Thermoregulatory adjustments during continuous heat exposure

Summary Body temperature regulation was studied in 6 male subjects during an acclimation procedure involving uninterrupted heat exposure for 5 successive days and nights in a hot dry environment (ambient temperature =35° C, dew-point temperature =7° C; air velocity = 0.2 m·s^–1). Data were obtained at rest and during exercise (relative mechanical workload =35% ). At rest, hourly measurements were made of oesophageal and 4 local skin temperatures, to allow the calculation of mean skin temperature, and of body motility and heart rate. During the working periods these measurements were made at 5 min intervals. Hourly whole-body weight loss was measured at rest on a sensitive platform scale while in the working condition just before starting and immediately after completing the bicycle exercise. The results show that, in both exercise and at rest, the successive heat exposures increased the sweat gland output during the first 3 days. Afterwards, sweat rate decreased without any corresponding change, in body temperature. For the fixed workload, the sweat rate decline was associated with a decrease in circulatory strain. Adjustments in both sweating and circulatory mechanisms occur in the first 3 days of continuous heat exposure. The overall sweat rate decline could involve a redistribution of the regional sweating rates which enhances the sweat gland activities of skin areas with maximal evaporative efficiencies.     

The relative influence of physical fitness,acclimatization state,anthropometric measures and gender on individual reactions to heat stress

Summary An experiment was set up to quantify the relative influence of fitness, acclimatization, gender and anthropometric measures on physiological responses to heat stress. For this purpose, 12 male and 12 female subjects were exposed to a neutral [ambient temperature (T _a) 21°C, relative humidity (r.h. 50%)], a warm, humid (T _a 34°C, r.h. 80%) and a hot, dry (T _a 45°C, r.h. 20%) climate at rest and at two exercise intensities [25%, and 45% maximal O₂ intake (VO_2max)], seated seminude in a net chair behind a cycle ergometer. Their physiological responses were recorded and the data submitted to a multiple regression analysis. It was shown that for the variance in heat storage, the percentage of body fat and the surface to mass ratio had relatively the largest influence of all the individual parameters, followed by VO_2max and the sweat rate versus increase in core temperature (total r ²=92%). For the skin temperature variation, the relative influence of individual parameters (sweat gain, VO_2max) was small. For body core temperatures, individual parameters had a large influence. The largest effect was due to the percentage of fat and the surface to mass ratio, followed by the sweating setpoint and, finally, VO_2max (total r ² = 54%–70%). For the variance in heart rate the VO_2max was the most relevant parameter, followed by the setpoint of the sweat rate:rectal temperature relationship (total r ²=88%). Blood pressure and skin blood flow predictions were also shown to improve by the addition of individual characteristics to the model. Body surface area, VO_2max and the sweating setpoint were shown to have a large influence but the proportion of the variance explained by these variables was too small (r ² < 70%) to use them as strain predictors, however. For all the predicted variables, it was shown that gender lost its influence, once VO_2max or anthropometric data were introduced into the prediction equation.     

Effects of heat acclimation of distance runners in a moderately hot environment

Summary Five distance runners (H group) performed a 60 min bicycle exercise at a load of 60–70% VO_{2 max} in a moderately hot environment (T _a: 33.5 C, 60% RH). Following a period of heat acclimation with bench-stepping at a load equal to about 25–30% VO_{2 max}, in a hot environment (T _a: 45–50 C, 30–40% RH) for 9 days, the work test was repeated. Two control subjects (R) performed the same work tests with no heat acclimation. Heat acclimation increased performance time. Rectal temperature, mean skin temperature, heart rate, and Na⁺ concentrations in sweat were lower in H and, with one exception, sweat rate was higher after heat acclimation. All H subjects demonstrated that the linear relationship between sweat rate and rectal temperature was shifted to a lower temperature (threshold shift). This shift correlated with a lowering of resting rectal temperature. The magnitude of the reduction in those two temperatures due to heat acclimation was identical. The observed improvement of work performance in moderate heat following heat acclimation to a higher temperature is attributed to a more efficient thermoregulatory mechanism.     

