In general, the arctic freshwater-terrestrial system will warm more rapidly than the global average, particularly during the autumn and winter season. The decline or loss of many cryospheric components and a shift from a nival to an increasingly pluvial system will produce numerous physical effects on freshwater ecosystems. Of particular note will be reductions in the dominance of the spring freshet and changes in the intensity of river-ice breakup. Increased evaporation/evapotranspiration due to longer ice-free seasons, higher air/water temperatures and greater transpiring vegetation along with increase infiltration because of permafrost thaw will decrease surface water levels and coverage. Loss of ice and permafrost, increased water temperatures and vegetation shifts will alter water chemistry, the general result being an increase in lotic and lentic productivity. Changes in ice and water flow/levels will lead to regime-specific increases and decreases in habitat availability/quality across the circumpolar Arctic.

Climate change is projected to cause significant alterations to aquatic biogeochemical processes, (including carbon dynamics), aquatic food web structure, dynamics and biodiversity, primary and secondary production; and, affect the range, distribution and habitat quality/quantity of aquatic mammals and waterfowl. Projected enhanced permafrost thawing is very likely to increase nutrient, sediment, and carbon loadings to aquatic systems, resulting in both positive and negative effects on freshwater chemistry. Nutrient and carbon enrichment will enhance nutrient cycling and productivity, and alter the generation and consumption of carbon-based trace gases. Consequently, the status of aquatic ecosystems as carbon sinks or sources is very likely to change. Climate change will also very likely affect the biodiversity of freshwater ecosystems across most of the Arctic. The magnitude, extent, and duration of the impacts and responses will be system- and location-dependent. Projected effects on aquatic mammals and waterfowl include altered migration routes and timing; a possible increase in the incidence of mortality and decreased growth and productivity from disease and/or parasites; and, probable changes in habitat suitability and timing of availability.

Although early results showed some successes in reducing risk factors for type 2 diabetes, these benefits were not maintained over 8 years.

clinicaltrials.gov Identifier: NCT00665158.