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Tennis won Novak Djokovic over when he was just four years old. Since then, the Serbian professional tennis player established himself as a reigning men’s champion. In July 2006, he won his first Association of Tennis Professionals (ATP) event, and reached the semi-finals at Wimbledon and the French Open a year later. The 36-year-old also advanced to the finals of the US Open in 2007, but lost in straight sets to the former Swiss professional tennis player Roger Federer. He managed to win his first Grand Slam tournament at the Australian Open and was awarded a bronze medal at the 2008 Beijing Olympics. Though Djokovic’s performance has plateaued at some points, his hot streak has continued over the last 16 years. He claimed his 21st Grand Slam championship after winning Wimbledon in 2022 and gained his 10th title at the Australian Open, crowning both him and Rafael Nadal with the most Grand Slam men’s singles championships. With the 2023 Wimbledon Championships in full swing until July 16, how will Djokovic prepare himself both mentally and physically to win? Diet Djokovic starts his day with raw celery juice — which has anti-inflammatory properties – and sometimes drinks it before, during and after matches. Celery is about 90% water, so it’s great for hydration first thing in the day, especially when you don’t feel like chugging down a glass of water. On other occasions, he drinks the green goddess smoothie, “which is a load of green things chucked in and blended. In the food industry, you can get green goddess dressings, sauces and juices, which all have kale, spinach, peas, mint, cucumber, apple and spirulina powder all blended into one”, says celebrity private chef Ethan Russell. And for breakfast, Djokovic would normally eat a power bowl — it’s got a lot of healthy fats, grains, and fruit in it — or have it as a snack before exercising. The clear number one rule is being gluten and dairy-free. “It’s a choice many athletes make, especially if they want to feel and perform their best. Gluten and dairy can cause irritation,” Russell says. There are so many different dairy and protein alternatives at the moment, such as coconut, soy and almond. “The bowl has different types of grains, gluten-free granola — with pumpkin seeds and goji berries — then a low sugar style muesli,” he adds.“If you are an athlete and trying to keep your sugar low, you can opt for dairy-free yoghurt and manuka honey, which is quite expensive and very sought after, with its anti-inflammatory properties. People use it in food and skincare, making it a super food. The bowl is then topped with blueberries and strawberries, packed with natural sugars.” Warming-up Djokovic would usually start warming-up with his physiotherapist, then move onto to mobilisation and movement exercises, to minimise the risk of major injuries. Warm-ups can be anything from the running man, squat reaches to the sky and lunge rotations, all of which encourage great blood circulation. A match can last one and a half hours, and there are so many things to manage on match days, according to Mark Taylor, who coaches British tennis player Ryan Peniston and also works at the Junior Tennis Coaching academy. “They play all year round and often under immense pressure. It’s why I also work with a sports psychologist,” he says. Mindfulness Djokovic is heavily into mindfulness, and might begin his day with silent meditating — especially if he’s got an important game to focus on — in a grounded way, to promote mental clarity, calm focus and energy. “Most of us find it difficult to sit still,” says Loren Peta, yoga teacher and personal trainer. “But gentle movement and box breathing — where you draw a box with your mind’s eye to help you stay present — is a great way to transition from a state of doing to state of being.” Whilst in conversation with former Spanish tennis player Alex Corretja at the The House of ASCIS event last Friday, Djokovic opened up about his mental health and wellbeing. “If we are talking about mental strength and preparation, and how it affects performance, I feel like half of the work is already done before you step out on to the court – also known as the battlefield,” Djokovic said. “It’s why I try to only peak at the biggest tournaments and take more time than I used to, to get my mind and body into perfect harmony. My body is responding differently than it was 10 years ago, so I have to be more specific with my preparation, work, training and recovery. I believe in a holistic approach to this sport, and everything else in life. “It’s about everything you do, eat, the relationships around you, how you perceive yourself, the traumas and emotions that are suppressed in you. I know for me, if I suppress something, it will always surface on the court. The more you put these things aside, the bigger the monster will become. “If you fail to prepare, it’s going to be a difficult mountain to climb during the match. Tennis isn’t a sprint, it’s a marathon as well.” Getting the right footwear There are certain things that are important to keep in your kit. But for Djokovic, his racket and shoes are the two most important items for every tennis player, especially at his level. Good shoes adapt to the way a tennis player moves their feet, to ensure the right support and exact comfort can be added, if required. For example, improved extra heel cushioning and ankle support. “The details [are important],” said Djokovic. “Every single thing matters. How you move, how you feel with your racket and shoes. You need to be comfortable with what you are wearing, because it’s going to help you perform and move better. “I probably move differently to most of the guys out there – even on grass, I slide. [So I need] really flexible shoes that allow me to stop when I need to stop, and change directions when I need to change directions. It can’t be too light or too heavy.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Money-saving ways to garden on a budget 8 budget-friendly ways to juggle childcare and work during holidays Dior’s couture show was the epitome of quiet luxury

