Placeholder Content Image

Evidence that human evolution driven by major environmental pressures discovered

<p>The genes of ancient humans might have changed substantially due to environmental pressures and change, say an international team of researchers.</p> <p>A widely held belief related to human evolution is that our ancient ancestors’ ability to fashion tools, shelter, and use advanced communication skills may have helped to shield them from large environmental impacts such as changing climate, disease and exposure to other events affecting mortality.</p> <p>But research led out of Australian Centre for Ancient DNA at the University of Adelaide suggests that beneficial genes may have played a more important role in preserving our ancestors.</p> <p>Until now, the sudden increase in frequency of these genes in human groups was masked by the exchange of DNA between people during reproduction.</p> <p>Now, analyses of more than one thousand ancient genomes dating as far back as 45,000 years ago have found historic signals showing genetic adaptation was more common than previously thought.</p> <p>The study of evolutionary events, says the study’s co-lead author Dr Yassine Souilmi, has increased substantially in recent years, as these are the points where human genetics take historic turns.</p> <p>“Evolutionary events [are] exactly what shape our genetic diversity today,” Souilmi tells Cosmos.</p> <p>“That’s what makes us vulnerable to certain diseases [and] resistant to others.</p> <p>“Having a good understanding of evolution, we can have a better understanding of who we are.”</p> <p>Previous research by the Centre has uncovered a range of evolutionary trends, from historic climate change causing the demise of ancestral lions and bears, to the first interactions between humans and coronaviruses 20,000 years ago.</p> <p>And the broader field of research into ancient DNA has shed light on important moments in human history. Only recently did analyses of ancient genes uncover locations on the human genome associated with surviving Yersinia pestis – the bacterium that causes the bubonic plague.</p> <h2>Single events probably triggered selection</h2> <p>This study, published in Nature Ecology and Evolution, has similarly found environmental events might have been more influential on evolution among Eurasian groups.</p> <p>Such events might lead to a point of natural selection. Take, for instance, the emergence of a pathogen. If such a disease could kill people, those who managed to survive and continue reproducing would pass down favourable traits to subsequent generations.</p> <p>“Natural selection acts in two different mechanisms,” says Souilmi.</p> <p>“It only cares about whether you’re procreating successfully… when it acts, it’s either killing a lot of people, [preventing] some people from reproducing successfully, or some people are just not finding mates because they have some sort of ailment that’s not allowing them to mate successfully, or might make them undesirable.</p> <p>“What we’re finding is that the signal of natural selection we detected in this [research] was likely a single event, because the signal is clustered in time in a very early migration out of Africa.</p> <p>“Not all of the [events] we detected occurred at the same time, but the bulk of them did.”</p> <h2>A mirror to the present</h2> <p>This ‘agnostic’ study did not seek to identify the external pressures leading to the selection events indicated in these ancient genes, but future research by the team will seek to uncover that information.</p> <p>Studies like this, or those into specific pressures like the influence of the Black Death or coronaviruses on humans, show the impact of environmental change on our genetics.</p> <p>Souilmi says this is both insightful and cautionary, as environmental change in the present could be studied by humans in the future.</p> <p>He speculates that changes in the Earth’s climate, or the emergence of new pathogens, likely imposed selection pressures on ancient groups, whether through forcing shortages or changes to food supply or imposing physiological stressors.</p> <p>“Very likely, it’s the environment, the temperature, the weather patterns, that would have somewhat impacted the dietary regime of our ancestors out of Africa, and pathogens would have driven this [genetic] adaptation, which has shaped our genetic diversity now,” Souilmi says.</p> <p>“The direct lesson, socially, now, is that if we’re ever faced with events that are similar to that, we are not as immune to extreme episodes of adaptation where a lot of people might die, or be unable to reproduce.</p> <p>“Unless we do something to counteract the environmental changes, or viruses, bacterial or other pandemics, it could be a bad thing.”</p> <p><strong>This article originally appeared on <a href="https://cosmosmagazine.com/science/human-evolution-driven-by-environment/" target="_blank" rel="noopener">cosmosmagazine.com</a> and was written by Matthew Agius.</strong></p> <p><em>Image: Shutterstock</em></p>

Body

Placeholder Content Image

Big study shows that lowering blood pressure lowers risk of dementia

<p>A study across 20 countries has strengthened a link between lowering blood pressure, and reducing the risk of dementia.</p> <p>The meta-analysis, published in the European Heart Journal, draws on clinical trial data from 28,008 participants, to show the strongest link to date between medication that lowers blood pressure, and reduced dementia risk.</p> <p>“We know that high blood pressure is a risk factor for dementia – especially high blood pressure in midlife, so say 40 to 65 years of age,” says lead author Dr Ruth Peters, an associate professor at the University of New South Wales and program lead for dementia in the George Institute’s Global Brain Health Initiative.</p> <p>“But there has been some uncertainty about whether lowering blood pressure, especially in older adults, would reduce risk of dementia.</p> <p>“What we’ve done is take five really high-quality clinical trials and combine them into one dataset, which gave us the ability to really look at this question and look at the relationship between blood pressure-lowering tablets – antihypertensives – and dementia.”</p> <p>The five studies were all double-blind, randomised clinical trials – the ‘gold standard’ in medical research – with participants hailing from 20 different countries.</p> <p>The average age of the participants was 69, and participants were followed up an average of four years after doing the trial.</p> <p>Participants who took antihypertensives had a significantly lower chance of being diagnosed with dementia than those who took placebos.</p> <p>Dementia affects 50 million people worldwide: a number projected to triple by 2050.</p> <p>According to The Lancet’s 2020 Commission on dementia, treatment for hypertension (high blood pressure) is “the only known effective preventive medication for dementia,” all other methods of reducing your risk come from lifestyle and environment.</p> <p>“The strength of this study is the use of individual patient data in a meta-analysis of data drawn from randomised controlled trials of blood pressure medication. This is the first time such data has been meta-analysed,” says Professor Kaarin Anstey, a senior principal research scientist at Neuroscience Research Australia and the UNSW.</p> <p>“This is important for informing clinical practice,” adds Anstey, who was not involved with the study.</p> <p>Professor Nicolas Cherbuin, head of the Australian National University’s Centre for Research on Ageing, Health and Wellbeing, says that the study is “well-designed”, and reflects research by his team showing that higher blood pressure is linked to lower brain volumes and poorer brain health.</p> <p>“The diagnostic procedure and criteria used are well-established, the sample size is large, those with dementia at baseline were excluded,” says Cherbuin.</p> <p>But he points out that the study didn’t find an effect of blood pressure medication on cognitive decline, and nor did it include participants with mild cognitive impairment, who would be “more likely to convert”.</p> <p>Anstey points out that “inevitably” the participants in the cohort are now quite old, and thus may be different to populations developing dementia now.</p> <p>“Clinical trials involve highly selected samples and often exclude diverse ethnic groups,” she adds.</p> <p>“I hope that this reinforces the importance of blood pressure control for brain health,” says Peters.</p> <p>But she emphasises that, while this is useful news for preventing dementia in mid-life, people of all ages can improve their brain health by other means.</p> <p>“It’s not just blood pressure lowering – it has to be taken in the context of a healthy lifestyle.”</p> <p><strong>This article originally appeared on <a href="https://cosmosmagazine.com/health/dementia-blood-pressure-meta/" target="_blank" rel="noopener">cosmosmagazine.com</a> and was written by Ellen Phiddian.</strong></p> <p><em>Image: Shutterstock</em></p>

