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Preclinical evidence suggests that diazepam enhances hippocampal γ-aminobutyric acid (GABA) signalling and normalises a psychosis-relevant cortico-limbic-striatal circuit. Hippocampal network dysconnectivity, particularly from the CA1 subfield, is evident in people at clinical high-risk for psychosis (CHR-P), representing a potential treatment target. This study aimed to forward-translate this preclinical evidence.
Methods
In this randomised, double-blind, placebo-controlled study, 18 CHR-P individuals underwent resting-state functional magnetic resonance imaging twice, once following a 5 mg dose of diazepam and once following a placebo. They were compared to 20 healthy controls (HC) who did not receive diazepam/placebo. Functional connectivity (FC) between the hippocampal CA1 subfield and the nucleus accumbens (NAc), amygdala, and ventromedial prefrontal cortex (vmPFC) was calculated. Mixed-effects models investigated the effect of group (CHR-P placebo/diazepam vs. HC) and condition (CHR-P diazepam vs. placebo) on CA1-to-region FC.
Results
In the placebo condition, CHR-P individuals showed significantly lower CA1-vmPFC (Z = 3.17, PFWE = 0.002) and CA1-NAc (Z = 2.94, PFWE = 0.005) FC compared to HC. In the diazepam condition, CA1-vmPFC FC was significantly increased (Z = 4.13, PFWE = 0.008) compared to placebo in CHR-P individuals, and both CA1-vmPFC and CA1-NAc FC were normalised to HC levels. In contrast, compared to HC, CA1-amygdala FC was significantly lower contralaterally and higher ipsilaterally in CHR-P individuals in both the placebo and diazepam conditions (lower: placebo Z = 3.46, PFWE = 0.002, diazepam Z = 3.33, PFWE = 0.003; higher: placebo Z = 4.48, PFWE < 0.001, diazepam Z = 4.22, PFWE < 0.001).
Conclusions
This study demonstrates that diazepam can partially restore hippocampal CA1 dysconnectivity in CHR-P individuals, suggesting that modulation of GABAergic function might be useful in the treatment of this clinical group.
Recent changes to US research funding are having far-reaching consequences that imperil the integrity of science and the provision of care to vulnerable populations. Resisting these changes, the BJPsych Portfolio reaffirms its commitment to publishing mental science and advancing psychiatric knowledge that improves the mental health of one and all.
It remains unclear which individuals with subthreshold depression benefit most from psychological intervention, and what long-term effects this has on symptom deterioration, response and remission.
Aims
To synthesise psychological intervention benefits in adults with subthreshold depression up to 2 years, and explore participant-level effect-modifiers.
Method
Randomised trials comparing psychological intervention with inactive control were identified via systematic search. Authors were contacted to obtain individual participant data (IPD), analysed using Bayesian one-stage meta-analysis. Treatment–covariate interactions were added to examine moderators. Hierarchical-additive models were used to explore treatment benefits conditional on baseline Patient Health Questionnaire 9 (PHQ-9) values.
Results
IPD of 10 671 individuals (50 studies) could be included. We found significant effects on depressive symptom severity up to 12 months (standardised mean-difference [s.m.d.] = −0.48 to −0.27). Effects could not be ascertained up to 24 months (s.m.d. = −0.18). Similar findings emerged for 50% symptom reduction (relative risk = 1.27–2.79), reliable improvement (relative risk = 1.38–3.17), deterioration (relative risk = 0.67–0.54) and close-to-symptom-free status (relative risk = 1.41–2.80). Among participant-level moderators, only initial depression and anxiety severity were highly credible (P > 0.99). Predicted treatment benefits decreased with lower symptom severity but remained minimally important even for very mild symptoms (s.m.d. = −0.33 for PHQ-9 = 5).
Conclusions
Psychological intervention reduces the symptom burden in individuals with subthreshold depression up to 1 year, and protects against symptom deterioration. Benefits up to 2 years are less certain. We find strong support for intervention in subthreshold depression, particularly with PHQ-9 scores ≥ 10. For very mild symptoms, scalable treatments could be an attractive option.