Effect of voluntary dehydration on thermoregulatory responses to heat in men and women

Summary The effects of dehydration prior to heat exposure on sweating and body temperature were tested in 8 men and 8 women, dehydration being 1.3 and 1.0% of body weight, respectively. The subjects were exposed to 40° C for 60 min. Compared with controls (C), in the dehydrated men (D) there was a longer delay in the onset of sweating (C, 7.8, D, 11.6 min,p<0.05), a lower total sweat loss (C, 153, D, 127 g · m^-2 · h^–1,p< 0.001), and a greater increase in Tre (C, 0.31, D, 0.43° C,p<0.002). In women, dehydration did not influence the control time course of sweating significantly, nor were these significant body temperature increases during heat exposure. Delay in the onset of sweating in women (C, 18.1, D, 18.7 min) was generally longer than in men (C, 7.8, D, 11.6 min), [F(1, 14)=7.41,p<0.05]. A significant correlation was found between the inertia time of sweating and Tre in both control and dehydration conditions in the men (r=0.81,p<0.01). The rectal temperature increases in men were also related to the inertia time of electrical skin resistance (r=0.83,p<0.01). It is concluded that dehydration affects sweating and body temperature in men more severely than in women.This work was supported in part by the Centre National de la Recherche Scientifique and the Polish Academy of Sciences within the Project 10.4     

Effects of passive heat adaptation and moderate sweatless conditioning on responses to cold and heat

Summary Two series of experiments were performed in physically untrained subjects. In series A (heat adaptation, HA), seven male subjects were adapted to dry heat (five consecutive days at 55‡ C ambient air temperature (T_a) for 1 h · day⁻¹) under resting conditions. Before and after HA, the subjects' shivering responses were determined in a cold test (T_a+10 to 0‡ C). In series B, eight male subjects underwent mild exercise training (five consecutive days at a heart rate, HR, of 120b · min⁻¹) under T_a conditions individually adjusted (T_a + 15 to +5‡ C) to prevent both sweating and cold sensations. Before and after “sweatless training≓, the subjects were subjected to a combined cold and heat test. During HA the thresholds for shivering, cutaneous vasodilatation (thumb and forearm) and sweating were shifted significantly (p<0.05) towards lower mean body temperatures ( ). The mean decrease in threshold was 0.36‡ C. “Sweatless training≓ resulted in a mean increase in work rate (at HR 120b · min⁻¹) and oxygen pulse of 13 and 8%, respectively. However, “sweatless training≓ did not change the threshold for shivering or sweating. Neither HA nor “sweatless training≓ changed the slopes of the relationships of shivering and sweating to . It is concluded that the previously reported lowering of shivering and sweating threshold in long-distance runners is not due to an increased fitness level, but is essentially identical with HA. The decreased shivering threshold following HA is interpreted as “cross adaptation≓ produced by the Stressors cold and heat. This study was supported by the Deutsche Forschungsgemeinschaft (Br 184/16-3)     

Thermoregulation during heat exposure of young children compared to their mothers

The study was conducted to investigate the thermoregulation of young children compared to that of adults. A group of 19 children (ages 9 months-4.5 years), with only 3 children aged 3 years or above, and 16 adults first rested in a thermoneutral room (air temperature 25°C relative humidity 50%, air velocity 0.2 m·s^–1). They were then exposed to a hot room (air temperature 35°C, relative humidity 70%, air velocity 0.3 m·s^–) next door for 30 min, and then returned to the thermoneutral room where they stayed for a further 30 min. The rectal temperature (T _re), skin temperatures (T _sk) at seven sites, heart rate (HR), total sweat rate ( ), local sweat rate ( ) and the Na⁺ concentration of the sweat were measured. There was no significant difference inT _re between the children and their mothers in the rest phase. However, theT _re of the children increased as soon as they entered the hot room and was significantly higher than during the control period, and than that of the mothers during heat exposure. MeanT _sk, forehead, abdomen and instepT _sk were significantly higher in the children during both the thermoneutral and heat exposure. The was significantly higher and Na⁺ concentrations in the sweat on the back and upperarm were significantly lower for the children during the heat exposure. They had a greater body surface area-to-mass ratio than the mothers by 64%, which indicated that they had advantages for thermal regulation. However, the sweating andT _sk responses of the children were not enough to prevent a rise in body temperature. These results would suggest that the young children had the disadvantage of heating up easily due to their smaller body sizes and there may be maturation-related differences in thermoregulation during the heat exposure between young children and mothers.     

