TY - JOUR
T1 - Temporal change in minimum mortality temperature under changing climate A multicountry multicommunity observational study spanning 1986–2015
AU - Yang, Daewon
AU - Hashizume, Masahiro
AU - Tobías, Aurelio
AU - Honda, Yasushi
AU - Roye, Dominic
AU - Oh, Jaemin
AU - Dang, Tran Ngoc
AU - Kim, Yoonhee
AU - Abrutzky, Rosana
AU - Guo, Yuming
AU - Tong, Shilu
AU - Coelho, Micheline de Sousa Zanotti Stagliorio
AU - Saldiva, Paulo Hilario Nascimento
AU - Lavigne, Eric
AU - Correa, Patricia Matus
AU - Ortega, Nicolás Valdés
AU - Osorio, Samuel
AU - Kyselý, Jan
AU - Urban, Aleš
AU - Orru, Hans
AU - Indermitte, Ene
AU - Jaakkola, Jouni
AU - Ryti, Niilo
AU - Pascal, Mathilde
AU - Huber, Veronika
AU - Schneider, Alexandra
AU - Katsouyanni, Klea
AU - Analitis, Antonis
AU - Entezari, Alireza
AU - Mayvaneh, Fatemeh
AU - Goodman, Patrick
AU - Zeka, Ariana
AU - Michelozzi, Paola
AU - de’Donato, Francesca
AU - Alahmad, Barrak
AU - Diaz, Magali Hurtado
AU - Valencia, César De la Cruz
AU - Overcenco, Ala
AU - Houthuijs, Danny
AU - Ameling, Caroline
AU - Rao, Shilpa
AU - Nunes, Baltazar
AU - Madureira, Joana
AU - Holo-Bâc, Iulian Horia
AU - Scovronick, Noah
AU - Acquaotta, Fiorella
AU - Kim, Ho
AU - Lee, Whanhee
AU - Íñiguez, Carmen
AU - Forsberg, Bertil
AU - Vicedo-Cabrera, Ana Maria
AU - Ragettli, Martina S.
AU - Guo, Yue Liang Leon
AU - Pan, Shih Chun
AU - Li, Shanshan
AU - Sera, Francesco
AU - Zanobetti, Antonella
AU - Schwartz, Joel
AU - Armstrong, Ben
AU - Gasparrini, Antonio
AU - Chung, Yeonseung
N1 - Publisher Copyright:
Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc.
PY - 2024/9/30
Y1 - 2024/9/30
N2 - Background: The minimum mortality temperature (MMT) or MMT percentile (MMTP) is an indicator of population susceptibility to nonoptimum temperatures. MMT and MMTP change over time; however, the changing directions show region-wide heterogeneity. We examined the heterogeneity of temporal changes in MMT and MMTP across multiple communities and in multiple countries. Methods: Daily time-series data for mortality and ambient mean temperature for 699 communities in 34 countries spanning 1986–2015 were analyzed using a two-stage meta-analysis. First, a quasi-Poisson regression was employed to estimate MMT and MMTP for each community during the designated subperiods. Second, we pooled the community-specific temporally varying estimates using mixed-effects meta-regressions to examine temporal changes in MMT and MMTP in the entire study population, as well as by climate zone, geographical region, and country. Results: Temporal increases in MMT and MMTP from 19.5 °C (17.9, 21.1) to 20.3 °C (18.5, 22.0) and from the 74.5 (68.3, 80.6) to 75.0 (71.0, 78.9) percentiles in the entire population were found, respectively. Temporal change was significantly heterogeneous across geographical regions (P < 0.001). Temporal increases in MMT were observed in East Asia (linear slope [LS] = 0.91, P = 0.02) and South-East Asia (LS = 0.62, P = 0.05), whereas a temporal decrease in MMT was observed in South Europe (LS = −0.46, P = 0.05). MMTP decreased temporally in North Europe (LS = −3.45, P = 0.02) and South Europe (LS = −2.86, P = 0.05). Conclusions: The temporal change in MMT or MMTP was largely heterogeneous. Population susceptibility in terms of optimum temperature may have changed under a warming climate, albeit with large region-dependent variations.
AB - Background: The minimum mortality temperature (MMT) or MMT percentile (MMTP) is an indicator of population susceptibility to nonoptimum temperatures. MMT and MMTP change over time; however, the changing directions show region-wide heterogeneity. We examined the heterogeneity of temporal changes in MMT and MMTP across multiple communities and in multiple countries. Methods: Daily time-series data for mortality and ambient mean temperature for 699 communities in 34 countries spanning 1986–2015 were analyzed using a two-stage meta-analysis. First, a quasi-Poisson regression was employed to estimate MMT and MMTP for each community during the designated subperiods. Second, we pooled the community-specific temporally varying estimates using mixed-effects meta-regressions to examine temporal changes in MMT and MMTP in the entire study population, as well as by climate zone, geographical region, and country. Results: Temporal increases in MMT and MMTP from 19.5 °C (17.9, 21.1) to 20.3 °C (18.5, 22.0) and from the 74.5 (68.3, 80.6) to 75.0 (71.0, 78.9) percentiles in the entire population were found, respectively. Temporal change was significantly heterogeneous across geographical regions (P < 0.001). Temporal increases in MMT were observed in East Asia (linear slope [LS] = 0.91, P = 0.02) and South-East Asia (LS = 0.62, P = 0.05), whereas a temporal decrease in MMT was observed in South Europe (LS = −0.46, P = 0.05). MMTP decreased temporally in North Europe (LS = −3.45, P = 0.02) and South Europe (LS = −2.86, P = 0.05). Conclusions: The temporal change in MMT or MMTP was largely heterogeneous. Population susceptibility in terms of optimum temperature may have changed under a warming climate, albeit with large region-dependent variations.
KW - Climate change
KW - Heterogeneity
KW - Human adaptation
KW - Minimum mortality temperature
KW - Temporal change
UR - http://www.scopus.com/inward/record.url?scp=85206503397&partnerID=8YFLogxK
U2 - 10.1097/EE9.0000000000000334
DO - 10.1097/EE9.0000000000000334
M3 - Article
AN - SCOPUS:85206503397
SN - 2474-7882
VL - 8
SP - e334
JO - Environmental Epidemiology
JF - Environmental Epidemiology
IS - 5
M1 - e334
ER -