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Alzheimer’s may have once spread from person to person, but the risk of that happening today is incredibly low

<p><em><a href="https://theconversation.com/profiles/steve-macfarlane-4722">Steve Macfarlane</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p>An article published this week in the prestigious journal <a href="https://www.nature.com/articles/s41591-023-02729-2">Nature Medicine</a> documents what is believed to be the first evidence that Alzheimer’s disease can be transmitted from person to person.</p> <p>The finding arose from long-term follow up of patients who received human growth hormone (hGH) that was taken from brain tissue of deceased donors.</p> <p>Preparations of donated hGH were used in medicine to treat a variety of conditions from 1959 onwards – including in Australia from the mid 60s.</p> <p>The practice stopped in 1985 when it was discovered around 200 patients worldwide who had received these donations went on to develop <a href="https://www.vdh.virginia.gov/epidemiology/epidemiology-fact-sheets/creutzfeldt-jakob-disease-cjd/">Creuztfeldt-Jakob disease</a> (CJD), which causes a rapidly progressive dementia. This is an otherwise extremely rare condition, affecting roughly one person in a million.</p> <h2>What’s CJD got to do with Alzehimer’s?</h2> <p>CJD is caused by prions: infective particles that are neither bacterial or viral, but consist of abnormally folded proteins that can be transmitted from cell to cell.</p> <p>Other prion diseases include kuru, a dementia seen in New Guinea tribespeople caused by eating human tissue, scrapie (a disease of sheep) and variant CJD or bovine spongiform encephalopathy, otherwise known as mad cow disease. This raised <a href="https://en.wikipedia.org/wiki/United_Kingdom_BSE_outbreak">public health concerns</a> over the eating of beef products in the United Kingdom in the 1980s.</p> <h2>Human growth hormone used to come from donated organs</h2> <p>Human growth hormone (hGH) is produced in the brain by the pituitary gland. Treatments were originally prepared from purified human pituitary tissue.</p> <p>But because the amount of hGH contained in a single gland is extremely small, any single dose given to any one patient could contain material from around <a href="https://www.cdc.gov/mmwr/preview/mmwrhtml/00000563.htm">16,000 donated glands</a>.</p> <p>An average course of hGH treatment lasts around four years, so the chances of receiving contaminated material – even for a very rare condition such as CJD – became quite high for such people.</p> <p>hGH is now manufactured synthetically in a laboratory, rather than from human tissue. So this particular mode of CJD transmission is no longer a risk.</p> <h2>What are the latest findings about Alzheimer’s disease?</h2> <p>The Nature Medicine paper provides the first evidence that transmission of Alzheimer’s disease can occur via human-to-human transmission.</p> <p>The authors examined the outcomes of people who received donated hGH until 1985. They found five such recipients had developed early-onset Alzheimer’s disease.</p> <p>They considered other explanations for the findings but concluded donated hGH was the likely cause.</p> <p>Given Alzheimer’s disease is a much more common illness than CJD, the authors presume those who received donated hGH before 1985 may be at higher risk of developing Alzheimer’s disease.</p> <p>Alzheimer’s disease is caused by presence of two abnormally folded proteins: amyloid and tau. There is <a href="https://actaneurocomms.biomedcentral.com/articles/10.1186/s40478-017-0488-7">increasing evidence</a> these proteins spread in the brain in a <a href="https://pubmed.ncbi.nlm.nih.gov/8086126/">similar way to prion diseases</a>. So the mode of transmission the authors propose is certainly plausible.</p> <p>However, given the amyloid protein deposits in the brain <a href="https://www.nia.nih.gov/news/estimates-amyloid-onset-may-predict-alzheimers-progression">at least 20 years</a> before clinical Alzheimer’s disease develops, there is likely to be a considerable time lag before cases that might arise from the receipt of donated hGH become evident.</p> <h2>When was this process used in Australia?</h2> <p>In Australia, donated pituitary material <a href="https://www.health.gov.au/sites/default/files/documents/2022/07/the-cjd-review-final-report.pdf">was used</a> from 1967 to 1985 to treat people with short stature and infertility.</p> <p><a href="https://www.health.gov.au/sites/default/files/documents/2022/07/the-cjd-review-final-report.pdf">More than 2,000 people</a> received such treatment. Four developed CJD, the last case identified in 1991. All four cases were likely linked to a single contaminated batch.</p> <p>The risks of any other cases of CJD developing now in pituitary material recipients, so long after the occurrence of the last identified case in Australia, are <a href="https://www.mja.com.au/journal/2010/193/6/iatrogenic-creutzfeldt-jakob-disease-australia-time-amend-infection-control">considered to be</a> incredibly small.</p> <p>Early-onset Alzheimer’s disease (defined as occurring before the age of 65) is uncommon, accounting for <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4356853/">around 5%</a> of all cases. Below the age of 50 it’s rare and likely to have a genetic contribution.</p> <h2>The risk is very low – and you can’t ‘catch’ it like a virus</h2> <p>The Nature Medicine paper identified five cases which were diagnosed in people aged 38 to 55. This is more than could be expected by chance, but still very low in comparison to the total number of patients treated worldwide.</p> <p>Although the long “incubation period” of Alzheimer’s disease may mean more similar cases may be identified in the future, the absolute risk remains very low. The main scientific interest of the article lies in the fact it’s first to demonstrate that Alzheimer’s disease can be transmitted from person to person in a similar way to prion diseases, rather than in any public health risk.</p> <p>The authors were keen to emphasise, as I will, that Alzheimer’s cannot be contracted via contact with or providing care to people with Alzheimer’s disease.<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/222374/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/steve-macfarlane-4722"><em>Steve Macfarlane</em></a><em>, Head of Clinical Services, Dementia Support Australia, &amp; Associate Professor of Psychiatry, <a href="https://theconversation.com/institutions/monash-university-1065">Monash 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/alzheimers-may-have-once-spread-from-person-to-person-but-the-risk-of-that-happening-today-is-incredibly-low-222374">original article</a>.</em></p>

Mind

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We found 3 types of food wasters, which one are you?

<p><em><a href="https://theconversation.com/profiles/trang-nguyen-1454838">Trang Nguyen</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> and <a href="https://theconversation.com/profiles/patrick-oconnor-109973">Patrick O'Connor</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a></em></p> <p>Each year, Australian households discard about <a href="https://workdrive.zohopublic.com.au/external/06152b9ff5971843391f39fc4d32a847e56fb907c167a4a645887b0a4bc43000">2.5 million tonnes of food</a>. Most (73%) of this food waste <a href="https://www.sciencedirect.com/science/article/pii/S0959652622042081">ends up in landfill</a>.</p> <p>This is costly and contributes to <a href="https://pubmed.ncbi.nlm.nih.gov/37118273/">escalating greenhouse gas emissions</a>, because food waste rotting in landfill produces methane. So reducing household food waste and diverting it from landfill saves money, improves food security and benefits the environment.</p> <p>To address the problem, we need to understand how people generate and dispose of food waste. In <a href="https://doi.org/10.1016/j.foodqual.2023.105000">our new study</a>, we found households fell into three categories – based on the amount of food wasted, how much of that waste was avoidable and how it was sorted. These insights into consumer behaviour point to where the most worthwhile improvements can be made.</p> <figure><iframe src="https://www.youtube.com/embed/JvAFaD5f1Lo?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption></figcaption></figure> <h2>Three types of households</h2> <p>We conducted an online survey of 939 households in metropolitan Adelaide between April and May 2021.</p> <p>The sample closely matched the national Australian population in terms of gender, age and income.</p> <p>We asked about the types of food waste produced, the amount of food waste typically discarded in a week and motivations towards reducing and sorting food waste.</p> <p>We identified three distinct types of households:</p> <p><strong>Warriors</strong> are typically older and highly motivated to reduce and sort food waste. They generate minimal waste (9.6 litres per week), such as bones and vegetable peels, that is mostly unavoidable. This group comprised 39.6% of the sample.</p> <p><strong>Strugglers</strong> mainly consist of families with children who produce the largest amount of food waste (33.1 litres per week). They produce the highest proportion of avoidable food waste, such as uneaten fruits and vegetables, bread and cereals. They are moderately motivated to reduce and sort food waste, but more than half of their food waste still ends up in landfill. This group made up 19.6% of the sample.</p> <p><strong>Slackers</strong> are generally younger. They show little concern about reducing or sorting food waste. Slackers produce the smallest amount of food waste overall (9 litres a week), but the proportion of avoidable food waste (such as mixed leftovers) is significantly higher (38.9%) compared to warriors (24.5%). They are more than twice as likely to live in units, with 17.2% doing so, compared to just 7.8% of warriors. This group was 40.8% of the sample.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/550951/original/file-20230928-27-f7cw8e.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/550951/original/file-20230928-27-f7cw8e.png?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/550951/original/file-20230928-27-f7cw8e.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=361&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/550951/original/file-20230928-27-f7cw8e.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=361&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/550951/original/file-20230928-27-f7cw8e.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=361&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/550951/original/file-20230928-27-f7cw8e.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=454&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/550951/original/file-20230928-27-f7cw8e.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=454&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/550951/original/file-20230928-27-f7cw8e.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=454&amp;fit=crop&amp;dpr=3 2262w" alt="Graphic explainer showing the three types of households with their typical characteristics and food waste behaviours." /></a><figcaption><span class="caption">The three types of households with their typical characteristics and food waste behaviours.</span> <span class="attribution"><a class="source" href="https://doi.org/10.1016/j.foodqual.2023.105000">Trang Nguyen using Canva.com</a>, <a class="license" href="http://creativecommons.org/licenses/by-nc-nd/4.0/">CC BY-NC-ND</a></span></figcaption></figure> <h2>What can households do about their food waste?</h2> <p>Reducing household food waste involves changing behaviours in both food management (“upstream”) and waste management (“downstream”).</p> <p>Upstream measures aim to prevent food waste in the first place. For example, households can avoid buying or cooking too much food. Supporting households to plan and buy just the right amount of food is a great starting point.</p> <p>Once food waste has been produced, downstream measures come into play. The focus shifts to how we handle and dispose of this waste.</p> <p>When households engage in food waste recycling they <a href="https://doi.org/10.3390/su131911099">start thinking more</a> about their behaviour including purchasing and cooking.</p> <p>In Australia, food waste management is mainly the responsibility of local councils.</p> <p>There are three ways to target household food waste management and drive behavioural change:</p> <ul> <li> <p>providing kerbside collection of food organics and garden organics, also known as “FOGO”</p> </li> <li> <p>changing social norms around food waste</p> </li> <li> <p>offering economic incentives and disincentives.</p> </li> </ul> <h2>1. Providing a FOGO system</h2> <p>Councils should provide this option at a minimum. This ensures sufficient infrastructure is available to support motivated households to sort food waste.</p> <p>Unfortunately <a href="https://experience.arcgis.com/experience/e6b5c78e1dac47f88e7e475ffacfc49b">fewer than half of Australian councils</a> provide a garden organics system and only a quarter of councils provide a FOGO system.</p> <p>You can explore <a href="https://experience.arcgis.com/experience/e6b5c78e1dac47f88e7e475ffacfc49b">the FOGO interactive map</a> to see how your area stacks up.</p> <p><a href="https://www.greenindustries.sa.gov.au/resources/adelaide-metro-kerbside-waste-performance-report-2021-22">Most councils in metropolitan Adelaide</a> provide access to food waste recycling through the FOGO bin. But <a href="https://doi.org/10.1016/j.jclepro.2022.134636">our research</a> indicates more than half of household food waste still ends up in landfill. So we need additional programs to promote more sustainable behaviours.</p> <h2>2. Changing social norms</h2> <p>Social norms, the unspoken rules about what behaviours are deemed appropriate, can drive behavioural change.</p> <p>Examples of promoting social norms around food waste reduction include a <a href="https://www.stopfoodwaste.com.au/stop-food-waste-nationwide-consumer-campaign-summit-communique/">nationwide consumer campaign</a> on stopping food waste and the <a href="https://www.cityofadelaide.com.au/resident/recycling-waste/kitchen-caddies/">kitchen caddy</a> for benches to increase convenience for collecting food waste.</p> <p>But our research suggests some groups, like slackers, remain unmotivated without additional incentives. Economic incentives might motivate this group to engage in more sustainable behaviours.</p> <h2>3. Economic incentives</h2> <p>Currently, Australians pay for waste management through their council rates. This is a “pay-as-you-own” system.</p> <p>The cost is determined by the property’s value, regardless of the amount of waste generated. Renters indirectly contribute to this cost by paying rent.</p> <p>Neither owner-occupiers nor renters have any incentive to reduce waste generation when the cost is levied on property value rather than the amount of waste.</p> <p>An alternative approach gaining momentum in other parts of the world is the “pay-as-you-throw” approach, such as <a href="https://www.collectors2020.eu/wcs-ppw/stockholm-se/">Stockholm</a> and <a href="https://pocacito.eu/sites/default/files/WasteCharging_Taipei.pdf">Taipei</a>. This system charges households based on the weight of their waste, usually the general waste that needs to be discarded in landfill, while the collection of food waste and other recyclables remains free to encourage waste sorting.</p> <p>Recent <a href="https://doi.org/10.1016/j.jclepro.2023.137363">research</a> in Italy shows pay-as-you-throw schemes result in significant reductions in both the quantity of waste and costs associated with waste disposal in many Italian municipalities.</p> <p>The reduced costs flow on to savings for councils that could potentially reduce waste management fees passed on to homeowners and renters through council rates. Giving households incentives to reduce waste and find alternatives to disposal encourages residents to place a higher value on food that may otherwise be sent to landfill.</p> <h2>Reducing food waste is a win-win</h2> <p>Tackling food waste is a win-win for people and the planet. It’s worth using various approaches to encourage people to change their behaviour.</p> <p>Our findings can help inform the design of interventions aimed at reducing and sorting food waste in specific segments of the Australian population.<!-- 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/214482/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> <figure><iframe src="https://www.youtube.com/embed/Dx7RWtfgbVw?wmode=transparent&amp;start=11" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">No time to waste: Halving Australia’s food waste by 2030 (Fight Food Waste Cooperative Research Centre)</span></figcaption></figure> <p><a href="https://theconversation.com/profiles/trang-nguyen-1454838"><em>Trang Nguyen</em></a><em>, Postdoctoral Fellow, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a> and <a href="https://theconversation.com/profiles/patrick-oconnor-109973">Patrick O'Connor</a>, Associate Professor, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</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/we-found-3-types-of-food-wasters-which-one-are-you-214482">original article</a>.</em></p>