Circadian variation of sweating responses to passive heat stress

The aim of present study was to examine whether sweating responses to passive heat stress change with the circadian rhythm of internal temperature. Six men had their legs immersed in water at 42 °C for 60 min in an ambient temperature of 28 °C on four separate days. Experiments were conducted at four different times [ 06.00 h (morning), 12.00 h (daytime), 18.00 h (evening) and 24.00 h (night)]. We measured oesophageal temperature (T_oes), mean body temperature T¯_b, local sweating rate m˙_sw on the forehead, back, forearm and thigh, the densities of activated sweat gland (ASG) on the back, forearm and thigh, and the frequency of sweat expulsion per minute (F_sw) which has been suggested to represent central sudomotor activity. Sweat gland output (SGO) on each site was calculated by dividing m˙_sw by ASG. ASG was significantly higher on the forearm than on the back and thigh, and SGO was significantly lower on the forearm than on the back and thigh. However, ASG and SGO did not significantly change over the day. T¯_b and T_oes thresholds for the onset of sweating showed a significant change with both the temperature rhythms at rest prior to each procedure, while the slopes of the relationships F_sw– T¯_b and m˙_sw–F_sw showed no significant difference over the day. We suggest that the circadian variation of sweating response to passive heat stress is regulated by a central sudomotor mechanism rather than by sweat gland function.     

Prolonged residence of temperate natives in the tropics produces a suppression of sweating

Tropical natives possess heat tolerance due to the ability to off-load endogenous and exogenous heat efficiently using a minimum amount of sweat. On the other hand, exposure of temperate natives to heat results in exaggerated production of sweat, of which part is lost by dripping and, thus, not available for evaporation. How sweating is modified in natives of temperate climate zones by prolonged residence in the tropics is not well-understood. The aim of this study was to investigate possible changes in the peripheral sweating mechanisms. Sweating responses to iontophoretically applied acetylcholine (ACh) were compared between Japanese subjects having either permanently resided in Japan (Japan resident Japanese, JRJ) or having stayed in the tropics for 2 years or longer (Tropics resident Japanese, TRJ). Quantitative sudomotor axon reflex tests by iontophoresis of ACh (10%, 2 mA for 5 min) were applied to determine directly activated (DIR) and axon reflex-mediated sweating during [AXR(1)] and after [AXR(2)] ACh iontophoresis. The sweat onset time of AXR(1) was 0.6 min shorter in JRJ than in TRJ (P<0.0001), and AXR(1) (P<0.0004), AXR(2) (P<0.0001), and DIR (P<0.0001) sweating responses were larger in JRJ than in TRJ. AXR and DIR sweating volumes (P<0.0001) were negatively correlated, and sweat onset times (P<0.0001) were positively correlated with the duration of residence in the tropics (2 to 13 years). The observed attenuation of sweating in TRJ suggests that temperate natives may acquire heat tolerance with improved sweating economy similar to tropical natives after prolonged residence in the tropics.     

Predicting sweat loss response to exercise,environment and clothing

Summary Metabolic heat production (M), clothing heat transfer characteristics, and the environment dictate a required evaporative cooling (E_req) from the body to maintain thermal balance. However, the maximal evaporative capacity (E_max) is dictated by vapor transfer properties of the clothing and environment. Relationships between metabolic load, environmental conditions, clothing and sweat loss were studied in 34 heat-acclimatized males categorized into four groups (eight, eight, eight, and ten subjects) and exposed to various environmental conditions (ambient temperature, 20–54 C, and relative humidity, 10–90%), three levels of metabolic rate (resting; walking 1.34 m·s^–1, level; or walking 1.34 m·s^–1, 5% grade) while wearing various clothing ensembles (shorts and T-shirts, fatigues, fatigues plus overgarment, or sweat suit). Individual groups were not exposed to all combinations. Exposures lasted 120 min: either 10 min rest — 50 min exercise — 10 min rest — 50 min exercise, or 120 min at rest. Physiological measurements included heart rate, rectal temperature, mean skin temperature, energy expenditure and sweat loss (m_sw). E_max and E_req were calculated from environmental conditions, metabolism, clothing insulation and permeability. The ratio E_req/m_sw was found to correlate with E_max and not with M. The predictive equation for sweat loss was: m_sw=18.7×E_req×(E_max)^–0.455 within the limits 50req<360; W·m^–2 and 20max<525; W·m^–2. This formula predicts sweat loss for specific work loads, climates and clothing ensembles.     