Understanding deformation and slip at ice streams, which are responsible for 90% of Antarctic ice loss, are vital for accurately modelling large-scale ice flow. Ice crystal orientation fabric (COF) has a first-order effect on ice stream deformation. For the first time, we use shear-wave splitting measurements of basal icequakes at Whillans Ice Stream (WIS), Antarctica, to determine a shear-wave anisotropy with an average delay time of 7 ms and fast S-wave polarisation (φ) of 29.3°. The polarisation is expected to align perpendicular to ice flow, whereas our observation is oblique to the current ice flow direction (${\sim}280^{\circ}$). This suggests that ice at WIS preserves upstream fabric caused by palaeo-deformation developed over at least the past 450 years, which provides evidence of the concept of microstructural fading memory. Our results imply that changes in the shape of WIS occur on timescales shorter than COF re-equilibration. The ‘palaeo-fabric’ can somewhat control present-day ice flow, which we suggest may somewhat contribute to the long-term slowdown at WIS. Our findings suggest that seismic anisotropy can provide information on past ice sheet dynamics, and how past ice dynamics can play a role in controlling current deformation.
Objectives/Goals: Despite the acknowledgment of post-Ebola syndrome (PES), young EVD survivors have received little attention. The mechanistic drivers and long-term consequences of PES and EVD early in life are unknown. We aim to define PES presentations in pediatric EVD survivors and propose potential mechanistic factors contributing to PES in young people. Methods/Study Population: Here we focus on physical health outcomes in an ongoing cohort study assessing mental and physical health in pediatric EVD survivors (age Results/Anticipated Results: 671 participants were enrolled between 2021 and 2022 (Infected: n = 226, Affected: n = 207, and Control: n = 238). Groups were similar in sex distribution (52.7%, 54.0%, and 53.8% female, respectively) and mean age, although the Infected group was slightly older (14.6 y) than the Affected (13.5 y) and Control groups (14.1 y), a difference unlikely to be clinically significant. Notably, the EVD Infected group exhibited a higher burden of symptoms, with significant findings in cardiac, MSK, ophthalmologic, and “ear, nose, and throat” systems. Principal component analysis showed differential patterns of sequelae across the groups, primarily defined by MSK. Discussion/Significance of Impact: PES is heterogeneous in pediatric EVD survivors. EVD Affected children exhibit a similar yet distinct pattern of clinical sequelae indicating ecological factors impact sequelae and raising questions about the mechanistic drivers of PES in children. Potential mechanisms include inflammation or accelerated aging and immune dysfunction.
The Cambrian edrioasteroid “Totiglobus” spencensis Wen et al., 2019 is redescribed on the basis of a new and exquisitely preserved specimen from the Cambrian Wuliuan of the Spence Shale Member, Langston Formation (Utah). This new occurrence is associated with soft-body preservation of several invertebrate groups and other shelly fossils. The description of “T.” spencensis was originally based on a single poorly preserved specimen. As a result, some of its features, such as curvature of the ambulacra and morphology of floor and cover plates, were misinterpreted or unavailable. The new material allows a new placement in Sprinkleoglobus spencensis n. comb. (Wen et al., 2019) on the basis of the general shape of the theca, attachment disc, and biserial flooring plates with podial pores and multiple cover plate series. The attachment disc of the new specimen lies in contact with a trilobite librigena, supporting evidence that this taxon is one of the earliest known examples of attachment to hard, mineralized substrata among Edrioasteroidea.
