Evidence map›Paper›PMID 37875370›Full record

ArticleOccupational and environmental medicine2023

Effect of cold winters on the risk of new asthma: a case-crossover study in Finland.

Abate Bekele Belachew, Aino K Rantala, Maritta S Jaakkola, Timo T Hugg, Reija Ruuhela, Jaakko Kukkonen, Jouni J K Jaakkola

Open access · hybridAbstract read
In one paragraph

Article in Occupational and environmental medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 5 citations in OpenAlex.

  1. Worldwide Impact of Human Development and Inequality on the Prevalence of Asthma, Rhinoconjunctivitis and Eczema. Global Asthma Network's Ecological Study.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
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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

7 authors at 2 institutions in 4 countries.

Abate Bekele BelachewCenter for Environmental and Respiratory Health Research, Population Health Reserach Unit, University of Oulu, Oulu, Finland.
Aino K RantalaCenter for Environmental and Respiratory Health Research, Population Health Reserach Unit, University of Oulu, Oulu, Finland.
Maritta S JaakkolaCenter for Environmental and Respiratory Health Research, Population Health Reserach Unit, University of Oulu, Oulu, Finland.ORCID 0000-0003-1373-7784
Timo T HuggCenter for Environmental and Respiratory Health Research, Population Health Reserach Unit, University of Oulu, Oulu, Finland.
Reija RuuhelaAir Quality Research, Finnish Meteorological Institute, Helsinki, Finland.
Jaakko KukkonenAir Quality Research, Finnish Meteorological Institute, Helsinki, Finland.
Jouni J K JaakkolaCenter for Environmental and Respiratory Health Research, Population Health Reserach Unit, University of Oulu, Oulu, Finland jouni.jaakkola@oulu.fi.ORCID 0000-0003-4168-4683
Center for Environmental Health · USFinnish Meteorological Institute · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCold weather increases respiratory symptoms and provokes exacerbations of asthma, but there are no previous studies on its role in the aetiology of asthma.

objectiveWe tested the hypothesis that a cold winter increases the risk of developing asthma during the following 1 to 2 years.

methodsWe conducted a case-crossover study of 315 newly diagnosed cases of asthma from the population-based Espoo Cohort Study from birth to the age of 27 years. The hazard period constituted 3 winter months preceding the onset of asthma and bidirectional reference periods of 1 year before hazard period and 1 year after onset of asthma. Exposure constituted average ambient temperature during the winter months of December, January and February. The outcome of interest was new doctor-diagnosed asthma. The measure of effect was OR of asthma estimated by conditional logistic regression analysis.

resultsThe average winter temperature for the study period from winter 1983 to 2010 was -4.4°C (range -10.7 to 0.4). A 1°C decrease in the average winter temperature predicted a 7% increase in the risk of new asthma (OR=1.07, 95% CI 1.02 to 1.13). A cold winter with an average temperature below the climate normal value (-4.5°C; period 1981-2010) increased the risk of new asthma by 41% during the following year (OR: 1.41; 95% CI 1.04 to 1.90).

conclusionsThis case-crossover study provides original evidence that a cold winter with below normal average temperatures increases the risk of developing new asthma during the following 1 to 2 years.

Indexed as

AsthmaCold TemperatureAdultCohort StudiesCross-Over StudiesFinlandHumansSeasonsAllergy and ImmunologyAsthmaClimateEpidemiologyPublic health

Identifiers

PMID37875370
PMCPMC10715475
OpenAlexW4387909173

What OpenQuestion holds

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LicenceCC BY-NC
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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.