Idyllic images of happy children playing in sunny gardens during the summer holidays aren’t so easy to turn into a reality when you’re a working parent. Instead of wondering how full to fill the paddling pool, working mums and dads are more likely to be doing their sums about paying for the childcare they need so they can work as their kids enjoy the summer holidays. Emily Pritty, joint head of legal advice service at the charity Working Families, points out that its recent research found four in 10 low-income families have gone into debt to pay for childcare, nearly half have had to reduce their hours, and a fifth have even quit their job to manage childcare. “The summer holidays are a source of stress and anxiety for many working families whose work situation doesn’t allow them any flexibility to manage childcare and who can’t afford the additional childcare costs,” she says. “School holidays are the pinch point for so many working families with school-aged children, as the usual pattern of caring and routine changes, and the demands of work don’t reflect this.” But there are ways to make summer childcare more affordable for the UK’s 17.5 million working parents and carers, says Sabine Kobayter, chief marketing officer at Pebble, which connects parents with childcare and activity providers. “The summer holidays can be really hard for parents who are trying to juggle work and childcare – while also trying to feed hungry minds with activities that will stimulate children,” she says. “There’s a huge variance in the cost of finding childcare, and trips out as a family can quickly add up. The good news is there are many solutions to help find affordable ways to keep children entertained whilst spinning work plates too.” Here are budget-friendly summer childcare solutions suggested by Kobayter and Pritty… 1. Use holiday camps From sports camps to street dance, drama, academic and cookery, holiday camps start from £16.50 per day, says Kobayter. “Holiday camps are great as they often mirror the working day, and children can find camps that match their hobbies and interests,” she says, explaining that as holiday camps increase in popularity, the trick to getting a space is to book your child’s slot as early as possible. “This also allows you to plan your work schedule with the peace of mind knowing your children are being cared for, while doing something they love, and meeting new friends.” 2. Take paid or unpaid leave Many parents will have to use their annual leave to look after their kids over the summer, and if they don’t have enough left, unpaid leave is a statutory option, says Pritty. “The burden of taking unpaid time off does tend to fall more heavily on women due to the gender pay gap, as for family finances, often the decision is for the parent on the lower income to take the leave.” 3. Stretch out free childcare You’re entitled to 30 hours of free childcare in England, and Pritty suggests: “You could stretch your entitlement so you receive fewer hours each week but get the childcare during school holidays too.” Check whether your childcare provider will allow you to do this. 4. Get friends and family to help Many parents rely on informal networks of friends and family to help cover the gaps in caring throughout the year, and Pritty says: “This is particularly prevalent in school holidays, given the cost of holiday clubs and formal childcare. Parents often group together with friends to cover particular days and then reciprocate in a shared care arrangement.” 5. Use free kids’ activities “Not everything costs,” promises Kobayter, who suggests that if parents use annual paid/unpaid leave, or get friends and family to help with childcare, they keep subsequent costs down by searching for free activities local to them, and lock in days out as a family. “Museums, national parks, events in local parks – there’s a surprising amount available,” she says. 6. Try ad-hoc childcare Until recently, childcare needed to be locked in months, sometimes even years, in advance, says Kobayter, but now childminders and childcare providers are starting to enable ad-hoc bookings for parents in need. “As work becomes more flexible, childcare needs to as well,” she observes. “If you have a last-minute need to book childcare, all is not lost.” Pritty says the Family and Childcare Trust can provide details about your local Family Information Service, which will in turn be able to tell you about available summer childcare including childminders, nurseries, out of school clubs and any holiday schemes running in your local area. 7. Use vouchers if possible Childcare vouchers, tax-free childcare and the childcare elements of working tax credit and universal credit can all be used in holiday clubs, if the childcare is registered or approved, says Pritty, although she warns that not all childcare providers accept vouchers and they need to be signed up to tax-free childcare. You can check the types of childcare that you can get help with. 8. Check you’re getting the right financial help Pritty suggests parents check they’re getting the childcare support they are entitled to, by using this online calculator if necessary.

