Live to 100 with Dr Hilary Jones - Spring 2018 by Magazine

LIVE TO 100 WITH DR HILARY JONES

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Live to 100 with Dr Hilary Jones

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Welcome

Chasing Health & Wellbeing

in 2018

This issue of Live to 100 focuses on the importance of eating well, taking care of our bodies through exercise and spotting the signs of ill health

Images: REX FEATURES

elcome to another issue of Live to 100, the magazine dedicated to inspiring people to lead healthier lives. As we embark into 2018, it’s important to take a minute to think about the health of our nation. Even though life expectancy has increased—mostly due to advancements in healthcare and better knowledge of various conditions—many serious, chronic concerns still remain today. Obesity and diabetes figures are both on the rise. With our health service so stretched, it’s crucial we take our health into our own hands and promote self-care. Whether that is watching calorie intake, exercising more, spending time outdoors or attending important health checks when they’re due, we can all endeavour to start 2018 the right way—by prioritising our precious physical and mental health. This jam-packed issue of Live to 100 takes a look at the most common chronic conditions and how to manage them, the major food groups and the road to a strong, healthy heart.

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The complete fertility and pregnancy guide enclosed within these pages will provide knowledge, advice and support for individuals wishing to conceive. And—for the first time ever— an exclusive medical tourism section will give you the facts and figures and all you need to know about receiving medical care abroad. We hope that in the following pages you’ll find the right inspiration and motivation to turn 2018 into your healthiest year yet. •

DR HILARY JONES Guest Editor www.drhilaryjones.com

Live to 100 with Dr Hilary Jones | 5

31/01/2018 16:50

Contents

10 THE YEAR OF GOOD HEALTH

Britain’s favourite TV doctor, Dr Hilary Jones, talks with Annalisa D’Alessio about the NHS, obesity and the key screenings everyone should be doing

Fitness & Nutrition

18 WHAT DIET IS RIGHT FOR YOU?

With obesity rates rising in the UK, it has become more important than ever to take control of our eating habits

20 EXPLORING THE FOOD GROUPS All the food we consume comprises of four main nutrient groups: carbohydrates, protein, fibre and fat

22 PROBIOTICS & YOUR GUT

What are probiotics and how can they benefit your health?

24 CHOOSING FREE-FROM FOODS Is it possible to have a well-rounded diet with a food allergy or intolerance?

28 GET INTO GEAR

We divulge the multiple benefits of cycling to motivate you to get into gear this year

30 FITNESS CLASS CHECKLIST

Read our easy gym workout guide for the complete fitness routine

Your Wellbeing

32 GIVE YOURSELF A BODY MOT

Your body needs regular maintenance. Give yourself an MOT with our handy tips

34 IMMUNISATIONS FOR EVERY AGE We provide the ultimate checklist of the vaccinations that are offered by the NHS 6 | LIVE TO 100 WITH DR HILARY JONES

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36 OUT OF THE ORDINARY

We explore complementary and alternative medical treatments

38 ALLERGIES: SYMPTOMS, TRIGGERS & EARLY EXPOSURE Allergies affect one in four people, but can early exposure help to reduce the climbing rates of allergy sufferers?

41 THE SKIN YOU'RE IN

Skin comes into contact with germs and toxins—how can we keep it in top shape?

48 TROUBLESHOOTING HAIR

PROBLEMS Live to 100 takes a look at common hair issues and how to solve them

51 SLEEP TIGHT

We investigate the vast benefits of sleep and how our sleeping habits can be improved celebrityangels.co.uk

13/02/2018 12:36

Contents Contents

Mum & Baby

69 FERTILITY & PREGNANCY

Trying to conceive isn’t as easy as it may first appear, but there are positive steps you can take to improve your chances

78 ALL YOU NEED TO KNOW ABOUT IVF In vitro fertilisation is one of the many options available to help couples with fertility problems have a baby

83 CHOOSING ADOPTION

Whether you’ve decided to adopt following infertility or merely want to expand your family, the commitment is momentous

85 WATCHING CLOSELY

20 54 SAFEGUARDING ORAL HEALTH

Good oral health can boost selfconfidence and contribute to overall physical wellbeing

Your Healthcare

56 THE HUMAN GENOME &

OUR HEALTH We can now learn more about our health and how to prevent diseases than ever before

58 7 WAYS TO AVOID CANCER Experts estimate that over four in 10 cancer cases can be prevented 62 THE ROAD TO A HEALTHY HEART The health of your heart is hugely dependent on the lifestyle you lead

66 KEEP CALM AND DEFIBRILLATE

When cardiac arrest strikes, it is vital that we act fast. But how many of us would know exactly what to do?

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Keeping an eye on your little one— whether they’re in or out of the womb— is essential for safeguarding their health

86 PLAY DATE

Parents are prioritising literacy and numeracy skills over their children’s playtime—but could this be damaging?

89 SAFETY FIRST

Appropriate car seats are imperative for your child’s safety while travelling

Over 60

91 RELIEVING BACK PAIN

According to Arthritis UK, about onethird of adults living in Britain are affected by back pain

94 COMMON ORTHOPAEDIC CONDITIONS We uncover today’s most common orthopaedic complaints and their treatments

97 LOSING SIGHT OF EYE HEALTH

Poor eye health can have a profoundly negative impact on our general health

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Contents 99

UNDERSTANDING DIABETES Gathering the right information on what diabetes is, the risks involved and what to expect is key to managing it

137

HEALTH TOURISM IN... SWITZERLAND Switzerland is a sought-after destination for affluent health tourists

104

COMMON CHRONIC CONDITIONS We unearth the psychological and physical effects of suffering from some of the most common chronic conditions

138

HEALTH TOURISM IN...CYPRUS This country has a lot to offer tourists— including private medical care

107

140

A WEIGHTY DECISION Deciding to undergo any weight loss procedure is a monumental commitment

HEALTH TOURISM IN...NORWAY Norway is a surprising option for patients in search of high quality medical treatments

109

THE M WORD Though it is an inevitable natural process, the menopause can be a time of deep anxiety and distress THE INS & OUTS OF HEALTH INSURANCE Nowadays, insuring our home and car is a no-brainer…why should our health be any different?

119

PROTECTING YOUR LOVED ONES Life insurance is an important part of financial planning

121

AFFAIRS IN ORDER Sorting out your will in good time is crucial whatever your age

122

Medical Tourism AN INTRO TO HEALTH TOURISM We provide some facts and stats to educate those who are looking to travel overseas for their healthcare requirements

BEAUTY TREATMENTS 149

THE RIGHT SPA TREATMENT FOR YOU We take a look at the various treatments on offer at beauty salons and spas

152

ALL NATURAL THE ORIGINAL Green PeelTM HERBAL PEELING TREATMENT offers an alternative to chemical face peels

154

SAVING FACE The first tell-tale signs of ageing typically occur in our mid-30s, but is there anything we can do to prevent the early onset of unsightly wrinkles before then?

158

ON THE HUNT FOR PERFECT SKIN A solid beauty routine can help keep skin smooth, firm and healthy, but common skin problems can occur anyway

163

SKINCARE MENU Using the right products for your skin type is imperative

126

HEALTH TOURISM IN...CROATIA We investigate Croatia’s growing potential for medical tourism

168

135

HEALTH TOURISM IN...GREECE With rising private healthcare costs in the UK driving patients to seek treatment abroad, what does Greece have to offer?

LUSCIOUS LOCKS The quest for full, shiny hair is a lifelong one—read on for the best salon treatments for healthy tresses

170

ALL AFLUTTER Considering lash extensions? We give you the run-down on this treatment

8 | LIVE TO 100 WITH DR HILARY JONES

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163

168

Images: Shutterstock; 123rf

116

Flawless

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Contents

154

158

celebrity PUBLISHER & CEO Kevin Harrington EDITOR Annalisa D'Alessio

SURGICAL PROCEDURES

SUB EDITOR Kayley Loveridge

188 DEFINE YOUR FEATURES

FEATURES WRITER Phoebe Ollerearnshaw

The results of face sculpting can be achieved in a variety of ways

191 EYES MATTER

An effective procedure, laser eye surgery can make individuals less dependent on glasses and contact lenses

170

192 WHO'S HAD WHAT?

We shine a light on some of the most popular surgical and nonsurgical cosmetic procedures among celebrities

195 THE BREAST DECISION

NON-SURGICAL PROCEDURES 172

Images: Shutterstock

178

AVOID A BOTCHED JOB We speak with the national register of accredited practitioners, Save Face, about the lack of legislation in the non-surgical cosmetic industry NON-SURGICAL WEIGHT LOSS ALTERNATIVES We guide you on some of the most innovative ways to reduce fat without the worry of invasive surgery

181

BANISH VARICOSE VEINS Varicose veins can be damaging to your skin and self-esteem

185

THE PERFECT POUT Lip enhancements have never been safer, more affordable or accessible

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There are various reasons why women may wish to undergo breast augmentation procedures

198 DAZZLING SMILE

We explore cosmetic dentistry, uncovering what this industry has to offer

200 LET'S FACE IT

Facelifts are among the most popular cosmetic surgery procedures in the UK for both men and women

203 COSMETIC SURGERY AFTERCARE Cosmetic surgery patients can play an active role in their recovery

208 PRODUCTS & SERVICES

Our pick of the best products and services that will help you lead a healthy lifestyle

ART EDITOR Friyan Mehta

EDITORIAL ASSISTANT Maria Mellor PRODUCTION DIRECTOR Joanna Harrington PRODUCTION COORDINATORS Chloe Adegoke Joel Simpson OFFICE COORDINATOR Adam Linard-Stevens PUBLISHED BY Celebrity Angels Â© 2018 all rights reserved

Live to 100 with Dr Hilary Jones Celebrity Angels Suite 2, 143 Caledonian Road, London, N1 0SL Tel: 020 7871 1000 Fax: 020 7022 1694 For sales enquiries call: 020 7871 1000 All material in Live to 100 with Dr Hilary Jones is wholly copyright and reproduction without the written permission of the publisher is strictly forbidden. The views expressed in this publication are entirely those of the authors and do not necessarily represent those of Celebrity Angels. The information in this publication is carefully researched and produced in good faith, however, neither the publisher nor the editors accept responsibility for any errors. The Celebrity Angels Series is published in the UK under licence by Damson Media Limited. Damson Media Limited is registered in England and Wales under registration no. 07869300. Disclaimer: Live to 100 with Dr Hilary Jones has been produced as a family health guide. It does not constitute professional medical advice. In no way does this publication take away your responsibility to seek professional medical advice should you have concerns regarding your health. Please visit your GP should you require professional medical advice.

LIVE TO 100 WITH DR HILARY JONES | 9

14/02/2018 11:40

Interview

The Year of

Good Health Britain’s favourite TV doctor, Dr Hilary Jones, talks with Annalisa D’Alessio about the NHS, obesity, the nation's silent killers and the key screenings everyone should be doing

10 | LIVE TO 100 WITH DR HILARY JONES

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Q: How has the state of general practice changed since you started out? HJ: In my early days as a GP, we still had personal lists. We don't deliver babies that grow old with us anymore, neither do we carry out minor surgical procedures or do many house calls and it’s a shame. GPs now tend to sit in a surgery looking at a computer and seeing a conveyor belt of people with medical problems. So much of the excitement and challenge of general practice has gone. I think that's one thing that’s changed for doctors. There are doctors who have special interests but it’s becoming harder to be a GP with a special interest, such as infertility, rheumatology and heart disease. General practice has changed and now I see

they’re talking about more consultations being carried out virtually on Skype and things…but you can’t do a cervical smear by Skype and you can’t examine somebody’s enlarged spleen or lymph glands online. For me, we’re getting further and further away from the doctor you go and see and talk to about your concerns. It’s not entirely satisfactory and it may be the future, but it’s not a future that I embrace as a doctor that wants to get things done properly. Q: So it really is about getting more GPs into the profession… HJ: Absolutely. I just had a thought yesterday as I went to get my hair cut. There are eight hairdressers in my town; it’s a little town, by

Images: Shutterstock

Q: Let’s start off with a hot topic at the moment. The NHS is stretched and struggling. What are your concerns regarding this and how did we get to this point? HJ: The NHS has been underfunded by successive governments for several years. Also, we’ve already got so much admirable efficiency in the service compared to other industries but there is no spare capacity such as resources and beds. All it needs is an epidemic of flu or a bad winter and we go over the tipping point and are in a real crisis. It’s not just in emergency care, it’s in general practice and social care, too. We’ve got patients in hospital who could be looked after in social care but we haven’t got the beds. That's why we’ve got people waiting in ambulances to be admitted and others lying in corridors to be treated as well but ultimately, they’re being treated without the dignity and respect that they deserve. It's a problem that’s been ignored despite protests from various Royal Colleges for many years and it’s only getting worse at the moment because GPs are retiring early and young doctors are not choosing to go into the profession. There are many GP surgeries closing down without being replaced. That means more people go to hospital increasing the pressure further on hospitals. Staff are doing their utmost to keep their heads above water but they’re struggling and morale is at rock bottom.

celebrityangels.co.uk

13/02/2018 10:11

Interview

“

the way. And there’s one GP surgery. Everyone can get their appointment today if they want to get their hair cut…but if you want to see a doctor when you’re worried, you might have to wait three or four days. What’s important is that we have to readdress this balance of supply and demand. People are always going to have medical problems and the NHS should be able to be on top of people’s medical complaints quickly and urgently to sort them out. The more patients have to wait, the higher the chances of something being harder to treat.

We need more mental health services and resources and people getting involved. We need to break the stigma of mental health

Q: What are some things we can do as patients to ease the burden on GPs? HJ: I think all of us need to take more responsibility for our own health; that's the first step. If we look around, we have 67 percent of the adult male population either overweight or obese. As well as 57 percent of the adult female population and 30 percent of children aged two to 15. This is a massive problem that is stirring up all sorts of issues for the future. While we make poor choices about our diet and amount of exercise we do, we are becoming a fatter and sicker society. We can change that by making decisions today and teaching our children what’s healthy and what isn’t. The government and food and drink industry can do a great deal more. It’s scandalous that they’re advertising sugar and sugary products to the population— they don't need it, although they crave it. That's something that can change. The second thing

that can change is for people to learn how the system works best. Yes, if it's a minor ailment, pharmacists are well placed to advise and then GPs can be consulted with. But you need to use the system well, you need to be patient, get your appointment, prioritise what your problems are and don't be tempted to take three children with you and ask for them to all be seen at the same time. Follow your GP’s advice; don't take medication that you don't need and don't pressure the doctor for antibiotics that you don't need. We all need to be more responsible and part of that responsibility is to appreciate how hard doctors and nurses work. I would like to see more stringent punishment for people who abuse staff, who punch nurses and who are violent toward medical staff. There’s something

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“

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everyone can do. We can also lobby our ministers and say: ‘Look after the NHS, it’s one of the precious jewels we have in this country and we need to protect and preserve it.’ Q: Using the system well is definitely important. What NHS services do you wish patients used more or took more advantage of? HJ: I wish they took more advantage of mental health services and services that can help them with weight loss. The trouble is that mental health services are incredibly stretched. We need more mental health services and resources and people getting involved. We need to break the stigma of mental health. Of course, with the obesity and diabetes epidemic we need people to vigorously tell more people to do more exercise and make better food choices. We need to put pressure on councillors and ministers to stop so many fast food shops from opening up on high streets and replace them with delicatessens and greengrocers. Q: GPs are stretched for time. A 10-minute consultation is not long enough for patients to have a proper conversation with their doctor. What steps can patients take to make the most out of their appointment? HJ: They can write down what the nature of the problem is and bring with them a diary of what the problem is, when it started and what Live to 100 with Dr Hilary Jones | 11

13/02/2018 10:11

To help maintain healthy

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24/01/2018 11:34

Interview

makes it better or worse. It makes it easier for the doctor if he knows exactly what the problem is. In a way, it’s like the patient helps the doctor with the investigation rather than the patient coming in and having a vague idea of what’s wrong. It saves time.

“

When people get moderately fit they look back and think: 'I can't believe how awful I felt a year ago. I'm so pleased I'm in this place.' But it does take time

“

Q: What is your biggest health worry and concern for the younger generation? HJ: Mental health. I’m extremely concerned that there is so much use of technology and it’s killing communication amongst young people. I meet a lot of young people who find it difficult to hold eye contact and find it difficult to describe their feelings. Young people who don't have any real friends, only have virtual friends at the end of a phone celebrityangels.co.uk

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or an iPad. The inability to mix with others physically is of real concern. It's fuelling a mental health crisis, fuelling bullying online, lowering self-esteem and pushing individuals to become withdrawn and isolated. I’m horrified at how unfit some of the younger generation are—they’d rather watch sport on TV instead of participating in it. At that age, why would you change to live the life of someone incapable of movement and miss out on the excitement of physical activity? Q: What about for the older generation? HJ: The older generation has lived through quite a lot of hardship in their life. They are better placed to keep things in perspective. They may become isolated and withdrawn through no fault of their own but if you give them the opportunity to communicate, they’re interesting and good at it. They have increasingly complex medical needs as they get older, but these days most of those conditions are fairly manageable. People living into their 90s and later can enjoy a pretty good quality of life right up until the end. Even 20 years ago, people were living with chronic problems and not having a very good time during the last decade of their life. Now they can still enjoy it. That’s something that’s encouraging, but we need to deal with the isolation issue. We need to make sure the elderly are looked after by society, as they deserve to be.

Q: Are there any health-related New Year’s resolutions you think everyone should have? HJ: Definitely. 2018 should be the year people think about what they’re eating. Asking themselves: ‘How much sugar is in this, how much fat is in this, how much nutrition is in this and how much am I drinking? Can I look after myself better by making some better food choices?’ Engaging in new hobbies and pastimes that make them physically more active. Whether it’s getting a dog and walking every day, signing up to a marathon, a day in the garden, or the 3 Peaks Challenge or the great north swim. This is something you can do with friends and have a fantastic time while getting fitter. When people get moderately fit they look back and think: ‘I can’t believe how awful I felt a year ago. I’m so pleased I’m in this place.’ But it does take discipline. Q: In your opinion, what’s the biggest silent killer affecting our nation? HJ: There are a few, but I guess high blood pressure would be one. Hypertension, hypercholesterolemia—abnormal blood fats that people won't know about until it’s too late. Obesity and diabetes…of course. There are probably half a million people with undiagnosed diabetes whose health is deteriorating as we speak. There are millions of people with obesity which will cause not just psychological problems but physical Live to 100 with Dr Hilary Jones | 13

13/02/2018 10:11

Interview

Q: Do you have a health mantra you’d like to share with readers? HJ: My own health mantra is exercise over medication. I would much rather prescribe somebody a course of exercises and physical activity than any drug. Medication should be a last resort—lifestyle adjustment should be the first. But so few people are willing to do it. With back pain, for example, millions of people suffer from back pain. Rather than taking medication for pain relief and having epidurals and surgeries, just enroll on a Pilates course and spend 20 minutes a day doing some specialist exercises. It’s amazing how many people can overcome their problems with a little bit of self-discipline.

“

My own health mantra is exercise over medication. I would much rather prescribe somebody a course of exercises and physical activity than any drug. Medication should be a last resort—lifestyle adjustment should be the first

“

problems such as heart disease, stroke and diabetes. Five percent of cancers are linked to obesity. These are some of the ‘silent’ things going on unnoticed but that have a significant impact on our health.

Q: Are there any key health check-ups and screenings that you think people should be doing every year? HJ: I think everybody should know what their blood pressure is, everyone should know what their cholesterol level is. Everyone should check their BMI. But even better than their BMI, the simpler thing is their height-to-waist ratio. If your waist measurement is less than half your height, you’re fine—it's as simple as that. You’ve got to have a urine check for sugar; you should also have an eye check every couple of years, and your hearing checked after the age of 45. You should also, after the age of 60, have a prostate check if you’re a man. For women, regular cervical smears and if they are over 50, get a mammography. Of course, people should be aware of the common symptoms of common cancers and report to their GP when they've got any concerns. •

14 | Live to 100 with Dr Hilary Jones

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Images: Shutterstock

Q: What are the five key priorities for living a longer and healthier life? HJ: Regular exercise is at the top of the list and healthy diet a close number two. Love and laughter are really important and that's number three. Never take life too seriously. We get bogged down in the little minutia of things that irritate us but, actually, in the great scheme of things, they are not important. People get sidetracked and angry about the little things. Don't get angry. Change things but don't bother getting angry. Being nice to people, having a laugh and having fun with people is very therapeutic. Love and laughter…that’s a big number three. Four would be giving something back. Be generous to people, including strangers. Be warm and friendly. Treating people as we ourselves want to be treated. That can give people a good inner glow and make them feel good about themselves. Number five for living a longer and healthier life, I think, is probably spending more time with nature. It sounds a bit lame, it sounds a bit Californian, and I don't mean ‘hug a tree’. Get out into the fresh air and turn your face to the sun sometimes. Get away from the smog of the city and go and do some hiking and walking. Go look at the sea and the mountains and remember we are part of a bigger universe. It is something that is good for our spirit. That in itself keeps us feeling young at heart.

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13/02/2018 10:11

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Breakfast, Lunch and Dinner: Almased ® Shake. Plus a low-salt vegetable soup as an additional meal*.

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the

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D AY S 4 -7

PROTEIN

for the maintenance of

MUSCLE & BONES

Breakfast and Dinner : Almased ® shake. Lunc h: Lower ca rbohydrate high protei , n meal.

D AY S 8 -1 0

Breakfast and Lunch: Lower carbohydra te, high pr otein mea Dinner: Al l. mased ® Sh ake

D AY S 11 -1 4

Breakfast, Lunch and Dinner: Lower carb ohydrate, high protein m eal. Plus 1 Al mased ® Shake as a snack.

B12

to support normal

*Delicious healthy recip es, including the vege table soup, are available online or in the figure plan brochure.

ENERGY RELEASE

NEW

ZINC

for healthy

SINGLE SERVINGS

SKIN, HAIR & NAILS

PERFECT FOR ON-THE-GO

VITAMIN C to support the

IMMUNE SYSTEM during and after intense physical exercise

FOLATE

to contribute to the reduction in

TIREDNESS & FATIGUE

POTASSIUM

to maintain normal

BLOOD PRESSURE

FIND OUT MORE Visit www.almased.co.uk, email nutritionist@almased.co.uk or call 020 7969 1886. You can download your FREE figure plan at www.almased.co.uk and find more top tips and healthy recipes to guide you through the Almased® programme. Almased® is available from Boots, Lloyds Pharmacy and Amazon.

... sim ply be ca us e it wo rks

1. Deibert, P et al (2004). Intl. Journal of Obesity; 28(10):1349-52. 2. König, D et al (2008). Annals of Nutrition and Metabolism; 52(1):74-78. * IMS Health (2016). † Reader‘s Digest Trusted Brands 2017, Germany.

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FITNESS & Nutrition

What Diet

is Right for You? Navigating the weight loss and diet arena can prove to be diﬃcult, but with obesity rates rising in the UK, it has become more important than ever to take control of our eating habits

PALEO DIET So-called because it claims to follow the allnatural ‘hunter-gatherer’ diet of our ancestors before the development of agriculture some 10,000 years ago. The paleo diet comprises of ‘hunted’ foods such as grass-fed meats and fish, and ‘gathered’ foods like nuts, seeds, fruits and vegetables. Strict followers of the diet eliminate common carbohydrates such as potatoes and wheat. Advocates suggest that it aids in long-term weight loss and reduces the risk of diabetes and heart disease. However, further scientific studies are needed to substantiate these claims. While the plan encourages people to eat fruits and vegetables and reduce processed foods, some experts are concerned that eliminating

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essential food groups like carbohydrates may have a negative impact on health.

SLIMMING WORLD Slimming World has gained immeasurable popularity over the years. The organisation’s system is simple: swap high-fat foods for naturally filling low-fat options from a list of ‘Free Foods’ including rice, pasta, vegetables, fruits, lean meat and fish. The Slimming World diet is designed to help participants lose one to two pounds a week and involves weekly group meetings that offer weigh-ins, support and advice.

THE 5:2 DIET In the 5:2 diet, participants may eat as they normally would for five days a week but must restrict calorie intake to 25 percent of normal consumption during the remaining two. The 5:2 diet is based on the principle of intermittent fasting which some claim helps to prevent conditions including heart disease, cancer and Alzheimer’s. Be mindful that studies surrounding this type of diet are limited. Participants should also be careful to avoid deficiencies and dehydration on fast days where meals are skipped.

THE ATKINS DIET The Atkins diet was originally designed by physician Dr Robert Atkins. The four-phase diet is based on the principle that participants may eat foods rich in protein and fat but must limit their carbohydrate intake. The theory

behind this is that in lieu of carbohydrates, the body will burn fat for energy instead. In the first phase, dieters must restrict carb intake to under 20 grams every day for the first two weeks. As time goes on, participants may slowly introduce healthy carbohydrates back into their diet. The 'fat versus carbohydrates' debate has been ongoing in medical communities for decades, however, and critics of the diet have suggested that its high fat allowance would negatively impact health. With this said, a 2003 study published in The Journal of Clinical Endocrinology & Metabolism found that women placed on a low-carbohydrate diet lost 2.2 times as much weight in six months compared to women placed on a low-fat calorie-controlled diet.

