Search

New search commences for Samantha Murphy’s body

A new search for the body of Samantha Murphy is set to take place on Thursday in the dense bushland in Victoria. The Ballarat mother, 51, went missing without a trace in February when she left home for her morning run and never returned. Since various sources came forward with fresh intelligence, authorities will lead a search through bushland in the Enfield State Park area, about 25km from Ballarat where she was last seen. "The search will focus on an area highlighted by intelligence derived from a number of sources," Victoria Police said in a statement on Thursday. "Since Samantha's disappearance over two months ago, a range of searches and other enquiries have been undertaken in the Ballarat area as part of this investigation.” "This includes extensive large-scale searches such as we have planned this week, but also smaller targeted searches focused in very specific areas.” "I want to assure those in the Ballarat community that police remain focused on doing everything we can to return Samantha to her family." Police have urged members of the public not to join in the search, but assured concerned locals they will share updates on the search as they see fit. In March, 22-year-old Patrick Orren Stephenson was charged with Murphy’s murder, as police allege he killed Murphy while she was on a run through the Canadian State Forest, but have not publicly identified any further details of their case. Image credits: Nine

Legal

Detection dogs to lead search for Samantha Murphy's body

Detectives have launched a <a href="https://www.oversixty.com.au/finance/legal/new-update-in-search-for-samantha-murphy-s-body" target="_blank" rel="noopener">fresh search</a> for Samantha Murphy's body, but after spending eight hours on Wednesday trying to locate her remains in Buninyong to no avail, they are trying a different approach. Technology detection dogs will assist detectives in their search on Thursday, at a new site that police have not specified, with the intention of trying to track her phone or watch. “We’ll be going to a different location but we will also use assistance from the Australian Federal Police today in technical detection dogs,” Chief Commissioner Shane Patton told ABC Radio. “We don’t have the capacity — we are trying to get that capability — to run a dog that can detect a SIM from a mobile phone and that type of thing. “We still haven’t recovered her phone and her watch. We’ll use all those specialist skills.” He also added that the "intelligence" they received, which sparked this fresh search did not come from interviews with accused murderer, Patrick Orren Stephenson. “We are doing everything we can to try and find Samantha Murphy’s body. We weren’t successful yesterday but we will continue to do everything we can,” Chief Commissioner Patton said. In another statement, Victoria police also said that the search on Thursday is not a "full-scale targeted search". "This is not a full-scale targeted search as took place yesterday in Buninyong with a range of specialist resources," they said. "Detectives from the Missing Persons squad have been based in Ballarat for over a month and regularly undertake a range of enquiries and small scale searches as part of the current investigation." The accused murderer, who is the <a href="https://www.oversixty.com.au/finance/legal/everything-we-know-about-samantha-murphy-s-accused-killer" target="_blank" rel="noopener">son of former AFL player</a> Orren Stephenson, was arrested and charged on March 6, and was refused bail at Ballarat Magistrate’s Court. He will next face court on August 8. Images: Nine News

Legal

New update in search for Samantha Murphy's body

A fresh search for Samantha Murphy's body has begun, with police targeting their search in areas “highlighted by intelligence” from several sources. The 51-year-old Ballarat mum, was allegedly murdered by 22-year-old Patrick Orren Stephenson, after she went missing while on a morning run near her home on February 4. Officers will begin their renewed search for the mum's remains on select parts of the Buninyong Bushland Reserve on Wednesday. The search will be conducted by specialist units including the Missing Persons Squad, Search and Rescue Squad, Mounted Branch, Dog Squad, Public Order Response Team and motorcyclists from Road Policing Command as well as local police. “Since Samantha’s disappearance, extensive searches have been conducted in the Ballarat area and today we will focus on an area of bushland in Buninyong,” Detective Superintendent Mark Hatt said. Victoria Police said that the search would “focus on trying to locate Samantha’s body” and members of the public have been urged to not join the search efforts. “We will have a range of specialist resources involved, however as we are searching for Samantha’s body, we ask that members of the public do not try and join today’s search," the detective added. “Hopefully today’s search will benefit the investigation or provide further avenues of enquiry for police. We will also look at further searches in the Ballarat area as the investigation progresses.” He added that police are doing everything they can to find her body. “While someone has been charged in relation to Samantha’s disappearance, we remain committed to doing everything we can to locate her and return her to her family,” Detective Superintendent Hatt said. Patrick Orren Stephenson was <a href="https://www.oversixty.com.au/finance/legal/new-details-emerge-in-samantha-murphy-murder-charge" target="_blank" rel="noopener">charged</a> with Murphy's murder on March 6 and was refused bail at the Ballarat Magistrate’s Court. Police allege that the son of former AFL player Orren Stephenson killed Murphy in a “deliberate attack”. His identity was initially suppressed by the court out of fears for his safety, but the order was challenged by the media, and his <a href="https://www.oversixty.com.au/finance/legal/everything-we-know-about-samantha-murphy-s-accused-killer" target="_blank" rel="noopener">identity</a> was revealed days later. He is due to face court on August 8. Image: news.com.au

Legal

Vigil held as families visit site where Jesse Baird and Luke Davies' bodies found

In the wake of the devastating loss of Jesse Baird and Luke Davies, allegedly murdered in a shocking incident that has reverberated more than 150km apart, communities are coming together to mourn, support and seek solace. The heart-wrenching discovery of the couple's bodies in the serene landscapes of the Southern Tablelands near Goulburn has sent shockwaves through both urban and rural areas. As news of the tragic discovery spread, family members embarked on a solemn journey south to the Bungonia property where <a href="https://www.oversixty.com.au/finance/legal/update-on-search-for-bodies-of-murdered-couple" target="_blank" rel="noopener">Baird and Davies were found</a>. Their pilgrimage was met with an outpouring of sympathy and solidarity from friends and community members alike. Meanwhile, in Sydney's Eastern Suburbs, a sombre vigil took place, with dozens gathering at the Bronte Surf Life Saving Club to honour the memories of the beloved couple. The scene at the vigil was poignant yet comforting, with friends embracing one another against the backdrop of crashing waves and flickering candlelight. A portrait of Davies served as a focal point, surrounded by tokens of affection and remembrance. Meanwhile, in the NSW countryside, law enforcement officials worked diligently to unravel the mysteries surrounding the tragic deaths. The sight of police tape being lowered to allow family members to pass through symbolised both closure and the beginning of a long journey toward healing. For the NSW Police Force, the case hit particularly close to home. Deputy Commissioner Michael Fitzgerald spoke candidly about the profound impact of the alleged crime, emphasising the shock and horror felt within the law enforcement community. "It has hurt us because it was one of our own," Assistant Commissioner Fitzgerald remarked. "It was an officer who used a police weapon. It's captured the world's attention, not just Australia's. It's horrendous and horrific." Indeed, the tragedy has sparked a broader conversation about the prevalence of violence and the need for greater support for victims and their families. As communities grapple with grief and loss, there is a renewed commitment to standing together in solidarity and offering support to those in need. While the discovery of Baird and Davies' bodies brings a heartbreaking confirmation of their deaths, it also serves as a catalyst for healing and closure. In the days and weeks ahead, friends, family and communities will continue to come together to honour their memories and seek justice for the lives lost too soon. Images: 9News

