Evidence map›Paper›PMID 36106152›Full record

ReviewTemperature (Austin, Tex.)2022

Human vulnerability and variability in the cold: Establishing individual risks for cold weather injuries.

François Haman, Sara C S Souza, John W Castellani, Maria-P Dupuis, Karl E Friedl, Wendy Sullivan-Kwantes, Boris R M Kingma

Open access · greenAbstract readReview
In one paragraph

Review in Temperature (Austin, Tex.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
5.2field-weighted citation impact, top 3% of its field
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

23 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Cold-induced vasodilation: A meta-analysis.Temperature (Austin, Tex.) · 2026
    Review
  5. Review
  6. Assessing bias in measuring power outage exposure with simulations.Environmental epidemiology (Philadelphia, Pa.) · 2025
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Cold-induced vasodilation during sequential immersions of the hand.European journal of applied physiology · 2024
    Article
  15. We are all exposed, but some are more exposed than others.International journal of circumpolar health · 2023
    Article
  16. Training videos to prevent cold weather injuries.International journal of circumpolar health · 2023
    Article
  17. Extremity cooling during an arctic diving training exercise.International journal of circumpolar health · 2023
    Article
  18. Article
  19. To the extreme! How biological anthropology can inform exercise physiology in extreme environments.Comparative biochemistry and physiology. Part A, Molecular & integrative physiology · 2023
    Review
  20. Article
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

7 authors at 4 institutions in 3 countries.

François HamanFaculty of Health Sciences, University of Ottawa, Ottawa,Ontario, Canada.
Sara C S SouzaFaculty of Health Sciences, University of Ottawa, Ottawa,Ontario, Canada.
John W CastellaniThermal and Mountain Medicine Division, US Army Research Institute of Environmental Medicine, Natick, Massachusetts, USA.ORCID https://orcid.org/0000-0002-6728-463X
Maria-P DupuisFaculty of Health Sciences, University of Ottawa, Ottawa,Ontario, Canada.
Karl E FriedlThermal and Mountain Medicine Division, US Army Research Institute of Environmental Medicine, Natick, Massachusetts, USA.
Wendy Sullivan-KwantesBiophysics and Biomedical Modeling Division, Defence Research Development Canada-Toronto, Defence Research and Development Canada, Ontario, Canada.
Boris R M KingmaNetherlands Organization for Applied Scientific Research, Department of Human Performance, Unit Defence, Safety and Security, Soesterberg, The Netherlands.ORCID https://orcid.org/0000-0001-5961-0215
University of Ottawa · CAU.S. Army Research Institute of Environmental Medicine · USDefence Research and Development Canada · CANetherlands Organisation for Applied Scientific Research · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human tolerance to cold environments is extremely limited and responses between individuals is highly variable. Such physiological and morphological predispositions place them at high risk of developing cold weather injuries [CWI; including hypothermia and/or non-freezing (NFCI) and freezing cold injuries (FCI)]. The present manuscript highlights current knowledge on the vulnerability and variability of human cold responses and associated risks of developing CWI. This review 1) defines and categorizes cold stress and CWI, 2) presents cold defense mechanisms including biological adaptations, acute responses and acclimatization/acclimation and, 3) proposes mitigation strategies for CWI. This body of evidence clearly indicates that all humans are at risk of developing CWI without adequate knowledge and protective equipment. In addition, we show that while body mass plays a key role in mitigating risks of hypothermia between individuals and populations, NFCI and FCI depend mainly on changes in peripheral blood flow and associated decrease in skin temperature. Clearly, understanding the large interindividual variability in morphology, insulation, and metabolism is essential to reduce potential risks for CWI between and within populations.

Indexed as

acclimationadaptationblood flowCold survivalenergy metabolism

Identifiers

PMID36106152
PMCPMC9467591
OpenAlexW4281728333

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.