{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T03:02:09Z","timestamp":1760151729240,"version":"build-2065373602"},"reference-count":38,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T00:00:00Z","timestamp":1650412800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Objective: We examined whether seasonal and monthly variations exist in the subjective well-being of weather-sensitive patients with coronary artery disease (CAD) during cardiac rehabilitation. Methods: In this cross-sectional study, 865 patients (30% female, age 60 \u00b1 9) were recruited within 2\u20133 weeks of treatment for acute coronary syndrome and during cardiac rehabilitation. The patients completed the Palanga self-assessment diary for weather sensitivity (PSAD-WS) daily, for an average of 15.5 days. PSAD-WS is an 11-item (general) three-factor (psychological, cardiac, and physical symptoms) questionnaire used to assess weather sensitivity in CAD patients. Weather data were recorded using the weather station \u201cVantage Pro2 Plus\u201d. Continuous data were recorded eight times each day for the weather parameters and the averages of the data were linked to the respondents\u2019 same-day diary results. Results: Weather-sensitive (WS) patients were found to be more sensitive to seasonal changes than patients who were not WS, and they were more likely to experience psychological symptoms. August (summer), December (winter), and March (spring) had the highest numbers of cardiac symptoms (all p &lt; 0.001). In summary, peaks of symptoms appeared more frequently during the transition from one season to the next. Conclusion: This study extends the knowledge about the impact of atmospheric variables on the general well-being of weather-sensitive CAD patients during cardiac rehabilitation.<\/jats:p>","DOI":"10.3390\/ijerph19094997","type":"journal-article","created":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T01:55:51Z","timestamp":1650506151000},"page":"4997","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effects of Changes in Seasonal Weather Patterns on the Subjective Well-Being in Patients with CAD Enrolled in Cardiac Rehabilitation"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6945-4834","authenticated-orcid":false,"given":"Dalia","family":"Martinaitiene","sequence":"first","affiliation":[{"name":"Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Vyduno al 4, LT 00135 Palanga, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nijole","family":"Raskauskiene","sequence":"additional","affiliation":[{"name":"Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Vyduno al 4, LT 00135 Palanga, Lithuania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,4,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1161\/CIRCRESAHA.117.306458","article-title":"Environmental determinants of cardiovascular disease","volume":"121","author":"Bhatnagar","year":"2017","journal-title":"Circ. Res."},{"key":"ref_2","unstructured":"Health Information Centre of Institute of Hygiene (2021, December 22). Causes of Death 2020. Available online: https:\/\/hi.lt\/uploads\/pdf\/leidiniai\/Statistikos\/Mirties_priezastys\/Mirties_priezastys_2020.pdf."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1586\/ern.09.154","article-title":"What is it with the weather and stroke?","volume":"10","author":"McArthur","year":"2010","journal-title":"Expert. Rev. Neurother."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Schneider, S., Root, T., and Mastrandrea, M. (2011). Health. Encyclopedia of Climate and Weather, Oxford University Press. [2nd ed.].","DOI":"10.1093\/acref\/9780199765324.001.0001"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1038\/nrcardio.2017.76","article-title":"Seasonal variations in cardiovascular disease","volume":"14","author":"Stewart","year":"2017","journal-title":"Nat. Rev. Cardiol."