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Can cold weather really make you ill?

Samantha Wild
Clinical Lead for Women's Health and Bupa GP
26 January 2023
Next review due January 2026

When the temperature falls and there’s a chill in the air, out come your fluffy socks, woolly jumpers and thermal gloves to stay warm. If you listen carefully, you can almost hear your grandmother’s voice: “wrap up warm, or you’ll catch a cold”. But can you really become ill by feeling cold? Read on to find out.

person with working on sofa, fighting a cold

Can you get ill from being cold?

Put simply, cold weather alone doesn’t make you ill. However, it can increase your chances of becoming ill. This is partly why illnesses such as colds and flu (influenza) are more common in winter months. To understand why this happens, it helps to think about viruses, which cause these illnesses.

What viruses cause respiratory illnesses?

Colds, flu, and COVID-19 are respiratory illnesses that are caused by different viruses.

  • More than 200 viruses can cause the common cold. About half of all colds are thought to be caused by rhinoviruses.
  • Three types of influenza virus (influenza A, B, and C) cause flu.
  • COVID-19 is caused by a virus called SARS-CoV-2.

You can catch a cold, flu or COVID-19 if you come into contact with one of these viruses, often from someone else who’s already infected.

If you catch a cold, you might find you have a mild temperature, sore throat, blocked or runny nose, and are sneezing or coughing. If you get the flu, your symptoms are likely to be more severe. As well as the symptoms of a cold, you might also have a headache, fever, chills and feel aches and pains. You will also need to stay in bed for a few days. Symptoms of COVID-19 can vary from person to person, but many are similar to cold and flu symptoms. For some people, however, COVID-19 can be more severe than flu.

Why are viral illnesses more common in the winter?

Here are some of the reasons why more of us get viral illnesses in the winter.

We spend more time together indoors

When it’s cold outside, we stay warm indoors more often. But being in close contact with one another during the winter months means viruses can spread more easily from person to person. Viruses can move through the air in droplets when you sneeze or cough. It is spread by hands or may live on contaminated surfaces like door handles. This means that crowded or enclosed spaces, such as public transport, schools and the workplace, are the perfect breeding ground for viruses.

Some viruses thrive in winter conditions

Research has found that some of the viruses responsible for colds and flu can survive more easily in cold, dry conditions with little sunlight. Droplets that contain influenza viruses (for example, from coughing and sneezing) can also stay in the air for longer if it’s dry.

Your body’s defences may weaken when it’s cold

Your immune system protects you from disease. Some early studies have suggested that the cold and dry conditions of winter could make it harder for your immune system to fight off viruses.

Your nose and airways are lined with mucus and tiny, hair-like structures called cilia. They act as a barrier by trapping viruses that you breathe in and moving them out of your airways. Your mucus also contains antimicrobial substances that help to protect you from disease. But breathing in cold, dry air during the winter months can affect the mucus and cilia lining your nose and throat, making them less efficient.

So, if you do come into contact with a virus during the winter months, your body’s defence mechanisms may not be as good at fighting it off if you’re cold. This is especially true as we grow older because our immune systems become weaker with age.

Four tips to stay healthy in winter

More research is needed before we can fully understand the relationship between the cold weather and respiratory illnesses. But for now, there are some things you can do to help keep yourself healthy during the winter months.

  • Adopt good hygiene. You can help prevent the spread of winter bugs by practising good hygiene. Cover your hands and mouth with a tissue when you cough or sneeze and put the tissue in the bin straightaway. Wash your hands thoroughly with soap and warm water and regularly disinfect surfaces. And avoid touching your eyes, nose or mouth until you’ve washed your hands, in case they carry any germs. If you have visitors, try to ventilate rooms before they arrive and for at least 10 minutes after you leave the room.
  • Get vaccinated. You can reduce your risk of getting flu and COVID-19 if you’re vaccinated against them. It’s important to have the flu vaccine each year, as it changes annually to try and match the dominant type (strain) of virus for that year.
  • Practise healthy habits. Living a healthy lifestyle supports your immune system and helps fight off any germs you might come into contact with. Try to eat a healthy diet, get enough sleep, exercise regularly and don’t smoke.
  • Consider taking a vitamin D supplement. Your body makes most of its vitamin D from sunlight. Vitamin D is also found in oily fish, eggs, meat and fortified breakfast cereals. But during the winter months, the lack of sunlight makes it difficult for your body to make the vitamin D it needs. And not getting enough vitamin D can make your immune system more susceptible to infection. In the UK, it’s recommended that all adults and children older than one should consider taking a daily supplement of 10 micrograms of vitamin D during autumn and winter.

Becoming unwell or developing an injury can be disruptive to our busy lives; which is why our health insurance aims to help you get back on your feet sooner rather than later, so you can get back to doing the things you enjoy.

