Hip implants a bit more likely to fail in women

CHICAGO (AP) — Hip replacements are slightly more likely to fail in women than in men, according to one of the largest studies of its kind in U.S. patients. The risk of the implants failing is low, but women were 29 percent more likely than men to need a repeat surgery within the first three years.

The message for women considering hip replacement surgery remains unclear. It's not known which models of hip implants perform best in women, even though women make up the majority of the more than 400,000 Americans who have full or partial hip replacements each year to ease the pain and loss of mobility caused by arthritis or injuries.

"This is the first step in what has to be a much longer-term research strategy to figure out why women have worse experiences," said Diana Zuckerman, president of the nonprofit National Research Center for Women & Families. "Research in this area could save billions of dollars" and prevent patients from experiencing the pain and inconvenience of surgeries to fix hip implants that go wrong.

Researchers looked at more than 35,000 surgeries at 46 hospitals in the Kaiser Permanente health system. The research, published Monday in JAMA Internal Medicine, was funded by the U.S. Food and Drug Administration.

After an average of three years, 2.3 percent of the women and 1.9 percent of the men had undergone revision surgery to fix a problem with the original hip replacement. Problems included instability, infection, broken bones and loosening.

"There is an increased risk of failure in women compared to men," said lead author Maria Inacio, an epidemiologist at Southern California Permanente Medical Group in San Diego. "This is still a very small number of failures."

Women tend to have smaller joints and bones than men, and so they tend to need smaller artificial hips. Devices with smaller femoral heads — the ball-shaped part of the ball-and-socket joint in an artificial hip — are more likely to dislocate and require a surgical repair.

That explained some, but not all, of the difference between women and men in the study. It's not clear what else may have contributed to the gap. Co-author Dr. Monti Khatod, an orthopedic surgeon in Los Angeles, speculated that one factor may be a greater loss of bone density in women.

The failure of metal-on-metal hips was almost twice as high for women than in men. The once-popular models were promoted by manufacturers as being more durable than standard plastic or ceramic joints, but several high-profile recalls have led to a decrease in their use in recent years.

"Don't be fooled by hype about a new hip product," said Zuckerman, who wrote an accompanying commentary in the medical journal. "I would not choose the latest, greatest hip implant if I were a woman patient. ... At least if it's been for sale for a few years, there's more evidence for how well it's working."

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Wall Street opens higher on M&A activity

(Reuters) - A Texas mother had a one-in-70-million kind of Valentine's Day this year when she gave birth to two sets of identical twin boys, a Houston hospital announced on Monday. The four brothers were delivered at 31 weeks to Tressa Montalvo, 36, via Cesarean section at The Woman's Hospital of Texas in Houston, according to a news release from the hospital. Tressa and Manuel Montalvo Jr. were not using any fertility drugs and had just hoped for a little brother or sister for their 2-year-old son, Memphis, according to the release. ...

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IHT Rendezvous: As Europe Moves to Cap Bonuses, Britain Hesitates

LONDON — It is hard to imagine any European politician losing votes these days by promising to curb bankers’ pay, which may explain why members of the European Parliament are enthusiastically pushing for the toughest restrictions on bank bonuses since the 2008 financial crisis.

Representatives of the Parliament and of the 27 European Union governments were meeting on Tuesday to finalize a deal on banking law that would include pegging bankers’ bonuses at no more than their annual salaries.

The Parliament’s demands for a bonus cap reflect public outrage at continued revelations of huge payouts to bankers. But a side effect has been to hold up enactment of global banking regulations designed to strengthen the capacity of banks to withstand a future crisis.

A majority of member states have come around to supporting the bonus cap. Germany, a late convert to the idea, is prepared to compromise on the issue in order to ensure the wider banking changes are adopted by the elected European Parliament.

The debate has left the British government out on a limb, as it fights a possibly doomed rearguard action to protect the interests of the City of London, Europe’s biggest financial center.

The Conservative-led government believes the bonus cap could have the perverse effect of increasing bankers’ fixed pay, while allowing less opportunity to claw back variable bonuses in the event of poor performance.

Boris Johnson, the outspoken Conservative mayor of London, was quoted on Tuesday as saying, “we don’t need Europe butting in on bonuses,” as he attacked the European proposals as a threat to the City’s international competitiveness.

