440 research outputs found

    Dietary Salt Intake and Mortality in Patients With Type 2 Diabetes

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    OBJECTIVE: Many guidelines recommend that patients with type 2 diabetes should aim to reduce their intake of salt. However, the precise relationship between dietary salt intake and mortality in patients with type 2 diabetes has not been previously explored. RESEARCH DESIGN AND METHODS: Six hundred and thirty-eight patients attending a single diabetes clinic were followed in a prospective cohort study. Baseline sodium excretion was estimated from 24-h urinary collections (24hU(Na)). The predictors of all-cause and cardiovascular mortality were determined by Cox regression and competing risk modeling, respectively. RESULTS: The mean baseline 24hU(Na) was 184 ± 73 mmol/24 h, which remained consistent throughout the follow-up (intraindividual coefficient of variation [CV] 23 ± 11%). Over a median of 9.9 years, there were 175 deaths, 75 (43%) of which were secondary to cardiovascular events. All-cause mortality was inversely associated with 24hU(Na), after adjusting for other baseline risk factors (P < 0.001). For every 100 mmol rise in 24hU(Na), all-cause mortality was 28% lower (95% CI 6-45%, P = 0.02). After adjusting for the competing risk of noncardiovascular death and other predictors, 24hU(Na) was also significantly associated with cardiovascular mortality (sub-hazard ratio 0.65 [95% CI 0.44-0.95]; P = 0.03). CONCLUSIONS: In patients with type 2 diabetes, lower 24-h urinary sodium excretion was paradoxically associated with increased all-cause and cardiovascular mortality. Interventional studies are necessary to determine if dietary salt has a causative role in determining adverse outcomes in patients with type 2 diabetes and the appropriateness of guidelines advocating salt restriction in this setting

    Projected marine heatwaves in the 21st century and the potential for ecological impact

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    Marine heatwaves (MHWs) are extreme climatic events in oceanic systems that can have devastating impacts on ecosystems, causing abrupt ecological changes and socioeconomic consequences. Several prominent MHWs have attracted scientific and public interest, and recent assessments have documented global and regional increases in their frequency. However, for proactive marine management, it is critical to understand how patterns might change in the future. Here, we estimate future changes in MHWs to the end of the 21st century, as simulated by the CMIP5 global climate model projections. Significant increases in MHW intensity and count of annual MHW days are projected to accelerate, with many parts of the ocean reaching a near-permanent MHW state by the late 21st century. The two greenhouse gas (GHG) emission scenarios considered (Representative Concentration Pathway 4.5 and 8.5) strongly affect the projected intensity of MHW events, the proportion of the globe exposed to permanent MHW states, and the occurrence of the most extreme MHW events. Comparison with simulations of a natural world, without anthropogenic forcing, indicate that these trends have emerged from the expected range of natural variability within the first half of the 21st century. This discrepancy implies a degree of “anthropogenic emergence,” with a departure from the natural MHW conditions that have previously shaped marine ecosystems for centuries or even millennia. Based on these projections we expect impacts on marine ecosystems to be widespread, significant and persistent through the 21st century.This research was supported by the Australian Research Council grants CE170100023 and FT170100106, Natural Environment Research Council International Opportunity Fund NE/N00678X/1, National Sciences and Engineering Research Council of Canada Discovery Grant RGPIN-2018-05255, and Brian Mason (Impacts of an unprecedented marine heatwave). This project was partially supported through funding from the Earth Systems and Climate Change Hub of the Australian Government’s National Environmental Science Program.Peer ReviewedPostprint (published version

    A hierarchical approach to defining marine heatwaves

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    Marine heatwaves (MHWs) have been observed around the world and are expected to increase in intensity and frequency under anthropogenic climate change. A variety of impacts have been associated with these anomalous events, including shifts in species ranges, local extinctions and economic impacts on seafood industries through declines in important fishery species and impacts on aquaculture. Extreme temperatures are increasingly seen as important influences on biological systems, yet a consistent definition of MHWs does not exist. A clear definition will facilitate retrospective comparisons between MHWs, enabling the synthesis and a mechanistic understanding of the role of MHWs in marine ecosystems. Building on research into atmospheric heatwaves, we propose both a general and specific definition for MHWs, based on a hierarchy of metrics that allow for different data sets to be used in identifying MHWs. We generally define a MHW as a prolonged discrete anomalously warm water event that can be described by its duration, intensity, rate of evolution, and spatial extent. Specifically, we consider an anomalously warm event to be a MHW if it lasts for five or more days, with temperatures warmer than the 90th percentile based on a 30-year historical baseline period. This structure provides flexibility with regard to the description of MHWs and transparency in communicating MHWs to a general audience. The use of these metrics is illustrated for three 21st century MHWs; the northern Mediterranean event in 2003, the Western Australia ‘Ningaloo Niño’ in 2011, and the northwest Atlantic event in 2012. We recommend a specific quantitative definition for MHWs to facilitate global comparisons and to advance our understanding of these phenomena

    Longer and more frequent marine heatwaves over the past century

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    Heatwaves are important climatic extremes in atmospheric and oceanic systems that can have devastating and long-term impacts on ecosystems, with subsequent socioeconomic consequences. Recent prominent marine heatwaves have attracted considerable scientific and public interest. Despite this, a comprehensive assessment of how these ocean temperature extremes have been changing globally is missing. Using a range of ocean temperature data including global records of daily satellite observations, daily in situ measurements and gridded monthly in situ-based data sets, we identify significant increases in marine heatwaves over the past century. We find that from 1925 to 2016, global average marine heatwave frequency and duration increased by 34% and 17%, respectively, resulting in a 54% increase in annual marine heatwave days globally. Importantly, these trends can largely be explained by increases in mean ocean temperatures, suggesting that we can expect further increases in marine heatwave days under continued global warming

