pen”. Songcraft is a joyous challenge for her.</p> <p>If, as teachers of literature, we are too proud to credit Swift’s plainly expressed love of English (regardless of whether we like her songs or not), we are likely missing something. To bluntly rule her out of the English classroom feels more absurd than allowing her in.</p> <p>Clio Doyle, a lecturer in early modern literature, has <a href="https://theconversation.com/why-taylor-swift-belongs-on-english-literature-degree-courses-219660">summarised</a> Swift’s suitability for English in a recent article which concludes:</p> <blockquote> <p>The important thing isn’t whether or not Swift might be the new Shakespeare. It’s that the discipline of English literature is flexible, capacious and open-minded. A class on reading Swift’s work as literature is just another English class, because every English class requires grappling with the idea of reading anything as literature. Even Shakespeare.</p> </blockquote> <p>Doyle reminds us Swift’s work has been taught at universities for a while now and, inevitably, the singer’s name keeps cropping up in relation to Shakespeare. This isn’t just a case of fandom gone wild or Shakespeare professors, like <a href="https://www.smh.com.au/culture/music/why-taylor-swift-is-a-literary-giant-by-a-shakespeare-professor-20230518-p5d9cn.html">Jonathan Bate</a>, gone rogue.</p> <p>The global interest in the world-first academic <a href="https://swiftposium2024.com/">Swiftposium</a> is a good measure of how things are trending. Moreover, it is wrong to think Swift’s songs are included in units of study purely to be adored. Her wide appeal is part of her appeal to educators, but that doesn’t mean her art is uncritically included.</p> <p>The reverse is true. Claire Hansen <a href="https://www.smh.com.au/national/pop-star-philosopher-poet-taylor-swift-is-shaking-up-how-we-think-20240207-p5f342.html">taught Swift in one of her literature units at the Australian National University</a> last year precisely because this influential singer-songwriter prompts students to explore the boundaries of the canon.</p> <p>I will be teaching Midnights and Shakespeare’s Sonnets together in a literature unit at the University of Sydney this semester. Why? Not because I think Swift is as good as Shakespeare, or because I think she is not as good as Shakespeare. These statements are fine as personal opinions, but unhelpful as blanket declarations without context. The nature of English as a discipline is far more complex, interesting and valuable than a labelling and ranking exercise.</p> <h2>Teaching Midnights and Shakespeare’s Sonnets</h2> <p>I teach Shakespeare’s sonnets as exquisite poems, reflective of their time and culture. I also teach three modern artworks that shed contemporary light on the sonnets.</p> <p>The first is Jen Bervin’s 2004 book <a href="https://www.jenbervin.com/projects/nets">Nets</a>. Bervin prints a selection of the sonnets, one per page, in grey text. In each of these grey sonnets, some of Shakespeare’s words and phrases are printed in black and thus stand out boldly.</p> <p>The result is a <a href="https://dictionary.cambridge.org/dictionary/english/palimpsest">palimpsest</a>. The Shakespearean sonnet appears lying, like fertile soil, beneath the briefer poem that emerges from it. Bervin describes this technique as a stripping down of the sonnets to “nets” in order “to make the space of the poems open, porous, possible – a divergent elsewhere”. The creative relationship between the Shakespearean base and Bervin’s proverb-like poems proves that, as Bervin says, “when we write poems, the history of poetry is with us”.</p> <p>The second text is Luke Kennard’s prizewinning 2021 collection <a href="https://www.pennedinthemargins.co.uk/index.php/2021/04/notes-on-the-sonnets/">Notes on the Sonnets</a>. Kennard recasts the sonnets as a series of entertaining prose poems. Each poem responds to a specific Shakespearean sonnet, recasting it as the freewheeling thought bubble of a fictional attendee at an unappealing house party. In an interview with C.D. Rose, Kennard <a href="https://thequietus.com/articles/30078-luke-kennard-interview-the-answer-to-everything-notes-on-the-sonnets">explains</a> how his house party design puts the reader</p> <blockquote> <p>in between a public and private space, you’re at home and you’re out, you’re free, you’re enclosed. And that’s similar in the sonnets.</p> </blockquote> <p>The third text is Swift’s Midnights. Unlike Bervin’s and Kennard’s collections, in which individual pieces relate to specific sonnets, there is no explicit adaptation. Instead, Midnights raises broader themes.</p> <h2>Deep connection</h2> <p>In her Elle article, Swift describes songwriting as akin to photography. She strives to capture moments of lived experience:</p> <blockquote> <p>The fun challenge of writing a pop song is squeezing those evocative details into the catchiest melody you can possibly think of. I thrive on the challenge of sprinkling personal mementos and shreds of reality into a genre of music that is universally known for being, well, universal.</p> </blockquote> <p>Her point is that the pop songs that “cut through the most are actually the most detailed” in their snippets of reality and biography. She says “people are reaching out for connection and comfort” and “music lovers want some biographical glimpse into the world of our narrator, a hole in the emotional walls people put up around themselves to survive”.</p> <p>Midnights exemplifies this. It is a concept album built on the idea that midnight is a time for pursuit of and confrontation with the self – or better, the selves. Swift says the songs form “the full picture of the intensities of that mystifying, mad hour”.</p> <p>The album, she says, is “a journey through terrors and sweet dreams” for those “who have tossed and turned and decided to keep the lanterns lit and go searching – hoping that just maybe, when the clock strikes twelve […] we’ll meet ourselves”.<br />Swift claims that Midnights lets listeners in through her protective walls to enable deep connection:</p> <blockquote> <p>I really don’t think I’ve delved this far into my insecurities in this detail before. I struggle with the idea that my life has become unmanageably sized and […] I just struggle with the idea of not feeling like a person.</p> </blockquote> <p>Midnights is not a sonnet collection, but it has fascinating parallels. There is no firm narrative through-line. Nor is there a through-line in early modern sonnet collections such as Shakespeare’s. Instead, both gather songs and poems that let us see aspects of the singing or speaking persona’s thoughts, emotions and experiences. Shakespeare’s speaker is also troubled through the night in sonnets 27, 43 and 61.</p> <p>The sonnets come in thematic clusters, pairs and mini-sequences. It can be interesting to ask students if they can see something similar in the order of songs on the Midnights album – or the “3am” edition with its seven extra tracks, or the “Til Dawn” edition with another three songs.</p> <p>Paul Edmondson and Stanley Wells, in their edition of <a href="https://www.cambridge.org/core/books/all-the-sonnets-of-shakespeare/AE1912C43BE4F50391B25B83C0C03B1F">All the Sonnets of Shakespeare</a>, say Shakespeare’s collection is “the most idiosyncratic gathering of sonnets in the period” because he “uses the sonnet form to work out his intimate thoughts and feelings”.</p> <p>This connects very well with the agenda of Midnights. Both collections are piecemeal psychic landscapes. The singing or speaking voice sometimes feels autobiographical – compare, for example, sonnets 23, 129, 135-6 and 145 to Swift’s songs Anti-hero, You’re On Your Own, Kid, Sweet Nothing, and Would’ve, Could’ve, Should’ve. At other times the voices feel less autobiographical. Often there is no way to distinguish one from the other.</p> <p>Swift’s songs and Shakespeare’s Sonnets are meditations on deeply personal aspects of their narrators’ experiences. They present us with encounters, memories, relationships, values and claims. Swift’s persona is that of a self-reflective singer, just as Shakespeare’s is that of a self-reflective sonneteer. Both focus on love in all its shades. Both present themselves as vulnerable to industry rivals and pressures. Both dwell on issues of power.</p> <h2>Close reading</h2> <p>Shakespeare’s sonnets are rewarding texts for close reading because of their poetic intricacy. Students can look at end rhymes and internal rhymes, the way the argument progresses through <a href="https://www.poetryfoundation.org/learn/glossary-terms/quatrain">quatrains</a>, the positioning of the “turn”, which is often in line 9 or 13, and the way the final couplet wraps things up (or doesn’t).</p> <p>The songs on Midnights are also rewarding because Swift has a great vocabulary, a love of metaphor, terrific turns of phrase, and a strong sense of symmetry and balance in wording. More complex songs like Maroon and Question…? are great for detailed analysis.</p> <p>Karma and Mastermind are simpler, yet contain plenty of metaphoric language to be unpacked for meaning and aesthetic effectiveness. Shakespeare’s controlled use of metaphor in Sonnet 73 makes for a telling contrast.</p> <p>The Great War, Glitch and Snow on the Beach are good for exploring how well a single extended metaphor can function to carry the meaning of a song. Sonnets 8, 18, 143 and 147 can be explored in similar terms.</p> <p>Just as students can analyse the “turn” or concluding couplet in a Shakespearean sonnet to see how it reshapes the poem, they can do the same with songs on Midnights. Swift is known for writing effective bridges that contribute fresh, important content towards the end of a song: Sweet Nothing, Mastermind and Dear Reader are excellent examples.</p> <p>Such unexpected pairings are valuable because they require close attention and careful articulation of what is similar and what is not. Shakespeare’s Sonnet 129, for example (the famous one on lust), and Swift’s Bigger than the Whole Sky (a powerful expression of loss) make for a gripping comparison of how intense feeling can be expressed poetically.</p> <p>Or consider Sonnet 29 (“When in disgrace with fortune and men’s eyes”) and Sweet Nothing: both celebrate intimacy as a defence against the pressures of the public world. How about High Infidelity and Sonnet 138 (where love and self-deception coexist), considered in terms of truth in relationships?</p> <p>There is nothing to lose and plenty to gain in teaching Swift’s Midnights and Shakespeare’s Sonnets together. There’s no dumbing-down involved. And there’s no need for reductive assertions about who is “better”.<!-- 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/223312/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/liam-e-semler-1507004"><em>Liam E Semler</em></a><em>, Professor of Early Modern Literature, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Getty Images </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/should-taylor-swift-be-taught-alongside-shakespeare-a-professor-of-literature-says-yes-223312">original article</a>.</em></p>