By Nancy Lapid The number of U.S. women who died within a year after pregnancy more than doubled

Extreme weather and storm threats pose continued challenge as Americans celebrate the Fourth of July.

Kate Garraway’s husband Derek Draper was admitted to hospital after she was awarded an MBE last week, the presenter has revealed. The Good Morning Britain host, 56, reflected on the “extraordinary day” she met the Prince of Wales at Windsor Castle with Draper watching from close by. Garraway, who was awarded the MBE for her services to broadcasting, journalism and charity, recounted an eventful week that “started with Derek in hospital and ended with Derek in hospital”. Draper, who is a former political advisor and author, contracted Covid-19 in March 2020, became critically ill and was put into a medically-induced coma. He still receives 24-hour care at home and is frequently in and out of hospital for treatments. “It was so wonderful to see Derek’s determination to be there, so kind of the Prince of Wales, to make it special for him & to recognise the work of Jake our incredible carer, who represents all those who make Derek’s daily life possible,” Garraway wrote in an Instagram post that was shared on Sunday (2 July). “Tomorrow Derek is back in hospital and of course the daily struggles go on – but the fact that he was able to be part of Wednesday is to be treasured & can’t thank everyone in the @NHS and all around him who love him for making it possible.” The couple have been married since 2005 and share two children, Darcey and Billy. Previously, Garraway spoke candidly about the reality of caring for her husband and said she has felt “frustrated, depressed and emotional” since he fell ill. The TV presenter became a full-time carer for Draper, alongside medical professionals. At the MBE ceremony, Garraway revealed that Draper “burst into tears” as she was awarded the honour by Prince William, who turned to wave at him as the former political advisor watched from his wheelchair. Garraway said: “Ah, I know, Derek burst into tears. The Prince of Wales said, ‘How’s Derek?’ and I said, ‘He’s here’. “[William] said he wants to go over [to Draper] but he’s not allowed to leave the rug, there’s a very fancy gold carpet that he stands on. “So we turned and saw and then obviously Derek was very tearful and then spoke about Jake [Draper’s carer] and gave Jake a wave as well,” she continued. Garraway has made two documentaries, Finding Derek and Caring For Derek, about her family’s journey navigating Draper’s illness. Both programmes won National Television Awards in the authored documentary category. Read More Plans for Prince Andrew to move into Harry and Meghan’s former home ‘quietly shelved’ Jo Lindner death: YouTube bodybuilding star known as Joesthetics ‘dies from aneurysm’, aged 30 Stanley Tucci recalls trying to break up with wife Felicity Blunt over 21-year age gap Kate Garraway reveals Prince William asked after Derek Draper while awarding her MBE Kate Garraway made MBE by Prince William with Derek Draper’s support Affected by someone else’s drinking? 3 key pieces of advice for loved ones of alcoholics

Is there an alcoholic in your life? We don’t often talk about the people whose lives have been affected by someone else’s drinking – but the impact on loved ones, family and partners can be immense. For Alcohol Change UK – the charity behind Alcohol Awareness Week (July 3-9) – it is important that loved ones of alcoholics know they are not alone. According to a new survey commissioned by the charity – which is not anti-alcohol but working towards ‘alcohol change’ and to reduce the harm it causes – some 19% of drinkers consider alcohol to be an “essential” in their shopping basket, with 15% of people worried about the amount of alcohol someone in their household has been drinking. “Far too many lives are tragically cut short each year due to alcohol, with the latest figures on the number of alcohol-specific deaths at a record high. At the moment, 600,000 people in the UK could benefit from alcohol treatment but the vast majority are not receiving it,” said Andrew Misell, Director for Wales at Alcohol Change UK. “It can be heart-breaking to see someone close to you struggle with alcohol problems. But it is not only the drinker who is affected – their loved ones can feel the effects too. The pressures of caring for someone who is drinking heavily can be overwhelming,” Misell adds. “But by encouraging them to seek support, you can really improve their health and yours.” Is somebody close to you an alcoholic? Here are some key pieces of advice that may be helpful… Visit your GP Seeing your GP could help you address any anxiety you may be grappling with. They can offer professional and nuanced advice that will help you communicate how you really feel to a loved one who needs to stop drinking, and steer you towards your own mental health support if