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Health

Back pain can be eased with walking – but there’s a specific number of minutes to reach

Hitting 10,000 steps a day is a goal for millions of us. But the number of minutes we walk for may be a more important target to focus on. 

Scientists believe being on your feet for over an hour-and-a-half every day could slash the risk of chronic lower back pain. 

Norwegian and Danish researchers found people who walk for over 100 minutes a day cut this risk by almost a quarter compared to those who clocked 78 minutes per day or less.

They also discovered faster walkers were less likely to have chronic back pain—but the effect was less pronounced than walking for longer.

Experts, who labelled the findings important, urged policy makers to push walking as a ‘public health strategy’ to reduce the risk of the agonising condition. 

In many cases, lower back pain starts suddenly and improves within a few days or weeks.

But if it sticks around for more than three months, it’s classed as chronic, according to the NHS. In some cases, it can be considered a disability.

In the study, 11,194 Norwegians, with an average age of 55, were quizzed on their health and how much exercise they did per week. 

Almost a sixth (14.8 per cent) reported suffering from lower back pain, answering ‘yes’ to the following questions, ‘During the last year, have you had pain and/or stiffness in your muscles or joints that lasted for at least three consecutive months? and ‘Where have you had this pain or stiffness?

Participants were considered to have the condition if they answered yes to the first question and reported pain in the lower back to the second.

Both men and women were involved in the study, and 100 minutes was found to be the optimum length of time for both sexes, and all ages.

Writing in the journal JAMA Network Open, the researchers concluded: ‘Compared with walking less than 78 minutes per day, those who walked more than 100 minutes per day had a 23 per cent reduced risk of chronic lower back pain. 

‘The reduction in risk of chronic lower back pain leveled off beyond a walking volume of about 100 minutes per day.

‘Our findings suggest that daily walking volume is more important than mean walking intensity in reducing the risk of chronic lower back pain.

These findings suggest that policies and public health strategies promoting walking could help to reduce the occurrence of chronic lower back pain.’

The researchers also noted that their results are ‘likely generalisable beyond the Norwegian adult population, as physical inactivity prevalence in Norway is comparable to that observed in other high-income countries’.

They did note some limitations of the study, including that participants with higher walking volume tended to exercise more often and reported higher physical work demands, which might give them a physical advantage over other members of the group.

In the UK, musculoskeletal conditions (MSK)—including back pain—are the second biggest reason for people being ‘economically inactive’—where someone is out of work and not looking for work.

Figures released by the Government in December 2024 revealed that MSK conditions affect approximately 646,000 Britons, 1-in-4 of the 2.8m who are claiming long-term sickness benefits.

MSK comes second only to mental health issues for reasons why people are unable to work.

It was estimated that 23.4 million working days in the UK were lost due to MSK conditions in 2022.

NHS waiting lists for MSK community services are the highest of all community waits in England, with 348,799 people in September 2024 waiting to see a specialist.

As part of their Get Britain Working White Paper, the Government pledged a £3.5million package to 17 Integrated Care Boards (ICBs) across England to improve local MSK services.

Daily Mail

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Health

The rise of ‘Ozempic neck’

he advent of weight loss drugs on the mass market have offered a lifeline for many of us unhappy with our waistlines – but there’s a new physical side-effect that’s very hard to run from, say doctors.

When the fat melts away – as drugs such as Ozempic and Mounjaro work their magic by suppressing appetite, those who take them exalt that the benefits are as plentiful as the food they once devoured.

There’s the raft of health pros – slimmed down souls rave about better sleep, improved mental wellness and the decreased risk of developing serious conditions such as heart disease and diabetes.

However, others will readily admit that the motivation for spending up to £250-a-month on weight loss jabs is purely vacuous – fired by the quest to look better and feel sexier.

And that’s where the latest Ozempic side-effect to emerge is particularly hard to swallow.

‘Ozempic neck’ – a twist on the traditional ‘turkey neck’, which has long been associated with the ageing process and takes its name from the crepe-like red wattle on real-life turkeys – is firmly on the rise, say experts.

It’s a weight loss jab side-effect that no moisturiser in the land can remedy, with surgery or more intense aesthetic treatments often the only option.

Former X Factor judge Sharon Osbourne, 73, admitted that taking Ozempic left her looking physically ‘too gaunt‘.

In November 2024, the wife of late rocker Ozzy, told Howie Mandel’s podcast, she was ‘frustrated’ by what the drugs had done to her physique.

The 73-year-old said: ‘I can’t put on weight now, and I don’t know what it’s done to my metabolism, but I just can’t seem to put any on, because I think I went too far.’

‘Ozempic neck’ finds itself added to a growing list of terms that describe the often irreversible – if you remain slim – consequences of being half the person you once were. 

There’s already ‘Ozempic feet’, referring to sagging or aging skin on the feet due to rapid fat loss – ‘Ozempic face’ and ‘Ozempic butt’, both caused by dramatic reductions in body fat. 

Ozempic and other alternatives like Mounjaro and Wegovy are all different brand names for the drug semaglutide that mimics the the actions of GLP-1 – a hormone in the brain that regulates appetite and feelings of fullness

Weekly doses of these blockbuster weight loss medicines can help people shed 15 to 20 per cent of their body weight on average.