BACK TO BASICS Structured diets like the ones mentioned provide easy-to-follow plans that offer a network of support. While these elements can be valuable to individual motivation, they can also be costly and unnecessary. Cut back on processed foods high in sugar and fat and increase your daily consumption of fresh fruits, vegetables and lean protein. In tandem with an exercise regime, this simple approach to dieting can help to significantly reduce weight without the hefty price tag. The NHS also offers a free 12-week weight loss plan for those seeking guidance when losing weight. Participants receive an information pack for each week of the programme containing food advice and tips for maintaining weight loss. •

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ur modern diets are often saturated with processed foods, trans fats and E-numbers; coupled with our increasingly sedentary lives, our bad eating habits are contributing to a major ill health epidemic. According to the NHS report Statistics on Obesity, Physical Activity and Diet—England, 2017, a shocking 58 percent of women and 68 percent of men in the UK were overweight or obese in 2015. Obesity is closely linked to severe diseases including diabetes, coronary heart disease, stroke and some cancers. The diet market has long infiltrated our culture and society, but which ones are the most effective in achieving weight loss and promoting healthy living in the long-term?

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FITNESS & Nutrition REMEMBER Consult with your doctor before starting any weight loss programme

DID YOU KNOW? Almost 50% of UK adults* tried to lose weight in 2016 Source: Mintel (*Based on a survey of 2,000 people)

26% Images: Shutterstock

of adults report eating the recommended 5 portions of fruit and veg a day Source: Statistics on Obesity, Physical Activity and Dietâ&#x20AC;&#x201D;England, 2017

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FITNESS & Nutrition

Exploring the

he majority of fad diets claim that cutting out a major food group from your regime will lead to a healthier life. The Atkins diet advises participants to cut out carbs; the ketogenic diet involves increasing fat consumption; the low-fat diet advises to eliminate fats. With such conflicting messages, it’s hard to know which method to follow. Live to 100 takes

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DID YOU KNOW?

Sugar is classified as a carbohydrate. When carbohydrates are digested, they are broken down into glucose. However, the body absorbs sugar very quickly, causing spikes in energy and blood sugar. It is possible to be healthy without sugar in your diet—as long as you eat the recommended amount of carbohydrates

in order to have a healthy diet. In reality, carbohydrates are an essential source of energy. They can be found in a great variety of food such as bread, pasta, fruit, vegetables and legumes. Avoid refined carbohydrates such as white bread and white rice as these may take less time to digest and leave you feeling hungrier than usual.

PROTEIN Where carbohydrates have been demonised, proteins have been glorified.

a look at the major food groups to see what may help or hinder you on your journey to a healthier lifestyle.

CARBOHYDRATES

Images: Shutterstock

All the food we consume comprises of four main nutrient groups: carbohydrates, protein, ﬁbre and fat. Live to 100 takes a closer look at the essential building blocks of a healthy diet

Food Groups

Are carbohydrates really the ‘demon’ that extreme dieters make them out to be? There are several reasons why carbohydrates have a bad reputation, but you don’t need to avoid carbs altogether celebrityangels.co.uk

13/02/2018 10:15

FITNESS & Nutrition There are an incredible amount of products on the market to help you add more protein to your diet. This is because protein is the building block of healthy bones, blood and skin and aids in the wound-healing process. It also helps to build and maintain muscles, which is why it has been lauded by bodybuilders for decades. The UK government’s dietary guidelines state that men only need 55.5 grams and women 45 grams of protein per day. Include sources such as meat, fish, eggs or beans and legumes with every meal. Those who do a lot of exercise are advised to consume the recommended amount of protein every day to prevent muscle deterioration.

Protein Fibre

Fat Carbohydrates

FIBRE GOOD TO KNOW Carbohydrate sources: brown bread, brown rice, oats, beans Protein sources: meat, fish, eggs, dairy Fat sources: avocados, olive oil, nuts Fibre sources: fruits, vegetables, wholemeal grains

FAT Say the word ‘fat’ and it makes people want to run for the hills. Surely fat can’t be good for you? There are three types of fat to be conscious of: saturated fat, unsaturated fat and trans fat. Saturated fat and trans fat are found in unhealthy, processed foods such as cakes and some types of meat—try

to limit your intake of these foods where possible. Good fat is actually essential in providing the body with energy and aiding it in the absorption of certain fat-soluble vitamins including vitamins A, D, K and E. Include a good amount of unsaturated fat in your diet by eating fatty fish (like salmon), avocados and nuts. 

Images: Shutterstock

According to NHS Choices, on average, people in the UK don’t eat the daily recommended amount of fibre. It is advised that individuals eat around 30 grams per day, but most people tend to only eat around 18 grams. Fibre is key to a healthy, balanced diet as it may go some way in preventing conditions such as diabetes, heart disease and some cancers. Fibre can be found in plant-based products such as fruits, vegetables and grains. This food group is not actually digested or absorbed by the body, meaning that it will reduce the risk of constipation and leave you feeling fuller for longer.

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FITNESS & Nutrition

Probiotics & Your

Gut

Probiotics have been subject to a huge amount of media attention in recent years, but what are they and how can they beneﬁt your health?

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NATURALLY PROBIOTIC FOODS Miso

Made from fermented soybeans and grains, this Japanese seasoning is used to flavour a number of Asian dishes. The fermentation process means that miso paste is rich in enzymes that aid digestion and contains millions of organisms that are almost identical to those that naturally live in the large intestine. These microorganisms develop during the fermentation process, resulting in a paste that also includes B-complex vitamins and essential minerals such as calcium, iron, zinc, copper and magnesium. The components of this paste contribute new bacteria to the intestinal colonies.

Yoghurt Many types of yoghurt have live active cultures contained within them. Some

of the most common bacteria found in such yoghurts are streptococcus thermophilus and lactobacillus. A typical portion of probiotic yoghurt will usually contain billions of bacteria that may help to encourage the metabolism of sugars and fibre within the body. Due to the influx of brands delivering probiotic yoghurt, it is worth shopping around to compare the sugar content and other dietary factors. Most brands supply probiotic yoghurt in a variety of interesting flavours, making it an easy component to add to your daily diet.

Kefir This slightly tangy, sippable milk drink also contains a number of live active cultures. In comparison to probiotic yoghurt, kefir is actually a more potent source of similar bacteria. An average cup of kefir contains between eight to 11 grams of protein (depending on the

Images: Shutterstock

robiotics are live bacteria and yeasts that can be found in foods or taken as supplements. When consumed, these ‘friendly bacteria’ are said to rebalance the gut’s microbiome—its community of microorganisms. Generally, it is agreed that this helps to facilitate the body’s natural digestive processes. There are also claims that probiotics can improve the symptoms of wider gastrointestinal disorders. At present, it is difficult to ascertain which of these claims are accurate. The NHS states that there is some evidence to support probiotics’ beneficial effects on antibioticassociated diarrhoea (AAD), infectious diarrhoea, irritable bowel syndrome (IBS), lactose intolerance and pouchitis. To reap the benefits of probiotics, try incorporating these naturally probiotic foods into your diet.

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FITNESS & Nutrition

PREBIOTICS VS. PROBIOTICS In short, prebiotics are specialised plant fibres that nourish beneficial microorganisms. Unlike probiotics—which introduce more bacteria into the gut—prebiotics act as a fertiliser for the good bacteria that already exists in the gut, promoting growth, mainly in the large bowel and colon

UNSUPPORTED CLAIMS

brand), which is very filling. The method of making kefir is one of the other key differences between it and yoghurt. There is some evidence to suggest that kefir is a good option for people who are lactose intolerant because the lactose is broken down during the fermentation process. If you suffer from an intolerance, always check with your doctor before trying a new product.

lactobacillus plantarum. According to the National Centre for Biotechnology Information, these bacteria may help improve digestion and prevent intestinal infections. While sauerkraut has a number of good dietary qualities, it is also extremely high in sodium—a 50-gram serving contains approximately a third of your recommended daily allowance. •

Research on probiotics and their beneﬁts is still in its infancy. As probiotics are classed as a food, they do not undergo the same rigorous testing that medicines do. This lack of regulation means that huge disparities can occur between products. According to the NHS, claims that probiotics can boost the immune system, cure babies with colic and treat irritable bowel diseases (IBDs) are unsupported

Sauerkraut Cabbage has numerous beneficial properties; along with being antiinflammatory, it also contains vitamins A and C. When cabbage is fermented, live bacteria are produced, giving sauerkraut its health benefits. This food product has a mildly sweet smell but a sour taste. There are usually four main types of lactic acid bacteria found in sauerkraut: leuconostoc mesenteroides, lactobacillus brevis, pediococcus pentosaceus and

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FITNESS & Nutrition

Choosing

Free-from Foods

Is it possible to have a well-rounded diet with a food allergy? Live to 100 explores 'free-from' foods

Exclude The first step to choosing free-from products is to find food that either naturally or coincidentally does not contain the ingredients that you are allergic to. Whether you are lactose intolerant or allergic to shellfish, there are products that don’t contain that specific allergen— fresh fruit and vegetables being a prime example. Be careful to check labels as there could be products that you’d be surprised to see contain allergens—for example, sausages may contain gluten as a binding agent. 24 | Live to 100 with Dr Hilary Jones

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Remember Always check the ingredients listed on products before eating them—it’s better to be safe

Replace Products that obviously contain allergens—such as bread for the gluten intolerant or milk for the lactose intolerant—can be replaced with alternatives. Head down to the ‘free-from’ section of your local supermarket to see what is available. Usually you’ll be able to find pasta, cakes, cereal and sauces. They may not taste exactly like their standard counterpart, but they’ll allow you to consume a normal and full diet without feeling restricted. Thanks to recent diet trends that cut out dairy and gluten, there are plenty of new and innovative products that those with intolerances can now eat. From ice cream to pesto, it’s now easier than ever to find replacements for foods that you may not have previously been able to eat.

Images: Shutterstock

n recent years, it seems to have become fashionable to consume a diet that eschews gluten or dairy products. While not everybody who follows this path actually has a food intolerance, this new trend has been hugely beneficial to those who do. The free-from food market has boomed with a great variety of alternative foods now on offer. No longer do consumers have to stick to basic rations to avoid the risk of eating hidden gluten or dairy—now there are whole shelves dedicated to free-from foods. Use the following three methods for a well-rounded diet: exclude, replace and reinvent.

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FITNESS & Nutrition

REINVENT Even with an allergy or intolerance, it is important to eat the right amount from each food group to maintain a healthy diet. Just like a vegetarian would seek alternative sources of protein, people with an intolerance must replace allergens with appropriate alternatives. Make sure that avoiding foods with allergens is not having a negative impact on your health or nutrient intake. Gluten-containing foods make up a significant proportion of carbohydrateheavy foods. Despite what fad dieters would have you believe, carbohydrates are a vital source of energy. Potatoes, quinoa and brown rice will give you a sufficient amount of carbohydrates. Likewise, those with lactose intolerance may be missing out on a key source of calcium. Salmon, kale and orange juice are great alternatives that you can consume to reduce the risk of calcium deficiency. Don’t be afraid to get creative in the kitchen; you would be surprised by what you can do with unusual ingredients.

SALT AND SUGAR Be careful—once an allergen is taken away from a food product, manufacturers tend to replace it with alternatives that will not only be tasty for the end consumer, but also economically viable. Salt and sugar are easy fixes to the flavour problem, but too much can be unhealthy. The recommended daily allowance for adults is six grams of salt and 30 grams of sugar. Be careful to check the salt and sugar content of the food you buy to make sure you are not consuming too much. • celebrityangels.co.uk

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WHAT IS AN ALLERGEN? The Food Standards Agency (FSA) list 14 ingredients that are considered allergens which must be highlighted on food packaging: • Eggs • Milk • Fish • Crustaceans • Molluscs • Peanuts • Tree nuts • Sesame seeds • Cereals containing gluten • Soya • Celery and celeriac • Mustard • Lupin • Sulphur dioxide and sulphites

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SPONSORED EDITORIAL

Why Ride Electric?

TSE which delivers a new urban cycling experience. Raleigh have just launched a ‘first of its kind’ adventure bike, Mustang Comp Electric. Designed for the real world of getting to work or grabbing some fun at the weekend, it is a hybrid bike built for speed and agility. Boasting all the features that make adventure bikes so popular, the Mustang Electric has been specifically developed to find the perfect balance between road and off-road riding. E-bikes assist you up to the legal limit of 15mph. They are classed as a standard bicycle so no licence or insurance, allowing you to get straight on and discover your electric smile!

E-BIKE HEALTH BENEFITS

he world of the electric bike can be a bit of a daunting one with the different models, systems and battery types to consider. The growth of electric bikes has taken the UK by storm and it’s predicted to continue increasing rapidly over the coming years. We caught up with the Terry Blackwood at Raleigh to find out more about the cycling revolution.

WHAT IS AN E-BIKE? An e-bike or electric bike has an electric motor attached meaning struggling up hills and against headwinds is a thing of the past. The motors are either in the hub of one of the wheels or attached to the pedals. The motors are powered by a removable battery pack that typically provides power for 75km of cycling in one charge.

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HOW DOES IT WORK? The e-bike senses how hard you are pedalling and then adds the amount of power you need. With an e-bike you can return to the saddle successfully, even after a long lay-off. You certainly don’t need to be a die-hard cyclist, nor do you need to be super fit.

DIFFERENT KINDS OF E-BIKES Even in the Raleigh collection there are multiple different models of e-bikes to meet all price points and differing riding styles. There’s the stylish Raleigh Array which is ideal for people looking to get back into the saddle after a few years out. Then there’s the sportier Raleigh Strada

A low impact activity, cycling including e-cycling offers a great muscle workout whilst increasing stamina, strength and aerobic fitness. Cycling means you can build regular exercise into your daily routine without really noticing it and with an e-bike you can go further for the same effort. E-bikes allow you to go further and ride for longer. Low intensity exercise over a longer period is great as can mean less impact on joints and knees and reduced muscle stress. Regular cycling on your e-bike can help both your physical and mental health– reducing body fat, improving cardiovascular fitness, muscle strength, posture and co-ordination. It’s also a great stress beater and a sociable activity too! Add to all this the fact that e-bikes are great fun to ride and quite a different experience than riding conventional bikes as it means you can relax a little and enjoy the beauty of your surroundings. •

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Get Further Go Electric www.raleigh .co.uk

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FITNESS & Nutrition

Get into Gear We divulge the multiple beneďŹ ts of cycling to motivate you to get into gear this year

he NHS is currently suffering a pandemic of preventable illnesses that are connected to physical inactivity. With conditions such as heart disease and diabetes on the rise, it is more important than ever to encourage the public to get active. While every sport has its own merits, cycling is said to be one of the most beneficial. Seeing the potential of this pastime, the UK government has invested in promoting cycling in recent years. Londonâ&#x20AC;&#x2122;s Santander Cycles scheme is a perfect example of this; it involves 70 docking stations and over 11,000 bikes around the capital. Such strategies allow people to rent a bike at a low cost. Bike share systems have also begun to pop up in Britain, with companies such as Nextbike appearing in Glasgow and Mobike in Manchester. Still not convinced? Read on for the multiple ways cycling can enrich your life and even improve the environment around you.

BURNS CALORIES

Images: Images: Shutterstock Shutterstock

Cycling is said to burn around 500 calories per hour. If done on a regular basis, this could significantly contribute to weight loss.

BUILDS MUSCLE The body works a number of different muscles when cycling. These include 28 | LIVE TO 100 WITH DR HILARY JONES

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FITNESS & Nutrition the quadriceps in the thighs, the gastrocnemius and soleus muscles in the calves and the gluteus muscles in the buttocks. Over time—and with regular cycling—these muscles will grow, tone up and strengthen.

CUTS HEART DISEASE AND CANCER RISK Cycling is an aerobic activity that can improve the cardiovascular system by pumping blood around the body. This can effectively reduce the risk of developing heart disease and various types of cancer.

COST-EFFECTIVE With local transport fares steadily rising, swapping your yearly ticket for a bicycle can work wonders on your wallet. Furthermore, there are now systems in place that are designed to help employees obtain a bike more easily—the Cycle to Work scheme being one of the most effective.

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GOOD FOR THE ENVIRONMENT Road traffic is a major source of pollution. If more people opted to cycle, the environment would dramatically benefit in terms of reduced carbon emissions, noise pollution and congestion.

LOW-IMPACT EXERCISE Cycling is a low-impact exercise, which means it is kinder on your joints than other activities. Cycling is also unique in the way it gives you the power to determine your gear, speed and resistance—allowing you to follow a regime that adheres to your fitness level.

IMPROVES MENTAL WELLBEING A study conducted by the YMCA in 2016 reviewed 1,000 UK adults. It found that people with physically active lifestyles had a wellbeing score that was 32 percent higher than those with inactive lifestyles. •

BIKE SAFETY CHECKLIST

• Build your conﬁdence gradually. • Always assume you cannot be seen by motorists. • Dont weave in and out of lanes unnecessarily. • Keep away from kerbs. • Respect the big vehicles. • Ensure you can see the wing mirrors of the vehicle in front of you. • Check out training options. • Choose the right bike for you. • Invest in a well-ﬁtting helmet. • Ensure you can be seen. This safety checklist was provided by Raleigh UK's Michelle Jakeway.

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FITNESS & Nutrition

Fitness Class Checklist

Complete with cardio, core, arm and leg exercises, this routine is suitable for anyone who wants to get into shape. Aim to do at least 20 minutes of cardio three times a week. As for strength exercises, try to get through three sets of 15 repetitions—with a 45-second rest period between each set—two to three times a week

Squats Whether you’re using dumbbells or just your body weight, this activity will increase the strength in your legs, knees and hips. Stand with your feet slightly wider than your hips and point your toes outward. Look straight ahead, keep your spine in a neutral position, focus your weight on your heels and keep your body tight. Breathe in, break at your hip and push your butt back keeping your back straight.

Cardio Without cardio, the body’s efficiency would inevitably decrease. It helps keep our heart, lungs and blood circulation in top shape and lowers our risk of developing conditions like heart disease, diabetes and Alzheimer’s. The more intense exercise you perform, the fitter you’ll be—whether you’re running on a treadmill, cycling or on the cross trainer.

Kickback

This exercise will work your glutes. On a soft mat on the floor, get into a kneeling push-up position with your arms shoulder-width apart. Lift your right leg until the hamstrings are in line with the back, always maintaining a 90-degree angle bend. Contract the glutes and hold for a couple of seconds. Go back to the initial position, repeat with the left leg.

Jump rope

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Images: Shutterstock

A high intensity cardio exercise, jumping rope will improve your overall fitness, help you burn calories and aid your metabolism. Employ the Tabata protocol: jump rope at the highest exertion for 20 seconds, rest for 10 seconds and repeat eight times. This can also be done with other high-intensity workouts such as jumping jacks, step ups and shadow boxing.

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FITNESS & Nutrition

Lunges Keep your body straight, shoulders back and chin up. Pick a point to stare in front of you, step forward with one leg and lower your hips until they’re bent at a 90-degree angle. Ensure your knee is parallel above your ankle—not pushed out too far—keep your weight on your heels and push back into the starting position. For a bigger challenge, use dumbbells and a weight bench.

Plank Get into a push-up position on the floor, bend your elbows at 90 degrees, resting your weight on your forearms. Keep your elbows directly beneath your shoulders and body in a straight line. Hold for as long as you can and repeat three times with a 30-second break.

Dumbbell kickback Tricep extension Hold a dumbbell and stand straight; your feet should be shoulder-width apart. Extend your arms upward and start lowering the dumbbell with your elbows pointing forward. Raise the dumbbell to the starting position whilst squeezing the triceps.

Grab two dumbbells, bring your torso forward and slightly bend your knees. Bring the elbows up—until your arms are parallel to the floor— and kick back until your arms are extended. Lower the weights to the start position.

Renegade row Place two dumbbells on the floor shoulder-width apart. Stand in a push-up position with your hands holding the weights. Lift one weight up towards the side of your body whilst balancing on your opposite hand and foot. Hold for one second and return to the starting position. Repeat on the other side.

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Shoulder press Stand with your feet shoulderwidth apart, holding a dumbbell in each hand. With your palms facing forward, position the dumbbells at your shoulders. Push the weight up, fully extending your arms. Lower them back down to your shoulders and repeat.

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YOUR Wellbeing

Give Yourself a

Body MOT

Images: Shutterstock

Like anything, your body needs regular maintenance and care. Give yourself a body MOT with our handy tips

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YOUR Wellbeing

eople of all ages should practice self check-ups between regular visits to the doctor. It can be reassuring to confirm that your body is working as it should. If a problem is detected, you’ll have the opportunity to nip it in the bud and continue with your healthy lifestyle.

Look out for...

EYE CHECK

HEART CHECK

Position yourself in front of a mirror in a well-lit room to inspect your eyes closely. Healthy eyes should be framed by firm eyelids with evenly spread lashes, there should be no swelling or redness. Test your vision by using a downloadable eye chart; print this off and tape it to a windowless wall. With the help of a friend, cover one eye and have them point to each line whilst you recount the letters you can see.

Check your heart rate by placing two fingers on one side of your windpipe. With a stopwatch, count the amount of beats for 15 seconds. Multiply this number by four to determine your heartbeat per minute. The average healthy resting rate is between 60 and 100 beats per minute. Monitor the rhythm of your heart as well; instead of counting the beats, check that they occur at a steady pace.

Look out for...

If you discover redness or extreme irritation around the inner lid, this could be a sign of ectropion, a condition in which the skin on the lower eyelid droops outwards. Ectropion is an age-related condition that can lead to corneal damage. Missing lashes and a persistent lump are also signifiers of more serious conditions. If any such symptoms arise, they should be looked at immediately by a doctor. With the sight test, if an adult cannot read the 20/20 line with both eyes, they should book an appointment with their optometrist.

If your heart rate is over 100 beats per minute, consult with your local physician. If you notice that your heart rate is elevated in certain environments—at work, for example— you may need to consider some stress-

If you spot any new growths, dry skin patches, uneven skin tone, lumps and asymmetrical or discoloured moles, get them examined by a doctor. Moles that change in appearance or any brown or pinkish bumps can be an indication of melanoma—a type of skin cancer.

relieving techniques. Any fluttering or irregular rhythms should not be ignored; this could be a sign of arrhythmia—a heart condition that can lead to stroke or cardiac arrest.

TEETH AND GUM CHECK Use a disclosing tablet or solution to check that you are brushing your teeth properly. Start by brushing and flossing as usual. Then swash the solution around your mouth or chew the tablet, moving the stain through your mouth before spitting it out. The stain will illuminate the areas of plaque buildup. You should also inspect the rest of your mouth carefully to ensure it is healthy and clean, paying close attention to your gum line.

Look out for... Bleeding gums, lumps or thickening on the tongue, open sores and discolouration could all be areas for concern. If these appear during your selfassessment, arrange a check-up with your dentist. Likewise, if you notice that a large amount of plaque buildup is present on your teeth, you may need some expert advice on how to tackle the problem. •

Images: Shutterstock

SKIN CHECK Take some time to run your fingers over your skin to check for textural and visual irregularities. Both men and women should concentrate their focus around the breast tissue; men should also take time to examine their testicular area. Use a handheld mirror to inspect your back and other hard-to-reach places. The skin should be clear, even in colour and free from rashes and new markings. celebrityangels.co.uk

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YOUR Wellbeing

Immunisations for Every Age

Live to 100 provides the ultimate checklist of the vaccinations that are routinely oﬀered by the NHS and the ideal age at which they should be given

accines are essential to promoting the health and wellbeing of the overall population and preventing outbreaks of illness. They work by providing our body with active immunity—protection against diseases that are produced by our own immune system. This form of protection can be made of inactivated organisms and toxins. Individuals should ensure to

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get all vaccinations delivered on time for maximum protection.

EIGHT WEEKS The 6-in-1 vaccine—which protects against diphtheria, tetanus, whooping cough, polio, Haemophilus influenzae type b (known as Hib) and hepatitis B—is usually given as a single jab to babies aged just eight weeks. Other vital immunisations for this age group

Some of the most common side effects of any vaccine include headache, fatigue, muscle and joint pain, shivering, mild fever and reactions such as pain, swelling and redness around the injection area. Although less common—this only occurs in less than 1 in a million cases—vaccines can also cause anaphylactic reactions (allergic reactions). These are very serious and should be treated immediately by a healthcare professional Source: NHS

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SIDE EFFECTS

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YOUR Wellbeing

WHEN TRAVELLING Some vaccines—such as hepatitis A, typhoid and cholera immunisations—are necessary for travelling to certain locations and should be available free of charge from your local surgery. Others, such as yellow fever vaccination, are only available privately Source: NHS

from dangerous and potentially fatal pneumococcal infections that can lead to pneumonia, septicaemia, brain damage and meningitis. Over 60s will only need a single vaccination—it is not given annually like the flu jab.

65 AND OVER

include the pneumococcal (PCV), rotavirus and MenB vaccines.

12 WEEKS At 12 weeks, babies are usually administered the second dose of the 6-in-1, PCV and rotavirus vaccines.

16 WEEKS At this stage, babies are given a third dose of the 6-in-1 vaccine and the second dose of the PCV and MenB vaccines.

ONE YEAR A third dose of the PCV and MenB vaccines are administered along with the measles, mumps and rubella (MMR) immunisation given as a single jab. Babies aged one are also given the fourth dose of the Hib vaccine as well as a first dose against meningitis C.

TWO TO EIGHT YEARS Children aged two to eight are offered a yearly flu vaccine that is administered as a nasal spray. As well as protecting against the flu, it also helps prevent celebrityangels.co.uk

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potentially dangerous complications arising from the flu like bronchitis and pneumonia. This immunisation will usually be administered at a local doctor’s surgery by a practice nurse.

