ArticleNature medicine2024
Risk factors associated with heatwave mortality in Chinese adults over 65 years.
Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Meta-analysis of heat-induced changes in cardiac function from over 400 laboratory-based heat exposure studies.Nature communications · 2025Pooled it
- The Effect of Nighttime Heatwave on Poststroke Disability in Subtropical Cities of China.Environment & health (Washington, D.C.) · 2026Article
- Uncovering the role of preventive health services utilization in protecting older adults from heat-related depressive risks.BMC geriatrics · 2026Article
- Mortality risk due to non-optimum temperatures by cause of death, age, and sex: a multi-country time-series study.EClinicalMedicine · 2026Article
- Extreme temperature events and frailty progression in middle-aged and older adults: the longitudinal evidence from CHARLS.BMC public health · 2026Article
- Mortality risk associated with heatwave exposure based on daily maximum, minimum, and combined temperature thresholds.European journal of public health · 2026Article
- Hydration, water requirements, and energy balance from spring to summer in free-living older adults: a doubly labelled water study.Scientific reports · 2026Article
- Unveiling heat vulnerability of older adults: an assessment of emergency hospital admissions in Switzerland.International journal of epidemiology · 2026Article
- Burden of Non-communicable Diseases Attributable to High and Low Ambient Temperatures, 1990-2031: A Forecasting Analysis for GBD 2021.Current medical science · 2026Article
- Disentangling climate hazards from demographic change in climate-health projections.Nature medicine · 2026Article
- Observational
- Impacts of Intensified Heatwaves on Escalation of Ozone and Reactive Nitrogen in Summer.Environmental science & technology · 2026Article
- Rethinking biological resilience of older adults under climate change: an integrative perspective from planetary health and cultural ethics.Frontiers in physiology · 2026Article
- Article
- Heatwave Exposure Accelerates Biological Aging via Metabolic Dysregulation.Cyborg and bionic systems (Washington, D.C.) · 2026Article
- National mortality burden attributable to the unprecedented heatwave in 2022 in China.Military Medical Research · 2025Article
- Article
- Association of ambient temperature with mortality in community-based patients with severe mental disorders: a time-stratified case-crossover study in western China.BMC psychiatry · 2025Article
- Cumulative heat exposure and mental health in older Chinese adults with social isolation mediation.Scientific reports · 2025Article
- Extreme heat triggers first-time acute myocardial infarction: Evidence from a case-crossover study in Tianjin, China.American journal of preventive cardiology · 2025Article
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Authors and funding
8 authors.
Funding
Abstract
Aging populations are susceptible to heat-related mortality because of physiological factors and comorbidities. However, the understanding of individual vulnerabilities in the aging population is incomplete. In the Chinese Longitudinal Healthy Longevity Survey, we assessed daily heatwave exposure individually for 13,527 participants (median age = 89 years) and 3,249 summer mortalities during follow-up from 2008 to 2018. The mortality risk during heatwave days according to relative temperature is approximately doubled (hazard ratio (HR) range = 1.78-1.98). We found that heatwave mortality risks were increased for individuals with functional declines in mobility (HR range = 2.32-3.20), dependency in activities of daily living (HR range = 2.22-3.27), cognitive impairment (HR = 2.22) and social isolation reflected by having nobody to ask for help during difficulties (HR range = 2.14-10.21). Contrary to current understanding, older age was not predictive of heatwave mortality risk after accounting for individual functional declines; no statistical differences were detected according to sex. Beyond age as a risk factor, our findings emphasize that functional aging is an underlying factor in enhancing heatwave resilience. Assessment of functional decline and implementing care strategies are crucial for targeted prevention of mortality during heatwaves.
Indexed as
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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.