    A global assessment of marine heatwaves and their drivers

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    Marine heatwaves (MHWs) can cause devastating impacts to marine life. Despite the serious consequences of MHWs, our understanding of their drivers is largely based on isolated case studies rather than any systematic unifying assessment. Here we provide the first global assessment under a consistent framework by combining a confidence assessment of the historical refereed literature from 1950 to February 2016, together with the analysis of MHWs determined from daily satellite sea surface temperatures from 1982–2016, to identify the important local processes, large-scale climate modes and teleconnections that are associated with MHWs regionally. Clear patterns emerge, including coherent relationships between enhanced or suppressed MHW occurrences with the dominant climate modes across most regions of the globe – an important exception being western boundary current regions where reports of MHW events are few and ocean-climate relationships are complex. These results provide a global baseline for future MHW process and prediction studies

    Drivers and impacts of the most extreme marine heatwaves events

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    © The Author(s), 2020. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Sen Gupta, A., Thomsen, M., Benthuysen, J. A., Hobday, A. J., Oliver, E., Alexander, L. V., Burrows, M. T., Donat, M. G., Feng, M., Holbrook, N. J., Perkins-Kirkpatrick, S., Moore, P. J., Rodrigues, R. R., Scannell, H. A., Taschetto, A. S., Ummenhofer, C. C., Wernberg, T., & Smale, D. A. Drivers and impacts of the most extreme marine heatwaves events. Scientific Reports, 10(1), (2020): 19359. doi:10.1038/s41598-020-75445-3.Prolonged high-temperature extreme events in the ocean, marine heatwaves, can have severe and long-lasting impacts on marine ecosystems, fisheries and associated services. This study applies a marine heatwave framework to analyse a global sea surface temperature product and identify the most extreme events, based on their intensity, duration and spatial extent. Many of these events have yet to be described in terms of their physical attributes, generation mechanisms, or ecological impacts. Our synthesis identifies commonalities between marine heatwave characteristics and seasonality, links to the El Niño-Southern Oscillation, triggering processes and impacts on ocean productivity. The most intense events preferentially occur in summer, when climatological oceanic mixed layers are shallow and winds are weak, but at a time preceding climatological maximum sea surface temperatures. Most subtropical extreme marine heatwaves were triggered by persistent atmospheric high-pressure systems and anomalously weak wind speeds, associated with increased insolation, and reduced ocean heat losses. Furthermore, the most extreme events tended to coincide with reduced chlorophyll-a concentration at low and mid-latitudes. Understanding the importance of the oceanic background state, local and remote drivers and the ocean productivity response from past events are critical steps toward improving predictions of future marine heatwaves and their impacts.Concepts and analyses were developed during three workshops organized by an international working group on marine heatwaves (https://www.marineheatwaves.org) funded by a University of Western Australia Research Collaboration Award and a Natural Environment Research Council (UK) International Opportunity Fund (NE/N00678X/1). D.A.S. is supported by a UKRI Future Leaders Fellowship (MR/S032827/1). The Australian Research Council supported T.W. (FT110100174 and DP170100023) and A.S.T. (FT160100495). N.J.H. and L.V.A. are supported by the ARC Centre of Excellence for Climate Extremes (CE170100023). M.S.T was supported by the Brian Mason Trust. P.J.M. is supported by a Marie Curie Career Integration Grant (PCIG10-GA-2011–303685) and a Natural Environment Research Council (UK) Grant (NE/J024082/1). E.C.J.O. was supported by National Sciences and Engineering Research Council of Canada (NSERC) Discovery Grant RGPIN-2018-05255 and Marine Environmental Observation, Prediction and Response Network (MEOPAR) project 1-02-02-059.1. C.C.U. acknowledges financial support through the Early Career Scientist Endowed Fund, George E. Thibault Early Career Scientist Fund, and The Joint Initiative Awards Fund from the Andrew W. Mellon Foundation at WHOI. M.G.D. received funding by the Spanish Ministry for the Economy, Industry and Competitiveness Ramón y Cajal 2017 grant reference RYC-2017-22964. NOAA High Resolution SST data provided by the NOAA/OAR/ESRL PSD, Boulder, Colorado, USA, from their Web site at https://www.esrl.noaa.gov/psd/

    Marine heatwaves threaten global biodiversity and the provision of ecosystem services

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    The global ocean has warmed substantially over the past century, with far-reaching implications for marine ecosystems 1 . Concurrent with long-term persistent warming, discrete periods of extreme regional ocean warming (marine heatwaves, MHWs) have increased in frequency 2 . Here we quantify trends and attributes of MHWs across all ocean basins and examine their biological impacts from species to ecosystems. Multiple regions in the Pacific, Atlantic and Indian Oceans are particularly vulnerable to MHW intensification, due to the co-existence of high levels of biodiversity, a prevalence of species found at their warm range edges or concurrent non-climatic human impacts. The physical attributes of prominent MHWs varied considerably, but all had deleterious impacts across a range of biological processes and taxa, including critical foundation species (corals, seagrasses and kelps). MHWs, which will probably intensify with anthropogenic climate change 3 , are rapidly emerging as forceful agents of disturbance with the capacity to restructure entire ecosystems and disrupt the provision of ecological goods and services in coming decades. © 2019, The Author(s), under exclusive licence to Springer Nature Limited
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