Body

Placeholder Content Image

Grace under pressure: Princess Kate heckled in Ireland

<p dir="ltr">Princess Kate was the subject of a heckler in Northern Ireland, where she was greeting crowds after visiting a suicide prevention charity.</p> <p dir="ltr">Footage has emerged of the Princess of Wales shaking hands with the heckler, who filmed herself telling the royal that “Ireland belongs to the Irish”.</p> <p dir="ltr">“Nice to meet you but it would be better if it was when you were in your own country,” the woman said.</p> <p><span id="docs-internal-guid-33624c49-7fff-e851-b17e-b59d386e2ae7"></span></p> <p dir="ltr">The princess laughed off the comments before letting go of the woman’s hand and continuing to greet other members of the crowd.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">This woman reefing the arm off Kate Middleton and telling her 'Ireland belongs to the Irish'.... <a href="https://t.co/KK2gAqZ0Kv">pic.twitter.com/KK2gAqZ0Kv</a></p> <p>— Caolán Mc Aree (@Caolanmcaree) <a href="https://twitter.com/Caolanmcaree/status/1578095529233641472?ref_src=twsrc%5Etfw">October 6, 2022</a></p></blockquote> <p dir="ltr">Northern Ireland has been a hotly contested region since 1922, when the southern part of the country become gained independence and became the Republic of Ireland while Northern Island remained in the United Kingdom.</p> <p dir="ltr">Despite the tense interaction, Princess Kate’s time in Belfast seemed quite successful, as she and her husband Prince William visited several cross-community support organisations.</p> <p dir="ltr"><span id="docs-internal-guid-a197fca1-7fff-6746-3b76-235f45d6e206"></span></p> <p dir="ltr">Earlier in the day, the royal was spotted making and enjoying a cheeky drink with her husband after the couple travelled to the city centre to view the new outdoor street food and retail market.</p> <p dir="ltr"><img src="https://oversixtydev.blob.core.windows.net/media/2022/10/kate-belfast.jpg" alt="" width="1280" height="720" /></p> <p dir="ltr"><em>Kate Middleton was spotted trying her hand at cocktail making during her visit to Belfast, Northern Island. Image: Getty Images</em></p> <p dir="ltr">The market, which opened in July, was designed as a place for the community to come together to enjoy artisanal food and local products.</p> <p dir="ltr">The pair also met with workers from PIPS, a suicide prevention charity, and spoke to them about their work helping people at risk of suicide and self-harm.</p> <p dir="ltr">During their visit, the charity arranged for William and Kate to take part in an art therapy session, which saw them paint pumpkins with children whom PIPS has supported.</p> <p dir="ltr"><span id="docs-internal-guid-dc55e41c-7fff-872e-4632-e3782f547000"></span></p> <p dir="ltr"><em>Images: The Sun, Getty Images</em></p>

Travel Trouble

Placeholder Content Image

How often should I check my blood pressure?

<p dir="ltr">A new study investigating the role of hypertension in a person’s risk of severe COVID-19 symptoms suggests that the condition may worsen symptoms due to its association with one particular factor.</p> <p dir="ltr">Hypertension, commonly known as high blood pressure, affects 1 in 3 Australian adults and 1 in 5 New Zealanders, according to the<a href="https://www.health.gov.au/ministers/the-hon-greg-hunt-mp/media/taking-the-pressure-off-high-blood-pressure" target="_blank" rel="noopener"> Australian Institute of Health and Welfare</a> and <a href="https://www.southerncross.co.nz/group/medical-library/high-blood-pressure-hypertension#:~:text=Known%20medically%20as%20hypertension%2C%20high,attack%20have%20high%20blood%20pressure." target="_blank" rel="noopener">Southern Cross NZ</a>, with men being more likely to have the condition.</p> <p dir="ltr">The study, published in <em><a href="https://doi.org/10.1007/s40292-022-00506-9" target="_blank" rel="noopener">PubMed</a></em>, concluded that hypertension doesn’t play an independent role in the severity of Covid symptoms from current evidence, but that systolic blood pressure, one the measurements used to determine blood pressure, could be a contributing factor. </p> <p dir="ltr">In light of these findings, the theme for this year’s World Hypertension Day, held on May 17, is <em>Measure Your Blood Pressure Accurately, Control It, Live Longer</em> in a bid to raise awareness of the condition, which can have no immediate symptoms.</p> <p><span id="docs-internal-guid-a78284b9-7fff-a9d9-57cc-3ef54e6af508">Andria Aird, a hypertension expert and Blooms the Chemist pharmacist, tells <em>OverSixty </em>that this absence of symptoms - except for headaches in severe cases - is why raising awareness is crucial, and why Blooms the Chemist is promoting free blood pressure checks this month.</span></p> <p><img src="https://oversixtydev.blob.core.windows.net/media/2022/05/andria-aird.jpg" alt="" width="1280" height="720" /></p> <p dir="ltr"><em>Andria Aird says getting our blood pressure checked is key to detecting high blood pressure. Image: Supplied</em></p> <p dir="ltr">“Current surveys estimate that 32 percent of men and 27 percent of women in Australia have hypertension,” she says. </p> <p dir="ltr">“Left untreated, hypertension can increase your risk of life-threatening conditions like diabetes, heart attack and stroke.”</p> <p dir="ltr">This condition is particularly common among older adults, which Aird says is to do with the changes that occur in our blood vessels.</p> <p dir="ltr">“The walls of our arteries become stiffer and we are more at risk of high blood pressure,” she explains.</p> <p dir="ltr">“More mature people are also more at risk of other health conditions which often go hand in hand with hypertension.”</p> <p dir="ltr">Could I have hypertension and not know it?</p> <p dir="ltr">With no obvious symptoms, we can have hypertension without realising - and getting a blood pressure check is one of the ways to determine if we do.</p> <p dir="ltr">“Sometimes people come into our pharmacy to have their blood pressure tested and shown a systolic reading of up to 200 mmHg without even knowing it.”</p> <p dir="ltr">According to <a href="https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/symptoms-causes/syc-20373410#:~:text=High%20blood%20pressure%20(hypertension)%20is,problems%2C%20such%20as%20heart%20disease." target="_blank" rel="noopener">Mayo Clinic</a>, high blood pressure is determined by the amount of blood your heart pumps and the amount of resistance to blood flow (or width) in your arteries.</p> <p dir="ltr">Blood pressure readings, given in millimetres of mercury (mmHg), consist of two numbers: systolic pressure (the pressure in your arteries when your heart beats) and diastolic pressure (the pressure in your arteries in-between beats).</p> <p dir="ltr">A healthy reading is considered to be a systolic pressure of 140 mmHg or less, and a diastolic pressure of less than 90 mmHg, according to the <a href="https://www.nia.nih.gov/health/high-blood-pressure-and-older-adults#:~:text=Normal%20blood%20pressure%20for%20most,pressure%20of%20less%20than%2080" target="_blank" rel="noopener">National Institute of Ageing</a>.</p> <p dir="ltr">As for how often we should be getting checked, Aird suggests over -50s rolling up their sleeves every 3-6 months.</p> <p dir="ltr">“At Blooms the Chemist we recommend all Australian adults have their blood pressure checked,” she says.</p> <p dir="ltr">“The Heart Foundation recommends at least every two years from 18 years, although my conservative recommendation for people over 50 would be at least 3 – 6 monthly. “Hypertension is not only a disease of the elderly,  however those over 60 are at a higher risk.”</p> <p dir="ltr">But you don’t always have to go to the GP or chemist to get checked.</p> <p dir="ltr">“Reliable home blood pressure monitors are relatively affordable and easy to use. At Blooms The Chemist we can offer advice to recommend a monitor to suit your needs,” Aird says.</p> <p dir="ltr">As well as getting checked, Aird says there are some things we can do in our day-to-day lives to reduce our chances of developing hypertension.</p> <p dir="ltr">“Fortunately, there are lifestyle options we can take to reduce our risk of high blood pressure, even if there is a family history of the condition,” she says.</p> <p><span id="docs-internal-guid-dd7acff1-7fff-c75a-3877-acbbb3b253be"></span></p> <p dir="ltr">“It is vital to quit if you are a smoker. A healthy diet, weight control and regular exercise all substantially reduce your risk. Other tips include reducing salt in your diet, managing stress and reducing alcohol intake.”</p> <p dir="ltr"><em>Image: Getty Images</em></p>

