SynthesisEnvironmental health perspectives2021
Cold Spells and Cause-Specific Mortality in 47 Japanese Prefectures: A Systematic Evaluation.
Synthesis in Environmental health perspectives, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Extreme weather and asthma: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2023Pooled it
- Climate Change-Mediated Temperature Extremes: Effects on the Immune System and Associations with Immune-Related Diseases.Clinical reviews in allergy & immunology · 2026Review
- Cold environment is associated with worse outcomes in ischemic stroke patients and the underlying gut microbial mechanism.BMC microbiology · 2026Article
- Short-term effects and attributable burden of extreme heat and cold on dementia mortality: a case-time-series study in Hebei Province, China (2014-2022).BMC public health · 2026Article
- Extreme temperature events and frailty progression in middle-aged and older adults: the longitudinal evidence from CHARLS.BMC public health · 2026Article
- Spatiotemporal patterns of excess mortality attributable to prolonged cold spells in China, 2020-2023.BMC public health · 2026Article
- Heatwave Exposure Accelerates Biological Aging via Metabolic Dysregulation.Cyborg and bionic systems (Washington, D.C.) · 2026Article
- Article
- Accelerating Burden of Hypertensive Heart Disease in Low- and Lower-Middle-SDI Countries, 1990-2023: The Contribution of Cold Temperature Exposure.Annals of global health · 2026Article
- Association between cold spells and chronic lung disease: a nationwide spatial machine learning analysis.Frontiers in medicine · 2026Article
- Association of ambient temperature with mortality in community-based patients with severe mental disorders: a time-stratified case-crossover study in western China.BMC psychiatry · 2025Article
- Opposite Interactive Effects of Heat Wave and Cold Spell with Fine Particulate Matter on Pneumonia Mortality.Toxics · 2025Article
- Article
- Increased Risk of Influenza Infection During Cold Spells in China: National Time Series Study.JMIR public health and surveillance · 2024Article
- Drivers of associations between daytime-nighttime compound temperature extremes and mortality in China.Communications medicine · 2024Article
- Spatiotemporal distribution and lag effect of extreme temperature exposure on mortality of residents in Jiangsu, China.Heliyon · 2024Article
- Rising trend and regional disparities of the global burden of disease attributable to ambient low temperature, 1990-2019: An analysis of data from the Global Burden of Disease 2019 study.Journal of global health · 2024Article
- A Long Way from Steubenville: Environmental Epidemiology in a Rapidly Changing World.American journal of epidemiology · 2023Article
- Enhancing health resilience in Japan in a changing climate.The Lancet regional health. Western Pacific · 2023Review
- The interactive effects of extreme temperatures and PMScientific reports · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany studies have investigated the devastating health effects of heat waves, but less is known about health risks related to cold spells, despite evidence that extreme cold may contribute to a larger proportion of deaths.
objectivesWe aimed to systematically investigate the association between cold spells and mortality in Japan.
methodsDaily data for weather conditions and 12 common causes of death during the 1972-2015 cold seasons (November-March) were obtained from 47 Japanese prefectures. Cold spells were defined as
resultsA total of 18,139,498 deaths were recorded during study period. Mortality was significantly higher during cold spell days vs. other days for all selected causes of death. Mortality due to age-related physical debilitation was more strongly associated with cold spells than with other causes of death. Associations between cold spells and mortality from all causes and several more specific outcomes were stronger for longer and more intense cold spells and for cold spells earlier in the cold season. However, although all outcomes were positively associated with cold spell duration, findings for cold spell intensity and seasonal timing were heterogeneous across the outcomes. Associations between cold spells and mortality due to cerebrovascular disease, cerebral infarction, and age-related physical debility decreased in magnitude over time, whereas temporal trends were relatively flat for all-cause mortality and other outcomes. DISCUSSION: Our findings may have implications for establishing tailored public health strategies to prevent avoidable cold spell-related health consequences. https://doi.org/10.1289/EHP7109.
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