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Eating fries over boiled potatoes increases type 2 diabetes risk

Eating fries over boiled potatoes increases type 2 diabetes risk

Independent2 days ago
People who eat three portions of French fries a week have a higher risk of developing type 2 diabetes, a new study suggests.
Those who consume similar amounts of boiled, baked or mash potatoes do not have an increased risk, researchers found.
An international team of researchers, including an expert from the University of Cambridge, wanted to investigate any links between potato consumption and the risk of type 2 diabetes.
Academics analysed data on studies tracking the health of more than 205,000 health workers in the US.
Repeated surveys about people's diets were performed over almost four decades.
And during the study follow-up periods, some 22,000 cases of type 2 diabetes were documented.
Overall the research team found that consumption of baked, boiled or mashed potatoes were not linked to an increased risk of type 2 diabetes (T2D).
But people who had a higher consumption of French fries – at least three weekly servings – had a 20% increased risk.
And those who eat fries five times a week appeared to have a 27% increased risk.
'The risks associated with potato intake varied by cooking method,' the authors wrote in The BMJ.
'The association between higher potato intake and increased T2D risk is primarily driven by intake of French fries.
'Higher intake of French fries, but not combined baked, boiled, or mashed potatoes, was associated with a higher risk of T2D.'
The research team also found that replacing three servings of potatoes each week with whole grains was found to lower the risk of type 2 diabetes by 8%.
'Replacing any form of potatoes, particularly French fries, with whole grains is estimated to lower the risk of T2D, reinforcing the importance of promoting whole grains as an essential part of a healthy diet,' they wrote.
But replacing potatoes with white rice was associated with an increased risk of type 2 diabetes, they found.
The research team also performed a review of all of the other studies on the topic which had similar findings.
In a linked editorial, also published in The BMJ, experts from the US and Denmark wrote: 'This finding also corresponds to the observed associations between high intake of ultra-processed foods and high risk of type 2 diabetes – French fries are often ultra-processed, whereas baked, boiled, or mashed potatoes are often minimally processed.'
They added: 'With their relatively low environmental impact and their health impact, potatoes can be part of a healthy and sustainable diet, though whole grains should remain a priority.'
Commenting on the study, Dr Faye Riley, research communications lead at Diabetes UK, said: 'This research shows that the link between potatoes and type 2 diabetes isn't as clear-cut as it might seem.
'Type 2 diabetes is a complex condition, with many factors influencing its development, including genetics, age and ethnicity.
'Diet is just one part of the picture, but this study suggests that how food is prepared can make a difference and reinforces the advice to prioritise whole grains and cut back on fried or heavily processed foods as a way to support a balanced diet and reduce your risk.'
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As thinness is idolised, eating disorders can go dangerously overlooked. Will Victoria's new approach save lives?
As thinness is idolised, eating disorders can go dangerously overlooked. Will Victoria's new approach save lives?

The Guardian

time10 minutes ago

  • The Guardian

As thinness is idolised, eating disorders can go dangerously overlooked. Will Victoria's new approach save lives?

