ArticleHygiene and environmental health advances2022
Association between extreme ambient heat exposure and diabetes-related hospital admissions and emergency department visits: A systematic review.
Article in Hygiene and environmental health advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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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
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Heat as a prognostic factor for the development and progression of diabetes: a systematic review and meta-analysis.The Cochrane database of systematic reviews · 2025Pooled it
- Postural Instability Is Greater in Men with Type 2 Diabetes after Exertional Heat Stress.Medicine and science in sports and exercise · 2026Trial
- Redlining, Urban Heat, and Climate Hazards: Impacts on Children's Cardiometabolic Health.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Where You Live Shapes Diabetes Risk: Multilevel Determinants of Type 2 Diabetes in the East South Central United States.Journal of racial and ethnic health disparities · 2026Article
- Climate Change and Diabetes Outcomes: Evidence from Climate-Vulnerable Regions.Current diabetes reports · 2026Review
- Weather information improves a predictive model of emergency department arrivals.Internal and emergency medicine · 2026Article
- The interplay of heatwaves, air pollution, and green space on all-cause mortality in older adults with diabetes mellitus: a national cohort study.BMC public health · 2026Article
- Air temperature and all-cause emergency hospital admissions in people with and without diabetes in Germany (2005-2022): a time-series analysis.The Lancet regional health. Europe · 2026Article
- Climate Vulnerability Index and Incident Type 2 Diabetes in a Large Integrated Health Care System.JAMA network open · 2025Article
- Global challenges in diabetes research and care: which way forward? An appraisal from the EASD Global Council.Diabetologia · 2025Review
- Lethal Heat and Humidity Events.Annual review of environment and resources · 2025Article
- One day of environment-induced heat stress causes injury to the murine kidney.Experimental physiology · 2025Article
- The odds and costs of ambulance attendances associated with heatwave severity in older adults of queensland, Australia.International journal of biometeorology · 2025Article
- COVID-19 pandemic as an effect modifier on the association between elevated temperatures and emergency department visits: A case-time-series study in a large population.Environmental epidemiology (Philadelphia, Pa.) · 2025Article
- Ecological assessment of extreme temperature and fine particulate matter (pm2.5) impact on diabetes service and outcomes in Thailand.BMC public health · 2025Article
- Effect of climate change, extreme temperatures (heat and cold) on diabetes mellitus risk, hospitalization, and mortality: Global Evidenced Based Study.Frontiers in public health · 2025Article
- Zinc oxide nanoparticles cooperate with the phyllosphere to promote grain yield and nutritional quality of rice under heatwave stress.Proceedings of the National Academy of Sciences of the United States of America · 2024Article
- State-Level Household Energy Insecurity and Diabetes Prevalence Among US Adults, 2020.Preventing chronic disease · 2024Article
- Ambient heat and diabetes hospitalizations: Does the timing of heat exposure matter?The Science of the total environment · 2024Article
- Indoor overheating: A review of vulnerabilities, causes, and strategies to prevent adverse human health outcomes during extreme heat events.Temperature (Austin, Tex.) · 2024Review
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Background and objectives: Diabetes is an increasing public health concern worldwide. The impact of extreme heat exposure on diabetes healthcare utilization such as diabetes-related hospital admissions and emergency department (ED) visits was understudied although extreme temperature exposure was linked with diabetes mortality. In addition, very few systematic reviews have been conducted in this field. This review aims to systematically evaluate the currently available evidence on the association between extreme ambient heat exposure and hospital admissions/ED visits for diabetes and the vulnerable population to heat extremes. Methods: A systematic literature review was conducted by using the keywords/terms "ambient temperature or heatwave or heat wave or extreme temperature or high temperature effect " and "diabetes morbidity or diabetes hospital admissions or diabetes emergency room visits " for available publications until August 2022. The heat exposure was categorized into four groups using difference definitions. The outcomes were diabetes-related hospital admissions/ED visits. A meta-analysis was performed to estimate the pooled effects of relative risk (RR)/odds ratio (OR) and 95% confidence intervals (CI) for each of the associations of interest. Results: Eighteen articles were selected from forty full-text, English written papers based on the inclusion and exclusion criteria. The overall pooled effect of excessive heat on diabetes, across all groups, was 1.045 (95% CI 1.024-1.066). The pooled effects for each exposure group were significant/borderline significant. Additionally, the pooled effect of the RR/OR was 1.100 (95% CI: 1.067-1.135) among adults aged 65 years or older. The most controlled confounders were air pollutants. The commonly listed limitation in those studies was misclassification of exposure. Conclusions: The body of evidence supports that ambient extreme heat exposure is associated with diabetes-related hospital admissions/ED visits. Additionally, adults 65 years of age or older with diabetes are vulnerable to heat extremes. Future studies should consider controlling for various biases and confounders.
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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.