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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Association of ambient extreme heat with pediatric morbidity: a scoping review
International journal of biometeorology, v 66(8), pp 1683-1698
2022
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Global climate change is leading to higher ambient temperatures and more frequent heatwaves. To date, impacts of ambient extreme heat on childhood morbidity have been understudied, although—given children’s physiologic susceptibility, with smaller body surface-to-mass ratios, and many years of increasing temperatures ahead—there is an urgent need for better information to inform public health policies and clinical approaches. In this review, we aim to (1) identify pediatric morbidity outcomes previously associated with extreme heat, (2) to identify predisposing co-morbidities which may make children more susceptible to heat-related outcomes, and (3) to map the current body of available literature. A scoping review of the current full-text literature was conducted using the Arksey and O’Malley framework Int J Soc Res Methodol 8:19-32, (
2015
). Search terms for (1) pediatric population, (2) heat exposures, (3) ambient conditions, and (4) adverse outcomes were combined into a comprehensive PubMed and Medline literature search. Of the 1753 publications identified, a total of 20 relevant studies were ultimately selected based on selection criteria of relevance to US urban populations. Most identified studies supported positive associations between high extreme temperature exposures and heat-related illness, dehydration/electrolyte imbalance, general symptoms, diarrhea and digestion disorders, infectious diseases/infections, asthma/wheeze, and injury. Most studies found no association with renal disease, cardiovascular diseases, or diabetes mellitus. Results were mixed for other respiratory diseases and mental health/psychological disorders. Very few of the identified studies examined susceptibility to pre-existing conditions; Cystic Fibrosis was the only co-morbidity for which we found significant evidence. Further research is needed to understand the nuances of associations between extreme heat and specific outcomes—particularly how associations may vary by child age, sex, race/ ethnicity, community characteristics, and other pre-existing conditions.
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Details
- Title
- Association of ambient extreme heat with pediatric morbidity: a scoping review
- Creators
- Danielle Uibel - Drexel UniversityRachit Sharma - Department of Environmental and Occupational Health, Drexel Dornsife School of Public Health, Philadelphia, PA, USA.Danielle Piontkowski - Department of Environmental and Occupational Health, Drexel Dornsife School of Public Health, Philadelphia, PA, USA.Perry E. Sheffield - Icahn School of Medicine at Mount SinaiJane E. Clougherty - Department of Environmental and Occupational Health, Drexel Dornsife School of Public Health, Philadelphia, PA, USA.
- Publication Details
- International journal of biometeorology, v 66(8), pp 1683-1698
- Publisher
- Springer Berlin Heidelberg
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Environmental and Occupational Health
- Web of Science ID
- WOS:000815577400002
- Scopus ID
- 2-s2.0-85132808353
- Other Identifier
- 991019168392704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Biophysics
- Environmental Sciences
- Meteorology & Atmospheric Sciences
- Physiology