The association between temperature variability, morbidity and mortality for specific categories of disease: A systematic review and meta-analysis

While research into temperature-related health outcomes has focused on absolute temperature exposure, an increasing number of studies have explored the distinct effect of temperature variability (TV). However, systematic reviews in this area have focused on a limited number of health outcomes and in...

Full description

Saved in:
Bibliographic Details
Main Author: Maxwell D. Weidmann
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Hygiene and Environmental Health Advances
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2773049225000066
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850127577756205056
author Maxwell D. Weidmann
author_facet Maxwell D. Weidmann
author_sort Maxwell D. Weidmann
collection DOAJ
description While research into temperature-related health outcomes has focused on absolute temperature exposure, an increasing number of studies have explored the distinct effect of temperature variability (TV). However, systematic reviews in this area have focused on a limited number of health outcomes and intra-day TV. A systematic review was therefore conducted for studies of intra- and/or inter-day TV and cardiovascular, respiratory, renal or mental illnesses through April 2023 (n = 38). There was a consistent relationship between cardiovascular disease (CVD) or respiratory disease (RD) morbidity, mortality and both diurnal temperature range (DTR) or short-term inter-day TV, particularly for the elderly. The effect of DTR and short-term inter-day TV were stronger on hot days and the warm season for CVD, but on cold days and cold season for RD. Meta-analysis for CVD or RD and DTR showed a significant 0.7 %/C° increase in CVD mortality, but not morbidity, while RD showed a significant 1.0 %/C° and 0.7 %/C° increase in morbidity and mortality, respectively. Most studies focused on CVD, RD, DTR or short-term inter-day TV, while few studies explored renal, GU, or mental health outcomes aside from schizophrenia. Future studies are needed to assess non-linear relationships between TV and disease, and the modifying effect of socioeconomic status.
format Article
id doaj-art-edd4ad441c774364a3d56ea7a1b4777c
institution OA Journals
issn 2773-0492
language English
publishDate 2025-06-01
publisher Elsevier
record_format Article
series Hygiene and Environmental Health Advances
spelling doaj-art-edd4ad441c774364a3d56ea7a1b4777c2025-08-20T02:33:38ZengElsevierHygiene and Environmental Health Advances2773-04922025-06-011410012310.1016/j.heha.2025.100123The association between temperature variability, morbidity and mortality for specific categories of disease: A systematic review and meta-analysisMaxwell D. Weidmann0Correspondence author at. 218 Harper Street, Highland Park, NJ, 08904, USA.; Department of Environmental Health Sciences, College of Integrated Health Sciences, University at Albany, State University of New York, 1 University Pl, Rensselaer, NY, 12144, USAWhile research into temperature-related health outcomes has focused on absolute temperature exposure, an increasing number of studies have explored the distinct effect of temperature variability (TV). However, systematic reviews in this area have focused on a limited number of health outcomes and intra-day TV. A systematic review was therefore conducted for studies of intra- and/or inter-day TV and cardiovascular, respiratory, renal or mental illnesses through April 2023 (n = 38). There was a consistent relationship between cardiovascular disease (CVD) or respiratory disease (RD) morbidity, mortality and both diurnal temperature range (DTR) or short-term inter-day TV, particularly for the elderly. The effect of DTR and short-term inter-day TV were stronger on hot days and the warm season for CVD, but on cold days and cold season for RD. Meta-analysis for CVD or RD and DTR showed a significant 0.7 %/C° increase in CVD mortality, but not morbidity, while RD showed a significant 1.0 %/C° and 0.7 %/C° increase in morbidity and mortality, respectively. Most studies focused on CVD, RD, DTR or short-term inter-day TV, while few studies explored renal, GU, or mental health outcomes aside from schizophrenia. Future studies are needed to assess non-linear relationships between TV and disease, and the modifying effect of socioeconomic status.http://www.sciencedirect.com/science/article/pii/S2773049225000066Climate changeHealth effectsExtreme weatherHealth outcome thresholdTemperature variabilityDiurnal temperature range
spellingShingle Maxwell D. Weidmann
The association between temperature variability, morbidity and mortality for specific categories of disease: A systematic review and meta-analysis
Hygiene and Environmental Health Advances
Climate change
Health effects
Extreme weather
Health outcome threshold
Temperature variability
Diurnal temperature range
title The association between temperature variability, morbidity and mortality for specific categories of disease: A systematic review and meta-analysis
title_full The association between temperature variability, morbidity and mortality for specific categories of disease: A systematic review and meta-analysis
title_fullStr The association between temperature variability, morbidity and mortality for specific categories of disease: A systematic review and meta-analysis
title_full_unstemmed The association between temperature variability, morbidity and mortality for specific categories of disease: A systematic review and meta-analysis
title_short The association between temperature variability, morbidity and mortality for specific categories of disease: A systematic review and meta-analysis
title_sort association between temperature variability morbidity and mortality for specific categories of disease a systematic review and meta analysis
topic Climate change
Health effects
Extreme weather
Health outcome threshold
Temperature variability
Diurnal temperature range
url http://www.sciencedirect.com/science/article/pii/S2773049225000066
work_keys_str_mv AT maxwelldweidmann theassociationbetweentemperaturevariabilitymorbidityandmortalityforspecificcategoriesofdiseaseasystematicreviewandmetaanalysis
AT maxwelldweidmann associationbetweentemperaturevariabilitymorbidityandmortalityforspecificcategoriesofdiseaseasystematicreviewandmetaanalysis