In the light of popular anti-banker sentiment, however, the British government has been relying on quiet diplomacy to argue its case with European partners in order to avoid the perception that it pushing the agenda of “fat cat” bankers.

It has been left largely to the business media to press the case against a bonus cap. Allister Heath, writing at the City A.M. Web site on Tuesday, suggested that a cap would be a “disaster for London.”

In an editorial this week, which said adoption of the bonus cap would be a defeat for common sense, the Financial Times wrote: “The parliamentarians’ pet idea is a result of populism mixed with ignorance of how banking works.”

“A cap on the ratio of variable to fixed pay will do little to lower total compensation (which is what outrages voters sick of bailing out failed banks),” according to the Financial Times. “It will just encourage higher fixed salaries to compensate for the lack of bonuses that tend to be far larger.”

Mr. Heath, in his City A.M. column, suggested that George Osborne, the British finance minister, was “seemingly too frightened by anti-City sentiment” to block the Brussels proposals.

“The cap will lead to further boosts to base pay, increasing fixed costs and risk,” Mr. Heath wrote. “When business volumes drop, the only answer will be to sack people, rather than cutting bonuses.”

“The fact is U.K. regulators have already created a bonus framework that is tough but fair,” according to Nick Goodway, writing in the London Evening Standard. “Europe is trying to bring in one that could have dire consequences for London’s status as one of the world’s top three financial centers.”

Does this all amount to special pleading on behalf of overpaid bankers? Or do the opponents of the bonus cap have a point? Is the European Parliament guilty of populism, or simply displaying good sense with its proposals to outlaw excessive bonuses?

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British author attacks “plastic” princess Kate

LONDON (Reuters) – One of Britain‘s most celebrated authors has launched a withering attack on the Duchess of Cambridge, the pregnant wife of Prince William, branding her a “shop-window mannequin” with a plastic smile whose only role in life is to breed.

Prime Minister David Cameron described award-winning writer Hilary Mantel as “misguided” after she likened the former Kate Middleton to a “machine made” doll, devoid of personality.

Her comments about the 31-year-old wife of William, second-in-line to the British throne, divided public opinion, with newspapers condemning Mantel as “venomous”, “cruel” and “staggeringly rude”.

Supporters said her words had been taken out of context from a long analysis of society’s centuries-old obsession with the appearance and fertility of royal wives that ended with a plea to “back off and not be brutes” to them.

“I saw Kate becoming a jointed doll on which certain rags are hung,” Mantel said in a lecture at the British Museum in London earlier this month in which she spoke about her changing view of the princess.

“She was a shop-window mannequin, with no personality of her own, entirely defined by what she wore. These days she is a mother-to-be, and draped in another set of threadbare attributions.”

Speaking during a visit to India, Cameron said Mantel was wrong and that people should do more to encourage a young royal who is a “fantastic ambassador for Britain”.

“She writes great books, but I think what she’s said about Kate Middleton is completely misguided and completely wrong,” Cameron told Sky News.

Mantel, who last year became the first Briton to twice win the Man Booker prize for fiction, referred to the princess’s severe morning sickness during the early stage of her pregnancy and said her role was to provide an heir.

“Once she gets over being sick, the press will find that she is radiant. They will find that this young woman’s life until now was nothing, her only point and purpose being to give birth,” Mantel said in the lecture organized by the London Review of Books on February 4. The literary magazine reprinted the lecture on its website this week.

‘UNCALLED FOR’

A smiling Duchess of Cambridge showed no sign of being affected by the row when she visited an addiction charity in London. Wearing a grey wrap dress, she crossed her hands over her small baby bump as she chatted to charity workers.

Well-wishers who waited in the late winter sunshine for a glimpse of her expressed sympathy.

“It’s totally uncalled for,” said Morag Hamilton, 36, from London. “It’s a shame – that’s what her life is going to become now.”.

Mantel, 60, is best known for her historical novel “Wolf Hall”, about the rise of blacksmith’s son Thomas Cromwell to the pinnacle of power in King Henry VIII’s court. Her follow-up “Bring Up the Bodies” recounted Anne Boleyn’s fall from grace after failing to give Henry a male heir.