Family & Pets

Update on search for bodies of murdered couple

The search for the bodies of Jesse Baird and Luke Davies, a Sydney couple tragically slain in an alleged double murder, continues to unfold, as human remains have now reportedly been found near the Bungonia property that was originally searched by police on Monday. NSW Police had been tirelessly scouring a property in Grays Point and the vast nearby Royal National Park, a locale now inexorably linked to the grim events of February 19. At the centre of the drama stands Beaumont Lamarre-Condon, the 28-year-old former NSW police officer who now finds himself behind bars, charged with the murder of Jesse Baird, a 26-year-old former Ten reporter, and his partner Luke Davies, aged 29. The alleged timeline of events paints a picture of horror, with the couple believed to have met their demise sometime between midnight and 5pm on Monday. The Grays Point property that was under intense scrutiny is Lamarre-Condon’s family home. As investigators dig deeper into the case, attention was also been drawn to a Bungonia property in the Southern Tablelands, where Lamarre-Condon and an acquaintance embarked on a cryptic journey just days after the alleged murders. Police shifted their search efforts from Bungonia to the Grays Point property on Tuesday morning in hopes of discovering the missing bodies, until officers announced on Tuesday afternoon that human remains had been discovered near the original search site in Bungonia. In a public address to the media on Tuesday afternoon, NSW Police Commissioner Karen Webb said, "We believe we have located two bodies at that location. The families have been informed. And crime scene detectives have just arrived on scene at that location now." Detective Superintendent Daniel Doherty also revealed that Homicide Squad detectives went to Silverwater prison to speak with Lamarre-Condon at about 11am on Tuesday, and that "as a result of that, he provided assistance to the investigation and [was] able to provide a location of where Luke and Jesse were." Police then went to a second location at Bungonia, about 20 minutes from the original search location, and found the bodies. "There were two surf bags that have been found. And some debris and other items of interest of significance." Doherty also said police phoned the families immediately after the bodies were found. "It's probably mixed emotions for them. You can understand how they may have felt. But at least they have an answer and they want to travel down to the Goulburn area, and we'll provide as much support as we can and accommodate them." Images: Instagram / NSW Police

Legal

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

<a href="https://theconversation.com/profiles/janet-j-boseovski-451496">Janet J. Boseovski</a>, <a href="https://theconversation.com/institutions/university-of-north-carolina-greensboro-2069">University of North Carolina – Greensboro</a> and <a href="https://theconversation.com/profiles/ashleigh-gallagher-1505989">Ashleigh Gallagher</a>, <a href="https://theconversation.com/institutions/university-of-north-carolina-greensboro-2069">University of North Carolina – Greensboro</a> Weight loss is one of the most common health and appearance-related goals. Women and <a href="https://www.cdc.gov/nchs/products/databriefs/db340.htm">teen girls</a> are <a href="https://www.cdc.gov/nchs/products/databriefs/db313.htm">especially likely to pursue dieting</a> to achieve weight loss goals even though a great deal of research shows that <a href="https://theconversation.com/what-thin-people-dont-understand-about-dieting-86604">dieting doesn’t work over the long term</a>. We are a <a href="https://www.duck-lab.com/people">developmental psychologist</a> and a <a href="https://psy.uncg.edu/directory/ashleigh-gallagher/">social psychologist</a> who together wrote a forthcoming book, “Beyond Body Positive: A Mother’s Evidence-Based Guide for Helping Girls Build a Healthy Body Image.” In the book, we address topics such as the effects of maternal dieting behaviors on daughters’ health and well-being. We provide information on how to build a foundation for healthy body image beginning in girlhood. <h2>Culturally defined body ideals</h2> Given the strong influence of social media and other cultural influences on body ideals, it’s understandable that so many people pursue diets aimed at weight loss. <a href="https://communityhealth.mayoclinic.org/featured-stories/tiktok-diets">TikTok</a>, YouTube, Instagram and celebrity websites feature slim influencers and “how-tos” for achieving those same results in no time. For example, women and teens are engaging in rigid and extreme forms of exercise such as 54D, a program to <a href="https://54d.com/">achieve body transformation in 54 days</a>, or the <a href="https://health.clevelandclinic.org/75-hard-challenge-and-rules">75 Hard Challenge</a>, which is to follow five strict rules for 75 days. For teens, these pursuits are likely fueled by trendy body preoccupations such as the desire for “<a href="https://www.nytimes.com/2024/02/06/well/move/tiktok-legging-legs-eating-disorders.html">legging legs</a>.” Women and teens have also been been inundated with recent messaging around <a href="https://theconversation.com/drugs-that-melt-away-pounds-still-present-more-questions-than-answers-but-ozempic-wegovy-and-mounjaro-could-be-key-tools-in-reducing-the-obesity-epidemic-205549">quick-fix weight loss drugs</a>, which come with a lot of caveats. Dieting and weight loss goals are highly individual, and when people are intensely self-focused, it is <a href="https://doi.org/10.1521/jscp.2000.19.1.70">possible to lose sight of the bigger picture</a>. Although women might wonder what the harm is in trying the latest diet, science shows that dieting behavior doesn’t just affect the dieter. In particular, for women who are mothers or who have other girls in their lives, these behaviors affect girls’ emerging body image and their health and well-being. <h2>The profound effect of maternal role models</h2> Research shows that mothers and maternal figures <a href="https://doi.org/10.1016/j.brat.2017.11.001">have a profound influence on their daughters’ body image</a>. The opportunity to influence girls’ body image comes far earlier than adolescence. In fact, research shows that these influences on body image <a href="https://www.teenvogue.com/story/how-toxic-diet-culture-is-passed-from-moms-to-daughters">begin very early in life</a> – <a href="https://doi.org/10.1016/bs.acdb.2016.10.006">during the preschool years</a>. Mothers may feel that they are being discreet about their dieting behavior, but little girls are watching and listening, and they are far more observant of us than many might think. For example, one study revealed that compared with daughters of nondieting women, 5-year-old girls whose mothers dieted <a href="https://doi.org/10.1016/S0002-8223(00)00339-4">were aware of the connection between dieting and thinness</a>. Mothers’ eating behavior does not just affect girls’ ideas about dieting, but also their daughters’ eating behavior. The amount of food that mothers eat <a href="https://doi.org/10.1016/j.appet.2018.04.018">predicts how much their daughters will eat</a>. In addition, daughters whose