Local differences in sweat secretion from the head during rest and exercise in the heat

The importance of the head in dissipating body heat under hot conditions is well recognised, although very little is known about local differences in sweat secretion across the surface of the head. In this study, we focused on the intra-segmental distribution of head sweating. Ten healthy males were exposed to passive heating and exercise-induced hyperthermia (36 degrees C, 60% relative humidity, water-perfusion suit: 46 degrees C), with ventilated sweat capsules (3.16 cm(2)) used to measure sweat rates from the forehead and nine sites inside the hairline. Sweat secretion from both non-hairy (glabrous) and hairy areas of the head increased linearly with increments in work rate and core temperature, with heart rate and core temperature peaking at 175 b min(-1) (+/-6) b min(-1) and 39.2 degrees C (+/-0.1). The mean sweat rate during exercise for sites within the hairline was 1.95 mg cm(-2) min(-1). However, the evolution of this secretion pattern was not uniformly distributed within the head, with the average sweat rate for the top of the head being significantly lower than at the anterior lateral aspect of the head (P < 0.05), and representing only 30% of the forehead sweat rate (P < 0.05). It is hypothesised that these intra-segmental observations may reflect variations in the local adaptation of eccrine glands to differences in local evaporation associated either with bipedal locomotion, which will influence forehead sweating, or the hidromeiotic suppression of sweating, which impacts upon sweat glands within the hairline.     

Thermal regulatory responses to submaximal cycling following lower-body cooling in humans

This study compared the effects of pre-exercise cooling with control water immersions on exercise-induced thermal loads derived from steady-state submaximal exercise. Eight healthy male participants [mean (SEM) age 29 (1) years, maximal oxygen uptake 3.81 (0.74) l·min^–1, and body surface area 1.85 (0.11) m²] took part in experiments that included 30 min of baseline data collection [ambient temperature 21.3 (0.2°C)], 30 min of immersion in water to the level of the supra-iliac crest [water temperatures of 35.1 (0.3)°C for thermoneutral and 17.7 (0.5)°C for precooled treatments], and 60 min of cycling exercise at 60% of maximal oxygen uptake. No significant differences were noted during exercise in net mechanical efficiency, metabolic rate, O₂ pulse, or ratings of perceived exertion between the two treatments. Precooling resulted in a significant negative body heat storage during immersion and allowed greater heat storage during exercise. However, net body heat storage for the entire protocol was no different between treatments. Cooling significantly lowered rectal, mean skin, and mean body temperatures as well as more than doubling the exercise time until a 0.5°C rectal temperature increase was observed. The cooling trial significantly delayed onset of sweating by 19.62 min and decreased sweat rate by 255 ml·h^–1 compared to control. Thermal and sweat sensation scores were lower after the cooling treatment compared to control. These data suggest that lower-body precooling is effective at decreasing body heat storage prior to exercise and decreases reliance on heat dissipation mechanisms during exercise. Therefore, this unique, well-tolerated cooling treatment should have a broader application than other precooling treatments. Electronic Publication     

Thermoregulatory responses to intermittent exercise are influenced by knit structure of underwear

Summary The purpose of this study was to evaluate the role of knit structure in underwear on thermoregulatory responses. Underwear manufactured from 100% polypropylene fibres in five different knit structures (1-by-1 rib, fleece, fishnet, interlock, double-layer rib) was evaluated. All five underwear prototypes were tested as part of a prototype clothing system. Measured on a thermal manikin these clothing systems had total thermal resistances of 0.243, 0.268, 0.256, 0.248 and 0.250 m² · K · W^–1, respectively (including a value for the thermal resistance of the ambient environment of 0.104 m² · K · W^–1). Human testing was done on eight male subjects and took place at ambient temperature (T _a)=5°C, dew point temperature (T _dp)=–3.5° C and air velocity (V _a)=0.32 m · s^–1. The test comprised a repeated bout of 40-min cycle exercise (315 W · m^–2; 52%, SD 4.9% maximal oxygen uptake) followed by 20 min of rest (62 W · m^–2). The oxygen uptake, heart rate, oesophageal temperature, skin temperature,T _a,T _dp at the skin and in the ambient air, onset of sweating, evaporation rate, non-evaporated sweat accumulated in the clothing and total evaporative loss of mass were measured. Skin wettedness was calculated. The differences in knit structure of the underwear in the clothing systems resulted in significant differences in mean skin temperature, local and average skin wettedness, non-evaporated and evaporated sweat during the course of the intermittent exercise test. No differences were observed over this period in the core temperature measurements.The views, opinions and/or findings in this report are those of the authors and should not be construed as an official Department of the Army position, policy, or decision, unless so designated by other official documentation     

