A variety of factors ranging from ethnicity and occupants’ lifestyles to local climatic characteristics of any studied location and people’s age factors can affect thermal comfort assessment globally. Due to the detrimental impact of climate change, the building industry has started to implement energy efficiency schemes while considering the thermal comfort of vulnerable population both for the society and any sphere of economy. Although, considering human-based approaches have been neglected by other scholars in thermal comfort studies. This paper reviews energy effectiveness of state-of-the-art passive systems in providing neutral adaptive thermal comfort for elderly people, through exploring passive design strategies in four distinct climates namely, Canada, India, Abu Dhabi and the South-eastern Mediterranean basin. The aim of the study is to analyze the available data provided by the ASHRAE Global Thermal Comfort Database II version record 2.1. The main objective of the study is to develop an effective methodological framework for the on-going development of adaptive thermal comfort theory. To this extend, this study presents a comprehensive review on the assessment of energy effectiveness of passive design systems. To accomplish this, the impact of climate change factor in passive design systems was investigated. The meta-analysis method was adopted to determine the input variables for the statistical analysis. Cramer’s V and Fisher’s Exact tests were used to assess occupants’ thermal sensation votes (TSVs). The findings revealed that there are discrepancies detected between the in-situ field experiments and the data recorded in the ASHRAE Global Thermal Comfort Database II. According to the Köppen-Geiger climate classification, it was found from the study that the slightly high temperature fluctuations were identified in India where the weather is dry and savanna climate. The study findings contribute to the development of adaptive thermal comfort theory by reviewing the existing methodologies globally. Furthermore, a critical review on the significance of occupants’ age differences should be conducted in the identification of neutral adaptive thermal comfort.