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Health News

UNSW

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UNSW

If you’ve been to any supermarket recently, you would’ve noticed the shelf space dedicated to milk alternatives such as oat, soy, almond and rice is expanding. Though they’re not strictly speaking ‘milk’, these plant-based beverages are gaining favour among consumers looking for a dairy-free option in their coffee mugs and cereal bowls.

According to the Australian Bureau of Statistics, we’re now drinking about half a metric cup of milk alternatives per person every week. In the milk marketplace, consumption of the likes of soy and almond milk is increasing at the same rate dairy milk is falling.

Experts from UNSW Sydney say there are many reasons we’re leaving cow’s milk behind in favour of the plant-based kind, including health reasons, ethical choices and personal preferences.

LACTOSE INTOLERANCE AND MORE PRODUCTS AVAILABLE

Professor Johannes le CoutreSchool of Chemical EngineeringUNSW Engineering, says he’s not surprised by the expansion of the plant-based milk aisle. The food and health expert says in the first place, human bodies are not physiologically optimised to digest dairy milk.

“Food history is full of examples where we try to mimic animal products, so having plant-based milk is not an entirely new idea,” Prof. le Coutre says.

“Human adults are not necessarily the target consumers for cow’s milk in nature. It’s a product meant for babies, specifically for cow babies,” he says.

Many adults have an intolerance to lactose – the sugar in dairy – to some degree. If they drink cow’s milk or eat other dairy by-products, they can experience bloating, pain and diarrhoea. For those people, plant-based milk offers a lactose-free alternative.

“If someone has an intolerance to dairy, it is easier for their body to digest plant-based milk,” says nutritionist Dr Rebecca Reynolds, adjunct lecturer, School of Population HealthUNSW Medicine & Health. “While some regular milk has the lactose removed, many prefer the taste of plant-based milk.”

Researcher in consumer behaviour, Associate Professor Nitika GargSchool of MarketingUNSW Business School, says the quality and variety of plant-based milk available has improved in recent times.

“The taste is undoubtedly a key factor because consumers don’t want to feel they need to compromise on flavour,” A/Prof. Garg says. “Today, if you feel uncomfortable consuming dairy milk, there are a lot more alternatives in the market you can try that weren’t available 20 years ago.”

AN ETHICAL CHOICE FOR ANIMALS AND THE ENVIRONMENT

Many people are also switching up their milk of choice for ethical reasons. One concern is the treatment of livestock in the dairy milk production process.

“There is a movement of consumers who resent animal products – such as milk – because they are not necessarily associated with good animal welfare,” Prof. le Coutre says.

To produce milk, cows must give birth. If the calves are not needed as replacements for the milking herd, they are killed, often not humanely. More cows die per calorie of milk production than cattle for meat production.

A/Prof. Garg says some of the growth in plant-based milks can also be attributed to changing consumer perceptions about the sustainability of the dairy industry. There is growing awareness about the impact it is having on the climate and the environment.

Research suggests a dairy-free diet could be a more environmentally friendly option, and people can make significant moves for the environment by just reducing their dairy intake, Dr Reynolds says.

Some plant milks might be more planet friendly than others though. For example, it’s estimated that growing a single almond requires 12 litres of water. Still, almond milk uses less land and water than dairy milk and has lower greenhouse gas emissions.

“[But] there are challenges when it comes to plant-based products in that they usually destroy a lot of nutritional goodness and require a lot of resources just to mimic a product [milk] that isn’t intended for human consumption in the first place,” Prof. le Coutre says.

HEALTH BENEFITS AND CALORIC CONCERNS

Milk alternatives are also becoming an increasingly popular choice among health-conscious consumers. But what some consider to be a ‘healthier’ option is not always the case, Prof. le Coutre says.

So how does dairy milk stack up nutritionally against plant-based milk? While there is scepticism about the health impacts of dairy products, evidence suggests dairy benefits health.

“Overall, cow’s milk has a better nutritional profile than plant milks, with more protein and micronutrients like calcium,” Dr Reynolds says. “However, plant-based milks often have micronutrients added to them, can have less overall fat and saturated fat than dairy milk and more healthy plant phenol antioxidants.”

There’s a wide variety of plant-based milks in the market, like oat, almond and rice, with varying nutritional quality. Soy might be the strongest dairy-free plant alternative in terms of nutritional profile.

“Some have added refined sugar, which includes ingredients like ‘organic brown rice syrup’, which is less healthy than the natural sugar lactose that’s found in cow’s milk,” Dr Reynolds says. “This means that they can also be higher in high glycaemic index carbohydrates, which can increase blood glucose levels more than lactose. They also have added oils, which are not as healthy as say olive oil, and they’re not suitable as stand-alone milks for children.”

