Lift weights and save your life

report their symptoms improve considerably with a combination of the lifestyle measures.

Vestibular neuritis

This condition is a neuropathy or inflammation of the vestibular nerve, thought to result from a virus infection. It is most common in 40- 60-year-olds, and causes sudden onset of severe, disabling vertigo.

Unlike BPPV, the vertigo in vestibular neuritis isn’t typically triggered by movement, and doesn’t go away after a few minutes. It can last for up to a week and is commonly associated with nausea and vomiting. Although awful to experience, VN is selflimiting and can usually be managed at home with bed-rest and medication to reduce the nausea.

Labyrinthitis

Again, this is caused by inflammation, most often associated with a viral infection. It occurs in people over 30, but can sometimes happen in childhood as well. Although it causes the same sudden, severe, constant type of vertigo as VN, labyrinthitis also leads to temporary hearing loss in one or both ears, and sometimes tinnitus. Management is the same as for VN, and nearly all cases will resolve completely, with no ongoing symptoms.

Vestibular migraine

About 1 per cent of us will get this type of migraine during our life, and bizarrely it doesn’t always feature a headache. The vertigo typically lasts from five minutes up to 72 hours, and may be associated with sensitivity to light and noise, flickering vision, and nausea. This type of vertigo responds to migraine treatments, and can be managed by your GP. Depending on how severe or frequent your migraines are, a preventer tablet taken every day can be effective.

Aside from these causes, other more serious things can also present with vertigo, especially in their early stages. These include sudden events such as a stroke, or more gradually progressing diseases like multiple sclerosis, or even brain tumours. Although it isn’t always possible to distinguish more serious causes from less worrying ones, the following signs would be of concern, and warrant being checked out:

■ Sudden onset of a new, severe headache associated with vertigo

■ Extreme nausea or vomiting, to the extent you are unable to tolerate fluids

■ Any symptoms to suggest a stroke, for example weakness of face, limbs or body, slurred speech or problems swallowing

■ Sudden onset of deafness without the other features of Meniere’s disease.

If your vertigo isn’t going away, please get your doctor to review things. Vestibular physio or rehabilitation is helpful for many people and is more widely available. It is important to put some general safety measures in place to avoid any issues driving, at home or at work so you don’t run the risk of injuring yourself or others.

The more Chloe Madeley cares about a topic, the more she swears. And she cares a lot about getting women into weightlifting.

‘‘Everybody should be f...ing doing this,’’ she says through a mouthful of chicken and broccoli. ‘‘Everything from staving off cancer, diabetes, dementia, osteoporosis, arthritis – it’s just the f...ing best thing you can do for your body, and it’s maddening that women are under the impression that it’s not for them.’’

We are chatting about her latest book, Transform Your Body with Weights.

Despite already having a couple of best-sellers under her belt, Madeley, the daughter of daytime television legends Richard Madeley and Judy Finnigan, had to fight with her publisher to get the book out.

They thought that women would not be interested in building muscle.

A flick through Madeley’s Instagram account, where she has 213,000 followers, shows this is not the case: there is picture after picture of her vascular frame, interspersed with pictures of her husband James Haskell, the former rugby international.

Madeley, 32, came to weightlifting in her mid-20s after suffering from a bout of extreme anxiety and panic attacks, due in part to the scrutiny of growing up in the public eye.

In her childhood and teenage years, she adored having as parents Richard and Judy, who presented Britain’s This Morning from 1998 to 2001 and their eponymous show from then until 2009.

But having Richard and Judy as parents became a problem.

‘‘One of the downsides was that I developed in my 20s quite bad anxiety issues based on what other people thought of me,’’ she says.

‘‘I became incredibly anxious, I started having panic attacks, my self-esteem was on the floor.’’

She thought that a career in television was what was expected of her, so got a job behind the scenes as a researcher on The Alan Titchmarsh Show, and then stints in front of the camera presenting for a Big Brother spin-off show and on her parents’ show.

These early successes were ironically disastrous for her selfconfidence.

‘‘People were saying ‘Who is she? She’s only famous for being

Richard and Judy’s daughter’,’’ she recalls.

She drew more and more attention to herself, modelling for underwear brand Ultimo and posing for lads’ magazines. But nothing helped; her 2011 performance on Dancing on Ice piled the stress even higher, and led to her first panic attack.

Cognitive behavioural therapy was the only thing to get her through the show and the subsequent tour.

The therapy helped, but only so much, as did one therapist’s suggestion of extreme sports to force her to ‘‘be in the moment’’. It was only at the age of 25 that she realised weightlifting was a much more sustainable means of dealing with her issues.

‘‘It just immediately clicked with me and I fell madly in love with it, and I thought: ‘I’m going to keep weightlifting now for the rest of my life’.’’

It has had a profound effect on her mental health, and has helped to keep her anxiety at bay. ‘‘It forces you to be present,’’ she says, because carrying heavy weights can be dangerous if you’re not focused on the task in hand. There was no space to worry about anything else.

‘‘It gave me self-respect, selfworth, self-discipline, and it completely saved me.’’

She felt like she had found her calling in life, so threw in the towel with television, and studied to be a personal trainer.

Her career has grown in the years since, bolstered by her following on social media, where she shares tips for getting in shape, alongside impassioned rants about the benefits of exercise.

A few years into her fitness journey, Madeley met Haskell, the former England rugby player. After their first date in 2014, they haven’t spent more than 48 hours apart at a time.

‘‘It’s probably super unhealthy, we’re mega joined at the hip,’’ she says.

‘‘We do nothing but laugh. He’s 34 and I’m 32; we still playwrestle like [children]’’.

They married in December of last year, surrounded by Haskell’s old teammates.

She maintains a strict training regime, going to the gym at least four times a week. Even taking a week off for her honeymoon to Fiji was difficult, she says.

‘‘By the last few days, I was acting a little bit weird, a bit insecure. I just started to notice that demons were coming back.’’

She believes that a lot of the reason that weightlifting is so beneficial for her is the way it rebalances her body’s adrenaline and stress hormones.

– The Telegraph, London