Safe cooling limits from exercise-induced hyperthermia

We evaluated the cooling rate of hyperthermic subjects, as measured by three estimates of deep core temperatures (esophageal, rectal and aural canal temperatures), during immersion in a range of water temperatures. The objective of the study was to compare the three indices of core temperature and define safe cooling limits when using rectal temperature to avoid the development of hypothermia. On 4 separate days, seven subjects (four males, three females) exercised for 45.4±4.1 min at 65% at an ambient temperature of 39°C, RH: 36.5%, until rectal temperature (T _re) increased to 40.0°C (39.5°C for two subjects). Following exercise, the subjects were immersed in a circulated water bath controlled at 2, 8, 14 and 20°C until T _re returned to 37.5°C. When T _re reached normothermia during the cooling period (37.5±0.05°C), both esophageal (T _es) (35.6±1.3°C) and aural canal (T _ac) (35.9±0.9°C) temperatures were approaching or reaching hypothermia, particularly during immersion in 2°C water (T _es=34.5±1.2°C). On the basis of the heat loss data, the heat gained during the exercise was fully eliminated after 5.4±1.5, 7.9±2.9, 10.4±3.8 and 13.1±2.8 min of immersion in 2, 8, 14 and 20°C water, respectively, with the coldest water showing a significantly faster cooling rate. During the immersion in 2°C water, a decrease of only 1.5°C in T _re resulted in the elimination of 100% of the heat gained during exercise without causing hypothermia. This study would therefore support cooling the core temperature of hyperthermic subjects to a rectal temperature between 37.8°C (during immersion in water >10°C) and 38.6°C (during immersion in water <10°C) to eliminate the heat gained during exercise without causing hypothermia.     

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.     

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.     

Control of heat-induced cutaneous vasodilatation in relation to age

Summary Well matched unacclimatised older (age 55–68, 4 women, 2 men) and younger (age 19–30, 4 women, 2 men) subjects performed 75 min cycle exercise (40% ) in a hot environment (37°C, 60% rh). Rectal temperature (T _re), mean skin temperature (¯T _sk), arm blood flow (ABF, strain gauge plethysmography), and cardiac output (Q, CO₂ rebreathing) were measured to examine age-related differences in heat-induced vasodilatation.T _re and¯T _sk rose to the same extent in each group during the exposure. There was no significant intergroup difference in sweat rate (older: 332±43 ml · m^–2 · h^–1, younger: 435±49 ml · m^–2 · h^–1; mean±SEM). However, the older subjects responded to exercise in the heat with a lower ABF response which could be attributed to a lower for the same exercise intensity. The slope of the ABF-T _re relationship was attenuated in the older subjects (9.3±1.3 vs 17.9±3.3 ml · 100 ml^–1 · min^–1 · °C^–1,p <0.05), but theT _re threshold for vasodilatation was about 37.0°C for both groups. These results suggest an altered control of skin vasodilatation during exercise in the heat in older individuals. This attenuated ABF response appears to be unrelated to , and may reflect an age-related change in thermoregulatory cardiovascular function.     

Aerobically trained individuals have greater increases in rectal temperature than untrained ones during exercise in the heat at similar relative intensities

