Evidence map›Paper›PMID 40869852›Full record

ReviewInternational journal of environmental research and public health2025

Heat Stress and Determinants of Kidney Health Among Agricultural Workers in the United States: An Integrative Review.

Justin J Zhao, Erwin W Leyva, Kamomilani A Wong, Merle Kataoka-Yahiro, Leorey N Saligan

Abstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. A healthy cities agenda for extreme heat adaptation in urban settings.Bulletin of the World Health Organization · 2026
    Article
  3. Article
  4. Review
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.

Justin J ZhaoNational Institute of Nursing Research, National Institutes of Health, Bethesda, MD 20892, USA.
Erwin W LeyvaNational Institute of Nursing Research, National Institutes of Health, Bethesda, MD 20892, USA.
Kamomilani A WongNational Kidney Foundation of Hawaii, Honolulu, HI 96814, USA.
Merle Kataoka-YahiroUniversity of Hawaii at Manoa School of Nursing and Dental Hygiene, University of Hawaii, Honolulu, HI 96822, USA.ORCID 0000-0001-5431-5639
Leorey N SaliganNational Institute of Nursing Research, National Institutes of Health, Bethesda, MD 20892, USA.ORCID 0000-0001-9481-7836

Funding

Investigating Correlates of Fatigue in Cancer Patients receiving TreatmentZIANR000020 · NINR · NATIONAL INSTITUTE OF NURSING RESEARCH · PI SALIGAN, LEOREY · 2011 to 2022
$15.1M
Division of Intramural Research, National Institute of Nursing Research, National Institutes of Health ZIA NR000020-06Intramural NIH HHS ZIA NR000020
6 · The paper itself

Abstract

Agricultural workers in the United States (U.S.) are exposed to occupational heat stress, increasing their risk of adverse kidney outcomes. The aim of this integrative review was to explore the relationship between occupational heat stress and kidney health among U.S. agricultural workers. PubMed, EMBASE, Scopus, and Google Scholar were searched for original research articles on this relationship among U.S. agricultural workers. Studies were screened and reviewed by two independent reviewers in three phases: title and abstract screening, full text screening, and data extraction. The search yielded 278 articles; 14 were included in the final analysis. Heat stress was commonly measured using core body temperature changes, heat index, and wet-bulb globe temperature. Acute kidney injury (AKI) incidence following a single work shift was up to 43%. Occupational heat stress and piece-rate compensation increased the odds for developing AKI. The use of cooling bandanas and water mixed with electrolytes are promising interventions for mitigating the effect of heat stress on kidney health outcomes. The results confirm that occupational heat stress influences kidney health for U.S. agricultural workers. The mechanisms of this relationship have not been fully elucidated. More studies exploring heat protection interventions are needed.

Indexed as

Acute Kidney InjuryFarmersHeat Stress DisordersHot TemperatureOccupational ExposureHumansUnited Statesagricultural workersdeterminants of healthheat stresskidney health

Identifiers

PMID40869852
PMCPMC12386589

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.