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Miki\u0107, M., \u0160estak, A., Volari\u0107, M., Rudan, S., and Trtica Majnari\u0107, L. (2018). Seasonality of the cardiac biomarker troponin in the Eastern Croatian population. J. Clin. Med., 7.","DOI":"10.3390\/jcm7120520"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.ijcard.2019.07.089","article-title":"Meteorological factors and seasonal variations in the risk of acute myocardial infarction","volume":"294","author":"Furukawa","year":"2019","journal-title":"Int. J. Cardiol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1093\/qjmed\/92.12.689","article-title":"Seasonal variations in coronary heart disease","volume":"92","author":"Pell","year":"1999","journal-title":"QJM"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Balbus, J., Crimmins, A., Gamble, J.L., Easterling, D.R., Kunkel, K.E., Saha, S., and Sarofim, M.C. (2016). Ch. 1: Introduction: Climate Change and Human Health. The Impacts of Climate Change on Human Health in the United States: A Scientific Assessment, U.S. Global Change Research Program.","DOI":"10.7930\/J0VX0DFW"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"52","DOI":"10.17116\/kurort2016552-57","article-title":"The influence of the climatic and weather conditions on the mechanisms underlying the formation of enhanced meteosensitivity (a literature review)","volume":"93","author":"Uyanaeva","year":"2016","journal-title":"Vopr. Kurortol. Fizioter. Lech. Fiz. Kult."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Bishop-Williams, K.E., Berrang-Ford, L., Sargeant, J.M., Pearl, D.L., Lwasa, S., Namanya, D.B., Edge, V.L., Cunsolo, A., IHACC Research Team, and Bwindi Community Hospital (2018). Understanding Weather and Hospital Admissions Patterns to Inform Climate Change Adaptation Strategies in the Healthcare Sector in Uganda. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15112402"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s40119-020-00164-9","article-title":"The beneficial effects of cardiac rehabilitation","volume":"9","author":"Bellmann","year":"2020","journal-title":"Cardiol. Ther."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1299","DOI":"10.1007\/s00484-020-01942-9","article-title":"Weather-related subjective well-being in patients with coronary artery disease","volume":"65","author":"Martinaitiene","year":"2021","journal-title":"Int. J. Biometeorol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.jclinepi.2007.11.008","article-title":"STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies","volume":"61","author":"Altman","year":"2008","journal-title":"J. Clin. Epidemiol."},{"key":"ref_15","first-page":"3","article-title":"Psychometric properties of the Palanga self-assessment diary for weather sensitivity in patients with coronary artery disease","volume":"16","year":"2014","journal-title":"Biol. Psychiatry Psychopharmacol."},{"key":"ref_16","unstructured":"Galvonait\u0117, A., Kilpys, J., Kitrien\u0117, Z., and Valiukas, D. (2021, December 20). Lietuvos kurort\u0173 klimatas. Vilnius. Available online: http:\/\/www.meteo.lt\/documents\/20181\/103901\/Kurortu_klimatas_internetui.pdf\/085a6384-0340-4a56-a25d-a7b0fdaf7ec9."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"266","DOI":"10.4103\/1947-2714.110430","article-title":"Winter cardiovascular diseases phenomenon","volume":"5","author":"Fares","year":"2013","journal-title":"N. Am. J. Med. Sci."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Afoakwah, C., Nghiem, S., Scuffham, P., Stewart, S., and Byrnes, J. (2021). Weather Trumps Festivity? More Cardiovascular Disease Events Occur in Winter than in December Holidays in Queensland, Australia. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph181910158"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/S0140-6736(14)62114-0","article-title":"Mortality risk attributable to high and low ambient temperature: A multicountry observational study","volume":"386","author":"Gasparrini","year":"2015","journal-title":"Lancet"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"17062","DOI":"10.1038\/s41598-021-96366-9","article-title":"Association between winter cold spells and acute myocardial infarction in Lithuania 2000\u20132015","volume":"11","author":"Jaakkola","year":"2021","journal-title":"Sci. Rep."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Dav\u00eddkovov\u00e1, H., Plavcov\u00e1, E., Kyn\u010dl, J., and Kysel\u00fd, J. (2014). Impacts of hot and cold spells differ for acute and chronic ischaemic heart diseases. BMC Public Health, 14.","DOI":"10.1186\/1471-2458-14-480"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.1001\/jamacardio.2018.3466","article-title":"Association of Weather with Day-to-Day Incidence of Myocardial Infarction: A SWEDEHEART Nationwide Observational Study","volume":"3","author":"Mohammad","year":"2018","journal-title":"JAMA Cardiol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"11616","DOI":"10.3390\/ijerph111111616","article-title":"Influence of daily individual meteorological parameters on the incidence of acute coronary syndrome","volume":"11","author":"Ravljen","year":"2014","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Vencloviene, J., Radisauskas, R., Kranciukaite-Butylkiniene, D., Tamosiunas, A., Vaiciulis, V., and Rastenyte, D. (2021). Association between stroke occurrence and changes in atmospheric circulation. BMC Public Health, 21.","DOI":"10.1186\/s12889-020-10052-5"},{"key":"ref_25","unstructured":"Parsons, K. (2002). Human Thermal Environments: The Effects of Hot, Moderate, and Cold Environments on Human Health, Comfort, and Performance, CRC Press. [3rd ed.]