GIRLS 12-13 Girls aged between 12 and 13 are given the human papillomavirus (HPV) vaccine, which protects against cervical cancer, over two injections given six to 12 months apart. This vaccine is especially important—over 99 percent of cases of cervical cancer are caused by HPV.

14 YEARS Adolescents aged 14 will be given a single jab—called a 3-in-1 booster—containing immunisations against diphtheria, tetanus and polio. The MenACWY jab against meningitis types A, C, W and Y is also administered.

60 YEARS The pneumococcal (PPV) vaccine is the most common jab given to seniors aged 60. It protects individuals

Seniors aged 65 years and over are eligible for a yearly flu jab on the NHS. Individuals in this age group are considered ‘at risk’ as they are more likely to develop complications of flu such as pneumonia. Flu jabs will be administered in local pharmacies, doctor's surgeries and midwifery services (for pregnant women).

70 YEARS AND OVER The shingles jab, a vaccine to prevent the common skin condition, is available on the NHS to certain people in their 70s. This vaccine is also necessary at ages 78 and 79 as a catch-up. The immunisation stops being available for free on the NHS for individuals aged 80 or over.

SPECIAL GROUPS In some cases, there are vaccinations available to ‘at risk’ groups that aren’t available to everyone on the NHS. These include the flu jab and whooping cough vaccine for pregnant women. People with long-term health conditions and individuals with weakened immune systems are also entitled to the yearly flu jab on the NHS. In certain cases, the chickenpox vaccine and the tuberculosis jab are also administered to certain ‘at risk’ groups. • LIVE TO 100 WITH DR HILARY JONES | 35

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YOUR Wellbeing

Out of the

Ordinary

We explore the most common complementary and alternative medical treatments used in the healthcare industry today

Images: Shutterstock

lthough they’re usually put in the same category, alternative and complementary treatments have an important distinction. When a nonmainstream treatment is used alongside a conventional one, it is known as ‘complementary’; while when a nonmainstream therapy is used in the place of conventional treatments, this is known as ‘alternative’. CAMs (complementary and alternative medicines) can include meditation, acupuncture, homeopathy and osteopathy. Although practiced widely, some of these CAMs are based on evidence that is not entirely recognised by the medical community. Others, however, have been proven to work on a number of health conditions.

Acupuncture Derived from ancient Chinese medicine, this CAM consists of inserting fine needles in certain parts of the body for 36 | Live to 100 with Dr Hilary Jones

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YOUR Wellbeing therapeutic purposes. Used following a medical diagnosis in western medicine, this practice stimulates nerves and muscles in the body. Currently, the National Institute of Health and Care Excellence (NICE) only recommends considering acupuncture to treat chronic tension-type headaches and migraines, although this therapy is also used to treat musculoskeletal conditions. Acupuncture is sometimes available on the NHS, though access is limited—most patients pay for it privately.

OSTEOPATHY Most people who visit an osteopath do so to seek help with conditions affecting their bones, muscles and joints. This form of complementary and alternative medicine focuses on detecting, treating and preventing health problems by stretching and massaging muscles and joints. Using manipulation, osteopaths increase the mobility of joints, relieve muscle tension and enhance the blood supply of tissues through stimulation. This therapy is based around the principle that the wellbeing of individuals depends on their muscles, bones and connective tissues working together harmoniously.

CHIROPRACTIC This CAM can help with back pain, neck pain, shoulder pain and pain from osteoarthritis. As it’s not a conventional medical treatment, it isn’t widely offered on the NHS—to find out if there is an NHS chiropractor in your area, contact your doctor or local clinical commissioning group. There is little evidence that chiropractic treatments can help conditions affecting the muscles or joints.

Images: Shutterstock

HOMEOPATHY Homeopathy is based on the notion that ‘like cures like’, a claim that a substance that causes disease in healthy people would cure similar symptoms in sick people. Developed in the 1790s by a German doctor, homeopathy also revolves around the process of celebrityangels.co.uk

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diluting and shaking a substance. Practitioners believe that this dilution increases the substance’s power to treat symptoms. Although it is sometimes used to ‘manage’ conditions such as asthma, arthritis, high blood pressure and depression, homeopathy is not offered on the NHS anywhere in the UK. Even though there have been countless reviews of the data and research behind homeopathy, the House of Commons Science and Technology Committee has ruled there is no conclusive evidence on its effectiveness in treating any condition.

OPTING FOR CAMS As osteopathy and chiropractic are regulated in the same way as ‘conventional’ medicine, patients will be able to look for registered professionals through the General Osteopathic Council or General Chiropractic Council websites. Apart from these two treatments— according to NHS Choices—no other CAMs are professionally regulated in the UK. This means that anyone can practice these forms of alternative medicine without experience or qualifications and that practitioners are not legally bound to any standards of practice. •

QUESTIONS TO ASK BEFORE STARTING A CAM TREATMENT • The cost of treatment • How long the treatment will last • If the treatment is suitable for all patients • What side effects the treatment may cause • If the treatment requires any preparation on the patient’s side • If there is a system for dealing with complaints about the treatment or service provided • If the practitioner is in possession of documents proving their qualifications • If the practitioner has proof that they are part of a professional association or voluntary register • If the practitioner has proof that they are insured • If the practitioner has written references

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YOUR Wellbeing

Allergies:

Symptoms, Triggers & Early Exposure Allergies aﬀect one in four people in the UK, but can early exposure help to reduce the climbing rates of allergy suﬀerers?

ccording to the World Allergy Organisation (WAO), the prevalence of allergic diseases worldwide is 'rising dramatically in both developed and developing countries’. An allergy is a condition that is caused by a hypersensitive immune system, which is triggered by something in the environment. Triggers refer to allergens and they can include food such as peanuts, eggs, gluten or shellfish, along with pollen, dust mites, pet dander, mould spores and penicillin—a commonly prescribed antibiotic. While most allergies cause mild symptoms such as coughing and sneezing, the occasional case will activate a more adverse reaction.

a child develops certain allergies. Minute quantities of foods eaten by the mother can be transferred to her baby in the womb, driving later food tolerance. Currently, the results have only been yielded from mice. If it is shown to be true in humans, however, it could contradict previous advice once given to mothers to avoid highly allergenic foods during pregnancy and while breastfeeding. •

1 in 4 people in the UK are thought to be affected by allergies Source: NHS Choices

LIVING WITH ASTHMA 5.4 million people in the UK are currently being treated for asthma—a condition that causes restricted breathing. Keep in mind that furry and feathery animals are a common trigger for asthma symptoms—as is pollen. Keep medication and an inhaler nearby at all times during the spring as a precaution

EARLY EXPOSURE

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Images: Shutterstock

Recent guidelines from the US National Institute of Health suggest introducing peanuts and eggs to high-risk infants well before their first birthday in order to protect them from developing dangerous food allergies. High-risk babies (those with infantile eczema or a family history of allergies) should sample peanut-based foods as young as four to six months old under the supervision of a doctor. Similarly, a study published in the Journal of Experimental Medicine suggests that the diet of mothers in the early stages of pregnancy can also determine whether celebrityangels.co.uk

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YOUR Wellbeing

The Skin You're In

As the body’s natural protective barrier, skin comes into contact with a variety of germs and toxins—how can we keep it in top shape?

enetics, occupation, hormones and environmental factors can all contribute to our skin’s overall appearance. From natural to medicinal, there are countless remedies on the market for those who suffer from the most common skin conditions. We guide you through some treatments which may relieve certain skin issues—helping you to feel confident in the skin you’re in.

Images: Shutterstock

ECZEMA Eczema is a skin condition that causes the skin to become dry, itchy, red and cracked. This can be painful for sufferers. While it is more common in children, it can also affect adults. Doctors tend to suggest antibiotics, emollients and corticosteroids to tackle eczema.

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INFANT ECZEMA Eczema can be extremely distressing for babies as it can greatly disrupt their sleep and constant scratching may lead to infection. Treatment for this condition depends on its severity. It usually requires the use of emollient lotions and ointments that are sometimes combined with a course of low-strength steroid creams— both of these treatment methods are considered to be safe if used correctly. It’s important, however, to use the correct strength of steroid cream required by the severity of your child’s eczema and to always consult with a doctor or paediatrician before starting any sort of treatment. As a rule of thumb, aqueous creams should be avoided as they may contain detergents harmful to your child’s skin. If your baby’s eczema becomes infected, a course of antibiotics may be necessary. Some preventative measures include trying to pinpoint the condition’s triggers and staying away from certain foods, fabrics and substances.

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YOUR Wellbeing If you wish to try your own tactics at home, remember that—like many disorders—eczema isn’t merely skin deep. Changes in diet are known to have a positive effect on the condition. Replenishing beneficial microbes in the gut with fermented foods, probiotic beverages and bone broth is a good way to tackle inflammation in the body. Coconut oil can also be rubbed into the skin for a soothing effect on dry areas which may also reduce flaking.

ACNE

incorporated into weekly skincare routine, it can have a tremendous effect on acne-prone skin. Tea tree oil is also helpful. The oil fights spots by acting as a natural antiseptic, which kills bacteria and fungi. Applying diluted apple cider vinegar onto the face using a cotton pad also helps to remove lingering dirt, oil and dead skin cells to promote healthier skin. Wash clean with fresh water and pat dry with a clean towel for the best results. In order to remove excess oils,

REMEMBER Always consult your doctor before trying a new skin remedy at home. If your condition is particularly severe, you may still require prescribed medication to combat the problem

Images: Shutterstock

Acne is a skin condition that affects most people at some stage during their lives and the majority of people grow out of it after puberty. However, for those who don’t, it is a recurring problem and a source of torment. Acne can cause an oily complexion, spots and sometimes hot patches of skin that are painful to touch. Doctors and dermatologists usually offer antibiotics and oral medication to counteract acne-causing bacterium. The occasional pimple can be concealed, but all creams and cosmetics should be waterbased. Professionals maintain the best treatments are those that inhibit sebum production, limit bacterial growth and encourage the shedding of skin to clear out pores. In terms of natural remedies against acne, raw honey—a natural antibacterial substance—can be used to create an at-home facemask. When

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YOUR Wellbeing people with acne can gently exfoliate with sea salt, brown sugar or oatmeal.

What Does an Emollient Do?

PSORIASIS Psoriasis consists of red, flaky, crusty patches of skin that are covered with silvery scales. These tend to appear on the elbows, knees, scalp and lower back. Psoriasis is often very itchy and sore and can cause extreme discomfort. Steroid creams are the first port of call for doctors treating psoriasis; these can be applied directly to the skin. Systematic treatments such as oral or injected medication are often prescribed. Depending on the severity of the condition, dermatologists may also prescribe light therapy and corticosteroids. However, natural alleviants also exist. Dietary supplements such as fish oil, vitamin D, turmeric, milk thistle and aloe vera are all known to help ease aggravated symptoms. Applying olive oil to the skin can also reduce itchiness and redness in the affected area. Similarly, coal tar—a thick oil and age-old treatment for skin conditions— can be used to reduce scales on the limbs and scalp. Using a dehumidifier in the home and fragrance-free products can also prevent the condition from worsening. •

We’re all familiar with moisturisers, and at first glance emollients can seem similar. However, what they do and how they can help you is very different. How emollients work Your skin holds moisture within it, and within your body. Many moisturisers aim to supplement your skin’s natural function with ingredients that help the skin hold moisture. In addition to this, emollients also aim to make a complete barrier between the skin and air, preventing moisture from leaving. This is particularly useful for dry or damaged skin. Where emollients are used Emollients are traditionally used for eczema, psoriasis and other dry skin conditions. Newer research shows emollients are particularly useful for mature skin, where they can help prevent dry skin conditions. According to a study*, applying emollients twice a day can also reduce the risk of skin tears—wounds that are more likely in mature, drier skin— by almost 50%. *Carville K. et al (2014) The effectiveness of a twice-daily skin moisturising regimen for reducing the incidence of skin tears. Int Wound J 11: 446-53.

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YOUR Wellbeing

5 Steps for Perfect Skin 1 Cleanse. Although it may seem simple, washing your face gives skin innumerable benefits. Cleanse with lukewarm water—water that is too hot can break capillaries, damage cells and cause redness whereas water that is too cold will stop your pores from opening. Apply cleanser in small circular motions using you ring and middle fingers starting at the bottom of your face and working upward. In addition to cleansing your pores, this motion will also promote blood flow.

2 Tone.

Skin toners close pores, remove the last traces of dirt and oil and rebalance the skin’s natural pH levels. Toner will also get rid of any traces of skin cleanser.

3 Serum.

Use a serum if you have a skin problem that needs addressing, whether that’s pimples, wrinkles or dark spots. Whether you need an anti-oxidant to prevent signs of ageing or hyaluronic acid to increase hydration, serums with active ingredients are essential to any skincare routine.

4 Moisturise. 5 Mask.

Dry skin can lead to premature signs of ageing, cell damage and loss of essential nutrients. When shopping around for moisturisers, oils or creams, make sure to choose ones with natural ingredients. When it comes to your eye region, you’ll need a specialised lotion—this is because this skin is among the thinnest in your body.

This, often overlooked, part of a good skincare routine will keep pores clean. Using a combination of the three main types of masks— deep-pore, mid-pore and topical—will ensure a flawless finish to your beauty regimen. The best way to use these masks is under the shower; the gentle steam will keep them from drying out.

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YOUR Wellbeing

Troubleshooting

Hair Problems

Want perfect hair? Live to 100 takes a look at the four most common hair issues and how to solve them

ot everyone is blessed with perfect, red carpet-ready hair. Thereâ&#x20AC;&#x2122;s a reason why there are so many hair care products out there all claiming to do different things. As everone's hair is different, tailor your routine to solve these common hair problems and achieve healthy, strong hair.

DRY HAIR Dry hair is crying out for moisture. Apply a good, rich conditioner after shampooing. Leave it in for about two minutes to allow it to properly coat and penetrate your strands. Additionally, you may want to apply a leave-in conditioner to towel-dried hair after your shower for extra moisture. If your hair is still dry, consider using a moisturising treatment before you wash it or use an overnight leave-in conditioning product. Rich with hair-boosting vitamins K and E, organic coconut oil is also a great at-home natural substitute for storebought conditioning treatments.

conditioning treatments to seal split ends and prevent them from further damaging the hair shaft.

FLAT AND LIFELESS HAIR Give your hair that extra oomph with some volumising tricks. If you use a hairdryer, tip your head upside-down while blow-drying so that it redirects from the roots. If you air-dry your hair, tie it up in a high ponytail and leave it to dry naturally. Dry shampoo and sea salt sprays will also help give your hair extra body.

DANDRUFF Dandruff can be a real pain, especially for those with dark hair. A decent anti-dandruff shampoo should do the trick, but you may want a more natural remedy to keep the flakes at bay. Like the rest of your skin, your scalp benefits from the occasional exfoliation. Use sea salt to give it a good scrub. Lemon juice squeezed onto your scalp will also help to correct the pH balance of the skin on your head, keeping those pesky flakes away. â&#x20AC;˘

SPLIT ENDS Take steps to stop split ends from damaging your hair further. Regular haircuts are required to remove dry split ends. Between trims, use hair oil and Images: Images: Shutterstock Shutterstock

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Get UnstrEssed For Bed At Sleep Well we’re on a mission to help the world get a better night’s sleep.

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Keep a regular bedtime and wake-up sleep schedule

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Get enough exercise but finish at least 2 hours before bedtime

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Reintroduce a milky bedtime drink to help you relax and unwind

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YOUR Wellbeing

Sleep Tight

Failing to get your 40 winks can be detrimental to your health. We investigate the vast beneﬁts of sleep and how our sleeping habits can be improved

the necessary amount of sleep, our health can suffer greatly. Members of the medical community generally agree that eight hours sleep is optimal for adults to feel rested the next morning. However, the NHS also states that ‘some need more [than eight hours] and some less. What matters is that you find out how much sleep you need and then try to achieve it’. As a rule, if you wake up with a sluggish feeling that lingers throughout the day, you are likely not getting enough sleep. Matthew Walker, director of the Center for Human Sleep Science at the University of California, Berkeley in the

Sleep is essential for a healthy body and mind. When you get a great night’s sleep, you feel like you can achieve extraordinary things. Our modern lives create all sorts of barriers to getting a great night’s sleep: stress at work, our ‘always on’ mobile devices, poor exercise and diet all have an impact. The average Briton is under-sleeping by at least one hour a night and it’s having a massive impact on our health and wellbeing. But it is possible to regularly enjoy a great night’s sleep. Three things directly impact how we sleep: a quiet mind, a relaxed body and a bedroom dedicated to sleeping. A bedtime routine that prepares your mind and body for sleep half an hour before you head to bed is also key to increasing your chance of getting eight hours a night

Images: Shutterstock; 123rf

leep is immeasurably beneficial to our health. Besides its recuperative abilities, it can improve our sense of wellbeing and advance concentration. Sleep also has a number of biological effects on the body that help it to function properly. During our sleeping hours, our body aids the processing of glucose. This, in turn, can prevent the development of diabetes. Our slumber also facilitates the release of certain reproductive hormones that improve fertility. Additionally, sleep can ward off heart disease, boost the body’s immune system and increase sex drive. Needless to say that without

Switch Off

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YOUR Wellbeing United States believes that ‘no aspect of our biology is left unscathed by sleep deprivation’. He adds that: ‘Sleep loss costs the UK economy over £30 billion a year in lost revenue or two percent of GDP.’

TROUBLE NODDING OFF? There are a number of lifestyle changes that can be made to help you drift off to sleep more easily, these include: • Avoiding caffeine • Cutting down on alcohol • Quitting smoking • Exercising regularly • Avoiding late night meals • Winding down with yoga, soothing music or a bath • Ensuring your room is dark and tidy • Optimising your bed for comfort • Banishing interior/exterior noises • Keeping your bedroom between 18C and 24C •

Fun Fact Hot baths can aid sleep, not only because they make you warm, but because your dilated blood vessels radiate inner heat causing your core body temperature to drop. To successfully initiate sleep, your core temperature should ideally drop to about 1C

LACK OF SLEEP

There are a number of factors that cause people to miss out on sleep. It could be a specific health condition such as sleep apnoea—a relatively common problem that causes the throat to narrow whilst sleeping. Poor sleep can also be triggered by stress or anxiety but it most commonly comes as a result of bad sleeping habits. After several sleepless nights our brains begin to fog, causing decisionmaking to become more difficult. This may make us feel drowsy during the day, which can result in serious accidents or mishaps. According to think.gov.uk, almost 20 percent of accidents on major roads are sleep-related. •

DID YOU KNOW? Images: Shutterstock

Today, almost 1 in 2 people in the UK try to survive on merely 6 hours of sleep a night Source: The Guardian, September 2017

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YOUR Wellbeing

Safeguarding

Oral Health

Good oral health can boost self-confidence, transform visual appearance and contribute to overall physical wellbeing

Brush and floss You should brush your teeth with fluoride toothpaste at least two to three times a day, preferably an hour after eating. Also remember to floss and clean in between your teeth at least once a day. One of the most common misconceptions surrounding oral health is that mouthwash needs to be used right after brushing. This is, in fact, false, as it would remove all the protective fluoride—which strengthens tooth enamel—from your teeth. 54 | Live to 100 with Dr Hilary Jones

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40%

of Brits believe white teeth equals healthy teeth Source: Mintel

Important Change your toothbrush every 2 to 3 months (or even sooner). Once it becomes worn, it will not clean teeth properly

23%

of Brits brush their teeth only once a day Source: Mintel

Visit your dentist It’s no secret that we as a nation aren’t particularly fond of sitting in the dentist’s chair. According to Mintel, around 31 percent of 25-34 year-olds only visit their dentist when they have a problem with their teeth. These visits should take place as regularly as every six months to two years—depending on what your dentist recommends. In addition to spotting potential oral health issues early, these visits will also provide an opportunity for hygienists to give tips and advice on the best cleaning techniques.

Other factors Diet has a direct impact on the state of our oral health. Sugar, fizzy drinks, red wine and tea are all enemies of a bright smile. Chew sugar-free gum after your meals to protect your gums and teeth, wait an hour after eating before brushing and consume a diet that is varied in nutrients. Quitting smoking is probably one of the best things you can do for your teeth—and overall health. It will reduce the chances of tooth staining, gum disease, tooth loss and mouth cancer. •

Images: Shutterstock

ll the different parts of our body work in unison—if one aspect of our health is neglected, it’s more than likely that this will have a negative effect on other parts of our organism. This is especially true of oral health; a good dental hygiene routine will ward off plaque, prevent bad breath, tooth decay and gum disease whilst also promoting general wellbeing. An unhealthy mouth may lead to more serious health conditions like heart attack, stroke, diabetes and preterm labour. So, what can we do to safeguard our oral health?

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YOUR Healthcare

The Human Genome

& Our Health With the ability to access information about our own genome, we can now learn more about our health and how to prevent diseases than ever before

DID YOU KNOW? Over 500,000 children and adults in the UK are living with a genetic disorder

ost humans have 23 pairs of chromosomes within each cell; all of which are inherited from our parents. One of the chromosomes from every pair has been inherited from the mother, and the other from the father. Our chromosomes form our genes and they determine everything from our gender (XX chromosomes for female, XY for male), eye colour and hair colour through to our

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behavioural characteristics. They hold complex instructions for the growth and development of every cell in our bodies. While this phenomenon displays wildly interesting details about how our bodies grow and work, perhaps more fascinating is how the study of our genes can uncover an abundance of information about our health.

HEREDITARY GENETIC DISORDERS, MUTATIONS AND DISEASES Along with physical traits from our parents, genetic disorders can also be inherited. These are caused by a change

in DNA. Some hereditary diseases can be present at birth while others may develop later in an individualâ&#x20AC;&#x2122;s life. In some cases, a person can only inherit a genetic disorder if both parents have a copy of the faulty gene in question. This is referred to as autosomal recessive inheritance and includes conditions such as cystic fibrosis, sickle cell anaemia and Tay-Sachs disease (a potentially fatal condition that causes progressive damage to the nervous system). In this scenario, there is a one in four chance that a person will inherit the genetic condition and a 50 percent chance that they will be a carrier. Autosomal dominant inheritance, on the other

Images: Shutterstock

Source: Genetic Disorders UK

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YOUR Healthcare hand, determines that just one parent needs to be a carrier of a mutation or genetic disorder in order for the condition to be inherited by their children. This particular pattern carries higher risks in that there is a 50 percent chance that the mutation will be passed on. Diseases inherited in this way include tuberous sclerosis (a condition that causes usually benign tumours to develop in the body) and Huntington’s disease (a disease that damages nerve cells in the brain, affecting movement, cognition and behaviour). In some cases, individuals may have inherited faulty genes that increase their risk of developing cancer. Genetic testing is available for a wide range of cancers— including breast and ovarian cancer—and can help determine an individual’s chance of developing it.

Genes and mental health Our mental wellbeing significantly impacts the way in which we think and feel. The National Institute of Mental Health (NIMH) found that poor mental health is a direct result of environmental, biological, psychological and genetic factors. In 2013, a study conducted by the Cross-Disorder Group of the Psychiatric Genomics Consortium found that along with autism, ADHD, bipolar disorder and schizophrenia, clinical depression is closely linked to our genetics. This conclusion came after researchers found variations on four genetic regions when studying the DNA of those with these common mental disorders. While having family members with one of these conditions does not necessarily dictate that you will

ever suffer from these disorders yourself, the predisposition may increase your risk of developing them. Learn about your family’s mental health history so that you can understand and spot early signs of potential issues to better manage them.

Genetic Testing Genetic testing—or DNA testing—involves testing samples of blood, hair, skin, saliva, amniotic fluid or other tissues for particular changes in the DNA that can signify genetic disorders. There are various reasons an individual may want to undertake genetic testing, including: Prenatal testing. This allows doctors to uncover potential genetic diseases in foetuses. Carrier testing. Prospective parents can test to see whether they carry a genetic mutation that could be passed on to future children. Predictive genetic testing. Patients can test for genetic diseases even without showing any symptoms. This is most commonly carried out if a specific disease runs in the family.

Gene Therapy Gene therapy is a technique that allows doctors or surgeons to treat diseases by inserting genes into a patient’s cells in place of using medication. Depending on the disease or disorder, the procedure—which is currently in its experimental stages—may replace a faulty gene, inactivate a mutated gene that doesn't function properly or introduce a new gene into a cell. The concept of gene therapy is relatively new in the medical arena and still requires further study as it carries high risks. According to Genetics Home Reference, ‘gene therapy is currently being tested only for diseases that have no other cures’. •

Less than 3% of cases of breast cancer are inherited by a faulty gene Source: Cancerresearchuk.org celebrityangels.co.uk

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YOUR Healthcare

Experts estimate that over four in 10 cancer cases can be prevented. Here, we outline some ways you can avoid this dangerous disease as well as available treatments

ancer starts when damage to our DNA leads cells to grow and multiply out of control. Only three in every 100 cases are linked to inherited genes, yet there is still a dangerous misconception that getting cancer is mostly down to 'faulty'

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Cancer

DNA, fate or bad luck. Cancer Research UK, one of Britain’s leading charities, has estimated that over 40 percent of cancers can be avoided through simple lifestyle changes. Although a healthy lifestyle does not guarantee protection against cancer, it can stack the odds in your favour—read on for a breakdown of the risk factors we can all control.