Effect of facial cooling during heat acclimation process on adaptive changes in sweating activity

On assumptions that tympanic temperature (Tty) reflects brain temperature and that the latter can be lowered by cooling of the face, effect of facial cooling during acclimation process on adaptive changes in sweating activity was examined, in comparison with the results of our previous studies on heat acclimation with controlled hyperthermia. Face fanning, by which Tty was clamped at approximately 37.1 degrees C, was combined with either of the following 9-day acclimation procedures: 90-min heating in a "Sauna box," keeping mean skin temperature slightly above 40 C, or 90-min exercise on a bicycle, clamping rectal temperature (Tre) at approximately 38 degrees C. Each procedure was imposed on the same four male subjects on different occasions, two of whom had participated in our previous experiments. Sweat tests, carried out before and immediately after the completion of the procedure, consisted of measurements of local sweat rates, whole body sweat rate, Tre, Tty, and skin temperatures on 5 areas, and of calculations of mean body temperature (Tb) and the rate of sweat expulsions (Fsw, as an indicator of central sudomotor activity). No or only a slight increase in sweating activity was observed following the acclimation procedures with face fanning, whereas similar procedures without face fanning had resulted in substantial enhancement of sweating activity in most of the cases, which had been attributed mainly to adaptive changes in central sudomotor activity (as indicated by a shift of the regression line relating Fsw to Tb). Similar results were obtained in an additional series of experiments, where the effects of 9-day 90-min exercise in heat, clamping Tre at approximately 38.2 degrees C, with and without facial cooling, were compared with each other in a subject. From the above results it is inferred that Tty reflects brain temperature and that enhancement of sweating activity induced by repeated heat load is strongly impeded, if not accompanied, by an elevation of brain temperature.     

Effect of skin temperature on the ion reabsorption capacity of sweat glands during exercise in humans

The effect of skin temperature on the ion reabsorption capacity of sweat glands during exercise in humans is unknown. In this study, eight healthy subjects performed a 60-min cycling exercise at a constant intensity (60% VO_2max) under moderate (25°C) and cool (15°C) ambient temperatures at a constant relative humidity of 40%. The sweating rate (SR), index of sweat ion concentration (ISIC) by using sweat conductivity, esophageal temperature (Tes), mean skin temperature, and heart rate (HR) were measured continuously under both ambient temperatures. The SR and ISIC were significantly lower at the cool ambient temperature versus the moderate temperature. There were no significant differences in the changes in HR and esophageal temperature between these ambient temperature conditions, while the mean skin temperature was significantly lower at the cool ambient temperature by almost 3°C (P<0.05). The slopes of the relationships between Tes and the SR and ISIC were significantly lower and the thresholds of these relationships were significantly higher at the cool ambient temperature (P<0.05). The ion reabsorption capacity of the sweat glands was significantly lower (P<0.05) in a cool environment (0.21±0.04 vs. 0.52±0.06 mg/cm²/min at 15 and 25°C, respectively) as evaluated using the relationships for SR and ISIC. The results suggest that the ion reabsorption capacity of the sweat glands is influenced by skin temperature during exercise in humans.     

