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Woman baffled by mother-in-law’s insane ask over baby name

<p dir="ltr">A woman has gone head-to-head with her mother-in-law over the name she has chosen for her unborn child. </p> <p dir="ltr">The pregnant woman took to Reddit to share her unusual predicament, explaining how her mother-in-law has demanded she change the name of her baby. </p> <p dir="ltr">The soon-to-be mum shared how she recently had dinner with her husband’s family, where she decided to reveal the baby’s gender and name. </p> <p dir="ltr">She had been keeping the information secret, but with only a few weeks of her pregnancy left, she decided to share the happy news that she was having a baby boy and had chosen the name Shawn for her son. </p> <p dir="ltr">But not everyone shared her happiness over the moniker, as her mother-in-law went pale with shock and demanded she choose a new name. </p> <p dir="ltr">“My in-laws got quiet for a moment before asking if there were other options we'd considered. Apparently, Shawn is the name of my 17-year-old sister-in-law Ashley's former bully who tormented her [for years],” the pregnant woman explained on Reddit.</p> <p dir="ltr">While she empathised with her in-laws, she didn’t want to change the name as it was the only one her and her husband agreed on for their son. </p> <p dir="ltr">She also explained that she hadn’t known about the family connection when they picked the name, and hadn’t picked it out of any malicious intent. </p> <p dir="ltr">“We took forever to pick a name,” she said. “Shawn is the only one we could agree on.”</p> <p dir="ltr">The dinner party soon ended after the argument began, but the mother-in-law didn’t back down, sending the expecting mum demanding messages.</p> <p dir="ltr">“She texted me and my husband again to ask us to find a new name for Ashley's sake.”</p> <p dir="ltr">“Would I be the a**hole for not wanting to change it? We were only able to agree on it a few weeks ago.”</p> <p dir="ltr"> Commenters were torn over the subject, with many rushing to the pregnant woman’s defence, saying she can pick whatever name she wants for her son. </p> <p dir="ltr">“My spouse and sibling have the same name. Somehow, you just compartmentalise it,” one shared.</p> <p dir="ltr">“I feel like if a new baby in my family shared a name with my bully I'd just adapt,” another wrote. “After all, Shawn is a VERY common name, so I can't freak out every time I hear it and survive in this world.”</p> <p dir="ltr">However, a select few sided with the mother-in-law, sharing how stunned they were that the couple couldn't find enough compassion to pick another name.</p> <p dir="ltr">One person said, “I understand the difficulty of finding a name that feels right, but for me, after learning this, Shawn would quickly become another name that didn't work. It's only been decided on it for a few weeks so I'd just go back to the drawing board.”</p> <p dir="ltr"><em>Image credits: Shutterstock</em></p>

Family & Pets

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Mothers’ dieting habits and self-talk have profound impact on daughters − 2 psychologists explain how to cultivate healthy behaviors and body image

<p><em><a href="https://theconversation.com/profiles/janet-j-boseovski-451496">Janet J. Boseovski</a>, <a href="https://theconversation.com/institutions/university-of-north-carolina-greensboro-2069">University of North Carolina – Greensboro</a> and <a href="https://theconversation.com/profiles/ashleigh-gallagher-1505989">Ashleigh Gallagher</a>, <a href="https://theconversation.com/institutions/university-of-north-carolina-greensboro-2069">University of North Carolina – Greensboro</a></em></p> <p>Weight loss is one of the most common health and appearance-related goals.</p> <p>Women and <a href="https://www.cdc.gov/nchs/products/databriefs/db340.htm">teen girls</a> are <a href="https://www.cdc.gov/nchs/products/databriefs/db313.htm">especially likely to pursue dieting</a> to achieve weight loss goals even though a great deal of research shows that <a href="https://theconversation.com/what-thin-people-dont-understand-about-dieting-86604">dieting doesn’t work over the long term</a>.</p> <p>We are a <a href="https://www.duck-lab.com/people">developmental psychologist</a> and a <a href="https://psy.uncg.edu/directory/ashleigh-gallagher/">social psychologist</a> who together wrote a forthcoming book, “Beyond Body Positive: A Mother’s Evidence-Based Guide for Helping Girls Build a Healthy Body Image.”</p> <p>In the book, we address topics such as the effects of maternal dieting behaviors on daughters’ health and well-being. We provide information on how to build a foundation for healthy body image beginning in girlhood.</p> <h2>Culturally defined body ideals</h2> <p>Given the strong influence of social media and other cultural influences on body ideals, it’s understandable that so many people pursue diets aimed at weight loss. <a href="https://communityhealth.mayoclinic.org/featured-stories/tiktok-diets">TikTok</a>, YouTube, Instagram and celebrity websites feature slim influencers and “how-tos” for achieving those same results in no time.</p> <p>For example, women and teens are engaging in rigid and extreme forms of exercise such as 54D, a program to <a href="https://54d.com/">achieve body transformation in 54 days</a>, or the <a href="https://health.clevelandclinic.org/75-hard-challenge-and-rules">75 Hard Challenge</a>, which is to follow five strict rules for 75 days.</p> <p>For teens, these pursuits are likely fueled by trendy body preoccupations such as the desire for “<a href="https://www.nytimes.com/2024/02/06/well/move/tiktok-legging-legs-eating-disorders.html">legging legs</a>.”</p> <p>Women and teens have also been been inundated with recent messaging around <a href="https://theconversation.com/drugs-that-melt-away-pounds-still-present-more-questions-than-answers-but-ozempic-wegovy-and-mounjaro-could-be-key-tools-in-reducing-the-obesity-epidemic-205549">quick-fix weight loss drugs</a>, which come with a lot of caveats.</p> <p>Dieting and weight loss goals are highly individual, and when people are intensely self-focused, it is <a href="https://doi.org/10.1521/jscp.2000.19.1.70">possible to lose sight of the bigger picture</a>. Although women might wonder what the harm is in trying the latest diet, science shows that dieting behavior doesn’t just affect the dieter. In particular, for women who are mothers or who have other girls in their lives, these behaviors affect girls’ emerging body image and their health and well-being.</p> <h2>The profound effect of maternal role models</h2> <p>Research shows that mothers and maternal figures <a href="https://doi.org/10.1016/j.brat.2017.11.001">have a profound influence on their daughters’ body image</a>.</p> <p>The opportunity to influence girls’ body image comes far earlier than adolescence. In fact, research shows that these influences on body image <a href="https://www.teenvogue.com/story/how-toxic-diet-culture-is-passed-from-moms-to-daughters">begin very early in life</a> – <a href="https://doi.org/10.1016/bs.acdb.2016.10.006">during the preschool years</a>.</p> <p>Mothers may feel that they are being discreet about their dieting behavior, but little girls are watching and listening, and they are far more observant of us than many might think.</p> <p>For example, one study revealed that compared with daughters of nondieting women, 5-year-old girls whose mothers dieted <a href="https://doi.org/10.1016/S0002-8223(00)00339-4">were aware of the connection between dieting and thinness</a>.</p> <p>Mothers’ eating behavior does not just affect girls’ ideas about dieting, but also their daughters’ eating behavior. The amount of food that mothers eat <a href="https://doi.org/10.1016/j.appet.2018.04.018">predicts how much their daughters will eat</a>. In addition, daughters whose mothers are dieters are <a href="https://doi.org/10.1016/j.appet.2018.04.018">more likely to become dieters themselves</a> and are also <a href="https://doi.org/10.1016/j.eatbeh.2007.03.001">more likely to have a negative body image</a>.</p> <p>Negative body image is <a href="https://theconversation.com/mounting-research-documents-the-harmful-effects-of-social-media-use-on-mental-health-including-body-image-and-development-of-eating-disorders-206170">not a trivial matter</a>. It affects girls’ and women’s mental and physical well-being in a <a href="https://doi.org/10.1177/1359105317710815">host of ways</a> and <a href="https://doi.org/10.1016/j.brat.2011.06.009">can predict the emergence of eating disorders</a>.</p> <h2>Avoiding ‘fat talk’</h2> <p>What can moms do, then, to serve their daughters’ and their own health?</p> <p>They can focus on small steps. And although it is best to begin these efforts early in life – in girlhood – it is never too late to do so.</p> <p>For example, mothers can consider how they think about and talk about themselves around their daughters. Engaging in “fat talk” may inadvertently send their daughters the message that larger bodies are bad, <a href="https://doi.org/10.1016/j.bodyim.2020.07.004">contributing to weight bias</a> and negative self-image. Mothers’ fat talk also <a href="https://doi.org/10.1080/15267431.2021.1908294">predicts later body dissatisfaction in daughters</a>.</p> <p>And negative self-talk isn’t good for mothers, either; it is associated with <a href="https://doi.org/10.1177/1359105318781943">lower motivation and unhealthful eating</a>. Mothers can instead practice and model self-compassion, which involves treating oneself the way <a href="https://doi.org/10.1016/j.bodyim.2016.03.003">a loving friend might treat you</a>.</p> <p>In discussions about food and eating behavior, it is important to avoid moralizing certain kinds of food by labeling them as “good” or “bad,” as girls may extend these labels to their personal worth. For example, a young girl may feel that she is being “bad” if she eats dessert, if that is what she has learned from observing the women around her. In contrast, she may feel that she has to eat a salad to be “good.”</p> <p>Moms and other female role models can make sure that the dinner plate sends a healthy message to their daughters by showing instead that all foods can fit into a balanced diet when the time is right. Intuitive eating, which emphasizes paying attention to hunger and satiety and allows flexibility in eating behavior, is associated with <a href="https://doi.org/10.1007/s40519-020-00852-4">better physical and mental health in adolescence</a>.</p> <p>Another way that women and especially moms can buffer girls’ body image is by helping their daughters <a href="https://doi.org/10.1016/j.bodyim.2021.12.009">to develop media literacy</a> and to think critically about the nature and purpose of media. For example, moms can discuss the misrepresentation and distortion of bodies, such as the use of filters to enhance physical appearance, on social media.</p> <h2>Focusing on healthful behaviors</h2> <p>One way to begin to focus on health behaviors rather than dieting behaviors is to develop respect for the body and to <a href="https://theconversation.com/body-neutrality-what-it-is-and-how-it-can-help-lead-to-more-positive-body-image-191799">consider body neutrality</a>. In other words, prize body function rather than appearance and spend less time thinking about your body’s appearance. Accept that there are times when you may not feel great about your body, and that this is OK.</p> <p>To feel and look their best, mothers can aim to stick to a <a href="https://theconversation.com/whats-the-best-diet-for-healthy-sleep-a-nutritional-epidemiologist-explains-what-food-choices-will-help-you-get-more-restful-zs-219955">healthy sleep schedule</a>, manage their stress levels, <a href="https://theconversation.com/fiber-is-your-bodys-natural-guide-to-weight-management-rather-than-cutting-carbs-out-of-your-diet-eat-them-in-their-original-fiber-packaging-instead-205159">eat a varied diet</a> that includes all of the foods that they enjoy, and <a href="https://theconversation.com/the-runners-high-may-result-from-molecules-called-cannabinoids-the-bodys-own-version-of-thc-and-cbd-170796">move and exercise their bodies regularly</a> as lifelong practices, rather than engaging in quick-fix trends.</p> <p>Although many of these tips sound familiar, and perhaps even simple, they become effective when we recognize their importance and begin acting on them. Mothers can work toward modeling these behaviors and tailor each of them to their daughter’s developmental level. It’s never too early to start.</p> <h2>Promoting healthy body image</h2> <p>Science shows that several personal characteristics are associated with body image concerns among women.</p> <p>For example, research shows that women who are <a href="https://doi.org/10.1016/j.bodyim.2020.02.001">higher in neuroticism</a> <a href="https://doi.org/10.1186/2050-2974-1-2">and perfectionism</a>, <a href="https://doi.org/10.3389/fpsyg.2022.983534">lower in self-compassion</a> or <a href="https://doi.org/10.1016/j.bodyim.2013.08.001">lower in self-efficacy</a> are all more likely to struggle with negative body image.</p> <p>Personality is frequently defined as a person’s characteristic pattern of thoughts, feelings and behaviors. But if they wish, <a href="https://doi.org/10.1002/per.1945">mothers can change personality characteristics</a> that they feel aren’t serving them well.</p> <p>For example, perfectionist tendencies – such as setting unrealistic, inflexible goals – can be examined, challenged and replaced with more rational thoughts and behaviors. A woman who believes she must work out every day can practice being more flexible in her thinking. One who thinks of dessert as “cheating” can practice resisting moral judgments about food.</p> <p>Changing habitual ways of thinking, feeling and behaving certainly takes effort and time, but it is far more likely than diet trends to bring about sustainable, long-term change. And taking the first steps to modify even a few of these habits can positively affect daughters.</p> <p>In spite of all the noise from media and other cultural influences, mothers can feel empowered knowing that they have a significant influence on their daughters’ feelings about, and treatment of, their bodies.</p> <p>In this way, mothers’ modeling of healthier attitudes and behaviors is a sound investment – for both their own body image and that of the girls they love.<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/221968/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/janet-j-boseovski-451496"><em>Janet J. Boseovski</em></a><em>, Professor of Psychology, <a href="https://theconversation.com/institutions/university-of-north-carolina-greensboro-2069">University of North Carolina – Greensboro</a> and <a href="https://theconversation.com/profiles/ashleigh-gallagher-1505989">Ashleigh Gallagher</a>, Senior Lecturer, <a href="https://theconversation.com/institutions/university-of-north-carolina-greensboro-2069">University of North Carolina – Greensboro</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/mothers-dieting-habits-and-self-talk-have-profound-impact-on-daughters-2-psychologists-explain-how-to-cultivate-healthy-behaviors-and-body-image-221968">original article</a>.</em></p>

