Evidence map›Paper›PMID 41609722›Full record

Trial reportJournal of applied physiology (Bethesda, Md. : 1985)2026

Low-energy cooling strategies modulate biomarkers of kidney injury risk in older adults exposed to very hot and dry heat.

Zachary J McKenna, Zachary J Schlader, Satyam Sarma, Craig G Crandall

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of applied physiology (Bethesda, Md. : 1985), 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

4 authors.

Zachary J McKennaDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, United States.ORCID 0000-0003-2502-8870
Zachary J SchladerDepartment of Kinesiology, Indiana University School of Public Health-Bloomington, Bloomington, Indiana, United States.ORCID 0000-0003-3590-3958
Satyam SarmaDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, United States.ORCID 0000-0002-0628-4919
Craig G CrandallDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, United States.ORCID 0000-0001-7792-9713

Funding

Heat waves and the elderly: reducing thermal and cardiovascular consequencesR01AG069005 · NIA · UT SOUTHWESTERN MEDICAL CENTER · PI CRANDALL, CRAIG G · 2021 to 2025
$2.8M
Low-energy cooling strategies to reduce the thermal, cardiovascular, and renal consequences of heat waves in the elderly.F32HL168826 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI MCKENNA, ZACHARY JOHN · 2024 to 2025
$149k
American Heart Association (AHA) 23POST1023065HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) F32HL168826HHS | NIH | National Institute on Aging (NIA) R01AG069005NIA NIH HHS R01 AG069005
6 · The paper itself

Abstract

Acute kidney injury (AKI) contributes to excess hospital admissions observed during heatwaves. We tested the hypothesis that water spray and fan use would modulate biomarkers of AKI risk in older adults exposed to 3 h of very hot and dry heat. On each of 3 days (randomized), older adults (12 males/8 females; 66-84 yr) were exposed to 3 h of heating (47°C, 15% relative humidity) with no cooling intervention (control), water spray, or fan use. We assessed core temperature, fluid loss, biomarkers of AKI risk (AKIRISK score), and kidney function (plasma creatinine and cystatin C). The increase in core temperature was 1.3 ± 0.5°C (means ± SD) in control, 1.0 ± 0.2°C in water spray, and 1.9 ± 0.7°C in the fan trial. Fluid loss was 0.9 ± 0.2% in control, 0.4 ± 0.2% in water spray, and 1.5 ± 0.4% in fan. Compared with control, the AKIRISK score at end-heating was -0.18 [95% CI: -0.35, -0.02] lower in water spray (

Indexed as

Acute Kidney InjuryHot TemperatureAgedAged, 80 and overBiomarkersBody TemperatureCreatinineCystatin CFemaleHumansKidneyMaleRisk FactorsBiomarkersCreatinineCystatin Cacute kidney injuryagingheatthermal

Identifiers

PMID41609722
PMCPMC12983219

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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.