{"id":"https://openalex.org/W7160983129","doi":"https://doi.org/10.30574/wjbphs.2026.26.2.0253","title":"Heat-adapted family medicine: A comprehensive review of climate-related risks, chronic disease management, and primary care preparedness in hot regions","display_name":"Heat-adapted family medicine: A comprehensive review of climate-related risks, chronic disease management, and primary care preparedness in hot regions","publication_year":2026,"publication_date":"2026-05-13","ids":{"openalex":"https://openalex.org/W7160983129","doi":"https://doi.org/10.30574/wjbphs.2026.26.2.0253"},"language":"en","primary_location":{"id":"doi:10.30574/wjbphs.2026.26.2.0253","doi":"https://doi.org/10.30574/wjbphs.2026.26.2.0253","is_oa":true,"landing_page_url":"https://doi.org/10.30574/wjbphs.2026.26.2.0253","pdf_url":"https://wjbphs.com/sites/default/files/fulltext_pdf/WJBPHS-2026-0253.pdf","source":{"id":"https://openalex.org/S4210238948","display_name":"World Journal of Biology Pharmacy and Health Sciences","issn_l":"2582-5542","issn":["2582-5542"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"World Journal of Biology Pharmacy and Health Sciences","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://wjbphs.com/sites/default/files/fulltext_pdf/WJBPHS-2026-0253.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5024376103","display_name":"Hamad Abdulaziz AlSubaie","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Hamad Abdulaziz AlSubaie","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5024376103"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.23306268,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"26","issue":"2","first_page":"069","last_page":"077"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11244","display_name":"Climate Change and Health Impacts","score":0.9667999744415283,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T11244","display_name":"Climate Change and Health Impacts","score":0.9667999744415283,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11109","display_name":"Thermoregulation and physiological responses","score":0.03220000118017197,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12365","display_name":"Effects of Environmental Stressors on Livestock","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/1103","display_name":"Animal Science and Zoology"},"field":{"id":"https://openalex.org/fields/11","display_name":"Agricultural and Biological Sciences"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/extreme-heat","display_name":"extreme heat","score":0.8159999847412109},{"id":"https://openalex.org/keywords/heat-waves","display_name":"heat waves","score":0.8659999966621399},{"id":"https://openalex.org/keywords/climate-change-and-health","display_name":"climate change and health","score":0.6769999861717224},{"id":"https://openalex.org/keywords/general-practice","display_name":"general practice","score":0.8080000281333923},{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.7049999833106995},{"id":"https://openalex.org/keywords/chronic-kidney-disease","display_name":"chronic kidney disease","score":0.8410000205039978},{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.9639999866485596},{"id":"https://openalex.org/keywords/glycemic-control","display_name":"glycemic control","score":0.6140000224113464},{"id":"https://openalex.org/keywords/drug-safety","display_name":"drug safety","score":0.6269999742507935},{"id":"https://openalex.org/keywords/diuretics","display_name":"diuretics","score":0.8220000267028809},{"id":"https://openalex.org/keywords/sglt2-inhibitors","display_name":"SGLT2 inhibitors","score":0.9259999990463257},{"id":"https://openalex.org/keywords/metformin","display_name":"metformin","score":0.8690000176429749},{"id":"https://openalex.org/keywords/anticholinergic-drugs","display_name":"anticholinergic agents","score":0.8489999771118164},{"id":"https://openalex.org/keywords/renin-angiotensin-aldosterone-system-inhibitors","display_name":"renin-angiotensin-aldosterone system inhibitors","score":0.6970000267028809},{"id":"https://openalex.org/keywords/dehydration","display_name":"dehydration","score":0.4690000116825104},{"id":"https://openalex.org/keywords/gulf-cooperation-council","display_name":"Gulf Cooperation