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Your skin is a mirror of your health – here’s what yours might be saying

<p><em><a href="https://theconversation.com/profiles/dan-baumgardt-1451396">Dan Baumgardt</a>, <a href="https://theconversation.com/institutions/university-of-bristol-1211">University of Bristol</a></em></p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/12095893/">Skin accounts for around 15% of our body mass</a>. It is the largest and most visible organ in the human body.</p> <p>Yet many of the skin’s functions are often overlooked. It’s a sunscreen, a shield from germs, a reservoir of <a href="https://pubmed.ncbi.nlm.nih.gov/28994020/">vitamin D</a> and a means of tightly regulating our body temperature.</p> <p>Being the most visible of our organs, the skin also offers us a view into the body tissues that it protects. So don’t think of your skin merely aesthetically – think of it as a reflection of your health. Disorders of the gut, blood, hormones and even the heart might first be seen on the skin in the form of a rash.</p> <p>Here are a few to look out for.</p> <h2>Bullseye</h2> <p>Ticks are pesky creatures that no one will want to return home from a country walk with.</p> <p>But while the vast majority of tick bites <a href="https://pubmed.ncbi.nlm.nih.gov/36116831/">won’t make you ill</a>, there is one rash that should prompt a visit to your doctor if you spot it.</p> <p>Erythema migrans, a rash named for its ability to rapidly expand across the skin, is a hallmark of <a href="https://www.bmj.com/content/369/bmj.m1041.long">Lyme disease</a>, a potentially severe bacterial illness. This rash forms a classic target pattern, like a bullseye on a dartboard.</p> <p>Be vigilant for a few weeks after being bitten to check this rash doesn’t make an appearance – especially if you noticed a red lump that wasn’t there before or if you had to remove a tick from your skin. You should also keep an eye out for other associated symptoms of Lyme disease – such as swinging temperatures, muscle and joint pains and headache.</p> <p>The condition is treated with antibiotics, which can prevent long-term complications, including chronic fatigue symptoms.</p> <h2>Purpura</h2> <p>Some rashes are given a <a href="https://linkinghub.elsevier.com/retrieve/pii/S1538-7836(22)01880-3">colourful namesake</a> – purpura is one such example. This rash’s name is derived from a mollusc which was used to make purple dye.</p> <p>Purpura refers to a rash of small purple or red dots. The cause is pooling of blood into a deeper layer of the skin (dermis). When pressed with a finger – or even better, the side of a glass – it refuses to blanch away.</p> <p>Purpura signals an issue with either the walls of the tiny blood vessels that feed the skin or the blood within them. This might be from a deficiency in platelets, the tiny cell fragments that allow blood to clot – perhaps from bone marrow failure, or an autoimmune condition where the body turns on itself and attacks its own cells.</p> <p>At worst, purpura may signal the life-threatening condition <a href="https://www.magonlinelibrary.com/doi/full/10.12968/hmed.2017.78.8.468">septicaemia</a>, where an infection has spread into the bloodstream – perhaps from the lungs, kidneys or even from the skin itself.</p> <h2>Skin spiders</h2> <p>Skin rashes can also take on <a href="https://pubmed.ncbi.nlm.nih.gov/32513406/">recognisable shapes</a>.</p> <p>Spider naevi represent an issue within skin arterioles (small arteries which supply the skin with blood). Arterioles open and close to control the loss of heat from the body’s surface. But sometimes they can get stuck open – and a spider-like pattern will appear.</p> <p>The open arteriole is the spider’s body, and the even tinier capillaries fanning out in all directions are the thready legs. Crush the body under a fingertip and the whole thing disappears, as your touch temporarily stops the blood flow.</p> <p>Often, these are benign and not associated with any specific condition – especially if you only have one or two. However, more than three suggest higher circulating levels of the <a href="https://dermnetnz.org/topics/spider-telangiectasis">hormone oestrogen</a>, often due to liver disease or from the hormonal changes seen in pregnancy. Treat the underlying cause, and the spiders often vanish with time – though they may persist or reappear later.</p> <h2>Black velvet</h2> <p>Changes to the folds of your skin (usually around the armpits or neck) – especially if it becomes thickened and velveteen to the touch – may suggest a condition known as <a href="https://onlinelibrary.wiley.com/doi/10.1111/jocd.13544">acanthosis nigricans</a>. This “black velvet” skin appearance is more commonly seen in darker skins.</p> <p>Usually, the condition is associated with <a href="https://pubmed.ncbi.nlm.nih.gov/29241752/">disorders of the metabolism</a> – namely type 2 diabetes and polycystic ovary syndrome. If either of these conditions are successfully treated, the rash may fade. In rare cases, it can also be a sign of <a href="https://www.hkmj.org/abstracts/v29n4/355.htm">stomach cancer</a>, which should be considered in patients with few or none of the key signs of metabolic disease (obesity and high blood pressure).</p> <h2>Butterfly rashes</h2> <p>Even disorders of the heart can be visible on the skin.</p> <p>Cardiac valves have the important role of correctly directing the journey of blood through the heart and preventing backflow. The valve between the chambers on the left side of the heart (the mitral valve – so called because of its resemblance to a bishop’s hat, or mitre) can sometimes become narrowed, causing the heart’s function to deteriorate. The body’s natural response is to preserve core blood volume, shutting off flow towards the skin.</p> <p>The net effect can produce a purple-red rash, high across the cheeks and the bridge of the nose, like the outstretched wings of a butterfly. We call this <a href="https://journals.sagepub.com/doi/10.1177/2050313X231200965?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed">mitral facies</a> which, depending on the extent of damage to the heart and great vessels, may persist despite treatment.</p> <p>It’s important to pay heed to your skin. It’s constantly talking to you, and any changes in its texture, colour or if new marks or patterns appear, may indicate something is going on beneath the surface.<!-- 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/221937/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/dan-baumgardt-1451396">Dan Baumgardt</a>, Senior Lecturer, School of Physiology, Pharmacology and Neuroscience, <a href="https://theconversation.com/institutions/university-of-bristol-1211">University of Bristol</a></em></p> <p><em>Image credits: Getty Images</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/your-skin-is-a-mirror-of-your-health-heres-what-yours-might-be-saying-221937">original article</a>.</em></p>

