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Issue 178 ~ 30th August 2024

Hello,  

In the UK, 5.4 million people suffer with asthma – a lung condition that restricts the airways of the lungs and causes breathing difficulties. This alarming number of people living with asthma equates to 8 in every 100 population. In very serious cases, children and adults have very sadly died from the disease.

Having personally suffered from asthma for most of my life, recently I was asked if I would be prepared to be filmed and interviewed, together with my chest specialist, to discuss ‘my life with asthma’. Commissioned by pharmaceutical giant Glaxo Smith Klein (GSK) who make most of my inhalers, the filming will be used in a variety of areas, from the scientific arena to promoting healthy living with asthma, including supporting the charity Asthma & Lung UK. So, this week I am going to share some interesting information regarding this challenging and potentially life-threatening condition.

I have lived with asthma since I was two years old but fascinatingly, it was only about five years ago that I was told by my chest specialist, Professor Ian Pavord, that, in fact, my lungs had not properly developed by the time I went to school and that if I had not followed a career in the field of fitness, I would not be alive today. I remember being utterly shocked at such a revelation.

Apparently, it was clear from my poor performance when asked to take a variety of breathing tests that my lung strength and capacity was very weak. I wonder if you have personally been asked by your doctor to blow into a ‘peak flow meter’ when you have had a chest infection? It’s a tube with a mouthpiece and we are asked to blow into it making one sharp breath as hard as we can. The score goes from 0 to 8. My husband Mike can reach a score of 8 with hardly any effort but sadly, the most I can ever score is 2.5. Having said that, thankfully, because I have been so physically active over the last 50+ years, I have made the most of my limited lung capacity, meaning that I cope really well with my everyday lifestyle and my asthma definitely does not hold me back.

Discovering what aggravates asthma
I had a very happy family home growing up but I was a very frail little girl, initially covered from head to toe with eczema, then developing asthma, struggling to breathe and getting regular chest infections, which meant that I missed quite a lot of schooling.

The doctors told my parents that it was very unlikely that I would live beyond the age of 10 as my lungs were so weak. In fact, so concerned was our GP that when I was eight years old, I was admitted to a local children’s hospital for three months for observation. Thankfully, while I was in hospital I had no asthma attacks and avoided any chest infections. Looking back, I find that fascinating.

My recent filming activities prompted the discussion about my life’s journey and how, in the end, I thankfully found a career in fitness which has helped me to live a long and very fulfilling life, even if I do use four different inhalers twice a day to keep my asthma under control.

Three years ago I was offered an additional new drug called Nucala (created by GSK) which is taken by a self-administered injection once a month. This innovative treatment has definitely enabled me to breathe more deeply and achieve greater fitness and has significantly enhanced my breathing capability. It is only prescribed by a specialist and is not available from a GP or pharmacy and is delivered by a refrigerated van and must be stored in the fridge. The drug was originally trialled on a cohort of random asthma sufferers with limited success. Further trials showed that it worked really well with patients with particular types of asthma and fortunately, I fell into that category.

Looking back, and considering what was different about the environment at home during my early childhood, I realised that our living conditions were very different then compared with the present day. There was no such thing as central heating and inevitably houses must have been a bit damp, particularly older houses – ours was over 100 years old. Nor did we have such luxurious inventions as a Dyson to remove every speck of dust! I am sure the damp atmosphere affected my breathing and this is further borne out by the fact that today, if I go into an old building that is a bit fusty, I can actually feel my lungs tightening and I start coughing… and then I reach for my Ventolin inhaler from my handbag to relieve my breathing. Sadly, such inhalers were not available to asthma sufferers until 20 years after my diagnosis, in 1969.

Thankfully a multitude of inhalers have followed to help ease the breathing of asthmatics in the 21st century but for some children and adults living with asthma, there are still many triggers that can cause a severe asthma attack - damp, dust, animal fur, pollution, cigarette smoke, food allergies – and they can cause horrific consequences. We have seen on the television how some people live in properties where walls and ceilings are covered in mould – potentially, a catastrophic environment for anyone with a chest condition.

So how did I survive beyond 10 years old?
As soon as I went to High School at age 11, I seemed to improve – the modern building and activities of senior school suited my lungs. My parents moved into a more modern house, and with the advances in medicine, I was able to live a more active and normal life initially working as a secretary. At 21 my new husband and I moved in a new high-rise block for flats – where I was totally free from asthma just as I had been during my stay in hospital as a child.

Having gained weight and then learned how to lose it, at age 25, I opened my first slimming club. A few years later I introduced exercise to my classes, everyone seemed to enjoy it and I loved teaching it. I guess the adrenalin that it triggered and the physical activity that made my lungs work harder helped my lungs become stronger, even though they are underdeveloped. Now, 52 years on from that first slimming class, and still being active and teaching exercise classes to the present day, I am immensely grateful for being able to live a full and active life.

