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Is it true that … it's harder to build muscle mass and strength as you age?

Is it true that … it's harder to build muscle mass and strength as you age?

The Guardian3 days ago
'Your muscles become less responsive to exercise with age,' says Professor Leigh Breen, an expert in skeletal muscle physiology and metabolism at Birmingham University. 'It's not as easy to gain muscle and strength as when you were younger.'
But that doesn't mean it's not worth the effort. 'The idea that exercise becomes pointless past a certain age is simply wrong,' he says. 'Everyone responds to structured exercise. You may not build as much visible muscle, but strength, cardiovascular health, brain function and protection against non-transmittable disease all improve.'
Muscle mass and strength begin to decline from about the age of 40, compared with peak levels in your 20s. It's thought the body's responsiveness to training also starts to wane around then, but it is still possible to build muscle with the right strategy.
'With a few tweaks – more frequent sessions or increasing the number of sets in each workout – older adults can achieve results close to those of younger people,' Breen says. 'Nutrition is also key. Adequate protein, plus carbs and healthy fats, fuel your exercise, accelerate your recovery and support how your body adapts.'
UK guidelines recommend at least 150 minutes of moderate or 75 minutes of vigorous aerobic activity a week for those aged 19 to 64, plus muscle-strengthening exercises, such as lifting weights, for all major muscle groups at least twice a week. This is vital not just for fitness, but for long-term health.
'Regular aerobic and resistance training cuts the risk of almost every noncommunicable disease – type 2 diabetes, cardiovascular disease, Alzheimer's,' Breen says.
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Can exercising still have a positive impact on your health, even if you've never picked up a weight? 'Definitely,' he says. 'People who've trained for years are better protected, but even late starters can dramatically reduce their disease risk in a short time.'
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Revealed: Five patient deaths were linked to junior doctors' strikes
Revealed: Five patient deaths were linked to junior doctors' strikes

Daily Mail​

timean hour ago

  • Daily Mail​

Revealed: Five patient deaths were linked to junior doctors' strikes

Junior doctor strikes have resulted in the deaths of five patients as NHS leaders warn even 'more lives could be put at risk' during next week's five-day full walkout. An audit shows strikes by the BMA in 2023 and 2024 were raised in five Prevention of Future Death Reports issued by coroners. Among these was the case of Daphne Austin, 71, whose passing from sepsis was found to be the result of neglect and 'more likely than not because of industrial action by junior doctors'. As reported by The Times, Ms Austin was one of 25 patients under the care of a single consultant at Cumberland Infirmary on the day of the strike in June 2023 - which meant she received 'no medical input' or vital blood testing, an inquest heard. Another reported death was that of John Doyle, 60, who passed away of multi-organ failure in Warwickshire during the junior doctors' strike in December 2023. NHS England was warned by the coroner senior doctors were 'unable to maintain a consistent overview of patients' due to additional workload during strikes. William Hare, 71, died in Essex in January 2024 amid disruption to 'normal service' during strikes which led to delays in care and neglect. A number of other patients are likely to have died or come to harm as a result of delays caused by 44 previous days of strikes by BMA junior doctors, health leaders warned. Strikes from March 2023 to July 2024 led to the cancellation of 1.5million appointments and operations, including more than 6,500 cancer surgeries. Health secretary Wes Streeting will be meeting BMA leaders in Whitehall on Thursday afternoon in a last ditch attempt to get them to call off next week's strikes. Mr Streeting has insisted he has no plans of offering more money but is willing to reform working conditions and training. According to a Whitehall source, strikes in the health service 'have the most serious consequences'. The source added: 'The fact that the BMA rushed into strike action, even after a 28.9 per cent pay rise, and that they are telling striking resident doctors not to inform their employers to allow hospitals to plan, shows a unfathomable disregard for the wellbeing of patients.' Up to 50,000 junior doctors - who now go by the name resident doctors - will strike for five days from 7am on Julye 2 in pursuit of a 29 per cent pay rise. Hospitals may rack up a bill of £4,000 for extra shifts that cover striking junior colleagues in urgent care. But the BMA said: 'Strikes need not happen next week if the government comes forward with a plan to restore doctors' pay and rebuild the value of our workforce.' 'Planning by NHS England and hospitals is essential to keep urgent and emergency care safe during strike action and this requires NHS England to work differently; for example, we expect they are now working quickly with hospitals to plan changes to non-urgent care so urgent and emergency services can be maintained on strike days. There should be no excuse for failing to plan for such events. 'Successive rounds of action have shown that most hospital trusts run safe services, with senior doctors covering striking doctors, and several studies and analyses of hospital data that suggest mortality rates for patients admitted to hospital are not significantly different on strike days.' Daniel Elkeles, the chief executive of NHS Providers said: 'It's no surprise that some coroners found that delays led to some deaths that would have been prevented had treatment gone ahead as planned. 'That's why we say firmly that these strikes are damaging, disruptive, costly and unfair to patients whose care has to be postponed at short notice, which can have harmful effects on their health and conditions, both physical and mental. That's why we hope very much that negotiations will lead to this strike being called off.'

