Obesity, typically quantified in terms of Body Mass Index (BMI) exceeding threshold values, is considered a leading cause of premature death worldwide. For given body size (BMI), it is recognized that risk is also affected by body shape, particularly as a marker of abdominal fat deposits. Waist circumference (WC) is used as a risk indicator supplementary to BMI, but the high correlation of WC with BMI makes it hard to isolate the added value of WC. We considered a USA population sample of 14,105 non-pregnant adults ( ) from the National Health and Nutrition Examination Survey (NHANES) 1999–2004 with follow-up for mortality averaging 5 yr (828 deaths). We developed A Body Shape Index (ABSI) based on WC adjusted for height and weight: ABSI had little correlation with height, weight, or BMI. Death rates increased approximately exponentially with above average baseline ABSI (overall regression coefficient of per standard deviation of ABSI [95% confidence interval: – ]), whereas elevated death rates were found for both high and low values of BMI and WC. ( – ) of the population mortality hazard was attributable to high ABSI, compared to ( – ) for BMI and ( – ) for WC. The association of death rate with ABSI held even when adjusted for other known risk factors including smoking, diabetes, blood pressure, and serum cholesterol. ABSI correlation with mortality hazard held across the range of age, sex, and BMI, and for both white and black ethnicities (but not for Mexican ethnicity), and was not weakened by excluding deaths from the first 3 yr of follow-up. Body shape, as measured by ABSI, appears to be a substantial risk factor for premature mortality in the general population derivable from basic clinical measurements. ABSI expresses the excess risk from high WC in a convenient form that is complementary to BMI and to other known risk factors.

Precipitation events are expected to become substantially more intense under global warming, but few global comparisons of observations and climate model simulations are available to constrain predictions of future changes in precipitation extremes. We present a systematic global-scale comparison of changes in historical (1901–2010) annual-maximum daily precipitation between station observations (compiled in HadEX2) and the suite of global climate models contributing to the fifth phase of the Coupled Model Intercomparison Project (CMIP5). We use both parametric and non-parametric methods to quantify the strength of trends in extreme precipitation in observations and models, taking care to sample them spatially and temporally in comparable ways. We find that both observations and models show generally increasing trends in extreme precipitation since 1901, with the largest changes in the deep tropics. Annual-maximum daily precipitation (Rx1day) has increased faster in the observations than in most of the CMIP5 models. On a global scale, the observational annual-maximum daily precipitation has increased by an average of 5.73 mm over the last 110 years, or 8.5% in relative terms. This corresponds to an increase of 10% K⁻¹ in global warming since 1901, which is larger than the average of climate models, with 8.3% K⁻¹. The average rate of increase in extreme precipitation per K of warming in both models and observations is higher than the rate of increase in atmospheric water vapor content per K of warming expected from the Clausius–Clapeyron equation. We expect our findings to help inform assessments of precipitation-related hazards such as flooding, droughts and storms.

Global warming is expected to intensify the Earth's hydrological cycle and increase flood and drought risks. Changes over the 21st century under two warming scenarios in different percentiles of the probability distribution of streamflow, and particularly of high and low streamflow extremes (95th and 5th percentiles), are analyzed using an ensemble of bias-corrected global climate model (GCM) fields fed into different global hydrological models (GHMs) provided by the Inter-Sectoral Impact Model Intercomparison Project (ISI-MIP) to understand the changes in streamflow distribution and simultaneous vulnerability to different types of hydrological risk in different regions. In the multi-model mean under the Representative Concentration Pathway 8.5 (RCP8.5) scenario, 37 % of global land areas experience an increase in magnitude of extremely high streamflow (with an average increase of 24.5 %), potentially increasing the chance of flooding in those regions. On the other hand, 43 % of global land areas show a decrease in the magnitude of extremely low streamflow (average decrease of 51.5 %), potentially increasing the chance of drought in those regions. About 10 % of the global land area is projected to face simultaneously increasing high extreme streamflow and decreasing low extreme streamflow, reflecting the potentially worsening hazard of both flood and drought; further, these regions tend to be highly populated parts of the globe, currently holding around 30 % of the world's population (over 2.1 billion people). In a world more than 4° warmer by the end of the 21st century compared to the pre-industrial era (RCP8.5 scenario), changes in magnitude of streamflow extremes are projected to be about twice as large as in a 2° warmer world (RCP2.6 scenario). Results also show that inter-GHM uncertainty in streamflow changes, due to representation of terrestrial hydrology, is greater than the inter-GCM uncertainty due to simulation of climate change. Under both forcing scenarios, there is high model agreement for increases in streamflow of the regions near and above the Arctic Circle, and consequent increases in the freshwater inflow to the Arctic Ocean, while subtropical arid areas experience a reduction in streamflow.

A Body Shape Index (ABSI) had been derived from a study of the United States National Health and Nutrition Examination Survey (NHANES) 1999–2004 mortality data to quantify the risk associated with abdominal obesity (as indicated by a wide waist relative to height and body mass index). A national survey with longer follow-up, the British Health and Lifestyle Survey (HALS), provides another opportunity to assess the predictive power for mortality of ABSI. HALS also includes repeat observations, allowing estimation of the implications of changes in ABSI. We evaluate ABSI z score relative to population normals as a predictor of all-cause mortality over 24 years of follow-up to HALS. We found that ABSI is a strong indicator of mortality hazard in this population, with death rates increasing by a factor of 1.13 (95% confidence interval, 1.09–1.16) per standard deviation increase in ABSI and a hazard ratio of 1.61 (1.40–1.86) for those with ABSI in the top 20% of the population compared to those with ABSI in the bottom 20%. Using the NHANES normals to compute ABSI z scores gave similar results to using z scores derived specifically from the HALS sample. ABSI outperformed as a predictor of mortality hazard other measures of abdominal obesity such as waist circumference, waist to height ratio, and waist to hip ratio. Moreover, it was a consistent predictor of mortality hazard over at least 20 years of follow-up. Change in ABSI between two HALS examinations 7 years apart also predicted mortality hazard: individuals with a given initial ABSI who had rising ABSI were at greater risk than those with falling ABSI. ABSI is a readily computed dynamic indicator of health whose correlation with lifestyle and with other risk factors and health outcomes warrants further investigation.

Landslides, floods, and droughts are recurring natural disasters in Nepal related to too much or too little water. The summer monsoon contributes more than 80% of annual rainfall, and rainfall spatial and inter-annual variation is very high. The Gandaki River, one of the three major rivers of Nepal and one of the major tributaries of the Ganges River, covers all agro-ecological zones in the central part of Nepal. Time series tests were applied for different agro-ecological zones of the Gandaki River Basin (GRB) for rainfall trends of four seasons (pre-monsoon, monsoon, post-monsoon and winter) from 1981 to 2012. The non-parametric Mann-Kendall and Sen’s methods were used to determine the trends. Decadal anomalies relative to the long-term average were analyzed using the APHRODITE precipitation product. Trends in number of rainy days and timing of the monsoon were also analyzed. We found that the post-monsoon, pre-monsoon and winter rainfalls are decreasing significantly in most of the zones but monsoon rainfall is increasing throughout the basin. In the hill region, the annual rainfall is increasing but the rainy days do not show any trend. There is a tendency toward later departure of monsoon from Nepal, indicating an increase in its duration. These seasonally and topographically variable trends may have significant impacts for the agriculture and livestock smallholders that form the majority of the population in the GRB.