Food & Wine

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6 signs you’re low in iron

<p>Feeling constantly tired, looking pale and having heart palpitations? Well you could be one of the two billion people thought to suffer from some degree of iron deficiency.</p> <p>Low iron is the most common and widespread nutritional disorder in the world, and is the only nutrient deficiency that is significantly prevalent in the western world, according to the World Health Organization.  </p> <p>Here's how to know, and what to do if you tick all the low iron boxes</p> <p><strong>1. You suffer from fatigue (aka feel tired ALL of the time)</strong></p> <p>The body uses iron to make haemoglobin, the substance in red blood cells that transports oxygen around the body. When you don't have enough healthy red blood cells, you start to feel pretty exhausted. </p> <p><strong>2. You seem to get out of breath easily – even if you’re fit</strong></p> <p>When the body is not efficiently transporting oxygen to the lungs, you can feel breathlessness after minimal exertion. Low iron levels can also cause your endurance to suffer too.</p> <p><strong>3. You look pale and washed out</strong></p> <p>In addition to looking pale, if the inside of your lips, your gums, and the inside of your bottom eyelids are less red than usual, low iron may be the reason behind this. </p> <p><strong>4. You get sick often</strong></p> <p>Ever felt like you’re fighting an endless cold? Research has shown iron deficiency can affect the immune system, making you more likely to pick up infections and viruses.</p> <p><strong>5. You experience heart palpitations</strong></p> <p>Your heart may feel like it's pounding, fluttering or beating irregularly, often for just a few seconds or minutes. </p> <p><strong>6. You get unusual cravings for non-food substances such as dirt, ice, paint, or clay</strong></p> <p>Yes, this does sound very strange, but it's a real symptom that can occur when your body is low in iron – it's called pica. </p> <p><em>Image credits: Getty Images</em></p>

Body

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What is cognitive functional therapy? How can it reduce low back pain and get you moving?

<p><em><a href="https://theconversation.com/profiles/peter-osullivan-48973">Peter O'Sullivan</a>, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a>; <a href="https://theconversation.com/profiles/jp-caneiro-1463060">JP Caneiro</a>, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a>; <a href="https://theconversation.com/profiles/mark-hancock-1463059">Mark Hancock</a>, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a>, and <a href="https://theconversation.com/profiles/peter-kent-1433302">Peter Kent</a>, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a></em></p> <p>If you haven’t had lower back pain, it’s likely you know someone who has. It affects <a href="https://pubmed.ncbi.nlm.nih.gov/22231424/">around 40% of adults</a> in any year, ranging from adolescents to those in later life. While most people recover, <a href="https://pubmed.ncbi.nlm.nih.gov/29112007/">around 20%</a> go on to develop chronic low back pain (lasting more than three months).</p> <p>There is a <a href="https://bjsm.bmj.com/content/54/12/698">common view</a> that chronic low back pain is caused by permanent tissue damage including “wear and tear”, disc degeneration, disc bulges and arthritis of the spine. This “damage” is often described as resulting from injury and loading of the spine (such as bending and lifting), ageing, poor posture and weak “core” muscles.</p> <p>We’re often told to “protect” our back by sitting tall, bracing the core, keeping a straight back when bending and lifting, and avoiding movement and activities that are painful. Health practitioners often <a href="https://theconversation.com/having-good-posture-doesnt-prevent-back-pain-and-bad-posture-doesnt-cause-it-183732">promote and reinforce these messages</a>.</p> <p>But this is <a href="https://bjsm.bmj.com/content/54/12/698">not based on evidence</a>. An emerging treatment known as <a href="https://pubmed.ncbi.nlm.nih.gov/29669082/">cognitive functional therapy</a> aims to help patients undo some of these unhelpful and restrictive practices, and learn to trust and move their body again.</p> <h2>People are often given the wrong advice</h2> <p>People with chronic back pain are often referred for imaging scans to detect things like disc degeneration, disc bulges and arthritis.</p> <p>But these findings are very common in people <em>without</em> low back pain and research shows they <a href="https://pubmed.ncbi.nlm.nih.gov/24276945/">don’t accurately predict</a> a person’s current or future experience of pain.</p> <p>Once serious causes of back pain have been ruled out (such as cancer, infection, fracture and nerve compression), there is <a href="https://pubmed.ncbi.nlm.nih.gov/27745712/">little evidence</a> scan findings help guide or improve the care for people with chronic low back pain.</p> <p>In fact, scanning people and telling them they have arthritis and disc degeneration can <a href="https://pubmed.ncbi.nlm.nih.gov/33748882/">frighten them</a>, resulting in them avoiding activity, worsening their pain and distress.</p> <p>It can also lead to potentially harmful treatments such as <a href="https://pubmed.ncbi.nlm.nih.gov/27213267/">opioid</a> pain medications, and invasive treatments such as spine <a href="https://pubmed.ncbi.nlm.nih.gov/19127161/">injections</a>, spine <a href="https://pubmed.ncbi.nlm.nih.gov/12709856/">surgery</a> and battery-powered electrical stimulation of spinal nerves.</p> <h2>So how should low back pain be treated?</h2> <p>A complex range of factors <a href="https://pubmed.ncbi.nlm.nih.gov/29112007/">typically contribute</a> to a person developing chronic low back pain. This includes over-protecting the back by avoiding movement and activity, the belief that pain is related to damage, and negative emotions such as pain-related fear and anxiety.</p> <p>Addressing these factors in an individualised way is <a href="https://pubmed.ncbi.nlm.nih.gov/29573871/">now considered</a> best practice.</p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/15936976/">Best practice care</a> also needs to be person-centred. People suffering from chronic low back pain want to be heard and validated. They <a href="https://pubmed.ncbi.nlm.nih.gov/35384928/">want</a> to understand why they have pain in simple language.</p> <p>They want care that considers their preferences and gives a safe and affordable pathway to pain relief, restoring function and getting back to their usual physical, social and work-related activities.</p> <p>An example of this type of care is cognitive functional therapy.</p> <h2>What is cognitive functional therapy?</h2> <p><a href="https://pubmed.ncbi.nlm.nih.gov/29669082/">Cognitive functional therapy</a> is about putting the person in the drivers’ seat of their back care, while the clinician takes the time to guide them to develop the skills needed to do this. It’s led by physiotherapists and can be used once serious causes of back pain have been ruled out.</p> <p>The therapy helps the person understand the unique contributing factors related to their condition, and that pain is usually not an accurate sign of damage. It guides patients to relearn how to move and build confidence in their back, without over-protecting it.</p> <p>It also addresses other factors such as sleep, relaxation, work restrictions and engaging in physical activity based on the <a href="https://www.restorebackpain.com/patient-journey">person’s preferences</a>.</p> <p>Cognitive functional therapy usually involves longer physiotherapy sessions than usual (60 minutes initially and 30-45 minute follow-ups) with up to seven to eight sessions over three months and booster sessions when required.</p> <h2>What’s the evidence for this type of therapy?</h2> <p>Our recent clinical trial of cognitive functional therapy, published in <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00441-5/fulltext">The Lancet</a>, included 492 people with chronic low back pain. The participants had pain for an average of four years and had tried many other treatments.</p> <p>We first trained 18 physiotherapists to competently deliver cognitive functional therapy across Perth and Sydney over six months. We compared the therapy to the patient’s “usual care”.</p> <p>We found large and sustained improvements in function and reductions in pain intensity levels for people who underwent the therapy, compared with those receiving usual care.</p> <p>The effects remained at 12 months, which is unusual in low back pain trials. The effects of most recommended interventions such as exercise or psychological therapies are <a href="https://pubmed.ncbi.nlm.nih.gov/34580864/">modest in size</a> and tend to be of <a href="https://pubmed.ncbi.nlm.nih.gov/32794606/">short duration</a>.</p> <p>People who underwent cognitive functional therapy were also more confident, less fearful and had a more positive mindset about their back pain at 12 months. They also liked it, with 80% of participants satisfied or highly satisfied with the treatment, compared with 19% in the usual care group.</p> <p>The treatment was as safe as usual care and was also cost-effective. It saved more than A$5,000 per person over a year, largely due to increased participation at work.</p> <h2>What does this mean for you?</h2> <p>This trial shows there are safe, relatively cheap and effective treatments options for people living with chronic pain, even if you’ve tried other treatments without success.</p> <p><a href="https://www.restorebackpain.com/cft-clinicians">Access to clinicians</a> trained in cognitive functional therapy is currently limited but will expand as training is scaled up.</p> <p>The costs depend on how many sessions you have. Our studies show some people improve a lot within two to three sessions, but most people had seven to eight sessions, which would cost around A$1,000 (aside from any Medicare or private health insurance rebates). <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/207009/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/peter-osullivan-48973">Peter O'Sullivan</a>, Professor of Musculoskeletal Physiotherapy, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a>; <a href="https://theconversation.com/profiles/jp-caneiro-1463060">JP Caneiro</a>, Research Fellow in physiotherapy, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a>; <a href="https://theconversation.com/profiles/mark-hancock-1463059">Mark Hancock</a>, Professor of Physiotherapy, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a>, and <a href="https://theconversation.com/profiles/peter-kent-1433302">Peter Kent</a>, Adjunct Associate Professor of Physiotherapy, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-is-cognitive-functional-therapy-how-can-it-reduce-low-back-pain-and-get-you-moving-207009">original article</a>.</em></p>

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Rob Lowe's West Wing confession

<p>Rob Lowe has spoken candidly about leaving one of his most acclaimed TV shows. </p> <p>The 59-year-old actor has opened up about leaving <em>The West Wing</em>, which first aired in 1999 with Lowe playing  the character of Sam Seaborn, the Bartlet administration's deputy communications director, on the very first episode of the show. </p> <p>The show ran for seven seasons and went off the air in 2006, although Lowe left the show during season four. </p> <p>Despite the show's popularity, Lowe said that leaving the show when he did was the best decision to make for him and his future career. </p> <p>Speaking candidly on the Stitcher Studios' podcast <em>Podcrushed</em>, Lowe was asked about why he left the show, and he summed up his departure with an analogy.</p> <p>He said, "I walked away from the most popular girl at school, but I also knew that it was a super unhealthy relationship, and it was the best thing I ever did."</p> <p>The unofficial story when Lowe left the show, as reported by <em><a href="https://www.cnn.com/2002/SHOWBIZ/TV/07/24/west.wing.lowe/index.html" target="_blank" rel="nofollow noopener" data-i13n="cpos:3;pos:1" data-ylk="slk:Daily Variety;cpos:3;pos:1;elm:context_link;itc:0" data-rapid_p="33" data-v9y="1">Daily Variety</a></em>, was that he was doing so because he couldn't get the salary that he wanted. </p> <p>As Lowe explained to <em>Podcrushed</em> hosts Penn Badgley, Nava Kavelin and Sophie Ansari, his decision had boiled down to one thing.</p> <p>"I felt very undervalued," said Lowe, the author of 2012's <em>Stories I Only Tell My Friends</em>. "Whenever I talk to actors who complain about, you know, their relationships on their shows, it happens. It happens in any workplace. You could be in an environment where people sandbag you, want to see you fail, don't appreciate you, whatever it is and whenever I share my stories, people are like, 'I will never share my own stories again.'"</p> <p>"They would make your hair stand up and there's some of them I wrote. I shared some of them in my book, but I purposely didn't share half of the other ones because it would make the people involved look so bad that I didn't want to do it to them."</p> <p>"So, I did not have a good experience. Tried to make it work and tried to make it work and tried to make it work and then what happened was my kids were getting to a certain age where I could see them having first girlfriends or friends and being in a relationship that was abusive and taking it," said Lowe, the father of sons John Owen, a 27-year-old actor, and venture capitalist Matthew, 29. </p> <p>"She's the popular girl, everybody likes her, she's beautiful, it must be great. All the things that people would say about making <em>The West Wing</em> to me. It's so popular, it's so amazing, it must be amazing, but I know what it's like and if I couldn't walk away from it, then how could I empower my kids to walk away from it?"</p> <p>When Lowe did leave the show, he issued a statement on why his character would be written out.</p> <p>"As much as it hurts to admit it, it has been increasingly clear, for quite a while, that there was no longer a place for Sam Seaborn on<em> The West Wing</em>," he said, <a href="https://www.cnn.com/2002/SHOWBIZ/TV/07/24/west.wing.lowe/index.html" target="_blank" rel="nofollow noopener" data-i13n="cpos:5;pos:1" data-ylk="slk:per CNN;cpos:5;pos:1;elm:context_link;itc:0" data-rapid_p="36" data-v9y="1">per CNN</a>. "However, Warner Bros. has allowed me an opportunity to leave the show as I arrived ... grateful for it, happy to have been on it and proud of it. We were a part of television history and I will never forget it."</p> <p><em>Image credits: Getty Images</em></p>