While the physical side effects while taking such drugs have been well documented – ranging from nausea to bloating and constipation, there’s an increasing school of thought that such rapid weight-loss will definitely take off the pounds – but it can also pile on the years. 

Like the face, the neck is one of the most visible parts of the human body, and is amongst the first place that ageing is obvious.

Why is the nape and under the jaw so vulnerable to being negatively transformed by weight-loss? 

Aesthetic doctor, Dr Emma Goulding, who runs her own clinic in Cheshire, explains, telling the Daily Mail: ‘The neck has much thinner skin, less oil production and less underlying support than the face, so when fat is lost quickly, especially in midlife and beyond, the skin often can’t bounce back as smoothly.  

‘Ozempic neck is really the skin reacting to rapid weight loss combined with age, which causes reduced elasticity. 

‘That’s when fine lines, creasing and laxity start to show.’

Which other celebrities have struggled with the cosmetic downsides? 

Robbie Williams revealed he lost 25lbs – nearly 2 stone – using weight-loss drugs but some fans were left concerned by the Take That star’s ‘skinny’ appearance in his 2023 Netflix series.

While Ozempic neck is much more likely in older patients, some cosmetic doctors say they’re also seeing requests to remedy sagging neck skin in much younger patients.  

Consultant plastic surgeon Mr Paul Tulley says a ‘growing number of patients in their 20s Many now view early treatment as a preventative approach rather than waiting until signs become more pronounced. The openness of celebrities and influencers discussing their own treatments has helped remove a lot of the previous stigma.’

For some, if it’s been a major amount of weight lost, their neck is likely to look different to the way it has for their entire adult life. 

Says Dr Victoria Manning, Cosmetic Doctor at The Cosmetic Skin Clinic: ‘What’s particularly interesting is that many people are discovering they actually have necks – not just “fnecks” where the face morphs directly into the neck. 

‘When you lose significant weight, suddenly there’s definition where there wasn’t before, but along with that comes loose, crepey skin that people weren’t prepared for. 

and 30s are becoming increasingly concerned about the appearance of their neck.’

The neck has become one of the most challenging areas to treat because the skin there is so delicate and prone to laxity.’ 

So, if surgery or cosmetic ‘tweakments’ are the only way to rid yourself of ‘Ozempic neck’, where should you begin? 

Dr Emma Goulding says: ‘The good news is that treatments which stimulate collagen, such as radiofrequency, ultrasound skin tightening and injectable bio stimulators, can significantly improve firmness and texture. 

‘The best results tend to come from starting early and taking a gradual, medically guided approach.’

Is prevention better than cure? 

It’s not quite as straightforward as that, explains Dr Ed Robinson, who runs a Harley Street aesthetic clinic, but he advises there are definitely steps you can take while your weight-loss journey is happening. 

He tells the Daily Mail: ‘Aim for slower, steadier change where appropriate. If weight loss is very rapid, skin contraction often lags behind. A slower trajectory can sometimes be kinder to the neck.’

Dr Robinson says having a conversation with whoever’s prescribing your weight loss drugs about how often you take the drugs could help. 

‘And consider your lifestyle factors, prioritising dietary proteins as this supports lean mass and skin building blocks. 

‘Resistance training also helps to preserve muscle mass, which reduces the “deflated” look overall. Make sure to apply daily SPF 50 on the neck – most people miss this area!’

Daily Mail

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Health

Saudi Arabia approve Anktiva for advanced lung cancer

Saudi Arabia became the first country in the world to grant conditional regulatory approval for Anktiva as a treatment for advanced non-small cell lung cancer, according to the Saudi Food and Drug Authority.

The Saudi Food and Drug Authority has granted conditional approval for Anktiva (nogapendekin alfa inbakicept) to be used alongside immunotherapy in adults with metastatic non-small cell lung cancer whose disease has progressed despite prior treatment. It is the first regulatory authority worldwide to approve the drug for this indication.

In a parallel decision, the authority also approved Anktiva in combination with Bacillus Calmette-Guérin (BCG) for adults with high-risk, BCG-unresponsive non-muscle-invasive bladder cancer with carcinoma in situ, a group of patients with limited remaining options.

Anktiva works through a novel mechanism that targets the interleukin-15 (IL-15) receptor, stimulating the body’s immune defences by activating natural killer cells and key T-cell populations involved in fighting cancer, while avoiding the expansion of immune-suppressive regulatory T cells.

For lung cancer patients, the drug is administered by subcutaneous injection. In bladder cancer, it is delivered directly into the bladder, allowing treatment to be concentrated at the disease site.

The conditional approval for lung cancer was based on results from a single-arm clinical study involving patients who had failed one or more previous treatments, including immune checkpoint inhibitors.

The trial suggested a potential survival benefit, prompting regulators to allow the drug’s use while requiring a confirmatory study to verify long-term clinical benefit.

In bladder cancer, clinical trials showed a complete response rate of 62 per cent, with approval granted on the basis of this primary endpoint. Regulators said the results supported Anktiva as a meaningful new option for patients facing disease progression or radical surgery.

