International Journal of Biometeorology最新文献_第8页

Performance of summary measures of core body temperature in heat-related health outcome regression models. 在热相关健康结果回归模型中核心体温汇总测量的性能

IF 3 3区地球科学

International Journal of Biometeorology Pub Date : 2025-06-12 DOI: 10.1007/s00484-025-02957-w

M Dally, A Dye-Robinson, Y Li, D Jaramillo, K Villarreal-Hernandez, L Krisher, J Butler-Dawson, J Schaeffer, J L Adgate, K A James, L S Newman

{"title":"Performance of summary measures of core body temperature in heat-related health outcome regression models.","authors":"M Dally, A Dye-Robinson, Y Li, D Jaramillo, K Villarreal-Hernandez, L Krisher, J Butler-Dawson, J Schaeffer, J L Adgate, K A James, L S Newman","doi":"10.1007/s00484-025-02957-w","DOIUrl":"https://doi.org/10.1007/s00484-025-02957-w","url":null,"abstract":"Climate-related hazards are a leading health and safety concern for working populations. Technological advancements have made real-time collection of core body temperature, a measure of heat strain, more feasible in non-clinical settings. Researchers and practitioners are now faced with how to best summarize a plethora of core body temperature data. Core body temperature data were collected over the course of the workday for 128 agricultural workers in Guatemala from December 2021 to April 2023. Concurrently, measures of heat-related health effects (reduced kidney function, muscle breakdown, and dehydration) were collected. Using linear mixed-effect regression models we assessed the performance of 14 summary measures of core body temperature on the heat-related health effects of interest. Model performance was compared using AIC and BIC. There was no consistent summary statistic that provided the best fit based on AIC or BIC for all four heat-related health effects. The difference between the observed CBT and the average of the first 60 min of the cleaned workday data (delta) provided the best performance for percent change in creatine kinase (muscle breakdown), serum creatinine (reduced kidney function), and serum osmolality (dehydration). The area under the curve (AUC) performed best for dichotomous indicator of acute kidney injury. Choice of how to operationalize longitudinal measurements of core body temperature generated using ingestible core body temperature pills should be driven by the research question and health effect of interest.","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Short-term effects of peloid therapy in low back pain: first insights from a monocenter retrospective study. 骨盆治疗腰痛的短期效果：来自单中心回顾性研究的初步见解。

IF 3 3区地球科学

International Journal of Biometeorology Pub Date : 2025-06-11 DOI: 10.1007/s00484-025-02956-x

Nur Gökçe Aydın, Osman Faruk Bayramlar

{"title":"Short-term effects of peloid therapy in low back pain: first insights from a monocenter retrospective study.","authors":"Nur Gökçe Aydın, Osman Faruk Bayramlar","doi":"10.1007/s00484-025-02956-x","DOIUrl":"https://doi.org/10.1007/s00484-025-02956-x","url":null,"abstract":"Chronic low back pain (CLBP) is a prevalent condition affecting a significant portion of the adult population, often leading to decreased quality of life and increased healthcare costs. This study evaluates the short-term clinical efficacy of peloid therapy, a form of balneotherapy, in managing CLBP in a large monocenter cohort of patients. Conducted at the Samsun Training and Research Hospital, it retrospectively analyzed data from patients treated between October 2022 and October 2024. A total of 263 patients underwent peloid therapy for 7 to 15 days. The physicochemical properties of the peloid used were analyzed, and outcome measures included the Health Assessment Questionnaire (HAQ), Oswestry Disability Index (ODI), and Visual Analog Scales (VAS) for pain, patient global assessment (VAS-PGA), and physician global assessment (VAS-PhGA). Pre- and post-treatment comparisons were performed using paired t-tests and repeated measures ANOVA. Multiple linear regression was used to identify predictors of treatment response. Statistically significant improvements were observed in all outcome measures post-treatment (p < 0.001). HAQ scores decreased from 0.99 ± 0.52 to 0.48 ± 0.41, ODI scores from 54.6 ± 21.0 to 34.7 ± 18.5, and all VAS scores showed significant reductions, with large effect sizes (Cohen's d > 1.0). Longer treatment duration and being non-working were associated with greater improvements in HAQ and ODI scores. No significant influence was observed for gender, obesity, smoking status, or comorbidities. The study highlights the potential of peloid therapy as an effective, non-pharmacological treatment for CLBP, offering a cost-effective and accessible alternative within the Turkey healthcare system. These findings suggest that peloid therapy can significantly reduce pain and improve function in CLBP patients in the short-term, supporting its integration into comprehensive, non-pharmacological pain management strategies.","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144264948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Short and Long-term effects of balneotherapy on musculoskeletal pain and fatigue associated with stress. 按摩疗法对与压力相关的肌肉骨骼疼痛和疲劳的短期和长期影响。

