ArticleAnnals of neurology2013
Short- and long-term sunlight radiation and stroke incidence.
Article in Annals of neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Vitamin D and Stroke: Effects on Incidence, Severity, and Outcome and the Potential Benefits of Supplementation.Frontiers in neurology · 2020Pooled it
- Seasonal variation in the occurrence of ischemic stroke: A meta-analysis.Environmental geochemistry and health · 2019Pooled it
- Blindspot: how sun exposure guidelines have ignored the health of individuals with skin of color.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2026Review
- Brighter nights and darker days predict higher mortality risk: A prospective analysis of personal light exposure in >88,000 individuals.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
- Association Between the Incidence of Hospitalizations for Acute Cardiovascular Events, Weather, and Air Pollution.JACC. Advances · 2023Article
- Time spent in outdoor light is associated with the risk of dementia: a prospective cohort study of 362094 participants.BMC medicine · 2022Article
- Low sun exposure habits is associated with a dose-dependent increased risk of hypertension: a report from the large MISS cohort.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2021Article
- Stroke-Related Mortality at Different Altitudes: A 17-Year Nationwide Population-Based Analysis From Ecuador.Frontiers in physiology · 2021Article
- Nontraditional Cardiovascular Biomarkers and Risk Factors: Rationale and Future Perspectives.Biomolecules · 2018Review
- Taxicab tipping and sunlight.PloS one · 2017Article
- Association between Diurnal Variation of Ozone Concentration and Stroke Occurrence: 24-Hour Time Series Study.PloS one · 2016Article
- Is outdoor work associated with elevated rates of cerebrovascular disease mortality? A cohort study based on iron-ore mining.Journal of occupational medicine and toxicology (London, England) · 2016Article
- Sunlight exposure and cardiovascular risk factors in the REGARDS study: a cross-sectional split-sample analysis.BMC neurology · 2014Article
- Light-harvesting chlorophyll pigments enable mammalian mitochondria to capture photonic energy and produce ATP.Journal of cell science · 2014Article
- Meteorological Variables Associated with Stroke.International scholarly research notices · 2014Article
- The association between meteorological parameters and aneurysmal subarachnoid hemorrhage: a nationwide analysis.PloS one · 2014Article
- Stroke: sun exposure and vitamin D linked to the risk of stroke.Nature reviews. Neurology · 2012Article
- Solar radiation and the incidence and mortality of leading invasive cancers in the United States.Dermato-endocrinologyArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveExamine whether long- and short-term sunlight radiation is related to stroke incidence.
methodsFifteen-year residential histories merged with satellite, ground monitor, and model reanalysis data were used to determine sunlight radiation (insolation) and temperature exposure for a cohort of 16,606 stroke and coronary artery disease-free black and white participants aged ≥45 years from the 48 contiguous United States. Fifteen-, 10-, 5-, 2-, and 1-year exposures were used to predict stroke incidence during follow-up in Cox proportional hazard models. Potential confounders and mediators were included during model building.
resultsShorter exposure periods exhibited similar, but slightly stronger relationships than longer exposure periods. After adjustment for other covariates, the previous year's monthly average insolation exposure below the median gave a hazard ratio (HR) of 1.61 (95% confidence interval [CI], 1.15-2.26), and the previous year's highest compared to the second highest quartile of monthly average maximum temperature exposure gave an HR of 1.92 (95%, 1.27-2.92).
interpretationThese results indicate a relationship between lower levels of sunlight radiation and higher stroke incidence. The biological pathway of this relationship is not clear. Future research will show whether this finding stands, the pathway for this relationship, and whether it is due to short- or long-term exposures.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.