Body

Placeholder Content Image

Toxic positivity: societal pressure to feel good could have the opposite effect

<div class="copy"> <p><a href="https://www.nature.com/articles/s41598-021-04262-z" target="_blank" rel="noreferrer noopener">A multi-national study</a> of 40 countries has found that the societal pressure to feel good is linked to poorer wellbeing in individuals. In almost all countries, experiencing pressure to be happy and not sad was related to more and stronger negative feelings, and stronger symptoms of depression, anxiety, and stress.</p> <p>Interestingly, this relationship was almost twice as strong in countries with higher national happiness, compared to those with lower national happiness – suggesting it may have downsides for some members of society.</p> <p>“The level of happiness individuals feel pressured to achieve may be unattainable and reveal differences between an individual’s emotional life and the emotions society approves of,” says lead author Dr Egon Dejonckheere from the Faculty of Psychology and Educational Sciences at KU Leuven, Belgium, and assistant professor in the Department of Medical and Clinical Psychology at Tilburg University in the Netherlands.</p> <p>“This discrepancy between an individual and society may create a perceived failure that can trigger negative emotions,” he explains. “In countries where all citizens appear to be happy, deviations from the expected norm are likely more apparent, which makes it more distressing.”</p> <p>The international team of scientists, including Australian researchers from the University of Melbourne, investigated how the perceived societal pressure to be happy predicts emotional, cognitive, and clinical indicators of wellbeing in a survey of nearly 7,500 people.</p> <p>Published in <em>Springer Nature</em>, the study then went a step further to evaluate the role of the nations’ global happiness levels on the relationship between societal pressure and wellbeing, using their World Happiness Index (WHI) scores.</p> <p>This score is taken from the <a href="https://worldhappiness.report/" target="_blank" rel="noreferrer noopener">World Happiness Report</a> and is a measure of the average self-reported life satisfaction displayed by inhabitants of a particular country. Countries included in the study that were rated as having higher happiness in the World Happiness Index included The Netherlands and Canada, while countries rated with lower happiness included Uganda and Senegal.</p> <p>As a <a href="https://www.verywellmind.com/what-is-a-cross-sectional-study-2794978#:~:text=A%20cross%2Dsectional%20study%20involves,one%20specific%20point%20in%20time.&amp;text=This%20method%20is%20often%20used,support%20further%20research%20and%20experimentation." target="_blank" rel="noreferrer noopener">cross-sectional study</a>, the researchers acknowledge that while these findings can highlight a correlation between these factors, it cannot prove causality. Nonetheless, they do suggest that changing societal discourse from promoting a one-sided embrace of emotions to one where people learn to appreciate the full scope of their emotional lives (both positive and negative), could have beneficial effects for people’s psychological well-being in the long run.</p> <p><em>Image credits: Getty Images</em></p> <p><em><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=182523&amp;title=Toxic+positivity%3A+societal+pressure+to+feel+good+could+have+the+opposite+effect" width="1" height="1" data-spai-target="src" data-spai-orig="" data-spai-exclude="nocdn" /></em></div> <div id="contributors"> <p><em>This article was originally published on <a href="https://cosmosmagazine.com/health/body-and-mind/toxic-positivity-societal-pressure-to-feel-good-could-have-the-opposite-effect/" target="_blank" rel="noopener">cosmosmagazine.com</a> and was written by Imma Perfetto. </em></p> </div>

Mind

Placeholder Content Image

Peer pressure driving sustainable diets

<p><em>Image: Getty</em></p> <div> <div class="copy"> <p>People find it notoriously difficult to change eating habits to improve their own health, let alone the planet’s.</p> <p>Now European researchers who explored factors that might motivate shifts to more sustainable diets are suggesting that social norms and self-efficacy are the most important.</p> <p>The work by Sibel Eker and Michael Obersteiner, from the International Institute for Applied Systems Analysis in Austria, and Gerhard Reese, from Germany’s University of Koblenz-Landau, supports evidence that peer group values are more powerful than scientific facts in shaping people’s beliefs and actions about climate change.</p> <p><span style="font-family: inherit;">Their findings are presented in a paper in the journal Nature Sustainability.</span></p> <p><span style="font-family: inherit;">The study was motivated by increasing calls for people to adopt plant-based diets as part of radical shifts needed to address the destructive impact of current farming practices on the environment.</span></p> <p><span style="font-family: inherit;">A key target is red meat, which vastly exceeds other food sources in terms of its land use, irrigation and greenhouse gas emissions, and is unsustainable in the face of population growth and climate change.</span></p> <p><span style="font-family: inherit;">Red meat also has been associated with chronic health conditions, including diabetes, heart disease and some cancers.</span></p> <p><span style="font-family: inherit;">On this front alone, calculations suggest that if, on average, the world adopted a flexitarian diet (one portion of red meat per week), it could potentially prevent more than 10 million deaths each year.</span></p> <p><span style="font-family: inherit;">Eker wondered if such “ambitious scenarios” were attainable.</span></p> <p><span style="font-family: inherit;">“I was observing my social network and society,” she says, “like more and more people being meat-reducers, new vegetarian restaurants in urban areas, and it </span>made me curious<span style="font-family: inherit;"> about where these dynamics could lead.”</span></p> <p><span style="font-family: inherit;">Although many people are reducing their meat intake in several countries, widespread resistance means that global levels needed to translate into environmental gains are still beyond reach. </span></p> <p><span style="font-family: inherit;">To explore how pervasive behavioural changes in meat consumption might be achieved, Eker and colleagues used an integrated assessment model to simulate population dynamics.</span></p> <p>Based on prominent psychological theories on environmental action, combined with models from management science, it includes income, social norms, climate risk perception, health risk perception, self-efficacy and response efficacy (belief that one’s actions can make a difference), as well as age, gender and education level.</p> <p>They simulated the model 10,000 times to find the optimal outcome.</p> <p>“This was an exploratory modelling study,” explains Eker, “meaning that we used the model as a platform to experiment with different scenarios to find the most important drivers of diet shifts.”</p> <p>Although she expected concern about health risks to be more important, Eker was not surprised that social norms – unwritten rules of behaviour considered acceptable in a group or society – were a leading motivator of diet change, because they create a strong, positive feedback loop, she says.</p> <p>Put differently, “As there are more vegetarians around, visibility of the phenomenon increases, therefore adoption increases”.</p> <p>The other key driver was self-efficacy, particularly in females, referring to perceived control over one’s behaviour and ability to change.</p> <p>Results showed that this model would yield the most rapid behaviour changes for people aged 15 to 44 years, even when their adoption of vegetarian diets is low.</p> <p>But even if 40% of the population became vegetarian, the model predicted that the environmental benefits may not be fully realised if everyone else continues their current meat consumption, suggesting that change requires a population-wide shift in eating patterns.</p> <p>The researchers conclude that their findings demonstrate the importance of factoring human behaviour into climate change mitigation efforts and suggest that future research also account for variations in cultural attitudes and world views.</p> <p>“We can use models to explore the social and behavioural aspects of climate change and sustainability problems in the same way as we explore the economic and environmental dimensions of our world,” says Eker.</p> <p>This could provide a better understanding of how to motivate the lifestyle changes that are essential to address the predicaments facing the planet.</p> <div class="newsletter-box"> <div id="wpcf7-f6-p26085-o1" class="wpcf7"> <p style="display: none !important;"> </p> <p><!-- Chimpmail extension by Renzo Johnson --></p> </div> </div> <!-- Start of tracking content syndication. Please do not remove this section as it allows us to keep track of republished articles --> <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=26085&amp;title=Peer+pressure+driving+sustainable+diets" alt="" width="1" height="1" /> <!-- End of tracking content syndication --></div> <div id="contributors"> <p><a href="https://cosmosmagazine.com/health/nutrition/peer-pressure-could-nudge-people-towards-sustainable-diets/">This article</a> was originally published on <a href="https://cosmosmagazine.com">Cosmos Magazine</a> and was written by <a href="https://cosmosmagazine.com/contributor/natalie-parletta">Natalie Parletta</a>. </p> </div> </div>

Food & Wine

Placeholder Content Image

Confusion, financial pressure, discomfort: older people can struggle with sustainable living, despite its obvious benefits

