Skip to Accessibility Tools Skip to Content Skip to Footer
Preparing for Hotter Weather with COPD

Preparing for Hotter Weather with COPD

So, the weather is getting hotter. In many places, it’s going to get really hot. For many with COPD, this hot air may trigger flare-ups. Why is this? How can you beat the heat? Here’s what to know.

What are studies showing?

Studies are showing that hotter temperatures alone may trigger COPD flare-ups.

  • A 2014 John Hopkins University study showed that COPD symptoms got worse during outdoor heat waves. This was true whether COPDers spent their time indoors or outdoors.1,2
  • The same study showed that COPDers exposed to high indoor temperatures experienced worse COPD symptoms, increased medicine usage, and lowered lung function. COPDers exposed to high outdoor temperatures experienced worse COPD symptoms, but did not use more medicine or lose lung function.1,2
  • A 2009 study showed that COPD symptoms got worse when the temperature exceeded 84.2 degrees Fahrenheit. It showed that heat was responsible for increased hospital admissions for both COPD and asthma.3
  • A 2013 study came up with similar results.3 Another study showed that hotter weather caused an increase in emergency room visits among the COPD population.5

Why does heat trigger flare-ups?

Researchers seem to be unaware of the reason why heat triggers flare-ups. However, there are some theories that attempt to explain why.


Intense heat causes stress on your body. Normal body temperature is 98.7 degrees Fahrenheit. So, when exposed to heat, your body has to work to cool down to maintain this 98.7 degrees. This takes energy. It increases your body’s oxygen demand. People with COPD may have trouble keeping up, causing you to feel short of breath.6,7,9

Nerve Stimulation

Heat may have an impact on nerves inside your lungs. It may activate special nerves that cause bronchospasm. This theory has been tested on asthmatics and not so much on the COPD population. So, it’s something that may be studied more in the future.6,8,9


Higher temperatures allow air molecules to hold more water. Air that holds more water can be heavy and hard to inhale. So, this may be one reason hot and humid air may trigger COPD.


Allergens like dust mites and molds love hot, humid temperatures. So, they tend to grow in higher numbers when the air is hot and humid. This can happen in your own home without you even being aware of it. These allergens can become airborne and easily inhaled. They may trigger flare-ups.

Outdoor Air Pollution

Higher outdoor temperatures may have an impact on outdoor air pollution. Some studies have shown links between ozone and respiratory symptoms. Ozone levels may be increased during the warm summer months. Particulate matter is another type of pollution that may be increased in warmer weather. These are microscopic particles too small to be seen but that are easily inhaled.5,6,9

Indoor Air Pollution

Higher indoor temperatures may have an impact on indoor air pollution. This may include particulate matter and gases like nitrogen dioxide.6,9


These include muscarinics like ipatropium bromide (Atrovent) and tiotropium bromide (Spiriva). Ipatropium Bromide is also one of the ingredients in Duoneb and Combivent. Muscarinics are known to “impair sweating and blunt the normal cardiovascular response to heat.”7 Muscarinics are also top-line COPD medicines, and are commonly prescribed to help you breathe easier.

What are some tips for beating the heat?

The best option for beating the heat is air conditioning. Central air or window air conditioners are equally effective. Along with cooling air, they also dehumidify and filter it.6,9

If you don’t have air conditioning, an option is to plan events during the hottest parts of the day at cooling centers. These are public places that offer air conditioning and cool air. They are places where you can cool off, such as your local library or recreation center.9,11

Another tip involves staying well hydrated. The standard recommendation is at least 8 cups of water every day. Make sure you take water with you if you have to leave your home.7,12

So, these are tips recommended by the experts. How do you beat the heat?

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.

  1. “Heat Waves Could Worsen COPD Symptoms, Study Suggests,” 2014, May 18,, accessed 6/18/18
  2. Santos, Isaura, “Higher Temperatures May Result in Greater Illness Among COPD Patients,” Lung Disease News, 2015, June 25,, accessed 6/18/18
  3. Lin, S., et al., “Extreme high temperatures and hospital admissions for respiratory and cardiovascular diseases,” Epidemiology, 2009,, accessed 6/24/18
  4. Anderson, G.B., et al., “Heat-related emergency hospitalizations for respiratory diseases in the Medicare population,” American Journal of Respiratory and Critical Care Medicine, 2013, May 15,, accessed 6/24/18
  5. Wedzicha, Jadwiga A., Fernando J. Martinez, editors, “Chronic Obstructive Pulmonary Disease Exacerbations,” 2009, Informa Healthcare USA Inc., Page 151
  6. Hansel, Nadia N., et al., “The Effect of Air Pollution and Temperature on COPD,” COPD, 2016, June,, accessed 6/24/18
  7. Kasper, Dennis L, Stephen L. Hauser, J. Larry Jameson, Anthony S. Fauci, Dan L. Longo, Joseph Loscalzo, editors, Harrison’s Principles of Internal Medicine," 2017, McGraw Hill, page 479e1
  8. Hayes, Don, et al., “Bronchoconstriction Triggered By Breathing Hot Humid Air In Patients With Asthma,” American Journal of Respiratory and Critical Care Medicine, 2012, June 1,, accessed 8/24/18
  9. McCormack, et al., “Respiratory effects of indoor heat and the interaction with air pollution in chronic obstructive pulmonary disease,” Annuls of the American Thoracic Society, 2016, Dec.,, accessed 8/20/18
  10. Kaminer, Ariel, “Cool Air, If You Can Get To It,” New York Times, 2010, July 9,, accessed 6/24/18
  11. Barclay, Eliza, “Cooling Centers: Where The Hot Go To Chill,” NPR, 2011, July 20,, accessed 6/24/18
  12. “Managing COPD In Summer,” National Emphysema Foundation,, accessed 6/24/18


  • millerjuzix
    1 year ago

    What a timely article. I was doing some cooking and couldn’t catch my breath and I was sweating profusely. I have been trying not to use the AC due to cost. I am on 2 liters of 02 ,so checked that and was at 93. So I turned the AC down to 80. Put cold towels around my neck , large intake of water, read your article and realized I was not crazy. We are expecting the monsoons any day so the humity is high. As you mentioned. Thanks again.

  • John Bottrell, RRT moderator author
    1 year ago

    Hi. millerjuzix. Glad you found the article helpful. No! You are not crazy. Also, I do the same thing when it gets hot — wait as long as possible before turning on the air conditioner. If you have air, might as well use it. Sure makes breathing easier. John. Site Moderator.

  • Leon Lebowitz, BA, RRT moderator
    1 year ago

    Hi millerjuzix and thanks for your post. I agree with both John and you – when one can be frugal (with the air conditioning), well – give it your best shot. But, when it begins to compromise your breathing and comfort (related to COPD), it’s time to turn it on! Wishing you the best, Leon (site moderator)

  • Poll