Systematic review2021Open access

The Effect of Cold Exposure on Cognitive Performance in Healthy Adults: A Systematic Review

Falla M, Micarelli A, Hüfner K, Strapazzon G

International journal of environmental research and public health · 42 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Systematic review (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Funding not disclosed

Publication

Published
2021-09-15 · Int J Environ Res Public Health · vol. 18 · issue 18 · p. 9725
Publisher
Multidisciplinary Digital Publishing Institute
Cited
67 citations · more than 68% of similar papers · 1.0× the field average
References
36 works
Access
Open access (journal) · CC-BY
Research areas
Climate Change and Health Impacts · Thermoregulation and physiological responses · Anesthesia and Neurotoxicity Research
Keywords
PsycINFO, Cognition, Effects of sleep deprivation on cognitive performance, MEDLINE, Medicine, Systematic review, Working memory, Scopus, Clinical psychology, Psychology, Psychiatry
MeSH
humans, cognition, attention, acclimatization, adult, executive function, cognitive dysfunction

4 authors

From IT, AT

  • Marika Falla · correspondingEurac Research; University of Trento; Institute of Mountain Emergency Medicine
  • Alessandro MicarelliEurac Research; Institute of Mountain Emergency Medicine
  • Katharina HüfnerInnsbruck Medical University
  • Giacomo Strapazzon · correspondingEurac Research; Institute of Mountain Emergency Medicine

Abstract

Several aspects of cognition can be affected after cold exposure, but contradictory results have been reported regarding affected cognitive domains. The aim of the current systematic review was to evaluate the effects of specific cold exposure on cognitive performance in healthy subjects. A systematic search was performed using MEDLINE (through PubMed), EMBASE (Scopus) and PsycINFO databases according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Inclusion criteria were healthy subjects exposed to a cold environment (either simulated or not) and cognitive performance related to cold exposure with an experimental design. The literature search identified 18 studies, eight studies investigated the effect of cold air exposure and ten the effect of cold water immersion on cognitive performance of healthy subjects. There were several differences among the studies (environmental temperature reached, time of exposure, timing, and type of cognitive test administration). Cold exposure induced in most of the experimental settings (15 of 18) an impairment of CP even before accidental hypothermia was established. The most investigated and affected cognitive domains were attention and processing speed, executive function, and memory. Gender differences and effects of repeated exposure and possible acclimation on cognitive performance need further studies to be confirmed.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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