<p>Improving the sustainability of Australia’s housing stock is <a href="https://www.google.com/search?client=safari&amp;rls=en&amp;q=building+sector+australia+emissions+the+conversation&amp;ie=UTF-8&amp;oe=UTF-8">crucial</a> to meeting national emissions reduction goals. But for older adults, such changes can bring both benefits and challenges.</p> <p>My <a href="https://www.sciencedirect.com/science/article/abs/pii/S0360132321007344">recent research</a> examined the literature on environmental sustainability measures at residences for older adults. These included private homes, retirement villages and nursing homes.</p> <p>I found that while sustainability measures can bring multiple benefits to older people, they also bring challenges. For example, people living in sustainable dwellings may use less energy and water which leads to lower bills. But older people may suffer cognitive decline and struggle to use sustainable technology devices.</p> <p>The full effects of environmentally sustainable features must be better understood if we’re to provide seniors with high-quality residential environments.</p> <p><img src="https://images.theconversation.com/files/441440/original/file-20220119-15-60lcsc.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" alt="Older man walks down corridor" /> <span class="caption">Sustainability measures can bring benefits and challenges to older people.</span> <span class="attribution"><span class="source">Shutterstock</span></span></p> <h2>Sustainability and ageing: a complex mix</h2> <p>Forecasts suggest that by 2056, <a href="https://www.aihw.gov.au/reports-data/population-groups/older-people/overview">22% of Australians</a> – or 8.7 million people – will be aged 65 or older. High-quality residential environments are important to maintaining the welfare of these people as they age.</p> <p>Environmental sustainability is playing an ever greater role in residential development across the board, including retirement villages. And <a href="https://www.hindawi.com/journals/jar/2014/919054/">previous research</a> suggests most retirement village residents want to lead more sustainable lifestyles.</p> <p>As climate change worsens, the dwellings of older adults should allow them to adapt to these changing conditions. The reduced ability of elderly people to regulate their body temperature means global warming is a profound threat to this group.</p> <p>Improving the sustainability of a residential environment may include:</p> <ul> <li>reducing waste</li> <li>using low carbon or recycled building materials</li> <li>solar passive design</li> <li>efficient heating and cooling</li> <li>using renewable energy such as rooftop solar.</li> </ul> <p><a href="https://new.gbca.org.au/case-studies/building/stockland-takes-sustainability-retirement-living/">Some residential projects</a> for the elderly already include environmental sustainability. A <a href="https://www.emerald.com/insight/content/doi/10.1108/F-08-2011-0060/full/html">case study</a> of a not-for-profit retirement village in South Australia revealed practices such as innovative floor plans, thermally efficient building materials, good window orientation and a water harvesting system.</p> <p>And my previous research <a href="https://www.sciencedirect.com/science/article/abs/pii/S0959652619341605">found</a> a range of sustainability features at eight private and not-for-profit retirement villages in Queensland.</p> <p>However, while many retirement village developers prioritise “social sustainability” features such as care provision and social interaction, environmental sustainability is <a href="https://www.sciencedirect.com/science/article/abs/pii/S0959652617313963">largely ignored</a>.</p> <p><img src="https://images.theconversation.com/files/441450/original/file-20220119-25-1qtv5d.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" alt="elderly woman holds hands of carer" /> <span class="caption">Forecasts suggest that by 2056, 22% of Australians will be aged 65 or older.</span> <span class="attribution"><span class="source">Shutterstock</span></span></p> <h2>On the plus side</h2> <p>The benefits of environmentally sustainable features in in older adults’ residential environment include:</p> <p><strong>- reduced resource consumption:</strong> sustainable dwellings usually require less water and energy use, which lowers living costs. This is especially important for older adults who often have reduced financial capacity after retirement. Older people also use energy <a href="https://www.sciencedirect.com/science/article/abs/pii/S0301421597000402">more intensively</a> than other groups because they have fewer household members, greater heating requirements and spend more time at home.</p> <p><strong>- reduced health risks:</strong> environmentally sustainable measures can lead to healthier indoor environments. For example, good ventilation and high-quality air conditioning often lead to improved indoor air quality and more comfortable ambient temperatures.</p> <p><strong>- alleviated environmental challenges:</strong> many older people want their homes to be more environmentally friendly. Doing their bit to alleviate global problems such as greenhouse gas emissions can provide them with peace of mind.</p> <p><img src="https://images.theconversation.com/files/441438/original/file-20220119-15-124namg.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" alt="elderly person's hands on heater" /> <span class="caption">Sustainable dwellings usually require less water and energy use,</span> <span class="attribution"><span class="source">Shutterstock</span></span></p> <h2>The potential downsides</h2> <p>The challenges of environmentally sustainable home features for older adults include:</p> <p><strong>- financial pressure:</strong> the income of many older adults is substantially reduced after retirement. This <a href="https://www.sciencedirect.com/science/article/abs/pii/S0301421511005222">can conflict</a> with the high initial investment of developing an sustainable housing and the cost of replacing existing systems with sustainable ones.</p> <p><strong>- reducing energy consumption:</strong> in some cases, sustainability measures can involve tolerating slightly higher or cooler temperatures. For example, moving from a gas-heating system to a more sustainable type may <a href="https://www.sciencedirect.com/science/article/pii/S0301421515001172">delay</a> the arrival of heat in a room and leave older people uncomfortable for a short time. This may conflict with older people’s <a href="https://ideas.repec.org/a/eee/enepol/v84y2015icp250-256.html">increased sensitivity</a> to ambient temperatures.</p> <p><strong>- confusion and complexity:</strong> Older adults can have <a href="https://academic.oup.com/bmb/article/92/1/135/332828">reduced cognitive capabilities</a> affecting memory and information processing speed. As a result they may struggle to use sustainable technologies such as smart thermostats. Research has <a href="https://www.sciencedirect.com/science/article/abs/pii/S0301421514006259">suggested</a> ways of overcoming this, such as better recognising the diversity of older adults to achieve a better “person-technology fit”.</p> <p><img src="https://images.theconversation.com/files/441437/original/file-20220119-25-fkfanl.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" alt="Four older women shelter from the sun under umbrella" /> <span class="caption">Older people may have increased sensitivity to hot or cold temperatures.</span> <span class="attribution"><span class="source">Paul Miller/AAP</span></span></p> <h2>Next steps</h2> <p>Older adults have unique needs which their homes <a href="https://www.sciencedirect.com/science/article/abs/pii/S0360132321007344">must satisfy</a>, even when sustainability features are being adopted.</p> <p>Ageing should be seen as a dynamic process with physical, psychological and social dimensions. And the complex interrelationships of ageing, environmental sustainability and the residential environment also need to be recognised.</p> <p>Best practices and lessons learned in creating sustainable living environments for older adults should be <a href="https://www.sciencedirect.com/science/article/abs/pii/S0959652618325241">shared</a>.</p> <p>Finally, developers making sustainability decisions should consult other stakeholders. These include contractors, occupational therapists, researchers and most importantly, older adults themselves.<!-- 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; text-shadow: none !important;" src="https://counter.theconversation.com/content/174535/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><span><a href="https://theconversation.com/profiles/xin-hu-685656">Xin Hu</a>, Lecturer, School of Architecture and Built Environment, <em><a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></span></p> <p>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/confusion-financial-pressure-discomfort-older-people-can-struggle-with-sustainable-living-despite-its-obvious-benefits-174535">original article</a>.</p> <p><em>Image: Shutterstock</em></p>

Retirement Income

Placeholder Content Image

"Poise under pressure": Woman snaps selfie as car sinks in ice

<p><em>Image: Twitter<br /></em></p> <p>A woman In Canada has been criticised for appearing to take a selfie from the roof of her submerged car as it sunk in a frozen lake.</p> <p>The woman’s car became submerged after breaking through ice on the Rideau River in Ottawa on Sunday afternoon, requiring her to be rescued. Ottawa Police tweeted that local residents had come to her aid using “a kayak and quick thinking”.</p> <p>Video obtained by 580 CFRA shows people rushing towards the woman with a kayak as she stands on top of her yellow car.</p> <blockquote class="twitter-tweet"> <p dir="ltr">NEW: Neighbours use kayaks to rescue driver after car crashes through ice in Manotick <a href="https://twitter.com/hashtag/ottnews?src=hash&amp;ref_src=twsrc%5Etfw">#ottnews</a> <a href="https://t.co/dhANorovWK">https://t.co/dhANorovWK</a></p> — CTV Ottawa (@ctvottawa) <a href="https://twitter.com/ctvottawa/status/1482873513782525952?ref_src=twsrc%5Etfw">January 17, 2022</a></blockquote> <p>Resident Zachary King told CTV News Ottawa he and his neighbour Rob Crober were the ones who rescued the woman. "It’s like everything worked out perfectly,” he told the station.</p> <p>“Got her on the kayak, pulled her in. And as soon as we pulled her in, the car went under. Fully."</p> <p>Video shot by resident Sacha Gera appears to show the woman driving on the ice at speed ahead of the rescue. It was reported that nobody was injured.</p> <p>Police said it served as an example that people should not drive across ice even when it looks safe.</p> <p>It seems the woman spent her time waiting to be rescued snapping a selfie while on the roof of her car. “She captured the moment with a selfie while people hurried and worried to help her,” Lynda Douglas tweeted, along with a photo.</p> <p>“Any time you are in a dangerous situation, you should not be taking selfies or doing anything distracting. You should be 100 per cent focused on being safe,” another man tweeted.</p> <p>However, others were far less critical. “She's waiting to be rescued. What the hell else is she supposed to do?” one man tweeted.</p> <p>“I appreciate her poise under pressure.”</p> <p>Regardless, the drive on the ice has proven costly for the woman, with her car being written off. Police have also charged her with an offence.</p>

