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Nicotine Pouches Surge in Portugal Amid Regulatory Gap and Health Concerns

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Nicotine pouches are rapidly gaining popularity in Portugal, even as health authorities and regulators race to define how these smokeless products should be controlled. The small, discreet pouches, placed between the gum and lip, deliver nicotine without combustion and are being marketed as an alternative for adult smokers. However, experts warn that their rise is taking place in a legal and regulatory grey zone.

The World Health Organization has cautioned that nicotine pouches are addictive and may harm brain development, particularly among adolescents. Despite these warnings, their use is increasing across Europe, including Portugal, where the products were recently brought under an excise tax regime after months of operating without clear regulation.

Tabaqueira, a subsidiary of Philip Morris International, officially entered the Portuguese market this year following the introduction of taxation. Company managing director Marcelo Nico said the decision was tied to the establishment of legal clarity, noting that nicotine products must be regulated to prevent youth access while remaining available to adult smokers seeking alternatives.

“Our vision is to create a smoke-free world,” Nico said, adding that the products are intended for adult users and should not appeal to minors. He emphasized that regulation is essential to ensure controlled distribution and responsible marketing.

Health experts, however, argue that the risks remain significant. Pulmonologist Sofia Belo Ravara warned that nicotine pouches are often promoted with flavours such as mint, mango and berries, making them particularly attractive to younger consumers. She said aggressive marketing campaigns and social media promotion have contributed to rising usage among youth.

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“Flavours make the experience more pleasant and increase nicotine dependence,” she said, adding that nicotine is rapidly absorbed through the oral mucosa, maintaining steady levels in the body and reinforcing addiction.

In Portugal, each pouch can contain up to 12 mg of nicotine, raising concerns among specialists about exposure levels. Although they do not involve tobacco combustion, Ravara stressed that nicotine still affects brain development, particularly in adolescents, impacting memory, attention and impulse control, while increasing risks of anxiety and depression.

International experience is also shaping the debate. In Denmark, nicotine pouches entered the market without strict regulation, leading to widespread youth use within a few years. By 2025, an estimated 14 percent of young people aged 15 to 29 were users. Authorities have since introduced flavour bans, packaging rules and nicotine limits, though enforcement challenges persist, especially online.

The WHO has urged governments to adopt stricter controls, including advertising bans, age verification systems, flavour restrictions and clear health warnings. It also warns that industry marketing strategies are designed to normalize nicotine use among young people.

Portugal’s government has recently approved a draft framework to regulate nicotine pouches, with proposals under consideration including advertising limits, sales restrictions and possible flavour bans. While industry representatives argue for balanced regulation to protect adult access, health experts insist that precautionary measures are needed to prevent long-term public health consequences.

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Can Fruit Juice Help Europe Meet Its Daily Fruit and Vegetable Goals? Researchers Explore the Evidence

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Across Europe, many people continue to fall short of recommended daily fruit and vegetable intake, raising fresh debate over whether fruit juice and smoothies could help close the gap.

Health authorities advise consuming at least five portions of fruit and vegetables each day, yet data from 2023 shows Europeans averaged just 351 grams daily. That remains below the World Health Organization’s recommended 400 grams, highlighting a persistent nutritional shortfall across the region.

Researchers from Newcastle University in the United Kingdom have examined whether fruit juice or smoothies could play a role in improving intake. The study comes amid rising concerns over cost of living pressures and food waste, which can make fresh produce harder to access or maintain for many households.

Dr Oliver Shannon, lecturer in Nutrition and Ageing and senior author of the study, noted that affordability remains a major barrier. He said many people struggle to increase fruit consumption because fresh produce can be expensive and spoils quickly.

To test possible solutions, researchers conducted a small trial involving three groups. One group consumed five portions of whole fruits and vegetables daily for four weeks. A second group supplemented their diet with fruit juice, while a third continued their usual eating habits.

Both intervention groups showed higher overall fruit and vegetable consumption compared with the control group. Researchers also reported improvements in self-reported mood and reduced symptoms of depression among participants in both groups, although they stressed the findings were preliminary due to the study’s limited size.

Shannon said even simple dietary changes, including a daily glass of 100 percent fruit juice, could contribute to better nutrition and potentially support mental wellbeing. He emphasised that the juice used in the study contained no added sugar, preservatives, flavourings or colourings.

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Co-author Dr Courtney Neal said participants were more successful in improving their diets when given financial and educational support. She suggested that small, practical interventions could help people meet recommended intake levels.

However, nutrition experts continue to caution against relying heavily on juice. Most national dietary guidelines across Europe limit its role in daily fruit intake due to its lower fibre content and higher natural sugar concentration compared with whole fruit.

Guidance varies between countries. In the United Kingdom, up to 150 millilitres of fruit juice per day may count as one portion of the recommended intake. Germany allows occasional consumption in place of fruit, but advises limiting intake. France excludes fruit juice from fruit portions entirely, while Denmark includes it within its guidelines but recommends a higher daily total of six portions.

Despite these differences, health authorities broadly agree that whole fruit remains the preferred option due to its fibre, vitamins and antioxidants. These components are reduced during juicing, which can also affect how filling the food is and how the body processes sugar.