mothers are dieters are <a href="https://doi.org/10.1016/j.appet.2018.04.018">more likely to become dieters themselves</a> and are also <a href="https://doi.org/10.1016/j.eatbeh.2007.03.001">more likely to have a negative body image</a>. Negative body image is <a href="https://theconversation.com/mounting-research-documents-the-harmful-effects-of-social-media-use-on-mental-health-including-body-image-and-development-of-eating-disorders-206170">not a trivial matter</a>. It affects girls’ and women’s mental and physical well-being in a <a href="https://doi.org/10.1177/1359105317710815">host of ways</a> and <a href="https://doi.org/10.1016/j.brat.2011.06.009">can predict the emergence of eating disorders</a>. <h2>Avoiding ‘fat talk’</h2> What can moms do, then, to serve their daughters’ and their own health? They can focus on small steps. And although it is best to begin these efforts early in life – in girlhood – it is never too late to do so. For example, mothers can consider how they think about and talk about themselves around their daughters. Engaging in “fat talk” may inadvertently send their daughters the message that larger bodies are bad, <a href="https://doi.org/10.1016/j.bodyim.2020.07.004">contributing to weight bias</a> and negative self-image. Mothers’ fat talk also <a href="https://doi.org/10.1080/15267431.2021.1908294">predicts later body dissatisfaction in daughters</a>. And negative self-talk isn’t good for mothers, either; it is associated with <a href="https://doi.org/10.1177/1359105318781943">lower motivation and unhealthful eating</a>. Mothers can instead practice and model self-compassion, which involves treating oneself the way <a href="https://doi.org/10.1016/j.bodyim.2016.03.003">a loving friend might treat you</a>. In discussions about food and eating behavior, it is important to avoid moralizing certain kinds of food by labeling them as “good” or “bad,” as girls may extend these labels to their personal worth. For example, a young girl may feel that she is being “bad” if she eats dessert, if that is what she has learned from observing the women around her. In contrast, she may feel that she has to eat a salad to be “good.” Moms and other female role models can make sure that the dinner plate sends a healthy message to their daughters by showing instead that all foods can fit into a balanced diet when the time is right. Intuitive eating, which emphasizes paying attention to hunger and satiety and allows flexibility in eating behavior, is associated with <a href="https://doi.org/10.1007/s40519-020-00852-4">better physical and mental health in adolescence</a>. Another way that women and especially moms can buffer girls’ body image is by helping their daughters <a href="https://doi.org/10.1016/j.bodyim.2021.12.009">to develop media literacy</a> and to think critically about the nature and purpose of media. For example, moms can discuss the misrepresentation and distortion of bodies, such as the use of filters to enhance physical appearance, on social media. <h2>Focusing on healthful behaviors</h2> One way to begin to focus on health behaviors rather than dieting behaviors is to develop respect for the body and to <a href="https://theconversation.com/body-neutrality-what-it-is-and-how-it-can-help-lead-to-more-positive-body-image-191799">consider body neutrality</a>. In other words, prize body function rather than appearance and spend less time thinking about your body’s appearance. Accept that there are times when you may not feel great about your body, and that this is OK. To feel and look their best, mothers can aim to stick to a <a href="https://theconversation.com/whats-the-best-diet-for-healthy-sleep-a-nutritional-epidemiologist-explains-what-food-choices-will-help-you-get-more-restful-zs-219955">healthy sleep schedule</a>, manage their stress levels, <a href="https://theconversation.com/fiber-is-your-bodys-natural-guide-to-weight-management-rather-than-cutting-carbs-out-of-your-diet-eat-them-in-their-original-fiber-packaging-instead-205159">eat a varied diet</a> that includes all of the foods that they enjoy, and <a href="https://theconversation.com/the-runners-high-may-result-from-molecules-called-cannabinoids-the-bodys-own-version-of-thc-and-cbd-170796">move and exercise their bodies regularly</a> as lifelong practices, rather than engaging in quick-fix trends. Although many of these tips sound familiar, and perhaps even simple, they become effective when we recognize their importance and begin acting on them. Mothers can work toward modeling these behaviors and tailor each of them to their daughter’s developmental level. It’s never too early to start. <h2>Promoting healthy body image</h2> Science shows that several personal characteristics are associated with body image concerns among women. For example, research shows that women who are <a href="https://doi.org/10.1016/j.bodyim.2020.02.001">higher in neuroticism</a> <a href="https://doi.org/10.1186/2050-2974-1-2">and perfectionism</a>, <a href="https://doi.org/10.3389/fpsyg.2022.983534">lower in self-compassion</a> or <a href="https://doi.org/10.1016/j.bodyim.2013.08.001">lower in self-efficacy</a> are all more likely to struggle with negative body image. Personality is frequently defined as a person’s characteristic pattern of thoughts, feelings and behaviors. But if they wish, <a href="https://doi.org/10.1002/per.1945">mothers can change personality characteristics</a> that they feel aren’t serving them well. For example, perfectionist tendencies – such as setting unrealistic, inflexible goals – can be examined, challenged and replaced with more rational thoughts and behaviors. A woman who believes she must work out every day can practice being more flexible in her thinking. One who thinks of dessert as “cheating” can practice resisting moral judgments about food. Changing habitual ways of thinking, feeling and behaving certainly takes effort and time, but it is far more likely than diet trends to bring about sustainable, long-term change. And taking the first steps to modify even a few of these habits can positively affect daughters. In spite of all the noise from media and other cultural influences, mothers can feel empowered knowing that they have a significant influence on their daughters’ feelings about, and treatment of, their bodies. In this way, mothers’ modeling of healthier attitudes and behaviors is a sound investment – for both their own body image and that of the girls they love.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/221968/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/janet-j-boseovski-451496">Janet J. Boseovski</a>, Professor of Psychology, <a href="https://theconversation.com/institutions/university-of-north-carolina-greensboro-2069">University of North Carolina – Greensboro</a> and <a href="https://theconversation.com/profiles/ashleigh-gallagher-1505989">Ashleigh Gallagher</a>, Senior Lecturer, <a href="https://theconversation.com/institutions/university-of-north-carolina-greensboro-2069">University of North Carolina – Greensboro</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/mothers-dieting-habits-and-self-talk-have-profound-impact-on-daughters-2-psychologists-explain-how-to-cultivate-healthy-behaviors-and-body-image-221968">original article</a>.

