A scoping review of recommendations for adults with cardiovascular disease to remain physically active during hot weather
Authors' conclusion
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.
Study context
- Population
- Sources with temperature thresholds or behavioural recommendations for physical activity in hot weather for adults (≥18 years), with focus on adults with CVD
- Participants
- 32 included sources
- Outcome
- Existing recommendations for physical activity in hot weather specific to adults with CVD
Methodological detailsgrey literature included, MEDLINE, Web of Science and SPORTDiscus searched, plus cross-referencing and grey literature
- Grey literature included
- MEDLINE, Web of Science and SPORTDiscus searched, plus cross-referencing and grey literature
Main finding
As reported in the abstract
Content of physical activity recommendations for hot weather
- Included sources
- 32
- Sources reporting ≥1 temperature above which physical activity should be limited
- 24
- Preventive recommendations (20 different recommendations)
- 100%
- Symptoms (most cited: heat stroke and exhaustion)
- 81%
- Heat-related risk factors
- 56%
- Treatments
- 53%
- Sources highlighting populations at greater risk when exercising in the heat; of these, 12 mentioned individuals with CVD
- 20
Original publication
A scoping review of recommendations for adults with cardiovascular disease to remain physically active during hot weather. Eur J Prev Cardiol. Published 19 August 2025. doi:10.
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