In her lecture, Mantel said the Duchess of Cambridge was “selected for her role … because she was irreproachable”, contrasting her with the “emotional incontinence” of William’s late mother, Princess Diana.

“As painfully thin as anyone could wish, without quirks, without oddities, without the risk of the emergence of character. She appears precision-made, machine-made, so different from Diana,” Mantel said. The author’s agent and a royal spokeswoman declined to comment.

Reaction on Twitter suggested Mantel had split public opinion. Royal commentator Robert Jobson said the “venomous attack” was “unfair and publicity-seeking”. Others agreed with Mantel, saying she had elegantly articulated what many people had long thought about the royals.

The lecture looked at the public fascination with the “regal body”, examining the lives of royal women and the importance of providing an heir. Mantel compared their fate to caged pandas in captivity.

“Our current royal family doesn’t have the difficulties in breeding that pandas do, but pandas and royal persons alike are expensive to conserve and ill-adapted to any modern environment,” Mantel said. “But aren’t they interesting? Aren’t they nice to look at?”

(Additional reporting by Andrew Osborn in New Delhi; Editing by Guy Faulconbridge and Paul Casciato)

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Kate, Back from Babymoon, Resumes Royal Duties

By Simon Perry

02/18/2013 at 09:20 AM EST

Five months into her pregnancy and just back from a Caribbean "babymoon" in Mustique, the Duchess of Cambridge is stepping up her work as she returns to her royal duties.

Kate, 31, is set for a visit to the port of Grimsby, about 180 miles from London in north eastern England, where she will be shown the local work of one of her father-in-law Prince Charles's best known charities, the Prince's Trust.

On the March 5 "away day," she will also see a local school and take in a history lesson on the local fishing industry when she tours the town's museum.

With the fashion-conscious princess also thinking about her maternity wear, she's reportedly turned to friends Natasha Rufus Isaacs and Lavinia Brennan at Beulah London for some frocks, it was reported Monday – though the company did not wish to comment.

On Tuesday of this week, Kate will return to public work by visiting a treatment center run by one of her charities, Action on Addiction, a women's-only project in Clapham, London.

"These women would have chosen to have some time out of the company of men and they need to focus on themselves," charity chief executive Nick Barton tells PEOPLE. "This is more about the longer term, helping people sustain their recovery and think about the things that makes them vulnerable to relapse."

Royal aides tell PEOPLE that Kate is set to pick some new patronages in the coming weeks, to add to the several she adopted in January 2012.

As it is, the non-profit group 100 Women in Hedge Funds – already associated with Prince William – has announced it will partner with Action on Addiction for Kate's first year of her patronage.

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Study: Better TV might improve kids' behavior

SEATTLE (AP) — Teaching parents to switch channels from violent shows to educational TV can improve preschoolers' behavior, even without getting them to watch less, a study found.

The results were modest and faded over time, but may hold promise for finding ways to help young children avoid aggressive, violent behavior, the study authors and other doctors said.

"It's not just about turning off the television. It's about changing the channel. What children watch is as important as how much they watch," said lead author Dr. Dimitri Christakis, a pediatrician and researcher at Seattle Children's Research Institute.

The research was to be published online Monday by the journal Pediatrics.

The study involved 565 Seattle parents, who periodically filled out TV-watching diaries and questionnaires measuring their child's behavior.

Half were coached for six months on getting their 3-to-5-year-old kids to watch shows like "Sesame Street" and "Dora the Explorer" rather than more violent programs like "Power Rangers." The results were compared with kids whose parents who got advice on healthy eating instead.

At six months, children in both groups showed improved behavior, but there was a little bit more improvement in the group that was coached on their TV watching.

By one year, there was no meaningful difference between the two groups overall. Low-income boys appeared to get the most short-term benefit.

"That's important because they are at the greatest risk, both for being perpetrators of aggression in real life, but also being victims of aggression," Christakis said.

The study has some flaws. The parents weren't told the purpose of the study, but the authors concede they probably figured it out and that might have affected the results.

Before the study, the children averaged about 1½ hours of TV, video and computer game watching a day, with violent content making up about a quarter of that time. By the end of the study, that increased by up to 10 minutes. Those in the TV coaching group increased their time with positive shows; the healthy eating group watched more violent TV.