Smoking Being smoke-free could prevent a whopping 64,500 cases of cancer per year in the UK. This equates to about 20 percent of all new cases each year. Many of the most common cancers have a large proportion of preventable cases; this is most true of lung cancer—86 percent of cases are caused by smoking. Long-term tobacco abuse is also linked

to bladder, kidney, pancreatic, stomach, oesophageal, oral cavity and liver cancer. There are a variety of ways to quit, from nicotine gum and patches to e-cigarettes. Speak to your doctor to discuss what method is right for you.

Body mass index BMI is a measurement that uses your height and weight to determine if your weight is healthy. You can calculate this figure by dividing your weight in kilograms by your height in metres and dividing that figure again by your height in metres. For most adults, a healthy BMI is in the 18.5 to 24.9 range. Keeping a healthy weight could prevent 18,100 cases of cancer per year, which is over five percent of all new cases each year in the UK. Other types of cancer attributed

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7 Ways to Avoid

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YOUR Healthcare to excess body weight are breast, bowel, uterine, pancreatic and kidney cancer.

BALANCED DIET According to Cancer Research UK, over nine percent of cancer cases are linked to diet—five percent are linked to eating too little fruit and veg, three percent to processed meat, two percent to consuming too little fibre and one percent to consuming too much salt. Upper aerodigestive tract cancers—such as cancer in the larynx, pharynx and oesophagus—are the most common types linked to a poor diet. An estimated 31 percent of bowel cancer cases are also linked to dietary factors. Government guidelines advise to eat at least five portions of different fruits and vegetables each day.

ALCOHOL Drink Aware’s low risk alcohol guidelines state alcohol consumption for men and women should not regularly exceed 14 units a week. This equates to six 175-millilitre glasses of wine, six pints of lager or ale and 14 25-millilitre glasses of spirits. Cancer Research UK estimates that cutting down on alcohol could prevent around 12,800 cases of cancer per year in the UK—almost four percent of new cases a year. In addition to causing weight gain, alcohol is also linked with

cases of upper aero-digestive tract cancers and responsible for six percent of female breast cancer cases and 12 percent of bowel cancer cases.

SUNSHINE Keeping out of the sun during the hottest times of the day, cutting back on sunbed use and regularly applying good-quality UV protection could prevent 11,500 cases of cancer a year—almost three percent of all new cases. According to Cancer Research UK, all of these cases were malignant melanoma.

355,000 people are diagnosed with cancer every year Source: Cancer Research UK

KEEPING ACTIVE Raising our activity levels and engaging in regular physical exercise could prevent 3,400 cases of cancer a year. Uterine, breast and colon cancers have the highest proportions of cases linked to physical inactivity. Government guidelines advise around 150 minutes of moderate exercise a week—this can be split over several days and made up

of cardio exercises such as cycling or jogging and strength training activities.

INFECTIONS The human papilloma virus (HPV) causes 99 percent of cervical cancer cases in women. Avoiding such infections could prevent around 10,600 cases of cancer per year—amounting to three percent of all new cancer cases.

DID YOU KNOW? In the UK, more than 1 in 2 people will develop cancer at some point in their lives Source: Cancer Research UK

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YOUR Healthcare

CANCER TREATMENTS

Surgery, one of the main treatments, consists in removing tissue from the body.

This may not be the best treatment if the cancer has spread, if the tumour is next to a blood vessel or if you have leukaemia or lymphoma. Surgery may be carried out under general or local anaesthetic and in an outpatient or inpatient facility. Chemotherapy is an anti-cancer treatment. Administered through an IV drip, pump or pill, the treatment may be given on its own or with other treatments such as radiotherapy, hormone therapy, biological therapy and surgery. The drug works by killing cancer cells and other cells in the body which are in the process of splitting into two cells. Some alternative cancer drugs can be taken as tablets, suppositories or worn as patches. Radiotherapy is administered to four out of ten people with cancer. This form of treatment uses radiation to damage the DNA within cancer cells. Although radiation damages healthy cells as well, these are better at repairing themselves.

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Hormone therapy can be administered to block hormones and slow down the growth of cancer. Cancers that are hormone-sensitive—types of the disease that depend on hormones to grow— include breast cancer, prostate cancer, ovarian cancer and womb cancer. These will all require different types of hormone therapy. Stem cell and bone marrow transplants may be carried out for patients diagnosed with blood cancers such as leukaemia, lymphoma and melanoma. Donor cells are collected and administered into a vein through a drip.

Immunotherapy is a kind of treatment that uses the immune system to fight cancer by helping it attack cancer cells. This can include monoclonal antibodies (MABs), vaccines and cytokines. Other interventional treatments include radiofrequency ablation, laser treatment, high intensity focused ultrasound, photodynamic therapy, cryotherapy and ultraviolet light treatment. •

Images: Shutterstock

If you are diagnosed with cancer, there are several treatments available. Therapy will be tailored to the type of cancer diagnosed, how big it is, whether it has spread and the patient’s general health.

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The Leeds Gamma Knife Centre ®

at Nova Healthcare Your brain is one of a kind – treat it wisely! At The Leeds Gamma Knife Centre, part of Nova Healthcare, we have been treating patients with neurological conditions on our Gamma Knife® Icon™ since 2015. We are one of only two centres in the UK to be able to offer this world-class, gold-standard treatment and the only centre in the North of England. Our unique processes mean that we are the only centre in the country offering consecutive daily treatments and we are the only centre in the North that is commissioned to treat children and young people. Our Gamma Knife® Icon™ includes a cone beam CT (CBCT) which is used throughout the treatment cycle to ensure that the radiotherapy is delivered directly to the tumour site and the healthy surrounding tissue is not affected. Despite the name, treatment by Gamma Knife® Icon™ does not involve a knife which means it does not carry the risks of open brain surgery and is undertaken as a day case procedure, with most patients returning to normal activities within a few days.

dedicated team of radiographers, who will ensure the highest level of care. The treatment is available to both NHS and private patients, with all referrals discussed by our multi-disciplinary team of experts prior to acceptance. For some, it can be an addition to cancer treatment they’ve already undergone. The team in The Leeds Gamma Knife Centre work closely with all patients and their families to ensure that every anxiety is addressed and that they feel calm and confident about the treatment and service they’ll receive.

Many patients receiving treatment on our Gamma Knife® Icon™ for brain disease or tumours will never have heard of the procedure and it can be quite a daunting prospect so we have a dedicated Gamma Knife® Service Manager who is responsible for managing the service and patient referrals and will oversee your treatment plan along with our

T: 0113 206 7735 F: 0113 298 7975 E: k.casey@nhs.net

Leeds Teaching Hospitals NHS Trust

Leeds Cancer Centre, Leeds Teaching Hospitals NHS Trust, St James’ University Hospital, Beckett Street, Leeds LS9 7TF

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YOUR Healthcare

Did you know? The heart pumps around 6 quarts (5.7 litres) of blood throughout the body and beats around 100,000 times per day, which is approximately 3m beats per lifetime

The Road to a

Healthy Heart

The health of your heart is hugely dependent on the lifestyle you lead—keep yours beating strong with our advice

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Reading the Signs There are a number of warning signs that indicate you may be suffering from a common heart condition—many of these can go undetected or ignored: hhSwelling of the feet hhA sudden persistent cough hhExtreme pain when walking hhFeeling dizzy or light-headed hhChest discomfort hhGetting easily exhausted even though you are fit hhHeart palpitations or irregular heartbeat If you experience these symptoms persistently, it is always best to get them checked; visit your doctor for advice.

Images: Shutterstock

our heart is at the centre of your cardiovascular system. It is responsible for a number of jobs that keep your whole body working, from the circulation of nutrients and oxygen to the maintenance of your immune system. It even removes carbon dioxide and other waste from the body’s tissues—another very valuable function. Maintaining a healthy heart enables our organs to thrive, giving us life and vitality.

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YOUR Healthcare

HOW CAN YOU MAINTAIN A HEALTHY HEART? Leading an overall healthy lifestyle will make a huge difference to your heart’s health; therefore, making the right lifestyle choices is essential.

Quit smoking

Quitting smoking is one of the single best things you can do for your heart with smoking being among the leading causes of coronary heart disease. The NHS reports that a year after quitting smoking, your risk of heart attack reduces by 50 percent. If you wish to give up smoking for good, try the NHS Smokefree service or contact your doctor for useful advice.

Watch your weight

Being overweight dramatically increases your risk of heart disease. Eating a balanced diet that is rich in nutrients will provide your body with what it needs to thrive. Consume a healthy proportion of fruits, vegetables, protein, carbohydrates and dairy products. Endeavour to eat the recommended ﬁve portions of fruit and vegetables each day. Consuming over the recommended 14 units of alcohol per week can affect your waistline, so lowering your consumption may help to further curb calorie intake. Reducing fat and sugar levels in your food will also help to maintain a healthy weight.

Get active

Including regular exercise into your routine is a great way to reduce stress and improve your mood. More importantly, getting— and staying—active can lower your chances of developing heart disease and other life-threatening conditions including diabetes. The government recommends at least 150 minutes of moderate aerobic exercise per week. This can be achieved through 30 minutes of moderate intensity activity spread over ﬁve days and can involve cycling to work or going for a jog in the morning.

Eat more ﬁbre

You should aim to consume around 30 grams of ﬁbre a day. This can be obtained from a variety of sources including bran, oats, wholemeal bread, wholegrain cereals and whole fruits and vegetables. Eating plenty of ﬁbre can help to prevent heart disease by decreasing levels of cholesterol in the blood. High levels of cholesterol can cause a fatty buildup in the artery walls, leading to potentially severe health issues later on in life.

Reduce salt intake

Excessive salt in your diet can contribute to high blood pressure, which will increase your chances of stroke or coronary heart disease. Taking small steps to reduce your salt intake can make a world of difference. Start by removing salt from the dinner table and gradually add less to your cooking. Look out for high levels of salt lurking in ready meals and store-bought sauces. A food is high in salt if it contains more than 1.5 grams in a 100-gram serving; always check food labels carefully.

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Advertorial

WILL YOU BE READY WHEN AN EMERGENCY STRIKES? Would you know what to do if someone went into Sudden Cardiac Arrest (SCA)? Sudden Cardiac Arrest (SCA) is a leading cause of death in Europe, killing 400,000 people each year.1 According to the European Resuscitation Council (ERC), approximately 100,000 people suffer an SCA every year in the UK. WHAT IS IT? Sudden Cardiac Arrest is triggered by an abrupt, unpredictable electrical malfunction in the heart causing an irregular heartbeat, leaving the person unresponsive, not breathing or not breathing normally (gasping). This condition can happen to anyone regardless of age, fitness or diet. If left untreated, SCA usually causes death within minutes. The ERC states that some countries, generally those in Eastern Europe, have an SCA survival rate as low as 6%, whereas countries in other areas of

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Europe see survival rates as high as 40%. This is in part due to better awareness of SCA and more access to public accessible defibrillators. This is why a movement has started urging the placement of defibrillators in key public places such as airports, gyms, schools, hotels, athletic fields and local communities.

Automated External Defibrillators (AEDs) are portable devices that are designed to be used by anyone, you do not need to be trained. They work by checking the person’s heart rhythm and if needed will send an electric shock to the heart to try to restore a normal rhythm.

EVERY MINUTE COUNTS When someone suffers an SCA, every minute without CPR and defibrillation reduces their chances of survival by 7-10%2. The shorter the time to defibrillation, the better the chance of survival. If a victim receives a shock within one minute, there is a 90% chance of survival. If a victim waits 10 minutes for a shock, the chance of survival drops to less than 5%.

ESC Press Release EUROPACE 2009.

WHY IS DEFIBRILLATION SO VITAL? The only definitive treatment for a victim in sudden cardiac arrest is early defibrillation with an Automated External Defibrillator (AED). The sooner a victim is treated with a defibrillator, the better the victim’s chances of survival—this is why it is so important to have access to a defibrillator whilst waiting for the emergency services to arrive.

AHA Factsheet, Every Second Counts Rural and Community Access to Emergency Devices, 2013

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HEART ATTACK VS. SUDDEN CARDIAC ARREST (SCA) Often, a sudden cardiac arrest (SCA) and heart attack are thought to be the same thing. However, they are very different. A heart attack is when blood flow to the heart is blocked, an SCA is when the heart malfunctions and suddenly stops beating. In other words, a heart attack is a circulation problem, while SCA is an electrical problem.

Heart Attack

♥ Occurs when blood flow to the heart is blocked. ♥ Symptoms may include intense discomfort in the chest, shortness of breath, cold sweats and vomiting. ♥ The longer a person goes without treatment, the greater the damage to the heart muscle. REF: Heart Attack v. Cardiac Arrest, cpr. heart.org

Sudden Cardiac Arrest

♥ Occurs when the heart experiences sudden electrical malfunction; causing an arrhythmia. With its pumping action disrupted, the heart cannot pump blood to vital organs. ♥ Person is unresponsive, not breathing, or not breathing normally (gasping). ♥ Death occurs within minutes if the victim does not receive treatment.

Since David Lloyd Leisure have implemented an AED programme in all their leisure & fitness centres, over 150 lives have been saved with the help of a Powerheart® AED.

SO, WHAT CAN YOU DO TODAY TO HELP KEEP YOUR FAMILY, FRIENDS AND COLLEAGUES SAFE FROM SCA? Start by calling 0161 926 0000 to contact a Cardiac Science AED expert or visit cardiacscience.co.uk/communitysponsor to find out how you can get a defibrillator in your community through sponsorship from local businesses. Now is the time to make a difference! Caden Cherry survived an SCA thanks to his school having an effective AED programme.

HOW TO SELECT THE RIGHT AED FOR YOU You should consider the following when selecting your device:

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Does the AED conduct daily device self-tests? This includes all critical electrical components, pad functionality and battery performance to ensure device readiness. Does the AED offer dual-language voice prompts and text prompts on a backlit text screen? Voice prompts are ideal for noisy, chaotic rescue environments that may also require secondary language assistance. Can the AED’s rescue pads be placed in either position on the chest? Interchangeable pads can help reduce confusion and save time during a rescue. Does the AED escalate shock energy if more than one shock is required? Delivering therapy at an appropriate higher energy level can help ensure a successful outcome if the first shock fails. Does the AED offer real-time CPR depth and rate feedback? High quality CPR remains essential to improving outcomes3. Extensive CPR prompts with real time feedback on depth, rate and recoil will help ensure quality and increase rescuer confidence.

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Highlights of the 2015 AHA Guidelines Update for CPR and ECC; American Heart Association, - 10/15, p8

At the Heart of Saving Lives™ www.cardiacscience.co.uk/communitysponsor

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Keep Calm and When cardiac arrest strikes, it is vital that we act fast. But how many of us would know exactly what to do?

defibrillator is a high-energy device that supplies an electric shock to the heart through the chest of somebody experiencing a cardiac arrest. This shock process is known as defibrillation; a life-saving mechanism used in the chain of survival. Defibrillators are commonly used by medical practitioners; however, governing bodies are encouraging more civilians to learn how to use them. An article published in The Telegraph in December 2017 stated that figures of people dying of cardiac arrest have risen as a result of poor public knowledge surrounding the use of defibrillators. This was brought to light by a recent survey conducted by the St John Ambulance charity, which used a YouGov poll to collect its data. Nearly two-thirds of participants claimed they would not know how to act when faced with a cardiac arrest. Also, seven out of 10 people would not feel comfortable using

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Importance of early defibrillation When somebody suffers from a cardiac arrest, time is of the essence. According to Defib First, ‘sudden cardiac arrest is fatal but reversible, with the best chance of survival being a shock from a defibrillator within the first 5 minutes after collapse' a defibrillator. Additionally, 62 percent of those surveyed wrongly believed that a defibrillator would cause harm to a patient. These eye-opening results have prompted the charity to launch a new campaign to educate the public on using defibrillation devices. In 2016, the Arrhythmia Alliance—the UK’s leading heart rhythm charity— placed 3,000 automated external defibrillators in public spaces. As part of

Cardiac arrest involves the heart malfunctioning, causing it to stop beating. Some of the common indicators include: • Loss of responsiveness • Difficulty breathing • Loss of consciousness or fainting • No pulse • Chest pains • Nausea their 'Defibs Save Lives' campaign that started in 2013, the organisation aims to make defibrillators as commonplace as smoke alarms or fire extinguishers. To use an automated external defibrillator (AED), first check if there is any water or puddles next to the person who is unconscious. Turn on the AED's power; it will give you step-by-step text instructions as well as voice prompts. Expose the person's chest, apply the sticky sensors as pictured on the AED's instructions. Remove metal accessories. Check for any piercings or implanted devices and place the sensors away from them. Once you press 'analyse' the machine will check the person's heartbeat and let you know if and when a shock is needed. For more detailed instructions on how to use defibrillators, visit sja.org.uk. •

Images: Shutterstock

Def ibrillate

SIGNS OF CARDIAC ARREST

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ADVERTORIAL

Save a Heart in your Community with the iPAD SP1

There are over 30,000 out of hospital cardiac arrests each year and a sudden cardiac arrest can happen to anyone at any age – from infants to adults. There is a distinct difference from a heart attack, which is when blood flow to the heart is blocked. A sudden cardiac arrest is when the heart malfunctions and suddenly stops beating. When someone is having a cardiac arrest, they will typically display no visible signs of life. Defibrillation is the only known form of treatment for cardiac arrest. A defibrillator is a device that gives a high energy electric shock to the heart through the chest wall to someone who is in cardiac arrest. This high energy shock is called defibrillation. WEL Medical provides a range of automated external defibrillators (AEDs) to local communities across the UK. The iPAD SP1 is used in all NHS Ambulance districts and is a nominated device of the British Heart Foundation. The iPAD SP1 stands for Intelligent Public Access Defibrillator (SP1 model) and is designed for use by anyone in an emergency. Training is not necessary as the device provides clear visual and audible instructions and has a simple switch to enable it for use on an adult or child. If you need to buy a defibrillator, then this community package offers you real value.

The IPAD SP1 Community Package: OFFER £895 plus VAT. Free delivery Your community package includes:  iPAD SP1 AED with 10-year warranty  High visibility orange carry case for iPAD SP1 AED containing: • Dual adult/child electrode pads • Long life battery : 200+ shock capacity or 4year warranty • Defibrillator starter kit • Nitrile gloves and CPR barrier device  Quick reference aide memoir card - simple guidance on device usage, features and checks  Reports can be exported to a computer and/or printed  Guardian Vigilance System – register and maintain your AED record Combined Community Package: If you want members of the public to have access to your defibrillator and want to keep it secure, then take advantage of this special Combined Community Package offer for an iPAD SP1 plus the latest Defibsafe2 cabinet. Choose lockable or unlocked cabinet. See www.defibsafe.co.uk for more details OFFER £1,250.00 plus VAT. Free delivery.

Call WEL Medical on 01252 344007 and quote Community Package Live100

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MUM & Baby

Fertility &

Pregnancy

Trying to conceive isn't always as easy as it may ﬁrst appear, but there are positive steps you can take to improve your chances

aking the momentous decision to have a baby can be followed by a tidal wave of emotions including excitement, anticipation and— sometimes—anxiety. Before you begin, keep these important tips in mind.

WHAT CAN YOU DO TO FACILITATE CONCEPTION?

DID YOU KNOW? Approximately 1 in 7 couples have difficulty conceiving Source: National Institute for Clinical Excellence (NICE)

even stop them altogether. For men, this can dramatically impede sperm count. Eat a balanced diet and make space for exercise in your daily routine. Continue these good habits once pregnant. Time it well While most couples will be having regular sex when trying to conceive, there is

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Limit drinking Drinking excessive amounts of alcohol can affect both partners and significantly hinder chances of getting pregnant. Alcohol also poses a risk to pregnant women. According to the UK’s chief medical health officers, the safest approach is to drink no alcohol at all. Excessive drinking is also known to affect the quality of sperm—males should drink no more than 14 units per week spread across several days. Lead a healthy lifestyle According to the NHS, ‘you’re more likely to get pregnant if you and your partner are both in good health’. Being dangerously overweight or underweight can make conception a lot more difficult—this applies to both men and women. For women, this can lead to irregular periods or celebrityangels.co.uk

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Increase Your Chances of Conceiving Fer tilette is a trusted and tested conception aid made with medical grade silicone. Fer tilette is easily inser ted into the vagina and works by expanding to block the canal, keeping sperm from seeping out. Fer tilette can then be worn for up to four hours to improve chances and is reusable for up to five years. Why Choose Fertilette? The aim of Fer tilette is to increase the chances of conceiving by blocking the vaginal passage, preventing sperm from seeping away before it has a chance to reach the egg. With its unique fun looking design, Fer tilette takes the stigma, stress and pressure out of trying to conceive and puts the fun and intimacy back into love making.

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MUM & Baby

only a small window when conception is actually possible. The egg can only be fertilised during the days of ovulation (when the egg is released from the ovaries) and the days leading up to it. One of the most accurate ways to track a woman’s ovulation window is via an ovulation test. Most of these work by measuring levels of the luteinising hormone (LH) in urine. Levels of LH increase by around two to five times the normal level when ovulation occurs. Quit smoking Smoking is known to have devastating effects on the body, particularly when it comes to fertility. Studies have shown a strong link between smoking and poor quality sperm. An analysis of 2,542 healthy men from 1987 to 2004 conducted by Ramlau-Hansen et al. found that 'on semen analysis, cigarette smokers had lower semen volumes, sperm counts and percentage of motile sperm compared to men who did not smoke’. Quitting smoking is, therefore, vital for facilitating conception. Female

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MYTH BUSTERS FALSE: the pill can make you infertile There is no substantial link between the use of hormonal contraceptives and fertility— including the pill FALSE: riding a bike will affect sperm count While it is technically possible for extra heat, jostling and grinding of the testicular region to affect sperm, unless you are an elite-level athlete, you have no reason to worry FALSE: every woman ovulates on day 14 of a 28-day menstrual cycle These numbers are based on averages from reported data. In reality, not all women’s cycles match this partners should also avoid smoking at all costs because it can reduce fertility— this includes passive smoking. For advice on quitting smoking, visit the NHS Smokefree website. Take vitamins The UK’s chief medical officers recommend that women planning a pregnancy, or women who are pregnant, take 400 micrograms of folic acid every day. Folic acid can help prevent neural tube defects such as spina bifida. While this may not necessarily make

conception easier, it will help to ensure your baby is strong and healthy.

HOW LONG DOES IT TAKE TO GET PREGNANT? When most couples decide to have a baby, they usually begin with high expectations. A study by Johnson S R et al. in 2013 found that out of the 1,400 women that were tested on the planning of their most recent pregnancy, 30-44 percent reported that conception took longer than they had anticipated.

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MUM & Baby It is very difficult to say exactly how long it takes to conceive because every couple is different. There are a number of factors that can affect your chances of getting pregnant including age, lifestyle, reproductive health and history and how often you have sex. According to the NHS, 92 percent of couples between the ages of 19 and 26 will conceive after a year of having regular sex without contraception. This statistic decreases slightly with age; from the ages of 35 to 39, 82 percent will conceive after a year. If you have been trying to conceive for one to two years without success, seek further advice from a doctor. They will be able to talk you through your options.

EMOTIONAL AND PRACTICAL SUPPORT Not being able to conceive naturally can bring stress, anxiety and emotional strain. However, there are many alternatives available to couples wishing to become parents. IVF, adoption, surrogacy and artificial insemination are all worth exploring. Speak to your doctor to determine which route is most suitable for you. Individuals dealing with fertility issues should seek support and speak to friends and family—or a professional—about their worries and fears. Whether they’re local or housed on the internet, support groups can provide the necessary resources and bring people who are going through the same thing together. If you decide to see a therapist, make sure they have knowledge in reproductive medicine. In addition to this, patients undergoing fertility treatment may also require support—these therapies can take a huge physical and emotional toll on the body. According to babycenter.com, women with fertility problems are as anxious and depressed as women with cancer, HIV or heart disease. Don’t blame yourself—it is important to work with your partner as a team, identify and share your feelings and educate yourself on the specific condition that is causing your infertility. • 74 | LIVE TO 100 WITH DR HILARY JONES

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Pregnancy Test FAQs ■

How accurate are home pregnancy tests? Pregnancy tests work by detecting human chorionic gonadotropin (HCG) in your urine which is a hormone produced by your body when you become pregnant. Generally, tests will state that they are 99% accurate, but accuracy can depend on other factors such as when you perform the test. If you test too early or do not follow the instructions properly then accuracy can be aﬀected. Make sure you use a ﬁrst morning urine sample as this will contain a higher concentration of HCG and avoid drinking too much water prior to testing as this may dilute your sample.

■

How soon after a missed period can I take a home pregnancy test? For the most accurate results you should wait and test from the ﬁrst day of your missed period. HCG levels will usually double every 2 to 3 days so testing later will yield a more accurate result.

■

Can anything interfere with home pregnancy test results? Some medication can aﬀect the results. Examples of these are sleeping tablets, anticonvulsants, medication used for the treatment of Parkinson’s, fertility drugs containing HCG, promethazine, tranquilisers and diuretics.

■

I got a negative result on a home pregnancy test, could I still be pregnant? It is possible. It may be that not enough HCG has been detected in your urine at the time of testing. Another reason for a false negative may be that you have miscalculated the length of your cycle and tested too early. If pregnancy is suspected, yet the result is negative, try waiting 48-72 hours and re-testing with a ﬁrst morning sample.

Answers provided by Amy James from the Early Bird Swift helpline at Axis Medicare Ltd.

