Article Open Access January 10, 2025

Extreme Heat Exposure is Associated with Lower Learning, General Cognitive Ability, and Memory among US Children

Shervin Assari 1, 2, 3, 4,* and Hossein Zare 5, 6
1
Department of Internal Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States
2
Department of Family Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States
3
Department of Urban Public Health, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States
4
Marginalization-Related Diminished Returns (MDRs) Center, Los Angeles, CA, United States
5
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States
6
School of Business, University of Maryland Global Campus (UMGC), Adelphi, MD, United States
Page(s): 10-22
Received
November 18, 2024
Revised
December 10, 2024
Accepted
December 12, 2024
Published
January 10, 2025
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright: Copyright © The Author(s), 2025. Published by Scientific Publications
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APA Style
Assari, S. , & Zare, H. (2025). Extreme Heat Exposure is Associated with Lower Learning, General Cognitive Ability, and Memory among US Children. Current Research in Public Health, 3(1), 10-22. https://doi.org/10.31586/ojn.2025.1277
ACS Style
Assari, S. ; Zare, H. Extreme Heat Exposure is Associated with Lower Learning, General Cognitive Ability, and Memory among US Children. Current Research in Public Health 2025 3(1), 10-22. https://doi.org/10.31586/ojn.2025.1277
Chicago/Turabian Style
Assari, Shervin, and Hossein Zare. 2025. "Extreme Heat Exposure is Associated with Lower Learning, General Cognitive Ability, and Memory among US Children". Current Research in Public Health 3, no. 1: 10-22. https://doi.org/10.31586/ojn.2025.1277
AMA Style
Assari S, Zare H. Extreme Heat Exposure is Associated with Lower Learning, General Cognitive Ability, and Memory among US Children. Current Research in Public Health. 2025; 3(1):10-22. https://doi.org/10.31586/ojn.2025.1277
@Article{crph1277,
AUTHOR = {Assari, Shervin and Zare, Hossein},
TITLE = {Extreme Heat Exposure is Associated with Lower Learning, General Cognitive Ability, and Memory among US Children},
JOURNAL = {Current Research in Public Health},
VOLUME = {3},
YEAR = {2025},
NUMBER = {1},
PAGES = {10-22},
URL = {https://www.scipublications.com/journal/index.php/ojn/article/view/1277},
ISSN = {2831-5162},
DOI = {10.31586/ojn.2025.1277},
ABSTRACT = {Background: The increasing frequency and intensity of extreme heat exposure is a significant consequence of climate change, with broad public health implications. While many health risks associated with heat exposure are well-documented, less research has focused on its impact on children’s cognitive function. Objectives: This study examines the relationship between extreme heat exposure and various domains of cognitive function in children. Methods: Data were drawn from the Adolescent Brain Cognitive Development (ABCD) study. Key variables included race/ethnicity, age, gender, family socioeconomic status (SES), heatwave exposure, and multiple cognitive domains: total composite score, fluid composite score, crystallized intelligence, reading ability, picture vocabulary, pattern recognition, card sorting, and list recall. Structural equation modeling (SEM) was used for data analysis. Results: A total of 11,878 children were included in the analysis. Findings revealed significant associations between extreme heat exposure and lower cognitive performance across multiple domains. The strongest adjusted effects were observed in pattern recognition (B = −0.064, p < 0.001) and reading ability (B = −0.050, p < 0.001), both within the learning domain, as well as total composite cognitive ability (B = −0.067, p < 0.001), fluid composite (B = −0.053, p < 0.001), and crystallized intelligence (B = −0.061, p < 0.001), all within general cognitive ability. Weaker but still significant associations were found for list recall (B = −0.025, p = 0.006) and card sorting (B = −0.043, p < 0.001) within the memory domain, as well as picture vocabulary (B = −0.025, p = 0.008) within general cognitive ability. These associations remained significant after controlling for demographic factors, race/ethnicity, family SES, and neighborhood SES. Conclusions: This study underscores the impact of climate change on cognitive function disparities, particularly in learning and general cognitive ability among children exposed to extreme heat. Findings highlight the need for targeted interventions to mitigate the cognitive risks associated with heat exposure in vulnerable populations.},
}
%0 Journal Article
%A Assari, Shervin
%A Zare, Hossein
%D 2025
%J Current Research in Public Health

%@ 2831-5162
%V 3
%N 1
%P 10-22

%T Extreme Heat Exposure is Associated with Lower Learning, General Cognitive Ability, and Memory among US Children
%M doi:10.31586/ojn.2025.1277
%U https://www.scipublications.com/journal/index.php/ojn/article/view/1277
TY  - JOUR
AU  - Assari, Shervin
AU  - Zare, Hossein
TI  - Extreme Heat Exposure is Associated with Lower Learning, General Cognitive Ability, and Memory among US Children
T2  - Current Research in Public Health
PY  - 2025
VL  - 3
IS  - 1
SN  - 2831-5162
SP  - 10
EP  - 22
UR  - https://www.scipublications.com/journal/index.php/ojn/article/view/1277
AB  - Background: The increasing frequency and intensity of extreme heat exposure is a significant consequence of climate change, with broad public health implications. While many health risks associated with heat exposure are well-documented, less research has focused on its impact on children’s cognitive function. Objectives: This study examines the relationship between extreme heat exposure and various domains of cognitive function in children. Methods: Data were drawn from the Adolescent Brain Cognitive Development (ABCD) study. Key variables included race/ethnicity, age, gender, family socioeconomic status (SES), heatwave exposure, and multiple cognitive domains: total composite score, fluid composite score, crystallized intelligence, reading ability, picture vocabulary, pattern recognition, card sorting, and list recall. Structural equation modeling (SEM) was used for data analysis. Results: A total of 11,878 children were included in the analysis. Findings revealed significant associations between extreme heat exposure and lower cognitive performance across multiple domains. The strongest adjusted effects were observed in pattern recognition (B = −0.064, p < 0.001) and reading ability (B = −0.050, p < 0.001), both within the learning domain, as well as total composite cognitive ability (B = −0.067, p < 0.001), fluid composite (B = −0.053, p < 0.001), and crystallized intelligence (B = −0.061, p < 0.001), all within general cognitive ability. Weaker but still significant associations were found for list recall (B = −0.025, p = 0.006) and card sorting (B = −0.043, p < 0.001) within the memory domain, as well as picture vocabulary (B = −0.025, p = 0.008) within general cognitive ability. These associations remained significant after controlling for demographic factors, race/ethnicity, family SES, and neighborhood SES. Conclusions: This study underscores the impact of climate change on cognitive function disparities, particularly in learning and general cognitive ability among children exposed to extreme heat. Findings highlight the need for targeted interventions to mitigate the cognitive risks associated with heat exposure in vulnerable populations.
DO  - Extreme Heat Exposure is Associated with Lower Learning, General Cognitive Ability, and Memory among US Children
TI  - 10.31586/ojn.2025.1277
ER  -