necessary. “Living with someone who is struggling with an alcohol problem can be exhausting. You will want to do the best you can for your loved one, but your relationship with them is bound to be strained. You may no longer feel able to trust them,” Misell said. “They may well be neglecting family duties, and their moods may swing erratically. It’s important you find some time and space for yourself and for your own concerns and interests.” Also, anyone is allowed to contact the GP or safeguarding anonymously if, for instance, there is a parent with alcoholism looking after young children. Reach out to family support services Whatever your relationship with the person with an alcohol problem, other people will have had, or be having, similar experiences. Connecting with them at one of the many family support services across the country can be really helpful. “It may be worth you seeking out support from a families’ organisation like Adfam or Al-Anon, where you’ll be able to connect with others who are in the same boat as you,” Misell said. Bottled Up, meanwhile, offers information and advice for family members living with someone who is alcohol-dependent. The founders of the organisation are a therapist and a psychologist who have direct experience with alcoholism. Al-Anon provides free meetings where the family and friends of alcoholics can listen to the shared experiences of those in a similar positions. Al-Anon also has a separate arm for children aged between 12-17 called Alateen, where teenagers can share their experiences and find support, while also learning about the nature of the illness. Think about the four aspects of their health Before sitting down to talk about what is going on with a family member who is drinking too much, it might be a good idea to be prepared about what you need to say. This could be a helpful step in deciding what actions to take in order to seek help, too. Dr Niall Campbell, Priory consultant psychiatrist and addictions expert, based at Priory Hospital in Roehampton, southwest London, suggests thinking about these four aspects of their health first: physical health, mental health, relationship health and their work health. “Are they falling over? Have they injured themselves? Have they been drinking to the point of amnesia? Blackouts? Are they hungover and sick in the morning? Have they gone to see their GP? Some results, such as high blood pressure, could be a good indicator,” Campbell said. “And then mentally, is it making them depressed? Are they irritable? Do they seem ashamed or guilty? Is their drinking adversely affecting relationships between a husband and wives, siblings, children, and parents? “When it comes to their work, are they missing it? Are they late going into the office and saying they can’t do their job properly because they’re drinking at home? This is a big problem since the lockdown.” He suggests doing this with a third party that’s already aware of the situation, so you can pull together more concrete examples. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live The history of royal fashion at Wimbledon How to be waterwise in your garden this summer Every Barbie-inspired outfit Margot Robbie has worn so far

German bodybuilder Jo Lindner, known online has Joesthetics, has died from an aneurysm in Thailand, aged 30. The news was confirmed by the fitness influencer’s girlfriend Nicha on Saturday (1 July). Posting pictures of herself with Lindner on her Instagram feed, Nicha paid tribute to the YouTuber she desribed as sweet, kind, and hardworking. “And he is the believer in EVERYONE,” she continued. “specially [sic] ME he believes in me that I could be better and be someone in this world.” Lindner had 8.4 million Instagram followers, and his YouTube videos reportedly earned nearly 500 million views. Nicha said Lindner suffered an aneurysm after complaining of pain in his neck earlier this week. She also said she was with him when he died. An aneurysm is an abnormal swelling or bulge in the wall of a blood vessel. “[The] Last word he said [to me]: ‘Bae we all always can start again and that is the key. always keep start [sic] again,” she later wrote on her Instagram Stories. Subsequently, Nicha appeared to address speculation around Lindner’s cause of death, writing it’s unfair to her partner that people “guess how he die [sic] or say he overdose”. She added that if Lindner was “brave enough” to admit he used steroids, there was no reason not to believe him. In an interview with fellow bodybuilder Bradley Martyn last month, Lindner spoke about being diagnosed with rippling muscle disease, a rare genetic condition that causes muscles to become unsually sensitive to movement or pressure. According to the Genetic and Rare Diseases Information Center (GARD), the disorder is characterised by “signs of increased muscle irritability” such as repetitive tensing of the muscle, “bunching up” of the