A high-resolution diatom-based Middle and Late Holocene environmental history of the Little Belt region, Baltic Sea

The large‐scale shifts in the salinity of the Baltic Sea over the Holocene are well understood and have been comprehensively documented using sedimentary proxy records. More recent work has focused on understanding how past salinity fluctuations have affected other ecological parameters (e.g. primary productivity, nutrient content) of the Baltic basin, and salinity changes over key events and over short time scales are still not well understood. The International Ocean Drilling Program Expedition 347 cored the Baltic basin in order to collect basin‐wide environmental records through a glacial–interglacial cycle. Site M0059 is located in the Little Belt between the Baltic Sea and the Atlantic Ocean. A composite splice section from Site M0059 was analysed at a decadal resolution to study changes in salinity, nutrient conditions and other surface water column parameters based on changes in diatom assemblages and on quantitative diatom‐based salinity inferences. A mesotrophic slightly brackish assemblage is seen in the lowermost analysed depths, corresponding to 7800–7500 cal. a BP . An increase in salinity and nutrient content of the water column leads into a meso‐eutrophic brackish phase. The observed salinity increase is rapid, lasting from 7500 to 7150 cal. a BP . Subsequently, the Little Belt becomes oligotrophic and is dominated by tychopelagic diatoms from c . 7100 to c . 3900 cal. a BP . This interval contains some of the highest salinities observed followed by diatom assemblages similar to those of the Northern Atlantic Ocean, composed primarily of cosmopolitan open ocean marine diatoms. A return to tychopelagic productivity is seen from 3850 to 980 cal. a BP . Anthropogenic eutrophication is detected in the last 300 years of the record, which intensifies in the uppermost sediments. These results represent the first decadally resolved record in the region and provide new insight into the transition to a brackish basin and subsequent ecological development.The large-scale shifts in the salinity of the Baltic Sea over the Holocene are well understood and have been comprehensively documented using sedimentary proxy records. More recent work has focused on understanding how past salinity fluctuations have affected other ecological parameters (e.g. primary productivity, nutrient content) of the Baltic basin, and salinity changes over key events and over short time scales are still not well understood. The International Ocean Drilling Program Expedition 347 cored the Baltic basin in order to collect basin-wide environmental records through a glacial-interglacial cycle. Site M0059 is located in the Little Belt between the Baltic Sea and the Atlantic Ocean. A composite splice section from Site M0059 was analysed at a decadal resolution to study changes in salinity, nutrient conditions and other surface water column parameters based on changes in diatom assemblages and on quantitative diatom-based salinity inferences. A mesotrophic slightly brackish assemblage is seen in the lowermost analysed depths, corresponding to 7800-7500 cal. a BP. An increase in salinity and nutrient content of the water column leads into a meso-eutrophic brackish phase. The observed salinity increase is rapid, lasting from 7500 to 7150 cal. a BP. Subsequently, the Little Belt becomes oligotrophic and is dominated by tychopelagic diatoms from c. 7100 to c. 3900 cal. a BP. This interval contains some of the highest salinities observed followed by diatom assemblages similar to those of the Northern Atlantic Ocean, composed primarily of cosmopolitan open oceanmarine diatoms. A return to tychopelagic productivity is seen from 3850 to 980 cal. a BP. Anthropogenic eutrophication is detected in the last 300 years of the record, which intensifies in the uppermost sediments. These results represent the first decadally resolved record in the region and provide new insight into the transition to a brackish basin and subsequent ecological development.Peer reviewe

Metabolic syndrome is associated with similar long-term prognosis in non-obese and obese patients. An analysis of 45 615 patients from the nationwide LIPIDOGRAM 2004-2015 cohort studies

Aims We aimed to evaluate the association between metabolic syndrome (MetS) and long-term all-cause mortality. Methods The LIPIDOGRAM studies were carried out in the primary care in Poland in 2004, 2006 and 2015. MetS was diagnosed based on the National Cholesterol Education Program, Adult Treatment Panel III (NCEP/ATP III) and Joint Interim Statement (JIS) criteria. The cohort was divided into four groups: non-obese patients without MetS, obese patients without MetS, non-obese patients with MetS and obese patients with MetS. Differences in all-cause mortality was analyzed using Kaplan-Meier and Cox regression analyses. Results 45,615 participants were enrolled (mean age 56.3, standard deviation: 11.8 years; 61.7% female). MetS was diagnosed in 14,202 (31%) by NCEP/ATP III criteria, and 17,216 (37.7%) by JIS criteria. Follow-up was available for 44,620 (97.8%, median duration 15.3 years) patients. MetS was associated with increased mortality risk among the obese (hazard ratio, HR: 1.88 [95% CI, 1.79-1.99] and HR: 1.93 [95% CI 1.82-2.04], according to NCEP/ATP III and JIS criteria, respectively) and non-obese individuals (HR: 2.11 [95% CI 1.85-2.40] and 1.7 [95% CI, 1.56-1.85] according to NCEP/ATP III and JIS criteria respectively). Obese patients without MetS had a higher mortality risk than non-obese patients without MetS (HR: 1.16 [95% CI 1.10-1.23] and HR: 1.22 [95%CI 1.15-1.30], respectively in subgroups with NCEP/ATP III and JIS criteria applied). Conclusions MetS is associated with increased all-cause mortality risk in non-obese and obese patients. In patients without MetS obesity remains significantly associated with mortality. The concept of metabolically healthy obesity should be revised