Mind

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“My sister-in-law announced she was pregnant at my child’s funeral”

<p dir="ltr">A woman has asked for advice on how to navigate her relationship with her sister-in-law, after the woman overheard an inappropriate conversation at her child’s funeral. </p> <p dir="ltr">The grieving mother, a 28-year-old named Melissa, took to Reddit to share the heartbreaking story of how her toddler passed away after a battle with cancer. </p> <p dir="ltr">Melissa described the time as the “hardest in my life”, explaining how she felt she lost “a part of herself” after the funeral.</p> <p dir="ltr">While Melissa expected her toddlers’ memorial service to be difficult, she never predicted a family member would make it even harder. </p> <p dir="ltr">The mother said that when she heard her sister-in-law telling people about her pregnancy, she thought the move was just cruel. </p> <p dir="ltr">“She didn't make a big announcement but more than ten people at the service 'heard' and it's what everyone was talking about. To understate it, I was livid,” Melissa wrote on Reddit.</p> <p dir="ltr">Melissa’s post then asked social media users for advice, as she was unsure how much of a relationship she wanted to have with her sister-in-law after the stunt. </p> <p dir="ltr">The 28-year-old shared that she had fallen pregnant herself, and was facing pressure to have a party in celebration, but she didn’t want her whole family in attendance. </p> <p dir="ltr">“I've been working on who I want to invite, and I really don't want my SIL there,” she said.</p> <p dir="ltr">“Besides what she did, she's a vindictive and mean person and I cannot stand her.”</p> <p dir="ltr">“I mentioned it to my husband and he says he couldn't care less whether she's there or not. But for the sake of saving face, I want opinions before I do this.”</p> <p dir="ltr">She asked the online forum if she would be “an a**hole” for not inviting her, addin that she would still be inviting her husband's other sister and husband's brother's wife. </p> <p dir="ltr">“The original SIL will be the only one not invited,” she clarified.</p> <p dir="ltr">The post was flooded with comments as many backed up Melissa, slamming the sister-in-law for her selfish behaviour. </p> <p dir="ltr">“I wouldn't want someone like that around me. Announcing a pregnancy at a child's funeral is insane,” one said.</p> <p dir="ltr">“Cut her off and ignore everyone close to her. You are right to have nothing to do with her. She's totally classless.”</p> <p dir="ltr">However, others encouraged her to have an adult conversation with her sister-in-law in an attempt to mend their relationship.</p> <p dir="ltr">“Please let it go,” one person began. “This happened on a terrible day during a bad time for you. It's possible that could be clouding how you're looking at this, she may not have been malicious at all.”</p> <p dir="ltr"><em>Image credits: Shutterstock</em></p>

Family & Pets

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How does cancer spread to other parts of the body?

<p><em><a href="https://theconversation.com/profiles/sarah-diepstraten-1495268">Sarah Diepstraten</a>, <a href="https://theconversation.com/institutions/walter-and-eliza-hall-institute-822">Walter and Eliza Hall Institute</a> and <a href="https://theconversation.com/profiles/john-eddie-la-marca-1503690">John (Eddie) La Marca</a>, <a href="https://theconversation.com/institutions/walter-and-eliza-hall-institute-822">Walter and Eliza Hall Institute</a></em></p> <p>All cancers begin in a single organ or tissue, such as the lungs or skin. When these cancers are confined in their original organ or tissue, they are generally more treatable.</p> <p>But a cancer that spreads is much more dangerous, as the organs it spreads to may be vital organs. A skin cancer, for example, might spread to the brain.</p> <p>This new growth makes the cancer much more challenging to treat, as it can be difficult to find all the new tumours. If a cancer can invade different organs or tissues, it can quickly become lethal.</p> <p>When cancer spreads in this way, it’s called metastasis. Metastasis is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6745820/">responsible for</a> the majority (67%) of cancer deaths.</p> <h2>Cells are supposed to stick to surrounding tissue</h2> <p>Our bodies are made up of trillions of tiny cells. To keep us healthy, our bodies are constantly replacing old or damaged cells.</p> <p>Each cell has a specific job and a set of instructions (DNA) that tells it what to do. However, sometimes DNA can get damaged.</p> <p>This damage might change the instructions. A cell might now multiply uncontrollably, or lose a property known as adherence. This refers to how sticky a cell is, and how well it can cling to other surrounding cells and stay where it’s supposed to be.</p> <p>If a cancer cell loses its adherence, it can break off from the original tumour and travel through the bloodstream or lymphatic system to almost anywhere. This is how metastasis happens.</p> <p>Many of these travelling cancer cells will die, but some will settle in a new location and begin to form new cancers.</p> <p>Particular cancers are more likely to metastasise to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4381616/">particular organs</a> that help support their growth. Breast cancers commonly metastasise to the bones, liver, and lungs, while skin cancers like melanomas are more likely to end up in the brain and heart.</p> <p>Unlike cancers which form in solid organs or tissues, blood cancers like leukaemia already move freely through the bloodstream, but <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8722462/">can escape</a> to settle in other organs like the liver or brain.</p> <h2>When do cancers metastasise?</h2> <p>The longer a cancer grows, the more likely it is to metastasise. If not caught early, a patient’s cancer may have metastasised even before it’s initially diagnosed.</p> <p>Metastasis can also occur after cancer treatment. This happens when cancer cells are dormant during treatment – drugs may not “see” those cells. These invisible cells can remain hidden in the body, only to wake up and begin growing into a new cancer months or even years later.</p> <p>For patients who already have cancer metastases at diagnosis, identifying the location of the original tumour – called the “primary site” – is important. A cancer that began in the breast but has spread to the liver will probably still behave like a breast cancer, and so will respond best to an anti-breast cancer therapy, and not anti-liver cancer therapy.</p> <p>As metastases can sometimes grow faster than the original tumour, it’s not always easy to tell which tumour came first. These cancers are called “cancers of unknown primary” and are the <a href="https://www.canceraustralia.gov.au/cancer-types/unknown-primary-cancer/statistics">11th most commonly diagnosed cancers in Australia</a>.</p> <p>One way to improve the treatment of metastatic cancer is to improve our ways of detecting and identifying cancers, to ensure patients receive the most effective drugs for their cancer type.</p> <h2>What increases the chances of metastasis and how can it be prevented?</h2> <p>If left untreated, most cancers will eventually acquire the ability to metastasise.</p> <p>While there are currently no interventions that specifically prevent metastasis, cancer patients who have their tumours surgically removed may also be given chemotherapy (or other drugs) to try and weed out any hidden cancer cells still floating around.</p> <p>The best way to prevent metastasis is to diagnose and treat cancers early. Cancer screening initiatives such as Australia’s <a href="https://www.health.gov.au/our-work/national-cervical-screening-program">cervical</a>, <a href="https://www.health.gov.au/our-work/national-bowel-cancer-screening-program">bowel</a>, and <a href="https://www.health.gov.au/our-work/breastscreen-australia-program">breast</a> cancer screening programs are excellent ways to detect cancers early and reduce the chances of metastasis.</p> <p>New screening programs to detect cancers early are being researched for many types of cancer. Some of these are simple: CT scans of the body to look for any potential tumours, such as in England’s new <a href="https://theconversation.com/how-englands-new-lung-cancer-screening-could-save-thousands-of-lives-expert-qanda-208867">lung cancer screening program</a>.</p> <p>Using artificial intelligence (AI) to help examine patient scans is also <a href="https://theconversation.com/ai-can-help-detect-breast-cancer-but-we-dont-yet-know-if-it-can-improve-survival-rates-210800">possible</a>, which might identify new patterns that suggest a cancer is present, and improve cancer detection from these programs.</p> <p>More advanced screening methods are also in development. The United States government’s Cancer Moonshot program is currently funding research into blood tests that could detect <a href="https://theconversation.com/a-blood-test-that-screens-for-multiple-cancers-at-once-promises-to-boost-early-detection-191728">many types of cancer at early stages</a>.</p> <p>One day there might even be a RAT-type test for cancer, like there is for COVID.</p> <h2>Will we be able to prevent metastasis in the future?</h2> <p>Understanding how metastasis occurs allows us to figure out new ways to prevent it. One idea is to <a href="https://www.cancer.gov/news-events/cancer-currents-blog/2019/breast-cancer-chemotherapy-sensitizing-dormant-cells">target dormant cancer cells</a> and prevent them from waking up.</p> <p>Directly preventing metastasis with drugs is not yet possible. But there is hope that as research efforts continue to improve cancer therapies, they will also be more effective at treating metastatic cancers.</p> <p>For now, early detection is the best way to ensure a patient can beat their cancer.<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/219616/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/sarah-diepstraten-1495268"><em>Sarah Diepstraten</em></a><em>, Senior Research Officer, Blood Cells and Blood Cancer Division, <a href="https://theconversation.com/institutions/walter-and-eliza-hall-institute-822">Walter and Eliza Hall Institute</a> and <a href="https://theconversation.com/profiles/john-eddie-la-marca-1503690">John (Eddie) La Marca</a>, Senior Resarch Officer, <a href="https://theconversation.com/institutions/walter-and-eliza-hall-institute-822">Walter and Eliza Hall Institute</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/how-does-cancer-spread-to-other-parts-of-the-body-219616">original article</a>.</em></p>

Body

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The sky’s the limit: A brief history of in-flight entertainment

