This PRISMA-adherent systematic review searched PubMed, Scopus, and the Cochrane Library for studies (2017–2024) on physiological or behavioral responses to EMF exposure, emphasizing studies reporting harmful or concerning effects. Across 24 included studies (human non-randomized, in vitro, and animal), the review reports negative biological effects including oxidative stress, inflammation, genotoxicity, cardiovascular and fertility-related outcomes, neuronal activity changes, and plant photosynthesis impacts. The authors report that most studies had moderate to high risk of bias and therefore the overall certainty of evidence was lower, and they highlight major gaps in long-term human evidence and exposure standardization.

This systematic review evaluated RF EMF exposure and cancer outcomes in experimental animals, including chronic cancer bioassays and tumor-promotion designs. Across 52 included studies, the authors report high certainty of evidence for increased malignant heart schwannomas and gliomas in male rats, and moderate certainty for increased risks of several other tumor types. Many other organ systems showed no or minimal evidence of carcinogenic effects, and the authors note challenges in translating animal findings to human risk assessment due to exposure and mechanistic uncertainties.