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“Say it to my face”: Novak Djokovic confronts Aus Open hecklers

<p dir="ltr">Novak Djokovic has confronted rowdy Australian Open audience members, saying the “tough guy” in the crowd “crossed the line” with his unsolicited commentary. </p> <p dir="ltr">The Serbian tennis player was on his way to a victory against Aussie player Alexei Popyrin when he got caught in a verbal altercation with a spectator. </p> <p dir="ltr">The frustrated defending grand slam champion was heard during the match yelling, "Come here and say it to my face" to a fan seated behind him at Rod Laver Arena.</p> <p dir="ltr">"Come here! Come here!" Djokovic could be heard yelling in response to the mouthy spectator. </p> <p dir="ltr">During his post-match press conference after the match win, the world No.1 elaborated on the clash with the spectator, telling the media he won't tolerate such behaviour from disrespectful audience members</p> <p dir="ltr">"I mean, you don't want to know [what he said]. There were a lot of things that were being told to me on the court, particularly from that corner, and the same side the other corner. I was tolerating it for most of the match," Djokovic said.</p> <p dir="ltr">"At one point I had enough, and I asked him whether he wants to come down and tell it to my face. Unfortunately for him, he didn't have the courage to come down.</p> <p dir="ltr">"That's what I was asking him. If you have courage, if you're such a tough man, tough guy, come down and tell it to my face, and let's have a discussion about it.”</p> <p dir="ltr">"He was apologising from far away. That's all it is."</p> <p dir="ltr">"I'm not going to sit and say 'it's all good'. It's not good," he said.</p> <p dir="ltr">"Of course, it upsets me. I'm frustrated. I don't want to be experiencing that, but I have to accept it as it is.”</p> <p dir="ltr">"Sometimes I don't tolerate when somebody crosses the line. That's it."</p> <p dir="ltr">The veteran player declared he would continue to "confront" patrons who attempted to throw him off his game, saying, "I was feeling a lot of mixed emotions today on the court. Not a great atmosphere to play in to be honest for me."</p> <p dir="ltr"><em>Image credits: Getty Images</em></p> <p> </p>

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7 things you should never say at a funeral

<p><strong>What not to say at a funeral </strong></p> <p>Struggling to find the right words to convey sympathy at a funeral? Even the most well-intentioned comments can come across as hurtful instead of helpful. Here are some common phrases you should never say at a funeral –and what to say instead.</p> <p><strong>Never say "I know how you feel" at a funeral </strong></p> <p><span style="text-decoration: underline;"><em>Instead, say:</em></span> “I can’t imagine how you feel.”</p> <p>By the time we’re adults, most of us will have experienced the loss of a family member, friend or colleague. What’s important to note, however, is that although the phases of grief are similar, we don’t necessarily know how another grieving individual truly feels. “Everyone’s experience is unique,” says Jaime Bickerton, executive director of Bereaved Families of Ontario in Canada. “Everyone’s loss is the worst, because it’s theirs.”</p> <p>It can help to think of yourself in a helper role, says author and grief counsellor, Dr Alan Wolfelt. “Walk ‘with,’ not ‘behind’ or ‘in front of’ the person who is mourning.”</p> <p><strong>"Time heals all wounds" is something you should never say at a funeral </strong></p> <p><span style="text-decoration: underline;"><em>Instead, say:</em></span> “Take the time you need and be gentle with yourself.”</p> <p>“There’s no formula when it comes to grief,” says Asya Hadzismajlovic, bereavement expert. “It comes in waves.” The grieving process takes time and important dates like anniversaries and birthdays can trigger an emotional tsunami. Allow the bereaved to move through that process at his or her own pace, advises Wolfelt. “Don’t force your timetable for healing. Allow them to experience all the hurt, sorrow and pain he or she is feeling at the time.”</p> <p><strong>Never say “At least he didn’t suffer,” “At least she made it to her birthday,” or “At least she died doing what she loved” at a funeral</strong></p> <p><span style="text-decoration: underline;"><em>Instead, say:</em></span> “I am here for you.”</p> <p>It’s best to avoid any statements that begin with “at least,” notes Bickerton. These sentiments are often an attempt to make dark days more bearable, but they won’t diminish the pain of losing a loved one. What the person grieving really needs is your quiet presence, says Hadzismajlovic. Check in during the day of the funeral and beyond. “People just want to be heard; to be listened to,” she says. “We say that grief shared is grief lessened.”</p> <p><strong>“Let me know what I can do” is something you should never say at a funeral</strong></p> <p><span style="text-decoration: underline;"><em>Instead, say:</em></span> “Here’s what I can do for you…”</p> <p>This comment places the burden on the bereaved to reach out for help at a time when they likely don’t know what they need, explains Bickerton. Running a few loads of their laundry, tidying their house or yard and preparing meals are just a few ways to genuinely show you care as opposed to merely saying you care. “If they have 38 casseroles, make the 39th,” says Wolfelt. “Deliver it in your best dish and say you will be over in a week to pick it up. This provides you with an opportunity to check in.”</p> <p><strong>Never say “She’s in a better place” at a funeral</strong></p> <p><span style="text-decoration: underline;"><em>Instead, say:</em></span> “She will be missed.”</p> <p>“Most likely, the person grieving is thinking the best place for [the deceased] to be is with them,” says Bickerton. “There’s also a danger of assuming the person ascribes to certain beliefs, which may not be the case.” Simply show your support for your grieving friend, colleague or family member, advises Wolfelt. “At the funeral, a touch of your hand, a look in your eye or even a hug often communicates more than words can say.”</p> <p><strong>Never say “It was his time” at a funeral</strong></p> <p><span style="text-decoration: underline;"><em>Instead, say:</em></span> “I am so sorry for the loss of your precious [person’s name].”</p> <p>“This platitude can be particularly upsetting for the grieving person to hear as it implies a reason for the death when they may be feeling the death was senseless or irrational,” says Bickerton. Even if the loved one lived a long, full life, the person grieving would likely have been wishing for many more years together. When expressing your condolence be sure to say the person’s name, advises Wolfelt. “That way the person grieving knows you are genuinely concerned.”</p> <p><strong>Never say “You need to say goodbye” or “Life must go on” at a funeral</strong></p> <p><span style="text-decoration: underline;"><em>Instead, say:</em></span> “He will always be remembered for his generosity/love for his family…”</p> <p>Statements like these tend to minimise the grief journey, says Bickerton. “Life will go on but it will look very different for the person grieving as they adjust to their new normal.” A note that shares a favourite memory or relates the special qualities you valued in the person who has passed is a thoughtful way to express your condolences before or after the funeral, says Wolfelt. “These words will often be a loving gift to the grieving person.”</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.com.au/true-stories-lifestyle/relationships/7-things-you-should-never-say-at-a-funeral" target="_blank" rel="noopener">Reader's Digest</a>.</em></p>