Fluridone was registered for use in rice production in 2023, offering a new herbicide site of action for growers. However, little information is available on the degree of rice tolerance to this herbicide. Field experiments conducted in 2022 and replicated in 2023 near Colt, AR, evaluated the tolerance of 12 rice cultivars to fluridone, applied preemergence or at the 3-leaf growth stage, in separate experiments. Each experiment consisted of one cultivar. Fluridone rates included 0, 168 (1 × label rate), and 336 (2 × label rate) g ai ha−1 in all experiments. Visible injury varied between years in all experiments, likely due to different environmental conditions. In 2022, injury following preemergence applications of fluridone was below 25% across cultivars. In contrast, in 2023, injury ≥30% occurred to five cultivars, with a maximum of 58% observed for the cultivar ‘DG263L’. In both years, only three cultivars exhibited injury ≥20% following fluridone applications at the 3-leaf stage. Fluridone negatively affected shoot density, groundcover, chlorophyll content, and days to 50% heading in most cultivars when applied preemergence. When fluridone was applied to 3-leaf rice, at least one of the variables evaluated was negatively affected in two and nine cultivars in 2022 and 2023, respectively. Grain yield reductions of at least 18% were observed from eight cultivars in 2022, and a grain yield decrease from 9% to 49% from eight cultivars occurred in 2023 in the preemergence experiments. Fluridone applied to rice at the 3-leaf stage did not cause a yield penalty to any cultivar in 2022, whereas in 2023, a yield loss occurred from eight cultivars. Yield loss from the DG263L cultivar occurred at the 1 × rate in both experiments, indicating that this cultivar appears to be sensitive to fluridone, regardless of the application timing. Based on these findings, fluridone tolerance is cultivar-dependent. Furthermore, preemergence applications of fluridone to rice should be avoided.
As mid-southern U.S. rice producers continue to adopt furrow-irrigated rice production practices, supplementary management efforts will be vital in combating Palmer amaranth due to the extended germination period provided by the lack of a continual flood. Previous research has revealed the ability of cover crops to suppress Palmer amaranth emergence in corn, cotton, and soybean production systems; however, research on cover crop weed control efficacy in rice production is scarce. Therefore, trials were initiated in Arkansas in 2022 and 2023 to evaluate the effect of cover crops across five site-years on rice emergence, groundcover, grain yield, and total Palmer amaranth emergence. The cover crops evaluated were cereal rye, winter wheat, Austrian winterpea, and hairy vetch. Cover crop biomass accumulation varied by site-year, ranging from 430 to 3,440 kg ha−1, with cereal rye generally being the most consistent producer of high-quantity biomass across site-years. Rice growth and development were generally unaffected by cover crop establishment; however, all cover crops reduced rice emergence by up to 30% in one site-year. Rice groundcover was reduced by 13% from cereal rye in one site-year 2 wk before heading but cover crops did not affect rough rice grain yield in any of the site-years. Palmer amaranth emergence was reduced by 19% and 35% with cereal rye relative to the absence of a cover crop when rice was planted in April in Marianna, and May in Fayetteville, respectively. In most trials, Palmer amaranth emergence was not reduced by a cereal cover crop. In most instances, legume cover crops resulted in less Palmer amaranth emergence than without a cover crop. Based on these results, legume cover crops appear to provide some suppression of Palmer amaranth emergence in furrow-irrigated rice while having a minimal effect on rice establishment and yield.
Furrow-irrigated rice (Oryza sativa L.) hectares are increasing in the Midsouth. The lack of sustained flooding creates a favorable environment for weed emergence and persistence, which makes Palmer amaranth (Amaranthus palmeri S. Watson) difficult to control throughout the growing season. The negative yield impacts associated with season-long A. palmeri interference in corn (Zea mays L.), cotton (Gossypium hirsutum L.), and soybean [Glycine max (L.) Merr.] have been evaluated. However, there is limited knowledge of the weed’s ability to influence rice grain yield. Research was initiated in 2022 and 2023 to determine the effect of A. palmeri time of emergence relative to rice on weed seed production and grain yield. Cotyledon-stage A. palmeri plants were marked every 7 d, beginning 1 wk before rice emergence through 4 wk after rice emergence. Amaranthus palmeri seed production decreased exponentially as emergence timing was delayed relative to rice, and seed production increased by 447 seed plant−1 for every 1-g increase in weed biomass. Without rice competition and from the earliest emergence timing, A. palmeri produced 540,000 seeds plant−1. Amaranthus palmeri that emerged 1 wk before the crop had the greatest spatial influence on rice, with grain yield loss of 5% and 50% at a distance of 1.4 m and 0.40 m from the weed, respectively. As A. palmeri emergence was delayed, the area of influence decreased. However, A. palmeri plants emerging 3.5 wk after rice emergence still negatively affected grain yield and produced sufficient seed to replenish the soil seedbank, potentially impacting long-term crop management decisions. These results show that the time of A. palmeri emergence is a crucial factor influencing rice grain yield and weed seed production, which can be used to determine the consequences of escapes in rice.