Travel Trouble

Placeholder Content Image

The perils of perfectionism during lockdown

<p>Trying to find ways to make the most of time in lockdown has motivated many people to learn new skills, polish up old ones, and tackle old to-do lists. Social media and the news present an abundance of stories about the amazing things people are accomplishing during lockdown. There are tips on how to be the perfect parent, have the perfect at-home workout routine, and even bake the <a href="https://www.walesonline.co.uk/whats-on/food-drink-news/6-steps-making-perfect-loaf-10035234">perfect loaf of bread</a>.</p> <p>It’s easy to think that this would help people’s mental health by giving them a sense of purpose and distraction. But for those prone to perfectionism, this information can fuel feelings of insecurity and self-doubt. Striving to measure up to the examples on social media can take a further <a href="https://guilfordjournals.com/doi/abs/10.1521/jscp.2018.37.7.514">toll on mental health</a> when projects fail because you don’t have the resources needed. Perfectionism can make you more vulnerable <a href="https://www.springer.com/gb/book/9783319185811">to poor wellbeing</a> during lockdown.</p> <p><strong>Unrealistic standards and self-criticism</strong></p> <p>Perfectionism isn’t simply about <a href="https://journals.sagepub.com/doi/full/10.1177/1745691618797940">striving to do your best</a>. Instead it involves a tendency to have frequent thoughts about achieving ideal standards coupled with relentless striving to reach goals that are unrealistic.</p> <p>Personality science has revealed that perfectionism comes in <a href="https://www.ncbi.nlm.nih.gov/pubmed/2027080">two main forms</a>. One is characterised by overly critical and negative views of your own behaviour, and an excessive preoccupation with other people’s expectations of your performance. These self-critical perfectionists get little satisfaction even when they do bake a lovely loaf of sourdough bread. To them, it will never be as good as the loaf their friend baked.</p> <p>The other form of perfectionism is more similar to the common idea of a perfectionist – someone who strives to meet very high standards. But there’s a catch. Although these striving perfectionists tend to set their own standards and care less about what others think, they too have difficulty savouring successes and tend to <a href="https://www.sciencedirect.com/science/article/pii/S0191886913002432">take on too much.</a> Chances are that if you are secretly wishing that the lockdown goes on longer so that you can get through your to-do list or achieve all your self-improvement goals, you’re probably this type of perfectionist.</p> <p><strong>Social comparisons</strong></p> <p>It’s natural for people to compare themselves to others to get direction when they experience uncertainty. These <a href="https://www.psychologytoday.com/gb/basics/social-comparison-theory">social comparisons</a> help us evaluate our performance and motivate self-improvement.</p> <p>But for self-critical perfectionists, checking social media and the news for how others are dealing with lockdown can be a reminder that they are not accomplishing enough, not being the best parent, and falling short of what is expected. This can lead to <a href="https://www.psychologytoday.com/gb/blog/dont-delay/201004/the-pernicious-perils-perfectionism">worry and repetitive negative thoughts</a> about not being perfect, which can increase <a href="https://link.springer.com/article/10.1007/s10608-007-9173-7">risk for depression and distress</a>.</p> <p>Feelings of not being perfect in the eyes of others provide another reason why perfectionists are at <a href="https://psycnet.apa.org/record/2018-39651-011">risk for poor mental health</a> during lockdown. Reaching out for help means admitting you’re not perfect. This is one reason why perfectionists are more prone to <a href="https://www.sciencedirect.com/science/article/pii/S0191886908001682">social disconnection</a> and loneliness.</p> <p><strong>Health</strong></p> <p>With regular exercise routines disrupted, people are turning to online fitness classes and videos to stay fit during lockdown. You might expect that perfectionism would give an advantage when it comes to staying healthy. But exposure to the “perfect” exercise routine promoted by ultra-fit exercise gurus can trigger feelings of inadequacy.</p> <p>Self-critical perfectionists may respond by simply abandoning any attempt to stay fit. My research has shown that this form of perfectionism is linked to <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/per.2098">procrastination</a> and <a href="https://www.sciencedirect.com/science/article/pii/S0092656616302173">poorer health</a>. Striving perfectionists, on the other hand, can go <a href="https://www.sciencedirect.com/science/article/pii/S0191886910000929?casa_token=BIVlMTNK3yUAAAAA:7-xuaXmqHXRPGPy9xj9dRp22eknr3JvFRgQ6SXbyD9jpV9qemR711tMdzrp-n_lKY1hbVITI0JQ">into exercise overdrive</a> to try to become as ultra-fit as the online instructors, pushing themselves too much and increasing risk for exhaustion and injury. Neither extreme is healthy.</p> <p><strong>Embrace imperfections</strong></p> <p>So how can perfectionists manage their wellbeing during lockdown? Learning to accept personal limitations and imperfections is crucial, but may be easier said than done. Once a perfectionist is reminded that they are not perfect, it is difficult for them to respond with <a href="https://www.tandfonline.com/doi/full/10.1080/15298868.2019.1669695?casa_token=cMuF6hfZGDYAAAAA%3AcJ7PiM7Q9nu2-RHCs7wT9-uo-d0EOFfyNIQal5DKzvBgkaAv5giralYxYmGXZ2pD0VeTUDQ3Gaxi4w">acceptance and compassion</a> towards their shortcomings – self-criticism is the default response. This is why it’s important to limit exposure to social media that promotes perfectionism.</p> <p>Keeping things in perspective can also help. For example, is it really the end of the world if your sourdough starter failed?</p> <p>More importantly, reminding ourselves that we are all imperfect and that we all struggle with failures and shortcomings is essential for practicing self-compassion. Showing ourselves the same kindness and acceptance that we would for a close friend who is struggling during lockdown is one way to <a href="https://self-compassion.org/category/exercises/#exercises">cultivate this self-compassion</a>.</p> <p>Implying that people are lazy or unmotivated if they aren't knocking out masterpieces daily isn't inspiration, it's a form of shaming. If endless distraction cured depression, no rich person or workaholic would ever have killed themselves. Sadness and anxiety aren't weaknesses /1</p> <p>As she aptly noted, learning to accept our feelings and distress is “a better route back to good mental health than beating ourselves up for not being superhuman”.</p> <p>Embracing our imperfections can help us be more aware of our mental health and feel more connected to others during lockdown. This is an important first step towards reaching out and getting help when we need it.</p> <p><em>Written by Fuschia Sirois. Republished with permission of <a href="https://theconversation.com/the-perils-of-perfectionism-during-lockdown-135748">The Conversation.</a></em></p>

Beauty & Style

Placeholder Content Image

Duchesses Meghan and Kate under pressure to “save the Royal Family”

<p>The pressure is mounting on Duchess Kate and Duchess Meghan to “save the Royal Family” according to royal commentator Katie Nicholl.</p> <p>With Her Majesty turning 95 in 18 months – the same age at which her husband Prince Philip stepped back from his public duties – there are rumours circulating that she may use the milestone to hand over her day-to-day control of the monarchy to Charles.</p> <p>Katie has suggested the Queen’s move towards retirement will “force” the Duchess of Sussex, 38, and the Duchess of Cambridge, 37, to work closely with each other.</p> <p>“I think after a festive break, both Kate and Meghan will know that joint ventures to support the Queen are not only part of their duty, but also good for the public image,” said Katie, speaking to<span> </span><em>Closer</em><span> </span>magazine.</p> <p>“[Kate] knows the pressure is on her and Meghan to save the royal family, to an extent.”</p> <p>With Prince Andrew being forced to step down from his royal duties, the commentator believed that his charities may be passed on to other members of the family, which could result in the Cambridge’s and Sussex’s to put on a “united front.”</p> <p>“The Queen turns 94 this year and there’s a plan in place to relieve her of her pressures, which is why she’s calling on the four to step up,” explained Katie.</p> <p>“Although the Cambridges and Sussexes have their own charities, I think the Queen’s move towards retirement will force them to work closely with each other.”</p>

Beauty & Style

Placeholder Content Image

"They threatened us": ABC "quashed" story about Jeffrey Epstein due to pressure from British Royal family