What would become a decade-long battle that nearly claimed her life started out 'quite innocently' for Portia Michau. 'I wanted to be the 'healthiest' version of me I could be and it stumbled from there,' she says. At 14, she began to exercise and control her diet in what she says was an attempt to 'fix' her body, which had changed 'quite dramatically' during puberty. By 18, she was exercising multiple times a day and hyperfixated on her diet. Her period stopped, she couldn't sleep and she was always cold. Socialising became harder and eventually stopped altogether. Then, her heart began to slow, and she was admitted to the cardiac ward at Monash hospital in Melbourne's south-east. 'There was actually nothing technically wrong with my heart,' Michau says. 'It was just the result of being so deficient in energy.' For a month, she was confined to a hospital bed. Michau says while doctors were treating the 'side-effect' of her eating disorder, the cause was largely ignored. 'I was basically told: 'eat more,'' she says. 'Eating was my biggest fear. There was no support or understanding of that.' Now, two new Victorian government-funded programs – one a world-first, the other nation-leading – are aiming to change how the public health system responds to one of the deadliest, yet most neglected, mental health conditions. The Eating Disorders Intensive at Home program began accepting referrals in February, while Ngamai Wilam, the state's first public residential eating disorder centre, opened three months later. Both are run by Alfred Health. 'There won't be other places doing what we are doing here – both in the public or private space – probably anywhere in the world,' says Dr Paul Denborough, the director of Alfred Health's infant, child and youth mental health and wellbeing service. Denborough oversees the at-home eating disorder program, which is a world-first early intervention service, largely focused on 14- to 16-year-olds – the age when anorexia most commonly emerges. Though rare, the program has received referrals for children as young as seven, Denborough says. He says that because 'thinness is valued in western cultures', there isn't 'enough anxiety' when early signs appear, such as worrying about weight or diet. As a result, parents are generally 'a few months behind' when it gets serious. But he believes eating disorders are 'completely curable' if help comes fast. Denborough describes the at-home program as a 'one-stop shop', delivered by a team of psychiatrists, dieticians, nurses, social workers and lived experience support staff – people who've recovered from eating disorders, as well as relatives. The model, adapted from Finland's Open Dialogue approach to mental health, involves the young person's entire support network. Rachel Barbara-May, who works alongside Denborough on the program, says responsiveness is a key element. 'There's no waitlist across our entire service,' she says. 'We're often in contact within 48 hours of a referral, we provide support over the phone or in person daily. In one case, a family were having a really hard time with their young person, so we were at their home in 20 minutes.' For adults needing more intensive care, there's Ngamai Wilam. From the street, it looks like a new, modern home – not out of place in leafy Armadale. Inside, it's a thoughtfully designed 12-bedroom treatment centre. Participation is voluntary, with patients committing to undergoing weight restoration – three meals and three snacks daily, each followed by support. There's also group and one-on-one therapy. This level of care was previously only available in hospital. But here, patients can leave the building, stay in part-time work or study and keep parts of their daily routine going. Six similar centres are planned across Australia, thanks to federal funding. Dr Jenny Babb, who leads Ngamai Wilam and directs statewide women's mental health services at Alfred Health, says the shift is overdue. 'We have this history of paternalism in this space – that we do things to people,' she says. 'But it's really hard to see how that's going to then cause behavioural change.' In 2022, the Butterfly Foundation estimated eating disorders affected about 4% of Australians, or more than 1 million people, with about two-thirds of them women and girls. But the real figure could be higher – Butterfly's research estimates 17% of the population either have an eating disorder or show more than three symptoms of disordered eating. In Victoria, eating disorder presentations rose by 10% between 2008 and 2018, according to evidence presented at the state's mental health royal commission. It climbed further during the pandemic. Sign up: AU Breaking News email Yet they remain significantly underfunded. In Australia, eating disorders receive the lowest share of mental health research funding, despite anorexia having the highest mortality rate of any mental illness – in part due to starvation-related health problems but more due to high suicide rates. 'The level of distress is quite unique because it's always there,' Babb says. Part of the problem, Denborough says, is structural. Eating disorders have historically been separated from other mental illnesses, which left them siloed. There's also been a lack of political will to address it. 'Eating disorders haven't always been treated with the seriousness they deserve,' says Victoria's mental health minister, Ingrid Stitt. 'I've got no doubt there must be a gendered reason behind some of this, because there's an overrepresentation of young women.' In late 2024, Stitt released Victoria's first statewide eating disorder strategy in a decade. Backed by $31m in funding, it focuses on early intervention, improving community-based care and research and data collection. The strategy also calls for 'media and social media standards'. Stitt is hopeful the federal government's move to ban under-16s from using social media will help. 'There's a clear link between excessive social media use and body dissatisfaction among young people,' she says. While the body-positivity movement gained traction in the 2010s, the pendulum has swung back in recent years. Thinness is again being held up as an ideal, fuelled in part by the rise of weight-loss drugs and the popularity of #SkinnyTok content (a hashtag recently blocked by TikTok for promoting unhealthy weight loss). 'We've come through the gastric surgery era, and now drugs like Ozempic are the next wave,' Babb says. After Michau's stay in the cardiac ward, she spent eight weeks in a hospital-based eating disorder treatment. 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‘I thought I was going to die' — the GP who beat extreme stress
‘I thought I was going to die' — the GP who beat extreme stress

