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As a part of the interdisciplinary research project ”Integration of nature protection goals with organic farming: an the example from the Hessian ”state domain” [Staatsdomäne] area Frankenhausen”, different restoration measures have been carried out within this site, 15 km north of Kassel. Since 1998, intensive conventional agricultural practices have been substituted with organic farming here. One intention of the agricultural restructuring was to realise nature protection goals in cooperation with sustainable organic agricultural production.
The hydrologic portion of the project addresses both the implementation of restoration measures in rivers and streams and their scientific monitoring. Starting in July 2007, several restoration measures were carried out in the hydrologic systems of the Jungfernbach and Esse streams within the Frankenhausen site. Both systems are formed by typical loess streams (catchment size about 9 km2) which had been heavily degraded for several hundred years by intensive agriculture. The most important restoration measures were removal of a piped section of a tributary of the Jungfernbach at Totenhof, restoration of biological passability by removal of weirs and substitution of narrow pipes under farm paths, relocation of a section of the Jungfernbach from the edge of the floodplain to its original location in the centre, widening of narrow sections and partial raising of the deepened stream bed by means of rough ramps (stone bars) and racks made of oak wood or iron.
These physical restoration measures were accompanied by a scientific monitoring programme comprising morphological, hydrochemical and biological (aquatic macrophytes, aquatic macroinvertebrates, fish and amphibians) aspects.
The aim of this study was to document the original ecological conditions, the restoration measures and the early ecological effects on the stream sections for the first six months following restoration as a basis for further ecological monitoring.
The restoration measures effected clear morphological changes in cross-section and passability. The chemical condition of the streams showed slight changes in some aspects following the restoration, e. g. a reduction of phosphorus, magnesium and potassium concentration. Other than macrophytic algae in the newly shaped sections, aquatic macrophytes did not develop over the winter season before the end of the monitoring phase in April 2008. Within the newly shaped stream sections of a small tributary and of the Jungfernbach, up to 14 aquatic macroinvertebrate taxa started to colonise the new habitats 6 months after restoration.
Fish fauna were very poorly represented in the streams and included only a few specimens of brown trout (Salmo trutta). This did not change markedly after restoration, possibly due to the isolation of the population caused by impassable weirs downstream of the investigation area.
Aims: Carotid intima media thickness (CIMT) predicts cardiovascular (CVD) events, but the predictive value of CIMT change is debated. We assessed the relation between CIMT change and events in individuals at high cardiovascular risk.
Methods and results: From 31 cohorts with two CIMT scans (total n = 89070) on average 3.6 years apart and clinical follow-up, subcohorts were drawn: (A) individuals with at least 3 cardiovascular risk factors without previous CVD events, (B) individuals with carotid plaques without previous CVD events, and (C) individuals with previous CVD events. Cox regression models were fit to estimate the hazard ratio (HR) of the combined endpoint (myocardial infarction, stroke or vascular death) per standard deviation (SD) of CIMT change, adjusted for CVD risk factors. These HRs were pooled across studies.
In groups A, B and C we observed 3483, 2845 and 1165 endpoint events, respectively. Average common CIMT was 0.79mm (SD 0.16mm), and annual common CIMT change was 0.01mm (SD 0.07mm), both in group A. The pooled HR per SD of annual common CIMT change (0.02 to 0.43mm) was 0.99 (95% confidence interval: 0.95–1.02) in group A, 0.98 (0.93–1.04) in group B, and 0.95 (0.89–1.04) in group C. The HR per SD of common CIMT (average of the first and the second CIMT scan, 0.09 to 0.75mm) was 1.15 (1.07–1.23) in group A, 1.13 (1.05–1.22) in group B, and 1.12 (1.05–1.20) in group C.
Conclusions: We confirm that common CIMT is associated with future CVD events in individuals at high risk. CIMT change does not relate to future event risk in high-risk individuals.
Aims: Averaged measurements, but not the progression based on multiple assessments of carotid intima-media thickness, (cIMT) are predictive of cardiovascular disease (CVD) events in individuals. Whether this is true for conventional risk factors is unclear.
Methods and results: An individual participant meta-analysis was used to associate the annualised progression of systolic blood pressure, total cholesterol, low-density lipoprotein cholesterol and high-density lipoprotein cholesterol with future cardiovascular disease risk in 13 prospective cohort studies of the PROG-IMT collaboration (n = 34,072). Follow-up data included information on a combined cardiovascular disease endpoint of myocardial infarction, stroke, or vascular death. In secondary analyses, annualised progression was replaced with average. Log hazard ratios per standard deviation difference were pooled across studies by a random effects meta-analysis. In primary analysis, the annualised progression of total cholesterol was marginally related to a higher cardiovascular disease risk (hazard ratio (HR) 1.04, 95% confidence interval (CI) 1.00 to 1.07). The annualised progression of systolic blood pressure, low-density lipoprotein cholesterol and high-density lipoprotein cholesterol was not associated with future cardiovascular disease risk. In secondary analysis, average systolic blood pressure (HR 1.20 95% CI 1.11 to 1.29) and low-density lipoprotein cholesterol (HR 1.09, 95% CI 1.02 to 1.16) were related to a greater, while high-density lipoprotein cholesterol (HR 0.92, 95% CI 0.88 to 0.97) was related to a lower risk of future cardiovascular disease events.
Conclusion: Averaged measurements of systolic blood pressure, low-density lipoprotein cholesterol and high-density lipoprotein cholesterol displayed significant linear relationships with the risk of future cardiovascular disease events. However, there was no clear association between the annualised progression of these conventional risk factors in individuals with the risk of future clinical endpoints.