Council","score":0.9010000228881836},{"id":"https://openalex.org/keywords/heat-health-action-plans","display_name":"heat-health action plans","score":0.7519999742507935},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.6610000133514404},{"id":"https://openalex.org/keywords/hajj-pilgrims","display_name":"Hajj pilgrims","score":0.8859999775886536}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7591000199317932},{"id":"https://openalex.org/C2777042776","wikidata":"https://www.wikidata.org/wiki/Q4583103","display_name":"Preparedness","level":2,"score":0.5582000017166138},{"id":"https://openalex.org/C2778653478","wikidata":"https://www.wikidata.org/wiki/Q1054718","display_name":"Kidney disease","level":2,"score":0.5382999777793884},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.5209000110626221},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.40470001101493835},{"id":"https://openalex.org/C2780473172","wikidata":"https://www.wikidata.org/wiki/Q5572518","display_name":"Glycemic","level":3,"score":0.3889999985694885},{"id":"https://openalex.org/C84393581","wikidata":"https://www.wikidata.org/wiki/Q82642","display_name":"Blood pressure","level":2,"score":0.387800008058548},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.3815000057220459},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.336899995803833},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.32820001244544983},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3255999982357025},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.3127000033855438},{"id":"https://openalex.org/C36434225","wikidata":"https://www.wikidata.org/wiki/Q1895998","display_name":"Polypharmacy","level":2,"score":0.2939000129699707},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.289900004863739},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.28209999203681946},{"id":"https://openalex.org/C124306116","wikidata":"https://www.wikidata.org/wiki/Q2512965","display_name":"Ambulatory care","level":3,"score":0.2793999910354614},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.2750000059604645},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.26930001378059387},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.2669000029563904},{"id":"https://openalex.org/C2780600951","wikidata":"https://www.wikidata.org/wiki/Q383126","display_name":"Chronic condition","level":3,"score":0.26499998569488525},{"id":"https://openalex.org/C2778804116","wikidata":"https://www.wikidata.org/wiki/Q6806546","display_name":"Medical home","level":3,"score":0.2558000087738037},{"id":"https://openalex.org/C46578552","wikidata":"https://www.wikidata.org/wiki/Q2725393","display_name":"Global health","level":3,"score":0.2522999942302704},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.25119999051094055}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.30574/wjbphs.2026.26.2.0253","doi":"https://doi.org/10.30574/wjbphs.2026.26.2.0253","is_oa":true,"landing_page_url":"https://doi.org/10.30574/wjbphs.2026.26.2.0253","pdf_url":"https://wjbphs.com/sites/default/files/fulltext_pdf/WJBPHS-2026-0253.pdf","source":{"id":"https://openalex.org/S4210238948","display_name":"World Journal of Biology Pharmacy and Health Sciences","issn_l":"2582-5542","issn":["2582-5542"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"World Journal of Biology Pharmacy and Health Sciences","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.30574/wjbphs.2026.26.2.0253","doi":"https://doi.org/10.30574/wjbphs.2026.26.2.0253","is_oa":true,"landing_page_url":"https://doi.org/10.30574/wjbphs.2026.26.2.0253","pdf_url":"https://wjbphs.com/sites/default/files/fulltext_pdf/WJBPHS-2026-0253.pdf","source":{"id":"https://openalex.org/S4210238948","display_name":"World Journal of Biology Pharmacy and Health Sciences","issn_l":"2582-5542","issn":["2582-5542"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"World Journal of Biology Pharmacy and Health Sciences","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7160983129.pdf","grobid_xml":"https://content.openalex.org/works/W7160983129.