<p><em><a href="https://theconversation.com/profiles/olusola-adewumi-john-1490381">Olusola Adewumi John</a>, <a href="https://theconversation.com/institutions/university-of-regina-3498">University of Regina</a></em></p> <p>As the winter holidays draw near, many of us are already booking flights to see friends and family or vacation in warmer climates. Nowadays, air travel is synonymous with some form of in-flight entertainment, encompassing everything from the reception offered by the aircrew to the food choices and digital content.</p> <p>These services all add value to flying for customers. Passengers are now so familiar with in-flight entertainment that to travel without it is unthinkable.</p> <p><a href="https://www.globenewswire.com/news-release/2023/10/19/2762903/0/en/In-Flight-Entertainment-Connectivity-Market-to-Worth-21-03-Bn-by-2030-Exhibiting-With-a-15-9-CAGR.html">The in-flight entertainment and connectivity market grew to US$5.9 billion as of 2019</a>, a testament to its economic impact on both the airlines and the GDP of countries with airline carriers.</p> <p>In-flight entertainment is so ubiquitous that, even if all other airline services were offered, <a href="https://travel.stackexchange.com/questions/19427/will-airlines-compensate-me-if-my-entertainment-system-is-not-working">the airline ensures a refund is made to the passenger affected</a> if television content cannot be accessed.</p> <h2>A brief history</h2> <p>In-flight entertainment has evolved significantly over the years. Before in-flight entertainment media was introduced, passengers entertained themselves by reading books or with food and drink services.</p> <p>The original aim of bringing in-flight entertainment into cabins was to attract more customers, drawing inspiration from a variety of sources, including the theatrical and domestic media environments. It was not initially for the comfort and ease of travelling, as it is today.</p> <p><a href="https://www.academia.edu/5023683/A_History_of_INFLIGHT_ENTERTAINMENT">Inflight entertainment began as an experiment</a> in 1921, when 11 Aeromarine Airways passengers were shown the film <em>Howdy Chicago!</em> on a screen hung in the cabin during the flight. Four years later, another experiment was carried out in 1925 when 12 passengers on board an Imperial Airlines flight from London were shown the film <em>The Lost World</em>.</p> <p><a href="https://www.smithsonianmag.com/air-space-magazine/when-did-inflight-movies-become-standard-on-airlines-180955566/">It wasn’t until the 1960s</a> that in-flight movies became mainstream for airlines. Trans World Airlines became the first carrier to regularly offer feature films during flights, using a unique film system developed by <a href="https://www.newyorker.com/magazine/1962/06/02/inflight">David Flexer, then-president of Inflight Motion Pictures</a>.</p> <p>Starting in 1964, in-flight entertainment evolved to include various media types like 16-mm film, closed-circuit television, live television broadcasts and magnetic tape. In the 1970s, for example, airplanes might feature a large screen with a 16-mm projector in one part of the plane, while small screens hung overhead in another section.</p> <p><a href="https://www.smh.com.au/traveller/reviews-and-advice/when-did-airlines-install-seatback-entertainment-20190711-h1g51b.html">Seatback screens were introduced in 1988</a> when Airvision installed 6.9-centimetre screens on the backs of airline seats for Northwest Airlines. They have since morphed into the larger screens we are familiar with today, which are found on nearly every airline.</p> <h2>In-flight entertainment today</h2> <p>Most airlines nowadays have personal televisions for every passenger on long-haul flights. On-demand streaming and internet access are also now the norm. Despite initial concerns about speed and cost, in-flight services are becoming faster and more affordable.</p> <p>In-flight entertainment now includes movies, music, radio talk shows, TV talk shows, documentaries, magazines, stand-up comedy, culinary shows, sports shows and kids’ shows.</p> <p>However, the rise of personal devices, like tablets and smartphones, <a href="https://www.telegraph.co.uk/travel/comment/the-weird-and-wonderful-history-of-in-flight-entertainment/">could spell the end for seatback screens</a>. A number of U.S. airlines, including American Airlines, United Airlines and Alaska Air, have <a href="https://www.bloomberg.com/news/articles/2019-10-09/airline-seatback-screens-may-soon-become-an-endangered-species">removed seatback screens from their domestic planes</a>.</p> <p>This decline is par for the course. To arrive at the complex system used by aircraft today, in-flight entertainment went through a number of different stages, <a href="https://doi.org/10.1007/978-981-19-0641-1_10">as identified by aviation scholar D.A. Reed</a>.</p> <p>It started with an idea phase, which saw the conception of the idea, followed by an arms race phase where most airlines adopted some form of it. Currently, airlines are facing challenges in the final — and current — phase of evolution, and are dealing with failures linked to business concept flaws or low revenue.</p> <p>Now that most air travellers carry electronic devices, fewer airlines are installing seatback screens. From an economic standpoint, this makes sense for airlines: removing seatback screens <a href="https://mobile.nytimes.com/2018/01/01/business/airlines-travel-entertainment.html">improves fuel costs</a> and allows airlines to <a href="https://www.flightglobal.com/systems-and-interiors/united-ups-757-density-with-new-slimline-seats/126574.article">install slimmer seats</a>, allowing for more passengers.</p> <h2>More than entertainment</h2> <p>At some point in the evolution of in-flight entertainment, it started to serve as more than just a form of entertainment or comfort. Now, it’s also a competitive tool for airline advertisements, and a form of cultural production.</p> <p>In-flight entertainment has become an economic platform for investors, business people, manufacturers and entertainment providers, especially Hollywood. It also plays a key role in promoting the national culture of destination countries.</p> <p>However, the evolution of in-flight entertainment hasn’t been without its challenges. As a form of cultural production, it often reflects the interests of advertisers, governments and business entities. It also follows that <a href="https://doi.org/10.1007/978-981-19-0641-1_10">certain ideas, products and cultures are sold to passengers</a> via in-flight entertainment.</p> <p>The lucrative practice of capturing and selling passengers’ attention to advertisers was not limited to screens, either. In-flight magazines have always been packed with advertisements, and by the late 1980s, these advertisements had spread to napkins and the audio channels.</p> <p>Despite its shortcomings and precarious future, in-flight entertainment still offers passengers a sense of comfort, alleviating concerns about being suspended over 30,000 feet above sea level. If you end up flying during the holidays, remember your comfort is partly thanks to this innovation.<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/218996/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/olusola-adewumi-john-1490381"><em>Olusola Adewumi John</em></a><em>, Visiting Researcher, Centre for Socially Engaged Theatre, <a href="https://theconversation.com/institutions/university-of-regina-3498">University of Regina</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/the-skys-the-limit-a-brief-history-of-in-flight-entertainment-218996">original article</a>.</em></p>

Travel Tips

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Body language expert breaks down royal family's Christmas card

<p>A body language expert has broken down the subtle meanings and messages hidden in the royal family's Christmas card. </p> <p>On Monday, Prince William and Kate Middleton shared their 2023 Christmas card portrait, which features the Prince and Princess of Wales and their three children in a charming black and white photo. </p> <p>While their family portrait was met with <a href="https://oversixty.com.au/lifestyle/family-pets/blah-brutal-reactions-to-royal-family-s-2023-christmas-card" target="_blank" rel="noopener">mixed reactions</a>, royal fans wasted no time in praising the family for their charming photo. </p> <p>Now, body language experts have dived deep into the real meaning behind almost unnoticeable actions taken by the royals in the pic. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/p/C0pf0IXNv15/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C0pf0IXNv15/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Prince and Princess of Wales (@princeandprincessofwales)</a></p> </div> </blockquote> <p>Body language analyst Judi James told <em><a href="https://www.thesun.co.uk/royals/24997829/kate-william-christmas-card-body-language-signal/" target="_blank" rel="nofollow noopener" data-ylk="slk:The Sun;elm:context_link;itc:0" data-rapid_p="26" data-v9y="1">The Sun</a></em> that, "The strong sense of tight, loving ‘uniformed’ grouping and the stark monochrome, plus the relaxed and confident body language looks like the emotional equivalent of them having a moat and drawbridge around them."</p> <p>Judi went on to say that their choice of relaxed outfits - jeans and white button-up shirts - would be an intentional choice as they show "the strength and total confidence of the pared-down family brand here, without all the trimmings and trappings of their royal status."</p> <p>As she notes, "We know they look superb in formalwear and royal regalia but this is the casual and much more relatable version."</p> <p>Judi also claims that Prince William's slight head tilt "suggests a desire to be liked", while "Kate leans into William’s torso to make this a subtly romantic pose too."</p> <p>Meanwhile, according to Judi, the position of Princess Charlotte right in the middle of the family could be intentional, who says "Charlotte looks so much like the late Queen and this central status-rich pose and beautiful smile are like echoes of Elizabeth when she was young."</p> <p>"This effect doesn’t look deliberate but it is still a rather moving message from this family Christmas card."</p> <p><em>Image credits: Getty Images</em></p>

Body

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Demi Moore flaunts stunning bikini body at 60

<p>Fans have been wowed by Demi Moore's latest Instagram post, after the 60-year-old actress flaunted her bikini body in a series of photos documenting her recent “nature immersion” trip.</p> <p>“Sharing a few precious moments from my recent adventure with @tilliewaltonofficial and @nash2o on #TilliesRiverTrip,”  she captioned the post. </p> <p>"Back in September, I had the opportunity to journey through the Grand Canyon on the Colorado River alongside so many beautiful souls. </p> <p>"We laughed, cried and formed lifelong bonds that I will hold close to my heart forever. I will never truly be able to describe the many ways that this recent nature immersion has impacted me," she added. </p> <p>The star shared a photo of her in a black bikini standing under a waterfall, with her arms in the air. </p> <p>"Standing on the banks of the Colorado River as we all took in its magnificence and beauty, I was reminded of the urgent need to preserve and protect this vital lifeline," she wrote before urging her followers to “be the change we want to see.”</p> <p>She added a few other photos and a video of her with some fellow travellers while on their nature immersion trip. </p> <p>Fans praised the  <em>G.I. Jane</em> star for raising awareness and her timeless beauty. </p> <p>“And this Ladies and Gentlemen’s is what 60 year old looks like. Insane," wrote one fan. </p> <p>“You get better with age,” agreed another. </p> <p>“Demi looks amazing! If I look that good at her age I’ll be happy," commented a third. </p> <p>“Yes … had the honour to join @tilliewaltonofficial on a Grand Canyon trip and it’s LIFE CHANGING,” journalist Frank Elaridi wrote, adding, “Thank you for raising awareness to protect rivers ️.”</p> <p>"So much gratitude for dropping deep into nature with you. Your radiant wisdom and effervescence rocks my world!" added one of the travellers she went with. </p> <p>"Incredible Demi what's your secret to staying so young and beautiful 😍" commented another. </p> <p><em>Images: Instagram</em></p>

Body

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How dangerous is insomnia? How fear of what it’s doing to your body can wreck your sleep

<p><a href="https://theconversation.com/profiles/leon-lack-1142">Leon Lack</a>, <em><a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a></em> and <a href="https://theconversation.com/profiles/nicole-lovato-60684">Nicole Lovato</a>, <em><a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a></em></p> <p>I (Leon) have recently seen several patients who were concerned their insomnia symptoms would increase their risk for dementia. They were in their 70s and were awakening two or three times a night, which they took to be insomnia. But they were not impaired in the daytime in a way typical of insomnia.</p> <p>Their brief awakenings are normal for most people and <a href="https://theconversation.com/broken-sleep-its-a-rollercoaster-ride-1792">completely harmless</a>. Brief awakenings emerge from the periodic phases of light sleep that occur naturally between the four or five 90-minute deep sleep cycles. If you’re unaware of this “rollercoaster” of 90-minute cycles, you might think such awakenings are a sign of disease. In fact, they are perfectly normal and experienced more as people age when sleep naturally becomes lighter and shorter – <a href="https://theconversation.com/mondays-medical-myth-you-need-eight-hours-of-continuous-sleep-each-night-5643">with no ill effect</a>.</p> <p>Therefore, I reassured them their sleep patters were normal and they did not have insomnia. This requires daytime impairments – fatigue, cognitive problems, mild depression, irritability, distress or anxiety – in addition to night time symptoms.</p> <p>I trust they were reassured, and so they avoided the type of fear and worry that would have triggered a cascade of events leading to insomnia.</p> <h2>Is it really insomnia?</h2> <p>So where did my patients get the notion their sleep symptoms could lead to dementia? Let’s pick apart this tsunami of alarming information.</p> <p>It usually starts with very <a href="https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-018-1623-0">large surveys</a> that find a statistically significant relationship between measures of sleep problems and subsequently developing dementia.</p> <p>First, most of these studies ask participants to report how long they typically sleep. Those reporting less than six hours a night show a small but statistically elevated risk of developing dementia.</p> <p>These studies do not say if people have clinical insomnia diagnosed by a health professional. Instead they rely solely on participants guessing how long they’ve slept, which <a href="https://academic.oup.com/sleep/article/25/5/559/2750164?login=false">can be inaccurate</a>.</p> <p>The studies would have also included many people without insomnia who are not allowing themselves adequate opportunity for sleep. Perhaps they’d been in the habit of socialising or playing computer games late at night.</p> <p>In other words, we don’t know what proportion of these short-sleepers are simply over-estimating their sleep problems, or restricting their sleep and experiencing chronic sleep loss rather than insomnia.</p> <h2>What do the numbers really mean?</h2> <p>A second problem is with interpreting the meaning of “statistically significant”. This only means the results were unlikely to be due to pure chance. If a single study shows a 20% increased risk of a physical health problem associated with insomnia, how worried should we be? This single finding does not necessarily mean it’s worth considering in our everyday lives.</p> <p>Studies relating insomnia to health risks are also typically inconsistent. For example, although some studies have found small increases in dementia risk with having insomnia, a very <a href="https://mentalhealth.bmj.com/content/ebmental/26/1/e300719.full.pdf">large UK study</a> did not find any relationship between the amount of sleep or sleeping difficulties and dementia risk.</p> <h2>What’s the context?</h2> <p>A third problem is communicating a balanced perspective to the public about the potential dangers of insomnia. Some in the mainstream media, with the help of the researcher’s institution, will report on studies showing a statistically significant increase in the risk of a frightening disease, such as dementia.</p> <p>But <a href="https://theconversation.com/essays-on-health-reporting-medical-news-is-too-important-to-mess-up-68920">not all media reports</a> ask about how clinically meaningful the risk is, whether there are alternative explanations, or how this result compares with what other researchers have found. So the public is left with no context to temper the scary, “increased risk” narrative. This narrative is then shared on social media, amplifying the scary finding.</p> <h2>Obesity, diabetes, high blood pressure</h2> <p>We’ve used dementia as one example of how fears about potential risks to physical health from insomnia arise and are magnified. But we could have used a potential increased risk of obesity, diabetes or high blood pressure. All have been associated with shorter sleep, but researchers are debating whether these links are real, meaningful or related to insomnia.</p> <p>When we looked at the impact of sleep problems on life expectancy, we found <a href="https://pubmed.ncbi.nlm.nih.gov/30529432/">no evidence</a> sleep symptoms alone shorten your life. Only when daytime symptoms such as fatigue, memory problems and distress are included is there a <a href="https://www.nature.com/articles/s41598-023-36016-4">small increased risk</a> of dying prematurely. However, it’s difficult to know if that excess mortality can be explained by undiagnosed heart, kidney, liver or brain disease causing those daytime symptoms.</p> <h2>We should be talking about mental health</h2> <p>However, there is stronger evidence of increased <a href="https://theconversation.com/explainer-whats-the-link-between-insomnia-and-mental-illness-49597">mental health</a> problems, especially depression, with insomnia.</p> <p>The typical daytime impairments of fatigue, distress, cognitive impairments and irritability certainly lower the quality of life. Life becomes more of a challenge and less enjoyable. Over time, this can trigger <a href="https://theconversation.com/explainer-whats-the-link-between-insomnia-and-mental-illness-49597">hopelessness and depression</a> in some people. This is enough reason to seek help to improve sleep and quality of life.</p> <p>People with these problems should seek help from a health practitioner. The good news is there is an effective, long-term, non-drug treatment with no side effects – cognitive behavioural therapy for insomnia <a href="https://bmcprimcare.biomedcentral.com/articles/10.1186/1471-2296-13-40">or CBTi</a>. Even better, successful CBTi also <a href="https://www.sciencedirect.com/science/article/abs/pii/S1389945720303828">decreases</a> symptoms of depression and other mental distress.</p> <p>What is not helpful is unnecessary fear triggered by reports suggesting serious physical health dangers of insomnia. This fear is only likely to increase insomnia rather than mitigate it.</p> <hr /> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.</em><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/212248/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/leon-lack-1142"><em>Leon Lack</em></a><em>, Emeritus Professor of Psychology, Adelaide Institute for Sleep Health, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> and <a href="https://theconversation.com/profiles/nicole-lovato-60684">Nicole Lovato</a>, Associate Professor, Adelaide Institute for Sleep Health, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-dangerous-is-insomnia-how-fear-of-what-its-doing-to-your-body-can-wreck-your-sleep-212248">original article</a>.</p>