As herbicide resistance continues to render commonly used rice herbicides ineffective, alternative sites of action are paramount to maintaining yield and producer profitability. Combining a slow-release formulation and a fenclorim seed treatment might allow the safe use of S-metolachlor in rice. Experiments were initiated in 2022 and 2023 near Colt, AR, on a silt loam soil to evaluate crop safety using a capsule suspension (CS) formulation of S-metolachlor and a fenclorim seed treatment in rice. The first experiment assessed the tolerance of two cultivars (‘Diamond’ and ‘DG263L’) to three rates (0.42, 0.84, and 1.68 kg ai ha−1) of a CS S-metolachlor at a delayed preemergence (DPRE) application timing in conjunction with a fenclorim seed treatment. The second experiment evaluated a 1- to 2-leaf (EPOST) application of a CS S-metolachlor at 0.56 and 1.12 kg ai ha−1 to fenclorim-treated rice. Fenclorim reduced injury and partially protected rice yield when S-metolachlor was applied DPRE at 1.68 kg ai ha−1 in both years. However, in one year, under adverse conditions, rice yields were only 65% and 66% of the nontreated control for fenclorim-treated ‘Diamond’ and ‘DG263L’, respectively. An EPOST application of S-metolachlor at 1.12 kg ai ha−1 resulted in 44% to 51% visible injury 35 d after treatment. Relative rice yields were 88% and 89% of the nontreated weed-free treatment in 2022 and 2023, respectively. Fenclorim provided enhanced crop safety at both the 0.84 and 1.68 kg ai ha−1 rates of S-metolachlor. However, the potential for reduced yield can arise when unfavorable conditions occur soon after application. An EPOST application timing of CS S-metolachlor at 0.56 kg ai ha−1 may be a viable option in rice, but 1.12 kg ai ha−1 is too high on a silt loam soil, resulting in significant rice injury.
Italian ryegrass control is one of the most significant limitations in wheat production in the United States today. Resistance to Herbicide Resistance Action Committee (HRAC)/Weed Science Society of America (WSSA) Groups 1, 2, and 9 in Arkansas have further complicated postemergence control, whereas residual herbicides still show effective weed control. One problem is the potential of HRAC/WSSA Group 15 herbicides to injure wheat when applied preemergence, indicating the need for a herbicide safener. A series of experiments were conducted in Fayetteville, AR, to evaluate crop tolerance and Italian ryegrass control using a capsule suspension (CS) formulation of S-metolachlor in conjunction with fenclorim-treated wheat. Experiments were conducted as a two-factor factorial with S-metolachlor applied at three rates (0.37, 0.74, and 1.12 kg ai ha–1) and a microencapsulated formulation of acetochlor at 1.05 kg ai ha–1, and three rates of a fenclorim seed treatment at 0, 0.5, and 2.0 g ai kg–1 of seed. Separate experiments utilized either a preemergence (PRE) or a delayed-preemergence (DPRE) application timing. In both experiments, S-metolachlor at 0.74 and 1.12 kg ai ha–1 provided 77% to 96% control of Italian ryegrass by preharvest, whereas acetochlor only provided 49% to 72% control. Visible wheat injury from PRE applications ranged from 7% to 49% for all treatments 21 d after treatment (DAT), with a reduction in injury when fenclorim-treated wheat was used for both the 0.74 and 1.12 kg ai ha–1 rate of S-metolachlor. In the DPRE experiments, wheat injury ranged from 5% to 16% 21 DAT with no noticeable safening from the presence of fenclorim at any herbicide rate. The results of these experiments indicate that a DPRE application using a CS formulation of S-metolachlor would be more favorable for producers to mitigate the potential for injury to wheat while providing Italian ryegrass control. Additionally, at the DPRE application timing, fenclorim is unnecessary for S-metolachlor to be safely applied at the rates evaluated.