Nancy Jensen, who took part with her now 6-year-old daughter, said the study was a wake-up call.

"I didn't realize how much Elizabeth was watching and how much she was watching on her own," she said.

Jensen said her daughter's behavior improved after making changes, and she continues to control what Elizabeth and her 2-year-old brother, Joe, watch. She also decided to replace most of Elizabeth's TV time with games, art and outdoor fun.

During a recent visit to their Seattle home, the children seemed more interested in playing with blocks and running around outside than watching TV.

Another researcher who was not involved in this study but also focuses his work on kids and television commended Christakis for taking a look at the influence of positive TV programs, instead of focusing on the impact of violent TV.

"I think it's fabulous that people are looking on the positive side. Because no one's going to stop watching TV, we have to have viable alternatives for kids," said Dr. Michael Rich, director of the Center on Media and Child Health at Children's Hospital Boston.

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Pediatrics: http://www.pediatrics.org

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Contact AP Writer Donna Blankinship through Twitter (at)dgblankinship

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Yen resumes fall after G20, earnings worries hit stocks

LONDON (Reuters) - The yen resumed falling on Monday after Japan signaled it would push ahead with expansionist monetary policies having escaped criticism from the world's 20 biggest economies at the weekend.

European shares and industrial metals dropped on lingering worries about the economic outlook, especially for the euro zone. The risk of an inconclusive outcome in Italian elections at the weekend also added to investor concerns.

However, activity was curtailed by the closure of markets in the United States for the Presidents' Day holiday.

The yen, which has dropped 20 percent against the dollar since mid-November, fell further after financial leaders from the G20 promised not to devalue their currencies to boost exports and avoided singling out Japan for any direct criticism.

"Future yen direction will continue to be driven by domestic monetary policy from the Bank of Japan and improving international investor confidence, which are both driving the yen weaker," said Lee Hardman, currency analyst at Bank of Tokyo-Mitsubishi UFJ.

Japan's prime minister Shinzo Abe seized the opportunity to keep pressure on the central bank to loosen policy, telling the Japanese parliament that buying foreign bonds could be among options the Bank of Japan could adopt.

The result was the dollar rising 0.5 percent to 93.98 yen, near a 33-month peak of 94.47 yen set a week ago. The euro rose 0.2 percent to 125.32 yen, roughly midway between Friday's two-week low of 122.90 and a 34-month high of 127.71 yen hit earlier this month.

Strategists said that while the yen was likely to stay weak, its decline could lose momentum as investors wait for more clarity on who will be taking the helm at the Bank of Japan when the current governor steps down on March 19.

"The big unknown is who will get appointed as the new BoJ governor, so it is difficult to put on massive positions beforehand," said Saeed Amen, currency strategist at Nomura.

Abe is poised to nominate the new governor in the coming days. Sources have told Reuters that former financial bureaucrat Toshiro Muto, considered likely to be less radical than other candidates, was leading the field.

Elsewhere in the currency market, sterling hit a seven-month low against the dollar, after a key policymaker made comments about the need for further weakness and recent poor data which has kept alive worries of another British recession.

Sterling fell 0.15 percent to $1.5492 having earlier touched $1.5438, its lowest since July 13.

DATA LOOMS

A big week for data on the outlook for the world's economy weighed on other riskier asset markets following the recent dire fourth-quarter growth numbers for the euro zone and Japan, along with Friday's soft U.S. manufacturing figures.

In European markets, attention is focused on the euro area Purchasing Managers' Indexes for February and German sentiment indices due later in the week. These could affect hopes for a recovery this year.

Analysts expect Thursday's euro area flash PMI indices, which offer pointers to economic activity around six months out, to show growth stabilizing across the recession-hit region, leaving hopes for a recovery in the second half of 2013 intact.

Concerns over an inconclusive outcome in the Italian elections on Sunday and Monday have added to the weaker sentiment as a fragmented parliament could hamper a future government's efforts to reform the struggling economy.

The worries about the outlook for Italy were encouraging investors back into safe-haven German government bonds on Monday, with 10-year Bund yields easing 3.6 basis points to be around 1.63 percent.