Body

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Body language expert analyses Hugh Jackman's last public outings with his wife

<p>A body language expert has analysed the last public outings of Hugh Jackman and Deborra-Lee Furness before they <a href="https://www.oversixty.com.au/lifestyle/relationships/hugh-jackman-devastated-after-marriage-split" target="_blank" rel="noopener">announced their split</a> after 27 years of marriage. </p> <p>The couple were spotted at both the Met Gala in New York and Wimbledon in the UK earlier this year, seemingly looking like a perfect loved-up couple. </p> <p>However, Aussie body language expert Louise Mahler said there could be more than meets the eye at their public outings. </p> <p>“These are two people so well rehearsed at being with each other. They lean in together, they move in unison,” Mahler told <a href="https://7news.com.au/entertainment" target="_blank" rel="noopener" data-link-type="article-inline"><em>7Life</em>.</a></p> <p>Assessing footage from their joint appearance at the Met Gala in May 2023, Mahler noticed that “at one point in the video Hugh goes to walk away and she briefly pulls him back and he stops with no hesitation”.</p> <p>“There is no giveaway whatsoever... and remember, they are both actors."</p> <p>“They are working as a team and showing total harmony.”</p> <p>However, Mahler went on to assess a specific moment from the Met Gala where the couple were gazing at one another head-on.</p> <p>“I’m going to speculate that he has left her because he’s looking at her quickly,” she said.</p> <p>“He still loves her but he’s moving on."</p> <p>“And what I see from her is, ‘I get that you’re moving on, you b******, but I will allow this’,” Mahler speculated about Furness’ body language.</p> <p>Two months after their Met Gala appearance, the couple attended Wimbledon to sit side by side and watch the game. </p> <p>Mahler acknowledged that they looked “a little cranky” but said that they were concentrated on the game and likely had cameras on them “for a long time”.</p> <p>“I don’t see that they’re pulling away from each other in any way,” she said.</p> <p>“In fact, their arms are touching the full length. This is a couple who have been together for 30 years, they know each other. I would say they still love each other, but they’re deciding to go their separate ways.”</p> <p>The Hollywood couple shocked the world on Saturday when they released a statement confirming their separation after being married for 27 years.</p> <p>“We have been blessed to share almost three decades together as husband and wife in a wonderful, loving marriage,” Jackman and Furness told <em><a href="https://people.com/hugh-jackman-and-deborra-lee-jackman-separate-exclusive-7970286" target="_blank" rel="noopener" data-link-type="article-inline">People</a></em>.</p> <p>“Our journey now is shifting and we have decided to separate to pursue our individual growth."</p> <p><em>Image credits: Getty Images</em></p>

Relationships

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The body mass index can’t tell us if we’re healthy. Here’s what we should use instead

<p><em><a href="https://theconversation.com/profiles/rachael-jefferson-buchanan-297850">Rachael Jefferson-Buchanan</a>, <a href="https://theconversation.com/institutions/charles-sturt-university-849">Charles Sturt University</a></em></p> <p>We’ve known for some time the <a href="https://theconversation.com/using-bmi-to-measure-your-health-is-nonsense-heres-why-180412">body mass index (BMI) is an inaccurate measuring stick</a> for assessing someone’s weight and associated health. But it continues to be the go-to tool for medical doctors, population researchers and personal trainers.</p> <p>Why is such an imperfect tool still being used, and what should we use instead?</p> <h2>First, what is BMI?</h2> <p>BMI is an internationally recognised screening method for sorting people into one of four weight categories: underweight (BMI less than 18.5), normal weight (18.5 to 24.9), overweight (25.0 to 29.9) or obese (30 or greater).</p> <p>It’s a value <a href="https://www.cdc.gov/healthyweight/assessing/bmi/index.html">calculated</a> by a measure of someone’s mass (weight) divided by the square of their height.</p> <h2>Who invented BMI?</h2> <p>Belgian mathematician <a href="https://www.britannica.com/biography/Adolphe-Quetelet">Lambert Adolphe Jacques Quetelet</a> (1796-1874) devised the BMI in 1832, as a mathematical model to chart the average Western European man’s <a href="https://pubmed.ncbi.nlm.nih.gov/17890752/">physical characteristics</a>.</p> <p>It was initially called the <a href="https://www.msdmanuals.com/en-au/professional/multimedia/clinical-calculator/body-mass-index-quetelets-index">Quetelet Index</a> and was never meant to be used as a medical assessment tool. The Quetelex Index was renamed the “body mass index” in 1972.</p> <h2>What’s wrong with the BMI?</h2> <p>Using a mathematical formula to give a full picture of someone’s health is just not possible.</p> <p>The BMI <a href="https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html">does not measure excess body fat</a>, it just measures “excess” weight. It does not distinguish between excess body fat or bone mass or musculature, and does not interpret the distribution of fat (which <em>is</em> a <a href="https://www.health.harvard.edu/staying-healthy/abdominal-fat-and-what-to-do-about-it">predictor</a> of health, including type 2 diabetes, metabolic disorders, and heart disease).</p> <p>It also cannot tell the difference between social variables such as sex, age, and ethnicity. Given Quetelet’s formula used only Western European men, the findings are not appropriate for many other groups, including non-European ethnicities, post-menopausal women and pregnant women.</p> <p>The medical profession’s <a href="https://pubmed.ncbi.nlm.nih.gov/37432007/">overreliance on BMI</a> may be <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2930234/">harming patients’ health</a> as it ignores much of what makes us healthy and focuses only on mass.</p> <h2>What should we use instead?</h2> <p>Rather than seeing BMI as the primary diagnostic test for determining a person’s health, it should be used in conjunction with other measures and considerations.</p> <p>Since researchers know belly fat around our vital organs carries the most <a href="https://www.bmj.com/content/370/bmj.m3324">health risk</a>, <a href="https://www.hsph.harvard.edu/obesity-prevention-source/obesity-definition/how-to-measure-body-fatness/">waist circumference</a>, waist-to-hip ratio or waist-to-height ratio offer more accurate measurements of health.</p> <p><strong>Waist circumference</strong>: is an effective measure of fat distribution, particularly for athletes who carry less fat and more muscle. It’s most useful as a predictor of health when <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7027970/">combined with the BMI</a>. Waist circumference should be less than 94cm for men and 80cm for women for <a href="https://www.heartfoundation.org.au/bundles/your-heart/waist-measurement">optimal health</a>, as measured from halfway between the bottom of your ribs and your hip bones.</p> <p><strong>Waist-to-hip ratio</strong>: calculates the proportion of your body fat and how much is stored on your waist, hips, and buttocks. It’s the waist measurement divided by hip measurement and according to the World Health Organisation it should be <a href="https://apps.who.int/iris/bitstream/handle/10665/44583/9789241501491_eng.pdf;jsessionid=A119D165CFFF5E7B5BDBD51D9DD25684?sequence=1">0.85 or less for women, and 0.9 or less in men</a> to reduce health risks. It’s especially beneficial in predicting health outcomes in <a href="https://link.springer.com/article/10.1007/s40200-021-00882-4">older people</a>, as the ageing process alters the body proportions on which BMI is founded. This is because fat mass increases and muscle mass decreases with age.</p> <p><strong>Waist-to-height ratio</strong>: is height divided by waist circumference, and it’s <a href="https://www.nice.org.uk/news/article/keep-the-size-of-your-waist-to-less-than-half-of-your-height-updated-nice-draft-guideline-recommends">recommended</a> a person’s waist circumference be kept at less than half their height. Some studies have found this measure is <a href="https://bmjopen.bmj.com/content/6/3/e010159">most strongly correlated</a> with health predictions.</p> <p>Body composition and body fat percentage can also be calculated through <a href="https://www.youtube.com/watch?v=a1A9m0wO17g">skinfold measurement tests</a>, by assessing specific locations on the body (such as the abdomen, triceps or quadriceps) with skin callipers.</p> <p>Additional ways to gauge your heart health include asking your doctor to monitor your cholesterol and blood pressure. These more formal tests can be combined with a review of lifestyle, diet, physical activity, and family medical history.</p> <h2>What makes us healthy apart from weight?</h2> <p>A diet including whole grains, low fat protein sources such as fish and <a href="https://en.wikipedia.org/wiki/Legume">legumes</a>, eggs, yoghurt, cheese, milk, nuts, seeds, and plenty of fresh fruit and vegetables <a href="https://www.mayoclinic.org/diseases-conditions/heart-disease/in-depth/heart-healthy-diet/art-20047702">reduces our risk</a> of heart and vessel disease.</p> <p>Limiting <a href="https://www.foodstandards.gov.au/consumer/generalissues/Pages/processed-foods.aspx">processed food</a> and sugary snacks, as well as <a href="https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/healthy+living/healthy+eating/healthy+eating+tips/eat+less+saturated+and+trans+fats">saturated and trans fats</a> can help us with weight management and ward off diet-related illnesses.</p> <p>Being physically active most days of the week improves general health. This <a href="https://www.health.gov.au/topics/physical-activity-and-exercise/physical-activity-and-exercise-guidelines-for-all-australians">includes</a> two sessions of strength training per week, and 2.5 to five hours of moderate cardio activity or 1.25 to 2.5 hours of vigorous cardio activity.</p> <p>Weight is just one aspect of health, and there are much better measurements than BMI.<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/211190/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/rachael-jefferson-buchanan-297850"><em>Rachael Jefferson-Buchanan</em></a><em>, Lecturer in Human Movement Studies (Health and PE) and Creative Arts, <a href="https://theconversation.com/institutions/charles-sturt-university-849">Charles Sturt 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/the-body-mass-index-cant-tell-us-if-were-healthy-heres-what-we-should-use-instead-211190">original article</a>.</em></p>

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5 bizarre – but true – things regular exercise does to your body

