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A new, first-of-its kind study has demonstrated that laughter can indeed be good medicine – especially for those with heart disease. Laughter therapy can increase the functional capacity of the cardiovascular system that includes the heart, lungs, arteries and veins, found the yet-to-be peer-reviewed research presented at the annual meeting of the European Society of Cardiology in Amsterdam. Researchers, including Marco Saffi from the Hospital de Clínicas de Porto Alegre in Brazil, found reduced inflammation and better signs of health among coronary artery disease patients who engaged in a course of laughter therapy. They found laughter therapy sessions could cause the tissue inside a patient’s heart to expand, potentially leading to increased oxygen flow through the body. Until now, different treatments without the use of drugs have been studied in coronary artery disease patients, but the benefits of rehabilitation using laughter therapy was not fully assessed, scientists said. In the new study, the impact of laughter therapy on the functional capacity, tissue function as well as markers of inflammation in the bodies of patients with coronary artery disease was evaluated. The condition, which is one of the most common diseases in the world, arises when the heart’s coronary arteries struggle to supply the organ with enough blood, oxygen and nutrients. Scientists conducted a clinical trial involving 26 adults with an average age of 64 from August 2016 to December 2020, measuring each of their oxygen uptake and the widening of their main artery when blood flow increases. Researchers also measured levels of molecules in the patients’ bodies, indicative of inflammation such as interleukin (IL)-6, IL-10, tumour necrosis factor (TNF)-alpha, vascular cell adhesion molecule (VCAM) and intercellular adhesion molecule (ICAM). Thirteen of the patients were assigned to the group that underwent laughter therapy by watching two self-selected TV comedy shows per week. The other 13 served as the control group and watched “neutral documentaries”, scientists noted. They said the study is the first controlled clinical trial to evaluate the impact of rehabilitation using laughter therapy on patients with coronary artery disease. It revealed an increase in the body’s peak oxygen uptake and improvements in tissue function as well as the body’s markers of inflammation. The new findings are in line with previous research that suggested having a good laughter session makes the body release endorphins, which are hormones that reduce stress and inflammation and help the heart and blood vessels relax. Based on the new results, presented at the world’s largest heart conference, scientists say laughter therapy may constitute an “effective form of cardiac rehabilitation in this patient population”. Read More How many steps a day can cut risk of early death (and it’s not 10,000) A broad genetic test saved one newborn's life. Research suggests it could help millions of others Snoring before age 50 is a health ‘red flag’, experts suggest How many steps a day can cut risk of early death (and it’s not 10,000) Experts warn that snoring before you turn 50 is a health ‘red flag’ ‘Boy moms’ called out for dubious logic behind teaching their sons to cook

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Millennials have decided to give Gen-Zers tips and tricks on how to rock ballet flats in light of the shoes’ recent fashion comeback. Julie S Lalonde (@JulieSLalonde) posted a warning to Gen-Z on X, formerly known as Twitter, that has since been viewed over 1.8 million times, saying: “Ballet flats are coming back in style but do not go down this road. They might seem cute and practical, but you will stress about going to someone’s house because the smell of your feet once you take those shoes off is KILLER.” Millennials flooded the replies with their own experiences, with many complaining about the shoes’ lack of “arch support” and noting that the flats made their “feet stink,” especially after it was worn in the rain. One user joked that the post “triggered an intense olfactory memory,” while someone else added: “The pain is killer from flexing your foot to keep it on, which is often the opposite of what you need to support your arch. You’re better off in flip flops.” Another person said: “I’ve begun smelling the smell on public transit... there are youths unable to resist the shoe’s siren song and we’re all suffering for it.” But some had a much more positive spin on ballet flats’ resurgence in popularity, offering the younger generation advice on how to avoid smelly feet and make sure that their feet were properly supported. Heidi N Moore (@moorehn) said that while she isn’t all too happy that ballet flats are making a comeback and does “not support” their return, she does have some tips for wearing the shoes. “The issue with stinky shoes is that people do not give their shoes time to breathe between wearings. So you have to rotate the ballet flats with other shoes,” she explained. Moore continued to say that while people could wear “sockettes,” wearers must make sure that their feet are “immaculately clean AND DRY before wearing the shoe”. She also recommended not to “wear the same shoes (of any kind) three days in a row” because it wouldn’t allow the flats to breathe. On the days between wearing the flats, Moore suggested sprinkling baking soda in the shoes. She added that given the range of ballet flats to choose from, including “pointed toes, mesh, straps (Mary Jane style)” and slingbacks, it would be wise to choose a ballet flat that allows for more “ventilation”. As for styling, Moore said that because of the “delicate” nature of the shoe, it requires “delicate styling”. Pieces like wide-legged jeans or anything that doesn’t showcase “the narrowness of the ankle” will only overshadow the shoes. She recommended pairing ballet flats with chiffon and tulle skirts, and more controversially, skinny jeans. “If you wear a ballet flat with something that doesn’t show the delicacy of the ankle ... just don’t wear them. They won’t look right,” she advised. Other X users had similar words of wisdom for Gen-Zers, with user @robynasaldino writing that those who were worrried about a lack of arch support could “buy liners/socks with gel or memory foam cushioned insoles”. She added: “They’re orthopedic and meant for those with low arches, but really should just be worn by everyone if you’re wearing flats. Get those.” Like Moore, she begged people to add “some foot powder for after each wear. Please”. Meanwhile, Angela Zhang (@angelahzhang) chimed in: “A one- to two-inch block heel, structured but flexible leather, insoles, and paired with ruffled socks are the way to go. Honestly, that’s never been out of style in my book.” But having been a former ballerina, she cautioned wearers that anything resembling “a real ballet slipper will absolutely ruin you”. Read More Love Miu Miu’s ballet flats? Nail the ballerina-inspired style with these similar high-street pairs The grown-up guide to getting ‘balletcore’ right Why are millennials like me so stressed about having children? Crocs announces the launch of new cowboy boots to mixed reactions Sarah Jessica Parker wears mismatched heels to New York City Ballet Gala

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