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HOW CAN AWAKENING FERTILITY’S FERTILE LIFESTYLE ACHIEVE SUCCESS? Fiona puts it down to her protocol of 6 specific pillars done at the same time: 1. Clear any emotional or mental blocks preventing you from getting/staying pregnant. 2. Design a delicious hormone balancing diet plan that supports your digestive system and endocrine system. 3. Become Fertility Fit with movements that work for your body/personality type. 4. Learn effective stress management techniques to keep fertility turned on. 5. Sleep yourself fertile with sleep hacks you have probably never heard of! 6. Integrate Energy Medicine e.g. Qi Energy Healing, Fertility Meditations and 100% organic Plant Power Medicine. The key to faster fertility success is to do these 6 "Awakening Fertility" pillars simultaneously. Remember non-specific

yoga, non-specific meditations, etc won't get you specific fertility results. For 11 years, Awakening Fertility’s success strategies have worked for women trying to conceive, whether naturally or assisted (IVF/ IUI). Fiona says: 'My client’s doctors report immediate changes to their body (improved lining, cysts disappearing, fibroids shrinking and what shocks people the most is their AMH increasing). This happens because I assess each of my client’s personality types, taking into consideration their likes/dislikes/ fears/concerns and have their mind enjoyably embrace tiny lifestyle tweaks to achieve very quick results.' • *Past performance is no indication of future results.

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Awakening Fertility’s Fertile Lifestyle Course offers 90-days online support that very clearly guides you through easy-to- follow little lifestyle tweaks that make a huge difference to your mental health, your emotional health, your egg health, your womb health and even your chromosomal health. It can work alongside any other fertility treatment because it is 100% natural and has an 80% success rate. awakeningfertility.com /fertile-lifestyle-course

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MUM & Baby

All You Need to Know about

IVF

In vitro fertilisation is one of the many options available to help couples with fertility problems have a baby techniques available for couples struggling to get pregnant, with IVF being one of the most popular. This procedure consists in a woman’s egg being removed from the womb and fertilised with sperm in a laboratory. After fertilisation, the egg— then known as an embryo—is returned to the woman’s womb to develop. Visit your doctor if you’re struggling to conceive; if IVF is the right treatment for you, they will refer you to a fertility clinic or specialist where you’ll be able to discuss your options further.

DID YOU KNOW? IVF isn’t usually recommended to women above the age of 43 as the chances of conception are thought to be too low Source: NHS

IVF ON THE NHS The National Institute of Health and Care Excellence (NICE) has published guidelines and recommendations on who should be eligible to receive IVF treatment on the health service. Although the organisation suggests this procedure should be offered to ‘women under the age of 43 who have been trying to get pregnant through regular unprotected sex for two years’, it is local clinical commissioning groups (CCGs) who have the final decision—their criteria may be stricter. If IVF isn’t offered by your local CCG, there are other options available in the form of private care and treatment.

TALKING NUMBERS According to the NHS, the chances of a successful conception vary largely and mostly depend on the age of the woman undergoing treatment as well as the cause of infertility. In 2010, the percentage of IVF treatments that resulted in birth were: 78 | LIVE TO 100 WITH DR HILARY JONES

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32.2 percent for women under 35; 27.7 percent for women aged 35-37; 20.8 percent for women aged 38-39; five percent for women aged 43-44 and 1.9 percent for women aged over 44.

WHAT ARE THE RISKS? IVF can be emotionally and physically taxing on everyone involved. As with all medical procedures, it comes with risks and side effects such as hot flushes and headaches (from the medication used during treatment), multiple births, ectopic pregnancy and ovarian hyperstimulation syndrome (where too many eggs develop in the ovaries). •

THE 6 STAGES OF IVF  Your natural menstrual cycle is suppressed with the aid of medication  Your egg supply is boosted to encourage the enhanced production of eggs from the ovaries  An ultrasound scan is carried out to monitor the development of eggs; medication is used to help them mature  The eggs are removed and collected by a needle that is inserted through the ovaries via the vagina  The eggs are mixed with sperm for a few days to allow for fertilisation  One or two eggs are placed into the womb. Once this is done, you will have to wait for around two weeks before taking a pregnancy test

Images: Shutterstock

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16/01/2018 11:26

SPONSORED EDITORIAL

Will you go f itted or f lowing? 4 must-have maternity wear

You're pregnant, hooray! While the timing for moving into maternity clothing differs for each woman, as a rule it should be when one can no longer comfortably fit into their pre-pregnancy clothes. Follow our tips on how to stay trendy mum-to-be without spending a fortune. elegant. Prefer dresses? Get a smart dress designed for both pregnancy and nursing, or a rushed empire style dress which will be perfect at every stage.

Nightie & pyjamas

regnancy is an emotional period with the body undergoing many changes. Avoid buying a lot of maternity clothes and instead invest in several must-haves that you can wear even post-pregnancy. Remember that pregnancy does not mean that you cannot stay in touch with fashion.

Chic dress Take the time to make yourself feel and look great. Wearing formfitting clothing is more flattering to a new, growing baby bump than wearing baggy items. Pair a maternity dress with other items to create a wardrobe of figure-flattering outfit. You'll have the opportunity to sport the latest in maternity fashion, which can make you look stylish and fabulous!

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Practical tops and hoodies Comfort and casual is number one, but that doesn't mean you can't be trendy and practical. Shop simple tops with layered designs and nursing panels which will work perfectly during pregnancy and breastfeeding. Add a comfortable sweatshirt or hoodie featuring concealed side zip cut-outs and a pair of trainers - you are ready to conquer the day in style!

Do you really need a maternity nightwear? You can choose from a range of nighties and pyjamas designed to fit throughout your pregnancy and beyond. Our top tip is to get a front opening nightie or pyjama for the final stages of labour and pack it into your hospital bag. Our Nightgowns provide easy opening flaps and allow you to have immediate skin-to-skin contact once your baby is born, making breastfeeding more comfortable. Pair it up with a matching robe! The problem for many finding maternity wear is a challenge, as the specialist brands often are expensive, high street ranges tend to be limited and designer fashion brands rarely include maternity clothing. Discover Happy Mama Boutique - a pregnancy and maternity clothing brand ensuring that your style continues during pregnancy and post-birth. Our wide range of clothing offer stylish and affordable pregnancy designs for mums-to-be as well as comfortable and clever maternity & nursing designs. Maternity clothing has never been so trendy and reasonably priced! â&#x20AC;˘

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you can offer a brighter future with adoption Thousands of children across the UK need a loving home today. Let our charity help build your forever family.

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MUM & Baby

Choosing

Adoption

Whether you’ve decided to adopt following infertility or merely want to expand your family, the commitment is a momentous one. For those who need it, there is plenty of emotional and expert support at hand

doption helps young people who cannot live with their birth parents to find happiness and security with permanent, loving families. The decision to adopt a child is a big one—it brings with it a lot of things to consider.

Images: Shutterstock

HOW IT WORKS In order to be able to adopt, individuals must first be aged 21 or over and approved by an agency. Most of these agencies are part of a local authority’s children’s services—in England and Wales—or a social work department (in Scotland). However, there are also various independent agencies which are run by charities. Visit adoptionuk.org to find a list of agencies in your area by submitting your postcode. Once the decision to adopt has been made and your chosen agency has received your application, you will be invited for a series of classes giving advice on the effect the process may have on you. You will be visited by a social worker and celebrityangels.co.uk

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DID YOU KNOW? Each year, in England alone, there are around 4,000 children unable to live with their birth family waiting in foster care Source: Adoption UK

be subject to a police check—individuals that have committed serious offences may not adopt. You will also be asked to provide the names of three referees and undergo a full medical examination. Your assigned social worker will then send your complete assessment to an adoption panel. They will be the ones to make your recommendation to the adoption agency.

EMOTIONAL SUPPORT Early trauma and separation issues may have led your adoptive child to develop coping mechanisms resulting in challenging behaviour and difficulty

forming relationships. It’s important to remember that this is completely normal. Local authorities have the duty to assess the needs of anyone involved in the adoption process—whether that is the child, the adopters, the birth parents or any close relatives. Whether you’re thinking about adoption or are an adoptive parent worried about your child’s behaviour, there are countless support resources available. Emotional support is imperative; charities such as Adoption UK and First 4 Adoption have helplines offering suggestions, information, encouragement or emotional support for anyone involved in the adoption process. •

6 months is the amount of time it takes for the adoption approval process to complete. Once this time is up, applicants will be matched with a child for adoption Source: gov.uk LIVE TO 100 WITH DR HILARY JONES | 83

13/02/2018 10:34

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MUM & Baby

Watching

Closely

Keeping an eye on your little one—whether they’re in or out of the womb—is essential for safeguarding their health

onitoring a baby’s movement and breathing is among the most important things a parent can do, both before and after birth. In addition to spotting potential health problems, this may also go some way in preventing stillbirths and sudden infant death syndrome (SIDS).

Images: Shutterstock

PREGNANCY During pregnancy, it is important for mothers to observe the movement of their developing baby. Usually, movement will start occurring between weeks 16 and 20 of the gestational period and last up until—and during— labour. Such movements may be felt as a swish, roll or kick. It’s usual for these movements to intensify and become more frequent up until week 32; after that time, it’s normal for them to remain constant. Mothers should always report any changes in the pattern of movement celebrityangels.co.uk

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to their midwife as it may be a sign that the baby is unwell.

REMEMBER

POST-BIRTH After birth, there are countless options for parents who wish to monitor their baby’s breathing and movement during every stage of early childhood. These mainly come in the form of tech gadgets and products. Consumers will be able to choose from clip-on monitors, breathing trackers compatible with iOS and Android devices, ‘smart’ clothing able to monitor heart rate, oxygen levels and body temperature and bio-sensor onesies. When they are old enough to sleep in their own room, parents may also decide to install electronic monitors in the baby’s room that will be able to detect movement as well as sound for greater peace of mind. These gadgets work by sounding an alarm when such activity isn’t detected. •

Investing in baby monitoring devices may be needed if your baby was born premature. This is because they might have irregular breathing patterns compared to a baby born at full term. Bereaved parents who have lost a child due to SIDS may also ﬁnd the use of a monitor reassuring, especially during the night

LIVE TO 100 WITH DR HILARY JONES | 85

13/02/2018 10:35

MUM & Baby

P lay Date R

esearch conducted in 2016 by toy giant Lego suggests that parents are cutting down on playtime in favour of teaching reading, writing and arithmetic to better prepare their little ones for an increasingly competitive world. In an article published in the American Journal of Play in 2011, author and psychology professor Peter Gray suggested that this decline is ‘at least partly because adults have exerted everincreasing control over children’s activities’. But giving young children the time and space to play is incredibly important to their cognitive development—not just for their professional future, but also for their mental wellbeing. According to Gray, reduced playtime has also been linked to a rise in depression and anxiety in young children. Playtime or ‘free play’ (unstructured playtime whereby children choose their activities) underpins all aspects of learning. It helps young children develop language and their social, creative and intellectual skills. Left to their own devices, they will

86 | LIVE TO 100 WITH DR HILARY JONES

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DID YOU KNOW? Children spend around 3-20% of their time and energy engaged in play Source: Learning Through Play by Peter K. Smith, PhD, Anthony Pellegrini, PhD, 2013

initiate imaginative play and—when with their peers—organise activities and games. So how does this further their learning?

PROBLEM-SOLVING Free play is crucial to facilitate and develop problem-solving skills to appropriately handle day-to-day challenges. Children are natural problemsolvers. From birth, a baby will begin to problem-solve by working to grasp objects not in their reach. As they age, their problem-solving skills become more complex. They may be able to solve simple puzzles and use critical thinking to resolve conflicts among their peers.

SOCIAL DEVELOPMENT A large proportion of child’s play includes imaginative or role-play. When this occurs, children tend to subconsciously rehearse and refine the social observations they have made of those around them. Children use this form of

play to further understand and cement the lessons they have learnt during their school classes, too. This is also the way in which children develop their language and apply ‘rule-making’ during games and activities. The ability to make and adhere to rules by their own admission is a fascinating phenomenon which sets them up for adulthood.

PHYSICAL DEVELOPMENT In the technological age, it is more vital than ever that children participate in playtime. Physical play—including sports—running around or simply moving increases both stamina and strength. With good health, wellbeing and increased energy, children will have the propensity to concentrate better in the classroom, making play a vital component towards their learning. •

Images: Shutterstock

Parents are prioritising literacy and numeracy skills over their children’s playtime—but could this be damaging?

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MUM & Baby

Safety First

Appropriate car seats are imperative for your child’s safety while travelling—here’s all you need to know to keep your tot safe

pdated government guidelines released in 2017 state that children must use a car seat until they are 12 years old or 135 centimetres tall—whichever comes first. There are numerous things to keep in mind when choosing and buying a car seat for your child to travel in, including fit, size and weight.

intended to make fitting a car seat easy. Most experts recommend fitting a car seat in the back of a car. If you decide to place a rear-facing car seat in the front passenger seat, you must deactivate any airbags. If left active, the airbag could cause severe damage to the infant in the case of an accident.

FIT

The EU introduced a safety regulation in 2013 for ‘i-Size’ car seats. The purpose of the regulation is to ensure that car seats can be more easily fitted into a car and to better enhance child protection in case of an accident. i-Size seats refer to heightbased seats; they must be rear-facing until

In the UK, car seats may only be used if your car has diagonal straps, unless the car seat is designed specifically for lap seatbelts or is to be fitted with Isofix connectors. Most modern cars will have Isofix connectors built in; these are

HEIGHT-BASED CAR SEAT

Images: Shutterstock

Child's Weight

Group

0kg-10kg

0kg-13kg

9kg-18kg

15kg-25kg

22kg-36kg

your child reaches 15 months. Remember that only EU-approved height-based i-Size car seats can currently be used in the UK. These will have the letter ‘E’ placed in a circle and ‘R129’ printed on the label.

WEIGHT-BASED CAR SEAT The type of weight-based car seat you will need for your child and the way they must be restrained in it varies depending on their weight. As with height-based seats, only EU-approved weight-based seats may be used in Britain. Check that the label has an ‘E’ placed in a circle and ‘ECE R44’ printed on it. See the government’s guidelines on weight-based car seats listed below. 

Seats Lie-flat or ‘lateral’ baby carrier, rear-facing baby carrier or rear-facing baby seat using a harness Rear-facing baby carrier or rear-facing baby seat using a harness Rear-facing or forward-facing baby seat using a harness or safety shield Rear-facing or forward-facing child car seat (highbacked booster seat or booster cushion) using a seat belt, harness or safety shield Rear-facing or forward-facing child car seat (highbacked booster seat or booster cushion) using a seat belt, harness or safety shield Source: gov.org.uk/child-car-seats-the-rules

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Relieving

OVER 60

Back Pain

According to Arthritis UK, about one third of adults living in Britain are affected by back pain each year—what can we do to manage the condition?

ack pain can occur due to a variety of reasons—including muscle strain and sprains—or it may happen for no apparent reason at all. In rare circumstances, back pain may be caused by serious underlying medical conditions such as sciatica (irritation of the nerve that runs from the pelvis to the feet) or a slipped disc. If you experience chest pain, high temperature, loss of bowel control or a deformity or swelling in your back as a result of back pain, seek immediate medical attention.

Images: Shutterstock

MEDICATE While most cases of back pain tend to ease on their own over time, coping in the interim can prove to be difficult. The NHS advises that sufferers take non-steroidal anti-inflammatory (NSAID) drugs such as ibuprofen and aspirin to help relieve discomfort. Ibuprofen works to reduce pain and inflammation and can be bought at a low cost from supermarkets and pharmacies. If back pain persists or becomes severe, doctors may recommend stronger, analgesic medications such as codeine. Caution is advised, however: according to the NHS, codeine can cause addiction and dependency in as little as three days. Dependency on opioid painkillers like codeine may also lead to a host of other medical issues from constipation to liver and bowel disease.

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MINDFULNESS While practice in mindfulness may not cure or eradicate back pain, it can aid in pain management without the use of medication. Researchers at the University of Washington and Group Health Research Institute in Washington (US) suggest that mindfulness-based stress reduction (MBSR) can improve chronic back pain. The research, published in March 2016, found that patients with back pain reported improvements within six and a half months when using MBSR methods. MBSR activities include yoga and meditation.

EXERCISE It is imperative to keep active even with back pain; bed rest or staying sedentary may actually prolong suffering. Exercising can help to strengthen the muscles that protect the spine, release endorphins which act as a natural painkiller and improve circulation and stiffness. Along with moderate exercise (like walking), doctors recommend performing strengthening exercises such as pelvic tilts to help strengthen the lower back. To do this, lie on your back with knees bent and feet flat on the floor. Engage your core and gently tilt your pelvis until you reach an arch in your back and slowly return to the starting position. Repeat this motion 10 to 15 times. •

75-90% of people who experience back pain tend to recover within a few weeks Source: arthritisresearchuk.org

DID YOU KNOW? Back pain is the leading single cause of disability in the UK, with low back pain alone accounting for 11% of all disabilities Source: NHS England

LIVE TO 100 WITH DR HILARY JONES | 91

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08/02/2018 12:17

SPONSORED EDITORIAL

Joint Replacement to End Knee and Hip Pain

ealthcare stories are not always good news, but if you’re one of the many thousands of people in the UK suffering from ongoing knee or hip pain, there can be light at the end of the tunnel; joint replacement surgery can make a big difference.

care, robot-assisted technology and an enhanced recovery pathway, offering the highest standard of clinical care. You can be out of hospital after only three days, recovering in the comfort of your own home on a specialised rehabilitation programme.

Knee and hip replacement operations have been around for decades, and in fact are British inventions. Today, they are highly effective and very reliable, and it’s no surprise that tens of thousands are undertaken every year in the UK. However, because we are an ageing population, and staying active into older age is a priority for many, the associated pressure on the NHS is increasing.

So what is it that makes the difference for the patient? Joint replacement techniques are improving all the time, and the most important factor is the surgeon's knowledge and skill, so finding a surgeon you trust and feel comfortable with is a good place to start.

Due to the increased demand, the NHS screens those who suffer ongoing hip and knee pain to assess how urgently they need replacement surgery. As a result there are many people in the UK who may benefit from a new knee or hip but aren't referred for treatment. So what are the alternative options for those who don't meet the NHS criteria or don’t want to wait for surgery if there are waiting list delays? The Fortius Joint Replacement Centre at Bupa Cromwell Hospital is one of the few dedicated private joint replacement centres in London, where patients can choose to undergo an operation through their private medical insurance or pay for it themselves. Situated in the leafy borough of Kensington, West London, the Fortius Joint Replacement Centre brings together some of London’s leading orthopaedic surgeons, Bupa Cromwell Hospital's excellent nursing

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Your surgeon will tell you what the chance of success is going to be, as a joint replacement prosthesis doesn’t feel or behave exactly like a real human joint, especially knee replacements. It’s important that you are fully informed by your surgeon before the operation to avoid dissatisfaction afterwards. In recent years improvements have included better pain relief after the surgery, and developments in surgical techniques that mean less swelling, a faster recovery and less time in hospital. This means you have more time to spend getting back to the things you love doing, whether it’s walking, hiking, playing tennis, playing with grandchildren or simply living a life free from daily pain. If you’re suffering from hip or knee pain, it’s as simple as picking up the phone to speak to one of our team about joint replacement. You can see any one of our hip or knee surgeons, and know that you’ll be in safe hands. •

A HIP OR KNEE REPLACEMENT COULD BE FOR YOU, IF: • You experience pain during movement and rest • Non-invasive treatments aren't working • Non-invasive treatments are no longer effective • Pain is interfering with your daily activities

WHAT HAPPENS DURING JOINT REPLACEMENT SURGERY? • The diseased joint is removed • An artificial joint is put in its place • General anaesthetic or a spinal block with sedation may be used

AFTER THE PROCEDURE • The length of hospital stay depends on the procedure, but the average for knee replacement and traditional hip replacement is 3 days • You'll receive pain medication as you heal • You will need physiotherapy as you begin to walk again • Follow your consultant's recommendations for returning to normal activity Knee and hip replacement at the Fortius Joint Replacement Centre is available to both insured and self-funding patients. For both joint replacements, most patients are back to their usual activities in three months.

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08/02/2018 12:17

OVER 60

Common

Orthopaedic

Conditions

Live to 100 uncovers today’s most common orthopaedic complaints, their treatments and how to maintain optimum bone health

rthopaedics is a branch of medicine that concerns the musculoskeletal system. More specifically, it deals with the correction of deformities and functional impairments of the bones and muscles, usually the extremities—such as the hands and feet—and the spine. We disclose some of the most common orthopaedic complaints as well as how to manage them.

Dislocation Dislocation is a term used to describe a bone that has moved out of its correct

position. Often, the bone is noticeably displaced and can be accompanied with symptoms of swelling and pain. The hip, shoulder, ankles, elbows and jaw are all

Did you know? Between the ages of 20 and 80, caucasian women lose 1/3 of the bone mineral density in their hip Source: National Osteoporosis Foundation

common joints that can be affected by dislocation. It is usually caused by an unexpected or imbalanced impact—it is linked to high-impact sports, falls and accidents. The course of treatment will depend on the severity of the condition and which joint has been dislocated. The main methods of treating dislocation include manipulation, which involves realigning the bone manually; immobilisation, a method that places the joint in a splint or cast to promote healing and recovery; and—in the most severe cases—surgery.

Fracture A fracture—or broken bone—can range in severity from being a minor, hairline fracture to a complete break. This is usually the result of a high-force impact or a minimal trauma injury. Fractures can also be a consequence of osteoporosis (weakened bones), bone cancer or osteogenesis imperfecta, a disease that can cause weak bones to break easily. Postmenopausal women are more prone to factures because their bone density dramatically decreases as a result of lowered oestrogen levels. Treatment for fractures is determined on a case-by-case basis. Most will require 94 | Live to 100 with Dr Hilary Jones

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OVER 60 a plaster cast to immobilise the bone. More complicated fractures may need surgery. Other types of fracture treatment may require a plate and screws or a rod to be fitted to keep the bone in place.

Arthritis Arthritis is one of the leading causes of orthopaedic issues, with osteoarthritis and rheumatoid arthritis being the main culprits. Osteoarthritis is caused by the breaking down and inflammation of the protective cartilage at the ends of the bones. This causes growths to form, which may lead to pain and swelling in the affected area. Rheumatoid arthritis is an autoimmune disease that causes the body’s immune system to attack healthy body tissue. Over time, joints can become severely damaged, as can the bones and nearby cartilage. Various anti-rheumatic drugs (DMARDs) can be prescribed to stop or slow the progression of these conditions. They can also ease pain and reduce

inflammation to help sufferers live their life as normally as possible. More advanced cases will, unfortunately, require a more aggressive approach such as joint replacement or arthroscopy—the removal of inflamed joint tissue.

Joint replacement The goal of joint replacement is to remove any parts of the joint that are damaged or diseased and replace them with a prosthetic. This surgical procedure can reduce pain and improve mobility. Hip replacements—or total hip arthroplasty—are among the most common procedures in this category. According to the NHS, about half of all hip fracture cases require a partial or complete hip replacement. This surgery is deemed necessary if the bone is significantly damaged or worn to the extent that movement is difficult. The procedure involves the fitting of a prosthetic hip that usually lasts up to 15 years. Other joints that can be replaced include the shoulders, fingers, ankles and elbows. •

Images: Shutterstock

your orthopaedic health Exercise and a healthy lifestyle can directly improve muscle strength, bone density and joint flexibility. Maintaining a healthy weight can also help common orthopaedic complaints

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OVER 60

Losing Sight of

Eye Health

Poor eye health can have a profoundly negative impact on our general health and wellbeing. Read on for Live to 100’s guide on how to care for your eyes

Images: Shutterstock

round 50 percent of sight loss can be avoided, yet the number of individuals needlessly living with the condition keeps growing at an alarming rate. A recent report published by the London Assembly Health Committee links poor eye health with a wide range of other conditions including heightened anxiety, depression and vulnerability to falls. A growing population and an over-burdened NHS have also made the rising prevalence of eye diseases hard to manage and treat. The rise in first-time eye health appointments has

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created a knock-on impact on specialised clinics and made it challenging for them to schedule consultations and timely follow-ups. Sight loss has an enormous impact on an individual’s quality of life and experts have estimated it costs the economy around £28 billion a year. Preserving our eye health and preventing sight loss has never been more important.

Caring for your eyes We’re all guilty of taking our eyes for granted, but there are a few steps we can all take to ensure our sight remains in good condition for as long as possible.

people in the UK are currently living with sight loss. That’s around 1 person in 30

Source: Royal National Institute of Blind People

Eating well is a major one; consuming omega 3s, lutein, zinc and various vitamins is known to ward off age-related sight conditions such as cataracts and macular degeneration. Fill your plate with leafy greens, oily fish, eggs, nuts, oranges and pork to benefit from all these sight-saving nutrients. Smoking makes an individual more likely to develop cataracts and is also damaging to the optic nerve. Quit for good—it will benefit your overall health, not just your eyes. Protecting your eyes with sunglasses might seem like an obvious preventative measure, but many don’t own pairs that block out harmful UVA and UVB rays. Speak to an optician to find out which glasses are best. Similarly, use safety eyewear if you come into contact with hazardous materials in your workplace or practice sports like hockey. Nowadays, most jobs require us to look at a

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OVER 60 computer screen for long periods of time. Look away from bright screens every now and again to limit the strain they can cause to your eyes as well as avoid conditions like Dry Eye Syndrome, neck pain and recurring headaches. If you wear prescription glasses or contacts, make sure they are good for looking at bright screens. Exercising frequently, especially if you’re aged 60 or over, can reduce the risk of sight loss occurring due to the narrowing of arteries, high blood pressure and diabetes. Cutting down on alcohol consumption is another easy to way to care for your eyes. Alcohol can lead to a host of serious health conditions which can have a detrimental effect on eye health. Getting enough sleep is crucial to our eye health. Dry Eye Syndrome, one of the most common eye health complaints, can occur when our eyes lose the ability to produce enough tears. A good night’s sleep allows us to rest the eyes and the important lipid layer on their surface to recover. Failure to get enough rest may leave the eyes feeling dry or looking puffy and sore. Planning regular visits to your eye doctor will ensure any developing conditions are caught early and managed correctly.

