Evidence map›Paper›PMID 37052125›Full record

ArticleInternational journal of circumpolar health2023

We are all exposed, but some are more exposed than others.

Boris Kingma, Wendy Sullivan-Kwantes, John Castellani, Karl Friedl, François Haman

Open access · goldAbstract read
In one paragraph

Article in International journal of circumpolar health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Cold-induced vasodilation: A meta-analysis.Temperature (Austin, Tex.) · 2026
    Review
  3. Article
  4. Article
  5. Influence of body dimensions and sex on cold-induced vasodilation.European journal of applied physiology · 2025
    Article
  6. Review
  7. Review
  8. 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

5 authors at 4 institutions in 3 countries.

Boris KingmaThe Netherlands Organization for Applied Scientific Research (TNO), Unit Defence, Safety and Security, Department of Human Performance, Soesterberg, The Netherlands.ORCID 0000-0001-5961-0215
Wendy Sullivan-KwantesDRDC-Toronto, Defence Research and Development Canada, Ontario, Canada.
John CastellaniThermal and Mountain Medicine Division, United States Army Research Institute of Environmental Medicine, Natick, MA, USA.
Karl FriedlThermal and Mountain Medicine Division, United States Army Research Institute of Environmental Medicine, Natick, MA, USA.
François HamanFaculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
U.S. Army Research Institute of Environmental Medicine · USDefence Research and Development Canada · CANetherlands Organisation for Applied Scientific Research · NLUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper defines functional cold exposure zones that illustrate whether a person is at risk of developing physical performance loss or cold weather injuries. Individual variation in body characteristics, activity level, clothing and protective equipment all contribute to variation in the effective exposure. Nevertheless, with the right education, training, and cold-adapted behaviours the exposure differences might not necessarily lead to increased risk for cold injury. To support the preparation process for cold weather operations, this paper presents a biophysical analysis explaining how much cold exposure risk can vary between individuals in the same environment. The results suggest that smaller persons are prone to be underdressed for moderate activity levels and larger persons are prone to be overdressed. The consequences of these discrepancies place people at different risks for performance loss or cold weather injuries. Nonetheless, even if all are well-dressed at the whole-body level, variation in hand morphology is also expected to influence hand skin temperatures that can be maintained; with smaller hands being more prone to reach skin temperatures associated with dexterity loss or cold weather injuries. In conclusion, this work focusses on bringing cold science to the Arctic warrior, establishing that combating cold stress is not a one size fits all approach.

Indexed as

Cold TemperatureSkin TemperatureExerciseHandHumansWeathercold weather operationsIndividual variationmodellingthermoregulation

Identifiers

PMID37052125
PMCPMC10116924
OpenAlexW4365444318

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.