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The amount of screen time teenagers get is a worry to lots of parents. And, it turns out, the health impacts of being inside and staring at a screen for long periods of time as a young person can have serious impact on physical health further down the line. According to new research, parents should limit the amount of time children spend on social media and video games, after a study found inactive teenagers are more likely to have signs of heart damage as young adults. A child may appear ‘healthy’ but, even children who have a normal weight were still at risk, the study of 766 British youngsters found, after tracking them for 13 years. Academics involved in the research, which is to be published at the ESC Congress in Amsterdam, said that this heart damage could be setting the stage for heart attacks and strokes in later life. So, how can we get teens up and out? 1. Encourage them to destress Teens may take to their screens to distract themselves from day-to-day life, watch TikToks, or aimlessly scroll – which they may see this as a form of relaxation. It might be helpful to frame exercise in the same way for stressed teens. “Young people today are facing many stress factors in their daily lives and exercise can be an important mechanism to cope and overcome such difficulties,” says Dr Triveni Joshi, consultant child and adolescent psychiatrist for Cygnet Health Care. Reiterate the benefits of exercise for their mental wellbeing too. “When you exercise, your body produces dopamine and endorphins in your brain that help you to feel good. Exercise can have a direct impact on improving mental health by reducing anxiety, depression and low mood,” she says. “Plus, exercise can give you a real sense of accomplishment and pride at having achieved a goal, thereby improving self-esteem and confidence.” Celebrate the accomplishment of just getting out and being healthy for positive reinforcement. 2. Suggest things that interest them “There is always an activity which can suit somebody,” says Joshi.”There is a range of opportunities for physical activity such as gardening, walking groups, Zumba, dancing, pilates, or swimming.” Sports like weightlifting and running are big on social media and “can improve confidence levels and tackle low self-esteem.” While being on social media may stop them from getting out, pointing towards creators who promote a healthier lifestyle may help them in the long run. Perhaps they can pair their on-screen interests and favourite creators with physical experiences. “Exercise should always be fun so often it is about finding where their interests lie and incorporating that into a healthy regime,” Joshi explains.3. Talk to them about why they don’t want to exercise There may be a reason why your teen isn’t eager to get up and about you don’t know about, and having an open discussion may help them feel more comfortable, and build a closer bond with you. “With other pressures in their lives they may feel tired and lack the motivation to get active,” Joshi says. “A lot can depend on personality type too. Introverted children may feel shy, embarrassed, or too concerned about judgements to take part in physical activity. It might not pique their interest or they may feel it is something they aren’t skilful at and therefore don’t have the motivation for fear of not being good at something.” Getting to the bottom of why they won’t exercise may help them feel more empowered to do so, particularly if you can relate to one another and take on this challenge together.4. Set a good example So much of our relationship with exercise is rooted in our childhood, so try to “encourage children to be active by setting the right example and being active yourself”, says Joshi. If you complain about exercise and are on your screen all the time, it sends the message that it’s normal. In trying to set a good example, you may find something you love to do together, like a specific yoga class, workout or weekly ParkRun. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live What we know so far about Naomi Campbell’s Pretty Little Thing collection Taking adult education classes may lower risk of dementia, study suggests Indiyah Polack: I didn’t want to go on Love Island because of my acne

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A father-of-two has had limb-lengthening surgery to increase his height from 6ft to almost 6ft 7in after deciding his legs were “too short” for his body, and hopes to feel “on top of the world” once the £86,000 (USD $106,000) procedure has fully healed. Brian Sanchez, 33, a mortgage broker who lives in Georgia in the United States with his wife, Nidia, 30, and their daughters, Kaisley, two, and Kairi, six, felt in January 2022 that his body was “out of proportion” and he looked like “like a huge thumb”. After some research, he discovered he could have limb-lengthening surgery in Turkey to become his ideal height and as soon as he saw it he thought: “OK, I guess this is what I’m doing.” Brian’s main reasons for wanting the surgery were not only for his physical appearance but also to improve his weightlifting goals in the gym and be around nine inches taller than his wife so they will no longer be at “almost eye level”. When he told his loved ones about his plans, they thought it was “typical of (him)” as just because “something is crazy it never means that (he) won’t do