Monitoring feeding of great whales by ingested acoustic temperature transmitter

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The impact of confounding on the associations of different adiposity measures with the incidence of cardiovascular disease: a cohort study of 296 535 adults of white European descent

Aims: The data regarding the associations of body mass index (BMI) with cardiovascular (CVD) risk, especially for those at the low categories of BMI, are conflicting. The aim of our study was to examine the associations of body composition (assessed by five different measures) with incident CVD outcomes in healthy individuals. Methods and results: A total of 296 535 participants (57.8% women) of white European descent without CVD at baseline from the UK biobank were included. Exposures were five different measures of adiposity. Fatal and non-fatal CVD events were the primary outcome. Low BMI (≤18.5 kg m−2) was associated with higher incidence of CVD and the lowest CVD risk was exhibited at BMI of 22–23 kg m−2 beyond, which the risk of CVD increased. This J-shaped association attenuated substantially in subgroup analyses, when we excluded participants with comorbidities. In contrast, the associations for the remaining adiposity measures were more linear; 1 SD increase in waist circumference was associated with a hazard ratio of 1.16 [95% confidence interval (CI) 1.13–1.19] for women and 1.10 (95% CI 1.08–1.13) for men with similar magnitude of associations for 1 SD increase in waist-to-hip ratio, waist-to-height ratio, and percentage body fat mass. Conclusion: Increasing adiposity has a detrimental association with CVD health in middle-aged men and women. The association of BMI with CVD appears more susceptible to confounding due to pre-existing comorbidities when compared with other adiposity measures. Any public misconception of a potential ‘protective’ effect of fat on CVD risk should be challenged

Clean Growth Strategy - Consultation Response: SCCS response to the UK Government consultation on the Clean Growth Strategy

Scottish Carbon Capture and Storage (SCCS) welcomes the UK Government's Clean Growth Strategy, and its commitment to carbon capture and storage (CCS) as a means of reducing greenhouse gas emissions, particularly from industry, and as a means of stimulating economic growth. However, we have some concerns that the strategy does not reflect the urgency with which CCS needs to be progressed, and that the level of investment proposed will not be sufficient to support the development of this vital industry.Scottish Carbon Capture and Storage (SCCS) welcomes the UK Government's Clean Growth Strategy, and its commitment to carbon capture and storage (CCS) as a means of reducing greenhouse gas emissions, particularly from industry, and as a means of stimulating economic growth. However, we have some concerns that the strategy does not reflect the urgency with which CCS needs to be progressed, and that the level of investment proposed will not be sufficient to support the development of this vital industry

Associations between diabetes and both cardiovascular disease and all-cause mortality are modified by grip strength: evidence from UK Biobank, a prospective population-based cohort study

OBJECTIVE Grip strength and diabetes are predictors of mortality and cardiovascular disease (CVD), but whether these risk factors interact to predispose to adverse health outcomes is unknown. This study determined the interactions between diabetes and grip strength and their association with health outcomes. RESEARCH DESIGN AND METHODS We undertook a prospective, general population cohort study by using UK Biobank. Cox proportional hazards models were used to explore the associations between both grip strength and diabetes and the outcomes of all-cause mortality and CVD incidence/mortality as well as to test for interactions between diabetes and grip strength. RESULTS 347,130 UK Biobank participants with full data available (mean age 55.9 years, BMI 27.2 kg/m2, 54.2% women) were included in the analysis, of which 13,373 (4.0%) had diabetes. Over a median follow-up of 4.9 years (range 3.3–7.8 years), 6,209 died (594 as a result of CVD), and 4,301 developed CVD. Participants with diabetes were at higher risk of all-cause and CVD mortality and CVD incidence. Significant interactions (P < 0.05) existed whereby the risk of CVD mortality was higher in participants with diabetes with low (hazard ratio [HR] 4.05 [95% CI 2.72, 5.80]) versus high (HR 1.46 [0.87, 2.46]) grip strength. Similar results were observed for all-cause mortality and CVD incidence. CONCLUSIONS Risk of adverse health outcomes among people with diabetes is lower in those with high grip strength. Low grip strength may be useful to identify a higher-risk subgroup of patients with diabetes. Intervention studies are required to determine whether resistance exercise can reduce risk

Associations of grip strength with cardiovascular, respiratory, and cancer outcomes and all cause mortality: prospective cohort study of half a million UK Biobank participants