<p>In a leaked footage released Tuesday, US anchor Amy Robach said her network “quashed” a story about convicted sex offender Jeffrey Epstein due to threats from the British royal family.</p> <p>Robach, reporter and anchor for ABC America, is seen in the clip speaking about her frustration that the network did not air her 2015 interview with one of Epstein’s alleged victims, Virginia Giuffre (formerly Virginia Roberts).</p> <blockquote class="twitter-tweet" data-lang="en"> <p dir="ltr">WE NEED YOU <a href="https://twitter.com/hashtag/VeritasArmy?src=hash&amp;ref_src=twsrc%5Etfw">#VeritasArmy</a>! <br /><br />Sign the petition, DEMAND ANSWERS: <a href="https://t.co/hGPzzXgbnT">https://t.co/hGPzzXgbnT</a><a href="https://twitter.com/hashtag/EpsteinCoverup?src=hash&amp;ref_src=twsrc%5Etfw">#EpsteinCoverup</a> <a href="https://t.co/qKGA8mst7b">pic.twitter.com/qKGA8mst7b</a></p> — Project Veritas (@Project_Veritas) <a href="https://twitter.com/Project_Veritas/status/1191746719714811904?ref_src=twsrc%5Etfw">November 5, 2019</a></blockquote> <p>In the video, Robach said she was told, “Who’s Jeffrey Epstein? No one knows who that is. This is a stupid story.”</p> <p>Robach also said the British Royal Palace pressured ABC not to air her interview with Giuffre.</p> <p>“The Palace found out that we had her whole allegations about Prince Andrew and threatened us a million different ways,” she said.</p> <p>She suggested the network feared that airing the interview would hurt the network’s ability to gain an interview with Prince William and Duchess Kate.</p> <p>“We were so afraid that we wouldn’t be able to interview Kate and Will. That also quashed the story.”</p> <p>Robach said Giuffre had given her news crew “everything”, including photographic evidence.</p> <p>“She was in hiding for 12 years, we convinced her to come out, we convinced her to talk to us. It was unbelievable what we had,” Robach said.</p> <p>“I tried for three years to get it on to no avail and now it’s all coming out and it’s like these new revelations and I freaking had all of it.</p> <p>“Brad Edwards [Giuffre’s lawyer], the attorney, three years ago saying, ‘There will come a day, when we will realise Jeffrey Epstein was the most prolific paedophile this country had ever known.’ I had it all three years ago.”</p> <p>Project Veritas, a conservative organisation which released the clip, said it came from an “ABC insider”.</p> <p>Following the video’s release, ABC denied that outside pressure influenced the network’s decision to reject the 2015 story.</p> <p>“At the time, not all of our reporting met our standards to air, but we have never stopped investigating the story,” ABC News said in a statement Tuesday.</p> <p>“As a journalist, as the Epstein story continued to unfold last summer, I was caught in a private moment of frustration,” Robach said.</p> <p>“I was upset that an important interview I had conducted with Virginia [Giuffre] didn’t air because we could not obtain sufficient corroborating evidence to meet ABC’s editorial standards about her allegations. My comments about Prince Andrew and her allegation that she had seen Bill Clinton on Epstein’s private island were in reference to what Virginia [Giuffre] said in that interview in 2015.”</p> <p>In an interview published by <a rel="noopener" href="https://www.npr.org/2019/08/22/753390385/a-dead-cat-a-lawyers-call-and-a-5-figure-donation-how-media-fell-short-on-epstei" target="_blank">NPR</a> in August, Giuffre said she “viewed the ABC interview as a potential game-changer”.</p> <p>“Appearing on ABC with its wide viewership would have been the first time for me to speak out against the government for basically looking the other way and to describe the anger and betrayal victims felt.”</p> <p>Epstein was arrested in July on sex trafficking charges and died in prison the following month.</p> <p>Epstein had been associated with Prince Andrew and former US president Bill Clinton. Both the prince and Clinton have <a rel="noopener" href="https://www.oversixty.com.au/news/news/prince-andrew-finally-breaks-silence-on-friendship-with-jeffrey-epstein" target="_blank">denied</a> any knowledge of Epstein’s crimes and illicit activities.</p>

News

Placeholder Content Image

New studies reveal dogs are good for our heart health

<p><span style="font-weight: 400;">A new study in the US has proven the link between dogs being good for your heart.</span></p> <p><span style="font-weight: 400;">The study examined the link between dog ownership and a lowered risk of dying from cardiovascular disease.</span></p> <p><span style="font-weight: 400;">The results showed that dog owners had a 24 per cent lower chance of dying from the disease and it monitored 3.8 million people across the globe.</span></p> <p><span style="font-weight: 400;">The </span><a href="https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.119.005554"><span style="font-weight: 400;">study</span></a><span style="font-weight: 400;"> also showed that dogs also helped those who suffered from a heart attack or a stroke as participants who experience one of the two diseases had a 34 per cent chance of </span><span style="font-weight: 400;">not</span><span style="font-weight: 400;"> dying from the disease.</span></p> <p><span style="font-weight: 400;">The study considered the reasons as to why this was the case, but for dog owners, it’s straightforward.</span></p> <p><span style="font-weight: 400;">Dogs need exercise and in order to keep our furry friends happy, we indulge them by taking them on walks.</span></p> <p><span style="font-weight: 400;">Humans getting more exercise is good for heart health, so both parties benefit from this.</span></p> <p><span style="font-weight: 400;">A </span><a href="https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.118.005342"><span style="font-weight: 400;">Swedish study</span></a><span style="font-weight: 400;"> looked at 300,000 people and found that there are huge benefits for dog owners who live alone, as it lowered the rates of depression in dog owners.</span></p> <p><span style="font-weight: 400;">The study also found that even those who come near a dog experience benefits, as those with hypertension experienced lower blood pressure.</span></p> <p><span style="font-weight: 400;">Go out and pat a dog, it’s good for your blood pressure.</span></p>

Family & Pets

Placeholder Content Image

How one Michelin starred chef deals with the enormous pressure

<p><span style="font-weight: 400;">NYC’s The Langham Hotel had a Michelin star and was a well-known favourite of celebrities, such as Sarah Jessica Parker and Leonardo DiCaprio before 32-year-old chef Scott Schneider took over as head chef.</span></p> <p><span style="font-weight: 400;">The restaurant, Ai Fiori, opened in 2010, with Schneider joining as a line cook in 2011 and he never thought he’d become head chef, let alone obtain the sought-after position in such a short timeline.</span></p> <p><span style="font-weight: 400;">Schneider has retained the Michelin star status of the restaurant as he has been the head chef for a number of years. He spoke to </span><a href="https://kitchen.nine.com.au/2019/04/05/13/17/chef-scott-schneider-michelin-starred-chef-ai-fiori-the-langham-hotel-new-york-city"><span style="font-weight: 400;">9Honey Kitchen</span></a><span style="font-weight: 400;"> about what to look out for in the reviewers who are in charge of handing out the stars. </span></p> <p><span style="font-weight: 400;">"We don’t really know when the [Michelin guide reviewers] come in," Schneider explained.</span></p> <p><span style="font-weight: 400;">However, there are a few details to look out for.</span></p> <p><span style="font-weight: 400;">"Most of the time it's a French couple. They will usually order the tasting menu and they're usually looking at every little detail; under the tables, all the food, the menu, every tiny thing."</span></p> <p><span style="font-weight: 400;">As Schneider was born in Ohio, went to a vocational culinary school and fell in love with food, he realised he needed a change of scenery.</span></p> <p><span style="font-weight: 400;">"I just I figured if I wanted to work in some great kitchens, then this was where I needed to be. They don’t really have that where I'm from in Ohio," he chuckles.</span></p> <p><span style="font-weight: 400;">"It's kind of surreal. I have family and friends that come from Ohio and they dine here and they're just blown away and say things like; 'you're the chef in this restaurant? Wow.' – sometimes you forget how wonderful it all is, and it helps you not to take it for granted." </span></p> <p><span style="font-weight: 400;">However, Schneider doesn’t let the pressure get to him. The variety of his work keeps him engaged, and the people he works with aren’t bad either.</span></p> <p><span style="font-weight: 400;">"This [Ai Fiori] is home. We have a good team, you know. We're evolving the menu and food all the time and you can't get bored in the kitchen. If you get bored, then there's a problem."</span></p> <p><span style="font-weight: 400;">Each dish that goes out is a team effort, which Schneider is proud of.</span></p> <p><span style="font-weight: 400;">"A lot of research goes into each dish, we taste and play around with flavours and ideas," he says, adding that this is really "the fun bit,” he explained. </span></p> <p><span style="font-weight: 400;">"When we get to a point where we're happy with it, we'll have our peers taste it, all the sous chefs will talk about it, maybe it needs more acid or a different herb or whatever. Then once we all agree, that's when the dish happens. It's not just me. It’s a team."</span></p>