<p><strong>You feel like someone is stabbing a knife into your ribs </strong></p> <p>Experts don’t know exactly what causes those sharp, fleeting pains called side stitches, but many believe they’re due to diaphragm spasms triggered by rapid breathing, says Tom Holland, exercise physiologist and author of <em>Beat the Gym</em>. Eating too close to your workout may play a role. And side stitches occur more frequently in novice exercisers.</p> <p><span style="text-decoration: underline;"><em>What to try</em></span>: To stop a stitch, slow your pace and take deep breaths while contracting your abdominal muscles. Stretch your arms overhead or to the side. To prevent a stitch: Eat light pre-exercise meals, and wait at least 30 minutes after eating before you work out. Always warm up for five to ten minutes; gradually increase workout intensity.</p> <p><strong>Your nose is suddenly a dripping tap </strong></p> <p>Exercise, especially in cold, dry air, can trigger a runny, congested nose, a condition known as exercise-induced rhinitis. “Increased nasal breathing during exercise dries out the nose’s mucous membranes, which makes the nose secrete more mucus to protect the nasal airway,” says Dr William Silvers, an asthma, allergy and immunology specialist .</p> <p><span style="text-decoration: underline;"><em>What to try</em></span>: If your nose is really interfering with your workout, ask your doctor to prescribe a nasal spray, and use it at least 30 minutes before you exercise. Pack plenty of tissues in your pockets.</p> <p><strong>You have to go to the bathroom</strong></p> <p>Badly. It’s called runner’s trots, but don’t be fooled by the name: Even walkers can experience loose bowels, especially when logging long distances. During exercise, your body directs blood flow away from your gut to working muscles, which can trigger diarrhoea, Holland says. Dehydration and pre-race anxiety may exacerbate the problem.</p> <p><span style="text-decoration: underline;"><em>What to try</em></span>: Don’t eat anything for two hours before exercising. Skip high-fibre and high-fat foods, caffeine and artificial sweeteners, all of which can make things worse. Drink plenty of fluids before, during, and after exercise. Begin your workouts after bowel movements, and make sure you have access to a restroom.</p> <p><strong>Your face turns as red as a stop sign </strong></p> <p>Blame your capillaries, small blood vessels near the skin’s surface that dilate during exercise to help you stay cool. People with sensitive skin may flush more and stay red longer.</p> <p><span style="text-decoration: underline;"><em>What to try</em></span>: Spritz cold water on your skin frequently or switch to activities in air-conditioned locations. The flush usually disappears about 30 minutes after you stop exercising, but if you have persistent redness, you may have rosacea, a skin disease that causes flushing, redness, bumps and pimples. It can be treated with oral and topical medications.</p> <p><strong>You break out in hives</strong></p> <p>Yes, you really could be allergic to exercise. Urticaria is often triggered by sweating and an elevated body temperature.</p> <p><span style="text-decoration: underline;"><em>What to try</em></span>: See a specialist to rule out other conditions. If it is urticaria, your doctor may recommend taking an antihistamine treatment before exercise. Working out in cooler conditions may help.</p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.co.nz/healthsmart/5-bizarre-things-exercise-does-to-your-body" target="_blank" rel="noopener">Reader's Digest</a>. </em></p>

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9 signs you have inflammation in your body. Could an anti-inflammatory diet help?

<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>There is a lot of health buzz around the term “inflammation” right now. From new scientific <a href="https://medicalxpress.com/news/2023-07-inflammation-discovery-aging-age-related-diseases.html">discoveries</a> to <a href="https://people.com/health/gwyneth-paltrow-addresses-backlash-anti-inflammatory-diet/">celebrities</a> and social media influencers, it seems like everyone is talking about this important bodily process and its potential impact on our health.</p> <p>“<a href="https://www.nature.com/articles/s41574-018-0059-4">Inflammaging</a>” is a specific term you may also have seen. It’s an age-related increase in persistent, low-grade inflammation in blood and tissue, which is a strong risk factor for many conditions and diseases.</p> <p>So, can an anti-inflammatory diet help reduce inflammation? Let’s take a look.</p> <h2>What is inflammation?</h2> <p>When our body becomes injured or encounters an infection, it activates defence mechanisms to protect itself. It does this by instructing our cells to fight off the invader. This fighting process <a href="https://www.nature.com/articles/s41591-019-0675-0#citeas">causes inflammation</a>, which often presents as swelling, redness and pain.</p> <p>In the short-term, inflammation is a sign your body is healing, whether from a grazed knee or a cold.</p> <p>If inflammation persists for a longer time it’s called “chronic”. That can indicate a <a href="https://www.nature.com/articles/s41467-018-05800-6">health problem</a> such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3638313/">arthritis</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6719998/#B2-ijms-20-03879">heart disease</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6523054/">diabetes</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3390758/">dementia</a> or other autoimmune disorders.</p> <p>The <a href="https://www.ncbi.nlm.nih.gov/books/NBK493173/">signs and symptoms</a> of chronic inflammation may be present from several months to years and include:</p> <ol> <li>persistent pain</li> <li>chronic fatigue or insomnia</li> <li>joint stiffness</li> <li>skin problems</li> <li>elevated blood markers (such as <a href="https://www.healthdirect.gov.au/c-reactive-protein-CRP-blood-test">C-reactive protein</a>)</li> <li>gastrointestinal issues (constipation, diarrhoea, acid reflux)</li> <li>depression, anxiety and mood disorders</li> <li>unintended weight gain or loss</li> <li>frequent colds or flu.</li> </ol> <h2>What role does diet play?</h2> <p>The relationship between food and inflammation is <a href="https://www.sciencedirect.com/science/article/pii/S0735109706013350">well recognised</a>. Overall, some food components may activate the immune system by producing pro-inflammatory cytokines (small proteins important in cell signaling) or reducing the production of anti-inflammatory cytokines.</p> <p>A “<a href="https://theconversation.com/clear-evidence-for-a-link-between-pro-inflammatory-diets-and-27-chronic-diseases-heres-how-you-can-eat-better-158451">pro-inflammatory diet</a>” may increase inflammation in the body over the long term. Such diets are usually low in fresh produce like fruits, vegetables and wholegrains, and high in commercially baked goods, fried foods, added sugars and red and processed meats.</p> <p>In contrast, an “<a href="https://academic.oup.com/ajcn/article/80/4/1029/4690355">anti-inflammatory</a>” diet is associated with less inflammation in the body. There is no single anti-inflammatory diet. Two well-recognised, evidence-backed examples are the Mediterranean diet and the Dietary Approaches to Stop Hypertension (DASH) diet.</p> <p>Anti-inflammatory diets typically include the following elements:</p> <p><strong>1. high in antioxidants.</strong> These compounds help the body fight free radicals or unstable atoms, that in high quantities are linked to illnesses such as cancer and heart disease. The best way to consume antioxidants is by eating lots of fruits and vegetables. Research shows frozen, dried and canned fruits and vegetables can be <a href="https://theconversation.com/frozen-and-tinned-foods-can-be-just-as-nutritious-as-fresh-produce-heres-how-201740">just as good as fresh</a></p> <p><strong>2. high in “healthy”, unsaturated fatty acids.</strong> Monounsaturated fats and omega-3-fatty acids are found in fish (sardines, mackerel, salmon and tuna), seeds, nuts, and plant-based oils (olive oil and flaxseed oil)</p> <p><strong>3. high in fibre and prebiotics.</strong> Carrots, cauliflower, broccoli and leafy greens are good sources of fibre. Prebiotics promote the growth of beneficial microorganisms in our intestines and can come from onions, leeks, asparagus, garlic, bananas, lentils and legumes</p> <p><strong>4. low in processed foods.</strong> These contain refined carbohydrates (pastries, pies, sugar-sweetened beverages, deep-fried foods and processed meats).</p> <h2>Rheumatoid arthritis, dementia, depression</h2> <p>There is mixed evidence for the role of anti-inflammatory diets in rheumatoid arthritis pain management. A recent <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8706441/">2021 systematic review</a> (where researchers carefully group and examine the available evidence on a topic) found eating an anti-inflammatory diet likely leads to significantly lower pain in people with rheumatoid arthritis when compared with other diets.</p> <p>However, the 12 studies included in the review had a high risk of bias – likely because people knew they were eating healthy foods – so the confidence in the evidence was low.</p> <p>Inflammation is strongly implicated in the development of neurodegenerative diseases like <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6486891/">Alzheimer’s disease and related dementia</a> and evidence suggests anti-inflammatory diets might help to protect the brain.</p> <p>A <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5015034/">2016 review</a> showed an anti-inflammatory diet may be protective against cognitive impairment and dementia, but that further large randomised controlled trials are needed. A <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8673721/">2021 study</a> followed 1,059 people for three years and observed their diet. They reported those with a greater pro-inflammatory diet had an increased risk of developing dementia.</p> <p>Inflammation has also been linked with mental health, with people eating a pro-inflammatory diet reporting more symptoms of <a href="https://pubmed.ncbi.nlm.nih.gov/31152670/">depression</a>. Diet is the fundamental element of <a href="https://www1.racgp.org.au/ajgp/2019/october/lifestyle-interventions-for-mental-health">lifestyle approaches</a> to managing anxiety and mental health.</p> <p>More broadly, a <a href="https://www.mdpi.com/2227-9059/9/8/922">2021 review paper</a> examined recent research related to anti-inflammatory diets and their effect on reducing inflammation associated with ageing. It found compounds commonly found in anti-inflammatory diets could help alleviate the inflammatory process derived from diseases and unhealthy diets.</p> <h2>What about turmeric?</h2> <p>A favourite on social media and vitamin shelves, turmeric is promoted as having anti-inflammatory benefits. These are linked to a specific compound called <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5388087/#:%7E:text=Curcuminoids%20are%20phenolic%20compounds%20commonly,several%20important%20functions%20of%20curcuminoids.">curcumin</a>, which gives turmeric its distinctive yellow colour.</p> <p>Research suggests curcumin might act as an anti-inflammatory agent in the body but high-quality clinical trials in humans are <a href="https://www.mdpi.com/1420-3049/16/6/4567">lacking</a>. Most of the <a href="https://www.mdpi.com/1420-3049/16/6/4567">existing studies</a> have been conducted in <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/jcp.27360">lab settings</a> using cells or in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608712/">animals</a>. So it’s unclear how much curcumin is needed to see anti-inflammatory benefits or how well <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664031/">we absorb it</a>.</p> <p>Overall, adding turmeric to your food may provide your body with some health benefits, but don’t rely on it to prevent or treat disease on its own.</p> <h2>Safe eating</h2> <p>Inflammation is a major factor in the link between diet and many health conditions.</p> <p>Eating an anti-inflammatory diet is considered safe, likely to support health and to prevent future chronic conditions. If you are looking for tailored dietary advice or an anti-inflammatory meal plan, it’s best to speak with an <a href="https://member.dietitiansaustralia.org.au/Portal/Portal/Search-Directories/Find-a-Dietitian.aspx">accredited practising dietitian</a>.<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/210468/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></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/9-signs-you-have-inflammation-in-your-body-could-an-anti-inflammatory-diet-help-210468">original article</a>.</em></p>

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5 memorable locations from ‘80s films to check out

<p>Everyone loves a good movie, and everyone loves a holiday, so what do you get when you combine the two? The time of your life! </p> <p>It’s widely known that the ‘80s spawned a whole host of films that went on to become cult classics - from the likes of <em>Heathers </em>to <em>Footloose</em>, <em>Dirty Dancing</em>, and <em>The Terminator</em> - and forged the way for cultural changes that ring true decades later. </p> <p>But did you also know that for many of these iconic films, real-life locations served as the inspiration for many memorable scenes? </p> <p>And while some may have changed slightly in the years since cast and crew flocked to them, some are like stepping into a time capsule - or a stage for you to re-enact the films as you see fit. </p> <p><strong>Lake Lure, North Carolina - Dirty Dancing (1987)</strong></p> <p>Anyone who’s seen<em> Dirty Dancing</em> can tell you that ‘the lift scene’ is one of the film’s most iconic moments. And it - along with a few others from the film - were filmed in North Carolina’s very own Lake Lure. And with the spot boasting its very own Lake Lure Inn & Spa - where, coincidentally, the movie’s stars stayed while working on the project - it could be the perfect getaway location for your next holiday. </p> <p><strong>Guesthouse International Hotel, California - <em>National Lampoon Vacation</em> (1983) </strong></p> <p>For those embarking on their very own<em> National Lampoon Vacation</em>, you’re in luck - the hexagonal pool is near exactly the same as it was when Chevy Chase’s Clark Griswold enjoyed a nighttime swim with Christie Brinkley’s The Girl in the Ferrari. </p> <p><strong>New York Public Library, New York - <em>Ghostbusters </em>(1984)</strong></p> <p>The 1984 film sparked an entire host of sequels, games, parodies, and conventions for avid fans across the globe - as well as one incredibly catchy song. However, for those that would like to go above and beyond just calling their friendly neighbourhood ghostbusters, the  New York Public Library’s flagship Stephen A Schwarzman building is the spot where the team had their very first encounter with the film’s ghosts. </p> <p><strong>Griffith Observatory, California - <em>The Terminator</em> (1984)</strong></p> <p>Fans of<em> The Terminator </em>should immediately recognise this site as the one where Arnold Schwarzenegger’s Terminator arrived in the nude, and basked in the glory of LA at night. It’s a popular location, and while a must-see for fans of the film, it also makes for a good afternoon out - the observatory itself boasts free entry, stunning views, and a range of fascinating exhibits inside to entertain the keen mind. </p> <p><strong>The Grand Hotel, Michigan - <em>Somewhere in Time </em>(1980)</strong></p> <p>The Grand Hotel was the primary location for romantic drama <em>Somewhere in Time</em>, and they’re proud of it. In fact, a poster for the film is reportedly even still on display there, and hosts weekends of celebration for the 1980 hit, too. </p> <p>The island the hotel is set on doesn’t allow cars, so anyone hoping to throw themselves back in time and fully immerse themselves in a ‘different world’, this National Historic Landmark may be just the place to do it. </p> <p><em>Images: Getty, Booking.net</em></p>

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What happens in our body when we encounter and fight off a virus like the flu, SARS-CoV-2 or RSV?