The hoary-throated spinetail and Rio Branco antbird are two bird species endemic to the Rio Branco drainage of Brazil and Guyana, currently listed as Critically Endangered on the IUCN Red List. Previous assessments of both species’ global populations focused on the Brazilian state of Roraima but did not include most of its border with Guyana, where significant areas of suitable habitat remain along the Ireng (Maú) and Takutu (Tacutu) Rivers. In July and August 2021, we conducted a survey to determine the extent of each species’ geographic range along the two rivers, and to estimate population sizes. We used playback surveys along 219 km of river to ascertain each species’ distribution and intensively sampled three forest blocks to determine densities. Both species were locally abundant on both sides of the international border. Rio Branco antbird occurred over a greater geographic range than hoary-throated spinetail, particularly along the Takutu River, but was confined to a narrower zone along the river edges. Both species appear to have retreated from habitat along the Ireng River that was occupied in the past, possibly due to habitat degradation from increasingly frequent fires. Nevertheless, our minimum estimates of 1147 antbirds and 851 spinetails in the study area represent, respectively, 7.5% and 17.8 % increases over current estimates of global population sizes, and indicate that the Guyana-Brazil border region may become a critical stronghold for both species if effective conservation measures are implemented. We propose establishment of a Key Biodiversity Area encompassing the core of both species’ distributions along the border; extensive follow-up work including stakeholder engagement to explore possibilities for habitat management and protection; and further field study to increase general ecological knowledge of these two bird species.
Knowledge of sex differences in risk factors for posttraumatic stress disorder (PTSD) can contribute to the development of refined preventive interventions. Therefore, the aim of this study was to examine if women and men differ in their vulnerability to risk factors for PTSD.
Methods
As part of the longitudinal AURORA study, 2924 patients seeking emergency department (ED) treatment in the acute aftermath of trauma provided self-report assessments of pre- peri- and post-traumatic risk factors, as well as 3-month PTSD severity. We systematically examined sex-dependent effects of 16 risk factors that have previously been hypothesized to show different associations with PTSD severity in women and men.
Results
Women reported higher PTSD severity at 3-months post-trauma. Z-score comparisons indicated that for five of the 16 examined risk factors the association with 3-month PTSD severity was stronger in men than in women. In multivariable models, interaction effects with sex were observed for pre-traumatic anxiety symptoms, and acute dissociative symptoms; both showed stronger associations with PTSD in men than in women. Subgroup analyses suggested trauma type-conditional effects.
Conclusions
Our findings indicate mechanisms to which men might be particularly vulnerable, demonstrating that known PTSD risk factors might behave differently in women and men. Analyses did not identify any risk factors to which women were more vulnerable than men, pointing toward further mechanisms to explain women's higher PTSD risk. Our study illustrates the need for a more systematic examination of sex differences in contributors to PTSD severity after trauma, which may inform refined preventive interventions.
In situ elemental imaging of planetary surface regolith at a spatial resolution of 100s to 1000s of microns can provide evidence of the provenance of rocks or sediments and their habitability, and can identify post-depositional diagenetic alteration affecting preservation. We use high-resolution elemental maps and XRF spectra from MapX, a flight prototype in situ X-ray imaging instrument, to demonstrate this technology in rock types relevant to astrobiology. Examples are given for various petrologies and depositional/diagenetic environments, including ultramafic/mafic rocks, serpentinites, hydrothermal carbonates, evaporites, stromatolitic cherts and diagenetic concretions.
