ReviewSports medicine (Auckland, N.Z.)2017
Cognitive Functioning and Heat Strain: Performance Responses and Protective Strategies.
Review in Sports medicine (Auckland, N.Z.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
60 citing papers in PubMed, 1 synthesis or guideline pooled it, 122 citations in OpenAlex.
- Core Body Temperatures in Intermittent Sports: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2023Pooled it
- Ketone monoester ingestion and cognitive and physical performance during exercise-heat stress.Journal of the International Society of Sports Nutrition · 2026Trial
- Heat Acclimation with Blood Flow Restriction Improves Cognitive-Motor Dual-Task Ability and Neuromuscular Fatigue.Scandinavian journal of medicine & science in sports · 2026Trial
- The effect of a combined cooling intervention on cognitive function in the heat during an intermittent running protocol.European journal of sport science · 2024Trial
- Hypohydration alters pre-frontal cortex haemodynamics, but does not impair motor learning.Experimental brain research · 2022Trial
- Intermittent Cooling Reduces Perceived Exertion but Has No Effect on Baseball Hitting or Defense Performance in a Hot Environment.Journal of sports science & medicine · 2022Trial
- Cognitive Performance Before and Following Habituation to Exercise-Induced Hypohydration of 2 and 4% Body Mass in Physically Active Individuals.Nutrients · 2022Trial
- Impact of elevated core temperature on cognition in hot environments within a military context.European journal of applied physiology · 2021Trial
- Head Cooling Prior to Exercise in the Heat Does Not Improve Cognitive Performance.Journal of sports science & medicine · 2021Trial
- Impact of Personal Cooling on Performance, Comfort and Heat Strain of Healthcare Workers in PPE, a Study From West Africa.Frontiers in public health · 2021Trial
- Acute Whole-Body Heat Exposure Modulates EEG Microstate Dynamics, Phase-Lagged Connectivity, and Cortical Source Activity.Brain topography · 2026Article
- One Step Further: Integrating Evidence-Based Guidelines into Practice to Address Environmental Challenges at the Men's 2026 FIFA World Cup.Sports medicine (Auckland, N.Z.) · 2026Review
- The 2026 Men's FIFA Football World Cup: Evidence-Based Guidelines to Protect Player Health and Performance from Environmental Challenges.Sports medicine (Auckland, N.Z.) · 2026Review
- The effect of spaceflight and simulated microgravity exposure on thermoregulation in humans: a systematic review.NPJ microgravity · 2026Article
- Effect of repeated hot water immersion on cognitive performance, cerebrovascular function, sleep and biomarkers of neurodegeneration in older adults.Experimental physiology · 2026Article
- Heat stress impacts affective processes and risk-taking behaviour.Scientific reports · 2026Article
- Psychological adaptation mechanisms of athletes' cognitive resilience in high-temperature environments.Frontiers in psychology · 2026Article
- Influence of habitual physical activity on cognitive performance of healthy young adults after passive heat exposure.Journal of exercise science and fitness · 2026Article
- Degrees of uncertainty: conformal deep learning for non-invasive core body temperature prediction in extreme environments.Communications engineering · 2025Article
- The effect of cooling vest along with hospital full-body protection equipment on physiological and cognitive indicators among hospital nurses: an interventional study.BMC health services research · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite the predominance of research on physical performance in the heat, many activities require high cognitive functioning for optimal performance (i.e. decision making) and/or health purposes (i.e. injury risk). Prolonged periods of demanding cognitive activity or exercise-induced fatigue will incur altered cognitive functioning. The addition of hot environmental conditions will exacerbate poor cognitive functioning and negatively affect performance outcomes. The present paper attempts to extract consistent themes from the heat-cognition literature to explore cognitive performance as a function of the level of heat stress encountered. More specifically, experimental studies investigating cognitive performance in conditions of hyperthermia, often via the completion of computerised tasks (i.e. cognitive tests), are used to better understand the relationship between endogenous thermal load and cognitive performance. The existence of an inverted U-shaped relationship between hyperthermia development and cognitive performance is suggested, and highlights core temperatures of ~38.5 °C as the potential 'threshold' for hyperthermia-induced negative cognitive performance. From this perspective, interventions to slow or blunt thermal loads and protect both task- and hyperthermia-related changes in task performances (e.g. cooling strategies) could be used to great benefit and potentially preserve cognitive performance during heat strain.
Indexed as
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What OpenQuestion holds
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.