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Almost one in 10 middle-aged men and more than a quarter of middle-aged women in the UK are “fit but fat”, researchers have said, as they called for more to be done to help people reduce their weight. Academics said that there are large regional differences over levels of “metabolically healthy obesity”, which could be down to different diets or other lifestyle factors as well as ethnic and genetic differences. People who are “fit but fat” are considered to be obese by their body mass index (BMI) score but have none of the complications associated with obesity including abnormal blood sugar levels; high cholesterol; high blood pressures; type 2 diabetes or other signs of heart disease. The UK has similar levels seen in Sweden, Norway and Germany, experts said. The highest proportion of metabolically healthy obesity is observed in France and other Mediterranean countries such as Italy and Israel, experts told the the Annual Meeting of the European Association for the Study of Diabetes. There will always be people living with obesity who seem to be protected against obesity-related cardiometabolic diseases Prof Mattias Bluher One study shows that 8% of men and 27% of women in the UK aged between 40 and 50 are living with “metabolically healthy obesity”. Asked how many people in the UK are affected, Professor Matthias Bluher, of the University of Leipzig and Helmholtz Centre Munich in Germany, said: “The (UK) is very similar to situation Sweden, Norway and Germany. “There are populations in Micronesia or Asian populations where it is down to 2-5% only. “Some populations may be, despite large amounts of adipose tissue, better protected against comorbidities and Caucasian populations belong to those.” Prof Bluher said that healthy obesity is seen in a number of premenopausal women. It comes as Prof Bluher called for better weight management programmes for people who fit the profile. He pointed to previous work which suggests people who are “healthy obese” have a higher risk of coronary heart disease, cerebrovascular disease and heart failure compared to their in a normal weight range. “There will always be people living with obesity who seem to be protected against obesity-related cardiometabolic diseases,” he told the conference. “The concept that metabolically healthy obesity affected people may not benefit from weight loss strategies has been challenged by recent data. “A timely and personalised treatment of obesity should also be recommended to people living with healthier obesity.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Jonnie Peacock on Strictly Come Dancing representation: ‘It’s important to break people’s perceptions’ What you need to know about depression during menopause – as Carol Vorderman opens up Autumn pests to look out for and how to get rid of them in your home and garden

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BBC One’s Strictly Come Dancing has been “fantastic” for disability representation, says Jonnie Peacock MBE – the show’s first amputee contestant. The sprinter and paralympian, who was partnered with professional dancer Oti Mabuse in 2017, helped pave the way for celebrities with disabilities, including presenters Rose Ayling-Ellis and JJ Chalmers. The new 2023 series sees cyclist and swimmer Jody Cundy – who, like Peacock, had his right leg amputated just below the knee – compete with Jowita PrzystaÅ‚, who lifted the glitterball trophy last year with Hamza Yassin. “For me, going on Strictly was important to attempt to break people’s perceptions and make them realise the reason that I would be a bad dancer would absolutely not be my leg,” says the 30-year-old. “My leg is actually one of my strong suits! “Rhythm,” he laughs, “That was more the problem.” Peacock – who became a household name after smashing the world record and claiming gold in the 100m T44 final at London 2012 Paralympic Games – said by appearing on the popular dancing show, he was “trying to get people to understand that we look at someone and we instantly judge what they’re able to do, and put them in a box”. The World Health Organisation estimates that 16% of the world’s population is disabled. “But when you look at your TV – especially 20 years ago – it [looked like] 0.1%, and the same with race and gender,” notes Peacock. “Now people are starting to realise that we want our world to be reality, and we want our [TV] world to encompass what it actually looks like. “It’s not just Strictly, pretty much all of the reality TV shows have disabled contestants in [now]. It’s so important. It’s a way to show that we are an individual, and that we have something to give.” Peacock was