<p><em><a href="https://theconversation.com/profiles/lara-herrero-1166059">Lara Herrero</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> and <a href="https://theconversation.com/profiles/wesley-freppel-1408971">Wesley Freppel</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a></em></p> <p><a href="https://www.labcorp.com/coronavirus-disease-covid-19/covid-news-education/covid-19-vs-flu-vs-rsv-how-tell-difference">Respiratory viruses</a> like influenza virus (flu), SARS-CoV-2 (which causes COVID) and respiratory syncytial virus (RSV) can make us sick by infecting our respiratory system, including the nose, upper airways and lungs.</p> <p>They spread from person to person through respiratory droplets when someone coughs, sneezes, or talks and can cause death in serious cases.</p> <p>But what happens in our body when we first encounter these viruses? Our immune system uses a number of strategies to fight off viral infections. Let’s look at how it does this.</p> <h2>First line of defence</h2> <p>When we encounter respiratory viruses, the <a href="https://www.sciencedirect.com/science/article/pii/S193131281600038X?via%3Dihub/">first line of defence</a> is the physical and chemical barriers in our nose, upper airways, and lungs. Barriers like the mucus lining and hair-like structures on the surface of cells, work together to trap and remove viruses before they can reach deeper into our respiratory system.</p> <p>Our defence also includes our behaviours such as coughing or sneezing. When we blow our nose, the mucus, viruses, and any other pathogens that are caught within it are expelled.</p> <p>But sometimes, viruses manage to evade these initial barriers and sneak into our respiratory system. This activates the cells of our innate immune system.</p> <h2>Patrolling for potential invaders</h2> <p>While our acquired immune system develops over time, our innate immune system is present at birth. It generates “non-specific” immunity by identifying what’s foreign. The cells of innate immunity act like a patrol system, searching for any invaders. These innate cells patrol almost every part of our body, from our skin to our nose, lungs and even internal organs.</p> <p>Our respiratory system has different type of innate cells such – as macrophages, neutrophils and natural killer cells – which patrol in our body looking for intruders. If they recognise anything foreign, in this case a virus, they will initiate an attack response.</p> <p>Each cell type plays a slightly different role. Macrophages, for example, will not only engulf and digest viruses (phagocytosis) but also release a cocktail of different molecules (cytokines) that will warn and recruit other cells to <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/cmi.12580">fight against the danger</a>.</p> <p>In the meantime, natural killer cells, aptly named, attack infected cells, and stop viruses from multiplying and <a href="https://www.nature.com/articles/s41577-021-00558-3">invading our body further</a>.</p> <p>Natural killer cells also promote inflammation, a <a href="https://www.hindawi.com/journals/jir/2018/1467538/">crucial part of the immune response</a>. It helps to recruit more immune cells to the site of infection, enhances blood flow, and increases the permeability of blood vessels, allowing immune cells to reach the infected tissues. At this stage, our immune system is fighting a war against viruses and the result can cause inflammation, fevers, coughs and congestion.</p> <h2>Launching a specific attack</h2> <p>As the innate immune response begins, another branch of the immune system called the adaptive immune system is <a href="https://www.ncbi.nlm.nih.gov/books/NBK21070/">activated</a>.</p> <p>The adaptive immune system is more specific than the innate immune system, and it decides on the correct tools and strategy to fight off the viral invaders. This system plays a vital role in eliminating the virus and providing long-term protection against future infections.</p> <p>Specialised cells called T cells and B cells are key players in acquired immunity.</p> <p>T cells (specifically, helper T cells and cytotoxic T cells) recognise viral proteins on the surface of infected cells:</p> <ul> <li> <p>helper T cells release molecules that <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3764486/">further activate immune cells</a></p> </li> <li> <p>cytotoxic T cells directly kill infected cells with a very great precision, <a href="https://www.frontiersin.org/articles/10.3389/fimmu.2018.00678/full">avoiding any healthy cells around</a>.</p> </li> </ul> <p>B cells produce antibodies, which are proteins that can bind to viruses, neutralise them, and mark them for <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247032/">destruction by other immune cells</a>.</p> <p>B cells are a critical part of memory in our immune system. They will remember what happened and won’t forget for years. When the same virus attacks again, B cells will be ready to fight it off and will neutralise it faster and better.</p> <p>Thanks to the adaptive immune system, vaccines for respiratory viruses such as the COVID mRNA vaccine keep us protected from <a href="https://www.health.gov.au/our-work/covid-19-vaccines/our-vaccines/how-they-work">being sick or severely ill</a>. However, if the same virus became mutated, our immune system will act as if it was a new virus and will have to fight in a war again.</p> <h2>Neutralising the threat</h2> <p>As the immune response progresses, the combined efforts of the innate and adaptive immune systems helps control the virus. Infected cells are cleared, and the virus is neutralised and eliminated from the body.</p> <p>As the infection subsides, symptoms gradually improve, and we begin to feel better and to recover.</p> <p>But recovery varies depending on the specific virus and us as individuals. Some respiratory viruses, like rhinoviruses which cause the common cold, may cause relatively mild symptoms and a quick recovery. Others, like the flu, SARS-CoV-2 or severe cases of RSV, may lead to more severe symptoms and a longer recovery time.</p> <p>Some viruses are very strong and too fast sometimes so that our immune system does not have the time to develop a proper immune response to fight them off. <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/207023/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/lara-herrero-1166059">Lara Herrero</a>, Research Leader in Virology and Infectious Disease, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> and <a href="https://theconversation.com/profiles/wesley-freppel-1408971">Wesley Freppel</a>, Research Fellow, Institute for Glycomics, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith 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/what-happens-in-our-body-when-we-encounter-and-fight-off-a-virus-like-the-flu-sars-cov-2-or-rsv-207023">original article</a>.</em></p>

Body

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Extreme Hollywood body transformations have become standard preparations for film actors – but we need to consider the consequences

<p><em><a href="https://theconversation.com/profiles/gemma-sharp-314703">Gemma Sharp</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> and <a href="https://theconversation.com/profiles/bronwyn-dwyer-1453560">Bronwyn Dwyer</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p>“…when you’re shooting a film like Magic Mike, and you’re doing dance routines for two weeks at a time, you have to peak every day. So that became kind of crazy. We had a gym in the parking lot, and we’d all be lifting weights on set all day,” <a href="https://wegotthiscovered.com/movies/interview-channing-tatum-joe-manganiello-magic-mike/">explained actor Joe Manganiello</a>, about performing in the film Magic Mike.</p> <p>It is not unusual for actors to undergo drastic changes in preparation for a role, including gaining muscle and losing body fat for that shredded look. In fact, this is becoming the norm in Hollywood.</p> <p><a href="https://www.menshealth.com/fitness/a43945188/jake-gyllenhaals-road-house-transformation/">Jake Gyllenhaal</a> in Road House, <a href="https://www.insider.com/michelle-rodriguez-rege-jean-page-workout-dungeons-and-dragons-sdcc-2022-7">Michelle Rodriguez</a> in Dungeons &amp; Dragons, and <a href="https://www.menshealth.com/entertainment/a42532547/paul-rudd-marvel-ant-man-interview/">Paul Rudd</a> in Ant-Man and the Wasp: Quantumania, have all undertaken body modifications for roles this year.</p> <p>As the audience, we readily accept these body modifications to be part of the preparation for the role without necessarily considering the potentially long-term physical and mental health consequences.</p> <h2>So how do they do it?</h2> <p>From what Hollywood shares with the general public about these body modifications, which is generally very limited, it appears these transformations occur through excessive exercise and highly restrictive diets.</p> <p>Nevertheless, these Hollywood workouts are highly popular with ordinary people, with Dwayne “The Rock” Johnson and Chris Hemsworth’s workouts <a href="https://sustainhealth.fit/lifestyle/most-searched-hollywood-actor-workouts/">particularly sought after</a>.</p> <p>These regimens resemble those of competitive bodybuilders, <a href="https://journals.lww.com/hrpjournal/Abstract/2019/07000/Competitive_Bodybuilding__Fitness,_Pathology,_or.3.aspx">whose success also relies on appearance</a>.</p> <p>The <a href="https://link.springer.com/article/10.2165/00007256-200434050-00004">typical process for bodybuilders</a> involves two phases: a “bulking” phase, during which the goal is to have enough energy for muscle growth, and a “cutting” phase, when the aim is to lose weight but not muscle.</p> <p>The end result of such a process is usually highly applauded, even though drastic measures have been taken to achieve such a look.</p> <p>Actors of all genders are undergoing these body transformations for <a href="https://www.sportskeeda.com/comics/10-marvel-actors-whose-body-transformation-shocked-world">various roles</a> such as superheroes, athletes, or the portrayal of real-life people.</p> <h2>What are the consequences?</h2> <p>“I’ve become a little bit more boring now, because I’m older and I feel like if I keep doing what I’ve done in the past I’m going to die. So, I’d prefer not to die,” <a href="https://www.menshealth.com/uk/fitness/lifestyle/a29725245/christian-bale-no-more-body-transformation-roles/">said Christian Bale</a>, who has undertaken multiple extreme transformations for roles.</p> <p>To achieve what is needed for a particular role, extreme measures are often taken. However, the consequences of these measures, such as use of substances, exercise dependence, and an increased risk of developing muscle dysmorphia and/or an eating disorder, is seemingly not common knowledge.</p> <p>A concern for the bodybuilding community is the widespread use of drugs, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4026349/">often multiple drugs at a time not obtained through prescription</a>. Androgenic-anabolic steroids are commonly used which can have extensive negative effects on the human body, including on the cardiovascular system, hormones, metabolism and even psychiatric wellbeing.</p> <p>Exercise dependence can also occur when an individual engages in an extreme amount of exercise, to the point at which <a href="https://link.springer.com/article/10.1007/s11936-018-0674-3">physical, psychological or emotional harm</a> can occur. We are not sure exactly why exercise dependence happens, but it could potentially be a form of <a href="https://www.tandfonline.com/doi/full/10.1080/19585969.2023.2164841">behavioural addiction</a>.</p> <p>Another risk is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4977020/">muscle dysmorphia</a>, a subtype of body dysmorphic disorder characterised by the individual being preoccupied with the idea their physique is not muscular enough, even if they have a high degree of muscle.</p> <h2>What about the dieting impacts?</h2> <p>There are many similarities between the requirements of bodybuilding and eating disorders. Both are characterised by restrictive diets, high levels of exercise, potential social isolation, and adherence to a <a href="https://journals.lww.com/hrpjournal/Abstract/2019/07000/Competitive_Bodybuilding__Fitness,_Pathology,_or.3.aspx">rigid schedule</a>.</p> <p>The seminal <a href="https://www.sciencedirect.com/science/article/pii/S002231662210249X?via%3Dihub">Minnesota Starvation Experiment</a> fundamentally shaped our understanding of the changes a person can experience when they are consuming less than their daily nutrition energy needs, such as during the “cutting” phase for bodybuilders. This research showed that people who are experiencing starvation for a period of time will experience devastating impacts in the physical, psychological, behavioural and social aspects of their lives.</p> <p>Some of the many documented changes included reductions in heart muscle mass, heart rate and blood pressure, dizziness, fatigue, increased feelings of depression and anxiety, obsessive thoughts about food, and withdrawal from social activities and relationships.</p> <p>Concerningly, even once a person is renourished, the psychological issues around body size and food <a href="https://onlinelibrary.wiley.com/doi/abs/10.1002/eat.23095">can persist</a>. Therefore, even after an actor has returned to their pre-modification weight and size, it does not mean they have recovered from the consequences that came with that body modification.</p> <h2>What are the impacts on the general public?</h2> <p>Rapid changes in physical appearance are not realistically achievable for most people. So seeing actors doing this seemingly easily with the assistance of their professional teams sets an <a href="https://link.springer.com/article/10.1007/s40894-022-00179-4">unrealistic standard</a>.</p> <p>For people without the same income or access to resources to achieve these body modifications in a safe way, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872588/">more extreme means</a> would be undertaken and consequent damage to mental and physical wellbeing can ensue. These body modifications are definitely a case of “do not try this at home”.</p> <p>There are many risks when undertaking dramatic body modifications, most of which are not talked about in public. Actors are just as vulnerable to these risks, despite us rarely seeing what exactly they go through to achieve these dramatic transformations. Hollywood is a highly competitive environment, and being honest about body modification and its consequences could stop an actor landing their next gig.</p> <p>We don’t recommend body modifications in any way, but if someone does want to make a change to their lifestyle, we strongly recommend consulting with a team of health professionals to ensure physical and psychological safety during the process and beyond.</p> <p>––</p> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, do not hesitate to reach out for support. For concerns around eating, exercise, or body image visit the <a href="https://butterfly.org.au/">Butterfly Foundation</a> or call the national helpline on 1800 33 4673. For concerns around drug use visit <a href="https://www.health.gov.au/our-work/drug-help">Drug Help</a> or call the National Alcohol and Other Drug Hotline on 1800 250 015.<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/207722/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></em></p> <p><em><a href="https://theconversation.com/profiles/gemma-sharp-314703">Gemma Sharp</a>, Associate Professor, NHMRC Emerging Leadership Fellow &amp; Senior Clinical Psychologist, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> and <a href="https://theconversation.com/profiles/bronwyn-dwyer-1453560">Bronwyn Dwyer</a>, , <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p><em>Image credits: 20th Century Fox</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/extreme-hollywood-body-transformations-have-become-standard-preparations-for-film-actors-but-we-need-to-consider-the-consequences-207722">original article</a>.</em></p>

