{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:00:48Z","timestamp":1791892848596,"version":"4.3.4"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T00:00:00Z","timestamp":1755561600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Fonds de Recherche du Qu\u00e9bec\u2014Sant\u00e9"},{"name":"SOLVE-CHD Australian Government National Health and Medical Research Council Synergy Grant"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Climate change is intensifying the occurrence and intensity of hot weather that is associated with cardiovascular health risks and disengagement from physical activity. To help promote safe and continued engagement with physical activity despite a warming climate, we aimed to map existing recommendations for physical activity in hot weather that are specific to adults living with cardiovascular disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>We conducted a scoping review of MEDLINE, Web of Science, and SPORTDiscus, supplemented by cross-referencing and grey literature. Sources were included if they reported temperature thresholds or behavioural recommendations for physical activity in hot weather for adults (\u226518 years). Data on source characteristics, target populations, temperature thresholds, and specific guidelines or suggested behaviours were extracted. Of 32 included sources, 24 reported at least one temperature above which physical activity should be limited. The most frequently covered themes were preventive recommendations (100%; 20 different recommendations), symptoms (81%; most cited being heat stroke and exhaustion), heat-related risk factors (56%), and treatments (53%). No source mentioned adverse cardiac events as possible health risks. Of the 20 sources highlighting populations at greater risk when exercising in the heat, 12 mentioned individuals with cardiovascular disease. However, no specific recommendations for this population were retrieved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Few sources acknowledge that adults living with cardiovascular disease are at greater health risks during physical activity in hot weather, and specific recommendations for this population are absent. These gaps highlight a need to develop recommendations tailored to adults living with cardiovascular disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwaf519","type":"journal-article","created":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T11:52:04Z","timestamp":1755258724000},"page":"1783-1790","source":"Crossref","is-referenced-by-count":3,"title":["A scoping review of recommendations for adults with cardiovascular disease to remain physically active during hot weather"],"prefix":"10.1093","volume":"33","author":[{"given":"Ad\u00e8le","family":"Mornas","sequence":"first","affiliation":[{"name":"Montreal Heart Institute , 5055 rue Saint-Zotique Est, Montr\u00e9al, Qu\u00e9bec H1T 1N6 ,","place":["Canada"]},{"name":"\u00c9cole de Kin\u00e9siologie et des Sciences de L\u2019activit\u00e9 Physique, Facult\u00e9 de M\u00e9decine, Universit\u00e9 de Montr\u00e9al , 2100 Boulevard \u00c9douard-Montpetit, Montr\u00e9al, Qu\u00e9bec H3T 1J4 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas A","family":"Deshayes","sequence":"additional","affiliation":[{"name":"Montreal Heart Institute , 5055 rue Saint-Zotique Est, Montr\u00e9al, Qu\u00e9bec H1T 1N6 ,","place":["Canada"]},{"name":"\u00c9cole de Kin\u00e9siologie et des Sciences de L\u2019activit\u00e9 Physique, Facult\u00e9 de M\u00e9decine, Universit\u00e9 de Montr\u00e9al , 2100 Boulevard \u00c9douard-Montpetit, Montr\u00e9al, Qu\u00e9bec H3T 1J4 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey-Ann","family":"Bartlett","sequence":"additional","affiliation":[{"name":"Montreal Heart Institute , 5055 rue Saint-Zotique Est, Montr\u00e9al, Qu\u00e9bec H1T 1N6 ,","place":["Canada"]},{"name":"\u00c9cole de Kin\u00e9siologie et des Sciences de L\u2019activit\u00e9 Physique, Facult\u00e9 de M\u00e9decine, Universit\u00e9 de Montr\u00e9al , 2100 Boulevard \u00c9douard-Montpetit, Montr\u00e9al, Qu\u00e9bec H3T 1J4 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgia","family":"Chaseling","sequence":"additional","affiliation":[{"name":"SOLVE-CHD NHMRC Synergy Grant, Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney , Sydney, New South Wales ,","place":["Australia"]},{"name":"Heat and Health Research Centre, School of Health Sciences, Faculty of Medicine and Health, University of Sydney , Sydney, New South Wales ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6076-6337","authenticated-orcid":false,"given":"Ollie","family":"Jay","sequence":"additional","affiliation":[{"name":"Heat and Health Research