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High ambient temperatures associated with reduced anthropometric indicators in children from Sub-Saharan AfricaHigher temperatures linked to lower weight and height scores in young children

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Key Takeaway
Consider the potential association between high ambient temperatures and reduced anthropometric indicators in vulnerable pediatric populations.

This systematic review and meta-analysis examined the association between high ambient temperatures and anthropometric indicators across 2,943,695 individuals, with a predominant focus on children under five years of age in Sub-Saharan Africa. The exposure was high ambient temperatures and heatwaves, with anthropometric indicators (height-for-age, weight-for-age, weight-for-height) serving as the primary outcome. The main results indicated an inverse relationship: for each 1°C increase in average temperature, Weight-for-Height Z-scores (WHZ) in children decreased by 0.12 standard deviations, and Height-for-Age Z-scores (HAZ) decreased by 0.03 standard deviations. Findings for other anthropometric outcomes in children were mixed but generally indicated an inverse relationship. In adults, elevated temperatures were associated with both underweight and obesity, suggesting complex effects on nutritional status.

Safety and tolerability data were not reported in the review. The analysis is limited by significant methodological heterogeneity across the included studies and a noted need for more longitudinal and geographically diverse research to strengthen the evidence base. The certainty of the evidence is tempered by these limitations and the modest effect sizes observed at the individual level.

In practice, these findings are relevant for informing evidence-based, climate-adaptive public health strategies aimed at mitigating potential nutritional consequences of rising temperatures. However, clinicians should interpret these results cautiously as they demonstrate an association, not causation. The population-level implications could be considerable given widespread exposure to heat, but the direct clinical application for individual patient management remains unclear and requires further investigation.

Researchers analyzed many existing studies to see if there is a link between high temperatures and body measurements like height and weight. The review included data from nearly 3 million people, mostly young children under five years old living in Sub-Saharan Africa. They looked at how temperature changes related to standard growth scores used by health professionals.

The main finding was that for each 1°C increase in average temperature, children's weight-for-height scores were slightly lower. Height-for-age scores also showed a small reduction. For adults, the picture was more complicated, with higher temperatures linked to both underweight and obesity in different studies. The research did not report on specific safety issues from the heat exposure itself.

It is important to be careful with these results. The studies in the review used different methods, which makes direct comparisons harder. The effect for any single child appears to be small. Most importantly, this type of study can only show a link or association between temperature and growth measures—it cannot prove that hotter weather directly causes changes in a child's weight or height.

Readers should understand this as early evidence that climate and health may be connected in new ways. The real-world takeaway is for public health planners, suggesting they might need to consider heat when creating programs to support child nutrition as global temperatures rise. For individuals, this review highlights a broad environmental factor to be aware of, not a reason for immediate personal alarm.

What this means for you:
Research finds a link between hotter weather and slightly lower growth scores in kids, but more study is needed to understand why.

Study Details

Study typeMeta analysis
Sample sizen = 2,943,695
EvidenceLevel 1
PublishedJan 2026
View Original Abstract ↓
The effects of high ambient temperatures and heatwaves on health outcomes are well established, yet their impact on nutritional status remains poorly understood. This systematic review and meta-analysis aimed to synthesize current evidence on the association between elevated temperatures and anthropometric indicators in the general population. The protocol was registered in PROSPERO (CRD42024555573), and a systematic search of electronic databases was conducted in September 2025 using terms related to "high temperatures," "heatwaves," and "anthropometric indicators." Twenty studies were included, comprising 2,943,695 participants, predominantly children under five years of age, mainly from Sub-Saharan Africa. Studies demonstrated methodological heterogeneity, with mixed findings for height-for-age (HAZ) and weight-for-age (WAZ), but generally indicated an inverse relationship between high temperatures and anthropometric outcomes. In adults, elevated temperatures were associated with both underweight and obesity, highlighting complex effects on nutritional status. Meta-analyses in children revealed reductions of 0.12 SD in Weight-for-Height Z-scores and 0.03 SD in HAZ per 1°C increase in average temperature. While effect sizes at the individual level appear to be modest, the population-level implications could be considerable given the widespread and increasing exposure to heat. These findings suggest a potential link between thermal stress and nutritional status, underscoring the need for longitudinal and geographically diverse studies to further clarify causal pathways, identify vulnerable groups, and inform evidence-based climate-adaptive public health strategies aimed at mitigating the potential nutritional consequences of rising temperatures.
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