To determine if the increases in rectal temperature (T _REC) during exercise in the heat at a given percent of [(V)\dot]O_2 \textpeak \dot{V}\hbox{O}_{{2\,{\text{peak}}}} depend on a subject’s aerobic fitness level. On three occasions, 10 endurance-trained (Tr) and 10 untrained (UTr) subjects ([(V)\dot]O_2 peak \dot{V}\hbox{O}_{2\,{\rm peak}} : 60 ± 6 vs. 44 ± 3 mL kg⁻¹ min⁻¹, P < 0.05) cycled in a hot-dry environment (36 ± 1°C; 25 ± 2% humidity, airflow 2.5 m s⁻¹) at three workloads (40, 60, and 80% [(V)\dot]O_2 peak \dot{V}\hbox{O}_{2\,{\rm peak}} ). At the same percent of [(V)\dot]O_2 peak \dot{V}\hbox{O}_{2\,{\rm peak}} , on average, Tr had 28 ± 5% higher heat production but also higher skin blood flow (29 ± 3%) and sweat rate (20 ± 7%; P = 0.07) and lower skin temperature (0.5°C; P < 0.05). Pre-exercise T _REC was lower in the Tr subjects (37.4 ± 0.2 vs. 37.6 ± 0.2; P < 0.05) but similar to the UTr at the end of 40 and 60% [(V)\dot]O_2 peak \dot{V}\hbox{O}_{2\,{\rm peak}} trials. Thus, exercise T _REC increased more in the Tr group than in the UTr group (0.6 ± 0.1 vs. 0.3 ± 0.1°C at 40% [(V)\dot]O_2 peak \dot{V}\hbox{O}_{2\,{\rm peak}} and 1.0 ± 0.1 vs. 0.6 ± 0.3°C at 60% [(V)\dot]O_2 peak \dot{V}\hbox{O}_{2\,{\rm peak}} ; P < 0.05). At 80% [(V)\dot]O_2 peak \dot{V}\hbox{O}_{2\,{\rm peak}} not only the increase in T _REC (1.7 ± 0.1 vs. 1.3 ± 0.3°C) but also the final T _REC was larger in Tr than in UTr subjects (39.15 ± 0.1 vs. 38.85 ± 0.1°C; P < 0.05). During exercise in the heat at the same relative intensity, aerobically trained individuals have a larger rise in T _REC than do the untrained ones which renders them more hyperthermic after high-intensity exercise.     

Efficacy of body ventilation system for reducing strain in warm and hot climates

This study determined whether a torso-vest forced ambient air body ventilation system (BVS) reduced physiological strain during exercise-heat stress. Seven heat-acclimated volunteers attempted nine, 2-h treadmill walks at 200 W m⁻² in three environments, −40°C, 20% rh (HD), 35°C, 75% rh (HW), and 30°C, 50% rh, (WW) wearing the Army Combat Uniform, interceptor body armor (IBA) and Kevlar helmet. Three trials in each environment were BVS turned on (BVS_On), BVS turned off (BVS_Off), and no BVS (IBA). In HD, BVS_On significantly lowered core temperature (T _re), heart rate (HR), mean skin temperature (T _sk), mean torso skin temperature (T _torso), thermal sensation (TS), heat storage (S), and physiological strain index (PSI), versus BVS_Off and IBA (P < 0.05). For HW (n = 6), analyses were possible only through 60 min. Exercise tolerance time (min) during HW was significantly longer for BVS_On (116 ± 10 min) versus BVS_Off (95 ± 22 min) and IBA (96 ± 18 min) (P < 0.05). During HW, BVS_On lowered HR at 60 min versus IBA, T _sk from 30 to 60 min versus BVS_Off and IBA, and PSI from 45 to 60 min versus BVS_Off and at 60 min versus IBA (P < 0.05). BVS_On changes in T _re and HR were lower in HD and HW. During WW, BVS_On significantly lowered HR, T _sk, and T _torso versus BVS_Off and IBA (P < 0.05) during late exercise. Sweating rates were significantly lower for BVS_On versus BVS_Off and IBA in both HD and WW (P < 0.05), but not HW. These results indicate that BVS_On reduces physiological strain in all three environments by a similar amount; however, in hot-dry conditions the BVS_Off increases physiological strain.     

DEET insect repellent: effects on thermoregulatory sweating and physiological strain

Insect repellents (e.g. N,N-diethyl-m-toluamide or DEET) applied to the skin can potentially interfere with sweat production and evaporation, thus increasing physiological strain during exercise-heat stress. The purpose was to determine the impact of 33% DEET lotion on sweating responses, whole body thermoregulation and thermal sensation during walking exercise in the heat. Nine volunteers (2 females, 7 males; 22.1 ± 4.9 years; 176.4 ± 10.0 cm; 79.9 ± 12.9 kg) completed 5 days of heat acclimation (45°C, 20% rh; 545 watts; 100 min/day) and performed three trials: control (CON); DEET applied to forearm (DEET_LOC, 12 cm²); and DEET applied to ~13% body surface area (DEET_WB,). Trials consisted of 30 min walking (645 watts) in 40°C, 20% rh environment. Local sweat rate (SR), onset and skin wettedness were measured in DEET_LOC, and heart rate (HR), rectal temperature (T _re), skin temperature (T _sk), RPE, and thermal sensations (TS) were measured during DEET_WB. No differences (p > 0.05) were observed between DEET_LOC versus CON, respectively, for steady state SR (1.89 ± 0.44 vs. 2.09 ± 0.84 mg/cm²/min), SR area under the curve (46.9 ± 11.7 vs. 55.0 ± 20.8 mg/cm²), sweating onset, or skin wettedness. There were no differences (p > 0.05) in HR, T _re, T _sk, Physiological Strain Index, RPE or TS between DEET_WB versus CON. DEET did not impact measures of local forearm sweating and when applied according to military doctrine, did not adversely impact physiological responses during exercise-heat stress. DEET can be safely worn during military, occupational and recreational activities in hot, insect infested environments.     