Mind

How does cancer spread to other parts of the body?

<a href="https://theconversation.com/profiles/sarah-diepstraten-1495268">Sarah Diepstraten</a>, <a href="https://theconversation.com/institutions/walter-and-eliza-hall-institute-822">Walter and Eliza Hall Institute</a> and <a href="https://theconversation.com/profiles/john-eddie-la-marca-1503690">John (Eddie) La Marca</a>, <a href="https://theconversation.com/institutions/walter-and-eliza-hall-institute-822">Walter and Eliza Hall Institute</a> All cancers begin in a single organ or tissue, such as the lungs or skin. When these cancers are confined in their original organ or tissue, they are generally more treatable. But a cancer that spreads is much more dangerous, as the organs it spreads to may be vital organs. A skin cancer, for example, might spread to the brain. This new growth makes the cancer much more challenging to treat, as it can be difficult to find all the new tumours. If a cancer can invade different organs or tissues, it can quickly become lethal. When cancer spreads in this way, it’s called metastasis. Metastasis is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6745820/">responsible for</a> the majority (67%) of cancer deaths. <h2>Cells are supposed to stick to surrounding tissue</h2> Our bodies are made up of trillions of tiny cells. To keep us healthy, our bodies are constantly replacing old or damaged cells. Each cell has a specific job and a set of instructions (DNA) that tells it what to do. However, sometimes DNA can get damaged. This damage might change the instructions. A cell might now multiply uncontrollably, or lose a property known as adherence. This refers to how sticky a cell is, and how well it can cling to other surrounding cells and stay where it’s supposed to be. If a cancer cell loses its adherence, it can break off from the original tumour and travel through the bloodstream or lymphatic system to almost anywhere. This is how metastasis happens. Many of these travelling cancer cells will die, but some will settle in a new location and begin to form new cancers. Particular cancers are more likely to metastasise to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4381616/">particular organs</a> that help support their growth. Breast cancers commonly metastasise to the bones, liver, and lungs, while skin cancers like melanomas are more likely to end up in the brain and heart. Unlike cancers which form in solid organs or tissues, blood cancers like leukaemia already move freely through the bloodstream, but <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8722462/">can escape</a> to settle in other organs like the liver or brain. <h2>When do cancers metastasise?</h2> The longer a cancer grows, the more likely it is to metastasise. If not caught early, a patient’s cancer may have metastasised even before it’s initially diagnosed. Metastasis can also occur after cancer treatment. This happens when cancer cells are dormant during treatment – drugs may not “see” those cells. These invisible cells can remain hidden in the body, only to wake up and begin growing into a new cancer months or even years later. For patients who already have cancer metastases at diagnosis, identifying the location of the original tumour – called the “primary site” – is important. A cancer that began in the breast but has spread to the liver will probably still behave like a breast cancer, and so will respond best to an anti-breast cancer therapy, and not anti-liver cancer therapy. As metastases can sometimes grow faster than the original tumour, it’s not always easy to tell which tumour came first. These cancers are called “cancers of unknown primary” and are the <a href="https://www.canceraustralia.gov.au/cancer-types/unknown-primary-cancer/statistics">11th most commonly diagnosed cancers in Australia</a>. One way to improve the treatment of metastatic cancer is to improve our ways of detecting and identifying cancers, to ensure patients receive the most effective drugs for their cancer type. <h2>What increases the chances of metastasis and how can it be prevented?</h2> If left untreated, most cancers will eventually acquire the ability to metastasise. While there are currently no interventions that specifically prevent metastasis, cancer patients who have their tumours surgically removed may also be given chemotherapy (or other drugs) to try and weed out any hidden cancer cells still floating around. The best way to prevent metastasis is to diagnose and treat cancers early. Cancer screening initiatives such as Australia’s <a href="https://www.health.gov.au/our-work/national-cervical-screening-program">cervical</a>, <a href="https://www.health.gov.au/our-work/national-bowel-cancer-screening-program">bowel</a>, and <a href="https://www.health.gov.au/our-work/breastscreen-australia-program">breast</a> cancer screening programs are excellent ways to detect cancers early and reduce the chances of metastasis. New screening programs to detect cancers early are being researched for many types of cancer. Some of these are simple: CT scans of the body to look for any potential tumours, such as in England’s new <a href="https://theconversation.com/how-englands-new-lung-cancer-screening-could-save-thousands-of-lives-expert-qanda-208867">lung cancer screening program</a>. Using artificial intelligence (AI) to help examine patient scans is also <a href="https://theconversation.com/ai-can-help-detect-breast-cancer-but-we-dont-yet-know-if-it-can-improve-survival-rates-210800">possible</a>, which might identify new patterns that suggest a cancer is present, and improve cancer detection from these programs. More advanced screening methods are also in development. The United States government’s Cancer Moonshot program is currently funding research into blood tests that could detect <a href="https://theconversation.com/a-blood-test-that-screens-for-multiple-cancers-at-once-promises-to-boost-early-detection-191728">many types of cancer at early stages</a>. One day there might even be a RAT-type test for cancer, like there is for COVID. <h2>Will we be able to prevent metastasis in the future?</h2> Understanding how metastasis occurs allows us to figure out new ways to prevent it. One idea is to <a href="https://www.cancer.gov/news-events/cancer-currents-blog/2019/breast-cancer-chemotherapy-sensitizing-dormant-cells">target dormant cancer cells</a> and prevent them from waking up. Directly preventing metastasis with drugs is not yet possible. But there is hope that as research efforts continue to improve cancer therapies, they will also be more effective at treating metastatic cancers. For now, early detection is the best way to ensure a patient can beat their cancer.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/219616/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/sarah-diepstraten-1495268">Sarah Diepstraten</a>, Senior Research Officer, Blood Cells and Blood Cancer Division, <a href="https://theconversation.com/institutions/walter-and-eliza-hall-institute-822">Walter and Eliza Hall Institute</a> and <a href="https://theconversation.com/profiles/john-eddie-la-marca-1503690">John (Eddie) La Marca</a>, Senior Resarch Officer, <a href="https://theconversation.com/institutions/walter-and-eliza-hall-institute-822">Walter and Eliza Hall Institute</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-does-cancer-spread-to-other-parts-of-the-body-219616">original article</a>.

Body

Body language expert breaks down royal family's Christmas card

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

Body

“There were bodies everywhere”: Five people dead in horror pub crash

Disturbing details have emerged from a horror crash where five people have died after a BMW crashed into a beer garden at a pub in regional Victoria. On Sunday evening in Daylesford, north of Melbourne, families were enjoying the last of the weekend at the Royal Hotel when a BMW X5 crashed into the busy venue. The pub was filled with hundreds of patrons in the hours before the crash due to the unofficial long weekend before Tuesday’s Melbourne Cup public holiday in Victoria. Superintendent John Fitzpatrick confirmed on Sunday night about 11pm four people had died at the scene: two men and a woman and a six-year-old boy, while a fifth person, a teenage girl, later died in hospital. Four others were injured, while a boy is fighting for his life in hospital. “I haven’t seen anything this drastic for a long time,” he said. “Any time you have five people die at a particular scene, it’s horrible.” “There are families that have got loved ones that are no longer going to be around.” “We don’t like to see anyone lose their life but to see a child – you don’t ever want to see anything like that.” The driver of the BMW, a 66-year-old man, was taken to hospital with non-life-threatening injuries. "The exact circumstances surrounding the collision are yet to be determined and investigations remain ongoing," Superintendent Fitzpatrick said. “We are waiting to speak to him… It’s a very complex scene.” A woman who was working at the business next door to the pub witnessed the horrific moment, recalling how she and her staff saw bodies lying on the pavement. “We’re all pretty shocked,” she said. “It’s pretty bad, I’ve never seen anything so traumatic in my life.” “There were bodies everywhere, it was horrifying,” she said. “I watched the whole crash. The car went up into the sky. I thought it was just dust. It’s only now I know it was bodies.” Infrastructure Minister Catherine King, whose electorate Ballarat includes Daylesford, said the community was “devastated” by the incident. “Five people have lost their lives, and their families’ lives have changed forever. “It will really have shocked a lot of people, and I think we’re really only just coming to terms with what happened today.” “These sort of terrible accidents, the sort of level of trauma goes on for a long period of time, and people will need a lot of support and care, and the police obviously will need to undertake a significant investigation into what’s happened.” Image credits: Nine News

News

Demi Moore flaunts stunning bikini body at 60

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

Body

Lilie James' grieving family breaks silence as body is found in manhunt for suspect

Lilie James' devastated family have spoken out for the first time, following her <a href="https://www.oversixty.com.au/news/news/slain-st-andrew-s-staffer-identified" target="_blank" rel="noopener">tragic death</a>. The 21-year-old water polo coach was found dead with serious head injuries at the gymnasium bathroom of St Andrew’s Cathedral School on Wednesday night. Her male colleague and ex-boyfriend Paul Thijssen is believed to be involved in her <a href="https://www.oversixty.com.au/news/news/tragic-new-details-emerge-in-alleged-murder-of-lilie-james" target="_blank" rel="noopener">alleged murder</a>, when he went missing at The Gap in Vaucluse, after reportedly calling the police informing them of a body on school grounds. A body has reportedly been found at the base of the cliffs in Diamond Bay Reserve, however police are currently unable to confirm whether the body was that of 24-year-old Thijssen. “A police operation is currently underway to retrieve a body in Vaucluse,” NSW Police said in an earlier statement. “No further information is available at this time.” Detectives are currently investigating the possibility that Thijssen had taken his own life, as The Gap is a notorious suicide spot, and Thijssen's backpack and an item linked to the alleged homicide was found there. On Friday morning, her family have broken their silence following the grim discovery. “We are devastated and heartbroken by the loss of our beautiful Lilie James,” the family said in a statement released by the police. “She was vibrant, outgoing, and very much loved by her family and friends. We are tremendously grateful for the support of our community at this difficult time. “As a police investigation is underway, we will not be providing further comments. “We ask that you please respect our privacy.” Students have been paying tribute to the fallen water polo coach with a growing flower memorial at the school's entrance. A few of the students she coached also told 7NEWS.com.au that she was an “amazing” and “encouraging” coach. "She always had a smile on her face,” one student said. “You will be in all of our prayers and hearts. Thank you for making PE so much fun, thank you for being an amazing and strong coach, and thank you for being there. We love you,” another student said. Images: 7NEWS/Facebook