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Harrison Ford is back as an 80-year-old Indiana Jones – and a 40-something Indy. The highs (and lows) of returning to iconic roles

<p><a href="https://theconversation.com/profiles/ben-mccann-398197">Ben McCann</a>, <em><a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a></em></p> <p>Saddle up, don the fedora and crack that whip: Harrison Ford is back as the intrepid archaeologist in <em>Indiana Jones and the Dial of Destiny</em>. The film premiered at Cannes, where Ford was <a href="https://www.hollywoodreporter.com/movies/movie-news/harrison-ford-honorary-palme-dor-cannes-1235495463/">awarded</a> an Honorary Palme d’Or in recognition of his life’s work.</p> <p>Reviews for the fifth film in the franchise <a href="https://www.hollywoodreporter.com/movies/movie-news/indiana-jones-5-review-roundup-1235495961/">have been mixed</a>, and it is the first Indy film not to be directed by Steven Spielberg (this time, it’s James Mangold, best known for his motor-racing drama Ford v Ferrari).</p> <p>But this is “event” cinema that combines nostalgia, old-school special effects and John Williams’ <a href="https://theconversation.com/from-jaws-to-star-wars-to-harry-potter-john-williams-90-today-is-our-greatest-living-composer-176245">iconic score</a>.</p> <p>So, Ford is back, aged 80. What draws actors back after all this time?</p> <figure><iframe src="https://www.youtube.com/embed/eQfMbSe7F2g?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>Role returns</h2> <p>Ford first played Indy in 1981 and last played him in 2008. That is a full 15 years since the most recent film in the series, and 42 years since his first outing in <em>Raiders of the Lost Ark</em>.</p> <p>Ford has form in returning to celebrated characters. One of the great pleasures of watching <em>The Force Awakens</em> back in 2015 was seeing Ford play Han Solo again for the <a href="https://www.dailymotion.com/video/x3j2j09">first time in over 30 years</a>.</p> <figure><iframe src="https://www.youtube.com/embed/0xQSIdSRlAk?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Actors return to roles for numerous reasons:</p> <ul> <li>financial (Ford was reportedly paid <a href="https://okmagazine.com/exclusives/harrison-ford-paid-indiana-jones-5-plagued-with-problems/">US$25 million</a> for <em>Dial of Destiny</em>)</li> <li>protection of their brand, image and star persona (Michael Keaton <a href="https://www.fortressofsolitude.co.za/the-flash-movies-biggest-hero-how-michael-keaton-saved-the-film/">returning to play Batman</a> after three decades and three other actors who have embodied the role)</li> <li>professional (Tom Cruise admitted over the 36 years between <em>Top Gun</em> films he wanted to make sure the sequel <a href="https://screenrant.com/top-gun-maverick-tom-cruise-return-how-explained/">could live up to the original</a>)</li> <li>personal (once-huge stars are working less and less, and only feel the need to return to a built-in fan base every few years – Bill Murray in the 2021 <em>Ghostbusters</em> sequel springs to mind).</li> </ul> <p>It’s not always a successful endeavour.</p> <p>Arnold Schwarzenegger and Sylvester Stallone – two of the biggest action stars of the 1980s off the back of iconic roles as <em>The Terminator</em>, Rocky Balboa and John Rambo – have repeatedly returned to those roles, and critics have been <a href="https://screenrant.com/terminator-dark-fate-undermined-john-connor-storyline-franchise-bad/">particularly harsh</a>.</p> <p>It did not work for Sigourney Weaver in <em><a href="https://www.rogerebert.com/reviews/alien-resurrection-1997">Alien: Resurrection</a></em> in 1997, 18 years after her first time as Ripley; nor for Keanu Reeves in <em><a href="https://www.theguardian.com/film/2021/dec/21/the-matrix-resurrections-review-keanu-reeves">The Matrix Resurrections</a></em> in 2021, 23 years after the original.</p> <p>And still, I’m intrigued to see what Michael Mann could do with his long-rumoured sequel to <em>Heat</em>, his definitive 1995 crime film. Ever since Mann published his novel Heat 2 last year – a kind of origin story for <em>Heat’s</em> key protagonists – fans have been hoping a de-aged Al Pacino (now aged 83) <a href="https://deadline.com/2023/04/michael-mann-heat-2-warner-bros-adam-driver-young-neil-mccauley-1235316777/">might return</a> as LA cop Vincent Hanna.</p> <h2>Undoing time</h2> <p>“Digital de-ageing” first entered the Hollywood mainstream in 2019 with <em>The Irishman</em> and <em>Captain Marvel</em>.</p> <p><a href="https://www.indiewire.com/features/craft/de-aging-actors-history-benjamin-button-dial-of-destiny-harrison-ford-1234863938/">Via this process</a>, older actors (Robert De Niro, Al Pacino and Samuel L. Jackson have all been subject to the technology) move back and forwards in time without younger actors having to play them.</p> <figure><iframe src="https://www.youtube.com/embed/OF-lElIlZM0?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Films still tend to cast two actors to play older and younger versions of the same character, a choice that dates back at least to 1974’s <em>The Godfather Part II</em>, in which a young Robert de Niro plays Vito Corleone, portrayed by the much older Marlon Brando in the first film.</p> <p>In 1989, <em>Indiana Jones and the Last Crusade</em> features a delightful opening scene where River Phoenix plays the young version of Indiana Jones, before Ford takes over for the rest of the film.</p> <figure><iframe src="https://www.youtube.com/embed/AwH6-Yh7_SM?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Actors used to just play characters of their own age when reprising earlier roles. Paul Newman finally won a Best Actor Oscar for his role as “Fast Eddie” Felson in <em>The Color of Money</em> (1986), a quarter of a century after first playing him in The Hustler.</p> <p>The sequel plays on Newman’s age, and his role as a mentor to an upcoming Tom Cruise, and bathes viewers in nostalgia and memories of <a href="https://faroutmagazine.co.uk/paul-newman-schooled-tom-cruise-the-color-of-money/">a younger Newman</a>.</p> <figure><iframe src="https://www.youtube.com/embed/k7gmrKAFshE?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>But actors no longer have to exclusively play their age.</p> <p>The first part of <em>Dial of Destiny</em> is an extended flashback, set in 1944, in which Ford has been digitally de-aged to appear in his 40s. This process used an AI system that scanned used and unused reels of footage of Ford from <a href="https://www.cbr.com/harrison-ford-de-aging-indiana-jones-dial-of-destiny/">the first three Indy films</a> to match his present-day performance.</p> <p>Here, it is as if we are getting two Fords for the price of one: the “younger”, fitter Indy and the older, more world-weary version. It makes for a powerfully emotional connection on screen.</p> <p>Yet there are some <a href="https://variety.com/2023/film/awards/indiana-jones-5-harrison-ford-de-aging-not-working-1235618698/">pitfalls to de-ageing</a>. Some viewers complain that the whole process is distracting and that the hyper-real visual look of de-aged scenes resembles a video game.</p> <p>Even so, de-ageing in Hollywood cinema is here to stay. Tom Hanks’s <a href="https://variety.com/2023/film/news/tom-hanks-robin-wright-digitally-deaged-robert-zemeckis-movie-1235507766/">next film</a> is using AI-based generative technology to digitally de-age him.</p> <p>Given its reduced cost, speed and reduced human input, AI-driven innovation might have <a href="https://filmstories.co.uk/news/new-ai-driven-de-ageing-tools-to-be-used-in-tom-hanks-project/">industry-changing ramifications</a>.</p> <h2>The star of Ford</h2> <p>Harrison Ford remains a bona fide “movie star” in an industry profoundly buffeted by COVID, the rise of streaming platforms, the demise of the monoculture, and the changing nature of who constitutes a star.</p> <p>In the midst of all this industry uncertainty, it seems there is no longer a statute of limitations on actors returning to much-loved characters.</p> <p>The next big ethical issue for the film industry as it further embraces AI is whether to <a href="https://collider.com/james-dean-digital-cgi-performance-in-new-movie/">resurrect deceased actors</a> and cast them in new movies.</p> <p>Still, I’m looking forward to seeing more actors de-aged as the technology improves and audiences acclimatise to watching older actors “playing” younger versions of themselves. We are only at the start of Hollywood’s next big adventure.<!-- 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/202357/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/ben-mccann-398197">Ben McCann</a>, Associate Professor of French Studies, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</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/harrison-ford-is-back-as-an-80-year-old-indiana-jones-and-a-40-something-indy-the-highs-and-lows-of-returning-to-iconic-roles-202357">original article</a>.</em></p>

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Opioids don’t relieve acute low back or neck pain – and can result in worse pain, new study finds