REMEMBER If you have diabetes, you are more likely to develop eye problems such as diabetic retinopathy, cataracts or glaucoma

DID YOU KNOW? It’s predicted that the number of people with sight loss will rise to over 2,250,000 by 2020. By 2025, this will double to nearly 4m Source: Royal National Institute of Blind People

COMMON CONDITIONS

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Images: Shutterstock

According to the National Eye Institute (NEI), myopia, hyperopia, astigmatism and presbyopia are some of the most common eye health complaints— also known as refractive errors. To individuals with myopia, objects up close appear clearly while objects far away seem blurry. Hyperopia—or farsightedness—causes the opposite effect. Astigmatism is a condition where the eye does not focus light evenly onto the retina, causing images to appear blurry. Presbyopia, perhaps the most common, is an age-related condition that affects most adults over the age of 35. It causes individuals to lose the ability to focus on objects up close. •

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Understanding

Diabetes

A diabetes diagnosis can be an incredibly stressful time, but gathering the right information on what the condition is, the risks involved and what to expect is key to managing it moving forward

Images: Shutterstock

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“

It’s very important for diabetes to be diagnosed as early as possible because it will get progressively worse if left untreated —nhs.co.uk

“

iabetes occurs when blood sugar (glucose) levels in the body are too high. This condition can be categorised into several forms including Type 1, Type 2 and gestational diabetes—a type of diabetes that occurs in pregnant women. When the condition is not managed well, it can seriously impact an individual’s health. According to leading charity Diabetes UK, people with diabetes are twice as likely to suffer from cardiovascular problems such as heart disease and stroke compared to individuals without it. Other damaging conditions associated

with diabetes include kidney disease and various eye diseases. In severe cases, high blood sugar levels can also damage nerves and muscles in the legs and feet, leading to amputation.

Type

1 diabetes

Type 1 diabetes is a lifelong condition. Insulin is a hormone that is produced by the beta cells in the pancreas and regulates blood sugar levels in the body. Insulin sends signals to the muscles, fat and liver cells to absorb glucose from food. Type 1 diabetes, however, destroys the beta cells in the pancreas so that the

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OVER 60 body can’t produce enough of this vital hormone. The body then uses protein reserves to fuel itself and unabsorbed sugar levels can climb dangerously high. Those with this form of diabetes must administer insulin daily; this is usually via an injection using an insulin pen.

TYPE

2 DIABETES

Type 2 diabetes is the most common form of diabetes and accounts for 90 percent of all cases of diabetes in the UK. Slightly different to Type 1, Type 2 occurs because of either insulin resistance— where the body doesn’t use insulin in the way that it should—or when the pancreas doesn’t produce enough insulin to regulate glucose levels. Unlike Type 1 diabetes, Type 2 diabetes can be reversed. Eating a controlled diet with low carbohydrates and a good exercise regime may help towards reversing Type 2 diabetes.

GESTATIONAL DIABETES Unlike Type 1 or Type 2 diabetes, gestational diabetes only affects women who develop unusually high blood sugar levels

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3.5m The number of people in the UK diagnosed with diabetes Source: diabetes.co.uk

during pregnancy. Diabetes.co.uk reports that it occurs in three to five percent of all pregnancies—that’s one in every 20 pregnancies. This type typically disappears once the baby is born, but those who do have it may be at risk of early labour, stillbirth and preeclampsia. They will also have a higher risk of developing Type 2 diabetes in the future. Pregnant women will be given a blood sugar testing kit to monitor their blood sugar levels throughout their pregnancy. If blood sugar levels aren’t reduced enough through diet and exercise, medication may also be prescribed. There are rarely any symptoms associated with gestational diabetes and it is usually detected during routine screenings at around 24 to 28 weeks’ gestation.

HYPERGLYCAEMIA OR HYPOGLYCAEMIA? No matter how carefully a person with diabetes tries to maintain normal blood sugar levels, it is almost inevitable that they will experience either hyperglycaemia or hypoglycaemia. Hyperglycaemia—the medical term used to refer to high blood sugar levels—can lead to life-threatening conditions and induce diabetic comas. Hypoglycaemia, on the other hand, refers to extremely low blood sugar levels. Symptoms for hypoglycaemia include delirium, sweating and nausea. 

DID YOU KNOW? Obesity is the leading cause of Type 2 diabetes, accounting for 80-85% of the overall risk for developing the disease Source: Facts and Stats Report, Diabetes UK (2016)

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MANAGING DIABETES: 5 KEY STEPS Diet The NHS recommends that those with diabetes eat foods that are low in salt, sugar and fat and high in fibre. Include plenty of fresh fruits and vegetables and avoid dishes with saturated and trans fats Exercise Staying active is key to managing diabetes by helping your body use insulin more effectively. The Department of Health (DoH) recommends 150 minutes of moderate to vigorous exercise a week

Create a routine Develop a daily routine that involves setting times to take medications and insulin, for exercise and for organising doctor visits. Routines help to declutter the mind and reduce anxiety so that you can enjoy your everyday life, knowing that your diabetes is being managed all the while

Images: Shutterstock

Quit smoking Smoking is seriously bad for anyoneâ&#x20AC;&#x2122;s health, but for those with diabetes, it can exacerbate the risk for heart disease and poor blood flow in the legs and feet

Get support Discussing your feelings with friends or family can help to reduce stress and anxiety associated with diabetes. You can also call the Diabetes UK helpline on 0800 585 088 for advice and information surrounding the condition

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SPONSORED EDITORIAL

How Continuous Glucose Monitoring Technology

changes lives of people with Diabetes

he trend of wearable technology has been growing in healthcare, but one area that hasn’t been discussed much is diabetes. Each year more and more people live with diabetes which, if uncontrolled, can result in life-changing complications such as heart disease, nerve damage, kidney problems, and even death. According to the International Diabetes Foundation (IDF), there are 52 million people living with diabetes in Europe and by 2040, it is estimated that more than 72 million people will have the disease1. Diabetes accounts for 10% of the NHS’s overall budget, and type 1 diabetes alone costs 2.7 million a day2, so the impact of technological solutions is not only front of mind for many people with type 1 diabetes (PWT1D), but also physicians and the government. There are many myths about diabetes that linger in public perception, from the belief that people with diabetes can’t drive or travel, to the false idea that they are unsuitable for certain jobs. Today, technology is helping patients and healthcare professionals better understand and manage diabetes.

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Dexcom, Inc. is a healthcare technology company that develops and manufactures continuous glucose monitoring (CGM) systems that track a user’s glucose levels 24 hours a day. The Dexcom G5® Mobile CGM System replaces the need for finger pricksi to make diabetes treatment decisions and provides continuous insight into glucose levels throughout the day and night. With almost 300 data points provided in 24 hours, the G5 Mobile helps provide greater glycaemic control – which is particularly important for people who have an impaired awareness of their glucose levels. CGM technology is helping to manage the fastest growing health epidemic around the world. However, to safely benefit from these advances, it is essential that there is a clear clinical understanding of how and when to use them. In too many cases, the incorrect technology is being provided for those with an impaired awareness of hypoglycaemia, when real-time CGM with alerts would be more safe and effective. Studies have shown that real-time CGM systems with alerts help reduce time spent in hypoglycaemia, particularly in those with an impaired awareness of hypoglycaemia,

whilst another popular option, flash glucose monitoring, can actually increase time spent in hypoglycaemia3. Founded in 1999, Dexcom, Inc. has corporate offices in San Diego, California, EMEA headquarters in Edinburgh, Scotland, and patients in 39 countries around the world. Dexcom is transforming diabetes care and management by providing life-changing CGM technology. Since inception, the company has focused on better outcomes for patients, caregivers, and clinicians by delivering solutions that are best in class— while empowering the community to take control of diabetes.• IDF Diabetes Atlas 7th Edition (2015) Diabetes UK: Facts and Stats (2015) 3 Reddy et al., Diabetic Medicine (2017) i If your glucose alerts and readings do not match your symptoms or expectations or you are taking medications containing paracetamol/acetaminophen, you should perform a finger prick to confirm your blood glucose level. A finger prick is needed every 12 hours to calibrate. 1 2

E: gb.sales@dexcom.com T: 0800 031 5761 www.dexcom.com/en-GB

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OVER 60

Common

Chronic Conditions

We unearth the psychological and physical effects of suffering from some of the most common chronic conditions

PSYCHOLOGICAL SUPPORT The importance of psychological support for people suffering from long-term illnesses cannot be understated. Dealing with a recurring condition can take its toll and cause considerable emotional distress. A doctor will be able to suggest the most effective form of support; this could involve counselling or even cognitive behavioural therapy (CBT)—a talking therapy which has been proven to aid treatment of a range of psychological conditions. ‘We need to consider how we approach and support those people 104 | LIVE TO 100 WITH DR HILARY JONES

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living with long-term conditions who are experiencing fear and loss of control of their lives,’ suggests Tessa Jelen, a sufferer of emphysema and fibrosis, in her guest blog post on The King’s Fund website.

COMMON CHRONIC CONDITIONS Arthritis Arthritis is a common condition that causes pain and inflammation in the joints. It affects around 10 million people in the UK. Treatments used to slow the condition include painkillers, corticosteroids (steroid medication) and non-steroidal anti-inflammatory drugs (NSAIDs). Severe cases may call for physiotherapy, joint fusion, joint replacement or osteotomy (re-aligning of the bone). Chronic obstructive pulmonary disease Chronic obstructive pulmonary disease (COPD) is a term used to describe a group of lung conditions that cause difficulty breathing. Emphysema and chronic

15.4m people are suffering with a long-term condition in England Source: NHS Confederation Report, Investing in emotional and psychological wellbeing for patients with long-term conditions, 2012

DID YOU KNOW? Between 2011 and 2015, deaths caused by chronic obtrusive pulmonary disease (COPD) rose by 20% in England and Wales

Images: Shutterstock

chronic condition is an illness or disease that is long-lasting in its effects—in most cases, they are a lifelong affliction. While early intervention, restorative treatment and therapy can usually keep symptoms at bay, these are not a definite cure. With a population that is rapidly ageing, chronic illnesses are forecast to increase in the UK.

Source: Oﬃce for National Statistics

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bronchitis are the most common—both tend to worsen over time. Smoking is one of the main causes of COPD, therefore quitting is essential. Treatments that work to slow the progression of COPD include inhalers, oral medication, pulmonary rehabilitation and—as a last resort—a lung transplant.

Medication for this condition is designed to strengthen bones and alleviate the pain of fractures when they occur. Your doctor may also recommend some dietary changes to cope with this longterm illness. •

Crohn’s disease Crohn’s disease is a condition that causes inflammation of the bowel and other parts of the digestive system. People with Crohn’s can experience periods of remission—whereby the condition is inactive and produces no symptoms— and flare-ups. Common side effects such as diarrhoea and abdominal pain can be treated with corticosteroids. Immunosuppressant drugs and antiinflammatory medication may also be prescribed to help patients cope. Severe cases may call for surgery to remove the inflamed part of the intestine. Osteoporosis Osteoporosis is a disorder that causes bones to weaken over time. As the condition develops, the body becomes more prone to injury, with fractures and breaks being common after minor falls.

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Helping you every step of your weight loss journey. Ramsayâ&#x20AC;&#x2122;s expert weight loss surgery specialists have helped change the lives of patients across the UK. Our support network sets us apart from the rest. With access to specialist nurses, nutritionists and support groups, youâ&#x20AC;&#x2122;ll receive all the support and advice to get the most out of your surgery. Find out more by visiting ramsayhealth.co.uk/weightloss or by calling 0808 278 5144

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A Weighty Decision

Deciding to undergo any weight loss procedure is a monumental commitment—here's all you need to know

ariatric surgery—colloquially known as weight loss surgery— refers to a number of procedures that involve reducing the size of the stomach in order to limit calorie intake. The surgery is only offered on the NHS to obese people with a BMI of over 40, or those with a BMI of between 35 and 40 if they suffer from other serious conditions like heart disease and diabetes. Bariatric surgery will only be considered on the NHS if all other means of weight loss such as diet and exercise have been exhausted.

Images: Shutterstock

TYPES OF SURGERY Weight loss procedures are usually performed via keyhole surgery. The most common types of bariatric surgery are: Sleeve gastrectomy. This surgery involves the complete removal of a large portion of the stomach. The new, smaller stomach size means that patients will feel full quicker and will absorb less calories than before surgery.

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DID YOU KNOW? Over 75% of bariatric surgery patients in 2015/16 were aged between 35 and 64

Gastric band. In this procedure, a band will be placed around the top of the stomach, creating a small pouch. The band is connected to a device that can loosen or tighten it as necessary. Gastric bypass. Surgical staples are used to create a pouch at the top of the stomach. It is then stapled to the small intestine, bypassing the rest of the stomach.

a sleeve gastrectomy may also be at risk of the band slipping out of place. Fast weight loss can leave patients with excess skin after surgery and removal isn’t usually available on the NHS.

RISKS

LIFE AFTER SURGERY

While weight loss surgery is commonplace in the UK, there are still risks involved. One of the most common risks is vitamin deficiency, whereby the body isn’t able to absorb the sufficient amounts of vitamins needed for healthy functionality. Bariatric surgery patients may need to take vitamin supplements for the rest of their lives following the procedure. Patients are also at an increased risk of contracting gallstones or developing deep vein thrombosis (a blood clot in the leg). Patients who undergo

Source: Statistics on Obesity, Physical Activity and Diet—England, 2017

Weight loss surgery can achieve exceptional results, with the NHS reporting that patients can lose up to 70 percent of their excess body weight. Surgery is not a cure for obesity, however, and patients should practice a lifelong commitment to maintaining a healthy diet and exercise regularly in order to keep the weight off. There are numerous support groups across the UK that can prove to be invaluable to patients, providing a pillar of support and advice. •

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The M Word

Though it is an inevitable natural process in every woman’s life, the menopause can also be a time of deep anxiety and distress

Images: Shutterstock

ccording to a recent study carried out by the British Menopause Society (BMS), around three-quarters of women say the menopause caused them to change their life and over half admitted its symptoms had a negative impact on it. The menopause is still very much a taboo subject in the UK, something many don’t feel comfortable talking about. The report, which was published on World Menopause Day 2017 (18 October),

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DID YOU KNOW? Women can lose up to 20% of their bone density in the 5 to 7 years after the menopause; this is caused by a decrease in the levels of oestrogen in the body, a hormone which helps protect bone strength. To maintain healthy bones, stay active, eat a balanced diet, get as much sunlight as you can, drink sensibly, quit smoking and consider HRT

highlights the need for greater support for women experiencing this inevitable change in their life. Brought about by a biological shift, the menopause is when a woman stops having periods and is no longer able to get pregnant naturally. Although it typically occurs between the age of 45 and 55, around one in 100 women experience it before the age of 40—a condition known as premature menopause or premature ovarian insufficiency.

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The symptoms Although most will experience some symptoms, their duration and severity will vary greatly from woman to woman. They may start months or even years before your periods stop and can last for some time afterwards. Some of the most common symptoms include:

Hot flushes

Short, sudden feelings of heat—mostly in the face and neck—which can make the skin red, patchy and sweaty. Caused by changes in a woman’s hormone levels, hot flushes can be uncomfortable, embarrassing and disruptive.

Night sweats

These are hot flushes that occur during the night. Night sweats are when the body sweats so profusely that it soaks any night clothes and bedding, even when the sleeping environment is cool.

Difficulty sleeping

Sometimes, due to recurring episodes of night sweats, difficulty sleeping may make sufferers feel tired and irritable during the day.

Vaginal dryness

A decrease in oestrogen during the menopause can cause persisting vaginal dryness. In addition to this common condition, the menopause can also cause pain and itching as well as discomfort during intercourse.

Mood changes

The fluctuation in hormones typical of the menopause may cause mood changes, anxiety and periods of extremely low moods

Urinary tract infections

UTIs such as cystitis are common infections affecting the bladder, kidneys and the tubes attached to them. They may become more frequent as women approach the menopause.

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use code: DRHJ15 Women going through the menopause can suffer from a range of side effects, from hair loss and brittle nails to dizziness and weight gain, but it is the night sweats that can leave women feeling uncomfortable, unable to sleep and ultimately lead to severe fatigue during the day. But now, Esteem – No Pause has created a range of innovative nightwear and lounge wear which has been specifically developed for women who want to combat night sweats, while looking and feeling great. Using the latest advances in fabric technology, Esteem – No Pause has created a clothing range that is cool, breathable and hygienic. The Body Moisture system helps to alleviate the uncomfortable symptoms of night sweats and hot flushes, using smart technology fabric that moves sweat away from the body and absorbs even the smallest amount of moisture. The range is stylish and versatile, and can be worn as lingerie, daywear, nightwear, loungewear or even exercise wear to combat excess sweating.

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OVER 60 POSSIBLE TREATMENTS Menopause cannot be treated, but its symptoms can be managed. Although not all women will want or need treatment, family doctors are best placed to advise patients on the various management options. The most well-known treatment—possibly because it has been controversially linked to a higher risk of breast cancer in multiple studies—is hormone replacement therapy (HRT). This form of treatment involves taking oestrogen to replace the decline of the hormone in the patient’s body. Available as tablets, skin patches, gel or implants, it is an extremely effective way of relieving symptoms. Some side effects include headaches and breast tenderness—in some women, it is also associated with blood clots and breast cancer. Alternative treatments, such as herbal remedies

TIPS FOR A HEALTHY MENOPAUSE • Eat regularly. Skipping meals will make it difficult to maintain a healthy weight and achieve daily nutritional requirements • Five a day. Consume five or more portions of different fruits and vegetables a day • Phytoestrogen-rich foods. Eat foods rich in phytoestrogen— compounds that naturally occur in plants—like soya milk, pulses and linseed bread to reduce flushing and lower cholesterol • Oily fish. Consume at least one portion of omega 3-rich oily fish a week like herring, mackerel, tuna and salmon • Keep caffeine low. Watch your intake of stimulants like caffeine and alcohol • Physical activity. Walk or cycle at least 30-40 minutes a day to keep weight under control

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and natural hormones are generally not recommended by the health service and are considered non-traditional; this is because their safety and effectiveness are still relatively unclear. These therapies include supplements, acupuncture, chiropractic, homeopathy and specialised diets. Botanicals (medicines derived from plants) are also available to relieve uncomfortable symptoms of the menopause—make sure to discuss your wishes and options with your doctor. They will be able to advise you on the best course of action.

EARLY MENOPAUSE Premature ovarian failure (POF) affects around one in 100 women before the age of 40 and five in 100 before the age of 45. While doctors have different opinions on what the ‘normal’ age for menopause is, most consider it to be ‘early’ if it occurs before a woman turns 45. Some natural causes of POF are chromosomal abnormalities—such as Down’s syndrome—enzyme deficiencies and autoimmune diseases. According to NHS Choices, POF can also be induced through medical treatments damaging

egg production (like radiotherapy or chemotherapy), hysterectomies and infections such as tuberculosis, mumps, malaria and chickenpox. Women with premature menopause are also at a higher risk of osteoporosis. In these circumstances, many doctors recommend HRT until a woman reaches the 'normal' age of natural menopause (which is considered to be around 52).

EMOTIONAL EFFECTS Going through the menopause is a difficult time for many women. Despite it being a natural phase of every woman’s life, the subject is still surrounded by stigma. Every change that occurs in the body can affect your emotions and mental wellbeing. Many women report mood swings, anxiety and irritability. As hard as it may sound, it is important to think of the positives. Not having a period anymore can be freeing, especially if you’ve been plagued with particularly heavy or painful ones. Visit your doctor if you feel like you are struggling to cope with the menopause—whether that’s due to its symptoms or the anxiety it can cause. • LIVE TO 100 WITH DR HILARY JONES | 113

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ee Buy a policy with us and get 1 month FREE!* *To activate this oﬀer, quote ‘Live100’ when calling. This oﬀer is only available until the 1st March 2018.

Health Insurance Specialists has been awarded the eKomi Gold Seal of Approval

4.8 / 5

Visit our website or call 0808 10 18 999 to get free, no-obligation health insurance quotes. healthinsurancespecialists.co.uk

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insurance specialists

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OVER 60

Health Insurance M Nowadays, insuring our home and car is a no-brainer…why should our health be any diﬀerent?

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ore and more people in the UK are choosing to take out health insurance to cover the cost of private medical treatments and care not offered by the NHS. Private medical insurance allows patients to be less reliant on the health service as well as pay for all or some of their medical bills. Its main benefits include shorter waiting times, faster diagnosis, better facilities and convenience in choosing times for

LOWERING THE COST OF HEALTH INSURANCE • No claims •

•

Premiums could get cheaper after long periods of no claims Excess Choosing a higher excess—the amount you need to pay towards treatment yourself if you claim— may make your premiums lower Wait period If the NHS waiting list for your speciﬁc treatment or appointment is less than your chosen wait period, you must get treatment on the NHS Nominated hospitals If you choose speciﬁc hospitals for your treatments, your premium may be cheaper Good health Proving you don’t smoke or that you regularly use a gym may lower your premiums Source: Money.co.uk

Images: Shutterstock

The Ins & Outs of

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OVER 60 specific appointments. The cost of taking out health insurance will depend on an individual’s age, medical history, lifestyle and type of cover.

HOW TO CHOOSE HEALTH INSURANCE There are various things to consider when shopping around for health insurance. Most plans tend to cover inpatient treatments, exclusive medicines, hospital stays, scans and surgical procedures. A few things which basic policies do not cover are A&E visits, existing chronic problems, drug abuse, treatment abroad, organ transplants and non-essential cosmetic treatments. The two types of health insurance policies are moratorium underwriting and full medical underwriting—their main difference lies in how much information patients are asked to give their provider. Both have their pros and cons. With moratorium underwriting, patients are not required to share full medical history to their providers and they will, generally, not be initially covered for past conditions. Full medical underwriting, on the other hand, requires patients disclosing their full medical history. This plan will most likely provide the widest coverage, take longer to apply for and come with a heftier price tag. Age and health status may also dictate what type of health insurance individuals are eligible for—insurers are not likely to offer a moratorium underwriting plan to seniors over the age of 75. There are also insurance plans tailored to specific conditions and age groups. Others, for example, only provide cover if patients are forced to wait over six weeks for treatment on the NHS.

MAKING A CLAIM Once you have an insurance plan in place, claiming back is simple. Make sure you have all the information you need (insurer’s contact details and your policy membership number) as well as details about your illness. To start your claim, you may phone your insurer and ask them to refer you to a specialist, use your insurer’s website or visit a doctor directly. If you choose to do the latter, you’ll need to

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Remember Looking around for the best deal on health insurance is important. Use free comparison sites to ﬁnd a package suited to your needs. If you need additional help, consider contacting a broker. They’ll be able to get a range of quotes and assist you in choosing a policy contact your provider to check whether they can cover your treatment needs. Your insurer will take care of the bill directly with the treatment provider. In some cases, you may need to pay an excess, but this will have been pre-agreed in your policy contract. If, for whatever reason, your claim is rejected, check your policy carefully and make a formal complaint wherever necessary.

WHAT TYPES OF INSURANCE CAN YOU GET? Individual. This is taken out in one person’s name and will only pay out for that person. Joint. This can cover two people and may work out cheaper than individual policies. Family. This lets individuals cover themselves, their partner and children under one plan. Children. It is possible to take out a standalone health insurance plan for children. •

2.1% The rise in demand for private medical insurance cover in Britain in 2015 with just over 4m people insured

ALTERNATIVES TO HEALTH INSURANCE The health service is not the only alternative to taking out health insurance. Critical illness cover can be used to claim back costs incurred from serious health problems. Healthcare cash plans, on the other hand, can spread the cost of healthcare expenses into a monthly plan; these can come with a range of other beneﬁts

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UP TO £100 LOVE2SHOP VOUCHERS WHEN YOU BUY ZURICH LIFE INSURANCE

If you’re raising a family or have loved ones who depend on you, you need to plan for the unexpected. Take out life insurance with Zurich and you’re one step closer to helping protect the financial future of those closest to you should anything happen.

Simply go to zurich.co.uk/ insurance/liveto100 to find out more and put your cover in place using the code ‘LIVETO100’, and after your sixth payment we’ll send you Love2shop vouchers up to the value of £100*. You can spend your Love2shop vouchers at many shops, restaurants and attractions.

*Full terms and conditions apply. Go to zurich.co.uk/insurance/liveto100 for details. We calculate the value of your vouchers as the combined value of your first six months payments, rounded down to the nearest £5, to a maximum value of £100. The vouchers will be issued after your sixth payment and you have completed your registration. This offer applies to Level Protection, Decreasing Mortgage Cover, Whole of Life Insurance – Adaptable Life Plans taken out directly with us through zurich.co.uk/insurance/liveto100 up to and including 1st August 2018. The plan must start before 1st February 2019 for the offer to apply. Zurich Assurance Ltd. Registered in England and Wales under company number 02456671. Registered Office: The Grange, Bishops Cleeve, Cheltenham, GL52 8XX.