News

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

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

Body

Jelena Dokic slams "body shamers" in an emotional post

Jelena Dokic has shared a candid post about her weight, sharing a comparison photo of herself at two different sizes. The former tennis champion has long been subject to body shamers and online trolls, and has once again taken aim at those who consistently make negative comments about her weight. Taking to Instagram, the 40-year-old shared two photos side by side: one when she was a size 6 and one at size 16, encouraging her followers to reevaluate their obsession with her weight. In a lengthy caption, she wrote, "Will you judge me if I am a size 16 for being a bigger size? And will you judge me if I am ever a size 6 again for not being a bigger size anymore and for maybe losing weight? You shouldn’t, either way." "Shaming and making fun of someone based on their weight or judging someone’s worth based on size is pure body shaming and bullying," wrote the former world number 4 ranked player. "When it comes to health, of course I want to be healthy. Of course I do my best. Of course I am working on myself." She went on to add, "The takeaway being that we need to stop obsessing about size, weight and measurements and focus on kindness, good hearts and generosity." "So what if I am a size 16 today and a size 4 down the track. Who cares!" "And lastly, if you want to lose a few kilos, so what? If you gain some weight, so what? Nothing wrong with one or the other," concluded Dokic. Jelena's honest post racked up over 15,000 likes and dozens of comments, with many sharing messages of support. One person wrote, "Well said Jelena! Kindness is the key, not clothing size!" Image credits: Instagram

Body

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

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

Relationships

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

<a href="https://theconversation.com/profiles/rachael-jefferson-buchanan-297850">Rachael Jefferson-Buchanan</a>, <a href="https://theconversation.com/institutions/charles-sturt-university-849">Charles Sturt University</a> We’ve known for some time the <a href="https://theconversation.com/using-bmi-to-measure-your-health-is-nonsense-heres-why-180412">body mass index (BMI) is an inaccurate measuring stick</a> for assessing someone’s weight and associated health. But it continues to be the go-to tool for medical doctors, population researchers and personal trainers. Why is such an imperfect tool still being used, and what should we use instead? <h2>First, what is BMI?</h2> BMI is an internationally recognised screening method for sorting people into one of four weight categories: underweight (BMI less than 18.5), normal weight (18.5 to 24.9), overweight (25.0 to 29.9) or obese (30 or greater). It’s a value <a href="https://www.cdc.gov/healthyweight/assessing/bmi/index.html">calculated</a> by a measure of someone’s mass (weight) divided by the square of their height. <h2>Who invented BMI?</h2> Belgian mathematician <a href="https://www.britannica.com/biography/Adolphe-Quetelet">Lambert Adolphe Jacques Quetelet</a> (1796-1874) devised the BMI in 1832, as a mathematical model to chart the average Western European man’s <a href="https://pubmed.ncbi.nlm.nih.gov/17890752/">physical characteristics</a>. It was initially called the <a href="https://www.msdmanuals.com/en-au/professional/multimedia/clinical-calculator/body-mass-index-quetelets-index">Quetelet Index</a> and was never meant to be used as a medical assessment tool. The Quetelex Index was renamed the “body mass index” in 1972. <h2>What’s wrong with the BMI?</h2> Using a mathematical formula to give a full picture of someone’s health is just not possible. The BMI <a href="https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html">does not measure excess body fat</a>, it just measures “excess” weight. It does not distinguish between excess body fat or bone mass or musculature, and does not interpret the distribution of fat (which is a <a href="https://www.health.harvard.edu/staying-healthy/abdominal-fat-and-what-to-do-about-it">predictor</a> of health, including type 2 diabetes, metabolic disorders, and heart disease). It also cannot tell the difference between social variables such as sex, age, and ethnicity. Given Quetelet’s formula used only Western European men, the findings are not appropriate for many other groups, including non-European ethnicities, post-menopausal women and pregnant women. The medical profession’s <a href="https://pubmed.ncbi.nlm.nih.gov/37432007/">overreliance on BMI</a> may be <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2930234/">harming patients’ health</a> as it ignores much of what makes us healthy and focuses only on mass. <h2>What should we use instead?</h2> Rather than seeing BMI as the primary diagnostic test for determining a person’s health, it should be used in conjunction with other measures and considerations. Since researchers know belly fat around our vital organs carries the most <a href="https://www.bmj.com/content/370/bmj.m3324">health risk</a>, <a href="https://www.hsph.harvard.edu/obesity-prevention-source/obesity-definition/how-to-measure-body-fatness/">waist circumference</a>, waist-to-hip ratio or waist-to-height ratio offer more accurate measurements of health. Waist circumference: is an effective measure of fat distribution, particularly for athletes who carry less fat and more muscle. It’s most useful as a predictor of health when <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7027970/">combined with the BMI</a>. Waist circumference should be less than 94cm for men and 80cm for women for <a href="https://www.heartfoundation.org.au/bundles/your-heart/waist-measurement">optimal health</a>, as measured from halfway between the bottom of your ribs and your hip bones. Waist-to-hip ratio: calculates the proportion of your body fat and how much is stored on your waist, hips, and buttocks. It’s the waist measurement divided by hip measurement and according to the World Health Organisation it should be <a href="https://apps.who.int/iris/bitstream/handle/10665/44583/9789241501491_eng.pdf;jsessionid=A119D165CFFF5E7B5BDBD51D9DD25684?sequence=1">0.85 or less for women, and 0.9 or less in men</a> to reduce health risks. It’s especially beneficial in predicting health outcomes in <a href="https://link.springer.com/article/10.1007/s40200-021-00882-4">older people</a>, as the ageing process alters the body proportions on which BMI is founded. This is because fat mass increases and muscle mass decreases with age. Waist-to-height ratio: is height divided by waist circumference, and it’s <a href="https://www.nice.org.uk/news/article/keep-the-size-of-your-waist-to-less-than-half-of-your-height-updated-nice-draft-guideline-recommends">recommended</a> a person’s waist circumference be kept at less than half their height. Some studies have found this measure is <a href="https://bmjopen.bmj.com/content/6/3/e010159">most strongly correlated</a> with health predictions. Body composition and body fat percentage can also be calculated through <a href="https://www.youtube.com/watch?v=a1A9m0wO17g">skinfold measurement tests</a>, by assessing specific locations on the body (such as the abdomen, triceps or quadriceps) with skin callipers. Additional ways to gauge your heart health include asking your doctor to monitor your cholesterol and blood pressure. These more formal tests can be combined with a review of lifestyle, diet, physical activity, and family medical history. <h2>What makes us healthy apart from weight?</h2> A diet including whole grains, low fat protein sources such as fish and <a href="https://en.wikipedia.org/wiki/Legume">legumes</a>, eggs, yoghurt, cheese, milk, nuts, seeds, and plenty of fresh fruit and vegetables <a href="https://www.mayoclinic.org/diseases-conditions/heart-disease/in-depth/heart-healthy-diet/art-20047702">reduces our risk</a> of heart and vessel disease. Limiting <a href="https://www.foodstandards.gov.au/consumer/generalissues/Pages/processed-foods.aspx">processed food</a> and sugary snacks, as well as <a href="https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/healthy+living/healthy+eating/healthy+eating+tips/eat+less+saturated+and+trans+fats">saturated and trans fats</a> can help us with weight management and ward off diet-related illnesses. Being physically active most days of the week improves general health. This <a href="https://www.health.gov.au/topics/physical-activity-and-exercise/physical-activity-and-exercise-guidelines-for-all-australians">includes</a> two sessions of strength training per week, and 2.5 to five hours of moderate cardio activity or 1.25 to 2.5 hours of vigorous cardio activity. Weight is just one aspect of health, and there are much better measurements than BMI.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/211190/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/rachael-jefferson-buchanan-297850">Rachael Jefferson-Buchanan</a>, Lecturer in Human Movement Studies (Health and PE) and Creative Arts, <a href="https://theconversation.com/institutions/charles-sturt-university-849">Charles Sturt University</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/the-body-mass-index-cant-tell-us-if-were-healthy-heres-what-we-should-use-instead-211190">original article</a>.