recently made an ASICS ambassador (“It’s really cool to be working with a brand who actually care about a lot of the things I care about – that it’s so much more than sport,” he says). And after a difficult summer on the track, he’s looking ahead to the indoor winter para season and the Paris Paralympics next summer. “I felt the worst I’ve felt in years, as soon as I got past 50 or 60 metres [during Paris Para Athletics World Championships in July],” says the sprinter, who later discovered he had hamstring tendinopathy. “I’d kind of lost the love of the event. Even though I love training, I didn’t enjoy competing too much. Even though I love doing it, it was bringing me a lot of misery.” As well as injury niggles, he’s been having issues with the alignment of his prosthetic blade. For para athletes, this technical side of the sport adds additional complication. “I used to love that, but there was a couple of years where I just felt off balance and didn’t realise why,” he says. “We had to play with so many different settings… that was the moment where I was constantly [thinking], ‘I wish I had a foot there where it should be, I wish I didn’t have to worry about setting this up and could just go for it’.” Peacock was five when he almost died from meningitis and his right leg had to be amputated – a time he has few memories of (“I have one flashback in the back of the car being rushed to hospital, with my Power Rangers duvet wrapped around me”). Growing up, he had several bone revision surgeries – “because once you’ve had an amputation, the bone will carry on growing,” explains Peacock. Now though, he’s showing no signs of slowing down, even though sprinter careers are notoriously short. For the next Paralympics, “It’s gold or nothing – Felix [Streng of Germany] has got it now [after Tokyo 2020], but my plan is to hopefully make him the shortest Paraylmpian champion ever.” After being so dominant in the 100m for so long (he’s a two-time Paralympic gold medalist, two-time world champion, and two-time European Championship gold medalist), what keeps him motivated to win? “It’s probably greed,” he laughs, “It’s just never enough, you just want more, it’s an addictive feeling. It’s like you’re just constantly chasing to try be a better athlete – a better version of you.” And with age has come a better understanding of how his own happiness and mental health is tied to his physical health. “I don’t exercise for a period of time, I can get a little bit almost, not depressed, but edging on that, just not happy, very lethargic,” he reveals. Youth comes with a blissful naivety about health, he says. Before, “I never really realised that every time I exercised, I felt better afterwards. Now [my body] is more sensitive. I don’t feel fantastic 24/7, creaks and aches start to appear, grogginess, fatigue…” These days, when he’s not feeling his best, he’ll start a day with a 15-minute indoor bike session at home, where he lives with para athlete girlfriend Sally Brown. “I hate it, I literally hate it!” he laughs. “I want to sit on the sofa and watch TV [instead]. I feel atrocious for 10 minutes afterwards, but then I bounce up so high for the rest of the day, I’m so happy. “The closest thing that affects my mental health is my [physical] health. If I eat like crap, if I sleep like crap, if I don’t exercise, I will be in a bad mental health space. If I exercise, even just a little bit, if I eat well, if I sleep well, I don’t feel like that. It’s understanding there’s a cause and effect relationship to a lot of things.” He swears by the feel-good endorphins of a freezing cold shower everyday. “My friend told me about Wim Hof [the Dutch endurance athlete known as The Iceman] six or seven years ago. I hate hot showers now, to the point where I was in a hotel once and had to get the engineer to come up because the shower didn’t go cold [enough].” Peacock says he tries to remember that “life is a game” and “a gift”. He continues: “We waste it because we take it too seriously. And we’ve been forced to take it too seriously by the outside world – we’ve been given pressures, we’ve been given expectation, and you end up allowing the stress to enclose you and take you away from that childhood mentality of just going out and having fun. “When you’re dead, you’re not going to be sitting there going, ‘Oh, I wish I’d kept my boss a bit happier’.” Jonnie Peacock is sponsored by ASICS. To find out more visit asics.com. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live What you need to know about depression during menopause – as Carol Vorderman opens up Autumn pests to look out for and how to get rid of them in your home and garden How can I tell if my child has ADHD?