muscle, and/or prominent rippling. “Technically, it’s a cramp,” Lindner told Martyn, during an episode of the latter’s Raw Talk show. After news of Lindner’s death broke, fellow bodybuilder Noel Deyzel confirmed the reports were true on his Instagram Stories. “This is not a joke. His mother requested that we inform people about the situation,” he wrote. “Please keep Jo and his loved ones in your prayers. “I still just can’t f***ing believe it. Rest in peace brother.” Another one of Lindner’s friends, known as Vigorous Steve, posted a YouTube video shortly after his death, explaining that the cause of death reports were based on preliminary findings. “We’re still waiting for the autopsy reports,” he added. Read More Kevin Costner’s estranged wife says she’ll move out of their $145m home on one condition Nutritionist explains how women can eat to help balance hormones Colleen Ballinger: Everything we know about the ‘grooming’ allegations against YouTuber Miranda Sings Mick Jagger reps deny singer is engaged at 79: ‘Ill-informed gossip’ Kate ‘pushed for key phrase’ in palace response to Harry and Meghan’s Oprah interview

Louis Tomlinson’s 19-year-old sister has reflected on the negative comments and criticism she received after announcing her pregnancy earlier this month. On 19 June, Phoebe Tomlinson revealed that she and her boyfriend, footballer Jack Varley, 26, are expecting their first child together. The couple said their firstborn is a boy, sharing the news in a gender reveal video posted on Instagram 10 days later. In the video, Varley pops a black balloon filled with blue confetti, before hugging Phoebe as they celebrate the news with friends and family. The model and mum-to-be later answered fan questions about her pregnancy journey on her Instagram stories, including whether she had dealt with any backlash for being a “young mama”. Phoebe replied: “Any nasty comments will get removed and blocked, so I just try and let them go over my head. That’s the downside of social media. And I’ve truly learnt in the past few weeks how incredibly cruel people can be. “I’m lucky I have an amazing family,” she added. Her twin sister Daisy left lots of blue heart emojis on Phoebe and Varley’s gender reveal video, while their older sister Lottie Tomlinson, 24, said she “can’t wait to meet” her nephew. Phoebe also responded to a 19-year-old fan who also “wanted a baby early in life but people were against it”. She said: “Why do ‘people’ matter? It’s your life, sweets.” Phoebe also shared she “feels like any other expecting mum” when asked if it was scary to become a mother at “such a young age”. Elsewhere, she said her brother Louis was “excited” to find out Phoebe and Varley were having a boy. While the former One Direction star wasn’t at the gender reveal, Phoebe told a fan she texted him a few days prior to the announcement. She also expressed her excitement at her baby meeting Daisy, and told a fan she becomes “emotional” when she thinks about Varley becoming a father. “I can’t wait to see them snuggle and to watch him thrive as a dad,” she added. Finally, Phoebe said that she felt her late mother Johannah Deakin “guiding us through” the pregnancy. Deakin died from leukemia in December 2016, aged 43. The family was dealt another tragic blow in March 2019, when the siblings lost their sister Félicité Tomlinson after she died from an accidental drug overdose, aged 18. Read More Kevin Costner’s estranged wife says she’ll move out of their $145m home on one condition Colleen Ballinger: Everything we know about the ‘grooming’ allegations against YouTuber Miranda Sings Sarah Jessica Parker reveals she and husband Matthew Broderick haven’t ‘spent a night apart’ in 31 years Ellie Simmonds decided to find her birth mother as she starts ‘new chapter’ with partner Matt Dean Nutritionist explains how women can eat to help balance hormones

Some iced coffee drinks from high street chains can contain more sugar than a can of Coca-Cola, which contains 35g of sugar, a survey has found. Which? compared frappes and frappucinos from Caffe Nero, Costa and Starbucks to find many had “exceptionally high” amounts of sugar. A Starbucks caramel frappuccino with semi-skimmed milk was found to be one of the worst offenders, containing 48.5g of sugar – or 12 teaspoons’ worth. NHS health advice suggests adults consume a maximum of 30g of sugar per day, or around seven teaspoons. A Caffe Nero Belgian chocolate and hazelnut frappe creme contained 44.5g of sugar – equivalent to 11 teaspoons. At Costa, a chocolate fudge brownie frappe mocha with oat milk included 42.6g of sugar, or 10.5 teaspoons. Which? compared the amount of sugar in these drinks to a 51g Mars bar, which contains 31g of sugar (7.5 teaspoons), while a 330ml can of Coca-Cola contains 35g of sugar (around 8.5 teaspoons). Even plain coffee flavour frappes and frappuccinos were found to contain “relatively high” amounts of sugar. A