Dr Reynolds says if plant milk and other dairy substitutes are fortified – that is, have micronutrients like calcium added – there might not be a need to supplement in a diet. However, it’s estimated over 50 per cent of Australians aged 2 years and above don’t consume enough calcium and other micronutrients.

“Overall, plant-based diets are still strongly linked to good health,” Dr Reynolds says.

THE FUTURE OF PLANT-BASED MILK

With their rapid rise, A/Prof. Garg expects plant-based milk to become an even more dominant player in the milk market. Perhaps one day, it might even supplant dairy milk in popularity.

“Much of the growth to date appears to be consumer-driven, so I would expect the trend to continue to grow. As these brands continue to scale up their manufacturing and marketing efforts, there’s a huge opportunity for a true milk substitute to emerge and compete with dairy,” she says.

A/Prof. Garg says governments also have a chance to take advantage of the anticipated global demand in the industry.

“People are choosing plant-based milk more and more, and so it would make sense for governments to take advantage of the opportunity to support the production here in Australia,” she says. “It would also still be supporting the Australian agricultural industry, which is an important consideration for some consumers.”

In the short-term, A/Prof. Garg says switching to plant-based milk might not be realistic for everyone because of its high price point.

“We do have an issue with making products such as plant-based milk accessible for everyone. They are more expensive, and some consumers who might want to switch can’t, especially with the cost of living right now where every dollar counts,” A/Prof. Garg says. “It might be something governments need to explore, to help subsidise in the same way they subsidise the dairy industry.”

Prof. le Coutre says plant-based milk – and plant-based mimetics more generally – will continue to play a significant role in strengthening our global food system.

“Plant-based products, existing animal-based materials and, someday soon, cell-based and blended products improve our food choices,” Prof. le Coutre says. “As we expand our portfolio of products, it enriches the spectrum of offerings in the market to everybody’s benefit.”

“Overall, if you can afford it, buying a plant-based milk fortified with micronutrients like calcium and without added sugar can be a good way to use your consumer power to help the environment and climate change,” Dr Reynolds says.

 

 

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Vape Laws Spark Opposition

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Vape Laws Spark Opposition

 

Queuing at local pharmacies is expected to become longer and more complex due to new laws permitting pharmacies to sell e-cigarettes, commonly known as vapes.

As of 1 July, pharmacies are the sole legal dispensers of nicotine-containing vapes. Initially, customers will need a prescription to purchase these products, but starting 1 October, adults will be able to buy them after a consultation with the pharmacist.

However, the new legislation has sparked significant opposition from many pharmacy chains and independent chemists. The Pharmacy Guild of Australia has strongly criticised the move, describing the expectation for pharmacists to retail vapes as “insulting.”

“Pharmacists are healthcare professionals, and community pharmacies do not want to supply this potentially harmful, highly addictive product without a prescription,” stated Anthony Tassone, the guild’s national vice-president. Tassone also emphasised that vaping products have not been approved by the Therapeutic Goods Administration (TGA) and no nicotine-containing vape is listed on the Australian Register of Therapeutic Goods.

The controversial laws were passed by Parliament following a compromise between Labor and the Greens. Beginning 1 October, pharmacists who opt to sell vapes will be able to provide them to customers aged 18 or over with proper ID but without requiring a prescription, as nicotine vapes will be reclassified from schedule 4 to schedule 3 of the poison’s standard. However, individuals under 18 will still need a prescription to purchase nicotine vapes.

The intent behind the new laws is to regulate the sale of nicotine vapes more strictly while making them accessible for adults who choose to use them. Despite this, the Pharmacy Guild remains critical, highlighting the health risks associated with vaping and the added responsibility placed on pharmacists to manage these products safely.

As the implementation date approaches, the debate within the healthcare community and among the public is likely to intensify, raising questions about the balance between accessibility and safety in the regulation of nicotine vapes.

 

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Onsite Pharmacists – Just What the Doctor Ordered

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Onsite Pharmacists – Just What the Doctor Ordered

 

The Aged Care Onsite Pharmacist (ACOP) program aims to revolutionise medication delivery in residential facilities by placing trained professionals directly on-site.