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Idris Elba has revealed that he’s been in therapy for the past year because of “unhealthy habits” affecting his personal life. The British actor, 51, recently opened up about his mental health on the Changes with Annie Macmanus podcast. Speaking on the podcast released on 2 October, Elba said that he’s been in therapy for about a year. “In my therapy I’ve been thinking a lot about changing,” he said. “It’s not because I don’t like myself or anything like that. It’s just that I have some unhealthy habits that have just really formed.” “I work in an industry that I am rewarded for those unhealthy habits,” Elba added. The Luther star admitted that he’s “a workaholic” and explained how taking on new work projects has had a negative impact on his daily life. “I’m a workaholic. I’m an absolute workaholic,” he said. “And that isn’t great for life, generally. Nothing that’s too extreme is good. Everything needs balance.” However, The Wire star acknowledged that the entertainment industry rewards “someone that can go: ‘I’m not going to see my family for six months.’ And I’m in there grinding and making a new family and then leave them.” Despite admitting that he’s a workaholic, he noted that what makes him most “relaxed” is surprisingly working. Elba, who often moonlights as a DJ, went on to share that his at-home studio only further fuels his workaholic tendencies. He continued: “I could work 10 days on a film, underwater sequences holding my breath for six minutes, and come back and sit in [the studio] and [feel relaxed], more so than sitting on the sofa with the family - which is bad right? “This is the part where I’ve got to normalise what makes me relaxed, it can’t be all work,” he added. In 2020, a study of 2,000 UK office workers found that four in 10 British adults admitted that they’re workaholics. The study showed that one in six workers frequently spends more than 11 hours a week working when they are away from the office, such as checking emails and making calls. Plus, only three per cent of workers surveyed said they leave work on time every day. In the study, some of the signs of a workaholic included never taking a lunch break, working on weekends, and always being the last one to leave the office. Ignoring family can also be a sign of working too much, as one in five adults admitted they’d take a work call or check emails while with their family. Elba is married to Canadian model Sabrina Dhowre. The two began dating in 2017 and were engaged in February 2018. They tied the knot on 26 April 2019 in Marrakesh. He is also the proud father to two children. Elba shares daughter Isan, born in January 2002, with ex-wife Kim Norgaard and son Winston, born in April 2014, with ex-girlfriend Naiyana Garth. Read More Idris Elba says ‘disgusting’ race discourse put him off James Bond role David Beckham explains why he never sought therapy after 1998 World Cup match left him ‘depressed’ Dove Cameron opens up about feeling ‘incredibly suicidal’ to destigmatise depression Having an overweight pet could cost owners over £1,000 in vets’ bills What you need to know about depression during menopause – as Carol Vorderman opens up Linda Evangelista describes relationship with Gerald Marie as a ‘MeToo marriage’

Having an overweight pet could cost owners £1,500 in vets’ bills per visit, claims data has revealed. Common health problems caused by excessive weight include cruciate ligament injuries, urinary tract disease, diabetes and arthritis. Addressing cruciate ligament injuries can mean swallowing a whopping bill of £1,578.28, and urinary tract disease costs for cats are skyrocketing to a jaw-dropping £752.06. Data from pet insurer ManyPets shows, on average, pet owners are forking out £682.65 for a trip to the vets for diabetes, while arthritis costs are coming to £476.61. However, 51 per cent of cat and dog owners are already concerned about their pets’ weight, a separate poll of 2,000 pet owners found. And nearly one in five (18 per cent) with a cat or dog could encounter these bills soon as they believe their pet already is carrying more weight than it should. With almost a fifth (19 per cent) admitting they are already shelling out more to tackle their pets’ fluctuating size. The research was commissioned as part of the ManyPets ‘Why Weight?’ report and launch of its Obesity Learning Hub. Steven Mendel, chief executive and co-founder of the pet insurer, said: “We understand it can be difficult to resist rewarding pets with extra treats, and heart-breaking to say no to them when they’re asking for more food. “But, with obesity associated health problems becoming more and more prevalent, we urge pet parents to think twice to save their pets. “We’re proud to have launched our Obesity Learning Hub to offer tips and veterinary approved advice for pet parents everywhere.” The research went on to find, with the rising cost of living still looming large for many pet owners, 22 per cent have been forced to make cutbacks to their pet’s lifestyle. Almost half (49 per cent) of these are now opting for lower quality brands of food, and 37 per cent have reduced their spend on healthcare. But 88 per cent believe they would be able to recognise the signs a pet is potentially getting to an unhealthy weight, yet only 31 per cent regularly keep an eye on their pet’s weight. Moreover,39 per cent will only visit the vets in an emergency – all of which point to an increase in weight going unchecked. In a bid to help keep weight down, 76 per cent do try to keep their four-legged friends as active as possible, while 75 per cent limit the number of treats or table scraps they give out. The study, carried out via OnePoll, found of those with an overweight pet, 22 per cent feel as if their cat or dog is ‘always hungry’. While a puzzled 19 per cent scratch their heads over their pet’s weight as they don’t think they eat an excessive amount. Steven Mendel added: “While many pet owners believe it should be straightforward to spot if their cat or dog is putting on weight – it’s often easier said than done. “In most cases, gaining weight is very gradual, meaning it can be trickier to identify - especially if pets are not attending the vet regularly. “We’re hopeful that with the right course of action and identifying the signs early, longer term pet health problems can be avoided in the future.” Read More Cat owner reunited with pet Tux after emotional Lyft ride saga Dogs’ facial markings could play a role in how close they are with owners Moment cat stuck inside boat’s hull after fire is rescued by firefighters Cat owner reunited with pet Tux after leaving her in a Lyft What you need to know about depression during menopause – as Carol Vorderman opens up Linda Evangelista describes relationship with Gerald Marie as a ‘MeToo marriage’

Carol Vorderman has opened up about the “really black” thoughts she experienced during menopause. The former Countdown host, 62, admitted she had struggled with “severe depression” – despite there being “nothing wrong” in her life. “When I went through it, I had severe depression for about six months. I think it was 2015. There was nothing wrong in my life, I had made a lot of money, my kids were fine, my mum was fine,” Vorderman said, speaking on the Postcards From Midlife podcast, hosted by Lorraine Candy and Trish Halpin, this week. “Yet I would wake up in this huge bed in this huge house, I’ve got a swimming pool outside and all of that, and I just thought, ‘What’s the point?'” She added that she understands “much more now clinical depression, where you go, ‘I can’t go through this again, how can I make this stop’, and those thoughts of, ‘Well, there is obviously one way to make this stop’.” Vorderman had previously opened up about her menopause experiences during an appearance on ITV’s This Morning last year – where she revealed she had started found “bespoke HRT” helpful for managing her symptoms. By speaking out, the broadcaster and author has shone a light on the ways menopause can impact mental health. So, why does this happen, and what do people need to know? “Women may become depressed in menopause due to the change in hormonal balance. Low mood, depressive symptoms and anxiety are often the first symptoms of perimenopause,” said intimate health expert Dr Shirin Lakhani of Elite Aesthetics, who is set to be a speaker at Pause Live! 2023, a menopause event taking place in London in November. “The symptoms of perimenopause and menopause in themselves can trigger mental health problems and cause women to become depressed,” Lakhani added. This can manifest in a wide range of ways. It could be linked with the impact menopause symptoms have on somebody’s work life and relationship for example, or due to physiological changes people are dealing with. “The lack of awareness regarding menopausal symptomatology may result in needless anxiety for patients and a feeling of helplessness. Early symptoms also include difficulty concentrating, often known as brain fog. Many women also experience relationship difficulties due to the perimenopause and menopause, whole family dynamics can change, as partners and family members do not know how to support women,” said Lakhani. “A lot of women I speak to have no idea what is going on and feel they are going completely crazy. Even if it’s just having someone to listen to and acknowledge something is going on [can be] very helpful, and once they are on hormones (HRT), they often feel like they have got themselves back