Times

timean hour ago

  • Times

‘I thought I was going to die' — the GP who beat extreme stress

The doctors stood at the end of my bed, looking mystified. I was terrified — I thought I was going to die. I'd arrived at hospital three days before with an internal temperature of 42C; now my organs were failing. As a GP myself, I knew how serious my condition was. I was 39 with a wonderful husband, three beautiful children and a successful career but I didn't have an immune system strong enough to fight this fever. After four weeks in hospital I was eventually discharged with the unsatisfactory diagnosis of PUO — pyrexia of unknown origin — which basically means 'you were very hot but we don't know why'. • Read more expert advice on healthy living, fitness and wellbeing This was a life-changing moment. Whatever the diagnosis, the cause was clear to me: burnout. For years, I'd pushed my body to breaking point. Determined to see my children, then aged ten, nine and five, grow up, I decided that I needed to use my medical knowledge to reinvent myself. The biohacks (as the data analysis and habits I deployed to optimise my health are called) have proved so successful that now, aged 53, my biological age — that is, the age of my cells, ascertained with a blood test that analyses protein markers of inflammation, central to ageing — is that of a 20-year-old. Strange as it sounds, science shows we can bring our age down in a measurable way. I'm proof of this. And while biohacking might bring to mind wealthy tech titans trying to live for ever, many of the techniques I now teach clients as a longevity doctor are free, take minutes and can add decades to our lives. • How I got Rod Stewart, 80, fit to perform I believe we should set a goal for how long we want to live, just as we set goals for everything else, and work towards it. I tell clients that, with the right approach, there's no reason they can't make one million healthy hours, or 114 years. Unlikely as it might sound, that's my intention. Certainly, I feel barely recognisable from the partner in a GP practice who was too busy to go to the loo between patients, surviving on biscuits and writing prescriptions into the night after the children had gone to bed. I thought I could manage the juggle, never slowing down enough to notice the warning signs — constantly aching neck, waking up exhausted after four hours' sleep — that I was about to crash. I worked through the fever I developed one Friday morning in 2011 so as to not let colleagues down. But by the following afternoon I was too ill to eat, move or make decisions. My husband, Manish, a dentist who was then 42, rushed me to hospital near our London home where, thinking that my temperature must be caused by a severe infection, doctors put me on a potent intravenous antibiotic drip. • On the paradise island where millionaires go to avoid death (and taxes) When that didn't help they performed emergency abdominal surgery in the middle of the night as they suspected that an abscess in my abdomen could be to blame. It wasn't. Days later, weak from surgery and with my kidney and liver function deteriorating because of my continued high fever, there was still no discernible cause. It was a month before my temperature stabilised and I was able to be discharged. Recuperating at home I realised that my body's low resilience to stress after years of pushing myself to my limit had been to blame. In addition to regaining strength, I prioritised rest, nutrition and movement, which I had long advised patients were essential but had ignored myself. I started with sleep. I set an alarm for 9.30pm to remind me to switch off screens before going to bed at 10.30pm and getting up at 6.30am. Back at work after four months off, I finally learnt to delegate. I filled up on protein and fibre, bought a standing desk, scheduled an appointment with myself at 12.30pm every day to go for a lunchtime walk or run and started lifting weights daily (I kept them under my desk at work). As years passed and I felt stronger I realised there was more I could do to monitor my health than I'd learnt at medical school. I could identify the key factors that influence our biological age and test for them. • Be a super-ager — and join the 'wellderly' These included hormones. I discovered that my levels of the stress hormone cortisol — which contributes to inflammation when raised — still weren't dropping low