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"It is hard to say": News anchor announces health news during broadcast

<p>A US news anchor has teared up during a live broadcast as she shared the news of her cancer diagnosis. </p> <p>Sara Sidner, a host of the CNN News Central program, announced with her loyal viewers that she was diagnosed with stage 3 breast cancer, and is currently undergoing radiation treatment. </p> <p>The 51-year-old news presenter shared she is in her second month of chemotherapy, as she is preparing to undergo a double mastectomy.</p> <p>At the end of the news broadcast, Sidner told viewers, "I don't smoke, I rarely drink, breast cancer does not run in my family. And yet here I am, with stage 3 breast cancer - it is hard to say out loud."</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/reel/C12fWHxMqnY/?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/reel/C12fWHxMqnY/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by CNN (@cnn)</a></p> </div> </blockquote> <p>She went on to say she was feeling positive about the future of her illness, saying stage 3 breast cancer "is not a death sentence anymore for most women."</p> <p>Sidner became emotional as she urged women to conduct self-exams and to not skip their routine mammograms. </p> <p>"Try to catch it, before I did. I have thanked cancer for choosing me," she said, as her voice broke.</p> <p>"I am learning that no matter what we go through in life, that I am still madly in love with this life and just being alive feels really different for me now... I don't stress about foolish little things."</p> <p>In October, Sidner traveled to Israel to cover the ongoing war with Hamas when she was told she would need to undergo a biopsy upon her return to the US. </p> <p>After her diagnosis was confirmed, she told <a href="https://people.com/sara-sidner-breast-cancer-diagnosis-exclusive-interview-8423441" target="_blank" rel="noopener"><em>People</em> magazine</a> that she has found strength in the devastating stories she was told by those facing the reality of war. </p> <p>"Seeing the kind of suffering going on, where I was and seeing people still live through the worst thing that has ever happened to them with grace and kindness, I was blown away by their resilience," Sidner told <em>People</em>.</p> <p>"In some weird way, it helped me with my own perspective on what I am going to be facing."</p> <p><em>Image credits: CNN</em></p>

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Can coffee help you avoid weight gain? Here’s what the science says

