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While there is evidence that the neuropathology associated with Parkinson\u2019s disease affects thermoregulatory mechanisms, little attention has been given to the association of heat sensitivity to worsening symptoms and restricted daily activities in people with this progressive disease. Using a cross-sectional study design, we examined the experiences of people diagnosed with Parkinson\u2019s disease in the heat. Two-hundred and forty-seven people completed an online survey (age: 66.0\u2009\u00b1\u20099.2 years; sex: male\u2009=\u2009102 (41.3%), female\u2009=\u2009145 (58.7%)), of which 195 (78.9%) reported becoming more sensitive to heat with Parkinson\u2019s disease. Motor and nonmotor symptoms worsened with heat in 182 (73.7%) and 203 (82.2%) respondents, respectively. The most commonly reported symptoms to worsen included walking difficulties, balance impairment, stiffness, tremor, fatigue, sleep disturbances, excess sweating, difficulty concentrating, and light-headedness when standing. Concerningly, over half indicated an inability to work effectively in the heat, and nearly half reported that heat impacted their ability to perform household tasks and social activities. Overall, heat sensitivity was common in people with Parkinson\u2019s disease and had a significant impact on symptomology, day-to-day activities and quality of life.<\/jats:p>","DOI":"10.1007\/s00484-024-02658-w","type":"journal-article","created":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T07:02:00Z","timestamp":1712818920000},"page":"1169-1178","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Evidence of heat sensitivity in people with Parkinson\u2019s disease"],"prefix":"10.1007","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2753-7567","authenticated-orcid":false,"given":"Andrew P.","family":"Hunt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aline Souza","family":"Pagnussat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Lehn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Moore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Schweitzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E-Liisa","family":"Laakso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ewald","family":"Hennig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meg E.","family":"Morris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham","family":"Kerr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Stewart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,4,11]]},"reference":[{"issue":"4","key":"2658_CR1","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1007\/s004840050041","volume":"40","author":"H Aikman","year":"1997","unstructured":"Aikman H (1997) The association between arthritis and the weather. 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