Differences in rectal temperatures measured at depths of 4–19 cm from the anal sphincter during exercise and rest

The purpose of the present study was to examine the discrepancies in rectal temperature (T _re) at various depths. Nineteen young males performed two bouts of bicycle exercise and recovery. T _re was simultaneously measured at depth of 4, 6, 8, 10, 13, 16, and 19 cm, alongside the measurement of skin temperatures. We found small but statistically significant differences by depth in the absolute T _re, the magnitude of rise in T _re and the lag of response in T _re. During the stabilization stage before exercise, T _re at 4 cm-depth was 0.5°C lower than T _re at 16 cm-depth (p < 0.05). As the depth measured in the rectum was shallower, the rise in T _re during exercise was greater. However the rise in T _re at 10, 13, 16 and 19 cm showed no systemic difference. Among seven depths, T _re at 16 cm-depth had the most stable feature with the longest latent period (3.1 ± 1.3 min) and the smallest rise (0.8 ± 0.3°C), while T _re at 4 cm-depth was the most responsive to the change of exercise and rest with the shortest latent period (1.0 ± 0.6 min) and the greatest rise (1.2 ± 0.5°C). The differences observed in the depths from 4 to 19 cm were offset by exercise to some extent. In summary, T _re appeared in different manners according to the seven depths during the repetition of exercise and rest, but T _re deeper than 10 cm-depth seemed to have no systematic differences.     

Seasonal changes in circadian rhythms of body temperatures in humans living in a dry tropical climate

Summary Seven volunteers (3 females and 4 males; 3 Caucasians and 4 Africans) participated in two 24 h sessions during the cool dry (CD) and the hot dry (HD) seasons of the sahelian tropical climate. Body temperatures were taken on portable cassette recorders for 24 h. Rectal (T _re) and mean skin (¯T _sk) temperatures decreased in the HD compared to the CD conditions, meeting one of the criteria for adaptation to heat. No ethnic differences in thermal responses were found. Males and females differed in their body temperature rhythms and in their reactions to heat. Body temperatures were higher in females than in males. Males reacted to heat with a decrease in T _re, without change in the T _re-¯T _sk gradient. Females showed a decrease in both T _re and ¯T _sk, more marked for ¯T _sk, with an increase in the T _re-¯T _sk gradient. It was concluded that males showed seasonal acclimatization to heat via a decrease in metabolism confirmed by a decrease in plasma levels of thyroid stimulating hormone (TSH) in the HD condition. Females showed a mixed metabolic and thermolytic type of acclimatization, with an absence of variation in plasma TSH levels. In conclusion, the steady rise in temperature between the CD and HD conditions was sufficient to trigger an acclimatization to heat similar in Caucasian and African subjects, although exposure to the external climate differed widely.     