Dynamics of sweating in men and women during passive heating

Summary The dynamics of sweating was investigated at rest in 8 men and 8 women. Electrical skin resistance (ESR), rectal temperature (T_re) and mean skin temperature were measured in subjects exposed to 40‡ C environmental temperature, 30% relative air humidity, and 1 m · s⁻¹ air flow. Sweat rate was computed from continuous measurement of the whole body weight loss. It was found that increases in T_re, and mean body temperature were higher in women than in men by 0.16, 0.38 and 0.21‡ C, but only the difference in δ was significant (p<0.05). The dynamics of sweating in men and women respectively, was as follows: delay (t_d) 7.8 and 18.1 min (p<0.01), time constant (Τ) 7.5 and 8.8 min (N.S.), inertia time (t_i) 15.3 and 26.9 min (p<0.002), and total body weight loss 153 and 111 g · m⁻² · h⁻¹ (p<0.001). Dynamic parameters of ESR did not differ significantly between men and women. Inertia times of ESR and sweat rate correlated in men (r=0.93, p<0.001), and in women (r=0.76, p<0.02). In men, δ T_re correlated with inertia time of sweat rate (r=0.81, p<0.01) as well as with the inertia time of ESR (r=0.83, p<0.001). No relation was found between δ T_re and the dynamics of sweating in women. It is concluded that the dynamics of sweating plays a decisive role in limiting δ T_re in men under dry heat exposure. The later onset of sweating in women does not influence the rectal temperature increase significantly. In women, δ T_re is probably limited by a complex interaction of sweating, skin blood flow increase, and metabolic rate decrease. This work was supported by the Centre National de la Recherche Scientifique and Polish Academy of Siences     

Effect of restricted potassium intake on its excretion and on physiological responses during heat stress

Summary The effect of low potassium (K⁺) intake on its excretion, concentration in sweat and on physiological responses during heat stress was evaluated on eight Indian male soldiers in winter months at Delhi. After a stabilization period of 3 days on each diet, i.e., 85 mEq of K⁺/d (diet I, normal), 55 mEq of K⁺/d (diet II), and 45 mEq of K⁺/d (diet III), the physiological responses and the sodium and potassium concentrations in sweat, plasma, RBC, and urine were measured when the subjects were exposed to heat for 3 h daily in a climatic chamber maintained at 40 C DB and 32 C WB. The subjects worked in the chamber at the rate of 465 W/h for 20 min periods with 40 min rest between each period of exercise. The whole body sweat was collected after the first spell of work and was analysed for sodium and potassium levels.Throughout the study the subjects remained on positive sodium balance except on day 4 in diet III. Fluid balance also remained positive while potassium balance was negative in subjects on diet II and diet III. There was no significant change in heart rate, sweat volume, oral temperature, sodium, and potassium concentrations in plasma and RBC during the entire period of the study. Even in the subjects with negative potassium balance there was no change in the sodium and potassium concentrations in sweat during exercise in heat. The only evidence of potassium conservation was a reduced excretion in urine. Out of the eight subjects, in one subject there was a flattening of the T wave in the ECG and reduction in amplitude of the T wave in two more subjects. As there is no reduction in sweat potassium concentration and the urine volume is low, the marginal level of reduced excretion of potassium in urine with a high rate of sweating (7–81) in subjects doing work in the tropics, there is every likelihood of potassium deficiency if a liberal intake is not ensured.     

Acute and adaptive responses in humans to exercise in a warm, humid environment

 Acute and repeated exposure for 8–13 consecutive days to exercise in humid heat was studied. Twelve fit subjects exercised at 150 W [45% of maximum O₂ uptake (V.O₂,_max)] in ambient conditions of 35°C and 87% relative humidity which resulted in exhaustion after 45 min. Average core temperature reached 39.9 ± 0.1°C, mean skin temperature (T– _sk) was 37.9 ± 0.1°C and heart rate (HR) 152 ± 6 beats min^–1 at this stage. No effect of the increasing core temperature was seen on cardiac output and leg blood flow (LBF) during acute heat stress. LBF was 5.2 ± 0.3 l min^–1 at 10 min and 5.3 ± 0.4 l min^–1 at exhaustion (n = 6). After acclimation the subjects reached exhaustion after 52 min with a core temperature of 39.9 ± 0.1°C, T– _sk 37.7 ± 0.2°C, HR 146 ± 4 beats min^–1. Acclimation induced physiological adaptations, as shown by an increased resting plasma volume (3918 ± 168 to 4256 ± 270 ml), the lower exercise heart rate at exhaustion, a 26% increase in sweating rate, lower sweat sodium concentration and a 6% reduction in exercise V.O₂. Neither in acute exposure nor after acclimation did the rise of core temperature to near 40°C affect metabolism and substrate utilization. The physiological adaptations were similar to those induced by dry heat acclimation. However, in humid heat the effect of acclimation on performance was small due to physical limitations for evaporative heat loss. Received: 3 July 1996 / Received after revision: 26 September 1996 / Accepted: 7 January 1997     