Centre, School of Health Sciences, Faculty of Medicine and Health, University of Sydney , Sydney, New South Wales ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3186-400X","authenticated-orcid":false,"given":"Susan","family":"Marzolini","sequence":"additional","affiliation":[{"name":"KITE Research Institute, Toronto Rehab-University Health Network , Toronto, Ontario ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Simard","sequence":"additional","affiliation":[{"name":"Montreal Heart Institute , 5055 rue Saint-Zotique Est, Montr\u00e9al, Qu\u00e9bec H1T 1N6 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josep","family":"Iglesies-Grau","sequence":"additional","affiliation":[{"name":"Montreal Heart Institute , 5055 rue Saint-Zotique Est, Montr\u00e9al, Qu\u00e9bec H1T 1N6 ,","place":["Canada"]},{"name":"Department of Medicine, Universit\u00e9 de Montr\u00e9al , Montr\u00e9al, Qu\u00e9bec ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5396-9489","authenticated-orcid":false,"given":"Daniel","family":"Gagnon","sequence":"additional","affiliation":[{"name":"Montreal Heart Institute , 5055 rue Saint-Zotique Est, Montr\u00e9al, Qu\u00e9bec H1T 1N6 ,","place":["Canada"]},{"name":"\u00c9cole de Kin\u00e9siologie et des Sciences de L\u2019activit\u00e9 Physique, Facult\u00e9 de M\u00e9decine, Universit\u00e9 de Montr\u00e9al , 2100 Boulevard \u00c9douard-Montpetit, Montr\u00e9al, Qu\u00e9bec H3T 1J4 ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,8,19]]},"reference":[{"key":"2026080219574486200_zwaf519-B1","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1093\/eurheartj\/ehaa605","article-title":"2020 ESC guidelines on sports cardiology and exercise in patients with cardiovascular disease","volume":"42","author":"Pelliccia","year":"2021","journal-title":"Eur Heart J"},{"key":"2026080219574486200_zwaf519-B2","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1097\/HCR.0000000000000064","article-title":"Prevalence of physical activity and sedentary behavior among adults with cardiovascular disease in the United States","volume":"34","author":"Evenson","year":"2014","journal-title":"J Cardiopulm Rehabil Prev"},{"key":"2026080219574486200_zwaf519-B3","doi-asserted-by":"crossref","first-page":"534","DOI":"10.14485\/HBPR.6.5.11","article-title":"Physical activity and climate change: clear and present danger?","volume":"6","author":"Wallace","year":"2019","journal-title":"Health Behav Policy Rev"},{"key":"2026080219574486200_zwaf519-B4","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1007\/s40279-021-01439-4","article-title":"Climate change, physical activity and sport: a systematic review","volume":"51","author":"Bernard","year":"2021","journal-title":"Sports Med"},{"key":"2026080219574486200_zwaf519-B5","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/s13104-025-07120-7","article-title":"Physical activity during summer and recognition of heatstroke prevention among patients with cardiovascular disease in an urban area of Japan: a descriptive study","volume":"18","author":"Adachi","year":"2025","journal-title":"BMC Res Notes"},{"key":"2026080219574486200_zwaf519-B6","doi-asserted-by":"crossref","first-page":"1847","DOI":"10.1016\/S0140-6736(24)01822-1","article-title":"The 2024 report of the Lancet Countdown on health and climate change: facing record-breaking threats from delayed action","volume":"404","author":"Romanello","year":"2024","journal-title":"Lancet"},{"key":"2026080219574486200_zwaf519-B7","doi-asserted-by":"crossref","first-page":"104793","DOI":"10.1016\/j.ebiom.2023.104793","article-title":"Regular physical activity across the 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burden of disease","volume":"30","author":"Al-Kindi","year":"2023","journal-title":"Eur J Prev Cardiol"},{"key":"2026080219574486200_zwaf519-B11","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1093\/eurjpc\/zwae021","article-title":"Ambient temperature and risk of cardiovascular and respiratory adverse health outcomes: a nationwide cross-sectional study from Spain","volume":"31","author":"Achebak","year":"2024","journal-title":"Eur J Prev Cardiol"},{"key":"2026080219574486200_zwaf519-B12","doi-asserted-by":"crossref","first-page":"149806","DOI":"10.1016\/j.scitotenv.2021.149806","article-title":"Hot weather as a risk factor for kidney disease outcomes: a systematic review and meta-analysis of epidemiological evidence","volume":"801","author":"Liu","year":"2021","journal-title":"Sci Total Environ"},{"key":"2026080219574486200_zwaf519-B13","author":"Government of Japan","year":"2020"},{"key":"2026080219574486200_zwaf519-B14","author":"UK Health Security 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