A rapid review examining purchasing changes resulting from fiscal measures targeted at high sugar food and non-alcoholic drinks

To aim of the review was to examine the most recent (2010 onwards) research evidence on the health and behavioural impacts, in adults and children, of fiscal strategies that target high sugar foods and sugar-sweetened drinks (SSDs). A pragmatic rapid review was undertaken using a systematic search strategy. The review was part of a programme of work to support policy development in relation to high sugar food and SSDs. A total of 11 primary research publications were included, describing evidence from France (n = 1), the Netherlands (n = 3), and the United States of America (n = 7), assessed through a variety of study designs, with the majority in adult populations (n = 10). The evidence reviewed focused on consumer behaviour outcomes and suggested that fiscal strategies can influence purchases of high sugar products. Although the majority of studies (n = 10), including three field studies, demonstrated that an increase in the price of high sugar foods and SSDs resulted in a decrease in purchases, eight studies were conducted in a laboratory or virtual setting which may not reflect real-life situations. Findings from this review support evidence from the broader literature that suggests that fiscal measures can be effective in influencing the purchasing of high sugar foods and SSDs

Ice algal bloom development on the surface of the Greenland Ice Sheet

It is fundamental to understand the development of Zygnematophycean (Streptophyte) micro-algal blooms within Greenland Ice Sheet (GrIS) supraglacial environments, given their potential to significantly impact both physical (melt) and chemical (carbon and nutrient cycling) surface characteristics. Here, we report on a space-for-time assessment of a GrIS ice algal bloom, achieved by sampling an ∼85 km transect spanning the south-western GrIS bare ice zone during the 2016 ablation season. Cell abundances ranged from 0 to 1.6 × 104 cells ml−1, with algal biomass demonstrated to increase in surface ice with time since snow line retreat (R2 = 0.73, P < 0.05). A suite of light harvesting and photo-protective pigments were quantified across transects (chlorophylls, carotenoids and phenols) and shown to increase in concert with algal biomass. Ice algal communities drove net autotrophy of surface ice, with maximal rates of net production averaging 0.52 ± 0.04 mg C l−1 d−1, and a total accumulation of 1.306 Gg C (15.82 ± 8.14 kg C km−2) predicted for the 2016 ablation season across an 8.24 × 104 km2 region of the GrIS. By advancing our understanding of ice algal bloom development, this study marks an important step toward projecting bloom occurrence and impacts into the future

A qualitative exploration of men's experiences of an integrated exercise/CBT mental health promotion programme

This study investigated qualitatively the experiences of men who took part in a 10 week integrated exercise/psychosocial mental health promotion programme, "Back of the Net" (BTN). 15 participants who completed the BTN programme were recruited to participate in either a focus group discussion (N = 9) or individual interview (N = 6). A thematic analytic approach was employed to identify key themes in the data. Results indicated that participants felt that football was a positive means of engaging men in a mental health promotion program. Perceived benefits experienced included perceptions of mastery, social support, positive affect and changes in daily behaviour. The findings support the value of developing gender specific mental health interventions to both access and engage young men. © 2012 by the Men's Studies Press

The effect of warming climate on nutrient and solute export from the Greenland Ice Sheet

Glacial meltwater runoff is likely an important source of limiting nutrients for downstream primary producers. This has particular significance for regions surrounding the Greenland Ice Sheet, which discharges &gt;400 km3 of meltwater annually. The Arctic is warming rapidly but the impact of higher discharge on nutrient export is unknown. We present four years of hydrological and geochemical data from a large Greenland Ice Sheet catchment that includes the two highest melt years on record (2010, 2012). Measurements reveal significant variation in dissolved solute (major ion) and estimated dissolved macronutrient (nitrogen, phosphorus and silica) fluxes, with increases in higher melt years. Labile particulate macronutrients dominate nutrient export, accounting for ~50 % of nitrogen and &gt;80 % of both phosphorus and silica. The response of ice sheet nutrient export to enhanced melting is largely controlled by particle bound nutrients, the future supply of which is uncertain. We propose that the Greenland Ice Sheet provides an underappreciated and annually dynamic source of nutrients for the polar oceans, with changes in meltwater discharge likely to impact marine primary productivity in future decades

Role of Greenland Freshwater Anomaly in the Recent Freshening of the Subpolar North Atlantic

The cumulative Greenland freshwater flux anomaly has exceeded 5,000 km3 since the 1990s. The volume of this surplus freshwater is expected to cause substantial freshening in the North Atlantic. Analysis of hydrographic observations in the subpolar seas reveals freshening signals in the 2010s. The sources of this freshening are yet to be determined. In this study, the relationship between the surplus Greenland freshwater flux and this freshening is tested by analyzing the propagation of the Greenland freshwater anomaly and its impact on salinity in the subpolar North Atlantic based on observational data and numerical experiments with and without the Greenland runoff. A passive tracer is continuously released during the simulations at freshwater sources along the coast of Greenland to track the Greenland freshwater anomaly. Tracer budget analysis shows that 44% of the volume of the Greenland freshwater anomaly is retained in the subpolar North Atlantic by the end of the simulation. This volume is sufficient to cause strong freshening in the subpolar seas if it stays in the upper 50–100 m. However, in the model the anomaly is mixed down to several hundred meters of the water column resulting in smaller magnitudes of freshening compared to the observations. Therefore, the simulations suggest that the accelerated Greenland melting would not be sufficient to cause the observed freshening in the subpolar seas and other sources of freshwater have contributed to the freshening. Impacts on salinity in the subpolar seas of the freshwater transport through Fram Strait and precipitation are discussed.© The Author(s), 2019. This article is distributed under the terms of the Creative Commons Attribution License. The definitive version was published in Dukhovskoy, D. S., Yashayaev, I., Proshutinsky, A., Bamber, J. L., Bashmachnikov, I. L., Chassignet, E. P., Lee, C. M., & Tedstone, A. J. Role of Greenland freshwater anomaly in the recent freshening of the subpolar North Atlantic. Journal of Geophysical Research-Oceans, 124(5), (2019): 3333-3360, doi:10.1029/2018JC014686