"Political uncertainty will keep Bunds well bid this week," ING rate strategist Alessandro Giansanti said, adding that only better than expected economic data could create selling pressure on German debt in the near term.

Italian 10-year yields were 7 basis points higher on the day at 4.44 percent.

EARNINGS HIT

European equity markets were taking their lead from corporate earnings reports which have been reflecting the sluggish economic conditions across the region.

Danish brewer Carlsberg , which generates just over 60 percent of its sales in western Europe, became the latest to report a weaker-than-expected quarterly profit, sending its shares to their lowest level in almost a month.

The 6.8-percent drop for shares in the world's fourth biggest brewery helped send the FTSEurofirst 300 index <.fteu3> of top European shares down 0.3 percent at midday. Germany's DAX <.gdaxi>, France's CAC-40 <.fchi> and UK FTSE-100 <.ftse> ranged between 0.1 percent up and 0.3 percent lower.

Earlier, the effect of the G20 statement and the comments from Abe indicating a renewed drive to stimulate the Japanese economy lifted the Nikkei stock index <.n225> by 2.1 percent, near to its highest level since September 2008.

MSCI's world equity index <.miwd00000pus> was flat as markets extended a two-week period of consolidation that has followed the big run-up in January, when demand was buoyed by the efforts of central banks to stimulate the world economy.

Data from EPFR Global, a U.S.-based firm that tracks the flows and allocations of funds globally, shows investors pulled $3.62 billion from U.S. stock funds in the latest week, the most in 10 weeks after taking a neutral stance the prior week.

But demand for emerging market equities remained strong, with investors putting $1.81 billion in new cash into stock funds, the fund-tracking firm said.

CHINA RETURN

In the commodity markets, traders played catch-up after a week-long holiday last week in China, the world's second biggest consumer of many raw materials, which had kept activity subdued, with worries about the economic outlook weighing on sentiment.

Copper, for which China is the world's largest consumer, dipped to a near three-week low of $8,127.50 a metric ton (1.1023 tons) on the London futures market. Benchmark tin and nickel also touched three-week lows.

Bargain hunters helped gold rise from a six-month low to be up 0.2 percent to $1,611.87 an ounce with jewelers in China returning to the physical market after the Lunar New Year holiday.

Crude oil markets were mostly steady after some weak U.S. industrial production data on Friday [ID:nL1N0BF44A] was seen dampening demand, while tensions in the Middle East lent some support.

"We continue to see a mixed picture out of the United States. Industry output was lower than expected but that shouldn't affect the general upward direction," Olivier Jakob, analyst at Geneva-based Petromatrix, said.

Brent crude was flat at $117.66 a barrel after posting its first weekly loss since the first half of January. U.S. crude slipped 19 cents to $95.67.U.S. crude.

(Additional reporting by Marius Zaharia and Ron Bousso. Editing by Philippa Fletcher)

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IHT Rendezvous: Holding Obama's Feet to the Climate-Change Fire

At first glance, it was hard to tell whether they had come to bury Obama or to praise him.

Thousands of activists from hundreds of environmental, social justice and community groups marched on Washington yesterday in the biggest climate rally ever held in the U.S. capital. Activists both called on President Obama to make good on his climate change policy promises and protested the Keystone XL pipeline project.

“For 25 years our government has basically ignored the climate crisis: now people in large numbers are finally demanding they get to work,” Bill McKibben, head of 350.org, one of the environmental groups organizing the event, told the crowd.

The “Forward on Climate” rally comes less than a week after President Obama urged American leaders to “act before it is too late,” on climate change during his State of the Union address.

The demonstration’s timing — early in the administration’s second term — was important. While many say Mr. Obama achieved important green goals in his first term (Rendezvous wrote about tougher fuel efficiency standards for cars), critics say he did not achieve enough in the fight to address climate change. Many blame an uncooperative Congress and the always-looming re-election campaign. (The words “climate change” were not uttered during any of the three presidential debates between Mr. Obama and Mitt Romney.

The secretaries of the interior and energy — portfolios where green leadership is seen as important — are being replaced. The head of the Environmental Protection Agency, Lisa Jackson, announced her resignation late last year.