Healthy tradie Jacob, 21, felt tired during dinner with his mum - within days he was fighting for his life. This is his warning for all Australians
Healthy tradie Jacob, 21, felt tired during dinner with his mum - within days he was fighting for his life. This is his warning for all Australians

Daily Mail​

timean hour ago

  • Daily Mail​

Healthy tradie Jacob, 21, felt tired during dinner with his mum - within days he was fighting for his life. This is his warning for all Australians

When 21-year-old apprentice Jacob Blackwell sat down for Easter Sunday dinner with his mum Chelsea, neither of them realised it would be the last time they'd physically speak for months. Within days, Jacob would be fighting for his life - struck down by a rare and potentially fatal strain of meningococcal disease, serogroup B. 'When he left he said he was quite tired,' Chelsea told FEMAIL. 'So I said to him "go home and have a bit of a rest" and I never gave it too much thought.' What Jacob was actually battling was far more sinister - and it progressed quickly. By the next day, he was alone at his home in Maitland, NSW, grappling with a strange wave of 'flu-like' symptoms, far worse than anything he'd experienced before. There was also no tell-tale rash, the most well-known sign of meningococcal disease. Instead, Jacob felt like his whole body ached and experienced what he can now only explain as 'chronic pain'. Over the next few days he was in agony, he was delirious, and he was disoriented. Resorting to Google, he searched for his symptoms online to try and diagnose his mystery illness. But by then, it was already too late. Jacob and Chelsea were very close. They spoke or messaged each other every day. So when she didn't hear from her son for several days and noticed his phone was off, she knew something was wrong. 'On the Wednesday night, he was going to come home and watch the soccer. But he never came home,' she said. 'He would always send me a good night text, so something just wasn't sitting right with me. I thought something must have happened.' Four whole days after their dinner, Chelsea decided to jump in her car and make the hour-long drive from her home in Lake Munmorah, NSW, to Jacob's unit in Maitland to see what was going on. What she found was every parent's worst nightmare. Jacob was lying unconscious on the floor. He was completely unresponsive, his body was severely swollen, and one of his eyes was bulging from its socket. She immediately called Triple-0 and paramedics arrived within four minutes. However his condition was so grave, they initially suspected he'd been the victim of a brutal assault. They even seized his phone for evidence. But as they scrolled through his recent activity, they found his final, desperate google search: 'how to treat a migraine', and realised it might not be as black and white as they first thought. It also painted a heartbreaking picture - Jacob had known he was unwell, but hadn't realised just how sick he was. Because his symptoms didn't match the 'classic' signs of meningococcal disease, it took 24 hours before doctors realised what Jacob was actually fighting. 'There was no rash on his body, so I didn't look at him and think, "oh my gosh, this must be meningococcal",' Chelsea said. By then, the bacteria had already caused catastrophic damage to his body and his brain; doctors warned the family to prepare for the worst. Jacob was rushed into intensive care, where he would remain in an induced coma for over two weeks, completely paralysed, unable to move, speak or communicate. 'There's no other way of putting it, than absolutely heartbreaking and terrifying,' Chelsea said of seeing her son in that state. 'We had no idea what the future looked like. When it comes to the brain, they just don't know, so they couldn't give us too much information.' Meningococcal disease is rare, but is a serious illness that usually causes meningitis (inflammation of the lining of the brain and spinal cord) and/or sepsis. People with the disease can become extremely unwell very quickly, like Jacob, and five to ten per cent of patients with the disease die, despite rapid treatment. Even more concerning is that between five and 25 per cent of people in the community carry meningococcal bacteria at the back of the nose and throat without showing any illness or symptoms. As well as a typical red, spotted rash, symptoms of can be non-specific which means that it can be hard to identify. They may include anything from sudden onset of fever, joint pain, nausea and vomiting, headaches and sensitivity to bright lights. From the age of six weeks old, Australians can be vaccinated for free against strains A, B, C, W and Y of the disease, which significantly reduces the risk. However, vaccines are not 100 per cent effective and do not protect against all strains of the bacteria. Jacob spent 22 days in ICU and a total of 230 days in hospital fighting the deadly disease with everything he had. But life is far from how it was before. 'I couldn't speak, and although I consciously knew what was happening, I couldn't get any words out,' Jacob said of how scared and vulnerable he felt at that time. He described the first three days out of his coma as the hardest. 'I was just crying non-stop, and there was a moment of like, okay this is not a dream, this is real,' he said. Once he was fully conscious again, the trauma of his coma left him with PTSD, and he continues to manage physical and emotional scars of the trauma every day. Now 23, Jacob is still recovering, supported full-time by Chelsea, who has become his carer, therapist, and advocate. He walks with the aid of frame, is easily fatigued and has significant difficulty speaking, but he has come a long way in his rehabilitation - impressing medical professionals. 'From the moment I found him, it's just been terror up until probably six months ago, and we started to realise that he's actually doing really well,' Chelsea said. Now, Jacob is back living with his mum, has the support his wider family best friends around him, and is getting himself back into sports and activities he loves. This month Jacob returned to one of his great loves, swimming, in a symbolic milestone on his recovery journey. He was joined in the pool by Olympic gold medalist Libby Trickett and Paralympian Jay Dohnt, a fellow meningococcal survivor, who helped guide Jacob back into the water. Jacob's case is terrifying because it's not unique. Meningococcal disease is rare, but it is fast, brutal and often misdiagnosed. Already this year, 56 cases have been reported across Australia with winter as peak season for transmission. Worryingly, new research shows nearly half (48 per cent) of young adults aged 18-24 can't name even one symptom of meningococcal disease. Even more concerning is one in four parents of children aged zero-to-four are also unable to identify a single sign. 'People think it's a rash,' Chelsea said. 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The health conditions that may increase risk of dementia
The health conditions that may increase risk of dementia