<p><em><a href="https://theconversation.com/profiles/christine-lin-346821">Christine Lin</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/andrew-mclachlan-255312">Andrew McLachlan</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/caitlin-jones-1263090">Caitlin Jones</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/christopher-maher-826241">Christopher Maher</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>Opioids are the one of the most prescribed pain-relief for people with low back and neck pain. In Australia, around <a href="https://link.springer.com/article/10.1007/s00586-017-5178-4">40% of people</a> with low back and neck pain who present to their GP and <a href="https://qualitysafety.bmj.com/content/28/10/826">70% of people</a> with low back pain who visit a hospital emergency department are prescribed opioids such as oxycodone.</p> <p>But our <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00404-X/fulltext">new study</a>, published today in the Lancet medical journal, found opioids do not relieve “acute” low back or neck pain (lasting up to 12 weeks) and can result in worse pain.</p> <p>Prescribing opioids for low back and neck pain can also cause <a href="https://www.healthdirect.gov.au/taking-opioid-medicines-safely">harms</a> ranging from common side effects – such as nausea, constipation and dizziness – to <a href="https://www.aihw.gov.au/reports/illicit-use-of-drugs/opioid-harm-in-australia/summary">misuse, dependency, poisoning and death</a>.</p> <p>Our findings show opioids should <em>not</em> be recommended for acute low back pain or neck pain. A change in prescribing for low back pain and neck pain is urgently needed in <a href="https://www.tga.gov.au/resources/publication/publications/addressing-prescription-opioid-use-and-misuse-australia">Australia</a> and <a href="https://www.thelancet.com/commissions/opioid-crisis">globally</a> to reduce opioid-related harms.</p> <h2>Comparing opioids to a placebo</h2> <p>In our trial, we randomly allocated 347 people with acute low back pain and neck pain to take either an opioid (oxycodone plus naloxone) or <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/placebo-effect">placebo</a> (a tablet that looked the same but had no active ingredients).</p> <p>Oxycodone is an opioid pain medicine which can be given orally. <a href="https://www.nps.org.au/radar/articles/oxycodone-with-naloxone-controlled-release-tablets-targin-for-chronic-severe-pain">Naloxone</a>, an opioid-reversal drug, reduces the severity of constipation while not disrupting the pain relieving effects of oxycodone.</p> <p>Participants took the opioid or placebo for a maximum of six weeks.</p> <p>People in the both groups also received <a href="https://www.sciencedirect.com/science/article/pii/S1836955321000941">education and advice</a> from their treating doctor. This could be, for example, advice on returning to their normal activities and avoiding bed rest.</p> <p>We assessed their outcomes over a one-year period.</p> <h2>What did we find?</h2> <p>After six weeks of treatment, taking opioids did not result in better pain relief compared to the placebo.</p> <p>Nor were there benefits to other outcomes such as physical function, quality of life, recovery time or work absenteeism.</p> <p>More people in the group treated with opioids experienced nausea, constipation and dizziness than in the placebo group.</p> <p>Results at one year highlight the potential long-term harm of opioids even with short-term use. Compared to the placebo group, people in the opioid group experienced slightly worse pain, and reported a higher risk of <a href="https://academic.oup.com/painmedicine/article/20/1/113/4728236#129780622">opioid misuse</a> (problems with their thinking, mood or behaviour, or using opioids differently from how the medicines were prescribed).</p> <p>More people in the opioid group reported pain at one year: 66 people compared to 50 in the placebo group.</p> <h2>What will this mean for opioid prescribing?</h2> <p>In recent years, international low back pain guidelines have shifted the focus of treatment from drug to non-drug treatment due to <a href="https://www.thelancet.com/article/S0140-6736(18)30489-6/fulltext">evidence</a> of limited treatment benefits and concern of medication-related harm.</p> <p>For acute low back pain, <a href="https://link.springer.com/article/10.1007/s00586-018-5673-2">guidelines</a> recommend patient education and advice, and if required, anti-inflammatory pain medicines such as ibuprofen. Opioids are <a href="https://link.springer.com/article/10.1007/s00586-018-5673-2">recommended only</a> when other treatments haven’t worked or aren’t appropriate.</p> <p>Guidelines for <a href="https://pubmed.ncbi.nlm.nih.gov/33064878/">neck</a> pain similarly discourage the use of opioids.</p> <p>Our latest research clearly demonstrates the benefits of opioids do not outweigh possible harms in people with acute low back pain and neck pain.</p> <p>Instead of advising opioid use for these conditions in selected circumstances, opioids should be discouraged without qualification.</p> <h2>Change is possible</h2> <p>Complex problems such as opioid use need smart solutions, and another study we recently conducted provides convincing data opioid prescribing can be successfully reduced.</p> <p>The <a href="https://qualitysafety.bmj.com/content/30/10/825">study</a> involved four hospital emergency departments, 269 clinicians and 4,625 patients with low back pain. The intervention comprised of:</p> <ul> <li>clinician education about <a href="https://aci.health.nsw.gov.au/networks/musculoskeletal/resources/low-back-pain">evidence-based management</a> of low back pain</li> <li>patient education using posters and handouts to highlight the benefits and harms of opioids</li> <li>providing heat packs and anti-inflammatory pain medicines as alternative pain-management treatments</li> <li>fast-tracking referrals to outpatient clinics to avoid long waiting lists</li> <li>audits and feedback to clinicians on information about opioid prescribing rates.</li> </ul> <p>This intervention reduced opioid prescribing from <a href="https://qualitysafety.bmj.com/content/30/10/825">63% to 51% of low back pain presentations</a>. The <a href="https://emj.bmj.com/content/early/2023/04/02/emermed-2022-212874">reduction was sustained for 30 months</a>.</p> <p>Key to this successful approach is that we worked with clinicians to develop suitable pain-management treatments without opioids that were feasible in their setting.</p> <p>More work is needed to evaluate this and other interventions aimed at reducing opioid prescribing in other settings including GP clinics.</p> <p>A nuanced approach is often necessary to avoid causing <a href="https://theconversation.com/opioid-script-changes-mean-well-but-have-left-some-people-in-chronic-pain-156753">unintended consequences</a> in reducing opioid use.</p> <p>If people with low back pain or neck pain are using opioids, especially at higher doses over an extended period of time, it’s important they seek advice from their doctor or pharmacist before stopping these medicines to avoid <a href="https://www.healthdirect.gov.au/opioid-withdrawal-symptoms">unwanted effects when the medicines are abruptly stopped</a>.</p> <p>Our research provides compelling evidence opioids have a limited role in the management of acute low back and neck pain. The challenge is getting this new information to clinicians and the general public, and to implement this evidence into practice.<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/203244/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/christine-lin-346821">Christine Lin</a>, Professor, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/andrew-mclachlan-255312">Andrew McLachlan</a>, Head of School and Dean of Pharmacy, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/caitlin-jones-1263090">Caitlin Jones</a>, Postdoctoral Research Associate in Musculoskeletal Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/christopher-maher-826241">Christopher Maher</a>, Professor, Sydney School of Public Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</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/opioids-dont-relieve-acute-low-back-or-neck-pain-and-can-result-in-worse-pain-new-study-finds-203244">original article</a>.</em></p>

Body

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15 great kitchen hacks to extend the life of food and save on waste

<p>If you’re sick of throwing food in the bin (and wasting money), try these simple tips to reduce your wastage in the kitchen.         </p> <p><strong>1. Use food scraps to grow vegetables</strong></p> <p>Save the odds and ends from veggies such as potatoes, sweet potatoes, leeks, spring onions, celery, bok choy, garlic and even onions. These can all be replanted in some soil and will grow back. Just don’t forget to water them.</p> <p><strong>2. Reheat leftover slices of pizza in a frying pan</strong></p> <p>If you aren’t a fan of floppy microwaved pizza, just pop your pizza into a hot fry pan instead. Your crusts will stay crispy and it will heat through much faster than it would in the oven.</p> <p><strong>3. Bring stale potato chips back to life in the microwave</strong></p> <p>If you left the bag open overnight, fear not. Pop your stale chips in the microwave on high for 10 seconds or until crisp.</p> <p><strong>4. Use leftover herbs to make herb butter</strong></p> <p>If your herbs are on the turn, just chop them up and mix with some melted butter. Pop it into some ice cube trays and freeze. Then you can enjoy the perfect portion of herb butter to use on your steak or to make homemade garlic bread.</p> <p><strong>5. Keep bananas fresher by wrapping the tips</strong></p> <p>If you want your bananas to last longer in the fruit bowl, just wrap their tips with some cling film. They should keep for around three to five days longer.</p> <p><strong>6. Keep greens fresher in foil</strong></p> <p>Celery, broccoli, and lettuce all last much longer in the fridge if you wrap them in foil first.</p> <p><strong>7. Keep pineapples sweet by storing upside down</strong></p> <p>The sugars in this fruit can all end up on the bottom after the time spent in transit. So keep your pineapple upside down when you get home and the sweetness will be redistributed evenly.</p> <p><strong>8. Use a glass to peel a mango</strong></p> <p>You can use a glass to slide the skin off your mango. This will avoid wasting any fruit that you’d normally toss after peeling with a knife.</p> <p><strong>9. Make a two-ingredient Nutella milkshake</strong></p> <p>When you need a sweet treat but you’re nearly out of Nutella, just add warm milk to the jar and shake well.</p> <p><strong>10. Avoid sprouting potatoes by storing them with apples</strong></p> <p>The ethylene gas in the apples helps to stop your potatoes from sprouting.</p> <p><strong>11. Keep leftover avocado fresh by storing it with a sliced onion</strong></p> <p>There is sulfur in the onion and this keeps the avocado from going brown.</p> <p><strong>12. Keep cake fresh by covering with sliced bread</strong></p> <p>Cover the exposed cake with some bread held in place with toothpicks and it will stay soft.</p> <p><strong>13. Extend the life of your eggs with vegetable oil</strong></p> <p>By rubbing the eggshells with vegetable oil it will keep them fresher in the fridge for three to four weeks.</p> <p><strong>14. Keep lettuce fresh by storing in a brown paper bag</strong></p> <p>No more sad and limp leaves! Keep your lettuce wrapped in a brown paper bag in the fridge. Plus, keeping the outer layers in place even if they have gone brown will keep the inside fresher for longer.</p> <p><strong>15. Reuse coffee grounds in the garden</strong></p> <p>Plants such as roses, hydrangeas, blueberries, raspberries, strawberries and tomatoes will all appreciate a liberal sprinkling of your used coffee grounds.</p> <p><strong>Related links:</strong></p> <p><span style="text-decoration: underline;"><strong><em><a href="http://www.oversixty.co.nz/lifestyle/home-garden/2015/12/stains-never-to-clean-with-water/">4 stains you shouldn’t use water to clean</a></em></strong></span></p> <p><span style="text-decoration: underline;"><strong><em><a href="http://www.oversixty.co.nz/lifestyle/home-garden/2015/12/household-tricks-from-the-1900s-2/">More great vintage household tricks from the 1900s</a></em></strong></span></p> <p><span style="text-decoration: underline;"><strong><em><a href="http://www.oversixty.co.nz/lifestyle/home-garden/2015/12/alternatives-to-wrapping-paper/">8 DIY alternatives to wrapping paper</a></em></strong></span></p>

Home Hints & Tips

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Don’t blame women for low libido. Sexual sparks fly when partners do their share of chores – including calling the plumber

<p>When a comic about “mental load” <a href="https://english.emmaclit.com/2017/05/20/you-shouldve-asked/">went viral in 2017</a>, it sparked conversations about the invisible workload women carry. Even when women are in paid employment, they remember their mother-in-law’s birthday, know what’s in the pantry and organise the plumber. This mental load often goes unnoticed.</p> <p>Women also <a href="https://theconversation.com/yet-again-the-census-shows-women-are-doing-more-housework-now-is-the-time-to-invest-in-interventions-185488">continue to do more housework</a> and childcare than their male partners.</p> <p>This burden has been exacerbated over the recent pandemic (homeschooling anyone?), <a href="https://theconversation.com/planning-stress-and-worry-put-the-mental-load-on-mothers-will-2022-be-the-year-they-share-the-burden-172599">leaving women</a> feeling exhausted, anxious and resentful.</p> <p>As sexuality researchers, we wondered, with all this extra work, do women have any energy left for sex?</p> <p>We decided to explore how mental load affects intimate relationships. We focused on female sexual desire, as “low desire” affects <a href="https://www.sciencedirect.com/science/article/abs/pii/S1743609520307566">more than 50% of women</a> and is <a href="https://www.sciencedirect.com/science/article/abs/pii/S0091302217300079">difficult to treat</a>.</p> <p>Our study, published in the <a href="https://www.tandfonline.com/doi/full/10.1080/00224499.2022.2079111">Journal of Sex Research</a>, shows women in equal relationships (in terms of housework and the mental load) are more satisfied with their relationships and, in turn, feel more sexual desire than those in unequal relationships.</p> <p> </p> <h2>How do we define low desire?</h2> <p>Low desire is tricky to explore. More than simply the motivation to have sex, women describe sexual desire as a state-of-being and a need for closeness.</p> <p>Adding to this complexity is the fluctuating nature of female desire that changes in response to life experiences and the <a href="https://www.bbc.com/future/article/20160630-the-enduring-enigma-of-female-desire">quality of relationships</a>.</p> <p>Relationships are especially important to female desire: relationship dissatisfaction is a <a href="https://pubmed.ncbi.nlm.nih.gov/18410300/">top risk factor</a> for low desire in women, even more than the physiological impacts of age and menopause. Clearly, relationship factors are critical to understanding female sexual desire.</p> <p>As a way of addressing the complexity of female desire, a <a href="https://link.springer.com/article/10.1007/s10508-018-1212-9">recent theory</a> proposed two different types of desire: dyadic desire is the sexual desire one feels for another, whereas solo desire is about individual feelings.</p> <p>Not surprisingly, dyadic desire is intertwined with the dynamics of the relationship, while solo desire is more amorphous and involves feeling good about yourself as a sexual being (feeling sexy), without needing validation from another.</p> <h2>Assessing the link</h2> <p>Our research acknowledged the nuances of women’s desire and its strong connection to relationship quality by exploring how fairness in relationships might affect desire.</p> <p>The research involved asking 299 Australian women aged 18 to 39 questions about desire and relationships.</p> <p>These questions included assessments of housework, mental load – such as who organised social activities and made financial arrangements – and who had more leisure time.</p> <p>We compared three groups:</p> <ul> <li>relationships where women perceived the work as equally shared equal (the “equal work” group)</li> <li>when the woman felt she did more work (the “women’s work” group)</li> <li>when women thought that their partner contributed more (the “partner’s work” group).</li> </ul> <p>We then explored how these differences in relationship equity impacted female sexual desire.</p> <h2>What we found</h2> <p>The findings were stark. Women who rated their relationships as equal also reported greater relationship satisfaction and higher dyadic desire (intertwined with the dynamics of the relationship) than other women in the study.</p> <p>Unfortunately (and perhaps, tellingly), the partner’s work group was too small to draw any substantial conclusions.</p> <p>However, for the women’s work group it was clear their dyadic desire was diminished. This group was also less satisfied in their relationships overall.</p> <p>We found something interesting when turning our attention to women’s solo desire. While it seems logical that relationship inequities might affect all aspects of women’s sexuality, our results showed that fairness did not significantly impact solo desire.</p> <p>This suggests women’s low desire isn’t an internal sexual problem to be treated with <a href="https://www.insider.com/guides/health/yoni-eggs#:%7E:text=Yoni%20eggs%20are%20egg%2Dshaped,bacterial%20infections%20and%20intense%20pain.">mindfulness apps and jade eggs</a>, but rather one that needs effort from both partners.</p> <p>Other relationship factors are involved. We found children increased the workload for women, leading to lower relationship equity and consequently, lower sexual desire.</p> <p> </p> <p>Relationship length also played a role. Research shows long-term relationships are <a href="https://link.springer.com/article/10.1007/s10508-018-1175-x">associated with</a> decreasing desire for women, and this is often attributed to the tedium of over-familiarity (think of the bored, sexless <a href="https://www.youtube.com/watch?v=kBq-Nyo0lQg">wives in 90s sitcoms</a>).</p> <p>However our research indicates relationship boredom is not the reason, with the increasing inequity over the course of a relationship often the cause of women’s disinterest in sex.</p> <p>The longer some relationships continue, the more unfair they become, lowering women’s desire. This may be because women take on managing their partner’s relationships, as well as their own (“It’s time we had your best friend over for dinner”).</p> <p>And while domestic housework may start as equally shared, over time, women <a href="https://www.abs.gov.au/media-centre/media-releases/women-spent-more-time-men-unpaid-work-may">tend to do more</a> household tasks.</p> <h2>What about same-sex couples?</h2> <p>Same-sex couples have <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/fare.12293">more equitable relationships</a>.</p> <p>However, we found the same link between equity and desire for women in same-sex relationships, although it was much stronger for heteronormative couples.</p> <p>A sense of fairness within a relationship is fundamental to all women’s satisfaction and sexual desire.</p> <h2>What happens next?</h2> <p>Our findings suggest one response to low desire in women could be to address the amount of work women have to take on in relationships.</p> <p>The link between relationship satisfaction and female sexual desire has been firmly established in <a href="https://link.springer.com/article/10.1007/s10508-018-1175-x">previous research</a> but our findings explain how this dynamic works: women’s sense of fairness within a relationship forecasts their contentment, which has repercussions on their desire for their partner.</p> <p>To translate our results into clinical practice, we could run trials to confirm if lowering women’s mental load results in greater sexual desire.</p> <p>We could have a “housework and mental load ban” for a sample of women reporting low sexual desire and record if there are changes in their reported levels of desire.</p> <p>Or perhaps women’s sexual partners could do the dishes tonight and see what happens.</p> <p><em>Image credit: Shutterstock</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/dont-blame-women-for-low-libido-sexual-sparks-fly-when-partners-do-their-share-of-chores-including-calling-the-plumber-185401" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Relationships