again.” Keep an eye out for symptoms It’s important to note that not everybody’s experience is the same, and some people do not experience severe symptoms during menopause. However, Lakhani added that “the link between menopause and poor mental health must be reviewed”, and some people may experience “thoughts of suicide”. Lakhani continued: “If you already have a pre-existing mental health condition, it is also possible that the symptoms of menopause will cause a relapse or change to your mental health too, so people need to be aware of this.” Can you protect yourself from menopausal depression? While there are common symptoms that apply to menopause, exactly how it will impact each individual can be unpredictable too. Knowledge and awareness of what’s going on is a helpful starting point. Generally speaking, Lakhani said there are measures people can take to help manage menopause. But the most important thing if you are struggling with your mental health for any reason is to seek support. “Certain lifestyle factors can affect how you feel during the menopause. Don’t smoke and try to limit alcohol, get plenty of rest by keeping to regular sleep routines, even if you struggle to sleep. Eat a healthy diet and try to eat foods with a lot of calcium, such as kale or broccoli to keep bones healthy,” suggested Lakhani. “If you are struggling with your mental health during menopause, I would recommend going to your GP or considering counselling.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Autumn pests to look out for and how to get rid of them in your home and garden How can I tell if my child has ADHD? Why hasn’t my apple tree produced much fruit this year?

Linda Evangelista has described her relationship with ex-husband Gerald Marie as a “MeToo marriage”, in the first episode of Kirsty Young’s new podcast. On Young Again, the BBC broadcaster interviews a number of famous figures about what they would tell their younger selves if given the opportunity. Evangelista reflected on her 40-year career as one of the first international supermodels, her upbringing, and her regret at not speaking about her abusive marriage sooner. The 58-year-old was married to Marie, the former head of the European division of Elite Models, from 1987 until 1993. “Did I have #MeToo moments? Absolutely. I was in a #MeToo marriage. Absolutely,” she told Young. “I kept quiet for many many years. And The Guardian did a story on all the models. Only when speaking to the journalist did I find this out. And to think that I was married to him when all this was happening, is crazy. “And there’s a side of me that thinks that if I would have spoken up and said something about what was happening to me, that maybe they would have come forward at that time. And the statute of limitations wouldn’t have run out.” In 2020, seven women accused Marie of rape and sexual misconduct, which he denied. The investigation was closed without charges last month. In a recent Apple TV+ documentary, The Super Models, Evangelista described the marriage as “an abusive relationship” and claimed Marie knew not to touch her face because that was “the money-maker”. In a statement, the 73-year-old denied the abuse allegations, and said he “has never committed the slightest act of violence”. The Super Models profiled modelling stars Naomi Campbell, Evangelista, Christy Turlington and Cindy Crawford, exploring their careers as the most sought-after models in the fashion industry during the late Eighties and Nineties. Campbell, Evangelista, Turlington and Crawford, now in their fifties and with children of their own, offer a snapshot into their early careers. Each episode – “The Look,” “The Fame,” “The Power” and “The Legacy” – features archival footage from their heyday and intimate interviews with each model. The first three episodes of Young Again, the new podcast from Young, are available now on BBC Sounds. Future episodes will be broadcast weekly on BBC Radio 4 at 11am from 3 October. The national domestic abuse helpline offers support for women on 0808 2000 247, or you can visit the Refuge website. There is a dedicated men’s advice line on 0808 8010 327. Those in the US can call the domestic violence hotline on 1-800-799-SAFE (7233) Other international helplines can be found via www.befrienders.org Read More Helena Christensen says she has no interest in being in a supermodel documentary Cindy Crawford reflects on ‘traumatising’ haircut in her early career Groping, abuse and racism: 10 of the most shocking revelations from The Super Models TV show Helena Christensen says she has no interest in being in a supermodel documentary Fans convinced that Linda Evangelista and Naomi Campbell are ‘feuding’ 10 of the most shocking revelations from ‘The Super Models’ on Apple+