Objective: To investigate the association of grip strength with disease specific incidence and mortality and whether grip strength enhances the prediction ability of an established office based risk score. Design: Prospective population based study. Setting: UK Biobank. Participants: 502 293 participants (54% women) aged 40-69 years. Main outcome measures: All cause mortality as well as incidence of and mortality from cardiovascular disease, respiratory disease, chronic obstructive pulmonary disease, and cancer (all cancer, colorectal, lung, breast, and prostate). Results: Of the participants included in analyses, 13 322 (2.7%) died over a mean of 7.1 (range 5.3-9.9) years’ follow-up. In women and men, respectively, hazard ratios per 5 kg lower grip strength were higher (all at P<0.05) for all cause mortality (1.20, 95% confidence interval 1.17 to 1.23, and 1.16, 1.15 to 1.17) and cause specific mortality from cardiovascular disease (1.19, 1.13 to 1.25, and 1.22, 1.18 to 1.26), all respiratory disease (1.31, 1.22 to 1.40, and 1.24, 1.20 to 1.28), chronic obstructive pulmonary disease (1.24, 1.05 to 1.47, and 1.19, 1.09 to 1.30), all cancer (1.17, 1.13 to 1.21, 1.10, 1.07 to 1.13), colorectal cancer (1.17, 1.04 to 1.32, and 1.18, 1.09 to 1.27), lung cancer (1.17, 1.07 to 1.27, and 1.08, 1.03 to 1.13), and breast cancer (1.24, 1.10 to 1.39) but not prostate cancer (1.05, 0.96 to 1.15). Several of these relations had higher hazard ratios in the younger age group. Muscle weakness (defined as grip strength <26 kg for men and <16 kg for women) was associated with a higher hazard for all health outcomes, except colon cancer in women and prostate cancer and lung cancer in both men and women. The addition of handgrip strength improved the prediction ability, based on C index change, of an office based risk score (age, sex, diabetes diagnosed, body mass index, systolic blood pressure, and smoking) for all cause (0.013) and cardiovascular mortality (0.012) and incidence of cardiovascular disease (0.009). Conclusion: Higher grip strength was associated with a range of health outcomes and improved prediction of an office based risk score. Further work on the use of grip strength in risk scores or risk screening is needed to establish its potential clinical utility

Congestion, Capacity, Carbon: Priorities for National Infrastructure - Consultation Response: SCCS response to the National Infrastructure Commission consultation on priorities for national infrastructure

Carbon capture and storage (CCS) is a set of technologies that can reduce emissions of carbon dioxide (CO2) at source to prevent increased atmospheric concentrations of the gas, which cause climate change. The approach of SCCS is to consider that the UK future ambition on reducing carbon emissions requires a CO2 removal and storage service for industry, heat, transport, and power. That requires infrastructure consisting of pipelines, shipping, and associated gas compression and gas separation facilities. There is a market failure in the UK to provide these facilities commercially. Consequently, state intervention is needed to create these initial networks, suitable for later privatisation.Carbon capture and storage (CCS) is a set of technologies that can reduce emissions of carbon dioxide (CO2) at source to prevent increased atmospheric concentrations of the gas, which cause climate change. The approach of SCCS is to consider that the UK future ambition on reducing carbon emissions requires a CO2 removal and storage service for industry, heat, transport, and power. That requires infrastructure consisting of pipelines, shipping, and associated gas compression and gas separation facilities. There is a market failure in the UK to provide these facilities commercially. Consequently, state intervention is needed to create these initial networks, suitable for later privatisation

A criteria-driven approach to the CO2 storage site selection of East Mey for the acorn project in the North Sea

Carbon Capture and Storage (CCS) is an essential tool in the fight against climate change. Any prospective storage site must meet various criteria that ensure the effectiveness, safety and economic viability of the storage operations. Finding the most suitable site for the storage of the captured CO2 is an essential part of the CCS chain of activity. This work addresses the site selection of a second site for the Acorn CCS project, a project designed to develop a scalable, full-chain CCS project in the North Sea (offshore northeast Scotland). This secondary site has been designed to serve as a backup and upscaling option for the Acorn Site, and has to satisfy pivotal project requirements such as low cost and high storage potential. The methodology followed included the filtering of 113 input sites from the UK CO2Stored database, according to general and project-specific criteria in a multi-staged approach. This criteria-driven workflow allowed for an early filtering out of the less suitable sites, followed by a more comprehensive comparison and ranking of the 15 most suitable sites. A due diligence assessment was conducted of the top six shortlisted sites to produce detailed assessment of their storage properties and suitability, including new geological interpretation and capacity calculations for each site. With the new knowledge generated during this process, a critical comparison of the sites led to selection of East Mey as the most suitable site, due to its outstanding storage characteristics and long-lasting hydrocarbon-production history, that ensure excellent data availability to risk-assess storage structures. A workshop session was held to present methods and results to independent stakeholders; feedback informed the final selection criteria. This paper provides an example of a criteria-driven approach to site selection that can be applied elsewhere.Project ACT-Acorn is gratefully thanked for funding this study. ACT Acorn, project 271500, received funding from BEIS (UK), RCN (Norway) and RVO (Netherland), and was co-funded by the European Commission under the ERA-Net instrument of the Horizon 2020 programme. ACT Grant number 691712. J. Alcalde is funded by MICINN (Juan de la Cierva fellowship - IJC2018-036074-I). S. Ghanbari is currently supported by the Energi Simulation. Energi Simulation is also thanked for funding the chair in reactive transport simulation held by E. Mackay.Peer reviewe

