Effect of Short‐Term Exposure to Ambient Temperatures on Parkinson's Diseases Mortality Among Elderly Aged 60 Years and Above in China, 2013–2020

Abstract Parkinson's disease (PD) is a prevalent neurodegenerative disorder with significant negative health and economic implications for individuals, families and society. This study utilized an individual‐level time‐stratified case‐crossover study design to investigate the relationship betwe...

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Main Authors: Rui Zhang, Ainan Jia, Huan Zheng, Yonghong Li, Chaonan Wang, Siyuan Wu, Songwang Wang, Qing Guo, Yu Wang, Peng Bi, Jing Wu
Format: Article
Language:English
Published: American Geophysical Union (AGU) 2025-04-01
Series:GeoHealth
Online Access:https://doi.org/10.1029/2024GH001246
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author Rui Zhang
Ainan Jia
Huan Zheng
Yonghong Li
Chaonan Wang
Siyuan Wu
Songwang Wang
Qing Guo
Yu Wang
Peng Bi
Jing Wu
author_facet Rui Zhang
Ainan Jia
Huan Zheng
Yonghong Li
Chaonan Wang
Siyuan Wu
Songwang Wang
Qing Guo
Yu Wang
Peng Bi
Jing Wu
author_sort Rui Zhang
collection DOAJ
description Abstract Parkinson's disease (PD) is a prevalent neurodegenerative disorder with significant negative health and economic implications for individuals, families and society. This study utilized an individual‐level time‐stratified case‐crossover study design to investigate the relationship between ambient temperatures and PD mortality among the elderly in China. A combination of conditional logistic regression and distributed lag non‐linear model was employed to analyze the data, and the mortality burden attributed to ambient temperatures was quantified. The study included a total of 59,397 deceased PD patients aged 60 years and above who died between 2013 and 2020. Findings revealed that the effects of extremely low temperature (−1°C) could persist for up to 14 days, while the impacts of extremely high temperature (30°C) were acute and last for 4 days and showing a significant harvest effect. For the overall population, the high temperatures significantly increased the risk of death, where low temperature did not. A lag0‐14 cumulative odds ratios (COR) of extremely low temperature compared to the reference temperature (15°C) was 1.024 (95% CI: 0.971, 1.080). The lag0‐14 COR of extremely high temperature was 1.206 (95% CI: 1.116, 1.304). Additionally, high temperatures attributed greater AF of 4.013 (95% eCI: 1.990, 5.894) comparing to low temperatures did of 0.762 (95% eCI: −0.624, 2.017). Significant differences were found across regions. No statistically significant differences were found between the sex and age. This nationwide study provides evidence for tailored interventions in specific regions and populations to reduce temperature‐related PD mortality among the elderly in China.
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publishDate 2025-04-01
publisher American Geophysical Union (AGU)
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spelling doaj-art-f8d6c2ac2e414be3a4bd2ee805ec3a352025-08-20T03:53:22ZengAmerican Geophysical Union (AGU)GeoHealth2471-14032025-04-0194n/an/a10.1029/2024GH001246Effect of Short‐Term Exposure to Ambient Temperatures on Parkinson's Diseases Mortality Among Elderly Aged 60 Years and Above in China, 2013–2020Rui Zhang0Ainan Jia1Huan Zheng2Yonghong Li3Chaonan Wang4Siyuan Wu5Songwang Wang6Qing Guo7Yu Wang8Peng Bi9Jing Wu10Chinese Center for Disease Control and Prevention Beijing ChinaNational Center for Chronic and Noncommunicable Disease Control and Prevention Chinese Center for Disease Control and Prevention Beijing ChinaChinese Center for Disease Control and Prevention Beijing ChinaNational Institute of Environmental Health Chinese Center for Disease Control and Prevention Beijing ChinaChinese Center for Disease Control and Prevention Beijing ChinaSprott School of Business Carleton University Ottawa ON CanadaChinese Center for Disease Control and Prevention Beijing ChinaChinese Center for Disease Control and Prevention Beijing ChinaNational Institute of Environmental Health Chinese Center for Disease Control and Prevention Beijing ChinaSchool of Public Health The University of Adelaide Adelaide SA AustraliaNational Center for Chronic and Noncommunicable Disease Control and Prevention Chinese Center for Disease Control and Prevention Beijing ChinaAbstract Parkinson's disease (PD) is a prevalent neurodegenerative disorder with significant negative health and economic implications for individuals, families and society. This study utilized an individual‐level time‐stratified case‐crossover study design to investigate the relationship between ambient temperatures and PD mortality among the elderly in China. A combination of conditional logistic regression and distributed lag non‐linear model was employed to analyze the data, and the mortality burden attributed to ambient temperatures was quantified. The study included a total of 59,397 deceased PD patients aged 60 years and above who died between 2013 and 2020. Findings revealed that the effects of extremely low temperature (−1°C) could persist for up to 14 days, while the impacts of extremely high temperature (30°C) were acute and last for 4 days and showing a significant harvest effect. For the overall population, the high temperatures significantly increased the risk of death, where low temperature did not. A lag0‐14 cumulative odds ratios (COR) of extremely low temperature compared to the reference temperature (15°C) was 1.024 (95% CI: 0.971, 1.080). The lag0‐14 COR of extremely high temperature was 1.206 (95% CI: 1.116, 1.304). Additionally, high temperatures attributed greater AF of 4.013 (95% eCI: 1.990, 5.894) comparing to low temperatures did of 0.762 (95% eCI: −0.624, 2.017). Significant differences were found across regions. No statistically significant differences were found between the sex and age. This nationwide study provides evidence for tailored interventions in specific regions and populations to reduce temperature‐related PD mortality among the elderly in China.https://doi.org/10.1029/2024GH001246
spellingShingle Rui Zhang
Ainan Jia
Huan Zheng
Yonghong Li
Chaonan Wang
Siyuan Wu
Songwang Wang
Qing Guo
Yu Wang
Peng Bi
Jing Wu
Effect of Short‐Term Exposure to Ambient Temperatures on Parkinson's Diseases Mortality Among Elderly Aged 60 Years and Above in China, 2013–2020
GeoHealth
title Effect of Short‐Term Exposure to Ambient Temperatures on Parkinson's Diseases Mortality Among Elderly Aged 60 Years and Above in China, 2013–2020
title_full Effect of Short‐Term Exposure to Ambient Temperatures on Parkinson's Diseases Mortality Among Elderly Aged 60 Years and Above in China, 2013–2020
title_fullStr Effect of Short‐Term Exposure to Ambient Temperatures on Parkinson's Diseases Mortality Among Elderly Aged 60 Years and Above in China, 2013–2020
title_full_unstemmed Effect of Short‐Term Exposure to Ambient Temperatures on Parkinson's Diseases Mortality Among Elderly Aged 60 Years and Above in China, 2013–2020
title_short Effect of Short‐Term Exposure to Ambient Temperatures on Parkinson's Diseases Mortality Among Elderly Aged 60 Years and Above in China, 2013–2020
title_sort effect of short term exposure to ambient temperatures on parkinson s diseases mortality among elderly aged 60 years and above in china 2013 2020
url https://doi.org/10.1029/2024GH001246
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