What have I learned from this?
Asthmatics should try to avoid ‘danger’ environments like those that are damp and fusty, or whatever triggers our individual allergies. But the golden rule must be to be as active as possible so that we breathe more deeply and exercise our lungs to help them become stronger - swimming can be particularly helpful, especially for children. It is really important that we keep active and exercise every day, whatever our age. It doesn’t have to be too strenuous – I would be unable to run more than a few yards - but walking is perfect!

More great news is that trials are now under way to see if the new asthma treatment, from which I have benefitted so much, might be suitable for children, subject to them presenting the appropriate asthma symptoms and criteria.

In the meantime, whether young or old, exercising in any way possible strengthens our lungs and helps us to stay fitter and healthier for longer...  much longer!


Part of the filming with GSK was done at the John Radcliffe Hospital in Oxford, where my Specialist Professor Pavord is based, part at Bridge4, the physiotherapist led gym that I regularly attend, and part here at my home in Leicestershire.

At home, for background shots which can be used with a voice-over, the film crew recorded me variously walking through the garden, signing some books for our online shop and thumbing through the photo album I received when I was the subject of the TV show "This Is Your Life" way back in 2002.

It was a book I hadn't looked through for many years. It always seems a bit self-indulgent to have it out on display but visitors can often get quite excited about it. 

As I was looking through it I came across a wonderful photo of Mary, taken on the set in the TV studio during the recording, which I thought I would take the opportunity to share with you.
 
You can find out more about asthma at www.asthmaandlung.org.uk

Recipe of the Week

Baked Bean and Vegetable Bake (v)


Serves 4
Per serving: 413 Calories, 1.5g Fat
Prep time: 20 minutes
Cook time: 60 minutes
 

200g carrots
400g white cabbage
1 small cauliflower
1 large onion
200g mushrooms
600g potatoes
415g can baked beans
400g tinned chopped tomatoes
1 tablespoon mixed herbs
Freshly ground black pepper
1 tablespoon grated parmesan cheese
 

  1. Prepare the vegetables: Peel and dice the carrots. Shred the cabbage and trim and chop the cauliflower. Peel and slice the onion. Slice the mushrooms and either peel or scrub the potatoes and cut into slices.
  2. Boil the carrots and cauliflower in a pan with a vegetable stock cube for five minutes then remove from the water and place to one side. Retain the water and add the onion and cabbage and boil in the same pan for five minutes.
  3. In another pan, boil the potatoes for 15 minutes.
  4. Place the carrots, half the mushrooms and all the beans into a large casserole or lasagne dish.
  5. Place the drained onion and shredded cabbage on top, followed by the chopped tomatoes and herbs. Add plenty of freshly ground black pepper.
  6. Cover with the cauliflower and the sliced potatoes. Place the remaining mushrooms on top of the sliced potatoes. Sprinkle on the Parmesan cheese and more freshly ground black pepper.
  7. Place in a preheated oven at 170°C, 325°F or Gas Mark 3 for 25 minutes or until the vegetables are cooked.
  8. Serve immediately.
Don't forget, you can download and print a copy of all our recipes if you click on the image to go to the recipe's page on the website.
Click here for more recipes

Fun, Facts & Fitness from Mary Morris MSc.


I came across an interesting article in a highly reputable science magazine recently that made me sit up and take note. It said 'most of us have a fibre deficiency and it could be accelerating our ageing'. Now I know we have explored fibre before through this Newsletter but it made me think I ought to research a bit deeper and see if there is more we can do to ensure we are not deficient.

We may already be very aware of how important fibre is to our health but extraordinarily even the most ardent followers of good nutrition may not be hitting that important recommended level of 30 grammes per day. So, let's explore the latest research and leave you to judge whether you are on the right track to reach the very best of health as we get older.

Why is fibre so important?

The list is very long on the benefits of ensuring an adequate intake of fibre, and with most adults in the UK only consuming an average of 19g per day, you can see we are falling very short of the recommendation of 30g:

  • Fibre plays a big part in our heart health. It lowers our total cholesterol, and most importantly the LDL (low density lipoproteins – known as the bad guys).
  • It stabilises blood sugar levels helping the management of Type 2 Diabetes.
  • It works wonders on our gut alleviating constipation, haemorrhoids and diverticulitis.
  • A high fibre diet is rich in fruits and vegetables known to help prevent many cancers.
  • It helps to control our weight as it promotes the feeling of  fullness.
     

Fibre is good for our brain too!

At a presentation by Dr Emily Leeming at the Cheltenham Science Festival 2024, she called fibre 'one of the under-appreciated protectors of the brain'. When we feed plenty of fibre to our gut one of the by-products is what are called ‘fatty acids’. These not only provide a strong lining to our gut but they also pass through into the bloodstream, and when these reach our brain they have the enormous power of preventing damaging toxins getting through the blood-brain barrier – a bit like a bouncer standing outside a nightclub! It is these toxins that are so dangerous to the brain, leading to the possible development of dementia, including Alzheimer’s. Such a good reason to check we are getting enough!