Some earlier research has linked frequent juice consumption to lower satiety and disrupted sleep patterns, raising further questions about its role in long-term dietary health.

As Europe continues to grapple with nutritional shortfalls, researchers say fruit juice may offer a partial solution, but stress that it cannot replace the benefits of whole fruit in a balanced diet.

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Study Finds Once-Weekly Interval Training May Match Regular Workouts in Cutting Belly Fat

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New research from Hong Kong suggests that people seeking to reduce belly fat and improve heart health may not need to exercise several times a week to see results.

A study published in Nature Communications found that interval training performed once weekly can be just as effective as exercising three times a week, provided the total amount of exercise remains the same.

The findings may offer encouragement to people struggling to maintain regular fitness routines due to work, family responsibilities or limited time.

Researchers at the School of Public Health at the University of Hong Kong focused on abdominal obesity, a condition closely linked to cardiovascular disease, metabolic disorders and a higher risk of premature death. Excess fat around the abdomen is considered particularly harmful because it surrounds vital organs and contributes to serious long-term health problems.

The study examined whether fewer but concentrated exercise sessions could deliver similar benefits to more frequent training schedules.

The research team tested a form of exercise known as interval training, which combines short bursts of intense activity with periods of slower movement or rest. In this case, participants alternated brisk walking with slower walking.

Scientists say interval training can burn visceral fat more quickly than steady, continuous exercise because of the repeated shifts in intensity.

The clinical trial ran from September 2021 to September 2024 and involved 315 adults in Hong Kong who had abdominal obesity.

Participants were divided into three groups. One group completed 75 minutes of interval training in a single weekly session. A second group performed the same total of 75 minutes divided into three 25-minute sessions each week. A third control group received only health education and did not participate in the exercise programme.

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After 16 weeks, both exercise groups recorded similar improvements.

Researchers found reductions in total body fat, body fat percentage and waist circumference regardless of whether participants exercised once or three times weekly. Cardiorespiratory fitness, which measures how efficiently the heart and lungs function during activity, also improved to nearly the same degree in both groups.

Professor Parco Siu Ming-Fai, head of the Department of Kinesiology at the University of Hong Kong and lead author of the study, said the findings challenge common assumptions about workout frequency.

“Current guidelines usually recommend exercising three times a week, but our study shows that if the total weekly exercise time stays the same, splitting it into fewer, higher-quality sessions produces similar results,” he said.

Researchers believe the results could help shape more flexible exercise recommendations, especially for people who find it difficult to commit to frequent gym visits while still aiming to manage weight and improve overall health.

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Greek Patients Face Long Delays and Limited Access to New Medicines, Study Warns

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Greek patients are waiting close to two years on average to gain access to new medicines, while an increasing number of pharmaceutical companies are reportedly choosing not to launch innovative treatments in the country at all, according to new industry data.

Findings presented by the Hellenic Association of Pharmaceutical Companies (SFEE) and data analytics firm IQVIA show that Greece continues to lag behind much of Europe in both the availability and speed of access to new therapies, particularly in areas such as cancer care, rare diseases and chronic conditions.

Between 2021 and 2024, the European Medicines Agency approved 168 new medicines, yet only 69 have reached the Greek market. Of those, just 36 are fully reimbursed and freely accessible to patients. The remainder are available only through restricted pathways, leaving Greek patients with full access to only about one in five new treatments.

A separate analysis covering 214 newly approved medicines from 2022 to 2025 found an even starker picture, with only around 20 percent currently available in Greece.

“Three out of five innovative medicines will not be available in the coming years to Greek patients,” said SFEE president Olympios Papadimitriou, warning that limited treatment options could have serious consequences for patients with cancer, blood disorders and rare diseases.

Delays remain a major concern. It takes an average of 641 days for a new medicine to move from European approval to reimbursement in Greece, compared with 158 days in Germany, 363 days in Austria and 441 days in Italy. The European average stands at 597 days.

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The study also shows that Greece’s overall availability rate for new medicines is 41 percent, below the European average of 45 percent and far behind Germany at 93 percent.

Researchers say the situation is worsening. Data indicates that 62 percent of new medicines introduced in recent years are now expected never to reach the Greek market, up from 49 percent previously. Even among medicines already priced in Greece, only a small fraction are expected to remain accessible in the future.

Pharmaceutical companies point to Greece’s financial framework as a key barrier, particularly compulsory clawback and rebate mechanisms designed during the country’s debt crisis. Industry representatives argue that while these measures once aimed to control excessive spending, they are now discouraging companies from launching new treatments.

“We are victims of the Memoranda,” said SFEE director general Michalis Cheimonas, calling for a more stable and transparent pharmaceutical spending system supported by stronger digital controls and clearer budgeting.

Concerns are also rising over proposed changes to Greece’s reference pricing system, which could extend waiting times for new medicines by several months.

Across Europe, access to innovation remains uneven. While the EU approves new therapies centrally, national reimbursement systems ultimately determine availability, creating wide disparities between countries.

For patients in Greece, however, the issue remains urgent and personal: whether life-changing treatments will arrive in time to make a difference.

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