Costa Coffee frappe with skimmed milk contained 21.3g of sugar, Which? found. While the calorie content of the drinks must be displayed in stores, the sugar content does not, which could leave consumers at risk of unwittingly exceeding the maximum recommended daily intake of free sugars, the watchdog said. Dairy-based drinks derive some “locked in” sugar from lactose, but all the drinks also contained high amounts of “free sugars”, which refers to sugars that have been added and contained in syrups, honey and fruit juice. Health advice is to limit consumption of these sugars due to their potential to contribute to weight gain and tooth damage. Which? suggested consumers wishing to cut their sugar intake switch to iced versions of a standard coffee instead. The government introduced a Soft Drinks Industry Levy (SDIL) in 2018, known as the “sugar tax”, in an attempt to cut unhealthy levels of consumption. However, some drinks are exempt from the tax, including fruit juices and drinks made on-site and served in open cups. Syrups, often used in frappes, are also exempt. Which? nutritionist Shefalee Loth said: “Our analysis of sugar content in iced coffee blends shows people could unwittingly be consuming much more sugar than they realise, with potentially damaging implications for their health. “High street chains need to take more responsibility and reduce the excessive sugar content of some of their drinks to protect people’s health. “When buying an iced drink, there are alternative, healthier options to choose, such as a standard iced coffee, which contains far less sugar.” A Starbucks spokesperson said: “We are committed to helping customers make informed and improved choices that work for them, offering a range of customisation options such as choosing our smallest size (Tall) and our oat dairy alternative with no added sugar. “Sugar content for an Iced Latte with Semi Skimmed Milk, one of our most popular beverages, starts from 8.7g for a Tall size. Customers can find all nutritional information available on our mobile app, online and our menu boards.” Caffe Nero described its Belgian chocolate and hazelnut frappe creme as a “treat” and said it accounted for less than 5 per cent of its sales of summer drinks, while “coffee over ice” drinks, which contained less than 8g of sugar, accounted for 50 per cent of summer drink sales. The chain added that its iced latte – its highest seller – contained no added sugar. Reporting by PA Read More Olivia Colman’s fight to end domestic abuse: ‘Women are still expendable’ Colleen Ballinger: Everything we know about the ‘grooming’ allegations against YouTuber Miranda Sings Kevin Costner’s estranged wife says she’ll move out of their $145m home on one condition Starbucks barista documents coffee chain’s alleged food waste in viral video Being lonely ‘may increase risk of heart disease in diabetes patients’ Sarcoma Awareness Month: What you need to know about these cancers

Being lonely may the increase risk of heart disease in diabetes patients, research suggests. Scientists have found loneliness to be a bigger risk factor for coronary heart disease – a condition where the blood vessels supplying the heart are narrowed or blocked – than diet, exercise, smoking and depression. The researchers said their findings, published in the European Heart Journal, highlight the importance of meaningful social relationships to stay healthy. Study author Professor Lu Qi, of Tulane University School of Public Health and Tropical Medicine in New Orleans, said: “The quality of social contact appears to be more important for heart health in people with diabetes than the number of engagements “We should not downplay the important of loneliness on physical and emotional health. “I would encourage patients with diabetes who feel lonely to join a group or class and try to make friends with people who have shared interests.” For the study, the researchers looked at data from the UK Biobank – an online database of medical and lifestyle records from more than half a million Britons – involving more than 18,000 adults aged between 37 to 73. These people had diabetes but no heart disease at the start of the decade-long study. The researchers used questionnaires to assess loneliness and other factors that may affect relationships such as body mass index (BMI), physical activity, diet, alcohol, smoking, and medications, blood pressure, cholesterol and control of blood sugar. The findings suggest that asking patients with diabetes about loneliness should become part of standard assessment, with referral of those affected to mental health services Prof Lu Qi Over the course of more than 10 years, more than 3,000 people developed heart disease, which included coronary heart disease or stroke. The researchers found those who scored the highest in loneliness had a 26% greater risk of heart disease, compared to people with lower scores. The