Individuals with Parkinson's disease (PD) have varying trajectories of cognitive decline. One reason for this heterogeneity may be "cognitive reserve": where higher education/IQ/current mental engagement compensates for increasing brain burden (Stern et al., 2020). With few exceptions, most studies examining cognitive reserve in PD fail to include brain metrics. This study's goal was to examine whether cognitive reserve moderated the relationship between neuroimaging indices of brain burden (diffusion free water fraction and T2-weighted white matter changes) and two commonly impaired domains in PD: executive function and memory. We hypothesized cognitive reserve would mitigate the relationship between higher brain burden and worse cognitive performance.
Participants and Methods:
Participants included 108 individuals with PD without dementia (age mean=67.9±6.3, education mean=16.6±2.5) who were prospectively recruited for two NIH-funded projects at the University of Florida. All received neuropsychological measures of executive function (Trails B, Stroop, Letter Fluency) and memory (delayed recall: Hopkin's Verbal Learning Test-Revised, WMS-III Logical Memory). Domain specific z-score composites were created using data from age/education matched non-PD peer controls (N=62). For the Cognitive Reserve (CR) proxy, a z-score composite included years of education, WASI-II Vocabulary, and Wechsler Test of Adult Reading. At the time of testing, participants completed multiple MRI scans (T1-weighted, diffusion, Fluid Attenuated Inversion Recovery) from which the following were extracted: 1) whole-brain free water within the white matter (a measure of microstructural integrity and neuroinflammation), 2) white matter hyperintensities/white matter total volume (WMH/WMV), and bilaterally-averaged edge weights of white matter connectivity between 3) dorsolateral prefrontal cortex and caudate and 4) entorhinal cortex and hippocampi. Separate linear regressions for each brain metric used executive function and memory composites as dependent variables; predictors were age, CR proxy, respective brain metric, and a residual centered interaction term (brain metric*CR proxy). Identical models were run in dichotomized short and long disease duration groups (median split=6 years).
Results:
In all models, a lower CR proxy significantly predicted worse executive function (WMH/WMV: beta=0.49, free water: beta=0.54, frontal edge weight: beta=0.49, p's<0.001) and memory (WMH/WMV: beta=0.42, free water: beta=0.35, temporal edge weight: beta=0.39, p's <0.01). For neuroimaging metrics, higher free water significantly predicted worse executive function (beta=-0.39, p=0.002) but not memory. No other brain metrics were significant predictors of either domain. Accounting for PD duration, higher free water predicted worse executive function for those with both short (beta=-0.49, p=0.04) and long disease duration (beta=-0.48, p=0.02). Specifically in those with long disease duration, higher free water (beta=-0.57 p=0.02) and lower edge weights between entorhinal cortex and hippocampi (beta=0.30, p=0.03) predicted worse memory. Overall, no models contained significant interactions between the CR proxy and any brain metric.
Conclusions:
Results replicate previous work showing that a cognitive reserve proxy relates to cognition. However, cognitive reserve did not moderate brain burden's relationship to cognition. Across the sample, greater neuroinflammation was associated with worse executive function. For those with longer disease duration, higher neuroinflammation and lower medial temporal white matter connectivity related to worse memory. Future work should examine other brain burden metrics to determine whether/how cognitive reserve influences the cognitive trajectory of PD.
We investigate the physical basis of the crevasse-depth (CD) calving law by analysing relationships between glaciological stresses and calving behaviour at Sermeq Kujalleq (Store Glacier), Greenland. Our observations and model simulations show that the glacier has a stable position defined by a compressive arch between lateral pinning points. Ice advance beyond the arch results in calving back to the stable position; conversely, if melt-undercutting forces the ice front behind the stable position, it readvances because ice velocities exceed subaqueous melt rates. This behaviour is typical of self-organising criticality, in which the stable ice-front position acts as an attractor between unstable super-critical and sub-critical regimes. This perspective provides strong support for a ‘position-law’ approach to modelling calving at Sermeq Kujalleq, because any calving ‘rate’ is simply a by-product of how quickly ice is delivered to the critical point. The CD calving law predicts ice-front position from the penetration of surface and basal crevasse fields, and accurately simulates super-critical calving back to the compressive arch and melt-driven calving into the sub-critical zone. The CD calving law reflects the glaciological controls on calving at Sermeq Kujalleq and exhibits considerable skill in simulating its mean position and seasonal fluctuations.