enough at night to allow for deep sleep. I used light to regulate it, stepping outdoors on waking for a minute, and wearing glasses after 8pm that block the blue light emitted from screens that inhibits the release of the sleep-producing hormone melatonin. A glucose test revealed that my blood sugar levels weren't at optimum stability so I bought a continuous glucose monitor (CGM) — a device you attach to the back of your arm, available from chemists for around £50 — to track exactly what sent my blood sugar levels soaring via an app. Quinoa was an unlikely culprit for me, which certainly won't be the case for everyone, but shows why monitoring individual data is important. A DNA test revealed that my genes for endurance sport are stronger than my genes for strength. As I ran the London Marathon two years ago, I told myself I was 'made for this' — not as a generic pep talk but because I was genetically programmed to keep going. It helped. I numbered my most-used longevity biohacks from 1 to 10, with a correlating activity or time, to make them easier to remember. I don't do all ten hacks every day but focus on a handful at a time, telling my clients that no matter how busy they are, everyone can find 60 seconds. For example, 1-10 means spending one minute in morning sunlight followed by ten seconds setting an intention for the day; research has found people who have purpose live for seven years longer. Meanwhile, 3-30 involves taking three sips of water every 30 minutes — one study found those with a lower fluid intake have a 21 per cent higher risk of dying prematurely — and 5-50 means holding five stretches for 50 seconds a day, including one related to balance; a study of 1,700 people aged 51-75 found people who couldn't stand on one leg for at least 10 seconds had an 84 per cent higher risk of death after seven years. • I'm healthier in my 60s than I was 30 years ago: here's how The 6-60 entails slowing your breath to less than six breaths a minute for one minute, every hour, as slow breathing has been found to lower our stress response. Some of my strategies might sound extreme. I celebrated my 50th birthday alone and in silence in a cottage in the Spanish mountains for seven days, because silence is shown to lower stress and improve cognitive function. But everyone can achieve seven seconds of silence every 70 minutes (7-70). Paying compliments, meanwhile, is important because it releases the bonding hormone oxytocin, which can help reduce feelings of loneliness. Oxytocin has been shown to light up the same centre of the brain as physical pain and may play a role in reducing inflammation. I incorporate micro movements into my day — calf raises while I'm brushing my teeth, for example — and twice a week I have a sauna, because heat helps skin detox and stimulates the metabolism. I only eat between 10am and 6pm, as fasting encourages autophagy, or cell repair, and twice a year I do a water-only five-day fast, which sounds harder than it is. After three days your body's hunger signals quieten down because it's in clean-up mode. My husband and children — now aged 24, 23 and 20 — are supportive and biohack themselves to a certain extent. They wear smart rings or bands like me to track their sleep data, heart rate and VO2 max, use sleep masks and mouth tape in the night, love exercise and sport, and have tested their gut microbiome and metabolism. They're not fanatical about it but neither am I. Although I no longer drink alcohol, I still enjoy the occasional chocolate. When I started to study longevity I felt I was getting my wrists slapped by colleagues in the medical profession. One GP said that telling people they could hack their health was dangerous. Disturbed by the semantics rather than the science, they thought I was suggesting people take extreme or unsafe measures. But what could be more important than taking control of your health? Another said the role of GPs wasn't to stop people getting sick, at which point, in 2019, I left conventional general practice to set up my longevity business. That was when I started testing my biological age, which has remained at 20 ever since. Helping to prevent people get as ill as I did and reverse ageing by 10, 20 or even 30 years feels amazing. I look younger now — my children joke that I blossomed late — but more importantly I have so much more focus, energy and joy, which I plan to maintain for told to Antonia Hoyle