team also found loneliness to be a bigger risk factor for heart disease than diet, exercise, smoking and depression – but showed a weaker influence when compared to kidney function, cholesterol and BMI. Professor Qi said: “Loneliness ranked higher as a predisposing factor for cardiovascular disease than several lifestyle habits. “We also found that for patients with diabetes, the consequence of physical risk factors (ie poorly controlled blood sugar, high blood pressure, high cholesterol, smoking and poor kidney function) was greater in those who were lonely compared to those who were not.” “The findings suggest that asking patients with diabetes about loneliness should become part of standard assessment, with referral of those affected to mental health services.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live 7 ways to save money on your hair Sarcoma Awareness Month: What you need to know about these cancers Bjork’s controversial swan dress to go on display in new exhibition

Although most people have heard of sarcomas, research suggests the majority don’t really know what they are. A study by Sarcoma UK found 75% of people didn’t know what a sarcoma was – but there’s no better time than July’s Sarcoma Awareness Month to learn. Sarcomas are rare cancers that can either form in the bones or soft tissues that connect, support and surround other body structures and organs, explains Sarcoma UK. “If you’ve never heard of sarcoma before, you’re not alone,” says Dr Sorrel Bickley, director of research, policy and support at Sarcoma UK. “Sarcoma can affect any part of the body, on the inside or outside, including the muscle, bone, tendons, blood vessels and fatty tissues.” She says around 15 people are diagnosed with sarcoma cancer every day in the UK, and stresses: “It can affect anyone, at any age, and it’s vital that healthcare professionals can recognise its signs and symptoms.” During Sarcoma Awareness Month the charity is running a campaign called Does Size Matter?, in a bid to draw attention to the fact that a lump getting bigger is a key sign of sarcoma. “Most lumps and pains won’t be sarcomas, but it’s important to keep an eye on symptoms and to seek medical help if you’re worried,” stresses Bickley, who explains that many patients tell the charity it’s taken a long time for them to get a correct diagnosis. She adds: “Many people don’t consider their symptoms might be serious. Delays cost lives, and people have a better chance of surviving sarcoma if their cancer is diagnosed early. ” There are around 100 different subtypes of sarcoma, grouped into soft tissue sarcomas and bone sarcomas, and Bickley explains: “Soft tissue sarcomas may not have obvious symptoms in the early stages when the tumour is very small. The symptoms can become more obvious as the sarcoma grows, but this can depend on where in the body it’s found. ” She says there are several main sarcoma symptoms to be aware of… A lump that grows or changes Bickley says sarcoma is a “complicated cancer”, but the most common symptom is a lump, which could be anywhere on the body – including the arm or leg. “Most lumps aren’t harmful and a lump that isn’t getting bigger, isn’t causing any pain, or that has been there for a long time isn’t likely to be anything to worry about,” she says. “But if it’s growing quicky or measures more than five centimetres – about the size of a golf ball – then you should get it checked by your GP.” Swelling or pain in or around a bone Sarcoma cancer can also start in a bone – the most common symptoms are unexplained pain or tenderness around a bone, which may come and go and may be worse at night, explains Bickley. “If the pain is getting worse and doesn’t go away with rest or at night, you should go and see your GP to get it checked,” she advises. Stomach pain, feeling sick and loss of appetite Some forms of sarcoma – known as a gastrointestinal stromal tumours, or GISTs – can start in the gastrointestinal tract. “With this type of sarcoma, people most often experience symptoms like fatigue, anaemia, weight loss, feeling sick or discomfort around their stomach,” Bickley says. Blood in poo or vomit Noticing blood in your poo or vomit can also be a sign of a gastrointestinal stromal tumour, says Bickley, who adds: “There are lots of causes for blood in poo or vomit, but it needs to be checked by a medical professional.” For more information or advice about sarcoma, call the Sarcoma UK support line on 0808 801 0401, email supportline@sarcoma.org.uk, or text 07860 058830 to contact a specialist adviser. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Bjork’s controversial swan dress to go on display in new exhibition Chrissy Teigen welcomes fourth child – how does surrogacy actually work? 11 ways to work the colour clash trend at home

The World Health Organization will declare one of the world’s most widely used artificial sweeteners, found in thousands