IF 3 3区地球科学

International Journal of Biometeorology Pub Date : 2025-06-07 DOI: 10.1007/s00484-025-02936-1

Lolita Rapolienė, Giedrė Taletavičienė, Arvydas Balčius, Arvydas Martinkėnas, Vytė Kontautienė, Antonella Fioravanti

{"title":"Short and Long-term effects of balneotherapy on musculoskeletal pain and fatigue associated with stress.","authors":"Lolita Rapolienė, Giedrė Taletavičienė, Arvydas Balčius, Arvydas Martinkėnas, Vytė Kontautienė, Antonella Fioravanti","doi":"10.1007/s00484-025-02936-1","DOIUrl":"https://doi.org/10.1007/s00484-025-02936-1","url":null,"abstract":"Balneotherapy has emerged as a promising therapeutic approach for managing musculoskeletal diseases (MSDs), offering evidence-based benefits in reducing pain, enhancing mobility, and improving quality of life. This study aims to evaluate the effects of balneotherapy on musculoskeletal pain, fatigue, and associated symptoms in individuals experiencing stress. A six-month randomized controlled parallel-group study was conducted at six medical spa centers in Lithuania, involving 373 patients with stress levels ≥ 3. Participants underwent 6-11 days of outpatient or inpatient balneotherapy programs, with MSDs-related outcomes assessed at a six-month follow-up. Statistical analyses were performed using SPSS Version 28. Balneotherapy led to significant improvements in multiple parameters. Pain frequency and intensity decreased, with effect sizes ranging from small to large, accompanied by notable reductions in muscle spasms and tension. Spine mobility improved, pain medication use decreased, and hand strength increased following the 11-days medical spa treatment. Fatigue levels declined, while sleep quality and overall quality of life improved significantly, with effect sizes ranging from medium to large. Long-term benefits in muscle tension, spine mobility, fatigue, and quality of life were observed for up to six months. Comparative analysis indicated that balneotherapy was more effective than both non-treatment and nature-based therapy alone. Balneotherapy, particularly when combined with nature-based interventions or inpatient approaches, effectively improves musculoskeletal health, with benefits lasting up to six months.","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144245578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

People-centered cooling: protecting health against hazardous heat, from the person to the planet. 以人为本的制冷：保护健康免受高温危害，从个人到地球。

IF 3 3区地球科学

International Journal of Biometeorology Pub Date : 2025-06-05 DOI: 10.1007/s00484-025-02952-1

Gerardo Sanchez Martinez, Clara Camarasa, Ongun Berk Kazanci

{"title":"People-centered cooling: protecting health against hazardous heat, from the person to the planet.","authors":"Gerardo Sanchez Martinez, Clara Camarasa, Ongun Berk Kazanci","doi":"10.1007/s00484-025-02952-1","DOIUrl":"https://doi.org/10.1007/s00484-025-02952-1","url":null,"abstract":"The climate change-driven increase in heat wave frequency, intensity and duration, along with megatrends of urbanization and population ageing are worsening the global heat and health crisis. The speed and scale of implementation of public health and adaptation activities is insufficient and inequitable, and the deployment of solutions is uncoordinated and not systematic. We propose a \"people centered\" cooling framework to protect the person wherever they may be. It is structured around protection layers spanning the individual, room or dwelling, building, urban level and regional to global levels. In each level, key actors can systematically explore the most suitable combinations of interventions and technologies based on the evidence on their health protection potential, equity and applicability, environmental impact, resource and energy implications, costs and cultural acceptability, as well as co-benefits for other levels. Across levels, different actors and stakeholders hold varying degrees of agency, competency and power to enact and implement strategies, though at all levels the support, facilitation and enabling power of all levels of government is crucial for heat exposure protection to be effective and sustainable.","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144223967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of low temperatures on mortality in Vojvodina (2000-2020): a quantitative analysis of cold spells. 伏伊伏丁那省低温对死亡率的影响（2000-2020年）：寒潮的定量分析。