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How ‘ugly’ fruit and vegetables could tackle food waste and solve supermarket supply shortages

<p>The world is facing a significant food waste problem, with <a href="https://www.fao.org/3/i4068e/i4068e.pdf">up to half of all fruit and vegetables</a> lost somewhere along the agricultural food chain. Globally, around <a href="https://www.fao.org/3/ca6030en/ca6030en.pdf">14% of food produced</a> is lost after harvesting but before it reaches shops and supermarkets.</p> <p>Alongside food prices (66%), food waste is a concern for 60% of people that participated in a <a href="https://www.food.gov.uk/research/food-and-you-2/food-and-you-2-wave-5">recent survey</a> published by the UK Food Standards Agency. <a href="https://publications.parliament.uk/pa/cm201617/cmselect/cmenvfru/429/429.pdf">Other research</a> suggests that as much as 25% of apples, 20% of onions and 13% of potatoes grown in the UK are destroyed because they don’t look right. This means that producers’ efforts to meet stringent specifications from buyers can lead to <a href="https://publications.parliament.uk/pa/cm201617/cmselect/cmenvfru/429/429.pdf">perfectly edible produce being discarded</a> before it even leaves the farm – simply because of how it looks.</p> <p>Aside from the ongoing environmental implications of this food waste, UK shoppers currently face <a href="https://www.theguardian.com/environment/2023/mar/04/food-tsar-blames-shortages-on-uks-weird-supermarket-culture">produce rationing in some supermarkets</a> due to <a href="https://www.cnbc.com/2023/02/28/british-supermarkets-are-rationing-fruit-and-vegetables-amid-shortages.html">shortages of items like tomatoes, cucumbers and raspberries</a>. Any solutions that increase locally grown produce on shop shelves could improve the availability of fresh food, particularly in urban areas.</p> <p>When imperfect fruit and vegetables don’t make it to supermarket shelves, it can be due to <a href="https://cases.open.ubc.ca/insistence-on-cosmetically-perfect-fruits-vegetables/">cosmetic standards</a>. Supermarkets and consumers often prefer produce of a fairly standard size that’s free of blemishes, scars and other imperfections. This means fruit and vegetables that are misshapen, discoloured, or even too small or too large, are rejected before they make it to supermarket shelves.</p> <p>In recent years there has been a growing trend of selling such “ugly” fruit and vegetables, both by <a href="https://my.morrisons.com/wonky-fruit-veg/">major</a> <a href="https://www.waitrose.com/ecom/content/sustainability/food-waste">supermarket</a> <a href="https://www.tescoplc.com/news/2021/wonky-veg-5th-anniversary/">chains</a>, as well as <a href="https://wonkyvegboxes.co.uk/">speciality</a> <a href="https://www.misfitsmarket.com/?exp=plans_rollback">retailers</a> that sell <a href="https://www.oddbox.co.uk/">boxes</a> of <a href="https://etepetete-bio.de/">wonky produce</a>. And research has shown that 87% of people say they would <a href="https://www.thegrocer.co.uk/fruit-and-veg/nearly-90-of-consumers-would-eat-wonky-fruit-and-veg-according-to-new-survey/670155.article">eat wonky fruit and vegetables if they were available</a>. But other research indicates consumers can still be picky and difficult to predict. One study <a href="https://www.sciencedirect.com/science/article/pii/S0950329316302002?via%3Dihub">showed</a> consumers are likely to throw away an apple with a spot, but would eat a bent cucumber.</p> <h2>Getting ugly produce into baskets</h2> <p>So how can producers and retailers boost the amount of non-standard fruit and veg that not only reaches our shelves, but also our plates? <a href="https://www.sciencedirect.com/science/article/pii/S0377221723000668">Our recent research</a> suggests a separate channel for selling ugly produce would increase profits for growers, lower prices for consumers and boost overall demand for produce.</p> <p>For growers, a dedicated channel – either independent or set up by a supermarket – to supply wonky fruit and veg creates a new line of business. For retailers, this provides an opportunity for further revenue over and above current sales of standard produce to shops. When selling both types of product to a single retailer, the ugly items might be undervalued compared with the standard-looking products. Our research also shows that selling the ugly produce through a dedicated channel is likely to increase total demand for fruit and vegetables, while also decreasing on-farm loss.</p> <p>Having two parallel channels for selling produce (the main one and the dedicated “ugly” channel) would increase competition. This benefits shoppers by lowering prices for regular and ugly produce, versus selling both types of products alongside each other in one shop.</p> <p>On the other hand, the growing market for ugly fruit and vegetables could be an economic threat to traditional retailers. It encourages new entrants into the market and could also limit the availability of “regular” produce because growers could become less stringent about ensuring produce meets traditional cosmetic standards.</p> <p>But there is a way for traditional retailers to add ugly produce into their product offerings alongside other produce without affecting their profits. By building on existing consumer awareness of the environmental benefits of ugly food, they could also compete in this growing segment. This would benefit their bottom lines and help consumer acceptance of misshapen fruit and vegetables, possibly leading to less food waste and shortages like those UK shoppers are experiencing right now.</p> <p>Boosting demand for imperfect fruit and vegetables across the supply chain will require all participants to get involved – from grower to seller. Here are some steps the various parties could take:</p> <h2>1. Educating consumers</h2> <p>Education about the environmental and economic impact of food waste could happen through marketing campaigns, in-store displays and even social media.</p> <h2>2. Reducing cosmetic standards</h2> <p>Supermarkets and other major food retailers could revise their cosmetic standards to accept a wider range of produce, including imperfect fruit and vegetables. This would help reduce food waste by making sure more produce is able to be sold.</p> <h2>3. Direct sales</h2> <p>Farmers and growers could sell non-standard produce directly to consumers through farmers’ markets or subscription services. This allows consumers to purchase fresh, locally grown produce that might not meet cosmetic standards for supermarkets but that is just as nutritionally beneficial.</p> <h2>4. Food donations</h2> <p>Supermarkets and growers could donate produce rejected for how it looks to food banks, shelters and other organisations that serve those in need. This would help reduce food waste while also providing healthy food to those who might not otherwise have access to it.</p> <h2>5. Value-added products</h2> <p>Produce that doesn’t meet cosmetic standards could also be used to create other products such as soups, sauces and juices. In addition to reducing food waste, this would create new revenue streams for growers and retailers.</p> <h2>6. Food composting</h2> <p>Anything that cannot be sold or otherwise used should be composted. This would help reduce food waste while also creating nutrient-rich soil for future crops.</p> <p>By implementing these solutions, the supply chain can reduce the amount of ugly or imperfect fruit and vegetables that are wasted, while also providing consumers with healthy, affordable produce, even in times of supply chain shortages.</p> <p><em>This article originally appeared on <a href="https://theconversation.com/how-ugly-fruit-and-vegetables-could-tackle-food-waste-and-solve-supermarket-supply-shortages-201216" target="_blank" rel="noopener">The Conversation</a>.</em></p> <p><em>Images: Getty</em></p>

Food & Wine

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10 things that are always a waste to pack

<p>All travellers know the hardships of packing the necessities for the trip ahead. And everyone knows how many things you haven’t actually used by the time you get home again – what a waste of precious space in your luggage.</p> <p>Here is a list of 10 things to not bother packing in your suitcase.</p> <p><strong>1. Shampoo and conditioner</strong></p> <p>You can purchase these items at the places you travel. If the locals have easy access to hair products then so will you. Hotels should provide little travel-sized minis which will last a few days. Travelling with liquids can also lead to delays at security check points.</p> <p><strong>2. Shoes</strong></p> <p>Don’t pack more than two pairs of shoes – they take up unnecessary weight and space. Ensure you have a comfortable pair of walking shoes and some shoes that are nice enough to go out in at restaurants and other events.</p> <p><strong>3. Jewellery</strong></p> <p>Don’t bring your favourite expensive jewellery, you are only human and can accidentally leave items behind in hotels or apartments. You could also increase your risk of becoming a target for pickpockets. Try swapping out your diamond earrings for some cheaper substitute studs while you’re away.</p> <p><strong>4. Laptop</strong></p> <p>Don’t bring your laptop. Unless you’re travelling for work, you probably don’t need to bring a computer on your holiday. You could also become a target for thieves while travelling if they notice you have an expensive technological device with you.</p> <p><strong>5. Swimming costume</strong></p> <p>Don’t bring more than two swimming costumes. They are easy to wash and having two on hand always ensures you have a dry one to wear for the next day. Just put the swimmers in the sink filled with cool water and add some mild detergent before rinsing and wringing out to dry.</p> <p><strong>6. Hair dryer </strong></p> <p>Hair dryers are heavy and bulky, so they aren’t the easiest thing to try and squeeze into your suitcase. Hairdryers are usually provided by hotels and although yours may be nicer, they both do the same job in the end.</p> <p><strong>7. Out of season clothing </strong></p> <p>Avoid packing out of season clothing – if you’re going on a summer holiday in Europe, you probably don’t need that heavy winter coat. The excuse for packing these unnecessary items is always “just in case,” but if the situation does arise where there is an uncharacteristic change in weather, you can always buy what you need to face the day.</p> <p><strong>8. Books </strong></p> <p>Turn to paperback books or electronic tablets instead of hardcover novels. The electronic tablets are most helpful as they can contain a whole library of book options without adding the weight of a library in your suitcase. Paperback books are good when you don’t have an electronic tablet, but maybe avoid packing seven books!</p> <p><strong>9. Traveller’s checks </strong></p> <p>Traveller’s checks aren’t used anymore. Although they were once the safeguard of money while on holidays, the traveller’s checks have gone out of style. It’s unlikely you will come across a place that will accept the checks, as these have been replaced by the use of ATMs for cash and the ability to use your debit and credit cards that don’t charge an international transaction fee.</p> <p><strong>10. Double-ups </strong></p> <p>Finally, don’t bring anything your travel partner is also packing. For instance, don’t pack more than one thing that can be shared. You don’t need two tubes of toothpaste, for instance!</p> <p><em>Images: Getty</em></p>

Travel Tips

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Ways you’re wasting money without knowing it