The Independent

time2 hours ago

  • The Independent

The health conditions that may increase risk of dementia

Developing illnesses such as heart disease and diabetes before the age of 55 could significantly increase the chance of having dementia in later life, a new study suggests. Strokes or the onset of mental health conditions such as anxiety and depression between 55 and 70 could also increase risk two-fold, according to research. Experts at the University of Oxford said up to 80 per cent of dementia patients suffer from two or more chronic health conditions, but there is a "lack of understanding" when it comes to specific illnesses, age of onset and the link to dementia. They identified "critical time windows" in which certain illnesses pose the greatest risk to patients. For the study, published in Brain Communications, researchers analysed data from 282,712 people using the UK Biobank and looked at patterns for 46 chronic health conditions. They found that heart conditions such as heart disease and atrial fibrillation, as well as diabetes, before the age of 55 was most strongly linked to dementia risk. However, from 55 to 70 years of age, mental health conditions such as anxiety and depression, as well as conditions such as stroke, increased the risk of dementia two-fold. Sana Suri, an associate professor and Oxford Brain Sciences senior fellow, said: 'Although we knew that multimorbidity increased the risk of dementia, it was unclear which combinations of health conditions had the most impact and in what sequence. 'This study has identified how specific illnesses tend to co-exist with each other, and also the critical time windows in which they could pose the greatest risk.' Elsewhere, the study suggests people who have conditions such as heart disease and diabetes in middle age, followed later by conditions such as stroke and mental health disorders were at the greatest risk of developing dementia. Ms Suri said the presence of other illnesses should be taken into account when estimating a person's risk of developing dementia, and could help develop strategies that aim to reduce risk at certain points in life. She added: 'This study identified associations between multimorbidity and dementia risk but we need to understand more about why this happens. 'We also need to try to replicate the study in more diverse groups of people to ensure the results are representative of the population. 'Future studies could examine whether efforts to manage or prevent cardiovascular problems in early-to-midlife, followed by mental health and neurological disorders when people are in their fifties and sixties, might reduce the risk of dementia.'

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