Samantha Wild
Dr Samantha Wild
Clinical Lead for Women's Health and Bupa GP

 

Co-author

Sheila Pinion, Health Content Editor at Bupa UK

    • Moriyama M, Hugentobler WJ, Iwasaki A. Seasonality of respiratory viral infections. Annu Rev Virol 2020;7:83-101. doi:10.1146/annurev-virology-012420-022445.
    • Common cold. Patient. Patient.info/doctor, last edited 30 May 2022.
    • Influenza. Patient. Patient.info/doctor, last edited 17 December 2021.
    • Influenza (seasonal). World Health Organization. who.int, published 6 November 2018.
    • Influenza infection. BMJ Best Practice. bestpractice.bmj.com, last updated 13 December 2022.
    • Common cold: what is it? NICE Clinical Knowledge Summaries. cks.nice.org.uk, last revised February 2022.
    • Upper respiratory tract infection. MedScape. emedicine.medscape.com, updated 11 September 2020.
    • People with symptoms of a respiratory infection including COVID-19. UK Government. gov.uk, last updated 10 June 2022.
    • Coronavirus disease 2019 (COVID-19). BMJ Best Practice. bestpractice.bmj.com, last updated 8 December 2022.
    • Cold, flu or Covid: which is it? British Heart Foundation. bhf.org.uk, updated 8 November 2022.
    • What is the difference between influenza (flu) and COVID-19? Centers for Disease Control and Prevention. cdc.gov, last reviewed 28 September 2022.
    • Wang CC, Prather KA, Sznitman J, et al. Airborne transmission of respiratory viruses. Science 2021;373:eabd9149. doi:10.1126/science.abd9149.
    • Audi Am, Allbrahim M, Kaddoura M, Hijazi G, Yassine HM, Zaraket H. Seasonality of Respiratory Viral Infections: Will COVID-19 Follow Suit? Front Public Health 2020;8:567184. doi:10.3389/fpubh.2020.567184.
    • How flu spreads. Centers for Disease Control and Prevention. cdc.gov, last reviewed 20 September 2022.
    • Common colds: protect yourself and others. Centers for Disease Control and Prevention. cdc.gov, last reviewed 29 November 2021.
    • Nichols GL, Gillingham EL, Macintyre HL, et al. Coronavirus seasonality, respiratory infections and weather. BMC Infect Dis 2021;21:1101. doi:10.1186/s12879-021-06785-2.
    • Ianevski A, Zusinaite et al. Low temperature and low UV indexes correlated with peaks of influenza virus activity in Northern Europe during 2010-2018. Viruses 2019;11(3): 207. doi: 10.3390/v11030207.
    • Huang D, Taha M, Nocera AL, Workman AD, Amiji MM, Bleier BS. Cold exposure impairs extracellular vesicle swarm–mediated nasal antiviral immunity. J Allergy Clin Immunol 2022; published online November 28. doi:10.1016/j.jaci.2022.09.037.
    • Foxman EF, Storer JA, Fitzgerald ME, et al. Temperature-dependent innate defense against the common cold virus limits viral replication at warm temperature in mouse airway cells. Proc Natl Acad Sci USA 2015;112:827-832. doi:10.1073/pnas.1411030112.
    • Tomazic PV, Darnhofer B, Birner-Gruenberger. Nasal mucus proteome and its involvement in allergic rhinitis. Expert Rev Proteomics 2020;17:191-199. doi:10.1080/14789450.2020.1748502.
    • Coughing and sneezing. Centers for Disease Control and Prevention. cdc.gov, last reviewed 15 June 2022.
    • Micronutrient facts. Centers for Disease Control and Prevention. cdc.gov, last reviewed 1 February 2022.
    • Six tips to enhance immunity. Centers for Disease Control and Prevention. cdc.gov, last reviewed 30 September 2021.
    • Vitamins and minerals in a healthy diet. British Nutrition Foundation. nutrition.org.uk, last reviewed June 2021.
    • Top tips for keeping warm and well this winter. UK Government. gov.uk, updated 11 November 2022.
    • Keeping warm and well in winter. Age UK. ageuk.org.uk, last updated 6 January 2023.
    • Bajaj V, Gadi N, Spihlman AP, Wu SC, Choi CH, Moulton VR. Aging, Immunity, and COVID-19: How Age Influences the Host Immune Response to Coronavirus Infections? Front Physiol 2021;11:571416. doi:10.3389/fphys.2020.571416.
    • Vitamin D: food fact sheet. The Association of UK Dietitians. bda.uk.com, reviewed August 2022.
    • Statement from PHE and NICE on vitamin D supplementation during winter. UK Government. gov.uk, published 28 November 2020.
    • Taha R, Abureesh S, Alghamdi S, et al. The Relationship Between Vitamin D and Infections Including COVID-19: Any Hopes? Int J Gen Med 2021;14:3849-3870. doi: 10.2147/IJGM.S317421.
    • Bustamente-Marin XM, Ostrowski LE. Cilia and Mucociliary Clearance. Cold Spring Harb Perspect Biol 2017;9:a028241. doi:10.1101/cshperspect.a028241.

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