Trial reportJournal of the American Geriatrics Society2026
Effects of Ceiling Fans on Self-Reported Symptoms and Mood-State in Bed-Resting Older Adults Exposed to Indoor Overheating.
Trial report in Journal of the American Geriatrics Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06142890 (Evaluating the Efficacy of Ceiling Fans for Limiting Heat Strain in Elderly Adults During Bed Rest in an Extreme Heat Event), which is not on this map. Not yet cited in PubMed.
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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
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Evaluating the Efficacy of Ceiling Fans for Limiting Heat Strain in Elderly Adults During Bed Rest in an Extreme Heat Event
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Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundWhile fans are recommended for cooling at temperatures ≤ 40°C, the extent to which ceiling fans mitigate perceptual and physiological strain in older adults exposed to warm indoor environments (~31°C [87.8°F]) remains unclear.
methodsThis follow-up analysis of our randomized study used validated questionnaires to evaluate effects of ceiling fans on self-reported heat-related symptoms (68-item Environmental Symptoms Questionnaire; ESQ-IV) and mood-state (40-item Profile of Mood States questionnaire; POMS-40) in bed-resting older adults during indoor overheating (8 h; 31°C (87.8°F), 45% relative humidity). Twenty participants (median age [interquartile range]: 71 [68-73] years; 12 females) completed two sessions with a ceiling fan set to 0 m/s (control) or ~1.5 m/s (fan). Perceptual outcomes (ESQ-IV, POMS-40) were assessed pre-exposure and at end heating. Cumulative physiological strain was assessed using area-under-the-curve (AUC) values for core temperature and heart rate over hours 0-8. End heating perceptual scores were evaluated using linear mixed-effects models adjusted for pre-exposure scores and fan condition (with/without each physiological strain index).
resultsCore temperature and heart rate increased 0.15 [0.06, 0.24]°C (0.27 [0.11, 0.43]°F; p = 0.003), and 1.5 [0.5, 3.4] bpm (p = 0.135) per hour, respectively, with no-fan compared with fan use. After adjusting for core temperature AUC (p = 0.233), total symptom scores were 1.3-fold [1.1, 1.7] higher with no-fan (p = 0.015). Heart rate AUC did not modify this effect (p = 0.215); however, greater heart rate AUC was independently associated with higher symptom scores (p = 0.042). Mood disturbance did not differ between fan conditions and was not significantly associated with physiological strain markers (all p ≥ 0.187).
conclusionsCeiling fans alone do not fully mitigate perceptual or physiological strain in older adults exposed to prolonged indoor overheating. Nonetheless, a "fan-first" strategy integrating fan use with ambient cooling may offer an accessible, energy-efficient approach to enhance heat-health protection in this population.
trial registrationClinicalTrials.gov identifier: NCT06142890.
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