Foods high in fibre

Dietary fibre is simply carbohydrate found naturally in plants, but what sets it apart is that it is not digested in the small intestine and therefore reaches the large intestine intact. This means it is often referred to as 'roughage', acting almost like a ‘hoover’ in the digestive tract, allowing the smooth movement of food through the entire system.

Foods with Fibre

  • Fruits and vegetables
  • Wholegrain foods
  • Legumes (beans, peas etc.)
  • Nuts and seeds

Foods without Fibre

  • Meat
  • Cheese, dairy and eggs
  • Oils and fats
  • Refined grains

The Importance of Wholegrain

We can see from the example above that a wholegrain breakfast with a high fibre content makes a significant contribution to our daily intake. Wholegrain refers to foods that contain the whole-grain - without any parts of the grain removed in the processing. Eating the wholegrain is vital as the bits that are removed, if we are eating refined grains, are the very bits that do us so much good!

The Bran Layer: This is the outer shell and you will see how important it is providing not only the fibre but the essential vitamins and minerals that the body needs.

The Endosperm: Provides protein and carbohydrates.

The Germ:   Here is the part of the grain that provides those vital fatty acids mentioned earlier and why we must find ways to eat more wholegrains that include the germ. However, the food manufacturers want a long shelf life for their products and hence the huge use of refined grains on our supermarket shelves that have the germ removed.  Any food that contains fat will more quickly go rancid, hence the removal of this vital ingredient that makes such a contribution to our health.

Take care when selecting products that have 'added fibre', as we may see in a yogurt for example. The problem is that manufacturers then have to make the product more palatable - so they have to add a lot of sugar.

It is only recently that I changed to buying completely wholegrain products with my bread, pasta and rice and wondered why I had not done it a lot earlier. They may tend to cost a bit more but these higher fibre products keep us feeling fuller for longer, which is really important. If we take care with our portion sizes, they can not only help us to eat more healthily, but they can help us with our weight control.


Harvard 10:1 Wholegrain Rule

About 10 years ago Harvard University came up with a good rule of thumb regarding judging whether a product has a beneficial level of fibre in it and it is called the 10:1 Rule. For every 10g of carbohydrates there needs to be 1g of fibre. So, let's take that high fibre breakfast cereal as an example:

  • Shredded Wheat
    • Carbohydrate 68.7g
    • Fibre 12.5g
  • Porridge Oats:
    • Carbohydrate 60g
    • Fibre 9g
We can clearly see that both these products way exceed the 10:1 rule. This does mean, of course, that we do need to read the nutrition labels if we are to make those extra healthy choices!

This Week's Fitness Challenge


  1. This week take a good look at some of your regular food products and test the 10:1 rule. I have just checked a can of baked beans and chickpeas and both are amazing!
     
  2. On your daily 30+ minute walks try to 'up your game' this week with maybe more pace and a more challenging route.
     
  3.  Strength work is always important. Do three sessions of Strength and Toning Exercises from the selection of workouts on our website or undertake some physical strength activities in the garden!
Did you know... 

This Is Your Life was a biographical television documentary. In the show the host surprised an unsuspecting individual, before taking them through their life with the assistance of the 'big red book' and a number of special guests. Both celebrities and non-celebrities were featured on the show which ran from 1955 until 2003. The show was originally broadcast live, until an unfortunate episode where the subject was so taken aback he couldn't stop swearing. The surprise element was a very important part of the show; if the featured guest heard about the project beforehand, it would be cancelled.

Over its run it alternated between being broadcast on the BBC and ITV. It was presented by Eamonn Andrews from 1955 until 1964, and then from 1969 until his death in 1987. Michael Aspel then took up the role of host until the show ended in 2003. It briefly returned in 2007 as a one-off special presented by Trevor McDonald.

If you want to know more about the show and the memories of the people who were featured on it you can learn more at www.bigredbook.info, an independently produced website compiled by Tony Lee - a long-time fan of the show - and yes, Rosemary did record an interview for it talking about the experience.

And finally...

I am delighted to be able to tell you that I am now walking with two feet in trainers and the lumbering orthopaedic boot is no longer in action. Having seen my specialist who told me that my foot is now completely healed, it is wonderful to be ‘free’ at last. Onwards and upwards as life gets back to wonderful normal! And Mary is back teaching her classes and enjoying leading her walking groups again now that her new knee has settled in and become strong and mobile.

On behalf of both Mary and myself, we would like to thank you again for your very kind wishes and support over our weeks of recovery. We really appreciated it. Thank you!

Have a great week and enjoy the summer weather that hopefully will continue for a while yet.

With love and best wishes,

Rosemary Conley CBE DL

LIVE LONGER | LIVE HEALTHIER | LIVE HAPPIER

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