Evidence map›Paper›PMID 41312418›Full record

ArticleBuilding and environment2026

A novel thermal comfort model for older adults - development and validation of the COMFA-OA model.

Xiaoyu Li, Yue Zhang, Huiyan Sang, Chanam Lee, William C Sullivan, Jay E Maddock, Dongying Li, Robert D Brown

Abstract read
In one paragraph

Article in Building and environment, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Xiaoyu LiDepartment of Landscape Architecture and Urban Planning, Texas A&M University, College Station, TX 77843, USA.ORCID 0000-0003-2702-227X
Yue ZhangDepartment of Landscape Architecture and Urban Planning, Texas A&M University, College Station, TX 77843, USA.ORCID 0009-0005-0044-1206
Huiyan SangDepartment of Statistics, Texas A&M University, College Station, TX 77843, USA.
Chanam LeeDepartment of Landscape Architecture and Urban Planning, Texas A&M University, College Station, TX 77843, USA.
William C SullivanDepartment of Landscape Architecture, University of Illinois at Urbana-Champaign, Champaign, IL 61820, USA.
Jay E MaddockDepartment of Environmental and Occupational Health, Texas A&M University School of Public Health, College Station, TX 77843, USA.
Dongying LiDepartment of Landscape Architecture and Urban Planning, Texas A&M University, College Station, TX 77843, USA.ORCID 0000-0002-2273-8079
Robert D BrownDepartment of Landscape Architecture and Urban Planning, Texas A&M University, College Station, TX 77843, USA.ORCID 0000-0001-6955-910X

Funding

Heat-Related Health Risk Assessment and Mitigation for Aging Populations in Public Housing: A Community-Individual Environment-Health NexusR01MD016587 · NIMHD · TEXAS A&M UNIVERSITY · PI Dongying Li · 2023 to 2026
$2.2M
NIMHD NIH HHS R01 MD016587
6 · The paper itself

Abstract

This study presents a population-specific adaptation of the COMFA model, customized to estimate thermal stress levels of older adults. We refer to this index as the COMFA thermal comfort - older adults (COMFA-OA) model. This model incorporates physiological adjustments to enhance accuracy in estimating thermal stress for the older demographic. Key modifications include empirical updates to sweat heat loss, core temperature, and metabolic rate equations to reflect age-related changes in heat regulation and metabolic efficiency. The model was validated using the ASHRAE Global Thermal Comfort Database II and a field experiment assessing thermal sensation of older adults during warm and hot seasons in Texas. Results show COMFA-OA (MAE = 4.03, RMSE = 4.14) outperforms traditional models like PET (MAE = 4.72, RMSE = 4.83), UTCI (MAE = 4.82, RMSE = 4.95), and COMFA (MAE = 4.17, RMSE = 4.29) in accuracy of predicting thermal sensation vote, demonstrating greater multinomial logit model fit (AIC: 4435.3) and achieving competitive computational efficiency (TOPS = 97.54) second only to original COMFA (TOPS = 331.21) and COMFAcourtyard (TOPS = 481.87). Sensitivity analysis identified air temperature, radiant temperature, age, weight, and height as primary contributors to thermal comfort variance in older adults. The COMFA-OA model offers a practical tool for environmental management and public health applications aimed at promoting climate resilience and thermal security for older populations that are vulnerable to heat conditions.

Indexed as

AgingCOMFAOlder adultsOutdoor thermal comfortThermal stressThermoregulation

Identifiers

PMID41312418
PMCPMC12657039

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.