IF 3 3区地球科学

International Journal of Biometeorology Pub Date : 2025-06-05 DOI: 10.1007/s00484-025-02960-1

Ivan Marinković, Ivan Potić

{"title":"The impact of low temperatures on mortality in Vojvodina (2000-2020): a quantitative analysis of cold spells.","authors":"Ivan Marinković, Ivan Potić","doi":"10.1007/s00484-025-02960-1","DOIUrl":"https://doi.org/10.1007/s00484-025-02960-1","url":null,"abstract":"This study investigates the impact of low temperatures and cold spells on mortality in the Autonomous Province of Vojvodina, Serbia, during the 2000-2020 winter seasons. While previous research in the region has predominantly focused on heat-related mortality, this study provides a comprehensive quantitative analysis of cold-related mortality using daily data and a multi-method statistical approach. Cold days were defined as those with an average temperature below 0 °C, and cold spells were defined as periods with at least three consecutive days with minimum temperatures at or below - 10 °C. The results confirm a statistically significant increase in mortality during both cold days and cold spells. Nonlinear models, particularly LOESS and quadratic regression, identified two inflexion points in mortality response: at - 3.5 °C (onset of increase) and - 7 °C (marked escalation), with the highest mortality observed below - 13 °C, though based on fewer observations. The analysis of temporal lags revealed that mortality tends to increase between 2 and 9 days following cold exposure, with the most pronounced effects occurring during cold spells. Compared to Poisson regression, which failed to capture these associations, nonlinear methods more accurately reflect cold-related mortality dynamics. The study also proposes that - 7 °C is the most reliable operational threshold for early warning systems, given its consistency across models and statistical significance. These findings contribute to understanding the health effects of cold weather in Eastern Europe and may inform the development of targeted public health interventions.","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144223968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of higher resistance exercise and bathing habits on cardiovascular risks in older adults. 高阻力运动和洗澡习惯对老年人心血管风险的影响。

IF 3 3区地球科学

International Journal of Biometeorology Pub Date : 2025-06-01 Epub Date: 2025-03-11 DOI: 10.1007/s00484-025-02888-6

Ryosuke Takeda, Tetsuya Hirono, Akito Yoshiko, Taichi Nishikawa, Saeko Ueda, Kaito Igawa, Rii Shinoda, Shintaro Kawakami, Yusuke Tominari, Kohei Watanabe