Body

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

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

Body

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

<a href="https://theconversation.com/profiles/lauren-ball-14718">Lauren Ball</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> and <a href="https://theconversation.com/profiles/emily-burch-438717">Emily Burch</a>, <a href="https://theconversation.com/institutions/southern-cross-university-1160">Southern Cross University</a> There is a lot of health buzz around the term “inflammation” right now. From new scientific <a href="https://medicalxpress.com/news/2023-07-inflammation-discovery-aging-age-related-diseases.html">discoveries</a> to <a href="https://people.com/health/gwyneth-paltrow-addresses-backlash-anti-inflammatory-diet/">celebrities</a> and social media influencers, it seems like everyone is talking about this important bodily process and its potential impact on our health. “<a href="https://www.nature.com/articles/s41574-018-0059-4">Inflammaging</a>” is a specific term you may also have seen. It’s an age-related increase in persistent, low-grade inflammation in blood and tissue, which is a strong risk factor for many conditions and diseases. So, can an anti-inflammatory diet help reduce inflammation? Let’s take a look. <h2>What is inflammation?</h2> When our body becomes injured or encounters an infection, it activates defence mechanisms to protect itself. It does this by instructing our cells to fight off the invader. This fighting process <a href="https://www.nature.com/articles/s41591-019-0675-0#citeas">causes inflammation</a>, which often presents as swelling, redness and pain. In the short-term, inflammation is a sign your body is healing, whether from a grazed knee or a cold. If inflammation persists for a longer time it’s called “chronic”. That can indicate a <a href="https://www.nature.com/articles/s41467-018-05800-6">health problem</a> such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3638313/">arthritis</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6719998/#B2-ijms-20-03879">heart disease</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6523054/">diabetes</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3390758/">dementia</a> or other autoimmune disorders. The <a href="https://www.ncbi.nlm.nih.gov/books/NBK493173/">signs and symptoms</a> of chronic inflammation may be present from several months to years and include: <ol> <li>persistent pain</li> <li>chronic fatigue or insomnia</li> <li>joint stiffness</li> <li>skin problems</li> <li>elevated blood markers (such as <a href="https://www.healthdirect.gov.au/c-reactive-protein-CRP-blood-test">C-reactive protein</a>)</li> <li>gastrointestinal issues (constipation, diarrhoea, acid reflux)</li> <li>depression, anxiety and mood disorders</li> <li>unintended weight gain or loss</li> <li>frequent colds or flu.</li> </ol> <h2>What role does diet play?</h2> The relationship between food and inflammation is <a href="https://www.sciencedirect.com/science/article/pii/S0735109706013350">well recognised</a>. Overall, some food components may activate the immune system by producing pro-inflammatory cytokines (small proteins important in cell signaling) or reducing the production of anti-inflammatory cytokines. A “<a href="https://theconversation.com/clear-evidence-for-a-link-between-pro-inflammatory-diets-and-27-chronic-diseases-heres-how-you-can-eat-better-158451">pro-inflammatory diet</a>” may increase inflammation in the body over the long term. Such diets are usually low in fresh produce like fruits, vegetables and wholegrains, and high in commercially baked goods, fried foods, added sugars and red and processed meats. In contrast, an “<a href="https://academic.oup.com/ajcn/article/80/4/1029/4690355">anti-inflammatory</a>” diet is associated with less inflammation in the body. There is no single anti-inflammatory diet. Two well-recognised, evidence-backed examples are the Mediterranean diet and the Dietary Approaches to Stop Hypertension (DASH) diet. Anti-inflammatory diets typically include the following elements: 1. high in antioxidants. These compounds help the body fight free radicals or unstable atoms, that in high quantities are linked to illnesses such as cancer and heart disease. The best way to consume antioxidants is by eating lots of fruits and vegetables. Research shows frozen, dried and canned fruits and vegetables can be <a href="https://theconversation.com/frozen-and-tinned-foods-can-be-just-as-nutritious-as-fresh-produce-heres-how-201740">just as good as fresh</a> 2. high in “healthy”, unsaturated fatty acids. Monounsaturated fats and omega-3-fatty acids are found in fish (sardines, mackerel, salmon and tuna), seeds, nuts, and plant-based oils (olive oil and flaxseed oil) 3. high in fibre and prebiotics. Carrots, cauliflower, broccoli and leafy greens are good sources of fibre. Prebiotics promote the growth of beneficial microorganisms in our intestines and can come from onions, leeks, asparagus, garlic, bananas, lentils and legumes 4. low in processed foods. These contain refined carbohydrates (pastries, pies, sugar-sweetened beverages, deep-fried foods and processed meats). <h2>Rheumatoid arthritis, dementia, depression</h2> There is mixed evidence for the role of anti-inflammatory diets in rheumatoid arthritis pain management. A recent <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8706441/">2021 systematic review</a> (where researchers carefully group and examine the available evidence on a topic) found eating an anti-inflammatory diet likely leads to significantly lower pain in people with rheumatoid arthritis when compared with other diets. However, the 12 studies included in the review had a high risk of bias – likely because people knew they were eating healthy foods – so the confidence in the evidence was low. Inflammation is strongly implicated in the development of neurodegenerative diseases like <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6486891/">Alzheimer’s disease and related dementia</a> and evidence suggests anti-inflammatory diets might help to protect the brain. A <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5015034/">2016 review</a> showed an anti-inflammatory diet may be protective against cognitive impairment and dementia, but that further large randomised controlled trials are needed. A <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8673721/">2021 study</a> followed 1,059 people for three years and observed their diet. They reported those with a greater pro-inflammatory diet had an increased risk of developing dementia. Inflammation has also been linked with mental health, with people eating a pro-inflammatory diet reporting more symptoms of <a href="https://pubmed.ncbi.nlm.nih.gov/31152670/">depression</a>. Diet is the fundamental element of <a href="https://www1.racgp.org.au/ajgp/2019/october/lifestyle-interventions-for-mental-health">lifestyle approaches</a> to managing anxiety and mental health. More broadly, a <a href="https://www.mdpi.com/2227-9059/9/8/922">2021 review paper</a> examined recent research related to anti-inflammatory diets and their effect on reducing inflammation associated with ageing. It found compounds commonly found in anti-inflammatory diets could help alleviate the inflammatory process derived from diseases and unhealthy diets. <h2>What about turmeric?</h2> A favourite on social media and vitamin shelves, turmeric is promoted as having anti-inflammatory benefits. These are linked to a specific compound called <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5388087/#:%7E:text=Curcuminoids%20are%20phenolic%20compounds%20commonly,several%20important%20functions%20of%20curcuminoids.">curcumin</a>, which gives turmeric its distinctive yellow colour. Research suggests curcumin might act as an anti-inflammatory agent in the body but high-quality clinical trials in humans are <a href="https://www.mdpi.com/1420-3049/16/6/4567">lacking</a>. Most of the <a href="https://www.mdpi.com/1420-3049/16/6/4567">existing studies</a> have been conducted in <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/jcp.27360">lab settings</a> using cells or in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608712/">animals</a>. So it’s unclear how much curcumin is needed to see anti-inflammatory benefits or how well <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664031/">we absorb it</a>. Overall, adding turmeric to your food may provide your body with some health benefits, but don’t rely on it to prevent or treat disease on its own. <h2>Safe eating</h2> Inflammation is a major factor in the link between diet and many health conditions. Eating an anti-inflammatory diet is considered safe, likely to support health and to prevent future chronic conditions. If you are looking for tailored dietary advice or an anti-inflammatory meal plan, it’s best to speak with an <a href="https://member.dietitiansaustralia.org.au/Portal/Portal/Search-Directories/Find-a-Dietitian.aspx">accredited practising dietitian</a>.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/210468/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/lauren-ball-14718">Lauren Ball</a>, Professor of Community Health and Wellbeing, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> and <a href="https://theconversation.com/profiles/emily-burch-438717">Emily Burch</a>, Dietitian, Researcher & Lecturer, <a href="https://theconversation.com/institutions/southern-cross-university-1160">Southern Cross University</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/9-signs-you-have-inflammation-in-your-body-could-an-anti-inflammatory-diet-help-210468">original article</a>.