Body

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Here’s what would happen to your body if you didn’t have your morning coffee

<p><strong>What happens when you skip coffee entirely?</strong></p> <p>Coffee is a morning constant for many, as reliable as the sunrise or the tides. Miss it, and you can feel dazed, confused and even risk a pounding headache. There’s a good reason for that: Caffeine produces some reliable physical changes in your body upon which you can easily become dependent.</p> <p>With that first sip of coffee, caffeine enters your bloodstream and begins making its way to your brain where it blocks an inhibitory neurotransmitter called adenosine, according to the <em>National Academy of Sciences</em>. That, in turn, sets off the release of feel-good hormones like dopamine and serotonin, causing a stimulant effect. Coffee’s so-called half-life – meaning the amount of time it takes for the amount of caffeine in the body to be reduced by 50 per cent – is about five hours on average. </p> <p>That explains why the average energy drink or coffee buzz lasts about that long. But how quickly caffeine leaves your system depends on a number of things, including age, medical conditions, drug interactions and lifestyle habits (like smoking).</p> <p><strong>A shock to the system</strong></p> <p>So, no surprise, when you’re deprived of your morning coffee, you don’t just suffer due to routine alteration. You suffer chemically, too. As anybody who’s kicked their coffee habit will tell you: The side effects can be pretty noticeable and jarring. Some of the more common symptoms of caffeine withdrawal stem from the inherent perks of those multi cups of Joe.</p> <p>Minus the kickstart to your metabolism, you’ll feel tired, sluggish, foggy-headed, and physically delayed, according to a review of studies published in 2020 in <em>StatPearls</em>. Researchers found that the more caffeine you consume, the more severe the withdrawal; but abstinence from even small amounts – we’re talking one cup of coffee per day – also produced symptoms of caffeine withdrawal. They kick in 12 to 24 hours after your last caffeine fix and may last up to nine days, says Dr Sherry A Ross, women’s health expert, author of <em>She-ology: The She-quel. </em></p> <p>“Caffeine is a stimulating drug that some people can easily become addicted to,” she explains. “Depending on the quantity and type of caffeine you are consuming daily, your body type and frequency of consumption can set you up for a caffeine addiction.”</p> <p><strong>Coffee's not all bad</strong></p> <p>Just because you can develop a dependence on your morning jolt doesn’t mean that cup of java belongs on the do-not-consume list. Just the opposite, in fact. A large review of studies published in 2017 in the journal BMJ found that coffee consumption is not only safe for most people (except pregnant women and women who are at an increased risk of fracture), it also provides a number of health benefits, especially for people with chronic liver disease. </p> <p>The review also showed that participants who consistently drank at least three cups of coffee per day had a lower risk of type 2 diabetes, kidney disease, gallstone disease, cancer (including melanoma, leukaemia and prostate, endometrial, oral, and liver cancer), as well as cardiovascular disease, coronary heart disease and stroke as compared with coffee abstainers.</p> <p>The trick, of course, is practicing portion control. The researchers found that the health benefits of coffee top out at three to four cups a day (as compared to none). That echoes the larger caffeine recommendation from the US Food and Drug Administration, which suggests no more than 400 mg of caffeine per day; that’s the amount in about four cups of coffee, 10 cans of cola, or two energy drinks.</p> <p>Image credits: Getty Images</p> <p><em>This article originally appeared on <a href="https://www.readersdigest.co.nz/healthsmart/heres-what-would-happen-to-your-body-if-you-didnt-have-your-morning-coffee" target="_blank" rel="noopener">Reader's Digest</a>. </em></p>

Food & Wine

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Advice on dealing with tricky in-laws

<p>From heated discussions to awkward family dinners, your relationship with your in-laws can have a big impact on family time. Here’s how to navigate this sometimes tricky dynamic.</p> <p>There’s nothing worse than heading to a family engagement when you have a son-in-law (or your daughter’s parents-in-law) that you just don’t get along with. Whether there's been a fight that you haven’t been able to move on from, or you simply don’t get along, if you find your in-laws draining or annoying, you may need to change the boundaries.</p> <p>Do you know the old saying, “good fences make good neighbours”? Think of your in-laws like your neighbours – there needs to be really good fences (aka boundaries) in place for the relationship to run smoothly. The best way to go about this is in such a way that you don’t make anyone feel as though you're closing them out, but rather comes off that you are simply focussing on yourself and things you have going on.</p> <p>Once you’ve set boundaries, don’t be afraid to talk to your family and in-laws about them, they’re not as fragile as you think. But do choose your words carefully and keep the focus on you and what your needs are, rather than making any judgements or comments about them or their behaviour.</p> <p>Still not sure how to deal with your son, daughter, sister or brother in-law? Here are some top tips for setting boundaries and dealing with awkward situations:</p> <ol> <li>The person with the primary relationship (for example your daughter, not your son-in-law) should be the one to step in and help fix a problem if it arises. You should never be the messenger or go straight to an in-law. Gently raise the issue or concern with your immediate family member. </li> <li>Decide with your partner, or in your own time if you are single or widowed, what type of role you want your in-law/s to play in your life. If you don’t get along and spending time with them just seems to cause issues, then you might want to limit catch-ups to birthdays and big events. This is ok. Just be gentle if asked to explain. And keep your explanation brief and about you. Something along the lines of, my schedule is quite busy at the moment or I don’t feel up to going out too much, but I am looking forward to the next family get together. </li> <li>Never criticise your family for their relationship with his or her spouse/your in-laws, nor comment on your in-law to your immediate family member – for example don’t criticise your son-in-law to your daughter/his wife. This tends to only lead to complications and awkwardness. And remember, you only know what your daughter tells you and if they come to you everytime they’re upset or angry with their partner or their partner’s extended family, you’re only hearing the problems when your daughter is frustrated and upset. You might not hear all the good things and about when they make up. Don’t take these things on board and stay out of it by reserving any judgement or comments. </li> <li>Don’t get involved. Easier said than done, right? You have to trust that you have brought your children up right and they are responsible enough to navigate their own relationships, treat others respectfully and can stand up for themselves if need be. As such, you should not get involved in their issues, arguments and general day-to-day dealings with their other relationships. Stay on the peripheral, be there for some light guidance if need be, but ultimately you should just help them come to their own opinions, decisions and judgements on things rather than sharing your ones with them. </li> <li>Don’t get pulled into arguments by your child and in-law. You can be supportive and still let the couple handle their own problems. Take a step back and trust that you have raised an adult who has the vision and the courage to resolve the problems that concern his/her own family. Couples need to set boundaries for their own relationships and this can, as I am sure you know, take some time to find the right ones. </li> <li>Think of yourself as a guest. When spending time with family in big groups, and especially when you’re at someone else’s home, it is best to think of yourself as a guest and act accordingly. For example you may not like the way you son’s wife is doing things in her home (child rearing, cooking, cleaning etc), but unfortunately it is not really any of your business. This is between your son and his wife. A good checkpoint is to ask yourself if you have a sense of entitlement and expectancy that is inappropriate. If there are issues that you just can’t stand but can’t let go, then you may need to consider not visiting them.</li> </ol> <p><em>Image credits: Getty Images</em></p>

Family & Pets

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Long COVID could be caused by the virus lingering in the body. Here’s what the science says