One night of sleep deprivation decreases treadmill endurance performance

The aim was to test the hypothesis that one night of sleep deprivation will impair pre-loaded 30 min endurance performance and alter the cardio-respiratory, thermoregulatory and perceptual responses to exercise. Eleven males completed two randomised trials separated by 7 days: once after normal sleep (496 (18) min: CON) and once following 30 h without sleep (SDEP). After 30 h participants performed a 30 min pre-load at 60% $ \dot{V}{\text{O}}_{2\max } $ followed by a 30 min self-paced treadmill distance test. Speed, RPE, core temperature (T _re), mean skin temperature (T _sk), heart rate (HR) and respiratory parameters ( $ \dot{V}{\text{O}}_{2} $ , $ \dot{V}{\text{CO}}_{2} $ , $ \dot{V}{\text{E}} $ , RER pre-load only) were measured. Less distance (P = 0.016, d = 0.23) was covered in the distance test after SDEP (6037 (759) 95%CI 5527 to 6547 m) compared with CON (6224 (818) 95%CI 5674 to 6773 m). SDEP did not significantly alter T _re at rest or thermoregulatory responses during the pre-load including heat storage (0.8°C) and T _sk. With the exception of raised $ \dot{V}{\text{O}}_{2} $ at 30 min on the pre-load, cardio-respiratory parameters, RPE and speed were not different between trials during the pre-load or distance test (distance test mean HR, CON 174 (12), SDEP 170 (13) beats min^?1: mean RPE, CON 14.8 (2.7), SDEP 14.9 (2.6)). In conclusion, one night of sleep deprivation decreased endurance performance with limited effect on pacing, cardio-respiratory or thermoregulatory function. Despite running less distance after sleep deprivation compared with control, participants’ perception of effort was similar indicating that altered perception of effort may account for decreased endurance performance after a night without sleep.     

Assessing neonatal heat balance and physiological strain in newborn infants nursed under radiant warmers in intensive care with fentanyl sedation

Purpose

To assess heat balance status of newborn infants nursed under radiant warmers (RWs) during intensive care.

Methods

Heat balance, thermal status and primary indicators of physiological strain were concurrently measured in 14 newborns nursed under RWs for 105 min. Metabolic heat production (M), evaporative heat loss (E), convective (C) and conductive heat flow (K), rectal temperature (T _re) and mean skin temperatures (T _sk) were measured continuously. The rate of radiant heat required for heat balance (R _req) and the rate of radiant heat provided (R _prov) were derived. The rate of body heat storage (S) was calculated using a two-compartment model of ‘core’ (T _re) and ‘shell’ (T _sk) temperatures.

Results

Mean M, E, C and K were 10.5 ± 2.7 W, 5.8 ± 1.1 W, 6.2 ± 0.8 W and 0.1 ± 0.1 W, respectively. Mean R _prov (1.7 ± 2.6 W) and R _req (1.7 ± 2.7 W) were similar (p > 0.05). However, while the resultant mean change in body heat content after 105 min was negligible (–0.1 ± 3.7 kJ), acute time-dependent changes in S were evidenced by a mean positive heat storage component of +6.4 ± 2.6 kJ and a mean negative heat storage component of –6.5 ± 3.7 kJ. Accordingly, large fluctuations in both T _re and T _sk occurred that were actively induced by changes in RW output. Nonetheless, no active physiological responses (heart rate, breathing frequency and mean arterial pressure) to these bouts of heating and cooling were observed.

Conclusions

RWs maintain net heat balance over a prolonged period, but actively induce acute bouts of heat imbalance that cause rapid changes in T _re and T _sk. Transient bouts of heat storage do not exacerbate physiological strain, but could in the longer term.     

Seasonal variation in sweating responses of older and younger men

Eight older (60–65 years) and six younger (20–25 years) men were exposed to a standard heat stress for 60 min in summer, autumn, winter, and spring. The test consisted of placing the lower legs and feet in a 42°C water bath while sitting in constant environmental conditions (30°C and 45% relative humidity). The increase of rectal temperature (T _re) was significantly greater (P < 0.05) in autumn, winter, and spring than in summer for the older group, but significantly greater only in winter than in summer for the younger group (P < 0.05). The T _re was greater for the older group in all seasons, but of significance only in autumn and spring (P < 0.01). There were no significant season-related differences for metabolic heat production (m) and mean skin temperature ( _sk) during the heat test in the respective groups, although the m and _sk were lower for the older group in all seasons (P < 0.01). In the older group total body sweating rate (m_sw) divided by T _re (total m_sw/T _re) decreased from summer to winter (P < 0.02) and did not differ between winter and spring, whereas total m_sw/T _re in the younger group increased in spring after decreasing from autumn to winter (P < 0.03). The variations of the value, local sweating rate on the back and thigh divided by T _re (back m_sw/T _re and thigh m_sw/T _re), were similar to those of the total m_sw/T _re in each group, except for back m_sw/T _re in the younger group, which did not increase from winter to spring. The total m_sw/T _re, back m_sw/T _re and thigh m_sw/T _re were significantly less for the older group in summer, autumn and spring (P < 0.05). The range of seasonal variations was significantly less for the older group (P < 0.001). The results indicated that, compared with younger men in older men, the enhancement of sweating function toward summer occurred later and its reduction toward winter occurred earlier despite a smaller range of seasonal variation and that older men had a somewhat lesser capability to maintainT _re when challenged by heat stress in all seasons.     