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7202362933","https://openalex.org/W7168373458","https://openalex.org/W4415423537","https://openalex.org/W7140291436","https://openalex.org/W3127536777","https://openalex.org/W7027301921","https://openalex.org/W3213652090","https://openalex.org/W4306913951","https://openalex.org/W4402512787","https://openalex.org/W7125765333"],"abstract_inverted_index":{"Background:":[0],"The":[1,248],"Arabian":[2],"Peninsula":[3],"and":[4,25,68,85,126,139,142,164,178,189,193,202,217,237,262],"other":[5],"hot":[6,100,274],"regions":[7],"of":[8,28,38,71,78,117,146,205,256],"the":[9,16,35,53,65,75,92,106,130,143,233],"world":[10],"are":[11],"warming":[12],"at":[13,34],"nearly":[14],"twice":[15],"global":[17],"average":[18],"rate,":[19],"exposing":[20],"vulnerable":[21],"populations":[22],"to":[23,95,105],"recurrent":[24],"prolonged":[26],"periods":[27],"extreme":[29,72],"heat.":[30],"Family":[31],"physicians":[32,272],"sit":[33],"front":[36],"line":[37],"this":[39],"emerging":[40],"climate-health":[41],"interface,":[42],"yet":[43],"structured":[44,114],"guidance":[45],"on":[46,64],"heat-adapted":[47],"primary":[48,161],"care":[49,162,227],"remains":[50,229],"sparse":[51],"in":[52,99,273],"medical":[54],"literature.":[55],"Objective:":[56],"This":[57],"narrative":[58],"literature":[59,115],"review":[60,116],"synthesizes":[61],"contemporary":[62],"evidence":[63],"cardiovascular,":[66],"renal,":[67],"metabolic":[69],"consequences":[70],"heat,":[73],"examines":[74],"safety":[76],"profile":[77],"commonly":[79],"prescribed":[80],"cardiometabolic":[81],"medications":[82],"during":[83,223],"heatwaves,":[84],"proposes":[86],"a":[87,265],"practical,":[88],"primary-care-oriented":[89],"operational":[90],"framework":[91,251],"HEAT-FM":[93,250],"model":[94],"guide":[96],"clinicians":[97],"working":[98],"regions,":[101],"with":[102],"particular":[103,221],"relevance":[104],"Gulf":[107],"Cooperation":[108],"Council":[109],"(GCC)":[110],"context.":[111],"Methods:":[112],"A":[113,241],"English-language":[118],"publications":[119],"(2000\u20132025)":[120],"was":[121],"performed":[122],"using":[123],"PubMed,":[124],"Scopus,":[125],"grey-literature":[127],"sources":[128],"from":[129],"World":[131],"Health":[132],"Organization":[133],"(WHO),":[134],"Centers":[135],"for":[136,232,270],"Disease":[137],"Control":[138],"Prevention":[140],"(CDC),":[141],"Saudi":[144],"Ministry":[145],"Health.":[147],"Themes":[148],"were":[149],"synthesized":[150],"around":[151],"hypertension,":[152],"chronic":[153],"kidney":[154,184],"disease":[155],"(CKD),":[156],"diabetes":[157],"mellitus,":[158],"medication":[159],"safety,":[160],"preparedness,":[163],"Gulf-region":[165],"epidemiology.":[166],"Results:":[167],"Heat":[168],"exposure":[169],"aggravates":[170],"hypertension":[171],"through":[172,197],"impaired":[173],"diurnal":[174],"blood":[175],"pressure":[176],"rhythm":[177],"increased":[179],"nighttime":[180],"values;":[181],"precipitates":[182],"acute-on-chronic":[183],"injury":[185],"via":[186],"volume":[187],"depletion":[188],"vasopressin-mediated":[190],"tubular":[191],"stress;":[192],"worsens":[194],"glycemic":[195],"stability":[196],"dehydration,":[198],"insulin":[199],"pharmacokinetic":[200],"alterations,":[201],"cognitive":[203],"impairment":[204],"self-management.":[206],"Diuretics,":[207],"renin-angiotensin-aldosterone":[208],"system":[209],"(RAAS)":[210],"blockers,":[211],"sodium-glucose":[212],"cotransporter-2":[213],"(SGLT2)":[214],"inhibitors,":[215],"metformin,":[216],"anticholinergic":[218],"agents":[219],"demand":[220],"attention":[222],"heat":[224],"events.":[225],"Primary":[226],"preparedness":[228],"underdeveloped,":[230],"especially":[231],"elderly,":[234],"outdoor":[235],"labourers,":[236],"Hajj":[238],"pilgrims.":[239],"Conclusion:":[240],"structured,":[242],"anticipatory":[243],"primary-care":[244],"response":[245],"is":[246,284],"needed.":[247],"proposed":[249],"High-risk":[252],"identification,":[253],"Education,":[254],"Adjustment":[255],"medications,":[257],"Timely":[258],"follow-up,":[259],"Family/community":[260],"prevention,":[261],"Monitoring":[263],"offers":[264],"memorable,":[266],"clinically":[267],"actionable":[268],"scaffold":[269],"family":[271],"regions.":[275],"Embedding":[276],"such":[277],"frameworks":[278],"within":[279],"national":[280],"heat-health":[281],"action":[282],"plans":[283],"essential":[285],"as":[286],"climate":[287],"change":[288],"accelerates.":[289]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-05-14T00:00:00"}