<p><em><a href="https://theconversation.com/profiles/lauren-ball-14718">Lauren Ball</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> and <a href="https://theconversation.com/profiles/emily-burch-438717">Emily Burch</a>, <a href="https://theconversation.com/institutions/southern-cross-university-1160">Southern Cross University</a></em></p> <p>Coffee is well recognised as having a positive impact on long-term health. Drinking the equivalent of three to four cups of instant coffee a day <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5696634/">reduces the risk</a> of many health conditions including heart disease, type 2 diabetes and some cancers.</p> <p>Most people gain <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4984841/">small amounts of weight</a> each year as they age. But can coffee help prevent this gradual weight gain?</p> <p>A group of researchers examined whether drinking an extra cup of coffee a day – or adding sugar, cream or a non-dairy alternative – resulted in more or less weight gain than those who didn’t adjust their intake.</p> <p>Their <a href="https://www.sciencedirect.com/science/article/abs/pii/S0002916523661702">research</a> (currently a pre-proof, which means it has been peer reviewed but is yet to undergo the final formatting and copyediting) found a modest link between coffee and gaining less weight than expected.</p> <p>People who drank an extra cup of coffee a day gained 0.12 kg less weight than expected over four years. Adding sugar resulted in a fraction more (0.09 kg) weight gain than expected over four years.</p> <h2>How was the study conducted? What did it find?</h2> <p>Researchers combined data from three large studies from the United States: two <a href="https://nurseshealthstudy.org">Nurses’ Health Studies</a> from 1986 to 2010, and from 1991 to 2015, and a <a href="https://www.hsph.harvard.edu/hpfs/about-the-study/">Health Professional Follow-up study</a> from 1991 to 2014.</p> <p>The Nurses’ Health Studies are two of the largest cohort studies, with more 230,000 participants, and investigates chronic disease risks for women. The Health Professional Follow-up study involves more than 50,000 male health professionals and investigates the relationship between diet and health outcomes.</p> <p>Participants in all three studies completed a baseline questionnaire, and another questionnaire every four years to assess their food and drink intake. Using the combined datasets, researchers analysed changes in coffee intake and changes in the participants’ self-reported weight at four-year intervals.</p> <p>The average four year weight-gains for the nurses’ studies were 1.2kg and 1.7kg, while participants in the health professionals study gained an average of 0.8kg.</p> <p>The researchers found that increasing unsweetened caffeinated or decaffeinated coffee intake by one cup a day was associated with a weight gain that was 0.12 kg less than expected over four years.</p> <p>Adding creamer (milk) or a non-dairy alternative did not significantly affect this weight change.</p> <p>However, adding sugar (one teaspoon) to coffee was associated with a weight gain that was 0.09 kg more than expected over four years.</p> <p>These associations were stronger in participants who were younger and had a higher body mass index at the beginning of the studies.</p> <h2>What are the pros and cons of the study?</h2> <p>This study is unique in two ways. It had a very large sample size and followed participants for many years. This adds confidence that the associations were real and can likely be applied to other populations.</p> <p>However, there are three reasons to be cautious.</p> <p>First, the findings represent an <em>association</em>, not <em>causation</em>. This means the study does not prove that coffee intake is the true reason for the weight change. Rather, it shows the two changes were observed together over time.</p> <p>Second, the findings around weight were very modest. The average four-year weight gain averted, based on one cup of coffee, was 0.12 kilograms, which is about 30 grams per year. This amount may not be a meaningful change for most people looking to manage weight.</p> <p>Finally, this analysis did not consider the variability in the amount of caffeine in coffee (which we <a href="https://pubmed.ncbi.nlm.nih.gov/17412475/">know can be high</a>), it just assumed a standard amount of caffeine per cup.</p> <h2>How could coffee help with weight management?</h2> <p>Caffeine is a natural stimulant which has been <a href="https://www.sciencedirect.com/science/article/pii/S0149763416300690">shown to</a> temporarily reduce appetite and increase alertness. This may help to feel less hungry for a short period, potentially leading to reduced energy intake.</p> <p>Some people consume coffee before exercise as a stimulant to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7777221/">improve their workout performance</a> – if a workout is more effective, more energy may be expended. However, the benefit is largely thought to be short-lived, rather than long-term.</p> <p>Caffeine has also been <a href="https://www.sciencedirect.com/science/article/pii/S0271531720304449">shown to</a> speed up our metabolism, causing more energy to be burned while resting. However, this effect is relatively small and is not a suitable substitute for regular physical activity and a healthy diet.</p> <p>Finally, coffee has a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4725310/">mild diuretic effect</a>, which can lead to temporary water weight loss. This is water loss, not fat loss, and the weight is quickly regained when you re-hydrate.</p> <h2>Is it worth trying coffee for weight loss?</h2> <p>Losing weight can be influenced by various factors, so don’t get too enthusiastic about the coffee-weight link highlighted in this new study, or increase your coffee intake to unreasonable levels.</p> <p>Most adults can safely consume around <a href="https://www.healthdirect.gov.au/caffeine">400mg</a> of caffeine a day. That’s the equivalent of two espressos or four cups of instant coffee or eight cups of tea.</p> <p>If you are pregnant or breastfeeding, it is important to talk to your doctor before increasing your caffeine intake, because caffeine can be passed through to your growing baby.</p> <p>If you need individualised weight guidance, talk to your GP or visit an <a href="https://member.dietitiansaustralia.org.au/Portal/Portal/Search-Directories/Find-a-Dietitian.aspx">accredited practising dietitian</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/214954/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/lauren-ball-14718">Lauren Ball</a>, Professor of Community Health and Wellbeing, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> and <a href="https://theconversation.com/profiles/emily-burch-438717">Emily Burch</a>, Dietitian, Researcher &amp; Lecturer, <a href="https://theconversation.com/institutions/southern-cross-university-1160">Southern Cross University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/can-coffee-help-you-avoid-weight-gain-heres-what-the-science-says-214954">original article</a>.</em></p>

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What your family history says about your eyesight

<p>Eye disorders can be caused by many things such as infection and injury but did you know it can also be genetic? We know looking up our family history is important for our health but it’s also vitally important to do so for our eyes. Genetics do play a role in determining your family’s susceptibility to certain eye diseases so it’s a good idea to check your family history as well as record any eye issues you have for future generations.</p> <p>Here are some of the most common hereditary eye conditions. </p> <p><strong>Glaucoma</strong></p> <p>Not all glaucoma is inherited but the most common type, primary open-angle glaucoma, is hereditary. According to the Glaucoma Research Foundation, a family history of glaucoma increases your risk around four to nine times.</p> <p>Coupled with the fact glaucoma is much more common as you age, it’s a good idea to get your eyes checked regularly. Glaucoma can lead to the reduction in peripheral vision and even blindness. Signs include bulging eyes, excessive tearing and abnormal sensitivity to light.</p> <p><strong>Age-related macular degeneration</strong></p> <p>Scientist have found that genetics may contribute to the risk of having macular degeneration but it’s not always the case. Some people never develop it even though both parents may have it while others get it even though there is no family history. The current research shows that genetics contribute to macular degeneration anywhere from 40 to 70 percent.</p> <p>However, whether you have a family history or not it’s important to get your eyes checked as age-related macular degeneration is the leading cause of vision loss in people aged 50 and over. </p> <p><strong>Colour blindness</strong></p> <p>A misnomer as people are not ‘blind’ but colour vision deficient. People who are colour blind usually cannot distinguish between certain colours such as red and green. Inherited colour blindness is common in men with women rarely affected. There is no treatment and most people adjust to the condition.</p> <p><strong>Retinitis pigmentosa</strong></p> <p>A mutated gene causes the retina to degenerate which can lead to night blindness and vision loss. Most cases are inherited and it usually appears in childhood but vision loss doesn’t occur until later in life. There is unfortunately no cure and no treatments but researchers are making significant progress in identifying the genes that cause retinitis pigmentosa.</p> <p><strong>Achromatopsia</strong></p> <p>An inherited condition (only if both parents have the recessive gene) that affects 1 in 33,000 people. The condition is associated with decreased vision, sensitivity to light and colour blindness.</p> <p><strong>Optic atrophy</strong></p> <p>Optic atrophy may be inherited or caused by brain trauma, inflammation, degenerative disorders, haemorrhage or tumour. The breakdown of the optic nerve causes vision loss. </p> <p><em>Image credits: Getty Images </em></p>

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Kids dressing up as older people is harmless fun, right? No, it’s ageist, whatever Bluey says