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05/01/2018 16:38

OVER 60 WHAT FACTORS AFFECT

LIFE INSURANCE COSTS?

Your health

Your age

Whether you smoke

Where you live

Amount of cover

Duration of policy

Protecting Your

Loved Ones

For anyone who has a family or dependants, life insurance is an important part of ﬁnancial planning

Images: Shutterstock

ost mortgage lenders will encourage their customers to protect their financial interests and take out a life insurance policy alongside their mortgage. Even though thinking about death and leaving family behind is difficult, failing to sort out a good life insurance policy ahead of time could expose your loved ones to financial and material risks. Being covered could mean the difference between your dependants struggling and them being able to pay off any remaining mortgage costs while still being able to maintain a similar standard of living. ‘Term insurance’, the most effective form of life insurance policy, pays out an agreed amount—called the ‘sum insured’—as a lump sum or a regular

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income if you pass away within a specific period of time (known as the ‘term’). You will be able to choose the length of the term as well as the size of the payout. According to experts, a good sum insured figure is around 10 times the annual income of the primary earner in a family. ‘Wholeof-life’ insurance is another common policy. This type of insurance will offer protection for your lifetime until your passing. With the latter, premiums tend to be much higher. Common policies tend to start from just £5 a month, but can vary due to a range of factors and whether or not you opt for add-ons such as critical illness cover. When looking around for insurance, make sure you compare a wide selection of policies to find a deal

20%

of British mortgage holders have no idea how they would cover their house bills if they or their partner were unable to work due to incapacity, serious illness, an accident or death Source: hcf.co.uk

that best suits your needs. Look for additional perks, too; some providers will offer cash gifts or vouchers and certain employers provide ‘death in service’ benefits. • LIVE TO 100 WITH DR HILARY JONES | 119

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From £19.99

Protect Your Loved Ones and Assets Today Please visit https://www.legacywills.co.uk/affordablewill Legacy Wills write over 200 wills a week—have yours professionally written within 30 days, in three simple steps and with the help of our advisers. STEP 1 Fill in our online form to get the ball rolling. This will take less than a minute. STEP 2 Our in-house experts will prepare your bespoke will to meet all of your requirements. You can sit back and have peace of mind. STEP 3 You’ll receive your documents by post. Simply sign and send back in the pre-paid envelope provided.

IN YOUR WILL YOU CAN… • Appoint executors. • Instruct the distribution of your residuary estate. • Exclude speciﬁc individuals from inheriting, should you wish to do so. • Give funeral requests and organ donation requirements. • Appoint guardians for children under 18. • Make cash legacies. • Make gifts of chattels and property. • Make gifts of businesses. • Make gifts of pets. • Set an age to inherit, up to the age of 25.

G. Mackenzie

J. Hunter

R. Mills

“Absolutely brilliant to work with from start to finish. Arranged an exact time to phone and they were right on the button. Just what I needed.”

“They keep you informed every step of the way, did not pressurise in any way and were helpful with things I did not even think about.”

“Easy, straightforward company to deal with. All the mystique and expense of will writing done away with. No unnecessary expensive solicitor fees.”

Making a Will is quick and easy Please visit https://www.legacywills.co.uk/affordablewill to get started Legacy Wills & Estate Planning Ltd.Rev2b.indd 1

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OVER 60

Affairs

in Order Whether you’ve got assets, a business or family, sorting out your will in good time is crucial whatever your age

testament is an official legal document outlining an individual’s wishes involving their remaining estate; creating one will ensure you retain control over what happens to your personal assets after you’ve passed on. This can include naming a guardian for your underage children, safeguarding your unmarried partner, organising funeral plans and allocating property and inheritance to your loved ones. In order for a will to be legally binding, it needs to be witnessed and signed—while ‘DIY’ wills following a general template are common (and cheap), it is advised to discuss requirements with a legal professional.

Images: Shutterstock

WILLS: WHAT ARE THEIR FUNCTIONS? A will has four main purposes: Naming executors. Executors will be the individuals taking care of the financial process until its conclusion after you pass on. You can either choose a trusted relative or appoint a bank or solicitor to take care of this as third-party outsiders. Executors will have a range of responsibilities including paying off the mortgage and other debts out of your estate. If you’re paying a professional to write your will, you are not under any obligation to make them your executor. celebrityangels.co.uk

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Distributing the estate. Everything you own at the point of your passing will count as your estate—including your properties, businesses, cars, savings, pension fund and expensive jewellery and possessions. You may decide on who gets what out of your estate, but individuals will not be forced to take what you leave them. Providing for surviving children under 18. Individuals with dependent children should name a guardian in their will and allocate funds to ensure they’re supported whilst growing up. In the absence of a will, courts will decide what happens to a child in the event of the sudden or premature passing of their guardian. Reducing inheritance tax. There are strict laws dictating how your estate is distributed and to whom. This means the money may not go where you want it to or that it will become a burden to the recipient due to inheritance tax. According to MoneySavingExpert, individuals need to pay around 40 percent on assets worth £325,000 and above—those with sizeable estates could pay a fortune in tax. There are legal ways to reduce this figure, but they all require some forward planning in the form of a well-written testament of will. •

REMEMBER Wills are legal documents—even the smallest errors can cause big problems. Consider having your will professionally written for a fee. Look for recommendations and read up on the reputation of solicitors and will writers before committing to one

DID YOU KNOW? Around 1 in 2 adults don’t have a will Source: MoneySavingExpert

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MEDICAL Tourism

An Intro to

Health Tourism Live to 100 delves into the issue of health tourism, providing some facts and stats to educate those who are looking to travel overseas for their healthcare requirements

edical tourism, to put it simply, is the act of travelling to a foreign country to seek medical care or undergo procedures. The recent boom in this industry may be down to a few factors, not least of which is affordability and cost savings. Read on for a series of statistics on the matter. 

Some key considerations

Images: Shutterstock

It’s crucial to ask your chosen doctor, specialist or surgeon all the relevant questions before you decide to go abroad for treatment. This way, you’ll be able to go into your procedure with peace of mind. If you're considering medical treatment abroad, think very carefully and make sure to...

• Check the credentials and experience of the doctor, specialist or surgeon who will be performing the treatment or procedure • Provide a complete medical history • Enquire about possible risks and complications—all procedures carry an element of risk, even the simplest ones • Discuss what to expect after the procedure and the estimated time of recovery • Ask about post-operative check-ups and visits • Ensure that the correct pre-operative tests have been carried out prior to surgery • Research the brand of any implant being used

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MEDICALOVER Tourism 60 2021 2020 2019 2018 2017

ONS figures show there were 143,996 flights from the UK for medical reasons, compared with 100,338 in 2015 and 48,190 in 2014.

12.5%

According to the Global Medical Tourism Market 2017-2021 report, the international health tourism market is set to grow at a compound annual growth rate of 12.5% during the period of 2017-2021.

Countries like Spain, which heavily market their fertility services, saw a ten-fold rise in patients flying there from the UK.

409,000

34,000

2014

2018

NHS waiting times are now the longest they have ever been. Over 409,000 people wait more than 18 weeks for treatment—a rise from 34,000 in 2014.

Source: Oﬃce for National Statistics

A recent investigation carried out by the Office of National Statistics (ONS) suggests more Britons are choosing to travel abroad for their healthcare. According to their report, the number of people seeking medical treatment overseas has increased from 48,000 in 2014 to almost 144,000 in 2016.

Hungary saw a doubling in the number of people travelling there for medical reasons. Dentistry, fertility services and cosmetic surgery are popular there. Similarly, a seven-fold rise was seen in medical journeys to Greece—a country which specialises in IVF treatments, among other things. celebrityangels.co.uk

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Figures show countries such as Switzerland and France, both popular destinations for patients looking for orthopaedic care, saw a six-fold increase and 60% rise (respectively) between 2015 and 2016 alone.

198% rise in trips abroad from the UK for medical reasons between 2014 and 2016.

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with support of

Esthetic dentistry. implantology. Periodontology.

www.jelusic.com dr@jelusic.com Tel: +385 (0)51 718 050 Matuljska cesta 1, 51410 Opatija, CrOaTia

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The only member of the prestigious ECDi association in the SEE region European Centers for Dental implantology

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Youranew is in closer than yousteps think Get newsmile smile a few easy

et the smile you have always a referral centre for some of the most wanted while you enjoy the reputable dental material manufacturers • A centre of excellence dental Have all your complex dental issues resolved by top dental experts using theinlast delightful surroundings of the such as Nobel Biocare, and its patented implantology technological know-how, delightful Mediterranean coast Mediterranean coast. Our experts at on the system ‘All-on-Four’. We use only the • Specialists in aesthetic dental the Polyclinic Dr Jelušić will resolve your most modern US, Swiss and Japanese treatment dental issues,inno matterin how technological materials, ocated Opatija, thecomplex, North and above all maximum dedi- referral centre solutions for someand of the leading • level, Technically supported by our own and restore smile using the as most giving material our patients maximum confidence Adriaticyour coast, also known the cation to the patients and their needs dental manufacturers such as high-end dental laboratory advanced techniques. in the quality of the dental procedures Pearl of Croatian tourism, the allowed the Polyclinic Dr. Jelušić Nobel Biocare, and their patented sys• have Competitively priced, offering great to The clinic offers a perfect fusion of and therapy outcomes. Clinic dr. Jelušić creates a perfect become best example of premium tem “All-on-Four”. Only the most modvalue forthe money world-class dentistry with an enhanced Our bespoke therapy plans are fusion of world-class dental service with a practice, recognized by the best ern US, Swiss and Japanese technology • dental Relaxing VIP treatment including experience in the beautiful setting of designed to meet the individual needs supreme experience. Opatija is only two European dental experts. solutions and premium materials are used airport transfers, hotels and tailored Opatija on the Northern Adriatic coast. of patients, and are tailored to enable hours worth of a drive away from Venice, at the polyclinic, giving the patients maxisupport Known as the Pearl of Croatian tourism, patients to immediately resume their dayabout 45 minutes from the Airport in mum certainty in the quality of the dental • •Warm, atmosphere Centrefriendly of excellence in Opatija is only a two-hour drive from to-day activities, without any discomfort Trieste, and five hours worth of a drive procedures and the therapy outcome. dental implantology • Staff speak fluent English Venice, about 45 minutes from Trieste or need for additional treatment, all from Vienna Munich. That from is theVienna reason Thea therapy plan of is designed to meet • •Ahigh trusted partner with over 20 years estethic treatment airport, andor five hours’ drive within short period time. why patients from Europe the The individual needs of the patient, and withwith patients •ofinexperience coolaboration own from or many Munich. The stunning locationwhich makes Polyclinic Dr Jelušić has become areit looking forchoice premium dental service ita isleading tailored to where patientdental can hihg-end dental laboratory abroad a popular for many patients example of athe premium choose Opatijawho as their – here immediately resume by day-to-day activi• •Quality assured andmoney certified. the best value for from Europe seek destination a premium dental practice, recognised renowned they can combine their “dentaltheir business” ties, without any discomfort or need for service. Patients can combine dental European dental experts. Offering • VIP organised transfer, hotel and support with pleasure: whilehospitality getting a where new smile, additional of that in short work with relaxing they the highesttreatment, standards all of professional • friendly atmosphere they lodging, excellent period of time. canenjoy enjoypremium high quality accommodation, excellence in aesthetic dental treatments • fluent in english T: +385 51 718 050 gastronomy and pleasant A pleasant environment, the highest excellent gastronomy andMediterranean the hospitable within a welcoming environment, the • your trusted partner with 20 years Mediterranean climate at affordable prices. clinic is dedicated to satisfying patients’ climate and that with moderate prices. standards of professional excellence, of experience with patients from abroad E: dr@jelusic.com As polyclinic one of theDr. leading implant needs and ensuring they leave the The Jelušić is also a aesthetic dental treatments of awith highest www.jelusic.com specialists in Europe, the clinic is also smile they came for.

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MEDICAL Tourism

Health Tourism in…

We investigate Croatia’s growing potential for medical tourism

WHAT IS CROATIA'S APPEAL TO INTERNATIONAL PATIENTS? Affordability Price is perhaps the most obvious 126 | LIVE TO 100 WITH DR HILARY JONES

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incentive for international patients. Rates for cosmetic and medical procedures in Croatia are a fraction of those in the UK and other European countries. Research conducted by CroMedicor—a Croatian medical tourism portal—compared prices in Croatia to those in the UK, Germany, Slovenia and Italy. Specific dental treatments were analysed including dental implants, crowns, dental veneers, tooth whitening and dentures. The UK was identified as the most expensive, followed by Italy, Slovenia and Germany, with prices being the lowest in Croatia. In some instances,

fees were 70 percent higher in the UK than Croatia—a very substantial increase. Medical excellence Rapid progress is being made in a number of medical disciplines in Croatia. A variety of recent achievements in the medical field have granted Croatian health professionals reverence. For instance, a Croatian doctor was appointed to head the medical team for world-renowned football club Real Madrid in 2017. Another noteworthy achievement involved Croatian orthopaedic surgeon, Dr Alan Ivkovic, who

Images: Shutterstock

roatia—particularly its capital, Zagreb—is quietly establishing itself as a sure destination for high quality health services. Several factors have elevated the country’s medical tourism sector, attracting a diverse clientele from far and wide.

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Dental vacations:

70% lower prices for dental treatments than in the UK

Did you know that dental tourism is a consistently growing trend throughout the world? This fastpaced industry is steadily following market demand for affordable dental care, combined with a perfect vacation setting. Surveys have shown that 53% of European citizens are willing to travel to another European country to receive better quality treatment than at home. Dental vacations To put it simply, taking a dental holiday means traveling to another country for the purpose of receiving dental treatment outside the local healthcare systems, which may also be combined with a vacation. It is not difficult to understand why dental holidays are becoming increasingly popular. For example: a UK citizen can save an average of up to 70% on dental work in Croatia compared to prices at home. In

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fact, these savings are so enormous that you can pay less for an entire package deal - including airfare, dental procedure and a few days vacation - than for the treatment alone back in the United Kingdom.

Lower prices do not mean lower quality Some people might be concerned that lower prices automatically mean lower quality. However, our long-term results and strong patient satisfaction consistently

prove just the opposite impeccable quality. There are many reasons why prices for complex dental treatments are so much lower at our clinic than in other EU countries. Even though Croatia is an EU Member State, labour costs, fixed costs and education fees are much lower than elsewhere in the Union. That is why we can afford to provide you with premium products, such as Nobel Biocare, Straumann and Neodent implants, for a fraction of what you would pay in the UK.

15/12/2017 16:32

Dentum - the first point of call in Croatia for British patients Dentum is a premium dental clinic in Zagreb, Croatia’s capital, that offers high-end treatments for British patients. The team consists of 11 dentists, 11 dental assistants and 10 patient care consultants, who coordinate patient travel details, appointments and post-treatment care. Due to the clinic’s focus on dental tourism, the entire staff speaks English, German, Italian and French at a high level of proficiency. Our clinic wins its patients over with our fully customised VIP service for every patient that includes: Free accommodation At Dentum, every patient is provided with luxury accommodation during their treatment. The apartments are located in the same building as the clinic, which ensures fast and untroubled recovery. Free first visit The first free visit includes accommodation, a panoramic x-ray, dental examinations and consultations with dentists, the creation of a tailor-made treatment plan and cost estimate.

Six partner imaging centres in the UK To receive a quote, just send your dental x-rays to the clinic’s dentists, allowing them to assess your oral health status and which treatments will be necessary. If a patient is not able to fly to Zagreb for their first visit, they can conduct a panoramic x-ray at one of Dentum’s partner imaging centres in London, Birmingham, Nottingham, Manchester, Bristol or Leeds. Free airport transport service Every patient is greeted at the Zagreb Airport by Dentum’s private driver, who will bring them safely to the clinic, relieving patients of the need to organise transport once they arrive in Zagreb. Highly educated staff Due to the advanced level of education of the entire team, the clinic has been officially certified by the world’s leading dental implant brands Nobel Biocare and Straumann. One of the founders received a degree in Esthetic Dentistry at the University of California in Los Angeles, while the second founder is an official opinion leader for Nobel Biocare, as one of the leading implantologists in the entire region.

For more information about Dentum, visit www.dentum.com or contact us via e-mail at smile@dentum.com or by telephone at 020 376 939 73.

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MEDICAL Tourism

recently became the first in the world to use nose cells to repair damaged knee cartilage. Holiday potential Aside from the high quality of medical expertise, many people are drawn in by the idea of organising a procedure as part of a holiday. Croatia is known for its sunny climate, picturesque islands and rich historical sites—adding to its attraction. Various tourists arrange their medical treatment or procedure and spend their recovery enjoying Croatia’s cultural offerings.

article published in Total Croatia News in September 2017, Croatia’s dental tourism is especially popular with Italians. Buses travelling to Istria and Rijeka allow Italian natives to pop over easily for dental surgery. As a result, various clinics have required expansion, ‘with one Rijeka clinic now employing an astonishing 120 dentists’, according to the article. Similarly, budget airlines have also added to the country’s convenience. Its Adriatic airports in Split, Dubrovnik, Zadar, Rijeka and Pula are reportedly experiencing record collective air traffic.

Accessibility Accessibility is another important aspect that contributes to Croatia’s expanding medical tourism scene. Its geographical location makes it an easy trip from Slovenia, Italy, Austria and Hungary via car. This has prompted numerous tourists from these countries to take advantage of Croatia’s amenities. According to an

Investment An impressive €330 million was invested in erecting a new terminal at Zagreb airport in March 2017. This prompted international airlines such as Emirates and Qatar Airways to dramatically increase flight paths to Zagreb—connecting profitable Asian and Middle Eastern markets to this area of the world. •

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DID YOU KNOW? Croatia has seen a 40% increase in tourism from the UK since 2016 Source: European Tourism 2017: Trends & Prospects Report

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SPONSORED EDITORIAL

Zagreb : Centre of Medical Excellence

roatia, and especially its capital Zagreb, have recently stood out on the European health tourism map. Apart from top experts and technology on par with the most modern European medical centres and prestigious wellness centres waiting for you in five-star hotels, Zagreb is a city made for city breaks, and enjoying a rich gastro scene or interesting events throughout all four seasons. The city is human-sized, and if you have not visited it yet, right now is the perfect time to visit it and start to get to know all aspects of Zagreb! Numerous private and public polyclinics as well as health centres with expert staff and exceptional quality of service, at competitive prices, make the capital of Croatia the centre of medical excellence, whose comparative advantage lies in its proximity (just a two-hour flight from London!), excellent traffic connections, as well as an overall offer which satisfies even the most demanding clients. Qualified medical staff and hospitals and polyclinics with state-of-the-art equipment guarantee an excellent health service.

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Most local medical specialists gained their knowledge in the largest European medical centres, continually acquiring the latest equipment and treatment trends. That’s why Zagreb is a place where you can find world renowned medical clinics and medical practices, while many hotels in Zagreb include a high level of wellness and spa contents. There are many different types of accommodation. Today, Zagreb has 62 hotels with 7,688 beds, 52 hostels with 2,361 beds and 2,954 accommodation units as rooms/apartments/studio apartments and holiday homes with 7,121 beds. It should be noted that the Croatian metropolis throughout the year has various other content that complements the health tourism offer, creating an added value of the overall experience. There are unlimited possibilities for visits to music and theatre performances, art events and museums, sporting events, as well as enjoying pleasant walks, interesting architecture, many parks in the city centre, pedestrian zones and ambience. There is also the surrounding area—

extremely beautiful and attractive, full of vineyards and wine roads, interesting museums, medieval and baroque castles and long-standing health resorts. In the immediate vicinity of Zagreb there are several top clinics specialising in health tourism, hot springs and spa oasis, created for enjoying the wellness offers and healing natural factors. •

WHY CHOOSE ZAGREB? • Zagreb guarantees quality with competitive prices • Zagreb is close • Zagreb offers more

Zagreb Tourist Board e: info@infozagreb.hr www.infozagreb.hr

31/01/2018 09:10

SPONSORED EDITORIAL

Assisted Reproduction Center "Institute of Life - MITERA" We create together!

nstitute of Life MITERA, formerly known as IVF-MITERA, is based in Athens and is one of the largest IVF Units in Greece with approximately 2.000 IVF cycles performed every year. Our IVF unit is part of MITERA Hospital, the largest Private Hospital in the country, providing a safe, caring and supportive environment for all types of IVF services required, including egg donation, ICSI and surrogacy.

We work as a family As part of MITERA Hospital, our IVF Unit is supported by HYGEIA Group, the largest healthcare Group in Southeastern Europe with 1.219 licensed beds, 52 operating rooms and 19 delivery rooms. HYGEIA Group has more than 3.100 employees and 3.900 associate physicians and more than 9.500 babies are delivered every year.

We invest in superior technology to maximise results Our laboratory equipment is recently renovated to the highest international standards in IVF including: • Monitoring all critical laboratory operating parameters to ensure optimum conditions for the embryo culture. • A new air filtration system supplies high purity air to both the laboratory and the surgeries, maintaining Class C air quality, the highest possible rating in an embryological laboratory. • A new electronic supervisor RI Witness system that safeguards every stage of the IVF cycle. • Applying advanced micromanipulation techniques using updated optics and a low power laser system.

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Safety above all Our IVF Unit is one of the very few in Europe that is both ISO 9001:2008 and ISO 15224:2012 certified, to ensure that every couple receives healthcare services of the highest standards.

More doctors means more choices for you The Institute of Life MITERA personnel consists of leading specialized professionals such as clinical embryologists, obstetricians, gynaecologists, nutritionists and mental health scientists, who understand the emotional peculiarities of the couple. Our team of doctors are highly specialized in assisted reproductive technologies and have international professional experience mainly in the UK. •

Send an email to ips@mitera.gr and our International Patient Services (IPS) coordinators will assist you in any enquiry that you may have.

www.lifemitera.gr www.mitera.gr

08/01/2018 16:10

A S S I S T E D

R E P R O D U C T I O N

U N I T

We create together Advanced fertility care and high quality services to make your dream come true: Egg donation ICSI IMSI Surrogacy Assisted Hatching Blastocyst Culture Sperm Donation Tissue Cryopreservation PGD/PGS The IVF Unit operates under the auspices of MITERA, one of the largest private hospitals in Greece

Please contact us to learn more:

Institute of Life MITERA, Erythrou Stavrou 6, Marousi, Athens, Greece International Patient Services: ips@mitera.gr, TEL: +30 2106869627 www.lifemitera.com, www.mitera.gr

Mitera Hospital Ad.indd 1

No. : 010180168

No. : 0117372048624

03/01/2018 12:34

Embryogenesis is one of the largest, most successful IVF centres in Greece, we have been helping couples realise their dream of having a child for 25 years. During this time we have performed more than 60,000 IVF cycles and helped 25,000 babies be born. At Embryogenesis, all our doctors and embryologists are trained in the UK, experienced in monitoring patients from a distance, and use a spectrum of cutting-edge techniques with 3,000 cycles performed yearly.

As a first step, we offer a one-stop fertility diagnosis where in a single visit a range of fertility tests are performed with a review of results and treatment plan given in the afternoon. Every couple we work with has a tailored treatment depending on the cause of infertility. We focus on the couple and their specific needs, and endeavour to decrease their mental and physical stress by creating a pleasant environment based on trust. This helps us achieve high successful pregnancy rates with less financial, physical and mental costs.

Visit our website to ﬁnd out more: embryogenesis.gr/en Embryogenesis.indd 1

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MEDICAL Tourism

Health Tourism in…

Greek physician Hippocrates paved the way for western medicine in ancient times, but with rising private healthcare costs in the UK driving patients to seek treatment abroad, what does Greece have to oﬀer today?

Images: Shutterstock

reece has long been a popular tourist destination—not least for its breathtaking landscape, cultural hotspots and rich heritage. But recently, the Mediterranean country has been making a name for itself in the medical tourism arena. To boost the Greek economy, medical institutions are working closely with the government to attract patients from all over the globe and its popularity is rising as a result. Patients travel to Greece for a wide range of treatments—from heart surgery and neurosurgery to cosmetic procedures— but the country is arguably most revered for its fertility treatments.

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POPULAR TREATMENTS Fertility treatment There are around 50 fertility clinics nationwide and, often, private treatments in Greece are more cost-effective than in other countries in Europe. According to invictaclinics.com, the Greek Ministry of Health inspects and controls all IVF clinics in the country to ensure that they meet the current IVF standards as outlined by the law. Egg and sperm donation is also legally anonymous in Greece, which means that people are more willing to donate. This, in turn, decreases waiting times to a minimum—a huge benefit to individuals currently on the NHS IVF treatment waiting list.