<p><strong>Airline fees</strong></p> <p>You’re paying extra for almost everything when you fly these days, from your bags to your seat. So be sure to compare not only the prices of flights but what they’re charging in extra fees. You may also want to weigh your bag before you go to avoid any additional charges.</p> <p><strong>Bank fees</strong></p> <p>Not keeping enough money in your bank account could cost you some serious cash. How much? ATM and other maintenance fees can also add up to $1,000 over ten years. To avoid them, look for banks with free ATMs that don’t charge monthly maintenance fees.</p> <p><strong>Buying things new</strong></p> <p>Sure, a shiny new car is tempting. But as soon as you drive it off the lot, the car loses 11 percent of its value. A better option? Opt for a reliable used car and a short-term loan you can pay off quickly. The same goes for electronics and other items.</p> <p><strong>Convenience foods</strong></p> <p>Pre-cut fruit and vegetables can save time, but they can also dent your wallet. Instead, buy food as close to its natural form as possible, and divide it up into portion sizes yourself.</p> <p>The same concept applies for all those fancy lattes. Even if you buy just three $5 drinks each week, that’s $780 per year. Over a decade, it’s $7,800.</p> <p><strong>Credit card interest</strong></p> <p>It’s not uncommon to be charged 20 percent annually, although some people face even steeper rates. If you carry $25,000 in debt, paying 20 percent on it will cost you a whopping $5,000 annually – just in interest. To avoid paying extra money for old debts, try the snowball method. Pay off the card with the lowest balance first, then move on to the next one.</p> <p><strong>Dry cleaning</strong></p> <p>A typical trip to the cleaners for your pants and shirts can cost you more than $10. With a weekly visit, that could add up to more than $500 per year. To save that money, clean your shirts in the delicate cycle in your washer or hand wash them.</p> <p><strong>Eating out</strong></p> <p>Going out to dinner with the family can be a nice treat, but doing it regularly really adds up. Instead of buying your lunch every day, save money by packing it. And before you go out, look for specials like coupons or happy hours or get entrees instead of full meals.</p> <p><strong>Extended warranties </strong></p> <p>Getting an extended warranty on that refrigerator or car you bought sounds like a good idea. But most extended warranties aren’t worth the money. Why? The fine print may not include likely problems, or you may be buying duplicate coverage. A better plan? Open a savings account and sock away money for any repairs that might come up.</p> <p><strong>Impulse buys</strong></p> <p>Spur-of-the-moment buys can cost you more in the long term, because you may not really need them, or you haven’t shopped around for better deals. Really want something? Take a 24-hour breather and see if you still do.</p> <p><strong>Name brands</strong></p> <p>Brand names can be tempting when it comes to consumer products like cereals and soaps. But the generic versions work just as well. And when it comes to medications, generic versions can cost between 30 and 80 percent less than brand-name drugs. Ask your doctor to specify on the prescription that generic medications should be substituted for name brands.</p> <p><strong>Phantom electricity</strong></p> <p>Everyone wants to make sure their electronic devices are charged. But keeping your laptop and phone plugged in once they’re at full power is costing you – especially with high energy prices. To save money, make sure to power down your devices when you’re not using them and use a power strip to easily turn off several electronics at once.</p> <p><strong>Procrastinating</strong></p> <p>You might think it’s a good idea to wait for last-minute deals, but procrastinating can cost you in the long run. Plane tickets and hotel rooms can get more expensive the closer to the date. And procrastinating on saving money will mean less down the road.</p> <p><strong>Speeding</strong></p> <p>Rushing to get somewhere may be tempting, but it can also add up. On the highway, speeding can decrease your fuel mileage by up to 30 percent. That’s not counting what it will cost you if you get stopped for your leadfoot or hit another vehicle. So slow down and save.</p> <p><strong>Subscription boxes</strong></p> <p>The average subscription box costs between $10 and $40 per month, which means you could be spending well over $100 a year – on just one service. Think about whether you’re really using (and enjoying) the majority of the items in the box on a regular basis. If not, it might be time to cancel your subscription.</p> <p><strong>Unused memberships</strong></p> <p>You signed up for that gym membership with the best of intentions, but if you’re part of the 67 percent of people with a membership who never set foot in the gym, you could be wasting more than $700 a year. And if you’re a member of one of the fancier gyms, you’re wasting even more.</p> <p><strong>Tax deductions you're missing </strong></p> <p>Earned income tax credits were designed to help keep money in people’s pockets. But 20 percent of people who qualify for the deductions don’t take advantage of them. To make sure you get the deductions you’re entitled to, use an online tax program or hire a professional.</p> <p><strong>Wasted food</strong></p> <p>A trip to the grocery store may cost you money in more ways than one. Because of lack of planning, impulse buying, and cooking too much food, an average of one in five bags of groceries goes to waste. To save, make a plan before you go shopping, don’t go to the store hungry, and eat/freeze your leftovers.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.co.nz/food-home-garden/money/ways-youre-wasting-money-without-knowing-it?pages=1" target="_blank" rel="noopener">Reader's Digest</a>. </em></p>

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Readers Respond: What do you think is a complete waste of money?

<p>With the cost of living on the rise, it is no wonder that people are looking for more ways to save.</p> <p>From bottled water to huge wedding celebrations, the Over60 readers were quite passionate on things they wouldn't spend their money on.</p> <p>Here are some of your thoughts on what you consider a complete waste of money.</p> <p>Linda Riddell - A big wedding celebration at a wedding venue with a professional photographer...</p> <p>Lynnette Ziya- Packaging around product that is not recycling.</p> <p>Marima Macaraeg - Saving all your money in the bank, praying it will earn lots of interests to make you richer. The truth is, your money will never make you rich if you hoard it all in the bank. If you take it out, buy resources or food and give it to the poor to feed the hungry, that will only be the time that your money will multiply and earn a priceless value called relevance.</p> <p>Laurie Thomas- Halloween.absolute commercial rubbish and waste of millions of dollars.</p> <p>Catherine Misios- Bottled water</p> <p>Ruth Donnelly - Buying bottled water and things you'll never use or eat just because they're on sale.</p> <p>Narelle Noppers - Black Friday sales. It's just making people spend more than they should.</p> <p>Christine Noble-Watson - Ready peeled and sliced fruit and vegetables</p> <p>Raymond Wagner- Extended warranty</p> <p>Lyn Mcgowran- Cream and potions to get rid of wrinkles.</p> <p>Suzanne Jones- Designer handbags</p> <p>Perhaps some of these will come in handy for you in the future. If you have any other things you consider a complete waste of money, share it <a href="https://www.facebook.com/oversixtyNZ/posts/pfbid031JZHSyGPkosxLiQpPf1fezxQj1sRaH3nzP6XJPc8vYRnX6QVJX7T9mZaJ99gFwQEl" target="_blank" rel="noopener">here</a>.</p> <p><em>Image: Getty</em></p>

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You’re wasting your money if you’re buying these 13 things in brand-new condition

<p><strong>Exercise equipment</strong></p> <p>There’s a good chance exercise equipment like treadmills, ellipticals, and dumbbells, are still in good condition.</p> <p>“Many people buy these items with the intentions of starting a regimen but fall off quickly and then try to unload these bulky goods that take up too much room,” says consumer and money-saving expert Andrea Woroch.</p> <p>Just make sure to research the brand and test the equipment before you buy, she says. In addition to the usual spots like garage sales, a local gym that’s getting renovated might be selling old equipment at killer prices, says Woroch.</p> <p><strong>Hand tools</strong></p> <p>There are so many used hand tools like hammers and wrenches on the market that there’s no reason to buy new, says Shelton.</p> <p>If you’re on the market, he recommends checking out a surprising spot.</p> <p>“Pawnshops are a great place for used tools,” says Shelton.</p> <p>“A lot of times they’re coming from trade because people change jobs.”</p> <p><strong>Gift cards</strong></p> <p>“Buying gift cards used may seem like an unusual idea, but it’s actually becoming more mainstream as a unique way to save money,” says Woroch. </p> <p>You can save 10 to 30 percent on store credit at your go-to shops, or gift cards to give as presents, she says.</p> <p><strong>Tech gadgets</strong></p> <p>At the rate new technology comes out, a used phone or laptop from five years ago probably isn’t worth the buy.</p> <p>But last year’s model could be a great value without making you feel like a dinosaur.</p> <p>For instance, Apple sells certified refurbished laptops and computers with limited warranties.</p> <p>Head to a big-box store or phone carrier for a refurbished smartphone, which are usually good quality, says Shelton.</p> <p>Beware of buying used tech from companies you don’t know though.</p> <p>“It’s already an off-brand, cheaply made product,” he says.</p> <p>“If it’s been refurbished, it’s already had an issue, so there’s a pretty good chance it won’t last very long.”</p> <p><strong>Sports gear</strong></p> <p>Equipment for specific sports, like skis or golf clubs, are also a good idea to pick up used, says Shelton.</p> <p>Beginners often buy the items but don’t stick with the sport, meaning the gear is still in great condition.</p> <p>And if you don’t want to be that person shelling out hundreds on a sport you or your kid doesn’t love, you won’t lose much on a used version.</p> <p>“If you find out you don’t like it, you could sell it to someone else and save money in the process,” says Shelton.</p> <p><strong>Vehicles</strong></p> <p>“New cars lose considerable value as soon as they leave the dealership’s lot, so it’s always best to buy used,” says Woroch.</p> <p>Find a model that’s a year old and doesn’t have many miles for a like-new ride that costs way less.</p> <p>You can even find cars on sites like Gumtree or eBay, but don’t take the price at face value.</p> <p>Always negotiate with the seller.</p> <p><strong>Furniture</strong></p> <p>You can save tons of cash on furniture by buying preowned instead of new, especially if you shop at the right time.</p> <p>Tax season, spring-cleaning time, and the holidays usually have the best prices and most options because people are often trying to downsize or sell those big-ticket items, says Shelton.</p> <p><strong>Clothing</strong></p> <p>Thrifting your clothes can save you up to 90 percent on everything from jeans to tuxedos, says Woroch. Baby clothes are especially good to buy used.</p> <p>“They’re going to outgrow it so fast,” says Shelton.</p> <p>There’s a good chance the original buyers over-bought or received the outfits as gifts, so items are often like-new or even unworn.</p> <p>Low price tags make consignment shops a good way to test-run trends that you’re not sure you’ll stick with, says Shelton.</p> <p>Even if you get sick of that pair of jeans by next year, you won’t waste much money.</p> <p>Footwear is the one exception.</p> <p>Shoes tend to wear around a person’s specific foot shape, so a used pair probably won’t be too comfy, says Shelton.</p> <p>Cleaning antique clothing is an exercise in avoiding modern con­veniences, which are generally too harsh for fragile fabrics.</p> <p><strong>Musical instruments</strong></p> <p>Older models of musical instruments might actually be better quality than the ones you’ll find new on the shelf.</p> <p>“Corporations find ways to cut corners and use plastic vs. metal,” says Shelton.</p> <p>“Newer technology doesn’t have the same kind of tonal quality and build.”</p> <p>Do a bit of research before you buy, and test the instrument if you can.</p> <p><strong>Large appliances</strong></p> <p>Ask the sellers how long they’ve been using it, and test it to make sure it works before you put any money down.</p> <p>You could also head to an appliance repair shop to see if they’re selling refurbished items.</p> <p>“That’s a good buy if it’s a good price, because it’s been looked over by a technician who knows what they’re doing and can make sure it will work for you,” says Shelton.</p> <p>As a bonus, those shops will probably take your old one off your hands when they deliver the new-to-you one, so you don’t have a bulky appliance lying around.</p> <p><strong>Textbooks</strong></p> <p>“The unwritten rule is never buy textbooks new,” says Shelton.</p> <p>“Sometimes you find nice little gems in there, like people highlighted things on your test or let good notes.”</p> <p>Buying used textbooks used to be a wild race, but with eBooks surging, it’s easier to find what you want, he says.</p> <p><strong>Bikes</strong></p> <p>A new bicycle can cost hundreds of dollars, but a used one will cost a fraction of the price.</p> <p>You can even buy just the frame, and beef it up with more expensive parts from another seller, she says.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.co.nz/money/youre-wasting-your-money-if-youre-buying-these-13-things-brand-new-condition?pages=1" target="_blank" rel="noopener">Reader's Digest</a>. </em></p>

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You’re wasting your money if you’re buying these 13 things in brand-new condition