<p><em><a href="https://theconversation.com/profiles/lisa-mitchell-1143692">Lisa Mitchell</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p>A child once approached me, hunched over, carrying a vacuum cleaner like a walking stick. In a wobbly voice, he asked: "Do you want to play grannies?"</p> <p>The idea came from the children’s TV show Bluey, which <a href="https://www.facebook.com/ABCKidsCommunity/videos/bluey-grannies/468144817266668/">has</a> <a href="https://www.facebook.com/ABCKidsCommunity/videos/new-bluey-episodes-the-grannies-are-back-abc-kids/371436135028190/">episodes</a>, <a href="https://www.bluey.tv/products/grannies-book/">a book</a>, <a href="https://www.discountmags.com/magazine/bluey-september-1-2023-digital">magazine</a> editions and an <a href="https://www.facebook.com/OfficialBlueyTV/videos/grannies-filter-bluey/5728362390510269/">image filter</a> about dressing up as “grannies”.</p> <p>Children are also dressing up as 100-year-olds to mark their first “100 days of school”, an idea <a href="https://www.theage.com.au/national/victoria/old-people-s-home-for-five-year-olds-prep-students-don-senior-citizen-attire-20230801-p5dszb.html">gaining popularity</a> <a href="https://www.smh.com.au/education/cardigans-wigs-and-canes-why-kindy-students-are-dressing-up-as-100-year-olds-20230720-p5dpu8.html">in Australia</a>.</p> <p>Is this all just harmless fun?</p> <h2>How stereotypes take hold</h2> <p>When I look at the older people in my life, or the patients I see as a geriatrician, I cannot imagine how to suck out the individual to formulate a “look”.</p> <p>But Google “older person dress-ups” and you will find <a href="https://www.pinterest.com.au/pin/dress-up-like-youre-100-years-old-100thdayofschool--15199717464361356/">Pinterests</a> and <a href="https://www.wikihow.com/Dress-Up-Like-an-Old-Person#:%7E:text=Dress%20in%20comfortable%2C%20loose%2Dfitting,older%20people%20may%20wear%20include%3A&amp;text=Oversized%20sweatshirts">Wikihow pages</a> doing just that.</p> <p>Waistcoats, walking sticks, glasses and hunched backs are the key. If you’re a “granny”, don’t forget a <a href="https://www.facebook.com/OfficialBlueyTV/videos/games-you-can-play-at-home-grannies-bluey/645964056227345/">shawl and tinned beans</a>. You can buy “old lady” <a href="https://www.spotlightstores.com/party/costumes-and-accessories/costume-accessories/wigs-hair-accessories/wigs/spartys-kids-old-lady-wig-with-curlers/80578132?gclsrc=aw.ds&amp;gclsrc=aw.ds&amp;gclid=Cj0KCQjw0vWnBhC6ARIsAJpJM6emZHoNxO72pUa80Wc8ihYYiq3AohZ_w72jmuWBBDlficdCMy_rsK8aAj47EALw_wcB">wigs</a> or an “old man” <a href="https://www.bigw.com.au/product/facial-hair-set-old-man-3-pieces/p/305026">moustache and bushy eyebrows</a>.</p> <p>This depiction of how older people look and behave is a stereotype. And if dressing up as an older person is an example, such stereotypes are all around us.</p> <h2>What’s the harm?</h2> <p>There is <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/hypa.12170">some debate</a> about whether stereotyping is intrinsically wrong, and if it is, why. But there is plenty of research about the harms of <em>age</em> stereotypes or ageism. That’s harm to current older people and harm to future older people.</p> <p>The World Health Organization <a href="https://www.who.int/health-topics/ageism#tab=tab_1">defines ageism</a> as: "the stereotypes (how we think), prejudice (how we feel) and discrimination (how we act) towards others or ourselves based on age."</p> <p>Ageism <a href="https://www.who.int/health-topics/ageism#tab=tab_1">contributes to</a> social isolation, reduced health and life expectancy and costs economies <a href="https://academic.oup.com/gerontologist/article/60/1/174/5166947">billions of dollars</a> globally.</p> <p>When it comes to health, the impact of negative stereotypes and beliefs about ageing may be even <a href="https://academic.oup.com/gerontologist/article/60/1/174/5166947">more harmful</a> than the discrimination itself.</p> <p>In laboratory studies, older people perform <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4360754/">worse</a> than expected on tasks such as memory or thinking after being shown negative stereotypes about ageing. This may be due to a “<a href="https://www.simplypsychology.org/stereotype-threat.html">stereotype threat</a>”. This is when a person’s performance is impaired because they are worried about confirming a negative stereotype about the group they belong to. In other words, they perform less well because they’re worried about acting “old”.</p> <p>Another theory is “stereotype embodiment”. This is where people absorb negative stereotypes throughout their life and come to believe decline is an inevitable consequence of ageing. This leads to biological, psychological and physiological changes that <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2927354/">create</a> a self-fulfilling prophecy.</p> <p>I have seen this in my clinic with people who do well, until they realise they’re an older person – a birthday, a fall, a revelation when they look in the mirror. Then, they stop going out, stop exercising, stop seeing their friends.</p> <p>Evidence for “stereotype embodiment” comes from studies that show people with more negative views about ageing are more likely to have higher levels of stress hormones (such as cortisol and C-reactive protein) and are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7182003/">less likely</a> to engage in health behaviours, such as exercising and eating healthy foods.</p> <p>Younger adults with negative views about ageing are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2666386/">more likely</a> to have a heart attack up to about 40 years later. People with the most negative attitudes towards ageing have a lower life expectancy by as much as <a href="https://pubmed.ncbi.nlm.nih.gov/12150226/">7.5 years</a>.</p> <p>Children are particularly susceptible to absorbing stereotypes, a process <a href="https://psycnet.apa.org/record/2007-09385-010">that starts</a> in early childhood.</p> <h2>Ageism is all around us</h2> <p><a href="https://www.who.int/health-topics/ageism#tab=tab_1">One in two people</a> have ageist views, so tackling ageism is complicated given it is socially acceptable and normalised.</p> <p>Think of all the birthday cards and jokes about ageing or phrases like “geezer” and “old duck”. Assuming a person (including yourself) is “too old” for something. Older people say it is harder to <a href="https://www.abc.net.au/news/2023-07-06/senior-job-seekers-struggle-to-get-a-foot-in-the-door/102563144">find work</a> and they face discrimination in <a href="https://www.hcnsw.org.au/wp-content/uploads/2021/03/Ageism-in-Health-Care_final.pdf">health care</a>.</p> <h2>How can we reduce ageism?</h2> <p>We can reduce ageism through laws, policies and education. But we can also reduce it via <a href="https://www.who.int/health-topics/ageism#tab=tab_1">intergenerational contact</a>, where older people and younger people come together. This helps break down the segregation that allows stereotypes to fester. Think of the TV series <a href="https://iview.abc.net.au/show/old-people-s-home-for-4-year-olds">Old People’s Home for 4 Year Olds</a> or the follow-up <a href="https://iview.abc.net.au/show/old-people-s-home-for-teenagers">Old People’s Home for Teenagers</a>. More simply, children can hang out with their older relatives, neighbours and friends.</p> <p>We can also challenge a negative view of ageing. What if we allowed kids to imagine their lives as grandparents and 100-year-olds as freely as they view their current selves? What would be the harm in that?<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/212607/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/lisa-mitchell-1143692"><em>Lisa Mitchell</em></a><em>, Geriatrician working in clinical practice. PhD Candidate at The University of Melbourne studying ethics and ageism in health care. Affiliate lecturer, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/kids-dressing-up-as-older-people-is-harmless-fun-right-no-its-ageist-whatever-bluey-says-212607">original article</a>.</em></p>