Food & Wine

Placeholder Content Image

The worrying link between blood pressure medication and lung cancer

<p>A new study has found that popular blood pressure pills taken by millions over the world could increase the risk of lung cancer.</p> <p>The research has shone a spotlight on how ACE inhibitors are more likely to develop cancer than other types of drugs.</p> <p>The study, conducted by researchers at McGill University in Montreal, Canada, said the risk of the medication increased the longer patients were taking it.</p> <p>Those taking the drug for five years were 22 per cent more likely to get lung cancer, while those who had been on it for 10 years were 31 per cent more likely.</p> <p>Scientists believe the drug causes the accumulation of chemicals called bradykinin on the lung, which can cause cancer.</p> <p>However, other experts have cast doubt on the shock findings, saying that the lung cancer could instead be caused by patients smoking at the same time as the drugs.</p> <p>Up to five million patients in the UK take ACE inhibitors, with most patients being prescribed the medication for high blood pressure or following a heart attack.</p> <p>It is branded as Tritace in the UK but sold as Altace in the US.</p> <p>Other common names for the drug include captopril, cilazapril, ramipril and enalapril.</p> <p style="text-align: center;"><img style="width: 500px; height: 281.25px;" src="https://oversixtydev.blob.core.windows.net/media/7821634/image_.jpg" alt="" data-udi="umb://media/22c827b8509a4ceca6b6dc849dd73dcf" /></p> <p>The medication works by reducing the activity of the angiotensin-converting enzyme (ACE).</p> <p>After this enzyme is blocked, the blood vessels relax and widen, thus lowering the blood pressure.</p> <p>The study was published in the BMJ and analysed data from 992,000 adults who were prescribed blood pressure drugs in the UK between 1995 and 2015.</p> <p>Patients were either taking ACE inhibitors or angiotensin receptor blockers, which lower blood pressure in a different way.</p> <p>Compared to patients on angiotensin, those on ACE inhibitors were 14 per cent more likely to be diagnosed with lung cancer over a six-year period.</p> <p>The researchers have called for “additional studies, with long term follow-up, to investigate the effects of these drugs on incidence of lung cancer”.</p> <p>Although a 14 per cent increased risk might not appear to be much, “small relative effects could translate into large absolute numbers of patients at risk for lung cancer”.</p> <p>The researchers added: “Given the potential impact of our findings, they need to be replicated in other settings, particularly among patients exposed for longer durations.”</p> <p>However, Professor Stephen Evans, an expert on the effects of drugs at the London School of Hygiene and Tropical Medicine, said it was unlikely the drugs were causing lung cancer.</p> <p>“Drawing strong conclusions and talking about public health impact in this situation seems premature,” he said.</p> <p>Do you take blood pressure tablets? Let us know in the comments below.</p>

Caring

Placeholder Content Image

Common blood pressure pills recalled worldwide

<p>A popular blood pressure drug has been recalled worldwide after it was contaminated with a cancer-causing chemical.</p> <p>The drug Valsartan, made in a factory in China, was first recalled in 22 countries – including the UK and the US earlier this month – but the warning has now been issued worldwide.</p> <p>A cancer-causing chemical used in rocket fuel, N-Nitrosodimethylamine (NDMA), contaminated the drug’s production at Zhejiang Huahai Pharmaceutical.</p> <p>Production of Valsartan has stopped, and experts believe the contamination could date back to 2012, when the company changed its manufacturing process.</p> <p>The drug, which has been commonly prescribed for 15 years, was recalled in the UK and then in the US two weeks later.</p> <p>Valsartan was first developed by Novartis and the Swiss company marketed it as Diovan, but it is now off patent and is used in various generic medicines supplied by numerous companies.</p> <p>Valsartan is prescribed to patients to treat high blood pressure and heart failure.</p> <p style="text-align: center;"><img width="497" height="330" src="https://oversixtydev.blob.core.windows.net/media/7819906/1_497x330.jpg" alt="1 (175)"/></p> <p>Zhejiang Huahai, which was one of the first Chinese companies to get drugs approved in the US market, also makes medicines to treat heart problems, depression, allergies and HIV, according to its website.</p> <p>The European Medicines Agency (EMA), which first issued the warning over Valsartan, said it was working to find out how long and at what levels patients might have been exposed to NDMA.</p> <p>The agency said: “It is still too early to provide information on the longer term risk NDMA may have posed for patients.”</p> <p>“EMA has made this aspect of the review a priority and will update the public as soon as new information becomes available," reported the <a href="http://www.dailymail.co.uk" target="_blank"><span style="text-decoration: underline;"><strong><em>Daily Mail</em></strong></span></a>. </p> <p>The EMA said all medicines containing Valsartan from Zhejiang Huahai should be recalled and no longer available in pharmacies.</p> <p>The EMA believes the unexpected impurity, which was not detected by routine tests, may have been produced from manufacturing processes that were introduced in 2012.</p> <p>The EMA has informed patients that only some Valsartan medicines have been affected and recommended speaking to a pharmacist or doctor who can tell you if your medicine is being recalled.</p> <p>“You should not stop taking your Valsartan medicine unless you have been told to do so by your doctor or pharmacist,” the agency said in a <a href="http://www.ema.europa.eu/docs/en_GB/document_library/Press_release/2018/07/WC500251498.pdf" target="_blank"><strong><span style="text-decoration: underline;">press release.</span></strong></a></p>

Caring

Placeholder Content Image

How to improve your blood pressure naturally

<p><em><strong>Tracy Adshead is a yoga teacher specialising in yoga for seniors. She is passionate about bringing healing and healthy ageing to the community.</strong></em></p> <p>Health surprises can arrive in many different ways. For the <a href="https://www.healthnavigator.org.nz/health-a-z/b/blood-pressure-high/" target="_blank"><span style="text-decoration: underline;"><strong>1 in 5 New Zealanders</strong></span></a> that have high blood pressure it was hearing that new guidelines around which levels of blood pressure constituted a health risk suddenly meant that they were now considered having stage 1 hypertension.</p> <p>Blood pressure that’s high over a long time is one of the main risk factors for heart disease and the chances of having persistently high blood pressure increase with age. The good news is that the new recommendations emphasise lifestyle changes and not medication – such as diet, stress management and exercise. <a href="http://www.oversixty.com.au/health/body/2016/11/introduction-to-chair-yoga/" target="_blank"><strong><span style="text-decoration: underline;">Chair yoga</span></strong></a> targets two out of three of these objectives – physical activity and stress management. Over time the practice allows us to become fitter and calmer, not just in class but in everyday life as well. </p> <p>There’s another method that is drug-free and easy to do, a number of my senior yoga students have tried this with great results – squeezing a stress ball for 2 minutes, 4 times in a row (with a 2-minute rest in-between each squeeze) 3 times a week. <a href="https://www.health.harvard.edu/newsletter_article/squeezing-your-way-to-lower-blood-pressure" target="_blank"><strong><span style="text-decoration: underline;">Several studies</span></strong></a> show that an average of 16 per cent drop in blood pressure can be achieved with this method, the practice is thought to strengthen and widen the arteries.</p> <p>The main thing to keep in mind when doing hand grip exercises is not to use your full strength as this could raise your blood pressure, go for a low to moderate resistance. Aim to use about 30 per cent of your full strength, a good way to gauge this is to grip your stress ball as hard as you can briefly and then reduce your grip to about one third intensity.</p> <p>With patience and a little bit of time each day it is possible to control blood pressure naturally and set yourself up to live a longer healthier life.</p> <p><em>For more, follow Tracy on Facebook <span style="text-decoration: underline;"><strong><a href="http://www.oversixty.com.au/%20https:/www.facebook.com/TracyChairYoga/?hc_ref=SEARCH&amp;fref=nf" target="_blank">here</a></strong></span>.</em></p>