<p>Used items can be the same great quality at a fraction of the price. Let someone else do all the hard work breaking these things in.</p> <p><strong>Exercise equipment</strong></p> <p>There’s a good chance exercise equipment like treadmills, ellipticals, and dumbbells, are still in good condition.</p> <p>“Many people buy these items with the intentions of starting a regimen but fall off quickly and then try to unload these bulky goods that take up too much room,” says consumer and money-saving expert Andrea Woroch.</p> <p>Just make sure to research the brand and test the equipment before you buy, she says. In addition to the usual spots like garage sales, a local gym that’s getting renovated might be selling old equipment at killer prices, says Woroch.</p> <p><strong>Hand tools</strong></p> <p>There are so many used hand tools like hammers and wrenches on the market that there’s no reason to buy new, says Shelton.</p> <p>If you’re on the market, he recommends checking out a surprising spot.</p> <p>“Pawnshops are a great place for used tools,” says Shelton.</p> <p>“A lot of times they’re coming from trade because people change jobs.”</p> <p><strong>Gift cards</strong></p> <p>“Buying gift cards used may seem like an unusual idea, but it’s actually becoming more mainstream as a unique way to save money,” says Woroch. You can save 10 to 30 percent on store credit at your go-to shops, or gift cards to give as presents, she says.</p> <p><strong>Tech gadgets</strong></p> <p>At the rate new technology comes out, a used phone or laptop from five years ago probably isn’t worth the buy.</p> <p>But last year’s model could be a great value without making you feel like a dinosaur.</p> <p>For instance, Apple sells certified refurbished laptops and computers with limited warranties.</p> <p>Head to a big-box store or phone carrier for a refurbished smartphone, which are usually good quality, says Shelton.</p> <p>Beware of buying used tech from companies you don’t know though.</p> <p>“It’s already an off-brand, cheaply made product,” he says.</p> <p>“If it’s been refurbished, it’s already had an issue, so there’s a pretty good chance it won’t last very long.”</p> <p><strong>Sports gear</strong></p> <p>Equipment for specific sports, like skis or golf clubs, are also a good idea to pick up used, says Shelton.</p> <p>Beginners often buy the items but don’t stick with the sport, meaning the gear is still in great condition.</p> <p>And if you don’t want to be that person shelling out hundreds on a sport you or your kid doesn’t love, you won’t lose much on a used version.</p> <p>“If you find out you don’t like it, you could sell it to someone else and save money in the process,” says Shelton.</p> <p><strong>Vehicles</strong></p> <p>“New cars lose considerable value as soon as they leave the dealership’s lot, so it’s always best to buy used,” says Woroch.</p> <p>Find a model that’s a year old and doesn’t have many miles for a like-new ride that costs way less.</p> <p>You can even find cars on sites like Gumtree or eBay, but don’t take the price at face value.</p> <p>Always negotiate with the seller.</p> <p><strong>Furniture</strong></p> <p>You can save tons of cash on furniture by buying preowned instead of new, especially if you shop at the right time.</p> <p>Tax season, spring-cleaning time, and the holidays usually have the best prices and most options because people are often trying to downsize or sell those big-ticket items, says Shelton.</p> <p>Even if your buy doesn’t look the right colour at first, you can easily treat and stain it.</p> <p><strong>Clothing</strong></p> <p>Thrifting your clothes can save you up to 90 percent on everything from jeans to tuxedos, says Woroch. Baby clothes are especially good to buy used.</p> <p>“They’re going to outgrow it so fast,” says Shelton.</p> <p>There’s a good chance the original buyers over-bought or received the outfits as gifts, so items are often like-new or even unworn.</p> <p>Low price tags make consignment shops a good way to test-run trends that you’re not sure you’ll stick with, says Shelton.</p> <p>Even if you get sick of that pair of jeans by next year, you won’t waste much money.</p> <p>Footwear is the one exception.</p> <p>Shoes tend to wear around a person’s specific foot shape, so a used pair probably won’t be too comfy, says Shelton.</p> <p>Cleaning antique clothing is an exercise in avoiding modern con­veniences, which are generally too harsh for fragile fabrics.</p> <p><strong>Musical instruments</strong></p> <p>Older models of musical instruments might actually be better quality than the ones you’ll find new on the shelf.</p> <p>“Corporations find ways to cut corners and use plastic vs. metal,” says Shelton.</p> <p>“Newer technology doesn’t have the same kind of tonal quality and build.”</p> <p>Do a bit of research before you buy, and test the instrument if you can.</p> <p><strong>Large appliances</strong></p> <p>Ask the sellers how long they’ve been using it, and test it to make sure it works before you put any money down.</p> <p>You could also head to an appliance repair shop to see if they’re selling refurbished items.</p> <p>“That’s a good buy if it’s a good price, because it’s been looked over by a technician who knows what they’re doing and can make sure it will work for you,” says Shelton.</p> <p>As a bonus, those shops will probably take your old one off your hands when they deliver the new-to-you one, so you don’t have a bulky appliance lying around.</p> <p><strong>Textbooks</strong></p> <p>“The unwritten rule is never buy textbooks new,” says Shelton.</p> <p>“Sometimes you find nice little gems in there, like people highlighted things on your test or let good notes.”</p> <p>Buying used textbooks used to be a wild race, but with eBooks surging, it’s easier to find what you want, he says.</p> <p><strong>Bikes</strong></p> <p>A new bicycle can cost hundreds of dollars, but a used one will cost a fraction of the price.</p> <p>You can even buy just the frame, and beef it up with more expensive parts from another seller, she says.</p> <p><em><span id="docs-internal-guid-e5703e99-7fff-6440-d47d-6cf00dc79d0b">Written by Marissa Laliberte. This article first appeared in <a href="https://www.readersdigest.co.nz/money/youre-wasting-your-money-if-youre-buying-these-13-things-brand-new-condition" target="_blank" rel="noopener">Reader’s Digest</a>. For more of what you love from the world’s best-loved magazine, <a href="http://readersdigest.innovations.co.nz/c/readersdigestemailsubscribe?utm_source=over60&amp;utm_medium=articles&amp;utm_campaign=RDSUB&amp;keycode=WRA87V" target="_blank" rel="noopener">here’s our best subscription offer.</a></span></em></p> <p><em>Image: Getty Images</em></p>

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The verdict: Full fat versus low fat milk

<p>The idea of full low milk being healthier for us began circulating in the 1950s. It was shown that saturated fat increased blood cholesterol levels, with certain statistical evidence leading to the assumption it resulted in higher rates of heart disease and obesity.  </p> <p>This idea is not totally wrong. Full fat milk does indeed have a high saturated fat content, about 65 percent in fact.</p> <p><span style="text-decoration: underline;"><strong><a href="http://www.simoneaustin.com/" target="_blank" rel="noopener">Simone Austin</a></strong></span>, accredited practising dietitian and spokesperson for the <span style="text-decoration: underline;"><strong><a href="http://daa.asn.au/" target="_blank" rel="noopener">Dietitians Association of Australia</a></strong></span> addresses the claims that saturated fat should be avoided when it comes to weight management.</p> <p> “We are still recommending saturated fat should be kept to a minimum as there is still a link between saturated and plasma cholesterol levels, however full cream milk is only 4% total fat and is therefore not a high fat product, depending on quantity of course.”</p> <p>Health and nutrition coach and whole foods chef, Lee Holmes, believes that low-fat milk is a great option for those trying to lose weight.  Even though the fat is skimmed, the milk itself still contains an abundance of calcium and protein, and these are essential to weight loss.</p> <p>“Low-fat milk is better for overall weight control and maintenance as it only contains 0.15% fat as opposed to full-cream milk which contains 3.8% fat” she explains.</p> <p>The New Zealand Ministry of Health recommends enjoying mostly low and reduced fat milk and milk products, as it can reduce the total daily kilojoule intake to aid with weight management. This is generally believed to lead to weight loss and reduced risk of heart disease.</p> <p>However, Simone explains why it is not quite that straight forward. “Fat can give some feeling of satiety. If you are having less milk overall, and it is more filling to have full cream milk, then this might decrease overall volume of food consumed and therefore not be detrimental”.</p> <p>This approach is supported by recent research conducted by <a href="../%20http:/www.ncbi.nlm.nih.gov/pubmed/26746178"><strong><span style="text-decoration: underline;">Swedish researchers</span></strong></a>, looking at the dairy consumption of a group of middle aged men. If found that those who ate full fat dairy products were less likely to become obese over a period of 12 years, compare with men who rarely ate high- fat diary.  This is because the weight-loss effect of reducing saturated fat depends on what replaces it in the diet, which is usually sugar and carbohydrates. Unfortunately, most of us are susceptible to consciously or unconsciously replacing a larger reduction in calories with something else.</p> <p>So, if you drink low-fat varieties of milk in order to reduce calorie intake, you must ensure you are not making up these calories elsewhere for this approach to be effective.</p> <p>However, in your quest for a slimmer waist line, it is important not to overlook other important health factors.</p> <p>Milk is a primary source of nutrients, and according to both Simone and the <strong><a href="http://ro.uow.edu.au/cgi/viewcontent.cgi?article=2032&amp;context=sspapers" target="_blank" rel="noopener"><span style="text-decoration: underline;">ABS</span></a></strong>, most over-60s simply aren’t getting what they need.</p> <p>“In New Zealand the annual per capita consumption of milk has declined by 30% in the last 20 years, and 20% of the New Zealand population has an inadequate intake of calcium”.</p> <p>Simone stresses that simply aiming to meet serves is the priority. “Milk also provides a valuable source of protein and as we age our efficiency at using protein reduces, so we need to have a little more”.</p> <p>Lee Holmes echoes this, stating that ideally, people over 60 years of age should be having two to three glasses of cow’s milk daily to absorb the necessary amounts of calcium. If you don’t want to consume that much milk, are lactose intolerant or prefer to opt for non-cow’s milk (such as almond) you need to make these nutrients up elsewhere.</p> <p>“You may want to consider a quality, natural supplement to ensure you are giving your body all the nutrients it needs."</p> <p>So whether it be low-fat or full-fat, say cheers to milk and manage your weight loss in accordance with other health factors.</p> <p><em>Image: Getty Images</em></p>

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Mobile phone hoarding: e-waste not good news for the environment

<p>What happened to your previous mobile phone after you upgraded or replaced it? Did it go in a drawer? A box in the garage, perhaps?</p> <p>Today marks International E Waste Day, with this year’s slogan, “Recycle it all, no matter how small!”, specifically targeting small devices with a high recycling value that are often hoarded for years before they become waste.</p> <p>It’s a timely reminder, as results from surveys conducted across Europe suggest that the roughly 5.3 billion mobiles and smartphones dropping out of use this year would reach a height of around 50,000 km if stacked flat and on top of each other.</p> <p>That’s well-and-truly over the average orbiting height of the International Space Station and about an eighth of the distance to the moon.</p> <p>“In 2022 alone, small EEE (Electrical and Electronic Equipment) items such as cell phones, electric toothbrushes, toasters and cameras produced worldwide will weigh an estimated total of 24.5 million tonnes – four times the weight of the Great Pyramid of Giza”, says Magdalena Charytanowicz of the WEEE (Waste Electrical and Electronic Equipment) Forum, responsible for organising <a href="https://www.genevaenvironmentnetwork.org/events/international-e-waste-day-2022/" target="_blank" rel="noreferrer noopener">International E Waste Day</a>. “And these small items make up a significant proportion of the 8% of all e-waste thrown into trash bins and eventually landfilled or incinerated.”</p> <p>With their valuable components of <a href="https://cosmosmagazine.com/technology/critical-minerals-mining-australia/" target="_blank" rel="noreferrer noopener">gold, copper, silver, palladium and other materials</a>, mobile phones ranked fourth amongst small Electrical and Electronic Equipment (EEE) hoarded or unrecoverably discarded – that is put in draws, cupboards or garages – rather than repaired or recycled – or sent to landfill or for incineration.</p> <p>The surveys ran for four months from June 2022 and covered 8,775 households across Portugal, Netherlands, Italy, Romani, Slovenia and the UK and asked participants about common items such as phones, tablets, laptops, electric tools, hair dryers, toasters and other appliances. The top five hoarded small EEE products were (in order): small electronics and accessories (e.g., headphones, remotes), small equipment (e.g., clocks, irons), small IT equipment (e.g., hard drives, routers, keyboards, mice), mobile and smartphones, small food preparation appliances (e.g., toasters, grills).</p> <p>Italy hoarded the highest number of small EEE products, while Lebanon hoarded the least.</p> <p>You might recognise some of the reasons given, which included potential future use, plans to sell or give away, sentimental value, future value, use in a secondary residence or contains sensitive data. Others were also unsure how to dispose of the item or felt there was no incentive to recycle it, and some argued that they’d forgotten, didn’t have time or that the item didn’t take up very much space.</p> <p>This is a shame because such items, despite being small, pack a big punch in recyclability.</p> <div class="newsletter-box"> <div id="wpcf7-f6-p218602-o1" class="wpcf7" dir="ltr" lang="en-US" role="form"> </div> </div> <p>“We focussed this year on small e-waste items because it is very easy for them to accumulate unused and unnoticed in households, or to be tossed into the ordinary garbage bin”, says Pascal Leroy, Director General of the WEEE Forum, who have organised International E Waste Day. “People tend not to realise that all these seemingly insignificant items have a lot of value, and together at a global level represent massive volumes.”</p> <p>“These devices offer many important resources that can be used in the production of new electronic devices or other equipment, such as wind turbines, electric car batteries or solar panels – all crucial for the green, digital transition to low-carbon societies,” says Charytanowicz.</p> <h4>What can be done about e-waste?</h4> <p>At the governmental level, there are a number of initiatives including legislation that are coming into effect or being tightened up in order to address this increasing problem.</p> <p>“The continuing growth in the production, consumption and disposal of electronic devices has huge environmental and climate impacts,” says Virginijus Sinkevičius, European Commissioner for the Environment, Oceans and Fisheries. “The European Commission is addressing those with proposals and measures throughout the whole product life-cycle, starting from design until collection and proper treatment when electronics become waste.”</p> <p>“Moreover, preventing waste and recovering important raw materials from e-waste is crucial to avoid putting more strain on the world’s resources. Only by establishing a <a href="https://cosmosmagazine.com/technology/can-a-circular-economy-eliminate-e-waste/" target="_blank" rel="noopener">circular economy</a> for electronics, the EU will continue to lead in the efforts to urgently address the fast-growing problem of e-waste.”</p> <p>There is also a role for more education and communication.</p> <p>Launched today by UNITAR, the UN Institute for Training and Research (UNITAR), is the first self-paced e-waste<a href="https://www.uncclearn.org" target="_blank" rel="noopener"> online training course</a> open to anyone. A UNITAR certificate is available upon graduation of the roughly 1.5-hour course which aims to use scientific findings in a practical way for international training and capacity building,” says Nikhil Seth, UNITAR’s Executive Director.</p> <p>Finally, The WEEE Forum has been actively involved in collecting, de-polluting, recycling or preparing for re-use more than 30 million tonnes of WEEE and has also run communication campaigns for almost twenty years.</p> <p>“Providing collection boxes in supermarkets, pick up of small broken appliances upon delivery of new ones and offering PO Boxes to return small e-waste are just some of the initiatives introduced to encourage the return of these items,” says WEEE’s Leroy.</p> <p>At the personal level, all you have to do is quite your hoarding habits and recycle, instead!</p> <p><img id="cosmos-post-tracker" style="opacity: 0; height: 1px!important; width: 1px!important; border: 0!important; position: absolute!important; z-index: -1!important;" src="https://syndication.cosmosmagazine.com/?id=218602&amp;title=Mobile+phone+hoarding%3A+e-waste+not+good+news+for+the+environment" width="1" height="1" /></p> <div id="contributors"> <p><em><a href="https://cosmosmagazine.com/earth/e-waste-mobile-phone-bad-news-environment/" target="_blank" rel="noopener">This article</a> was originally published on <a href="https://cosmosmagazine.com" target="_blank" rel="noopener">Cosmos Magazine</a> and was written by <a href="https://cosmosmagazine.com/contributor/clare-kenyon" target="_blank" rel="noopener">Clare Kenyon</a>. </em></p> <p><em>Image: Getty Images</em></p> </div>