Addressing Medication Mismanagement

The mismanagement of medications, inconsistent safety procedures, and low vaccination rates in aged care homes have long been controversial. Health authorities are urging providers to increase vaccine rates, as the lives of residents and communities are at risk. Despite these pleas, the Royal Australian College of General Practitioners reported that 97 aged care facilities had COVID-19 vaccination rates below 10%. Additionally, 706 facilities reported less than 50% of their residents vaccinated against COVID, with the lowest coverage in various states including New South Wales, Queensland, South Australia, Tasmania, Victoria, and Western Australia.

The Role of Onsite Pharmacists

The Aged Care Royal Commission identified medication delivery as a crucial area for improvement in aged care homes, recommending the employment of allied health practitioners, including pharmacists. Responding to this, the Federal Government has allocated $333.7 million to fund the ACOP program. This initiative enables residential aged care providers to engage pharmacists through local pharmacies or direct employment. These pharmacists will deliver personalised medications, manage frequent medication reviews, and administer antipsychotic drugs and vaccinations.

Goals of the ACOP Program

The ACOP aims to:

  • Improve medication use and safety in aged care homes, particularly the use of high-risk medications.
  • Ensure continuity in medication management through regular reviews and prompt issue resolution.
  • Provide easy access to pharmaceutical advice for residents and staff.
  • Integrate on-site pharmacists with the healthcare team, including local GPs, nurses, and community pharmacies.
  • Enhance understanding and response to individual resident needs.

Support from the Pharmacy Guild of Australia

The initiative has garnered support from the Pharmacy Guild of Australia, recognising the potential to elevate the role of pharmacies. This program enables pharmacists not only to deliver medications and dose administration aids but also to provide quality use of medicines within the facility. A Pharmacy Guild spokesperson highlighted the additional services pharmacists can offer, such as vaccinations, as they begin to practice to their full scope. This will create further opportunities for community pharmacies to become significant providers of healthcare services to aged care facilities.

Funding Model

The ACOP funding model is divided into two tiers:

  • Tier 1: Community pharmacies receive payments to engage with specific residential aged care facilities.
  • Tier 2: Residential aged care facilities can claim up to $138,282 per year for the full-time equivalent employment of an on-site pharmacist.

This government-funded initiative promises to improve medication management and overall healthcare in aged care facilities, ensuring better health outcomes for residents.

 

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Foods That Can Help Reduce or Prevent Joint Pain

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Minimally processed, whole foods That Can Help Reduce or Prevent Joint Pain
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Foods That Can Help Reduce or Prevent Joint Pain

 

Minimally processed, whole foods — including brightly coloured fruits and vegetables, healthy fats, and lean proteins — may help relieve inflammation and other symptoms that lead to joint pain. Inflammation is a common cause of joint pain, often associated with arthritis and other joint conditions. Eating foods that help reduce inflammation may improve joint pain and offer additional health benefits, such as improved heart health.

Can Diet Help Reduce Joint Pain?

Research indicates that diet can significantly impact joint health. A survey of 217 people with rheumatoid arthritis (RA) found that 24% reported their diet affected their symptoms. A 2023 study on osteoarthritis supports the idea that certain diet patterns can improve joint symptoms. Diets high in nuts, legumes, fruits, vegetables, and seafood, which contain anti-inflammatory properties like antioxidants and phytochemicals, may help reduce joint pain.

Beneficial Foods for Joint Pain

Incorporating anti-inflammatory foods into your diet can help reduce joint pain and slow disease activity. Beneficial foods include:

  • Nuts: Rich in healthy fats and antioxidants.
  • Legumes: High in fibre and protein, reducing inflammation.
  • Fruits and Vegetables: Packed with vitamins, minerals, and antioxidants.
  • Seafood: Especially fatty fish like salmon and mackerel, high in omega-3 fatty acids.

Foods to Avoid

To manage joint pain, limit or avoid processed foods, trans fats, and added sugars. A nutrient-rich diet can also help maintain a moderate weight, reducing strain on the joints.

Popular Diets for Joint Pain

The Mediterranean Diet

Emphasises fruits, vegetables, whole grains, legumes, and healthy fats, with moderate seafood and poultry, and limited dairy and red meat. Associated with reduced inflammation and improved joint health.

The DASH Diet

Includes fruits, vegetables, fish, poultry, nuts, whole grains, and low-fat dairy while restricting salt, sugar, fats, and red meat. May help improve and reduce the risk of gout, a type of arthritis that causes joint pain.

Conclusion

Incorporating a variety of nutrient-rich, anti-inflammatory foods into your diet can help manage and prevent joint pain. Following dietary patterns like the Mediterranean or DASH diets may offer comprehensive benefits for joint health and overall well-being.

 

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