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Heatwaves linked to faster cognitive aging in Chinese adults

Each additional 10 heatwave days was linked to a steeper age-related decline in cognitive scores, by 0.020 standard deviations per decade.

Paper by Zhen Tian, Fei Wang, Yajuan He, 3 more authorsTianyan Chen · First Affiliated Hospital of Xi'an Jiaotong University
Figure 2. Heatwave effect on cognitive z-score by age and education.
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Figure 2. Heatwave effect on cognitive z-score by age and education.Heatwave effect on cognitive z-score by age and education.Tian et al.
Preprint: cohort study of 13,741 Chinese middle-aged and older adults, 2011–2020Populations

Limit: City-level heat exposure ignored temperature differences within cities

Edited by Boris Djordjevic · AgingResearch.News

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An observational cohort analysis covered 13,741 Chinese adults aged 45 and older across five survey waves from 2011 to 2020. Researchers compared cognitive scores, measured on a scale from 0 to 31, with heatwave days accumulated during the three years before each interview. Exposure data covered 126 cities.

The link between heatwave exposure and cognitive decline strengthened with age. A standard deviation measures how widely scores vary. The association was concentrated among less-educated adults, and heat-related cognitive aging was steeper among urban than rural residents. At age 75, an additional 10 heatwave days corresponded to about one extra year of cognitive aging overall and 2.1 years among less-educated adults.

Why it matters

For efforts to address cognitive aging, the authors recommended prioritizing heat-adaptation resources for less-educated and urban older adults.

Caveats

This observational analysis cannot establish causation or show whether the findings extend beyond Chinese adults aged 45 and older. The report is a preprint and has not been peer-reviewed.

From the paper

Participants

For incidence analyses, the cohort consisted of 9,459 participants who were cognitively intact at baseline (score above their education group's 2011 mean minus 1 SD), contributing 22,063 person-intervals.

Methods, 2.1 Study population

Limitation

Limitations: the 2020 telephone wave lacked figure copying; air conditioning in 2011 was borrowed from 2013; attrition and survival selection were only partly addressed by weighting; exposure was assigned at city level, ignoring intra-urban gradients …

4.6 Strengths and limitations

Quoted word for word from the full text on researchsquare.com.