RECOVERY While the country is relatively new to the medical tourism industry, it has a well-established tourism sector. In fact, Greece welcomed a staggering 27.5 million visitors in 2016, a number which is forecast to reach 30 million by the end of 2017. With its therapeutic spas, thermal springs and 18 UNESCO-listed World Heritage Sites, individuals can combine their recovery with a stay among stretches of idyllic coastlines or leafy green suburbs

Plastic surgery Greece boasts a healthy portfolio of trained plastic surgeons from all over the world. The country also offers a worldclass medical infrastructure in line with European quality and safety standards that takes advantage of the latest medical technology. Greece is a popular destination for patients who wish to undergo breast augmentation procedures, liposuction, facelifts and abdominoplasties. Orthopaedic care Orthopaedic care is offered in Greece’s medical centres. Available procedures include hip replacement, shoulder replacement, resurfacing and prosthetics carried out by specialist orthopaedic surgeons. A number of orthopaedic surgeries reside in historic Athens, Greece’s capital. • LIVE TO 100 WITH DR HILARY JONES | 135

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Klinik Gut St. Moritz: high above a mountain lake

Highly specialised orthopaedics – in a unique setting A growing number of UK patients are travelling to Switzerland to get treatment for their joint and spine conditions and injuries. Klinik Gut is one of the top addresses in the field of orthopaedics. The clinic offers consultations and surgeries without long waiting times. 'Heidiland', the picture-postcard landscape in the north of the Swiss canton Grisons, is not only home to the children's classic tale heroine but also the place where 2017 saw the opening of the most modern orthopaedic clinic of the region. Patients from all over Switzerland, and increasingly from abroad, come here to find relief from their disorders to joints and back. The clinic in the picturesque village of Fläsch is anything but a large impersonal hospital; it is a specialised clinic, whose staff focuses on every single patient. "It's no coincidence that we built the clinic right here instead of in a major city. We're nestled in a gorgeous landscape, yet are easy to reach from Zürich and Munich with their international airports," says Anke Senne, CEO of Klinik Gut. The clinic performs over 2'500 inpatient surgical procedures a year, along with 19'000 outpatient consultations and surgeries. The expertise of the Klinik

Gut covers all joints, from head to toe, as well as the spine, whilst most operations are done on knees, hips and shoulders. The Klinik Gut Fläsch is one of the two hospitals of the private group of orthopaedic clinics, co-owned and run by its chief physicians. The sister clinic, dating back to 1929, is situated in ritzy St. Moritz. Back in the day, its core business was to treat sports injuries of the visiting and local skiers. "You can still sense our sports DNA," says Patrick Baumann MD, the group's Chief Medical Officer. "We are a Sport Medical Base approved by the Swiss Olympic Association. We are also very proud that many elite athletes, including Olympic champions, seek out our advice and treatment of their sports injuries, be it after an accident or due to overuse." Patients from abroad often have their first appointment at Zürich airport. At its 'Airport Medical Center', the Klinik Gut offers medical consultations and examinations. Patients then chose between one of the two clinics, and return to Switzerland for the surgery at a date that best suits them. "Long waits for appointments and surgeries are a nogo," says Baumann. "Many of our patients suffer from pain permanently. They want a solution fast, and they want a lasting improvement in their quality of life."

For more information and to get an appointment, call: +41 81 595 55 55 visit: www.klinik-gut.ch/en

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MEDICAL Tourism

Health Tourism in…

Switzerland is a sought-after destination for aﬄuent health tourists seeking popular procedures

MEDICAL SPECIALTIES Switzerland is best known for offering the following specialised treatments and surgeries among others: • Dentistry • Laser eye surgery • IVF treatment • Medical spa treatments • Laser hair removal • Podiatry • Plastic and cosmetic surgery • Gynaecology • Cardiology • Allergology • Gastroenterology • Orthopaedics • Rheumatology

CHF3bn

Images: Shutterstock

ocated in the very heart of Europe, Switzerland is widely known for its stunning nature—but it’s the country’s growing medical tourism industry that has been making headlines recently. The Swiss health system is worldrenowned; people from all over the world are choosing this destination to invest in dentistry and elective surgery. Although costs for procedures are relatively higher when compared to neighbouring countries like Germany and Austria, people are still travelling to Switzerland to seek a wide range of procedures. Private clinics and hospitals in Lausanne, Berne and Geneva are especially popular destinations. A recent study published by Zurich’s Gottlieb Duttweiler Institute (GDI)—an

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The Swiss health and wellness tourism industry is worth this amount independent think tank—emphasised Switzerland’s potential as a health destination. In fact, according to the research body, over 30,000 people visit the country every year to seek out a wide range of procedures. This equals a spending in excess of one billion Swiss Francs on medical treatments alone. Switzerland Tourism estimates that health tourism accounts for over CHF500,000 of tourism spending.

SWISS HEALTHCARE Switzerland boasts over 500 hospitals, with 40 of those being private. According to healthtourism.com, the country is also home to the biggest private hospital in the world as well as a number of JCI and ISO-certified centres. These certifications are geared towards

Source: International Health Tourism Journal

improving patient safety and the quality of healthcare in the international community. It is the existing infrastructure, medical training, equipment and doctors that are swiftly putting Switzerland on the health tourism map.

SWISS TOURISM The land-locked, mountainous country is known for its artisan watchmaking and sublime chocolatiers. If you’re visiting Switzerland for medical reasons and have a few spare days for exploring after your recovery, visit Interlaken and St Moritz for some outdoor fun. Bern’s Old Town features on UNESCO’s World Heritage List and Basel is home to the world’s largest art fair. •

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13/02/2018 10:50

MEDICAL Tourism

Health Tourism in…

DID YOU KNOW? The European Commission have more information for EU residents on receiving planned medical care in another EU country

This captivating country has a lot to oﬀer its tourists— including private medical care

TREATMENTS ON OFFER Private dental care in Cyprus is considered to be both affordable and of a high quality. With many clinics offering year-long guarantees on their dental work, it’s no wonder people 138 | LIVE TO 100 WITH DR HILARY JONES

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from all around Europe are choosing Cyprus for their dentistry needs. According to treatmentabroad.com—a website dedicated to helping consumers search and compare clinics worldwide—the most common procedures of this kind carried out in Cyprus are veneers and dental implants. The website also reports that simple treatments such as laser teeth whitening can be obtained for around €350. Cosmetic surgery is another popular type of elective treatment in Cyprus, with competitive prices only making it that much more enticing. According to treatmentabroad.com, a rhinoplasty (nose reshaping) can cost around €2,400 while breast augmentation can amount to anything from €2,900 to €4,000. IVF fertility treatment is yet another procedure bringing foreign patients to

WHILE YOU’RE THERE… With its estimated 300 days of sunshine a year, Cyprus is an enviable location for postoperative care and recuperation. Attracting over 2.4 million tourists each year, this island state is best known for being the mythical birthplace of Aphrodite—the Greek goddess of beauty and love. Visit the pristine beaches of Ayia Napa, the breathtaking mountain ranges of Kyrenia and Troodos. In the winter, tourists will be able to ski—or admire skiers— on the white slopes of Mount Olympus. Paphos, which was once the country’s capital, is included in the official UNESCO list of cultural and natural treasures. There, visitors will find Roman ruins, Greek temples and crusader castles. •

Images: Shutterstock

yprus, a gem in the Mediterranean Sea, is known for its sunny climate, historical sites and glorious stretches of coastline. However, its stunning scenery isn’t the only appeal—an increasing number of visitors are flocking to this island country to take advantage of the medical care on offer there. Nikosia, the capital, is home to many cosmetic surgery centres and dental clinics. Other major towns such as Limassoll, Larnaca and Paphos also boast a large number of health clinics.

Cyprus—egg donation in the country is anonymous and waiting lists are short. In addition to the above treatments, Cyprus is also gaining recognition for specialised procedures such as minimally invasive spinal surgery, cancer surgery and facial reconstruction. Many clinics will offer deluxe packages including airport transfers, meal plans, accommodation, treatment, posttreatment care and various tourist activities.

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LIMASSOL â&#x20AC;¢ CYPRUS

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MEDICAL Tourism

Health Tourism in…

Norway is a surprising, yet viable, option for Britons in search of swift, high quality medical treatment

4.1m The number of international tourist arrivals at Norwegian hotels in 2016. This is 438,000 more than in 2015—an increase of 12%

or centuries, Norway has upheld its status as one of the most attractive tourist destinations in the world. Hikers have marvelled at its wild landscape and culture buffs have rejoiced in its rich history. In recent years, however, Norway has also become known for a more surprising reason: medical tourism.

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WHY IS NORWAY ESTABLISHING ITSELF AS A DESTINATION FOR FOREIGN PATIENTS? Shorter waiting times NHS waiting times are currently at an all-time high, pushing some people to search for another place to receive treatment. ‘With […] an increasing

number of clinical commissioning groups restricting access to surgery for certain groups of patients, it is not surprising that some people will look elsewhere for healthcare,’ says Scarlett McNally from the Royal College of Surgeons. According to the International Medical Travel Journal (IMTJ), in 2012, NHS Lothian (a region in the Scottish Lowlands) patients were offered alternative measures at clinics in Norway, Spain or Belgium. This was because they were unable to provide a guarantee of treatment within 12 weeks.

Images: Shutterstock

Source: Key Figures for Norwegian Travel and Tourism, 2016

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MEDICAL Tourism attractive, with affordable packages luring clients in from further afield. These packages can involve tooth extraction, dental implants, root canal therapy, dentures and more. Meanwhile, British dental charges—both NHS and private— are some of the most costly in Europe.

WHAT PROCEDURES ARE BEING CARRIED OUT IN NORWAY? Imaging services such as CT scans, MRI scans, ultrasound, mammography and bone density measurements are utilised by foreign patients. These are used for diagnosis and intervention purposes. A number of Britons are also taking advantage of the cataract surgery facilities on offer in Norway due to increasingly lengthy waiting times on the NHS. •

DID YOU KNOW? Norway saw the highest percentage of growth in foreign overnight stays in 2016 compared with neighbouring EU countries Source: Key Figures for Norwegian Travel and Tourism, 2016

581,000 is the number of British nationals who visit Norway every year Source: gov.uk

Medical care Besides the growing urgency for treatment being experienced by its neighbours, Norway’s medical expertise provides a significant appeal. The country has a longstanding stake in scientific discovery and treatment of cancer. The Norwegian Radium Hospital in Norway’s capital, Oslo, conducts routine advanced medical trials in oncology, furthering the establishment’s reputation for innovation. Also, Norway’s work in medical imaging has marked them as pioneers in the field. With English-speaking and EU-accredited medical staff, it’s no wonder Norway has become more appealing to overseas patients. Competitive pricing In most respects, Norway isn’t known for its affordability. However, increasing numbers of people are flocking to the country to receive medical treatments. Orthopaedic and eye surgery options are proving to be particularly cost-effective in comparison to other EU countries. Additionally, private dental practices in Norway have become particularly celebrityangels.co.uk

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WE HELP UK COUPLES TRIPLE THEIR CHANCES OF HAVING A BABY.

www.klinikkhausken.no

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KLINIKKHAUSKEN.NO

TRIPLE YOUR IVF CHANCES How can a clinic in a high-cost country like Norway be your fertility solution?

orway is one of the most expensive countries in the world. That is why so many people are startled when they find out they can get three IVF attempts at Klinikk Hausken for the same price as one attempt at a UK clinic. Price is just one part of the equation when you decide where to undergo treatment. We often see that couples take into account many different aspects. This can include experience, technology and research. Additionally, we see that is important for many to have a good chemistry with the doctor and medical team.

As the largest IVF clinic in Norway we help many couples achieve their dream of a baby. But as we have increased in size, we have kept our personal and holistic approach to IVF. We work closely with each couple to find the optimal treatment plan. Individualised care means your fertility journey goes as smooth as possible. It also gives you a higher success rate. We integrate technology, experience and customer care because it gives you the best result. For any questions please feel free to contact our customer contact: camilla@klinikkhausken.no

“You’re unique. That’s why we customise your treatment plan.”

Jon W. Hausken Medical Director

FREE SKYPE MEETING For a limited time you can request a FREE skype consultation with our medical director. Please book here: klinikkhausken.no/ UKFREE

1 2 3

That is why we work hard to combine a patient-centred approach

QUICK FACT 1

Since 2010 our time-lapse imaging technology has increased live birth rates by 24%. This technology is free with all our ivf treatments.

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with the latest in technological advances and IVF research.

QUICK FACT 2

Thorough expertise in socalled “difficult cases”. No stone is left unturned to optimise every step of the treatment process.

QUICK FACT 3

EmbryoGlue is used as embryo transferring media at no additional cost. Our approach is always optimal care at no extra cost for the couple.

16/01/2018 10:23

For more interviews, news and features on the latest beauty treatments and procedures, visit celebrityangels.co.uk

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Flawless

COVERING BEAUTY TREATMENTS AND COSMETIC PROCEDURES WITH A FOCUS ON PATIENT SAFETY

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13/02/2018 11:03

Natural Elegance

Naturally Restylane

RES/019/0316g Date of Preparation: Dec 2017

With the Restylane® line of facial aesthetic products, your practitioner can customise a personalised treatment plan to enhance your natural elegance.

To ﬁnd your nearest Restylane® practitioner, visit locator.restylane.co.uk.

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03/01/2018 13:57

welcome

Your

Complete

Beauty

Guide

as the cosmetic industry is booming, it's never been more important to keep safety in mind

C Images: Shutterstock

osmetic treatments—whether surgical or non-invasive— have seen a phenomenal rise in popularity in recent times. This is, in part, due to celebrity endorsement as well as the growing desire to Live to 100 whilst looking our best for as long as possible. Although most are happy with the results of their elective procedures, the cosmetic industry—which is now estimated to be worth around £3.6 billion—is largely unregulated, leading to concerns about its safety. This boom has led to a worrying trend: the growing number of rogue practitioners administering

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treatments in unsafe environments, without accreditation and using cheap equipment or substances. Therefore, it’s never been more important to keep safety and reliability in mind when considering a beauty treatment. We present you with the facts and stats on some of the most common procedures from skin peels, keratin treatments and lip fillers to facelifts, laser eye surgery and cosmetic dentistry. Safety is imperative in order to Live to 100 in the best and healthiest way possible. For more health and beauty-related news and features, visit celebrityangels.co.uk.

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A Smarter Way AASmarter Way ™ Smarter Way to Sculpt™™ to Sculpt ™ to Sculpt SculpSure® is the world’s first FDA-cleared laser treatment for non-invasive lipolysis of the abdomen, flanks, back, inner thighs, outer thighs, SculpSure® is the world’s first FDA-cleared and the submental (underfirst the FDA-cleared chin) area. SculpSure® is the laser treatment forworld’s non-invasive lipolysis of the laser treatment for non-invasive lipolysis the abdomen, flanks, back, innerfirst thighs, outerof thighs, SculpSure® is the world’s FDA-cleared abdomen, flanks, back, inner outer thighs, and thetreatment submental (under thethighs, chin) lipolysis area. laser for non-invasive and the submental (under the chin) area. of the abdomen, flanks, back, inner thighs, outer thighs, and the submental (under the chin) area. Before

12 weeks after 2nd SculpSure series

CORE TREATMENT. Upper & lower abdomen, left & right flanks Courtesy of C. Torgerson, MD Before

12 weeks after 2nd SculpSure series

12 weeks after 2nd SculpSure series Before CORE TREATMENT. Upper & lower abdomen, left & right flanks Courtesy of C. Torgerson, MD & lower abdomen, left & right flanks CORE TREATMENT. Upper Courtesy of C. Torgerson, MD Before

12 weeks after 2nd SculpSure series

CORE TREATMENT. Upper & lower abdomen, left & right flanks Courtesy of C. Torgerson, MD

Non-invasive body contouring

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Customised treatments for a variety •• Permanent reduction in stubborn fat • Permanent reduction in stubborn of body areas and sizes in just two 25 minute treatments fat inNo just two 25and minute treatments surgery no downtime •• • Customised treatments a variety fat Permanent reductionfor in stubborn • Customised treatments for a variety of body andminute sizes treatments in justareas two 25 of body areas and sizes more today: • Learn surgery and treatments no downtimefor a variety • NoCustomised • email No surgery and no downtime or visit ofbodycontouring@cynosure.com body areas and sizes www.sculpsure.co.uk • No surgery and no downtime FOLLOW US ON

Non-invasive body contouring Non-invasive body contouring

FOLLOW US ON FOLLOW US ON © 2018. Hologic, Inc. Contact Cooling is a trademark of Cynosure, Inc. Cynosure and SculpSure are registered trademarks of Cynosure, Inc. Hologic, Inc. owns exclusive rights to photography. Model used for illustrative purposes only. Results will vary.

Use of photography without written permission of Hologic is prohibited. OUS-2096 01/18

Non-invasive body contouring

Model used for illustrative purposes only. Results will vary.

Model used for illustrative purposes only. Results will vary. © 2018. Hologic, Inc. Contact Cooling is a trademark of Cynosure, Inc. Cynosure and SculpSure are registered trademarks of Cynosure, Inc. Hologic, Inc. owns exclusive rights to photography. Use of photography permission of Hologic is prohibited. OUS-2096 © 2018. Hologic, Inc.without Contactwritten Cooling is a trademark of Cynosure, Inc. Cynosure and01/18 SculpSure are registered trademarks of Cynosure, Inc. Hologic, Inc. owns exclusive rights to photography. Cynosure.indd 1 Use of photography without written permission of Hologic is prohibited. OUS-2096 01/18

13/02/2018 13:10

beauty treatments

The Right

Spa

Treatment

for You

We take a look at the various treatments on offer at beauty salons and spas

S Images: Shutterstock

ometimes, when life gets hectic, you might just need to take a day—or even just an hour—to relax and focus on your wellbeing. Spas provide treatments that are aimed to soothe, calm and revitalise the body. To find the right treatment for you, think about what you need: is your skin looking lifeless and dull? Are your muscles in knots after a hard week at work? Are you looking to get your glow back? Whatever you may require, a day at the spa will make all the difference to your mind, body and soul.

Facials Facials, as the name suggests, are treatments for the face. They can be used for exfoliation, extraction, hydration, rejuvenation or simply to massage. The best facials will incorporate several celebrityangels.co.uk

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key steps including cleansing, exfoliating and massaging. Steam is often used during a facial to open the pores in order to deeply exfoliate the skin and rid it of dirt and toxins. Skin peels are a popular option for those looking to reduce the appearance of wrinkles, minimise acne and even out skin tone. These treatments involve spreading an exfoliator—which may be chemical or natural—on the skin to remove the top layers of skin cells. This, in turn, reveals fresh, new skin underneath. While a chemical facial treatment can be quite harsh on the skin, it can be very effective in achieving desired results. Some of the milder treatments include a variety of masks. Clay masks draw out impurities from the skin while creambased masks are hydrating. If you’re not sure which treatment to opt for, consult with your spa therapist. They will be able Live to 100 with Dr Hilary Jones | 149

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beauty treatments to take a closer look at your skin and recommend the right treatment for you based on your desired end result.

Hands & feet Exfoliate, hydrate and beautify your hands and feet with a spa treatment. Most spas offer packages for either the hands or feet—or even a combo of both. The most common treatments for the hands and feet include a manicure or pedicure. In these treatments your nails will be filed, your cuticles will be pushed back and polish will be applied. Some packages may include a hand or foot massage as well. A reflexology massage may be offered to you as part of your pedicure treatment. Reflexology refers to a system of massaging on the hands and feet. The theory states that the reflex points of your feet correspond with other parts of your body and that applying pressure to them helps to relieve tension and treat certain illnesses. The theory relating to reflexology hasn’t been scientifically proven, but a foot massage is relaxing either way.

Body Body wraps can have countless benefits for your body and skin. Most body wraps have similar ingredients and properties that are used in facemasks, but are sealed in with cotton, mylar bandages or plastic film. Speak with a professional at your chosen spa to see what types of body wrap treatments

they offer—the most common wraps will include nourishing chocolate wraps, detoxifying clay wraps and moisturising oil wraps. Massages are, perhaps, one of the most popular treatments that people seek in spas and beauty centres. Perfect for boosting circulation and relieving muscle tension, these relaxing treatments can all be tailored to the customer's needs. There is a tendency for people to underestimate the benefits of getting a full-body exfoliation treatment at a spa. A professional exfoliation treatment will be much more thorough than what you could achieve yourself at home—and far more relaxing. Salt, sugar and coffee grounds are all common natural exfoliants; each come with their own individual health benefits. One of the simplest spa experiences includes a trip to the sauna—a small steam room. Saunas are designed to relax both mind and body while flushing out toxins from your pores and cleansing the skin. If your spa has a sauna, take some time to unwind in there, either before or after your appointment, for the ultimate relaxation. F

DID YOU KNOW? There are 100s of different kinds of massages; the most common include the Swedish massage, deep tissue massage and hot stone massage

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13/02/2018 15:26

Join Our Mailing List!

Our weekly newsletters contain details of our free competitions & prize draws, deals & offers, news & opinion on a range of beauty-related issues, exclusive celebrity interviews and digital editions of great magazines.

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14/02/2018 09:04

beauty treatments

All

Natural

FOR THOSE WHO ARE HESITANT ABOUT EXPOSING THEIR SKIN TO HARSH SYNTHETIC SUBSTANCES, THE ORIGINAL GREEN PEELTM HERBAL PEELING TREATMENT OFFERS AN ALL-NATURAL ALTERNATIVE TO CHEMICAL FACE PEELS

Who can benefit from the GREEN PEEL treatment?

This treatment is suitable for both men and women and is by no means restricted to just the skin on the face. Peeling treatments such as GREEN PEELTM may be a solution for people who suffer

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from impure skin with blemishes and hyperpigmentation, have suffered accidents or burns or have noticeable scars caused by recurring acne as well as successfully improving wrinkles. GREEN PEELTM may also help reduce the visibility of stretch marks caused by pregnancy or extreme weight gain. Depending on the cause and severity of the conditions outlined above, patients may wish to undergo several treatments over an extended period of time. The effects of the procedure can be visible after around two to three days after each sitting. There are various GREEN PEELTM peeling methods which can be suited to all skin types and conditions. For more information, visit www.greenpeel.com. F

GREEN PEELTM can have successful results on… Impure, oily skin, disturbed pores and acne Wrinkles, sagging face Sun-damaged skin Slack abdominal wall, thighs and upper arms Scars Hyperpigmentation

Images: Shutterstock

he aim of face peels is to remove dead skin cells and stimulate the growth of new cells and collagen, improving the skin’s appearance by reducing age spots and evening out skin tone. GREEN PEELTM, a medically developed skin regeneration method, uses only natural plant ingredients. This safe and medically developed treatment is prepared without any chemical additives or synthetic peeling agents. Developed by Christine Schrammek laboratories over 60 years ago, the natural formula has been medically developed over the years, following advancements in the field. The specific GREEN PEELTM recipe—which is a mixture of eight selected herbs containing essential enzymes, minerals and vitamins—is massaged into the patient’s skin. Its micro particles lightly polish the upper layers of the epidermis and its active ingredients penetrate the skin; they are then absorbed by the cutis—the outer layers of the skin— within 48 hours.

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The Original Herbal Peeling Method

NEW WAYS TO BEAUTIFUL HEALTHY SKIN CHOOSE FROM 5 TREATMENT METHODS CLASSIC

RENEW YOUR SKIN

ENERGY + Q10

REJUVENATE YOUR SKIN

Pigmentation

ENERGY

STIMULATE YOUR SKIN

Ageing Skin

Revolution & Impression Beauty Clinic

MELA WHITE

EVEN YOUR SKIN TONE

Acne

FRESH UP

ILLUMINATE YOUR SKIN

Stretch Marks

| 12 Dollis Road, Central Finchley London N3 1RG Tel: 0208 346 9632

Improve Your Skin | 437 Birmingham Road, Wylde Green, Sutton Coldfield B72 1AX Tel: 0121 386 2111 Active Clinic | 273 Hagley Road, Birmingham B16 9NB Tel: 0121 455 6529

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06/02/2018 13:33

Face

beauty treatments

Saving

THE FIRST TELL-TALE SIGNS OF AGEING TYPICALLY OCCUR IN OUR MID30S, BUT IS THERE ANYTHING WE CAN DO TO PREVENT THE EARLY ONSET OF UNSIGHTLY WRINKLES BEFORE THEN?

Eyes The skin around the eyes (referred to in medical terms as the periocular area) is significantly thinner than skin elsewhere on the face—by three to five times, in fact. This means that it is highly susceptible to damage and premature ageing, including the dreaded ‘crow’s feet’. So-called because the lines that span from the corners of the eyes to the temple emulate those of the bird’s actual ‘feet’, crow lines are often caused by sun exposure and general repetitive facial movements. Tackle this common sign of ageing with a nourishing eye cream that contains vitamins A, C and E both in the morning and before sleeping. Using a topical product that has the exfoliating chemical glycolic acid in it may also be beneficial. Glycolic acid works to remove dead skin cells on the epidermis, revealing the fresh skin beneath and promoting the production of collagen.

Mouth The mouth is one of our main communicators. With repetitive

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$250bn

was the worth of the global anti-ageing market in 2016 Source: reuters.com

movement from speaking and external factors like sun exposure, the elastin and collagen in the skin that surrounds the mouth begins to break down and lines and wrinkles begin to form as we age. Use specialised skin-firming facial creams that contain retinols to combat wrinkling and to firm the skin. Retinol is a vitamin A derivative hailed in the beauty industry as the essential antiageing ingredient. Retinols promote the production of cells and collagen and reduce the appearance of fine lines.

Neck The frequently neglected neck area is prone to premature wrinkling and sagging, making it an obvious age-giveaway. Not only is the skin on the neck thinner than the rest of the face, but it also has fewer oil-producing glands which makes it dry. Experts recommend using topical products that have the active ingredient dicaffeoylquinic acid in them. This particular ingredient promotes the production of key proteins that help keep the skin firm. F

Images: Shutterstock

rinkling skin is an inevitable part of ageing, but certain lifestyle choices including smoking and excessive sun exposure can have a detrimental effect on your skin’s health. The sun’s harmful UV rays and the chemicals found in cigarettes aid premature ageing by breaking down the essential collagen and elastin fibres that keep skin looking firm and youthful. Along with avoiding these injurious habits, keeping hydrated and eating nutrient-rich foods, you can promote healthy, youthful skin by incorporating topical products with key antiageing ingredients into your skincare regime.

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