The influence of menthol on thermoregulation and perception during exercise in warm, humid conditions

Menthol has recently been added to various cooling products that claim to enhance athletic performance. This study assessed the effect of two such solutions during exercise in warm, humid conditions. Twelve participants (22 ± 2.9 years; [(V)\dot]\textO_2\textpeak \dot{V}{\text{O}}_{{2{\text{peak}}}} 47.4 ± 6.2 mL kg⁻¹ min⁻¹) completed a peak power (PO_peak) test and three separate exercise bouts in 30°C and 70% relative humidity after being sprayed with 100 mL of water containing either 0.05 or 0.2% l-menthol, or a control spray. During each trial, participants underwent 15 min of rest, spraying, 15 min of rest and 45 min of exercise at 45% of PO_peak. The following variables were measured: rectal temperature (T _re), sweat rate (SR), skin blood flow (SBF), heart rate (HR), thermal comfort (TC) and sensation (TS) votes, irritation (IRR) and rating of perceived exertion (RPE). Mean skin (MST) and body temperatures ( [`(T)]<sub>\textbody</sub> \bar{T}_{\text{body}} ) were calculated. There was no significant difference in MST, [`(T)]_\textbody \bar{T}_{\text{body}} SR, SBF, HR, TC or RPE between conditions. Spraying with 0.2% menthol significantly (P < 0.05) elevated T _re by 0.2°C compared to the other conditions. Both menthol sprays caused participants to feel significantly cooler than control spraying (P = 0.001), but 0.2% spraying induced significantly cooler sensations (P = 0.01) than 0.05% spraying. Both menthol sprays induced greater irritation (P < 0.001) than control spraying. These findings suggest that 0.05% menthol spraying induced cooler upper body sensations without measurable thermoregulatory impairment. T _re was significantly elevated with 0.2% spraying. Irritation persisted with both menthol sprays while TC remained unchanged, suggesting a causal relationship. The use in sport of a spray similar to those tested here remains equivocal.     

Effects of metabolic rate and ambient vapour pressure on heat strain in protective clothing

Studies have shown that variations in ambient water vapour pressure from 1.7 to 3.7 kPa have little effect on heat tolerance time at a metabolic rate above 450 W while wearing protective clothing. With lighter exercise, where tolerance times exceed 60 min, variations in vapour pressure have a significant impact on evaporative heat loss and, therefore, heat tolerance. The present study has examined whether these findings extend to conditions with more extreme variations in vapour pressure. Twelve males performed light (L, 350 W) and heavy (H, 500 W) exercise at 40°C in a dry (D, 1.1 kPa) and humid (H, 4.8 kPa) environment while wearing a semi-permeable nuclear, biological and chemical protective clothing ensemble (0.29 m²×°C⁻¹·W⁻¹ or 1.88 clo; Woodcock vapour permeability coefficient,i _m=0.33). Partitional calorimetry was used to determine the rate of heat storage ( ) with evaporative heat loss from the skin ( ) calculated from changes in dressed mass or the physical properties of the clothing and the vapour pressure gradient between the skin and the environment. Skin vapour pressure was predicted from measurements of water vapour pressure above the skin surface and in the clothing with humidity sensors coupled with thermistors. Final mean skin temperature ( _sk) was higher for the humid trials and averaged 37.4 (0.3)°C, 38.9 (0.4)°C, 37.6 (0.5)°C and 38.5 (0.4)°C for LD, LH, HD and HH, respectively. Final rectal temperature (T _re ) was higher for D with respective values for LD, LH, HD and HH of 39.0 (0.4)°C, 38.7 (0.4)°C, 38.8 (0.4)°C and 38.5 (0.4)°C. Tolerance time was significantly different among the trials and averaged 120.3 (19.3) min, 54.8 (7.3) min, 63.5 (6.9) min and 36.8 (3.1) min for LD, LH, HD and HH, respectively. was overestimated and, therefore, was underestimated when the changes in dressed mass were used to determine evaporative heat loss. When skin vapour pressure determined from the humidity sensor data was used to calculate , heat storage was significantly different among the trials and averaged 15.0 (3.0), 13.0 (1.8), 14.2 (2.6) and 12.2 (1.9) kJ·kg⁻¹ for LD, LH, HD and HH, respectively. It was concluded that while wearing the protective clothing all indices of heat strain, including tolerance time, were significantly affected by the change in ambient water vapour pressure from 1.1 to 4.8 kPa during both light and heavy exercise.     

