The Effect of IEQ on Cognition and Health (IEQ-HUM)

The Effect of the Indoor Environmental Quality (IEQ) on Cognition and Health

The goal of this study is to learn about the effect of heat and humidity on cognition and health. The main question[s] it aims to answer are:

type of study: interventional participant population: 20-40years, both gender, healthy Participants will be exposed for 4 different sessions of 8 hours at a time, to 32˚ C or 25˚ C in combination with relative humidity of 30 %RH or 70 %RH.

Study Overview

• Status: Completed
• Conditions: Healthy; Temperature Change, Body; Environmental Exposure; Condition
• Intervention / Treatment: Other: Temperature and Humidity

Detailed Description

Overall, the project aims to evaluate the effects of high vs. neutral temperature (32˚ C vs. 25˚ C) in combination with high vs. low humidity (30 %RH vs. 70 %RH) on cognition, for longer exposure duration (8 hours). Deviations from the personal comfort zones are expected to affect both subjective feelings and physiological parameters. Therefore, the following parameters will be included: cognition, environmental perception, energy expenditure, body temperatures.

Main research question and primary objective:

What is the impact of being exposed for 8 hours to a high humidity (RH 70%) versus low humidity (RH 30%) on cognitive performance of individuals if the room temperature is 25ºC or 32ºC?

This leads to the following hypotheses:

• Exposure to an indoor high relative humidity (RH 70%) at a warm temperature (32ºC) of a long duration (8 hours) reduces the composite score, speed and accuracy of cognitive performance compared to an exposure to a low RH (30%) at the same temperature (32ºC) due to the humidity.
• An exposure to an indoor high relative humidity (RH 70%) at a neutral temperature (25ºC) of a long duration (8 hours) would reduce the composite score, speed and accuracy of cognitive performance compared to an exposure to a low RH (30%) at a neutral temperature (25 ºC) due to previous literature for humidity influences at neutral temperatures.

Secondary research question and secondary objective:

What is the effect of high vs. neutral temperature (32˚ C vs. 25˚ C) in combination with high vs. low humidity (30 %RH vs. 70 %RH) on physiological responses, environmental perception, decision making, and bias behaviour?

This leads to the following hypotheses:

1. Does an 8 hour exposure to an elevated concentration of indoor humidity lead to an increase in energy expenditure and/or a greater difference in proximal and distal blood flow and skin temperature gradients compared to a lower indoor humidity for each of the temperature settings?
2. What are the effects of high humidity on substrate oxidation, blood pressure, heart rate variability, proximal and distal skin temperature, risk behavior and decision-making responses of individuals?

3. What are the effects of higher humidity on environmental perception (thermal, air quality, moisture/wetness) comfort, perception, and sensation?

   • An exposure to an indoor high relative humidity (RH 70%) at a warm temperature (32ºC) of a long duration (8 hours) reduces the composite score, speed and accuracy of cognitive performance compared to an exposure to a high RH (70%) at a neutral temperature (25 ºC) due to the humidity and temperature.
   • An exposure to an indoor low relative humidity (RH 30%) at a warm temperature (32ºC) of a long duration (8 hours) would reduce the composite score, speed and accuracy of cognitive performance compared to an exposure to the same low RH (30%) at a neutral temperature (25 ºC) due to the temperature.

Exploratory research question and objective:

What is the interaction effect of high vs. neutral temperature (32˚ C vs. 25˚ C) in combination with high vs. low humidity (30 %RH vs. 70 %RH) on cognitive performance, physiological responses, environmental perception, decision making, and bias behaviour?

• Study Type: Interventional
• Enrollment (Actual): 22
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Netherlands
  • Maastricht, Netherlands
    • Maastricht University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• BMI between 18.5-26 kg/m2
• Age between 20-40 years
• Proficient with the English language in both verbal and written form
• Healthy; no illness or disease or prescribed medication within the last 3 months
• Steady dietary and sleeping habits
• Regularly physically active (i.e., regularly active but less than 3 times a week for less than 2 hours per session at moderate intensity)
• Non-smoker or person who quit smoking more than five years ago
• Reside in the Netherlands (or surrounding countries) for at least 6 months

Exclusion Criteria:

• Subjects with cardiac problems and cardiovascular diseases, such as angina pectoris, cardiac infarction, and arrhythmias
• Subjects with any medical condition requiring treatment and/or medication (except oral contraceptives) that might interfere with the investigated parameters E.g., Extreme chronotype, colour blindness, epilepsy
• Subjects with a disorder or disease (Parkinson, Attention Deficit Hyperactivity Disorder (ADHD), Alzheimer, diabetes, cardiovascular disorder, respiratory impairments (for example asthma), hypertension, obesity, or any other condition that can impair the lung function), or Raynaud's phenomenon
• Subjects with abnormal diet and sleeping patters and/or abnormal body weight (weight gain or loss >3kg in the past month)
• Subjects who recently participated in other interventional biomedical study within 1 month prior to screening visit
• Subjects, who do not want to be informed about unexpected medical findings, or do not wish that their treating physician will be informed, cannot participate in this study
• Subjects with previous covid infection in the past 3 months or any subject with persistent long covid symptoms that may have caused ongoing loss of or altered sense of smell
• Subjects who had severely altered sleep patterns in the past year
• Subjects employed with night shift work within the past year
• Subjects who consume more than two standard drinks of alcohol per day
• Subjects who consume more than two standard drinks of coffee per day
• Subjects who are pregnant

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Temperature and Humidity; 32C or 25C and 30%RH or 70%RH	Other: Temperature and Humidity; Temperature and Humidity of room changed

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Cognition	Using a tablet based cognitive test battery	1 month

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Heart Rate (bpm)	Heart Rate measured using Polar heart rate belt in (bpm) with RR and ECG data extracted	1 month
Blood pressure (mmHg)	Blood pressure - both systolic and diastolic pressures measured hourly using an automated blood pressure monitor and cuff	1 month
Metabolic Rate (ml O2//min/kg)	Metabolic rates measured through whole room calorimetry	1 month
Skin Temperature (C)	Skin temperature measured using thermochron (ibuttons) at multiple sites	1 month
Body Core Temperature (C)	Core Temperature measured via telemetric pill ingested in the morning	1 month

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Room Temperature (C)	Environmental measures are measured continuously using temperature specific sensors in the room	1 month
Humidity (%)	Environmental measures are measured continuously using humidity specific sensors in the room	1 month

Collaborators and Investigators

• Sponsor: Maastricht University Medical Center
• Investigators: Principal Investigator: Guy Plasqui, PHD, Maastricht University

Study record dates

Study Major Dates

• Study Start (Actual): June 18, 2023
• Primary Completion (Actual): May 7, 2024
• Study Completion (Actual): May 7, 2024

Study Registration Dates

• First Submitted: March 24, 2023
• First Submitted That Met QC Criteria: July 25, 2023
• First Posted (Actual): August 2, 2023

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: March 20, 2025
• Last Verified: September 1, 2023

More Information

Terms related to this study

• Keywords: Cognition; Temperature; Thermoregulation; Health; Humidity
• Additional Relevant MeSH Terms: Body Temperature Changes
• Other Study ID Numbers: NL81104.068.22

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: If requested raw data will be provided.
• IPD Sharing Time Frame: Ongoing, depends on the request.
• IPD Sharing Access Criteria: Official request made stating the purpose of use for the data. Only individuals that consent to their data to be used in further analysis will be shared.
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP; ANALYTIC_CODE

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No