{"title":"Impact of higher resistance exercise and bathing habits on cardiovascular risks in older adults.","authors":"Ryosuke Takeda, Tetsuya Hirono, Akito Yoshiko, Taichi Nishikawa, Saeko Ueda, Kaito Igawa, Rii Shinoda, Shintaro Kawakami, Yusuke Tominari, Kohei Watanabe","doi":"10.1007/s00484-025-02888-6","DOIUrl":"10.1007/s00484-025-02888-6","url":null,"abstract":"This study investigated whether higher intensity of resistance exercise habit not only lead to greater muscle strength but also higher levels of hypertension and arterial stiffness, while these cardiovascular risks would be reduced by bathing habit in older adults. One hundred ninety-six older adults asked questionnaire about resistance exercise and bathing habits, along with the International Physical Activity Questionnaire Long form to evaluate physical activity and aerobic exercise habits. Maximum knee extension strength (MVC), systolic blood pressure (SBP), and brachial-ankle pulse wave velocity (baPWV) were measured in fall. Participants with resistance exercise habits (n = 34 of 196) were included in the further analysis, and an exploratory analysis was conducted on participants with resistance exercise habits but without aerobic exercise habits (n = 19 of 34). According to the exploratory analysis, MVC was moderately associated with exercise intensity regardless of bathing habits. Exercise intensity was significantly correlated with SBP (r = 0.592, p = 0.012). This relationship became stronger after adjusting for bathing habits (r = 0.744, p = 0.006). BaPWV was positively correlated with exercise intensity after adjusting for bathing habits (r = 0.563, p = 0.036). Older adults who habitually perform high-intensity resistance exercise had greater muscle strength but aggravate hypertension and arterial stiffness. Bathing habits partly prevent cardiovascular risk without diminishing the improvements in muscle strength induced by high-intensity resistance exercises. Importantly, BP is increasing in winter and decreasing in summer. Our results set the stage of the future research that investigates how reduce the cardiovascular risk in older adults with high-intensity resistance training habits in each season, especially in winter.","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":" ","pages":"1253-1266"},"PeriodicalIF":3.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143603333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of garment construction and environmental factors on heat transfer. 服装结构和环境因素对传热的影响。

IF 3 3区地球科学

International Journal of Biometeorology Pub Date : 2025-06-01 Epub Date: 2025-04-04 DOI: 10.1007/s00484-025-02907-6

Edgar Garcia Torres, Agnes Psikuta, Emiel DenHartog

{"title":"Impact of garment construction and environmental factors on heat transfer.","authors":"Edgar Garcia Torres, Agnes Psikuta, Emiel DenHartog","doi":"10.1007/s00484-025-02907-6","DOIUrl":"10.1007/s00484-025-02907-6","url":null,"abstract":"Environmental factors and material construction parameters are both important considerations when evaluating the insulation performance of materials. The environmental factors of air layer thickness, wind speed, and ventilation are known to have a strong impact on insulation in fabric systems. This work builds on this knowledge by examining the interactions between these variables at different levels on various testing apparatuses- the small hot plate, the dynamic hot plate, and the heated torso. Additionally, the work assesses the effect of material air permeability and the influence on insulation at the various environmental conditions. A systematic approach revealed that material air permeability was primarily related to forced convective heat transfer and requires a minimum air layer thickness of 5 mm and wind speed of 1.3 m/s to be observed. Additionally, it was found that traditional methods of evaluating material thickness, such as ASTM D1777, apply a high force to the material and do not give an accurate measurement of uncompressed thickness- which is more indicative of what would be experienced during normal wear conditions. One sample in this study showed a difference > 2x when comparing the ASTM method to an alternative method (KES Compression Test) that applies a lower force, outlining the risk of inaccurate data.","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":" ","pages":"1495-1504"},"PeriodicalIF":3.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction to: Exploring heat risk in pregnant women: do environmental and social inequalities amplify heat exposure? 修正：探索孕妇的热风险：环境和社会不平等是否会加剧热暴露？

IF 3 3区地球科学

International Journal of Biometeorology Pub Date : 2025-06-01 DOI: 10.1007/s00484-025-02923-6

Lucie Adélaïde, Aurélie Nakamura, Ariane Guilbert, Stéphanie Vandentorren, Morgane Stempfelet, Ian Hough, Emie Seyve, Guy Launoy, Ludivine Launay, Marie-Aline Charles, Cécile Chevrier, Christine Monfort, Barbara Heude, Muriel Tafflet, Sam Bayat, Itai Kloog, Johanna Lepeule, Mathilde Pascal

引用次数: 0

30 years of climate related phenological research: themes and trends. 30年气候物候研究：主题与趋势。

IF 3 3区地球科学

International Journal of Biometeorology Pub Date : 2025-06-01 Epub Date: 2025-05-12 DOI: 10.1007/s00484-025-02903-w

