SynthesisInternational journal of environmental research and public health2020
Epidemiology of Exertional Heat Illness in the Military: A Systematic Review of Observational Studies.
Synthesis in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis 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
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- Risk factors for adverse health in military and law enforcement personnel; an umbrella review.BMC public health · 2024Pooled it
- Dynamic responses in the human methylome to exertional heat exhaustion, heat injury, and heat stroke.Human genomics · 2026Article
- Climate Change and Diabetes Outcomes: Evidence from Climate-Vulnerable Regions.Current diabetes reports · 2026Review
- Article
- Heatstroke Awareness and Preventive Behaviors Among Automotive Maintenance Workers in Outdoor Environments: A Cross-Sectional Study in Japan.Healthcare (Basel, Switzerland) · 2026Article
- Liver enzyme trajectory and risk factors for acute liver failure in patients with exertional heatstroke: a retrospective analysis.Internal and emergency medicine · 2026Article
- Faecal microbiome, gastrointestinal integrity, inflammation and thermoregulation in recent exertional heat illness patients and matched controls.Experimental physiology · 2026Article
- Two simultaneous cases of exertional heat stroke during a trail run in Guadeloupe (French West Indies): exceptional presentations or emerging trend?International journal of emergency medicine · 2025Article
- Ramping up the Heat: Induction of Systemic and Pulmonary Immune Responses and Metabolic Adaptations in Mice.bioRxiv : the preprint server for biology · 2025Article
- Heat exhaustion and heat stroke among active component members of the U.S. Armed Forces, 2020-2024.MSMR · 2025Article
- Comparison of Rectal and Gastrointestinal Core Temperatures During Heat Tolerance Testing.Medicina (Kaunas, Lithuania) · 2025Article
- Novel Method for Measuring Ambient Heat Exposure-Acute Healthcare Utilization Associations Within a Safety Net: A Retrospective, Longitudinal Study.Journal of general internal medicine · 2025Article
- Exertional heat illness: international military-oriented lessons learned and best practices for prevention and management.Frontiers in physiology · 2025Article
- Heat exhaustion and heat stroke among active component members of the U.S. Armed Forces, 2019-2023.MSMR · 2024Article
- A century of exercise physiology: concepts that ignited the study of human thermoregulation. Part 3: Heat and cold tolerance during exercise.European journal of applied physiology · 2024Review
- Glutamine Supplementation: A Possible Strategy to Help Mitigate Health Risks of Heat-Related Illness.Journal of nutrition and metabolism · 2024Review
- Heatstroke: a multicenter study in Southwestern China.Frontiers in public health · 2024Article
- Are young military personnel at a disproportional risk of heat illness?BMJ military health · 2023Review
- Multiparametric cardiac magnetic resonance reveals persistent myocardial inflammation in patients with exertional heat illness.European radiology · 2023Article
- Neuromotor deficits and altered physiological responses to repeated exertional heat stroke exposures in mice.American journal of physiology. Regulatory, integrative and comparative physiology · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Exertional heat illness (EHI) is an occupational hazard among military personnel. This systematic review describes the incidence, risk factors, clinical manifestations, and biomarkers of EHI in the military. Six databases from inception to 28 May 2020 were systematically reviewed using the PRISMA guidelines. Forty-one articles met the inclusion criteria and the incidence of EHI ranged from 0.2 to 10.5 per 1000 person years, while the prevalence rates ranged from 0.3% to 9.3%. Intrinsic risk factors influencing EHI were gender, physical fitness, obesity, previous history of heat illness, and motivation, while the extrinsic factors included hot environmental conditions and service unit. Evidence suggests that loss of consciousness, absence of sweating and confusion were the common clinical features of exertional heat stroke (EHS). The mean core temperature ranged from 40 to 41.6 °C, while elevated levels of creatine phosphokinase, liver enzymes, and creatinine were common biochemical markers of EHS. The findings of the review suggest a variation in the incidence of EHI among military populations possibly due to the varying definitions used. Although some risk factors of EHI were identified, more analytical studies are needed to investigate the association between EHI and other important factors such as acclimatisation and occlusive clothing.
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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.