An increased number of rogue waves, relative to standard distributions, can be induced by unidirectional waves passing over abrupt decreases in water depth. We investigate this phenomenon in a more general setting of multidirectional waves. We examine the influence of the directionality on the occurrence probability of rogue waves using laboratory experiments and fully nonlinear potential flow simulations. Based on the analysis of the statistics of random waves, we find that directional spreading reduces the formation probability of rogue waves relative to unidirectional seas. Nevertheless, for typical values of directional spreading in the ocean ($15^{\circ }\unicode{x2013}30^{\circ }$), our numerical results suggest that there is still a significant enhancement to the number of rogue waves just beyond the top of a depth discontinuity.
This study investigated sex differences in Fe status, and associations between Fe status and endurance and musculoskeletal outcomes, in military training. In total, 2277 British Army trainees (581 women) participated. Fe markers and endurance performance (2·4 km run) were measured at the start (week 1) and end (week 13) of training. Whole-body areal body mineral density (aBMD) and markers of bone metabolism were measured at week 1. Injuries during training were recorded. Training decreased Hb in men and women (mean change (–0·1 (95 % CI –0·2, –0·0) and –0·7 (95 % CI –0·9, –0·6) g/dl, both P < 0·001) but more so in women (P < 0·001). Ferritin decreased in men and women (–27 (95 % CI –28, –23) and –5 (95 % CI –8, –1) µg/l, both P ≤ 0·001) but more so in men (P < 0·001). Soluble transferrin receptor increased in men and women (2·9 (95 % CI 2·3, 3·6) and 3·8 (95 % CI 2·7, 4·9) nmol/l, both P < 0·001), with no difference between sexes (P = 0·872). Erythrocyte distribution width increased in men (0·3 (95 % CI 0·2, 0·4)%, P < 0·001) but not in women (0·1 (95 % CI –0·1, 0·2)%, P = 0·956). Mean corpuscular volume decreased in men (–1·5 (95 % CI –1·8, –1·1) fL, P < 0·001) but not in women (0·4 (95 % CI –0·4, 1·3) fL, P = 0·087). Lower ferritin was associated with slower 2·4 km run time (P = 0·018), sustaining a lower limb overuse injury (P = 0·048), lower aBMD (P = 0·021) and higher beta C-telopeptide cross-links of type 1 collagen and procollagen type 1 N-terminal propeptide (both P < 0·001) controlling for sex. Improving Fe stores before training may protect Hb in women and improve endurance and protect against injury.
The current study presents results of a midpoint analysis of an ongoing natural experiment evaluating the diet-related effects of the Minneapolis Minimum Wage Ordinance, which incrementally increases the minimum wage to $15/h.
Design:
A difference-in-difference (DiD) analysis of measures collected among low-wage workers in two U.S. cities (one city with a wage increase policy and one comparison city). Measures included employment-related variables (hourly wage, hours worked and non-employment assessed by survey questions with wages verified by paystubs), BMI measured by study scales and stadiometers and diet-related mediators (food insecurity, Supplemental Nutrition Assistance Program (SNAP) participation and daily servings of fruits and vegetables, whole-grain rich foods and foods high in added sugars measured by survey questions).
Setting:
Minneapolis, Minnesota and Raleigh, North Carolina.
Participants:
A cohort of 580 low-wage workers (268 in Minneapolis and 312 in Raleigh) who completed three annual study visits between 2018 and 2020.
Results:
In DiD models adjusted for time-varying and non-time-varying confounders, there were no statistically significant differences in variables of interest in Minneapolis compared with Raleigh. Trends across both cities were evident, showing a steady increase in hourly wage, stable BMI, an overall decrease in food insecurity and non-linear trends in employment, hours worked, SNAP participation and dietary outcomes.
Conclusion:
There was no evidence of a beneficial or adverse effect of the Minimum Wage Ordinance on health-related variables during a period of economic and social change. The COVID-19 pandemic and other contextual factors likely contributed to the observed trends in both cities.