Sources, cycling and export of nitrogen on the Greenland Ice Sheet

Fjord and continental shelf environments in the Polar Regions are host to some of the planet’s most productive ecosystems, and support economically important fisheries. Their productivity, however, is often critically dependent upon nutrient supply from up-stream terrestrial environments delivered via river systems. One of the most extensive glacially-fed coastal ecosystems is that bordering the Greenland Ice Sheet. The future primary productivity of this marine ecosystem, however, is uncertain. A potential increase in primary productivity driven by reduced sea ice extent and associated increased light levels may be curtailed by insufficient nutrient supply, and specifically nitrogen. Research on small valley glaciers indicates that glaciers are important sources of nitrogen to downstream environments. However, no data exists from ice sheet systems such as Greenland. Time series of nitrogen concentrations in runoff are documented from a large Greenland glacier, demonstrating seasonally elevated fluxes to the ocean. Fluxes are highest in mid-summer, when nitrogen limitation is commonly reported in coastal waters. It is estimated that approximately half of the glacially-exported nitrogen is sourced from microbial activity within glacial sediments at the surface and bed of the ice sheet, doubling nitrogen fluxes in runoff. Summer dissolved inorganic nitrogen fluxes from the Greenland Ice Sheet (30–40 Gg) are a similar order of magnitude to those from a large Arctic river (40 Gg, Holmes et al., 2012). Nitrogen yields from the ice sheet (100–160 kg TDN km−2 a−1), however, are approximately double those from Arctic riverine catchments. We assert that this ice sheet nitrogen subsidy to Arctic coastal ecosystems may be important for understanding coastal biodiversity, productivity and fisheries, and should be considered in future biogeochemical modelling studies of coastal marine productivity in the Arctic regions

Land Ice Freshwater Budget of the Arctic and North Atlantic Oceans: 1. Data, Methods, and Results

The freshwater budget of the Arctic and sub-polar North Atlantic Oceans has been changing due, primarily, to increased river runoff, declining sea ice and enhanced melting of Arctic land ice. Since the mid-1990s this latter component has experienced a pronounced increase. We use a combination of satellite observations of glacier flow speed and regional climate modeling to reconstruct the land ice freshwater flux from the Greenland ice sheet and Arctic glaciers and ice caps for the period 1958–2016. The cumulative freshwater flux anomaly exceeded 6,300 ± 316 km3 by 2016. This is roughly twice the estimate of a previous analysis that did not include glaciers and ice caps outside of Greenland and which extended only to 2010. From 2010 onward, the total freshwater flux is about 1,300 km3/yr, equivalent to 0.04 Sv, which is roughly 40% of the estimated total runoff to the Arctic for the same time period. Not all of this flux will reach areas of deep convection or Arctic and Sub-Arctic seas. We note, however, that the largest freshwater flux anomalies, grouped by ocean basin, are located in Baffin Bay and Davis Strait. The land ice freshwater flux displays a strong seasonal cycle with summer time values typically around five times larger than the annual mean. This will be important for understanding the impact of these fluxes on fjord circulation, stratification, and the biogeochemistry of, and nutrient delivery to, coastal waters

Why do women invest in pre-pregnancy health and care? A qualitative investigation with women attending maternity services

Background Despite the importance attributed to good pre-pregnancy care and its potential to improve pregnancy and child health outcomes, relatively little is known about why women invest in pre-pregnancy health and care. We sought to gain insight into why women invested in pre-pregnancy health and care. Methods We carried out 20 qualitative in-depth interviews with pregnant or recently pregnant women who were drawn from a survey of antenatal clinic attendees in London, UK. Interviewees were purposively sampled to include high and low investors in pre-pregnancy health and care, with variation in age, partnership status, ethnicity and pre-existing medical conditions. Data analysis was conducted using the Framework method. Results We identified three groups in relation to pre-pregnancy health and care: 1) The “prepared” group, who had high levels of pregnancy planning and mostly positive attitudes to micronutrient supplementation outside of pregnancy, carried out pre-pregnancy activities such as taking folic acid and making changes to diet and lifestyle. 2) The “poor knowledge” group, who also had high levels of pregnancy planning, did not carry out pre-pregnancy activities and described themselves as having poor knowledge. Elsewhere in their interviews they expressed a strong dislike of micronutrient supplementation. 3) The “absent pre-pregnancy period” group, had the lowest levels of pregnancy planning and also expressed anti-supplement views. Even discussing the pre-pregnancy period with this group was difficult as responses to questions quickly shifted to focus on pregnancy itself. Knowledge of folic acid was poor in all groups. Conclusion Different pre-pregnancy care approaches are likely to be needed for each of the groups. Among the “prepared” group, who were proactive and receptive to health messages, greater availability of information and better response from health professionals could improve the range of pre-pregnancy activities carried out. Among the “poor knowledge” group, better response from health professionals might yield greater uptake of pre-pregnancy information. A different, general health strategy might be more appropriate for the “absent pre-pregnancy period” group. The fact that general attitudes to micronutrient supplementation were closely related to whether or not women invested in pre-pregnancy health and care was an unanticipated finding and warrants further investigation.This report is independent research commissioned and funded by the Department of Health Policy Research Programme Pre-Pregnancy Health and Care in England: Exploring Implementation and Public Health Impact, 006/0068