."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ijcard.2019.07.006","article-title":"Climate changes and ST-elevation myocardial infarction treated with primary percutaneous coronary angioplasty","volume":"294","author":"Versaci","year":"2019","journal-title":"Int. J. Cardiol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1007\/s00484-008-0144-9","article-title":"Weather-induced ischemia and arrhythmia in patients undergoing cardiac rehabilitation: Another difference between men and women","volume":"52","author":"Schneider","year":"2008","journal-title":"Int. J. Biometeorol."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Kirch, W., Bertollini, R., and Menne, B. (2005). Temperature regulation, heat balance, and climatic stress. Extreme Weather Events and Public Health Responses, Springer.","DOI":"10.1007\/3-540-28862-7"},{"key":"ref_29","first-page":"00330","article-title":"Whether atmospheric pressure changes predict variations in blood pressure","volume":"9","author":"Charach","year":"2017","journal-title":"J. Cardiol. Curr. Res."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"207","DOI":"10.5847\/wjem.j.1920-8642.2015.03.008","article-title":"The relationship between ischemic stroke and weather conditions in Duzce, Turkey","volume":"6","author":"Gunes","year":"2015","journal-title":"World J. Emerg. Med."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"S185","DOI":"10.1249\/00005768-198810001-00017","article-title":"Thermal, metabolic, and cardiovascular changes in men and women during cold stress","volume":"20","author":"Graham","year":"1988","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.comppsych.2011.02.002","article-title":"Description and validation of a questionnaire for the detection of meteoropathy and meteorosensitivity: The METEO-Q","volume":"53","author":"Mazza","year":"2012","journal-title":"Compr. Psychiatry"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1007\/s00421-007-0609-2","article-title":"Investigation of gender difference in thermal comfort for Chinese people","volume":"102","author":"Lan","year":"2008","journal-title":"Eur. J. Appl. Physiol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"10","DOI":"10.5455\/msm.2018.30.10-14","article-title":"Seasonal Incidence of Acute Coronary Syndrome and Its Features","volume":"30","author":"Hodzic","year":"2018","journal-title":"Mater Sociomed"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1177\/003693309103600304","article-title":"Composition of seasonality of disease","volume":"36","author":"Douglas","year":"1991","journal-title":"Scott. Med. J."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1097\/00006842-199907000-00012","article-title":"Chronic and acute psychological risk factors for clinical manifestations of coronary artery disease","volume":"61","author":"Kop","year":"1999","journal-title":"Psychosom. Med."},{"key":"ref_37","first-page":"102","article-title":"Psychological factors and coronary heart disease","volume":"9","author":"Neshatdoost","year":"2013","journal-title":"ARYA Atheroscler."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1007\/s00484-010-0350-0","article-title":"The influence of several changes in atmospheric states over semi-arid areas on the incidence of mental health disorders","volume":"55","author":"Yackerson","year":"2011","journal-title":"Int. J. Biometeorol."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/9\/4997\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:57:25Z","timestamp":1760137045000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/9\/4997"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,20]]},"references-count":38,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2022,5]]}},"alternative-id":["ijerph19094997"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19094997","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2022,4,20]]}}}