Body

Placeholder Content Image

Common method of measuring blood pressure is often inaccurate

<p><em><strong>James Sharman is a Professor of Medical Research and Deputy Director, Menzies Institute for Medical Research at the University of Tasmania.</strong></em></p> <p>The most common method of measuring blood pressure is often inaccurate, a new study has found. This could mean people at risk of serious conditions such as heart disease are missing diagnosis and potentially life-saving treatment.</p> <p>The so-called “cuff method” involves strapping an inflatable cuff over the upper arm to temporarily cut off the blood supply; then calculating the blood pressure once the cuff is relaxed.</p> <p>In our study, published in the <a href="http://www.onlinejacc.org/content/70/5/572?sso=1&amp;sso_redirect_count=1&amp;access_token=">Journal of the American College of Cardiology</a>, we found the method, which is more than a century old, is inaccurate when monitoring people with mid-range blood pressure. This is the range <a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)62036-3/abstract">most common</a> among people worldwide.</p> <p><a href="http://circ.ahajournals.org/content/111/5/697.long">Accurate measurement</a> of blood pressure is regarded among the most important of all medical tests. A misdiagnosis of low blood pressure can be a missed opportunity for lowering a person’s risk of cardiovascular disease, which often presents as a stroke, heart attack or kidney disease. A misdiagnosis of high blood pressure, on the other hand, could lead to people being prescribed unnecessary medication.</p> <p><strong>What is blood pressure?</strong></p> <p>Blood pressure is the force exerted in the large arteries – vessels that carry blood away from the heart – with every heartbeat. Blood pressure measurement provides a high (systolic) and a low (diastolic) value. The high value represents the peak pressure during heart contraction; the low value represents the pressure during heart relaxation.</p> <p>Healthy levels of blood pressure are typically <a href="https://www.heartfoundation.org.au/images/uploads/publications/PRO-167_Hypertension-guideline-2016_WEB.pdf">less than 120/80 mmHg</a> (the 120 mmHg is systolic, and 80 mmHg diastolic). <a href="http://www.sciencedirect.com/science/article/pii/S0140673602119118?via%3Dihub">Decades of research</a> clearly tell us if a person’s blood pressure is raised they are at higher risk of cardiovascular disease. The higher the blood pressure, the higher the risk.</p> <p>About one in three adults <a href="https://www.heartfoundation.org.au/about-us/what-we-do/heart-disease-in-australia/high-blood-pressure-statistics">have high blood pressure</a>. <a href="http://jamanetwork.com/journals/jama/article-abstract/195419">Lifestyle factors</a> such as regular exercise, normal body weight and healthy dietary choices, as well as <a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)01225-8/abstract">medications</a>, can lower blood pressure and prevent cardiovascular disease.</p> <p>Although there are many factors to consider when assessing if someone has high blood pressure, the conventional threshold at which doctors might consider giving medication to lower pressure is 140/90 mmHg.</p> <p><strong>How is blood pressure measured?</strong></p> <p>The method to measure blood pressure is based on a technique <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1543468/">invented in 1896</a>, then refined in 1905, but the basic principal has remained virtually unchanged.</p> <p>A broad cuff is placed over the upper arm and inflated until the main artery in the arm is completely occluded and blood flow is stopped. The cuff is then slowly deflated until blood flow returns into the lower arm.</p> <p>A series of signals can then be measured that represent the systolic and diastolic blood pressure. These are measured by either listening with a stethoscope or, more often, using <a href="http://circ.ahajournals.org/content/111/5/697.long">automated</a> devices.</p> <p><strong>Our study</strong></p> <p>It’s uncertain whether cuff blood pressure accurately measures the pressure in the arteries of the arm or the major artery just outside the heart, called the aorta. This is important as <a href="https://academic.oup.com/eurheartj/article-abstract/11/2/138/503539/Nitroglycerin-has-more-favourable-effects-on-left?redirectedFrom=PDF">blood pressure readings can be different</a> in these two spots – a potential difference of 25 mmHg or more.</p> <p>The central aorta blood pressure is a <a href="https://academic.oup.com/eurheartj/article/31/15/1865/690304/Prediction-of-cardiovascular-events-and-all-cause">better indicator of the pressure</a> experienced by organs, such as the heart and brain, so it is more clinically relevant.</p> <p>The possibility of big blood pressure differences between the arm and the aorta could result in <a href="http://hyper.ahajournals.org/content/early/2013/09/23/HYPERTENSIONAHA.113.02001">very different clinical decisions</a> on diagnosis and treatment. So it is important to resolve the uncertainty as to what cuff blood pressure actually measures.</p> <p>We retrieved data from studies from the 1950s until now that compared cuff blood pressure of more than 2,500 people with that of the gold standard method, called invasive blood pressure. Here, a catheter that measures pressure is inserted inside the artery either at the arm (same site as the cuff) or at the aorta.</p> <p>Readings from this method were used as a reference and compared with those of the cuff method to determine the accuracy of cuff measurements.</p> <p><img width="446" height="368" src="https://cdn.theconversation.com/files/174623/width754/file-20170620-9968-fzg7i8.png" style="display: block; margin-left: auto; margin-right: auto;"/></p> <p> </p> <p><strong>What did we find?</strong></p> <p>Cuff blood pressure had reasonable accuracy compared with the reference standard, at either the arm or aorta, among people with low cuff blood pressure (lower than 120/80 mmHg) and high cuff blood pressure (the same or higher than 160/100 mmHg). These people are at the extreme ends of the blood pressure risk spectrum.</p> <p>We found the accuracy when compared to invasive blood pressure was up to 80%.</p> <p>But for the rest of the population with blood pressure in the middle range – systolic 120 to 159, and diastolic 80 to 99 mmHg – accuracy compared with invasive blood pressure at the arm or the aorta was quite low: only 50% to 57%.</p> <p><strong>Why is this important?</strong></p> <p>If people have their blood pressure measured using the cuff method and the values are either low (under 120/80 mmHg) or high (over 160/100 mmHg), we can have reasonable confidence the values are a good representation of the true (invasive) blood pressure.</p> <p>But for people whose blood pressure is in the <a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)62036-3/abstract">most common mid-range</a> of 120 to 160 mmHg systolic or 80 to 100 mmHg diastolic, there is much less certainty as to whether the cuff blood pressure is truly representative of the actual blood pressure.</p> <p>Our findings do not mean people should stop taking their medication or stop having their blood pressure measured using the cuff device. While this study reveals accuracy issues, the <a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)01225-8/abstract">evidence from many</a> <a href="http://www.sciencedirect.com/science/article/pii/S0140673603147393?via%3Dihub">large clinical trials</a> <a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)61212-5/abstract">clearly shows</a> taking medication to lower blood pressure from high levels reduces the chances of stroke, heart attack and vascular disease.</p> <p>Cuff blood pressure measurements are still useful, but we could help more people if we could measure blood pressure more accurately. The problem is that some people in the mid blood pressure range may fall through the diagnosis cracks.</p> <p>Until the accuracy standards of pressure-measuring devices are improved, the best available confirmation of blood pressure levels comes from an average of many repeated measures over time. This is better than one or two measures, as is often the way in busy daily clinical practice, and was closest to the method examined in this study.</p> <p>People can have repeated measures of blood pressure undertaken in consultation with their general practitioners or at specialist centres. These can include <a href="http://www.racgp.org.au/afp/2016/januaryfebruary/how-to-measure-home-blood-pressure-recommendations-for-healthcare-professionals-and-patients/">self-measured home</a> blood pressure, <a href="http://aabpmc.org/attachments/Head_J_Hypertens_2012.pdf">24-hour ambulatory</a> blood pressure and <a href="http://hyper.ahajournals.org/content/55/2/195.long">automated unobserved</a> blood pressure.</p> <p><em>Written by James Sharman. First appeared on <strong><span style="text-decoration: underline;"><a href="https://theconversation.com/the-most-used-method-of-measuring-blood-pressure-is-often-inaccurate-study-finds-79041">The Conversation.</a></span></strong></em></p> <p><img width="1" height="1" src="https://counter.theconversation.edu.au/content/77988/count.gif?distributor=republish-lightbox-advanced" alt="The Conversation"/></p>

Retirement Life

Placeholder Content Image

How I lowered my blood pressure without giving up butter

<p><strong><em>Sue Van Gaal is 77 years old and lives in Koo Wee Rup, Victoria. As well as her golfing interest, Sue passionately supports her children, Louise and Phillip, in breeding magnificent Warmblood horses for Dressage and Showjumping.</em></strong></p> <p>With a family background in nursing and medicine I understand all about healthy living. I have been an avid golfer for the past 18 years, an activity that has helped me cope with stressful jobs and family matters, and I have supported my body with natural supplements. However, I have one weakness… I’m a self-confessed butter-holic!</p> <p>I use animal (saturated) fats in most of my cooking, mainly because I don’t digest oil well, but also because I prefer the taste. Unfortunately, however, my preference likely contributed to my cholesterol and blood pressure levels creeping into the above normal range. At its highest, my total cholesterol reached 6.8mmol/L and by blood pressure reached 158/85mmHg, placing me at high risk of developing cardiovascular disease.</p> <p>I wasn’t keen on changing my dietary habits to improve these levels I have, however, always believed in taking natural supplements to support a healthy body, so my interest was piqued when, two-and-a-half years ago, my daughter suggested I participate in a clinical research trial for Kyolic Aged Garlic Extract (KAGE) to improve cardiovascular health – something she heard about after a visit to our naturopath.</p> <p>The study was being run by Associate Professor Karin Ried at the National Institute of Integrative Medicine in Hawthorn, Victoria. My high cholesterol and blood pressure levels made me a perfect candidate to participate. The clinical trial lasted 12 weeks after which time I found out I was actually in the placebo treatment group. Despite this, my total cholesterol level dropped to 5.8mmol/L and my blood pressure to 138/80mmHg – a pretty impressive placebo effect!</p> <p>The result inspired me to try taking the KAGE daily at the recommended dose, and to my delight, 6 months after using KAGE, my cholesterol levels improved further, dropping to 5.2mmol/L along with my blood pressure, dropping to 130/75mmHg. That was without making any dietary changes.</p> <p>Since seeing these amazing results, taking KAGE has become part of my daily natural supplement intake. I was really pleased to find a natural medicine option, I am delighted I can still eat all my buttery treats too!</p> <p>The advice I would give others is to find out whether there are natural medicine options that can benefit your health as it has mine.</p> <p><em>This advice is not meant as a substitute for professional medical advice. Before you change your diet, speak to your doctor. </em></p>

Body