Evidence map›Paper›PMID 34574649›Full record

SynthesisInternational journal of environmental research and public health2021

The Effect of Cold Exposure on Cognitive Performance in Healthy Adults: A Systematic Review.

Marika Falla, Alessandro Micarelli, Katharina Hüfner, Giacomo Strapazzon

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Lack of guidelines for cold exposure among vulnerable outdoor workers.International journal of circumpolar health · 2026
    Review
  5. Article
  6. Article
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  10. The epidemiology of canyoning rescue operations in Italy: a retrospective 15-year database study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
    Article
  11. Review
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  18. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Marika FallaCenter for Mind/Brain Sciences, CIMeC, University of Trento, 38068 Rovereto, Italy.ORCID 0000-0001-7477-3020
Alessandro MicarelliInstitute of Mountain Emergency Medicine, Eurac Research, 39100 Bolzano, Italy.
Katharina HüfnerDepartment of Psychiatry, Psychotherapy and Psychosomatics, University Hospital for Psychiatry II, Innsbruck Medical University, 6020 Innsbruck, Austria.
Giacomo StrapazzonInstitute of Mountain Emergency Medicine, Eurac Research, 39100 Bolzano, Italy.ORCID 0000-0002-4402-8633

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several aspects of cognition can be affected after cold exposure, but contradictory results have been reported regarding affected cognitive domains. The aim of the current systematic review was to evaluate the effects of specific cold exposure on cognitive performance in healthy subjects. A systematic search was performed using MEDLINE (through PubMed), EMBASE (Scopus) and PsycINFO databases according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Inclusion criteria were healthy subjects exposed to a cold environment (either simulated or not) and cognitive performance related to cold exposure with an experimental design. The literature search identified 18 studies, eight studies investigated the effect of cold air exposure and ten the effect of cold water immersion on cognitive performance of healthy subjects. There were several differences among the studies (environmental temperature reached, time of exposure, timing, and type of cognitive test administration). Cold exposure induced in most of the experimental settings (15 of 18) an impairment of CP even before accidental hypothermia was established. The most investigated and affected cognitive domains were attention and processing speed, executive function, and memory. Gender differences and effects of repeated exposure and possible acclimation on cognitive performance need further studies to be confirmed.

Indexed as

CognitionCognitive DysfunctionAcclimatizationAdultAttentionExecutive FunctionHumansattentioncognitioncoldexecutive functionhypothermiamemoryprocessing speed

Identifiers

PMID34574649
PMCPMC8470111

What OpenQuestion holds

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Registered trials

None linked

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.