Despite the President’s recent emphatic address to the nation, critics point out that his speech was short on details. And for many of the organizers of yesterday’s rally, the fact that the President did not mention the controversial Keystone XL pipeline — a pipeline that is to bring crude oil from Canada to Texas refineries — was a warning sign.

At the rally on the National Mall, activists from the ‘Backbone Campaign’ carried a 70-foot model of a spine, with an anti-Keystone XL pipeline message painted on the side, imploring the President to stand strong against the project.

As my colleagues John M. Broder, Clifford Krauss and Ian Austen reported, the Keystone XL pipeline issue is particularly thorny for Mr. Obama because the project is so detested by environmentalists, but supported by so many other players, including the government of Canada, one of the United States’ most important trading partners.

On Thursday, the House of Representatives passed an energy bill that would allow Congress, rather than the White House, to issue a permit for the Keystone XL pipeline. The President had put plans for the pipeline on hold temporarily.

On the same day in the Senate, several senators co-sponsored legislation for a carbon tax program that would finance clean-energy projects, in a move largely seen as symbolic because of the legislation’s scant chance of passing either house of Congress.

Partially due to recent extreme weather events, the issue of climate change is once more at the forefront of American politics. A survey carried out by the League of Conservation voters found that 65 percent of American voters were in favor of “the President taking significant steps to address climate change now.”

“Twenty years from now on President’s Day, people will want to know what the President did in the face of rising sea levels, record droughts and furious storms brought on by climate disruption,” said Michael Brune, head of the Sierra Club, an environmental organization that helped organized Sunday’s rally.

A man dressed as the grim reaper held a sign that read: “the only steady job on a dying planet will be mine.”

While no official attendance numbers were recorded, participating organizations estimated that more than 35,000 people attended. On its Facebook page, 350.org claimed that 50,000 protesters took part in the event.

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LG to release full HD smartphone in SKorea

SEOUL, South Korea (AP) — LG Electronics Inc. said Monday its new smartphone with a full high-definition screen will go on sale in South Korea this week before hitting shelves in Japan in April.

The Optimus G Pro smartphone features a 5.5-inch screen that packs over 2 million pixels, or twice as many as smartphones with HD screens.

The new Android-powered phone sports other upgrades including a camera that can shoot full HD videos and photographs.

The South Korean company, Sony Corp., HTC Corp. and other phone manufacturers are trying to make high-resolution screens a key feature in their new smartphones this year.

Full HD screens are more common in televisions but smartphone makers began to embrace them this year amid cutthroat competition. One in every two smartphones is made by Samsung Electronics Co. or Apple Inc., creating a hardscrabble fight among the second-tier of makers.

LG executives said their current goal is elevating the reputation of the Optimus brand after turning around the company’s mobile communications business following years of losses.

The Optimus G Pro is available at 968,000 won ($ 894) without in South Korea without a mobile carrier contract.

The model will be on display at the annual mobile fair in Barcelona, Spain kicking off next week.

Once the world’s No. 3 mobile phone maker, LG was the fifth-largest mobile phone maker by shipments in 2012 after Samsung, Nokia Corp., Apple and ZTE Corp., according to market research firm IDC.

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Kelly Ripa and Michael Strahan's Disney Vacation

TV Watch
People Exclusive

By Rennie Dyball

02/17/2013 at 10:00 AM EST

Kelly Ripa with Joaquin (front), Michael and Lola in Disney World

Todd Anderson/Disney

Call it an on-location family vacation.

Kelly Ripa and Michael Strahan are taping four episodes of Live in Orlando, but the morning show co-hosts are also making time to embrace their inner children (and their real ones!) at Walt Disney World.

The Live co-hosts spent the day with their families at the park on Saturday, where Ripa rode the Epcot attraction Test Track with her kids Joaquin (next to Ripa), 9, Michael, 15, and Lola, 11.

Michael Strahan and Gaston

Todd Anderson / Disney

Elsewhere, it was a tale of dueling biceps (and expressive eyebrows) when Strahan matched up for some arm wrestling with Beauty and the Beast character Gaston.

Ripa's husband Mark Consuelos also joined his family on the trip, while Strahan was accompanied by his children, fiancée Nicole Murphy, and her kids.

The Orlando episodes of Live will air Monday through Thursday on ABC.

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