Evidence map›Paper›PMID 42693775›Full record

Trial reportExperimental physiology2026

Effects of ceiling fan use on cardiovascular autonomic function during simulated indoor overheating in bed-resting older adults.

Fergus K O'Connor, Robert D Meade, Kristina-Marie T Janetos, Norman R Morris, Glen P Kenny

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Experimental physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Fergus K O'ConnorHuman and Environmental Physiology Research Unit, School of Human Kinetics, Faculty of Health Sciences, Montpetit Hall, University of Ottawa, Ontario, Canada.ORCID https://orcid.org/0000-0001-9509-7682
Robert D MeadeHuman and Environmental Physiology Research Unit, School of Human Kinetics, Faculty of Health Sciences, Montpetit Hall, University of Ottawa, Ontario, Canada.
Kristina-Marie T JanetosHuman and Environmental Physiology Research Unit, School of Human Kinetics, Faculty of Health Sciences, Montpetit Hall, University of Ottawa, Ontario, Canada.
Norman R MorrisSchool of Health Sciences and Social Work, Griffith University, Gold Coast, Queensland, Australia.
Glen P KennyHuman and Environmental Physiology Research Unit, School of Human Kinetics, Faculty of Health Sciences, Montpetit Hall, University of Ottawa, Ontario, Canada.ORCID https://orcid.org/0000-0001-8683-6973

Funding

Canadian Institutes for Health Research PJT-180242Climate Change and Health Capacity Building Program 2425-HQ-000013
6 · The paper itself

Abstract

Older adults are at heightened susceptibility to heat-related cardiovascular complications when exposed to indoor overheating. While ceiling fans are recommended as an accessible cooling intervention, their effects on cardiac autonomic regulation remain unclear. In this randomized crossover study, 20 healthy older adults (median age 71 years, 12 female) completed two 8-h exposures to simulated indoor overheating (31°C, 45% relative humidity) while bed-resting with either no fan (control) or ceiling fan use (∼1.5 m/s airflow). Core temperature and heart rate were monitored. Before exposure and between hours 6 and 7, participants underwent cardiac autonomic response testing including measures of heart rate variability (SDNN, RMSSD - indices of overall and parasympathetic/vagal cardiac autonomic modulation, respectively) and supine-to-standing tests (30:15 ratio, systolic blood pressure response) as well as self-reported symptoms of orthostatic intolerance. Ceiling fan use reduced peak core temperature (0.2°C [95% CI: 0.1-0.3]; P < 0.001), heart rate (-5 beats/min [-10 to 0]; P = 0.03), and attenuated heat-induced reductions in RMSSD (4.7 ms [0.2-9.2]; P = 0.04) compared to control. However, fan use did not influence SDNN, blood pressure during postural changes, cardiac response to standing, or symptoms of orthostatic intolerance. While ceiling fans provided modest reductions in core temperature and heart rate and partially preserved RMSSD, they offered limited overall cardiovascular and autonomic protection in older adults during prolonged heat exposure. These findings indicate that, despite some beneficial effects, ceiling fans provide limited cardiovascular autonomic protection, underscoring the need for comprehensive cooling strategies to safeguard older adults during indoor overheating.

Indexed as

Autonomic Nervous SystemCardiovascular SystemAgedBlood PressureBody TemperatureBody Temperature RegulationCross-Over StudiesFemaleHeart RateHot TemperatureHumansMaleRestThermal Comfortcardiac functionextreme heat eventheat stressNCT06142890thermoregulation

Identifiers

PMID42693775
PMCPMC13542677

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.