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Almost one in 10 middle-aged men and more than a quarter of middle-aged women in the UK are “fit but fat”, researchers have said, as they called for more to be done to help people reduce their weight. Academics said that there are large regional differences over levels of “metabolically healthy obesity”, which could be down to different diets or other lifestyle factors as well as ethnic and genetic differences. People who are “fit but fat” are considered to be obese by their body mass index (BMI) score but have none of the complications associated with obesity including abnormal blood sugar levels; high cholesterol; high blood pressures; type 2 diabetes or other signs of heart disease. The UK has similar levels seen in Sweden, Norway and Germany, experts said. The highest proportion of metabolically healthy obesity is observed in France and other Mediterranean countries such as Italy and Israel, experts told the the Annual Meeting of the European Association for the Study of Diabetes. There will always be people living with obesity who seem to be protected against obesity-related cardiometabolic diseases Prof Mattias Bluher One study shows that 8% of men and 27% of women in the UK aged between 40 and 50 are living with “metabolically healthy obesity”. Asked how many people in the UK are affected, Professor Matthias Bluher, of the University of Leipzig and Helmholtz Centre Munich in Germany, said: “The (UK) is very similar to situation Sweden, Norway and Germany. “There are populations in Micronesia or Asian populations where it is down to 2-5% only. “Some populations may be, despite large amounts of adipose tissue, better protected against comorbidities and Caucasian populations belong to those.” Prof Bluher said that healthy obesity is seen in a number of premenopausal women. It comes as Prof Bluher called for better weight management programmes for people who fit the profile. He pointed to previous work which suggests people who are “healthy obese” have a higher risk of coronary heart disease, cerebrovascular disease and heart failure compared to their in a normal weight range. “There will always be people living with obesity who seem to be protected against obesity-related cardiometabolic diseases,” he told the conference. “The concept that metabolically healthy obesity affected people may not benefit from weight loss strategies has been challenged by recent data. “A timely and personalised treatment of obesity should also be recommended to people living with healthier obesity.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Jonnie Peacock on Strictly Come Dancing representation: ‘It’s important to break people’s perceptions’ What you need to know about depression during menopause – as Carol Vorderman opens up Autumn pests to look out for and how to get rid of them in your home and garden

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A Moscow court has shot down an appeal by Wall Street Journal reporter Evan Gershkovich challenging a decision to extend his pre-trial detention. Gershkovich, 31, was arrested almost six months ago in Russia on spying charges. Russian officials accused him of collecting state secrets about the military. He – along with the Wall Street Journal and the US government – denies these allegations. The decision to extend his pre-trial detention had been made in August. Last week, US ambassador to the UN Linda Thomas-Greenfield and Gershkovich’s family called for his immediate release from Moscow’s Lefortovo prison. The Moscow city court on Tuesday upheld its initial ruling. A judge in Lefortovo Court in Moscow extended the journalist’s pre-trial detention until 30 November. The hearing was held behind closed doors. The WSJ journalist will remain in jail until then, reported Russia’s Tass news agency. “The Moscow City Court considered the lawyers’ complaint in a closed court session and decided to remove the material regarding E Gershkovich from appeal consideration, and send the material to the Lefortovo District Court of Moscow to eliminate the circumstances impeding the consideration of the criminal case in the appellate court,” the court said in a statement. It remains unclear why the court refused to consider Gershkovich’s appeal. The case is expected to be returned to a lower court. The 31-year-old American citizen had been granted accreditation by Russia’s foreign ministry to work there as a journalist. He was arrested by agents of the Federal Security Service (FSB), the successor agency to the KGB, during a reporting assignment in the Russian city of Yekaterinburg on 29 March this year. This is the first instance of a Western journalist being arrested on espionage charges in Russia since the end of the Cold War. If Gershkovich gets convicted, he could face up to 20 years in prison. According to Russian law, people found guilty of espionage can potentially receive a maximum prison sentence of 20 years. US envoy to Russia Lynne Tracy, who was present in the courtroom on Tuesday, told the media: “The US position remains unwavering. The charges against Evan are baseless. The Russian government locked Evan up for simply doing his job. Journalism is not a crime.” “Evan is fully aware of the gravity of his situation, yet he remains remarkably strong,” she said. To mark Gershkovich’s 100 days in jail since July this year, the White House press secretary said: “The world knows that the charges against Evan are baseless – he was arrested in Russia during the course of simply doing his job as a journalist, and he is being held by Russia for leverage because he is an American.” After visiting the journalist in prison, Ms Thomas-Greenfield said: “No family should have to watch their loved one being used as a political pawn. And that’s exactly what President [Vladimir] Putin is doing. Russia’s actions are beyond cruel, and they are a violation of international law.” US president Joe Biden said in July that he was “serious on a prisoner exchange”. “And I’m serious about doing all we can to free Americans being illegally held in Russia, or anywhere else for that matter, and that process is underway,” he said. “President [Joe] Biden spoke to us and gave us a promise to do whatever it takes” to bring Gershkovich home, his parents, Ella Milman and Mikhail Gershkovich, said in a July interview with ABC News. “He told us he understands our pain,” said Ms Milman, the mother of the WSJ journalist. In a letter earlier this month to the UN’s working group on arbitrary detention, lawyers for the WSJ’s publisher accused Mr Putin of using Gershkovich as a pawn and of “holding him hostage.” The lawyers argue that Mr Putin wants to use Gershkovich “to gain leverage over – and extract a ransom from – the United States, just as he has done with other American citizens whom he has wrongfully detained”. The letter said Gershkovich’s ongoing detention “is a flagrant violation of many of his fundamental human rights”. In June this year, nearly three dozen US senators wrote a letter to Gershkovich expressing their “profound anger and concern” over his detention in the Russian prison. The letter said a “free press is crucial to the foundation and support of human rights everywhere” and that every day he spends in a Russian prison “is a day too long”. “We applaud you for your efforts to report the truth about Russia’s reprehensible invasion of Ukraine, a conflict that has resulted in untellable atrocities, tragedies, and loss of life,” the letter read. It said the senators “understand the enormous burden you may feel as the Russian government uses you as a political tool”. Read More U.S. ambassador to Russia visits jailed WSJ reporter Evan Gershkovich Father of imprisoned reporter Evan Gershkovich calls on world leaders to urge Russia to free him A new Iran deal shows the Biden administration is willing to pay a big price to free Americans The Body in the Woods | An Independent TV Original Documentary The harrowing discovery at centre of The Independent’s new documentary

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Israel and Hamas announced a deal on Wednesday allowing at least 50 hostages and scores of Palestinian prisoners to be freed, while offering besieged Gaza residents a four-day...