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Updated: Jun 11, 2026

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Published on: May 8, 2015
For debate: The August sun and the December snow
Fiammetta Monacelli1, Ivano Aramini, Patrizio Odetti
1Department of Internal Medicine and Medical Specialities, University-Hospital San Martino, Genoa, Italy. fiammettamonacelli@virgilio.it
Elderly mortality is higher in winter than summer, contrary to popular belief. This study highlights the need for more research and effective strategies to prevent cold-related deaths in older adults.
Area of Science:
- Gerontology
- Environmental Health
- Epidemiology
Background:
- Heat waves and summer hot spells are recognized contributors to elderly morbidity and mortality.
- The 2003 European heat wave spurred research into heat-related health impacts.
- However, elderly mortality is often higher during cold winter months, a less-studied phenomenon.
Purpose of the Study:
- To investigate the relationship between stressful weather spells and elderly mortality.
- To compare mortality rates during cold seasons versus summer in older adults.
- To underscore the need for evidence-based strategies to mitigate cold-related mortality.
Main Methods:
- A 4-year epidemiological survey was conducted in 6 nursing homes in northern Italy.
- Data on stressful weather spells and elderly mortality were collected.
- Mortality rates were analyzed across different seasons.
Main Results:
- Elderly mortality rates during the cold season were found to be as high as, or higher than, those during summer.
- Monthly deaths per year of observation showed higher rates in the cold season.
- The cold season emerged as the period with the most significant elderly mortality.
Conclusions:
- Cold weather poses a significant, often underestimated, threat to elderly mortality.
- There is a critical need for further research into the pathophysiology and prevention of cold-related deaths in the elderly.
- Developing targeted, evidence-based preventive and therapeutic measures is essential to address this public health issue.
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