Technology

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Ultra-processed foods: it’s not just their low nutritional value that’s a concern

<p>In countries such as the UK, US and Canada, ultra-processed foods now account for <a href="https://pubmed.ncbi.nlm.nih.gov/30744710/">50% or more</a> of calories consumed. This is concerning, given that these foods have been linked to a number of different health conditions, including a greater risk of <a href="https://pubmed.ncbi.nlm.nih.gov/33167080/">obesity</a> and various chronic diseases such as <a href="https://nutritionj.biomedcentral.com/articles/10.1186/s12937-020-00604-1">cardiovascular disease</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/35896436/">dementia</a>.</p> <p>Ultra-processed foods are <a href="https://pubmed.ncbi.nlm.nih.gov/30744710/">concoctions of various industrial ingredients</a> (such as emulsifiers, thickeners and artificial flavours), amalgamated into food products by a series of manufacturing processes.</p> <p>Sugary drinks and many breakfast cereals are ultra-processed foods, as are more recent innovations, such as so-called <a href="https://www.sciencedirect.com/science/article/pii/S2213453019301144,">“plant-based” burgers</a>, which are typically made of protein isolates and other chemicals to make the products palatable.</p> <p>The intense industrial processes used to produced ultra-processed foods destroy the <a href="https://pubmed.ncbi.nlm.nih.gov/35067754/">natural structure</a> of the food ingredients and strip away many beneficial nutrients such as fibre, vitamins, minerals and phytochemicals.</p> <p>Many of us are well aware that ultra-processed foods are harmful for our health. But it’s been unclear if this is simply because these foods are of poor nutritional value. Now, two new studies have shown that poor nutrition may not be enough to explain their health risks. This suggests that other factors may be needed to fully explain their health risks.</p> <h2>The role of inflammation</h2> <p>The <a href="https://www.bmj.com/content/378/bmj-2022-070688">first study</a>, which looked at over 20,000 health Italian adults, found that participants who consumed the highest number of ultra-processed foods had an increased risk of dying prematurely from any cause. The <a href="https://www.bmj.com/content/378/bmj-2021-068921">second study</a>, which looked at over 50,000 US male health professionals, found high consumption of ultra-processed foods was associated with a greater risk of colon cancer.</p> <p>What’s most interesting about these studies is that the health risks from eating a diet high in ultra-processed foods remained even after they had accounted for the poor nutritional quality of their diets. This suggests that <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8747015/">other factors</a> contribute to the harms caused by ultra-processed foods.</p> <p>It also implies that getting the right nutrients elsewhere in the diet may not be enough to cancel out the risk of disease from consuming ultra-processed foods. Similarly, attempts by the food industry to improve the nutritional value of ultra-processed foods by adding a few more vitamins may be side-stepping a more fundamental problem with these foods.</p> <p>So what factors may explain why ultra-processed foods are so harmful to our health?</p> <p>The Italian study found that inflammatory markers – such as a higher white blood cell count – were higher in groups that ate the most ultra-processed foods. Our bodies may trigger an inflammatory response for any number of reasons – for example, if we catch a cold or get cut. The body responds by sending signals to our immune cells (such as white blood cells) to attack any invading pathogens (such as bacteria or viruses).</p> <p>Usually, our inflammatory response resolves quite quickly, but some people may develop chronic inflammation throughout their body. This can cause tissue damage, and is involved in many chronic diseases – such as <a href="https://pubmed.ncbi.nlm.nih.gov/25859884/">cancer</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/28744020/">cardiovascular disease</a>.</p> <p>Many studies have found that poor diets can increase inflammation in the body, and that this is linked to <a href="https://pubmed.ncbi.nlm.nih.gov/28744020/">higher risk</a> of chronic diseases. Given that signs of inflammation were seen in participants of the Italian study who ate the most ultra-processed foods, this could suggest that inflammation may contribute to why ultra-processed foods increase disease risk. Some food additives common in ultra-processed foods (such as emulsifiers and artificial sweeteners) also increase inflammation in the gut by causing <a href="https://pubmed.ncbi.nlm.nih.gov/29899036/">changes to the gut microbiome</a>.</p> <figure class="align-center ">Some researchers have theorised that ultra-processed foods increase inflammation because they are recognised by the body as foreign – much like an invading bacteria. So the body mounts an inflammatory response, which has been dubbed “<a href="https://pubmed.ncbi.nlm.nih.gov/24939238/">fast food fever</a>”. This increases inflammation throughout the body as a result.</figure> <p>Although the US colon cancer study did not establish if inflammation increased in the men consuming the most ultra-processed foods, inflammation is strongly linked with an <a href="https://pubmed.ncbi.nlm.nih.gov/27821485/">increased risk of colon cancer</a>.</p> <p>Research shows that other mechanisms – such as <a href="https://www.bmj.com/content/378/bmj-2022-070688">impaired kidney function</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/19502515/">toxins in packaging</a> – may also explain why ultra-processed foods cause so many dangerous health problems.</p> <p>Since inflammatory responses are hard-wired in our bodies, the best way to prevent this from happening is by not eating ultra-processed foods at all. Some plant-based diets high in natural, unprocessed foods (such as the <a href="https://pubmed.ncbi.nlm.nih.gov/36039924/">Mediterranean diet</a>) have also been shown to be anti-inflammatory. This may also explain why plant-based diets free from ultra-processed foods can help ward off <a href="https://pubmed.ncbi.nlm.nih.gov/26148921/">chronic diseases</a>. It’s currently not known to what extent an anti-inflammatory diet can help counteract the effects of ultra-processed foods.</p> <p>Simply reducing your intake of ultra-processed foods may be a challenge. Ultra-processed foods are designed to be hyper-palatable – and together with persuasive marketing, this can make resisting them an enormous challenge for <a href="https://pubmed.ncbi.nlm.nih.gov/33153827/">some people</a>.</p> <p>These foods are also not labelled as such on food packaging. The best way to identify them is by looking at their ingredients. Typically, things such as emulsifiers, thickeners, protein isolates and other industrial-sounding products are a sign it’s an ultra-processed food. But making meals from scratch using natural foods is the best way to avoid the harms of ultra-processed foods.<!-- 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/189918/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/richard-hoffman-221275">Richard Hoffman</a>, Associate lecturer, Nutritional Biochemistry, <em><a href="https://theconversation.com/institutions/university-of-hertfordshire-799">University of Hertfordshire</a></em></p> <p>This article is republished from <a href="https://theconversation.com">The Conversation</a>. Read the <a href="https://theconversation.com/ultra-processed-foods-its-not-just-their-low-nutritional-value-thats-a-concern-189918">original article</a>.</p>

Food & Wine

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Why people stay in unhappy relationships

<p>Why is it that so many people stick it out in relationships that are clearly not working? It could be something to do with the sunk cost effect of the relationship – they’ve already invested so much time and effort into it that they aren’t willing to just let it go.</p> <p>It’s a bit like spending money on an old car when you know it’s not going to last much longer – but you’ve already spent so much on it and owned it for so long that you find it hard to cut your losses and move on.</p> <p><span style="text-decoration: underline;"><strong><a href="http://link.springer.com/article/10.1007/s12144-016-9529-9">In a study</a></strong></span> released in late 2016 in Current Psychology, researchers found that people tended to focus more on how much time they’ve been in a relationship as a way of determining whether it was worth sticking with (even if it wasn’t the right partnership for them). So people felt as though they would rather stay in the relationship than feel as though they had somehow wasted the last few years of their life.</p> <p>The study gave participants different scenarios, and they were asked to decide whether they would ‘stay or go’ in the relationship. The results showed that participants were willing to spend more time trying to fix a longer term (say, ten year) relationship than if it was shorter term (such as one year).</p> <p>They key takeaway for the findings then, could be that if a relationship doesn’t feel right in the beginning, don’t wait too long to end it. Or you could find yourself stuck in a loveless relationship because your brain tells you that it’s better than having wasted all that time.</p> <p>Do you know anyone who has fallen victim to the sunk cost effect in love?</p> <p><em>Image: Getty</em></p>

Relationships

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6 ways to reduce food waste

<p>Up to 30% of the food we buy is wasted, at an estimated national cost of over $5 billion a year. However, there are many ways you can reduce your food waste, and it starts just by being aware of your habits both in the kitchen and while shopping for food. Change can easily happen just by putting conscious effort into everyday actions to live a more sustainable life.</p> <p><strong>1. Use up leftovers</strong></p> <p>Instead of throwing out half heads of broccoli or cauliflower, or binning half a capsicum, turn them into soups, sauté them for a side dish or chop or shred them into salads. Save any vegetable peelings and trimmings to make stock. Onion ends, carrot and potato peelings – anything goes when it comes to stock. Freeze it in usable portions for easy use in meals. Also think about repurposing leftovers i.e. plan for the leftover roast chicken to become tomorrow night’s casserole or stir-fry.</p> <p><strong>2. Be creative</strong></p> <p>Got some sad, ugly looking apples? Make apple sauce. Squishy tomatoes? Tomato sauce. Just because some produce was forgotten in your fridge a few extra days doesn’t mean that it needs to be thrown away. Many fruits and vegetables that you mightn’t want to eat whole are still fine for juicing, smoothies or can be frozen for future use.</p> <p><strong>3. Store it properly</strong></p> <p>Fresh herbs and delicate lettuces last longer if removed from the original packaging, washed, dried and stored in resealable plastic bags. Some fruits and vegetables such as tomatoes, apples, oranges, potatoes, onions and garlic, are best stored at room temperature instead of in the refrigerator. Meat, fish and plenty of leftovers can also be frozen for later use. Use proper airtight containers for most things including grains and flours to help optimise shelf life.</p> <p><strong>4. Compost</strong></p> <p>Whether you have a compost at home for your garden or a kitchen waste Insinkerator system, not throwing perished food into the garbage will keep it out of landfill and reduce the environmental consequences of food waste. Composting is also a natural way of returning nutrients to the soil if you have a garden at home.</p> <p><strong>5. Make lists and meal plans</strong></p> <p>Don’t go overboard on the organisation here, but do think ahead before doing big grocery shops. Think of what you’ll make during the week so that you have the right ingredients in quantities that won’t go to waste. And when the ingredients in your home don’t make an obvious meal, revert back to number two, and try to be creative and flexible in what you eat. You can find a recipe online to use up just about anything. Sticking to your shopping list will also reduce impulse buys.</p> <p><strong>6. Keep an eye on your use by dates</strong></p> <p>Cut down on waste by not letting food go out of date. Be conscious that “use-by” is a food safety guide and literally means don’t eat after the end of the “use-by date”, but “best before” is a quality guide and you may still use it after the “best before date” as long as the item isn’t not damaged, deteriorated or perished.</p> <p><em>Image: Getty</em></p>

Food & Wine