According to the SFDA, the most common side effects in bladder cancer studies included painful or difficult urination, blood in the urine, urinary urgency, elevated creatinine levels and urinary tract infections. Other reported effects included fever, chills, muscle and bone pain, and increased potassium levels.

In lung cancer trials, patients most frequently experienced injection-site reactions, fatigue, fever, nausea, chills, flu-like symptoms and reduced appetite.

GN

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Health

Cervical Cancer: Why Vaccination and Screening Can Save Lives

Cervical cancer is a malignant disease that develops in the cervix, the lower portion of the uterus that connects to the vagina. It occurs when abnormal cells in the lining of the cervix begin to grow uncontrollably. Unlike many other cancers, cervical cancer develops slowly, often over many years, progressing from precancerous cellular changes to invasive disease. This long development period makes cervical cancer one of the most preventable and treatable cancers when appropriate screening and preventive measures are in place.

Globally, cervical cancer remains a significant public health concern. It is the fourth most common cancer among women worldwide,after breast, colorectal, and lung cancers. Each year, hundreds of thousands of new cases are diagnosed, and the disease causes a substantial number of cancer-related deaths. The global burden is disproportionately higher in low- and middle-income countries, where limited access to healthcare services, screening programs, and vaccination contributes to late diagnosis and poor outcomes. 

The primary cause of cervical cancer is persistent infection with high-risk types of the Human Papillomavirus (HPV), a very common sexually transmitted infection. HPV is a DNA virus which is spread by skin to skin contact. There are over 100 subtypes, most of which do not cause significant disease in humans. Nearly all cases of cervical cancer are linked to HPV, with the majority of diagnoses being linked to HPV types 16 and 18 – to name a few .  While most HPV infections resolve on their own without causing harm, long term infection with high risk strains can lead to abnormal cellular changes in the cervix that may progress to cancer if left untreated.

Several factors increase the risk of developing cervical cancer. These include smoking, which weakens the immune system’s ability to clear HPV infections; a weakened immune system due to conditions such as HIV; long-term use of oral contraceptives; early onset of sexual activity; multiple pregnancies; and limited access to regular screening. Socioeconomic factors and lack of awareness also play a role in delayed diagnosis.

In its early stages, cervical cancer often causes no noticeable symptoms, which is why regular screening is crucial. As the disease progresses, symptoms may include abnormal vaginal bleeding (such as bleeding between periods, after sexual intercourse, or after menopause), unusual vaginal discharge, pelvic pain, or pain during intercourse. These symptoms are not exclusive to cervical cancer but should always prompt medical evaluation.

Cervical cancer is highly preventable through a combination of HPV vaccination and regular screening. The HPV vaccine is most effective when administered before exposure to the virus, typically between the ages of 9 and 14. Usually only 2 doses of the vaccine are required at this age, but if over the age of 15, 3 doses are needed. It provides strong protection against the HPV types most likely to cause cervical cancer. Many countries have incorporated the vaccine into their national immunisation programs as a key cancer prevention strategy. 

Screening methods such as the Pap smear and HPV testing can detect precancerous changes long before cancer develops. Regular screening allows healthcare providers to treat abnormal cells early, preventing progression to invasive cancer. When cervical cancer is detected at an early stage, treatment success rates are very high. Regular cervical screening decreases the risk of death from cervical cancer by 75%.

Compared to global figures, the incidence of cervical cancer in the United Arab Emirates is relatively low, reflecting the country’s strong healthcare infrastructure and growing emphasis on preventive medicine. However, cervical cancer remains a notable health issue. It is among the top five most common cancers affecting women in the UAE.

Despite the availability of advanced healthcare services, studies and health reports indicate that screening uptake among women in the UAE remains suboptimal. Cultural factors, lack of awareness, fear, and misconceptions about screening procedures can discourage women from undergoing routine Pap smears. As a result, some cases are diagnosed at later stages, when treatment becomes more complex.

The UAE has taken significant steps to reduce the burden of cervical cancer. HPV vaccination was introduced into the national immunisation program in 2018, initially targeting adolescent girls and later expanding to include boys. This reflects a long-term commitment to reducing HPV transmission and protecting future generations.

In addition, national and emirate level health authorities regularly conduct awareness campaigns, particularly during Cervical Cancer Awareness Month, to educate women about risk factors, symptoms, and the importance of screening. Public and private healthcare facilities across the country offer Pap smear and HPV testing services, often at subsidised rates or as part of routine health check-ups.

Conclusion

Cervical cancer is a largely preventable disease with well established methods for early detection and effective treatment. While the global burden remains high, especially in developing regions, countries like the UAE have made notable progress through vaccination, screening programs, and public health initiatives. Continued efforts to increase awareness, improve screening participation, and promote HPV vaccination are essential to further reduce incidence and mortality. With sustained commitment, cervical cancer has the potential to become a rare disease in the UAE, safeguarding the health and well being of women across the nation.

By Dr Dalia Aziz, Consultant Obstetrics & Gynaecologist at NMC Royal Hospital, DIP & NMC Royal Medical Centre, The Palm

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