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Joint pain can have a “significantly higher” physical and emotional impact on women compared to men, according to new data. Almost half (44%) of women in the survey who reported joint pain said it affected their emotional wellbeing, compared to 34% of men; while 47% of women said it impacted their sleep, and 37% of men. Nuffield Health surveyed 8,000 people over the age of 16 as part of its Healthier Nation Index. In general, Nuffield Health found 80% of women have suffered from past or current joint pain, whilst 77% of men have experienced the same. Marc Holl, head of primary care at Nuffield Health, said: “Joint pain has been ignored for far too long, and our data shows the shocking extent to which it is impacting the nation. “It affects everything: working, sleeping, walking, exercising and even resting. When we look at the worrying numbers of people, and particularly women, such things are only going to get worse.” Here’s what you need to know about looking after your joints… What misconceptions do people have about their joints? People often think that if they have a bad back or bad knees, they should avoid exercise. “This then leads people to do less over time, so the only stimulation their muscles get is an ever-decreasing level of daily activity,” said Michael Fatica, consultant osteopath from interactive online rehabilitation programme, Back In Shape. “So the joints become more vulnerable and painful. But joints are strong and, although there might well be an injury or degeneration which requires short-term modification, there should always be a pathway to medium to long-term strengthening.” How should you look after your joints? “Participate in regular strength or resistance training with a full range of motion,” Fatica suggested. “This helps you rebuild the lost strength in the muscles that protect and move the joint. Additional flexibility work can be done to ensure normal joint mobility too.” Modern life doesn’t always allow for a full range of motion movements, particularly in the knees, hips, and ankles. Unfortunately, this might allow weakness and degeneration to take place. “It is a lack of full movement and stimulation of these joints that leads to damage,” Fatica said. “People make the mistake of thinking regular walking or running should keep them healthy, but these movements for example do not involve full range of motion in the hips knees and ankles.” What exercises can people do? It can be difficult to know what type of exercise actually helps with joint pain, rather than aggravating it. Fatica said: “The squat is the simplest and most easily accessible exercise and can be scaled with resistance – you must develop good form otherwise you will injure yourself. Three to five rounds of 10 reps is a great starting point.” Why might women experience “significantly higher” pain than men? In addition to the findings Nuffield Health has already made, Fatica added: “I think that particularly in the load-bearing joints, women are less likely to partake in the type of exercises mentioned above, although this is changing in younger generations.” He suggested women might be “a little more cautious about partaking in such activities” and have a “fear of becoming ‘bulky'”, which could lead to “inadequate muscle health and strength”. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Can you grow a lemon tree from a pip? The beginner gardening questions we all want to ask Fraser Franks undergoing heart surgery – four years after ‘hidden’ condition cut short football career 4 viral TikTok make-up trends you’ll actually want to try

Of all the sweet dishes in the world, you wouldn’t expect the simple flan to be so well-travelled,” says chef Jeremy Pang. “Yet when you look at the simplicity of its ingredients – essentially a sweetened and flavoured egg custard – you can see why so many cultures have adopted the flan into their own cuisines. “This coffee-flavoured version is found in most coffee shops in Vietnam, but it’s also one of the most popular desserts in the Philippines.” Coffee and coconut flan Makes: 10 Ingredients: For the caramel: 300g caster sugar 300ml water For the custard: 6 large eggs, at room temperature 400ml coconut milk 300ml condensed milk 1 shot of strong espresso (swapsies: 2 tbsp good-quality instant coffee dissolved in 1 tbsp hot water) Whipped cream, fresh fruit or sugared peanuts, to decorate Method: 1. Stand 10 ramekins in an ovenproof dish or a deep-sided baking tray. Preheat the oven to 160C/350F/gas mark 4. 2. For the caramel, place the sugar and water in a saucepan on a low heat and stir for three to four minutes, until the sugar fully dissolves. Increase the heat to high and allow the sugar syrup to boil vigorously, without stirring, for about five to six minutes until it reaches a rich golden brown colour, taking care to ensure it doesn’t burn. Once ready, carefully and without hesitation, divide the caramel between the ramekins to form a layer of caramel on the base of each one. 3. For the custard, crack the eggs into a large mixing bowl, add the coconut milk and condensed milk, and beat well to form a thick, smooth mixture. Add the coffee and stir in, then strain the custard through a fine mesh sieve into a jug. Divide evenly between the ramekins. 4. Pour boiling water into the ovenproof dish until level with the top of the custard in the ramekins, being careful not to get any in the flans. Bake for 45 minutes to one hour, depending on size, until set. Remove from the oven and allow to cool slightly, then remove the ramekins from the hot water, taking care not to burn yourself. Allow to cool completely before serving. 5. To serve, loosen the rim of each flan using a dampened finger and then turn out onto a serving plate. Decorate with whipped cream, fresh fruit or sugared peanuts. ‘Jeremy Pang’s School Of Wok: Simple Family Feasts’ (Hamlyn, £22). Read More Marina O’Loughlin is wrong – there’s joy in solo dining Budget Bites: Three recipes to keep food bills down before pay day Meal plan: Romesco chicken and other recipes to fall in love with The chef who hated food as a child Midweek comfort food: Singaporean curry sauce and rice How to make Thai favourite lemongrass chicken stir-fry

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