it”. Brian had his first operation in December 2022, which involved breaking his tibia and fibula, putting a rod inside the bones, and fastening it with screws. He underwent a second procedure in March 2023 to extend his femur. To recover, Brian had to be in a wheelchair and turn the screws with an Allen wrench four times a day, but when he is fully recovered he thinks the pain will have been “worth it” as he will be able to “enjoy being taller”. “My wife is pretty tall – we were only about three inches apart – but once I’m fully recovered it’ll be a nine-and-a-half-inch difference,” he said. “It’s going to be really nice just to be able to hug her and have her all the way down there on my chest instead of being almost eye level. “One of the things that I’ll enjoy the most is being able to work out again and put some weight on my legs and have my body look a little bit more how I want it to.” In January 2022, Brian suddenly realised his legs didn’t match his “torso proportions”. He said: “I realised that my legs were always looking weird, and I didn’t know what it was, until one day I was sitting next to my brother-in-law who is almost 6ft 6in, and I was actually a little taller than he was. “I thought that was weird, because I knew he was taller than I am by a lot, and we stood up, and all of a sudden, I started looking and realised my legs were too short for my body. “I’m broad, have long arms, and I’m wide, but my short legs make me look different – I almost look like a huge thumb, like those thumb men from Spy Kids.” After the realisation, Brian, who had never previously had cosmetic surgery, started to “not like (his) aesthetics” and decided to research ways to make himself taller. He said: “I thought I can either find a new hobby, and give up lifting weights, or I can fix the issue. “I started Googling and ran into the procedure from there – as soon as I saw it, I thought ‘OK, I guess this is what I’m doing’.” Brian set himself a goal of becoming at least 6ft 6in tall and said of his loved ones’ reaction when he told them about his idea: “It was a combination of disbelief, but they also said that it is typical of me. “I know this is a very crazy thing, it’s extremely expensive, time-consuming, difficult, painful and even risky in some respects.” In December 2022, he had his first operation in a clinic called Live Life Taller in Turkey, which cost him £30,000. The first procedure involved lengthening the tibia and fibula together. “In the first surgery, they broke my tibia and fibula and hollowed out the inside of the tibia, taking out the bone marrow,” he said. “They then put a rod inside the bone and fastened it with screws and attached the bone segments via pins to external fixators – so you have this piece of steel on the outside of your legs and have these constant open wounds that won’t close until you remove all the hardware.”. His recovery involved being in a wheelchair and using an Allen wrench to turn a bolt on the fixators four times a day at 90 degrees to separate the bone segments a little at a time. Brian continued to do this every day for two months, saying of his painful recovery: “The hardest part of the whole thing was the lack of sleep, but I think the pain will be worth it – once it’s all finished I’ll just be able to enjoy being taller, and hopefully feel on top of the world.” In February 2023, the external fixators on his tibia were removed and he was around three inches taller. In March 2023, he had the second operation, which cost him an additional £56,000, to carry out the same procedure on his femur. He said: “I actually felt great after my femur procedure, and there was almost no pain throughout the entire process, only from lengthening from actually stretching my legs.” Now, Brian is just over an additional three-and-a-half inches taller – making him just under 6ft 7in – but is still in a wheelchair and is waiting for it to be completely healed. He joked: “When it’s fully healed, I’m trying to not have expectations because I don’t want to be disappointed but it’s hard to imagine that I’m not going to enjoy it. “From the few times that I’ve already stood up, it is bizarre to see people that used to be my height come up to under my nose – it’s really weird, and it’s a lot of fun just seeing the world in a slightly different perspective. “I can see above the fridge more easily – not that it’s that important, but it’s cool. I’ll be able to see other people’s bald spots, everything will be just different.” Looking back on his decision to undergo the surgery, Brian said: “I didn’t need to do this procedure, but I really wanted to, and I didn’t know how hard it would be. “So, when I made the decision to do it, I kind of over-estimated how easy it would be and under-estimated how much pain and how much difficulty would be involved. “I don’t regret my decision, and I hope that I’m going to be really happy with the results.” Read More The worst day of the week for heart attacks revealed Husband of non-smoker, 24, who died two weeks after lung cancer diagnosis reveals single telltale sign A Place In The Sun’s Jonnie Irwin admitted to hospital amid terminal diagnosis Triathlete shares race photo where she bled through swimsuit while on her period The telltale sign of lung cancer everyone should know A Place In The Sun’s Jonnie Irwin admitted to hospital amid terminal diagnosis

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