Retirement Life

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"I would say it again": Ray Martin doubles down on Voice comments

<p>Ray Martin has been grilled in an explosive interview over his divisive comments about No voters ahead of the Voice to Parliament referendum. </p> <p>The veteran journalist appeared on <em>A Current Affair</em> to double down on his comments, saying he does not regret what he said. </p> <p>On Wednesday, Ray Martin spoke to supporters of the Yes campaign at the Factory Theatre in Marrickville, in Sydney's inner west, as he <a href="https://oversixty.com.au/finance/legal/ray-martin-s-scathing-voice-to-parliament-speech" target="_blank" rel="noopener">called out</a> those who are voting No, suggesting they are too lazy to educate themselves by performing a simple Google search, and instead are being driven by division and fear.</p> <p>Martin said, “If you don’t know, find out what you don’t know.” </p> <p>"What that excellent slogan is saying, is if you’re a dinosaur or a d**khead who can’t be bothered reading, then vote No.” </p> <p>In the tense interview, in which Langdon continuously interrupted Martin, the ACA host suggested the Voice debate “needs to calm down and get back to being respectful”. </p> <p>“Do you regret those comments, Ray?” she asked</p> <p>“No, I don’t,” Martin said.</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/reel/CyAmMGOyEqw/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/CyAmMGOyEqw/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by A Current Affair (@acurrentaffair9)</a></p> </div> </blockquote> <p>“This is a really important referendum. And I did not call No voters those words, I was talking about the slogan. ‘If you don’t know, vote No.’ That is an endorsement of ignorance. If you don’t know, find out, do not vote ignorantly. That is a dinosaur."</p> <p>"It is such an important vote, it is so important, and you need to find out.”</p> <p>“A lot of families have a lot of stuff on the plate,” Langdon said. “They are worried about power and food prices and crime, and many of them are the people that you’re calling names.”</p> <p>Martin insisted “no I am not”.</p> <p>“This is not a difficult one — you do not need a dictionary to find out what it is about,” he said.</p> <p>“It is about two things. It is about recognising First Australians in the Constitution, and do we give them a Voice … no veto, a Voice after 200 years of being told what to do. It is not about treaties or reimbursements. It is about nothing apart from these two things.”</p> <p>Langdon said Martin was a “respected journalist for many years” and knew “language is important, and the language used in that speech was inflammatory”, but Martin stood by his words. </p> <p>“I do not think it is and I stick by the language,” Martin said. “I would say it again. It was at Marrickville Hall when I was speaking, I was not speaking at the Catholic church up at the lectern. I was not talking to Women’s Weekly.”</p> <p>Asked again if he thought his language was disrespectful, Martin said, “I’ll tell you what’s disrespectful — voting, and admitting your ignorance, and going ahead and voting on such an important issue as this.”</p> <p>Ray Martin went on to say the language he used was “part of the Australian vernacular and you will hear it all the time on morning radio”, calling out conservative broadcasters who use similar insults to throw at the Yes campaign.</p> <p>Langdon admitted she watched Martin‘s full speech and while much of it was “very powerful”, the debate had “become inflammatory and divisive” and “you know that the most controversial thing you say is what is going to be picked up, and it has”.</p> <p>“I have been a journalist almost 60 years and I think people trust me,” Martin said.</p> <p>“I have reason to be trusted and I think this is really important. I do not think we should be scared by a scare campaign. I do not think we should look for something that is not in the referendum and I think that has happened. That is what the No side is doing.”</p> <p>He continued, "I do not think it is confusing. We have only made it confusing. The words are simple. Do you recognise the First Australians? Do you want to give them a Voice for the first time? Instead of telling them how to run their lives. When we listen to them in community health, community education and community life, we do much better. Instead of telling them what to do.”</p> <p>Martin admitted that the Yes campaign has not been perfect, but that was not a good enough reason to vote No on October 14th.</p> <p>“If you’re asking me has the campaign been good, I would say no,” Martin conceded.</p> <p>“And if you ask me whether this referendum will end poverty and disadvantage, the answer is no. But it is unquestionably a step forward.”</p> <p><em>Image credits: A Current Affair</em></p>

News

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Are Australia’s roads becoming more dangerous? Here’s what the data says

