Climate change and disorders of the nervous system.

IF 46.5 1区 医学 Q1 CLINICAL NEUROLOGY
Sanjay M Sisodiya, Medine I Gulcebi, Francesco Fortunato, James D Mills, Ethan Haynes, Elvira Bramon, Paul Chadwick, Olga Ciccarelli, Anthony S David, Kris De Meyer, Nick C Fox, Joanna Davan Wetton, Martin Koltzenburg, Dimitri M Kullmann, Manju A Kurian, Hadi Manji, Mark A Maslin, Manjit Matharu, Hugh Montgomery, Marina Romanello, David J Werring, Lisa Zhang, Karl J Friston, Michael G Hanna
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Abstract

Anthropogenic climate change is affecting people's health, including those with neurological and psychiatric diseases. Currently, making inferences about the effect of climate change on neurological and psychiatric diseases is challenging because of an overall sparsity of data, differing study methods, paucity of detail regarding disease subtypes, little consideration of the effect of individual and population genetics, and widely differing geographical locations with the potential for regional influences. However, evidence suggests that the incidence, prevalence, and severity of many nervous system conditions (eg, stroke, neurological infections, and some mental health disorders) can be affected by climate change. The data show broad and complex adverse effects, especially of temperature extremes to which people are unaccustomed and wide diurnal temperature fluctuations. Protective measures might be possible through local forecasting. Few studies project the future effects of climate change on brain health, hindering policy developments. Robust studies on the threats from changing climate for people who have, or are at risk of developing, disorders of the nervous system are urgently needed.

气候变化与神经系统疾病。
人为气候变化正在影响人们的健康,包括神经和精神疾病患者的健康。目前,推断气候变化对神经和精神疾病的影响具有挑战性,因为总体数据稀少、研究方法各异、有关疾病亚型的细节较少、很少考虑个体和群体遗传学的影响,而且地理位置差异很大,可能存在区域性影响。不过,有证据表明,许多神经系统疾病(如中风、神经系统感染和一些精神疾病)的发病率、流行率和严重程度都会受到气候变化的影响。数据显示了广泛而复杂的不利影响,尤其是人们不习惯的极端温度和昼夜温差大的影响。通过当地预报,或许可以采取保护措施。很少有研究预测气候变化对大脑健康的未来影响,这阻碍了政策的制定。亟需就气候变化对神经系统疾病患者或有可能患上神经系统疾病的人造成的威胁进行深入研究。
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来源期刊
Lancet Neurology
Lancet Neurology 医学-临床神经学
CiteScore
58.70
自引率
1.00%
发文量
572
审稿时长
6-12 weeks
期刊介绍: The Lancet Neurology is the world-leading clinical neurology journal. It publishes original research that advocates for change in, or sheds light on, neurological clinical practice. The topics covered include cerebrovascular disease, Alzheimer's disease and other dementias, epilepsy, migraine, neurological infections, movement disorders, multiple sclerosis, neuromuscular disorders, peripheral nerve disorders, pediatric neurology, sleep disorders, and traumatic brain injury. The journal publishes a range of article types, including Articles (including randomized clinical trials and meta-analyses), Review, Rapid Review, Comment, Correspondence, and Personal View. It also publishes Series and Commissions that aim to shape and drive positive change in clinical practice and health policy in areas of need in neurology. The Lancet Neurology is an internationally trusted source of clinical, public health, and global health knowledge. It has an Impact Factor of 48.0, making it the top-ranked clinical neurology journal out of 212 journals worldwide.
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