Body

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

<a href="https://theconversation.com/profiles/lara-herrero-1166059">Lara Herrero</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> and <a href="https://theconversation.com/profiles/wesley-freppel-1408971">Wesley Freppel</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> <a href="https://www.labcorp.com/coronavirus-disease-covid-19/covid-news-education/covid-19-vs-flu-vs-rsv-how-tell-difference">Respiratory viruses</a> like influenza virus (flu), SARS-CoV-2 (which causes COVID) and respiratory syncytial virus (RSV) can make us sick by infecting our respiratory system, including the nose, upper airways and lungs. They spread from person to person through respiratory droplets when someone coughs, sneezes, or talks and can cause death in serious cases. But what happens in our body when we first encounter these viruses? Our immune system uses a number of strategies to fight off viral infections. Let’s look at how it does this. <h2>First line of defence</h2> When we encounter respiratory viruses, the <a href="https://www.sciencedirect.com/science/article/pii/S193131281600038X?via%3Dihub/">first line of defence</a> is the physical and chemical barriers in our nose, upper airways, and lungs. Barriers like the mucus lining and hair-like structures on the surface of cells, work together to trap and remove viruses before they can reach deeper into our respiratory system. Our defence also includes our behaviours such as coughing or sneezing. When we blow our nose, the mucus, viruses, and any other pathogens that are caught within it are expelled. But sometimes, viruses manage to evade these initial barriers and sneak into our respiratory system. This activates the cells of our innate immune system. <h2>Patrolling for potential invaders</h2> While our acquired immune system develops over time, our innate immune system is present at birth. It generates “non-specific” immunity by identifying what’s foreign. The cells of innate immunity act like a patrol system, searching for any invaders. These innate cells patrol almost every part of our body, from our skin to our nose, lungs and even internal organs. Our respiratory system has different type of innate cells such – as macrophages, neutrophils and natural killer cells – which patrol in our body looking for intruders. If they recognise anything foreign, in this case a virus, they will initiate an attack response. Each cell type plays a slightly different role. Macrophages, for example, will not only engulf and digest viruses (phagocytosis) but also release a cocktail of different molecules (cytokines) that will warn and recruit other cells to <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/cmi.12580">fight against the danger</a>. In the meantime, natural killer cells, aptly named, attack infected cells, and stop viruses from multiplying and <a href="https://www.nature.com/articles/s41577-021-00558-3">invading our body further</a>. Natural killer cells also promote inflammation, a <a href="https://www.hindawi.com/journals/jir/2018/1467538/">crucial part of the immune response</a>. It helps to recruit more immune cells to the site of infection, enhances blood flow, and increases the permeability of blood vessels, allowing immune cells to reach the infected tissues. At this stage, our immune system is fighting a war against viruses and the result can cause inflammation, fevers, coughs and congestion. <h2>Launching a specific attack</h2> As the innate immune response begins, another branch of the immune system called the adaptive immune system is <a href="https://www.ncbi.nlm.nih.gov/books/NBK21070/">activated</a>. The adaptive immune system is more specific than the innate immune system, and it decides on the correct tools and strategy to fight off the viral invaders. This system plays a vital role in eliminating the virus and providing long-term protection against future infections. Specialised cells called T cells and B cells are key players in acquired immunity. T cells (specifically, helper T cells and cytotoxic T cells) recognise viral proteins on the surface of infected cells: <ul> <li> helper T cells release molecules that <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3764486/">further activate immune cells</a> </li> <li> cytotoxic T cells directly kill infected cells with a very great precision, <a href="https://www.frontiersin.org/articles/10.3389/fimmu.2018.00678/full">avoiding any healthy cells around</a>. </li> </ul> B cells produce antibodies, which are proteins that can bind to viruses, neutralise them, and mark them for <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247032/">destruction by other immune cells</a>. B cells are a critical part of memory in our immune system. They will remember what happened and won’t forget for years. When the same virus attacks again, B cells will be ready to fight it off and will neutralise it faster and better. Thanks to the adaptive immune system, vaccines for respiratory viruses such as the COVID mRNA vaccine keep us protected from <a href="https://www.health.gov.au/our-work/covid-19-vaccines/our-vaccines/how-they-work">being sick or severely ill</a>. However, if the same virus became mutated, our immune system will act as if it was a new virus and will have to fight in a war again. <h2>Neutralising the threat</h2> As the immune response progresses, the combined efforts of the innate and adaptive immune systems helps control the virus. Infected cells are cleared, and the virus is neutralised and eliminated from the body. As the infection subsides, symptoms gradually improve, and we begin to feel better and to recover. But recovery varies depending on the specific virus and us as individuals. Some respiratory viruses, like rhinoviruses which cause the common cold, may cause relatively mild symptoms and a quick recovery. Others, like the flu, SARS-CoV-2 or severe cases of RSV, may lead to more severe symptoms and a longer recovery time. Some viruses are very strong and too fast sometimes so that our immune system does not have the time to develop a proper immune response to fight them off. <img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/207023/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/lara-herrero-1166059">Lara Herrero</a>, Research Leader in Virology and Infectious Disease, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> and <a href="https://theconversation.com/profiles/wesley-freppel-1408971">Wesley Freppel</a>, Research Fellow, Institute for Glycomics, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-happens-in-our-body-when-we-encounter-and-fight-off-a-virus-like-the-flu-sars-cov-2-or-rsv-207023">original article</a>.