Influence of repeated passive body heating on subsequent night sleep in humans

Summary Experiments were carried out on four healthy male subjects in two separate sessions: (a) A baseline period of two consecutive nights, one spent at thermoneutrality [operative temperature (T _o)=30°C, dew-point temperature (T _dp)=7°C, air velocity (V _a)=0.2 m·s⁻¹] and the other in hot condition (T _o=35°C,T _dp=7°C,V _a=0.2 m·s⁻¹). During the day, the subjects lived in their normal housing and were engaged in their usual activities. (b) An acclimation period of seven consecutive daily heat exposures from 1400 to 1700 hours (T _o=44°C,T _dp=29°C,V _a=0.3 m·s⁻¹). During each night, the subjects slept in thermoneutral or in hot conditions. The sleep measurements were: EEG from two sites, EOG from both eyes, EMG and EKG. Esophageal and ten skin temperatures were recorded continuously during the night. In the nocturnal hot conditions, a sweat collection capsule recorded the sweat gland activity in the different sleep stages. Results showed that passive body heating had no significant effect on the sleep structure of subsequent nights at thermoneutrality. In contrast, during nights atT _o=35°C an effect of daily heat exposure was observed on sleep. During the 2nd night of the heat acclimation period, sleep was more restless and less efficient than during the baseline night. The rapid eye movement sleep duration was reduced, while the rate of transient activation phases observed in sleep stage 2 increased significantly. On the 7th night, stage 4 sleep increased (+68%) over values observed during the baseline night. The sweating adaptive mechanisms of heat acclimation persisted only in stage 4 sleep. The results indicated that body temperature rhythmicity was maintained in the heat by an increase in stage 4 sleep which reduced core temperature during the first part of the night.     

Thermal and metabolic responses to heat exposure in obesity

Summary Thirteen obese and 13 lean women were each exposed to a hot-humid condition (T_db=47 C, T_wb=39 C) for 1 h. Measurements included rates of heart beat, respiration, sweat evaporation, and resting metabolism, and the rectal and mean skin temperatures. Resting metabolic rate was calculated from oxygen consumption and carbon dioxide production. The obese subjects were more tolerant of heat than were lean subjects, as indicated by the smaller thermal and metabolic responses of the obese.     

Residual analysis in the determination of factors affecting the estimates of body heat storage in clothed subjects

Body heat storage can be estimated by calorimetry (from heat gains and losses) or by thermometry [from changes (Δ) in mean body temperature (T _b) calculated as a weighted combination of rectal (T _re) and mean skin temperatures (T _sk)]. If an invariant weighting factor ofT _re andT _sk were to be used (for instance, ΔT _b = 0.8 · ΔT _re + 0.2 · ΔT _sk under hot conditions), body heat storage could be over- or underestimated substantially relative to calorimetry, depending on whether the subject was wearing light or protective clothing. This study investigated whether discrepancies between calorimetry and thermometry arise from methodological errors in the calorimetric estimate of heat storage, from inappropriate weightings in the thermometric estimate, or from both. Residuals of calorimetry versus thermometric estimates were plotted against individual variables in the standard heat balance equation, applying various weighting factors toT _re andT _sk. Whether light or protective clothing was worn, the calorimetric approach generally gave appropriate estimates of heat exchange components and thus heat storage. One exception was in estimating latent heat loss from sweat evaporation. If sweat evaporation exceeded 650 g·h⁻¹ when wearing normal clothing, evaporative heat loss was overestimated and thus body heat storage was underestimated. Nevertheless, if data beyond this ceiling were excluded from the analyses, the standard 4:1 weighting matched calorimetric heat storage estimates quite well. When wearing protective clothing, the same 4:1 weighting approximated calorimetric heat storage with errors of less than approximately 10%, but only if environmental conditions allowed a subject to exercise for more than 90 min. The best thermometric estimates of heat storage were provided by using two sets of relative weightings, based upon the individual's metabolic heat production ( in kilojoules per metre squared per hour): {4 − [( )· ] 2}:1 for an initial, thermoneutral environment and {4 + [( ) · ] · 5}: 1 for a final, hot environment; the optimal value of lay between 450 and 500 kJ m⁻² · h⁻¹. We concluded that the accuracy of thermometric estimates of heat storage can be improved by modifying weighting factors ofT _re andT _sk according to the environment, type of clothing, and metabolic rate.