Emily J Hickinbotham, Francesca A Ridley, Steven P Rushton, Zarah Pattison

{"title":"30 years of climate related phenological research: themes and trends.","authors":"Emily J Hickinbotham, Francesca A Ridley, Steven P Rushton, Zarah Pattison","doi":"10.1007/s00484-025-02903-w","DOIUrl":"10.1007/s00484-025-02903-w","url":null,"abstract":"Anthropogenic climate change has caused changes in the seasonal timing (phenology) of life-cycle events with consequential impacts on ecosystem functioning and biodiversity. Over the last 30 years, climate-related phenological research has expanded rapidly. To identify key themes and knowledge gaps in this research landscape we used a text-based analysis approach, topic modelling. Our systematic literature search identified 4,681 publications on phenology between 1989 and 2019. We showed taxonomic and geographic bias in the literature with a large proportion of publications on bird migration and reproduction, insect phenology, marine phenology, and agriculture, focused within the Northern hemisphere. Our results reflected the decadal advances in technology, for example remote sensing studies increased the most in popularity. Topics related to genetics increased along with mismatching, which has impacts on species fitness. While climate-based topics were highly connected, there was little connectivity between different disciplines and newer areas of research. Remote sensing rarely co-occurred with other topics, insect phenology was either being studied with plants or birds instead of being considered as part of a network, and mismatching was rarely studied alongside other methodologies in phenological research. We suggest that transdisciplinary research considering species as part of a system and analyzing new or understudied taxa and regions should be prioritized. The disjuncts identified in this analysis inhibit development of a coherent view of the impact of phenological changes on biodiversity and will have implications for conservation management.","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":" ","pages":"1459-1473"},"PeriodicalIF":3.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative efficacy of mineral water and mud therapy vs standard rehabilitative interventions: a systematic review of osteoarthritis studies from 2000. 矿泉水和泥浆疗法与标准康复干预的比较疗效：2000年以来骨关节炎研究的系统回顾。

IF 2.6 3区地球科学

International Journal of Biometeorology Pub Date : 2025-06-01 Epub Date: 2025-04-24 DOI: 10.1007/s00484-025-02889-5

Ona Montvydaitė-Kreivaitienė, Raimondas Kubilius, Asta Burbulytė, Karolis Strašunskas, Monika Klėgėrienė

{"title":"Comparative efficacy of mineral water and mud therapy vs standard rehabilitative interventions: a systematic review of osteoarthritis studies from 2000.","authors":"Ona Montvydaitė-Kreivaitienė, Raimondas Kubilius, Asta Burbulytė, Karolis Strašunskas, Monika Klėgėrienė","doi":"10.1007/s00484-025-02889-5","DOIUrl":"10.1007/s00484-025-02889-5","url":null,"abstract":"Osteoarthritis is a degenerative joint disease, and despite extensive research, no disease-modifying drugs are currently available. Various rehabilitation approaches, natural healing factors, and curative agents are commonly used for osteoarthritis management. A key question remains whether treatments involving mud and mineral water therapies in resort-based sanatoriums are more effective than conventional rehabilitation procedures. To address this, we analyzed clinical trials since 2000 that compared the effects of balneotherapy and peloid therapy, either alone or in combination, with standard rehabilitative thermal interventions in managing peripheral joint osteoarthritis. A systematic review of 40 controlled trials from PubMed, Cochrane Library, PEDro, and Web of Science evaluated the effects of these therapies on osteoarthritis patients. The inclusion criteria were guided by the PICO model, focusing on various mineral water and mud therapies versus routine rehabilitation. All assessed outcomes were included in the intergroup analysis. Most studies focused on knee osteoarthritis, with 62.7% of participants being female. Significant intergroup differences were found in improvements in pain, stiffness, and physical performance, with better long-term outcomes observed in patients receiving mineral water or mud therapy compared to controls. In conclusion, while standard rehabilitation thermal procedures have a proven positive effect on reducing osteoarthritis symptoms and improving quality of life, sanatorium treatments with mud and mineral water therapies offer additional advantages, especially in terms of long-lasting benefits.","PeriodicalId":588,"journal":{"name":"International Journal of Biometeorology","volume":" ","pages":"1181-1206"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0