<p><a href="https://theconversation.com/profiles/mark-stevenson-330220">Mark Stevenson</a>, <em><a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em> and <a href="https://theconversation.com/profiles/jason-thompson-96100">Jason Thompson</a>, <em><a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p>In 2022, there were nearly <a href="https://www.bitre.gov.au/sites/default/files/documents/road_trauma_2022.pdf">1,200 road crash deaths</a> in Australia – a figure that has remained largely the same over the past decade. However, some states and territories have seen dramatic increases in just the last five years, such as the ACT (100%), Tasmania (59.4%) and Queensland (21.2%).</p> <p>Serious injuries from road crashes have also been <a href="https://app.powerbi.com/view?r=eyJrIjoiMGVlZDM0YzQtNWI3Mi00YzAyLWI5YjUtZGQyYzc3YjJmMmY3IiwidCI6ImFhMjFiNjQwLWJhYzItNDU2ZC04NTA1LWYyY2MwN2Y1MTc4NCJ9">on the rise</a>, from 35,000 in 2013 to 39,866 in 2019.</p> <p>These statistics highlight the need for an urgent rethink of road safety policies if we are to achieve Australia’s <a href="https://www.sbs.com.au/news/article/australias-road-deaths-rise-despite-push-to-halve-fatalities-by-2030/vcl7yj50g">target</a> of a 50% decrease in fatalities and a 30% decrease in serious injuries by 2030. We are clearly not on track to meet these targets.</p> <p>People are worth more than statistics, though. And it is not surprising we haven’t seen decreases in road deaths when we rely on strategies first implemented three to four decades ago. Change is needed to prevent the ongoing trauma caused by road crashes to Australian families.</p> <p><iframe id="DTp1X" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/DTp1X/1/" width="100%" height="400px" frameborder="0"></iframe></p> <h2>Why have road trauma rates not declined?</h2> <p>Australia has long had an international reputation for pioneering road safety measures, such as seat belt restraints, speed management strategies (including speed cameras) and drink-driving laws, among others. In fact, Australia was the <a href="https://link.springer.com/article/10.1007/BF00137361">first country</a> in the world to introduce laws for compulsory seat belt use.</p> <p>These initiatives have been highly successful in reducing road deaths from their peak in 1970, when <a href="https://www.abs.gov.au/ausstats/abs@.nsf/Previousproducts/1301.0Feature%20Article412001?opendocument&amp;tabname=Summary&amp;prodno=1301.0&amp;issue=2001&amp;num=&amp;view=">3,798</a> were recorded. But in the past two decades, further progress has stalled. We must ask ourselves why.</p> <p>One theory to explain why road deaths may have increased in many states in the past couple of years is the pandemic. The previously empty roads are now congested again, which may have led to impatience and speeding. Or perhaps, some people have seemingly forgotten how to drive safely. However, there is another, perhaps simpler explanation.</p> <p>This chart shows how closely road deaths have tracked with domestic fuel sales in Australia – measured in millions of litres of fuel – since 2019. In simple terms, when driving rates decreased at the beginning of the pandemic, deaths and injuries went down. When driving rates increased again in early 2021, deaths and injuries went up.</p> <p>In fact, there is scant evidence to suggest people’s driving behaviours changed during this time. Our recent unpublished research followed approximately 800 drivers from January 2020 to March 2023 using monitoring systems inside their cars to measure their behaviour. We found no differences in driver behaviours during this time.</p> <p>Rather, there’s a more likely reason why road deaths and injuries continue to be so high: the amount of time we spend driving continues to increase, while our strategies to target the risks associated with driving haven’t changed.</p> <p>Unfortunately, government agencies continue to rely on strategies implemented over the past 20-30 years, which were effective when they were first introduced, but are now subject to the law of diminishing marginal returns. This means continually throwing more resources at existing speed management strategies, for example, will likely only see marginal benefits.</p> <h2>A new approach not focused on cars</h2> <p>There is increasing urgency to investigate and implement new road safety strategies based on emerging technologies and a redesign of our cities instead.</p> <p>For example, a <a href="https://www.sciencedirect.com/science/article/abs/pii/S0001457521003092">recent Australian trial</a> using new driving monitoring technology showed promise in reducing risky driving behaviours that could cause crashes. The monitoring systems provided feedback to the driver (via a smartphone app) and encouraged safer driving using financial incentives akin to insurance premiums. This new strategy is being explored further in three states: New South Wales, Queensland and Western Australia.</p> <p>Encouraging people to transition from private car trips to public transport is another road safety strategy that has seldom been considered by governments. Rather, the driver, car and road remain the focus.</p> <p>This <a href="https://www.roadsafety.gov.au/nrss/fact-sheets/vision-zero-safe-system">“safe system” approach</a> puts an emphasis on building safe road infrastructure for cars, while ignoring urban design changes that de-emphasise the need for cars. We should be encouraging more people to commute by rail, tram and bus (all lower-risk modes per kilometre travelled), while at the same time delivering safe infrastructure for sustainable transport such as bicycles/e-bicycles or walking.</p> <p>If we continue to tinker with strategies implemented many decades ago, we will never get close to achieving the lofty government targets on road deaths and injuries by 2030.<!-- 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/213240/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/mark-stevenson-330220"><em>Mark Stevenson</em></a><em>, Professor of Urban Transport and Public Health, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> and <a href="https://theconversation.com/profiles/jason-thompson-96100">Jason Thompson</a>, Associate Professor, Faculty of Medicine and Melbourne School of Design, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p><em>Image credits: Getty Images</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-australias-roads-becoming-more-dangerous-heres-what-the-data-says-213240">original article</a>.</em></p>

Domestic Travel

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What not to say when someone comes out as LGBTQ+ (and what to say instead)

<p><strong>"Are you sure?"</strong></p> <p>People who identify as LGBTQ+ often struggle a great deal with their own feelings before they make the nerve-wracking decision to come out. Despite your best intentions, responding to this by asking, “Are you sure?” may be seen as calling into question the emotional journey that brought them to that point.</p> <p>Instead of expressing what might be interpreted as doubt, you could perhaps say, “It’s always good to know what you like and want. Thanks for coming out to me.”</p> <p><strong>"It must have been tough for your parents"</strong></p> <p>Yes, it could have been tough for the parents. But guess what? It was harder on the individual for even longer – and in more intense ways than you can imagine. Staying in the closet is not a very comfortable position for a self-accepting person, but it’s an even harder journey to get to that point of self-acceptance. LGBTQ+ individuals have battled real fears of being attacked, abandoned, discriminated against and disadvantaged.</p> <p>In fact, LGBTQ+ youth are three times more likely to commit suicide than their heterosexual counterparts. Although it’s reasonable to show empathy for their parents, it’s poorly-timed here. Instead, try, “I hope you are coping well with your parents’ response. I am here to talk if you need to. Thanks for coming out me.”</p> <p><strong>"Why didn't you tell me before?"</strong></p> <p>Well, it’s likely because they were afraid. It’s not because you are a monster, but because they love you and feared losing you as a result of coming out. The important thing is to not take it personally. When a loved one comes out, you are being called on to show targeted and urgent empathy. While your pain of being “left out” is real, it can wait a day or two.</p> <p>Right now, your focus should be how to celebrate your loved one’s life and the choices they’ve made, including the one of having just come out to you. Kick off the celebration by saying, “I am so proud that you have chosen to live your truth in front of me. Thanks for being authentic with me.”</p> <p><strong>"Are you the man or the woman in the relationship?"</strong></p> <p>More than anything, this question demonstrates a fundamental ignorance of the concept of same-sex love. It also misplaces the focus on the sexual act (rather than on identity) at a time when they’re in a vulnerable state. When a person comes out, they’re opening their hearts to you and sharing the emotional reality of who they are as individuals.</p> <p>Instead of asking this question, reinforce how grateful you are that the person has had the courage to come out to you, and say, “I accept you for who you are. Thank you for coming out to me.”</p> <p><strong>"Would you be my gay bestie?"</strong></p> <p>People who identify as LGBTQ+ can be good (or insufferable) company just like any other human being, but the point is, they are human beings and not objects or accessories as the pop culture depiction of the “gay bestie” might have you believe.</p> <p>Instead of this response, take this opportunity to reaffirm your loving, supportive relationship: “You are brave and honest, and this makes me respect you even more. Thanks for coming out to me.”</p> <p><strong>"I knew it!"</strong></p> <p>This particularly hurtful response is generally remarked when a “feminine” man or “butch” woman comes out. Many gender non-conforming individuals try very hard to either tone-down or manage their sexuality in public for fear of homophobia.</p> <p>By saying “I knew it!,” you’re inadvertently suggesting that their sexuality or gender non-conformity was being gossiped about behind their back in a sneaky, judgmental manner, which could, in turn, lead the person to feel that staying in the closet was a safer option than coming out. To avoid this situation, stick with a response of, “I’m honoured you chose to come out to me. Thank you.”</p> <p><strong>"But you're so masculine!"</strong></p> <p>On the opposite end of the spectrum lies this response, indicating disbelief that a “manly” man could be gay, or that a “feminine” woman could be lesbian. Being in the closet is an alienating experience; responding to an individual’s coming-out with a comment that suggests they don’t conform to their “new” sexual identity either can be just as alienating.</p> <p>A better response could be, simply, “I didn’t know, but I’m so grateful you came out to me. Thank you.”</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.com.au/true-stories-lifestyle/relationships/what-not-to-say-when-someone-comes-out-as-lgbtq-and-what-to-say-instead" target="_blank" rel="noopener">Reader's Digest</a>. </em></p> <p> </p>

Relationships

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