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 review describes public concerns and scientific reports of non-thermal biological effects from low-intensity ELF and RF exposures. It lists multiple health endpoints reported to be associated with ELF and/or RF and highlights the BioInitiative Report’s conclusion that a reasonable suspicion of risk exists at environmentally relevant levels. The authors argue that existing public exposure standards should be lowered and that mobile phone SAR guidelines should be revised based on biology and long-term risk claims.