Child maltreatment and cardiovascular disease: quantifying mediation pathways using UK Biobank

Background: Child maltreatment is associated with cardiovascular disease (CVD), but mediation pathways have not been fully elucidated. The aim of the current study was to determine and quantify the underlying pathways linking child maltreatment and CVD. Methods: We conducted a retrospective cohort study using the UK Biobank. The number and types of child maltreatment, including abuse and neglect, were recalled by the participants. Lifestyle, biological, physical, and mental health factors measured at baseline were explored as potential mediators. Incident CVD was ascertained through record linkage after baseline measurement. Age, sex, ethnicity, area-based deprivation, and education level were adjusted for as confounders. Cox proportional hazard models were conducted to test for associations between child maltreatment and incident CVD. Results: A total of 152,040 participants who completed the child maltreatment assessment were included in the analyses, and one third reported at least one type of child maltreatment. There was a dose-response relationship between the number of maltreatment types and incident CVD. On average, each additional type of child maltreatment was associated with an 11% (95% CI 8–14%, P < 0.0001) increased risk of CVD. The majority (56.2%) of the association was mediated through depressive symptoms, followed by smoking (14.7%), high-density lipoprotein cholesterol (8.7%), and sleep duration (2.4%). Conclusion: Child maltreatment is associated with incident CVD through a combination of mental health, lifestyle, and biological pathways. Therefore, in addition to interventions to reduce the occurrence of child maltreatment, attention should be targeted at promoting healthy lifestyles and preventing, identifying, and treating depression among children and adults who have previously been maltreated

Do physical activity, commuting mode, cardiorespiratory fitness and sedentary behaviours modify the genetic predisposition to higher BMI? Findings from a UK Biobank study

Objective: To investigate whether the association between a genetic profile risk score for obesity (GPRS-obesity) (based on 93 SNPs) and body mass index (BMI) was modified by physical activity (PA), cardiorespiratory fitness, commuting mode, walking pace and sedentary behaviours. Methods: For the analyses we used cross-sectional baseline data from 310,652 participants in the UK Biobank study. We investigated interaction effects of GPRS-obesity with objectively measured and self-reported PA, cardiorespiratory fitness, commuting mode, walking pace, TV viewing, playing computer games, PC-screen time and total sedentary behaviour on BMI. Body mass index (BMI) was the main outcome measure. Results: GPRS-obesity was associated with BMI (β:0.54 kg.m−2 per standard deviation (SD) increase in GPRS, [95% CI: 0.53; 0.56]; P = 2.1 × 10−241). There was a significant interaction between GPRS-obesity and objectively measured PA (P[interaction] = 3.3 × 10−11): among inactive individuals, BMI was higher by 0.58 kg.m−2 per SD increase in GPRS-obesity (p = 1.3 × 10−70) whereas among active individuals the relevant BMI difference was less (β:0.33 kg.m−2, p = 6.4 × 10−41). We observed similar patterns for fitness (Unfit β:0.72 versus Fit β:0.36 kg.m−2, P[interaction] = 1.4 × 10−11), walking pace (Slow β:0.91 versus Brisk β:0.38 kg.m−2, P[interaction] = 8.1 × 10−27), discretionary sedentary behaviour (High β:0.64 versus Low β:0.48 kg.m−2, P[interaction] = 9.1 × 10−12), TV viewing (High β:0.62 versus Low β:0.47 kg.m−2, P[interaction] = 1.7 × 10−11), PC-screen time (High β:0.82 versus Low β:0.54 kg.m−2, P[interaction] = 0.0004) and playing computer games (Often β:0.69 versus Low β:0.52 kg.m−2, P[interaction] = 8.9 × 10−10). No significant interactions were found for commuting mode (car, public transport, active commuters). Conclusions: Physical activity, sedentary behaviours and fitness modify the extent to which a set of the most important known adiposity variants affect BMI. This suggests that the adiposity benefits of high PA and low sedentary behaviour may be particularly important in individuals with high genetic risk for obesity