<p><a href="https://theconversation.com/profiles/stephen-kent-1283387">Stephen Kent</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/chansavath-phetsouphanh-1436741">Chansavath Phetsouphanh</a>, <em><a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a></em></p> <p>While most people survive and recover from COVID, for some people symptoms can <a href="https://www.nature.com/articles/s41586-021-03553-9">persist for months</a> or years. When symptoms last longer than 12 weeks, the condition is known as <a href="https://www.cdc.gov/coronavirus/2019-ncov/long-term-effects/index.html">long COVID</a>.</p> <p>Long COVID encompasses up to <a href="https://www.nature.com/articles/s41579-022-00846-2?utm_source=substack&amp;utm_medium=email">200 different symptoms</a>. To determine evidence-based treatments for these symptoms, we need to understand the causes. One factor that may be associated with long COVID is that the virus hasn’t fully cleared from the body after the initial infection.</p> <p>We know from other viruses that viral fragments can remain in different tissues for months or even years. This could be the case with SARS-CoV-2, the virus that causes COVID. Here’s what the science says so far.</p> <h2>Other viruses lurk in the body</h2> <p>Herpesviruses (such as Epstein-Barr virus, the cause of glandular fever), as well as HIV (human immunodeficiency virus) can exist in a “latency state” for life. This means the virus conceals itself within cells and remains dormant.</p> <p>HIV, in particular, can remain dormant in infected cells throughout the body. Even though it’s inactive, it can still promote immune activation and inflammation.</p> <p>Other viruses such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7728251/">Zika</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7492426/">measles</a> and <a href="https://bmjopen.bmj.com/content/6/1/e008859">Ebola</a> have been found in tissues of infected people months or years after initial infection. This viral persistence can <a href="https://www.ahajournals.org/doi/10.1161/circulationaha.105.548156">cause chronic illness</a>.</p> <p>Several studies have shown COVID can also reactivate the Epstein-Barr virus, which has remained in the body in a latent state. Research shows this has been <a href="https://www.jci.org/articles/view/163669">linked to</a> fatigue and problems with thinking and reasoning in <a href="https://www.mdpi.com/2076-0817/10/6/763">people with long COVID</a>.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/530287/original/file-20230606-15-u0ykc8.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/530287/original/file-20230606-15-u0ykc8.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/530287/original/file-20230606-15-u0ykc8.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/530287/original/file-20230606-15-u0ykc8.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/530287/original/file-20230606-15-u0ykc8.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/530287/original/file-20230606-15-u0ykc8.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/530287/original/file-20230606-15-u0ykc8.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=3 2262w" alt="Man looks at laptop, confused" /><figcaption><span class="caption">Latent viruses can cause fatigue and problems with thinking and reasoning.</span> <span class="attribution"><a class="source" href="https://unsplash.com/photos/4-EeTnaC1S4">Wes Hicks/Unsplash</a></span></figcaption></figure> <h2>How do we know COVID stays in the body?</h2> <p>Several studies have identified the genetic sequences of SARS-CoV-2 (RNA) as well as SARS-CoV-2 proteins in tissues and stool (poo) samples months following infection.</p> <p>These studies include multiple autopsy reports that <a href="https://www.nature.com/articles/s41586-022-05542-y">found viral RNA and protein in a variety of tissues</a> from people who died up to seven months after infection. SARS-CoV-2 RNA was detected in at least half the samples of heart, lymph glands, eye, nerve, brain and lung tissue tested.</p> <p>In people who survived, <a href="https://www.nature.com/articles/s41586-021-03207-w">viral RNA was found</a> four months after infection within intestinal tissues obtained through colonoscopy, when a thin tube is used to take tissue from the large intestine. These patients had asymptomatic COVID and were PCR-negative from swabs of the nose and throat at four months.</p> <p>A 2022 study found SARS-CoV-2 in the stool of about half of the participants in the first week after infection. At four months, there was no virus present in the respiratory tract but <a href="https://doi.org/10.1016/j.medj.2022.04.001">12.7% of stool samples were RNA positive</a>. A further 3.8% of faecal samples remained positive for RNA at seven months.</p> <p><a href="https://doi.org/10.1016/S2213-2600(21)00240-X">Initial studies</a> did not always suggest a strong relationship between the long-term detection of SARS-CoV-2 and long COVID symptoms.</p> <p>But more recently, the presence of SARS-CoV-2 RNA (or protein translated from RNA) in the <a href="https://academic.oup.com/cid/article/76/3/e487/6686531">blood</a> and gut tissue was found to <a href="https://doi.org/10.1053/j.gastro.2022.04.037">increase the likelihood</a> of developing long COVID symptoms.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/530289/original/file-20230606-27-p7vgd8.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/530289/original/file-20230606-27-p7vgd8.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=335&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/530289/original/file-20230606-27-p7vgd8.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=335&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/530289/original/file-20230606-27-p7vgd8.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=335&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/530289/original/file-20230606-27-p7vgd8.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=421&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/530289/original/file-20230606-27-p7vgd8.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=421&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/530289/original/file-20230606-27-p7vgd8.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=421&amp;fit=crop&amp;dpr=3 2262w" alt="Person gets a blood test" /><figcaption><span class="caption">The presence of SARS-CoV-2 in the blood increases the likelihood of developing long COVID symptoms.</span> <span class="attribution"><a class="source" href="https://unsplash.com/photos/ufwC2cmbaaI">Nguyễn Hiệp/Unsplash</a></span></figcaption></figure> <h2>How might the delay in clearing the virus impact people with long COVID?</h2> <p>Delayed clearance of SARS-CoV-2 particles in different parts of the body could drive illness through several potential processes:</p> <p><strong>1) Inflammation</strong>. The continued immune stimulation by viral proteins causes inflammation, makes our immune system tired, and alters how our immune cells work as time goes on.</p> <p><a href="https://www.nature.com/articles/s41590-021-01113-x">We have previously shown</a> immune dysfunction and inflammation persist up to eight months in people with long COVID that initially had mild to moderate disease.</p> <p><strong>2) Activation of other dormant viruses</strong>. The continued immune response to persistent SARS-CoV-2 can cause reactivation of latent viruses.</p> <p>Antibodies reactive to Epstein-Barr virus are elevated in people with long COVID suggesting Epstein-Barr virus <a href="https://doi.org/10.1101/2022.08.09.22278592">reactivation</a>, likely through activating the immune system.</p> <p>Other latent viruses, such as human endogenous retroviruses (HERVs; ancient viruses that have become a part of our DNA, like a genetic fossil) have recently been shown to become reactivated after infection. HERV proteins <a href="https://www.sciencedirect.com/science/article/pii/S2589004223006818">were detected</a> in blood cells and tissues of COVID patients.</p> <p>These proteins could potentially drive inflammatory processes in long COVID.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/530290/original/file-20230606-27-6s4g00.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/530290/original/file-20230606-27-6s4g00.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/530290/original/file-20230606-27-6s4g00.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/530290/original/file-20230606-27-6s4g00.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/530290/original/file-20230606-27-6s4g00.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/530290/original/file-20230606-27-6s4g00.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/530290/original/file-20230606-27-6s4g00.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=3 2262w" alt="3D illustration of the Epstein-Barr virus in green and red" /><figcaption><span class="caption">Reactivation of the Epstein-Barr virus could drive inflammation in long COVID.</span> <span class="attribution"><a class="source" href="https://www.shutterstock.com/image-illustration/epsteinbarr-virus-ebv-herpes-which-causes-556379407">Shutterstock</a></span></figcaption></figure> <p><strong>3) Antibodies made by combating SARS-CoV-2 could become “self” reactive.</strong> These autoantibodies (antibodies produced by our immune system that mistakenly target and attack our own body’s tissues or organs) might cross-react with host receptors or proteins and <a href="https://www.nature.com/articles/s41577-020-00458-y">drive autoimmune</a> disease.</p> <p>Importantly, recent studies have shown new onset of autoimmune diseases (such as type 1 diabetes, inflammatory bowel disease and psoriasis) are significantly associated with SARS-CoV-2 infection and <a href="https://www.nature.com/articles/s41584-023-00964-y">a link between autoimmunity and long COVID</a> is plausible.</p> <p>This suggests COVID not only has immediate health impacts but could also potentially trigger long-term changes in the immune system.</p> <p>While the studies mentioned above provide initial evidence of persistence of SARS-CoV-2 long after initial infection, more studies are needed to show a convincing link between lingering virus and long COVID. This should include examination of viral RNA and protein in both blood and tissues in people with long COVID independent of disease severity. And it must involve well-developed cohort studies that track large groups of people internationally.</p> <p><a href="https://clinicaltrials.gov/ct2/show/NCT05668091">Several</a> <a href="https://clinicaltrials.gov/ct2/show/NCT05576662">trials are underway</a> to assess whether treating long COVID with antivirals such as Paxlovid may reduce viral antigens and improve symptoms, although this remains experimental.<!-- 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/205025/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/stephen-kent-1283387">Stephen Kent</a>, Professor and Laboratory Head, <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/chansavath-phetsouphanh-1436741">Chansavath Phetsouphanh</a>, Senior Research Associate, Kirby Institute, <em><a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</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/long-covid-could-be-caused-by-the-virus-lingering-in-the-body-heres-what-the-science-says-205025">original article</a>.</em></p> <p><em>Images: Getty</em></p>

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Legendary model Christie Brinkley talks body image ahead of her 70th birthday

<p>Christie Brinkley may be pushing 70 but she’s showing no signs of switching up her sensual public image.</p> <p>The 69-year-old Vogue model will still be donning bikinis for social media and says she feels as good as she did 40 years ago.</p> <p>“I feel strong,” Brinkley told <em>People</em>, “I pretty much feel, as I'm approaching 70, the same way that I felt when I was approaching 30. I feel good.”</p> <p>She spoke to the outlet while hosting Pet Life Unlimited’s Forever Young senior dog adoption event at the Animal Haven shelter in New York City.</p> <p>“I feel like the number doesn't match my spirit, so I may as well just keep spiriting on,” she added. She will turn 70 on February 2, 2024.</p> <p>“I think they all signal to us certain things,” she said.</p> <p>“I've been shocked by not feeling the way I thought I was supposed to be feeling at that age,” she explained.</p> <p>“I don't believe that focusing on age is going to make you feel any better about it.” And her advice for looking young was, “I think curiosity in the world around you and just wanting to do something with each day, that is what keeps you young and going.”</p> <p>The 69-year-old shared that her family keeps her grounded. She has two daughters, Alex Ray, 37, and Sailor, 24, and one son Jack, 27.</p> <p>“I just love any time I have any family and friends around, just being able to sit and laugh — I think laughter heals everything,” she continued.</p> <p>In 2022, Brinkley spoke about her figure. She was seen in a crop top and shorts while stretching on the beach and offered some solid advice.</p> <p>“When you eat too much, it’s not as easy to lose the weight, so here’s a tip that’s tried and true, that will make you feel like your best you,” she said.</p> <p>She also advised, “avoid the sugar and do exercise, it’s not about the size of your thighs.”</p> <p>“Vibrant good health will be your prize! Reminder this month when you buy a bottle, you’ll put planting trees into full throttle!” she said.</p> <p>The mum-of-three was spotted in a light blue swimsuit while walking on the shore in the Caribbean and took to Instagram to reveal to followers what she eats to stay in shape.</p> <p>She broke down her healthy diet tips and tricks that don’t skimp on flavour but rely heavily on freshly picked fruit.</p> <p>In one post she uploaded an image of freshly cut papaya sprinkled with greens.</p> <p>“My neighbors grew this papaya! Look at the rich color! I'm planting the seeds from this papaya!”she wrote.</p> <p>Another post showcased her breakfast which appeared to consist primarily of fresh fruit.</p> <p>“Today's breakfast! Chia seeds really fill you up fast, great source of fiber and quercetin an antioxidant that can reduce your risk of developing several health conditions including heart disease!”, she wrote.</p> <p>Another post saw blueberries and raspers over chia seeds mixed with a “milk replacement” and pecans on top.</p> <p>“Easy to make too just put 2 tablespoons of chia seeds for every half cup of your milk replacement of choice. I love it made with coconut milk or Oatmilk, Just pop it in the fridge and it will puff up. Ta Da!</p> <p>“Add fruit dribble with honey if you have a sweet tooth.”</p> <p><em>Image credit: Instagram</em></p>

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Expert reveals the worst sleeping position for your body

<p>James Leinhardt, a “posture expert” from the United Kingdom, has revealed the worst possible sleeping position for any body. </p> <p>In a video posted to TikTok, he warns viewers about the perils of sleeping on their stomach, claiming that the common position can actually do more harm than good - from muscle strain to the back and spine to chronic pain.</p> <p>“This is literally the worst ever sleeping position,” he declared, after demonstrating what he likes to call “the car crash position”. </p> <p>“You’re rotating your neck, you’re twisting it, you’re putting your head up, you’re fighting all the natural curves of your spine, you’re compressing your vertebrae, you’re getting pins and needles, neck and back pain,” he went on. </p> <p>“And you still do it every night, why? It’s not comfy, it’s just what you’re familiar with. It’s just what your body’s used to. Does this look comfy to you?”</p> <div class="embed" style="font-size: 16px; box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; vertical-align: baseline; outline: none !important;"><iframe class="embedly-embed" style="box-sizing: inherit; margin: 0px; padding: 0px; border-width: 0px; border-style: initial; vertical-align: baseline; width: 610.266px; max-width: 100%; outline: none !important;" title="tiktok embed" src="https://cdn.embedly.com/widgets/media.html?src=https%3A%2F%2Fwww.tiktok.com%2Fembed%2Fv2%2F7227913453904710939&amp;display_name=tiktok&amp;url=https%3A%2F%2Fwww.tiktok.com%2F%40levitex%2Fvideo%2F7227913453904710939&amp;image=https%3A%2F%2Fp16-sign-va.tiktokcdn.com%2Fobj%2Ftos-useast2a-p-0037-aiso%2FoYaEwDEnQGRBcOqebHkRDDAMISdXgTQErJfS7P%3Fx-expires%3D1684810800%26x-signature%3DXA9MNq0Ii1CdE0GzHN5fy%252BuJMx0%253D&amp;key=5b465a7e134d4f09b4e6901220de11f0&amp;type=text%2Fhtml&amp;schema=tiktok" width="340" height="700" frameborder="0" scrolling="no" allowfullscreen="allowfullscreen"></iframe></div> <p>Luckily, Leinhardt came equipped with a few tips and tricks to help break free from the “awful front sleeping” habit to the “beautiful side sleeping”. </p> <p>To begin, he recommended having a pillow between the tip of the ear and the tip of the shoulder, as well as one between the knees and angles, to help “support and stabilise this hip and keep you feeling safer and you’re less likely to bring that leg over.”</p> <p>Of his next tip, hugging a secondary pillow, he noted that “you’re going to de-weight that top shoulder, hug it, and again you’re more stable and less likely to roll over.” </p> <p>He suggested trying his tips out for just 30 minutes, and “if you don’t like it, if it doesn’t work out, go back to that car crash of a sleeping position and start again tomorrow.” </p> <p>“Please listen to me,” he encouraged, “this is absolutely easy for you to achieve, just try it.”</p> <p>And while many were grateful for Leinhardt’s tips, and keen to try them out, there were still those who had no interest in abandoning their comfy old habits, no matter the cost.</p> <p>“It's comfy in the beginning,” one viewer wrote. “Morning is full of regrets though.”</p> <p>“That looks freakin fantastic to me!” another declared. “I mean I would rather sleep like that than not sleep at all, sooooo that’s why we sleep like that, BECAUSE we sleep”.</p> <p>Meanwhile, one simply wanted to know “why all the pleasures of life are forbidden”.</p> <p><em>Images: TikTok</em></p>

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