The 1990s workout we should all be doing for our health (and hips)
The 1990s workout we should all be doing for our health (and hips)

Times

timean hour ago

  • Times

The 1990s workout we should all be doing for our health (and hips)

Spinning is the workout that pedalled its way into UK gyms in the late 1990s and has never disappeared. As fitness trends have come and gone, the gruelling indoor bike workout that is guaranteed to leave you in puddles of sweat has remained a constant. And a new study is the latest to endorse the health benefits of spinning classes. In the study, funded by the National Institute for Health Research (NIHR) and published in Lancet Rheumatology, researchers from Bournemouth University and University Hospitals Dorset revealed that regular spinning could be more beneficial than physiotherapy for patients with hip osteoarthritis, a condition that the NHS says affects 11 per cent of over-45s. Tom Wainwright, professor of orthopaedics at BU and a physiotherapist at UHD, says his study of 221 people in their early forties to late seventies with diagnosed hip osteoarthritis showed that introducing weekly indoor bike classes at a local leisure centre transformed their recovery by reducing pain, improving function and motivating people to manage their hip pain going forward. Participants in the study were split into two groups: the first was prescribed weekly group cycling sessions — 30-minute classes in the early weeks, progressing to 40 minutes by week six — in combination with a brief physio-led education talk before they started pedalling; the other was just offered a standard one-on-one physiotherapy appointment. • Read more expert advice on healthy living, fitness and wellbeing After two months it was the spinning group that reported the best outcomes. In an earlier study by Wainwright, published in Healthcare journal in 2020, a five-year follow-up showed that, of 83 people with hip osteoarthritis who were introduced to a weekly spinning class for six weeks and encouraged to carry on themselves, most were still using self-management strategies to manage their hip pain five years later. Almost half (45 per cent) had not returned to their GP for further treatment of their hip pain once they started spinning, and 57 per cent had not undergone hip replacement surgery. 'The instinct is to stop exercising when something hurts,' Wainwright says. 'But with osteoarthritis you need to do the opposite and keep using your joints in the right way.' Exercise will help osteoarthritis joint pain only for as long as you keep it up. 'If you do spinning for six weeks and then stop you'll go back to how you were,' Wainwright says. 'So we helped people to prepare how they would continue with their activity when the study was over.' Hip joints respond well to spinning because they are continually mobilised. 'Your good hip is helping to push through your weaker hip in a cyclical motion,' Wainwright says. 'Typically people do between 60-100 revolutions per minute, which is a lot higher movement dose than exercises traditionally recommended as part of physiotherapy rehab.' He adds that even people who hadn't exercised for years were not put off trying it. 'Spinning is very inclusive — nobody knows what resistance your bike is set at or your cadence [revolutions per minute] so it removes comparisons that create barriers for some people,' he says. 'Swimming and aqua aerobic classes have been advocated for people with joint problems in the past, but not everyone wants to put on a swimsuit or trunks and get in a pool, whereas with spinning you can wear what you like within reason.' • The definitive guide to London's gyms for every personality It was the South African cyclist Jonathan 'Jonny G' Goldberg who came up with the idea of spinning classes and who first lured a wave of body-conscious gymgoers to studios with the promise they could burn up to 600 calories an hour by bobbing up and down in unison to music led by an enthusiastic instructor on custom-designed stationary bikes. A 1997 study commissioned by the American Council on Exercise found that the calories per minute burnt in an indoor cycling class ranged from 7.5 to 19, or 'equal to a 150-pound (10.5st) person running a seven-minute mile'. However, the report highlighted that 'compared to running or step aerobics, indoor cycling is a considerably lower-impact exercise' — suggesting that even back then it was considered good news for those with joint problems. I was an early convert — I tried my first class in 1998 and still do a spin-style session at least once a week and more often in the winter. Spinning is 'a gateway class to many other forms of exercise', says Steve Barrett, head of global fitness for Matrix Fitness and a fitness trends analyst, who was a personal trainer in the 1990s when spinning arrived on the gym scene. Over the decades there have been many spin-offs (excuse the pun) including SoulCycle, 1Rebel and Psycle studios, rebranded classes at gym chains and home versions of bike workouts such as Peloton, but the premise of these remains rooted in the original concept. Barrett believes it has stood the test of time because although the premise is simple it has evolved with fitness technology. 'You can now track metrics such as heart rate, watts, distance and calories used in a session and there's added entertainment value such as in-class leaderboards that connect to bikes and wearables.' That said, you can still go at your own pace. 'You can hold back in your first few sessions and be next to someone who has been doing group cycle classes for 20 years,' he says. Follow your instructor's lead, but adjust intensity as required to stay within your comfort zone as you get used to classes. 'Nobody will be any the wiser if you are easing back a bit — you are in total control of your own bike. If it is your first time you can be really gentle with your resistance and build up in the next class.' • The best 5 exercises for tight hips Spinning really does get you fit. In the original ACE study, sports scientists found the heart rates of each spinning class participant to be between 75 per cent and 96 per cent of age-predicted heart-rate maximum, with most of the time spent at the higher end of the range that, they reported, is 'what makes [it] an effective, rewarding exercise'. What's more, Wainwright's study isn't the first to confirm spinning is good for wider health. A review of health benefits by Spanish exercise scientists reporting in Medicina journal revealed that spinning classes and sessions 'may improve aerobic capacity, blood pressure, lipid profile and body composition' whether they were a standalone intervention or performed in conjunction with other exercise and diet changes. And plenty of research has shown that both regular cycling and intervals on an indoor bike are powerful tools for long-term brain protection. I am certainly still a fan. For me, at 56, spinning offers an unrivalled high-intensity workout that complements my regular running. And Barrett says he can't see it disappearing any time soon. 'There are so many new variables in the group cycle genre and as you get better at it and more powerful, there are performance options for real fans,' he says. 'You are never too old to try it and it's not going away.' • Should you push through the pain barrier? Some spin classes incorporate hand weights, adding moves that are specifically designed to work your biceps, triceps, back and chest at the same time as your legs and glutes, but a report by the US Indoor Cycling Association suggested lifting weights as you pedal 'impedes your ability to pedal while reducing your power output', which ultimately means fewer calories burnt. The heavier the weight, the greater the adverse effect. Given weights of 1-3lb don't add much advantage to a spinning class anyway, consider giving them a miss if you are new to spinning and do a separate resistance session instead. Phil Burt, a cycling physiotherapist and author of Bike Fit, says because of the time spent in one or two positions, 'indoor riding potentially exacerbates any imbalances or tightness' in your muscles and joints. 'Get out of your sweaty kit straight after the session and dedicate some time to flexibility and mobility exercises,' he says.

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