Body

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

<a href="https://theconversation.com/profiles/gemma-sharp-314703">Gemma Sharp</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> and <a href="https://theconversation.com/profiles/bronwyn-dwyer-1453560">Bronwyn Dwyer</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> “…when you’re shooting a film like Magic Mike, and you’re doing dance routines for two weeks at a time, you have to peak every day. So that became kind of crazy. We had a gym in the parking lot, and we’d all be lifting weights on set all day,” <a href="https://wegotthiscovered.com/movies/interview-channing-tatum-joe-manganiello-magic-mike/">explained actor Joe Manganiello</a>, about performing in the film Magic Mike. It is not unusual for actors to undergo drastic changes in preparation for a role, including gaining muscle and losing body fat for that shredded look. In fact, this is becoming the norm in Hollywood. <a href="https://www.menshealth.com/fitness/a43945188/jake-gyllenhaals-road-house-transformation/">Jake Gyllenhaal</a> in Road House, <a href="https://www.insider.com/michelle-rodriguez-rege-jean-page-workout-dungeons-and-dragons-sdcc-2022-7">Michelle Rodriguez</a> in Dungeons & Dragons, and <a href="https://www.menshealth.com/entertainment/a42532547/paul-rudd-marvel-ant-man-interview/">Paul Rudd</a> in Ant-Man and the Wasp: Quantumania, have all undertaken body modifications for roles this year. As the audience, we readily accept these body modifications to be part of the preparation for the role without necessarily considering the potentially long-term physical and mental health consequences. <h2>So how do they do it?</h2> From what Hollywood shares with the general public about these body modifications, which is generally very limited, it appears these transformations occur through excessive exercise and highly restrictive diets. Nevertheless, these Hollywood workouts are highly popular with ordinary people, with Dwayne “The Rock” Johnson and Chris Hemsworth’s workouts <a href="https://sustainhealth.fit/lifestyle/most-searched-hollywood-actor-workouts/">particularly sought after</a>. These regimens resemble those of competitive bodybuilders, <a href="https://journals.lww.com/hrpjournal/Abstract/2019/07000/Competitive_Bodybuilding__Fitness,_Pathology,_or.3.aspx">whose success also relies on appearance</a>. The <a href="https://link.springer.com/article/10.2165/00007256-200434050-00004">typical process for bodybuilders</a> involves two phases: a “bulking” phase, during which the goal is to have enough energy for muscle growth, and a “cutting” phase, when the aim is to lose weight but not muscle. The end result of such a process is usually highly applauded, even though drastic measures have been taken to achieve such a look. Actors of all genders are undergoing these body transformations for <a href="https://www.sportskeeda.com/comics/10-marvel-actors-whose-body-transformation-shocked-world">various roles</a> such as superheroes, athletes, or the portrayal of real-life people. <h2>What are the consequences?</h2> “I’ve become a little bit more boring now, because I’m older and I feel like if I keep doing what I’ve done in the past I’m going to die. So, I’d prefer not to die,” <a href="https://www.menshealth.com/uk/fitness/lifestyle/a29725245/christian-bale-no-more-body-transformation-roles/">said Christian Bale</a>, who has undertaken multiple extreme transformations for roles. To achieve what is needed for a particular role, extreme measures are often taken. However, the consequences of these measures, such as use of substances, exercise dependence, and an increased risk of developing muscle dysmorphia and/or an eating disorder, is seemingly not common knowledge. A concern for the bodybuilding community is the widespread use of drugs, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4026349/">often multiple drugs at a time not obtained through prescription</a>. Androgenic-anabolic steroids are commonly used which can have extensive negative effects on the human body, including on the cardiovascular system, hormones, metabolism and even psychiatric wellbeing. Exercise dependence can also occur when an individual engages in an extreme amount of exercise, to the point at which <a href="https://link.springer.com/article/10.1007/s11936-018-0674-3">physical, psychological or emotional harm</a> can occur. We are not sure exactly why exercise dependence happens, but it could potentially be a form of <a href="https://www.tandfonline.com/doi/full/10.1080/19585969.2023.2164841">behavioural addiction</a>. Another risk is <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4977020/">muscle dysmorphia</a>, a subtype of body dysmorphic disorder characterised by the individual being preoccupied with the idea their physique is not muscular enough, even if they have a high degree of muscle. <h2>What about the dieting impacts?</h2> There are many similarities between the requirements of bodybuilding and eating disorders. Both are characterised by restrictive diets, high levels of exercise, potential social isolation, and adherence to a <a href="https://journals.lww.com/hrpjournal/Abstract/2019/07000/Competitive_Bodybuilding__Fitness,_Pathology,_or.3.aspx">rigid schedule</a>. The seminal <a href="https://www.sciencedirect.com/science/article/pii/S002231662210249X?via%3Dihub">Minnesota Starvation Experiment</a> fundamentally shaped our understanding of the changes a person can experience when they are consuming less than their daily nutrition energy needs, such as during the “cutting” phase for bodybuilders. This research showed that people who are experiencing starvation for a period of time will experience devastating impacts in the physical, psychological, behavioural and social aspects of their lives. Some of the many documented changes included reductions in heart muscle mass, heart rate and blood pressure, dizziness, fatigue, increased feelings of depression and anxiety, obsessive thoughts about food, and withdrawal from social activities and relationships. Concerningly, even once a person is renourished, the psychological issues around body size and food <a href="https://onlinelibrary.wiley.com/doi/abs/10.1002/eat.23095">can persist</a>. Therefore, even after an actor has returned to their pre-modification weight and size, it does not mean they have recovered from the consequences that came with that body modification. <h2>What are the impacts on the general public?</h2> Rapid changes in physical appearance are not realistically achievable for most people. So seeing actors doing this seemingly easily with the assistance of their professional teams sets an <a href="https://link.springer.com/article/10.1007/s40894-022-00179-4">unrealistic standard</a>. For people without the same income or access to resources to achieve these body modifications in a safe way, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872588/">more extreme means</a> would be undertaken and consequent damage to mental and physical wellbeing can ensue. These body modifications are definitely a case of “do not try this at home”. There are many risks when undertaking dramatic body modifications, most of which are not talked about in public. Actors are just as vulnerable to these risks, despite us rarely seeing what exactly they go through to achieve these dramatic transformations. Hollywood is a highly competitive environment, and being honest about body modification and its consequences could stop an actor landing their next gig. We don’t recommend body modifications in any way, but if someone does want to make a change to their lifestyle, we strongly recommend consulting with a team of health professionals to ensure physical and psychological safety during the process and beyond. –– If this article has raised issues for you, or if you’re concerned about someone you know, do not hesitate to reach out for support. For concerns around eating, exercise, or body image visit the <a href="https://butterfly.org.au/">Butterfly Foundation</a> or call the national helpline on 1800 33 4673. For concerns around drug use visit <a href="https://www.health.gov.au/our-work/drug-help">Drug Help</a> or call the National Alcohol and Other Drug Hotline on 1800 250 015.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/207722/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/gemma-sharp-314703">Gemma Sharp</a>, Associate Professor, NHMRC Emerging Leadership Fellow & Senior Clinical Psychologist, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> and <a href="https://theconversation.com/profiles/bronwyn-dwyer-1453560">Bronwyn Dwyer</a>, , <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a> Image credits: 20th Century Fox This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/extreme-hollywood-body-transformations-have-become-standard-preparations-for-film-actors-but-we-need-to-consider-the-consequences-207722">original article</a>.

Body

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

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

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

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

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Shop

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Newspaper

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Entertainment

Travel

Health

Lifestyle

Finance

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Compare

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Information

Keep up to date

Search

New search commences for Samantha Murphy’s body

Detection dogs to lead search for Samantha Murphy's body

New update in search for Samantha Murphy's body

Vigil held as families visit site where Jesse Baird and Luke Davies' bodies found

Update on search for bodies of murdered couple

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How does cancer spread to other parts of the body?

Body language expert breaks down royal family's Christmas card

“There were bodies everywhere”: Five people dead in horror pub crash

Demi Moore flaunts stunning bikini body at 60

Lilie James' grieving family breaks silence as body is found in manhunt for suspect

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

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

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

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