Prediction of the average skin temperature in warm and hot environments

The prediction of the mean skin temperature used for the Required Sweat Rate index was criticised for not being valid in conditions with high radiation and high humidity. Based on a large database provided by 9 institutes, 1999 data points obtained using steady-state conditions, from 1399 experiments and involving 377 male subjects, were used for the development of a new prediction model. The observed mean skin temperatures ranged from 30.7 °C to 38.6 °C. Experimental conditions included air temperatures (T _a) between 20 and 55 °C, mean radiant temperatures (T _r) up to 145 °C, partial vapour pressures (P _a) from 0.2 to 5.3 kPa, air velocities (v _a) between 0.1 and 2 m/s, and metabolic rates (M) from 102 to 620 W. Rectal temperature (T _re) was included in the models to increase the accuracy of prediction. Separate models were derived for nude (clothing insulation, I_cl, ≤0.2 clo, where 1 clo=0.155 m² · °C · W⁻¹, which is equivalent to the thermal insulation of clothing necessary to maintain a resting subject in comfort in a normally ventilated room, air movement=10 cm/s, at a temperature of 21 °C and a humidity of less than 50%) and clothed (0.6 ≤ I_cl ≤ 1.0 clo) subjects using a multiple linear regression technique with re-sampling (non-parametric bootstrap). The following expressions were obtained for nude and clothed subjects, respectively: T _sk=7.19 + 0.064T _a + 0.061T _r + 0.198P _a− 0.348v _a + 0.616T _re and T _sk=12.17 + 0.020T _a + 0.044T _r + 0.194P _a − 0.253v _a + 0.0029M + 0.513T _re. For the nude and clothed subjects, 83.3% and 81.8%, respectively, of the predicted skin temperatures were within the range of ±1 °C of the observed skin temperatures. It is concluded that the proposed models for the prediction of the mean skin temperature are valid for a wide range of warm and hot ambient conditions in steady-state conditions, including those of high radiation and high humidity. Accepted: 7 February 2000     

Quantification of the decay and re-induction of heat acclimation in dry-heat following 12 and 26 days without exposure to heat stress

Compared with the induction of heat acclimation (HA), studies investigating the decay and re-induction of HA (RA) are relatively sparse and have yielded conflicting results. Therefore, 16 semi-nude men were acclimated to dry-heat by undertaking an exercise protocol in a hot chamber (dry-bulb temperature 46.1 ± 0.1°C; relative humidity 17.9 ± 0.1%) on 10 consecutive days (HA1–10) in winter UK. Thereafter, the subjects were divided into two groups and re-exposed to the work-in-heat tests after 12 and 26 days until RA was attained (RA₁₂, n = 8; RA₂₆, n = 8). The exercise protocol consisted of 60 min of treadmill walking (1.53 m s⁻¹) at an incline individually set to induce a rectal temperature (T _re) of ∼38.5°C during HA1 (equating to 45 ± 4% peak oxygen uptake), followed by 10 min of rest and 40 min of further treadmill exercise, the intensity of which was increased across HA to maintain T _re at ∼38.5°C. T _re, mean skin temperature, heart rate and rate of total water loss measured at 60 min did not change after HA7, and HA was taken as the mean of the responses during HA8–10. For both groups, there was no decay in T _re and for all measured variables RA was attained after 2 and 4 days in RA₁₂ and RA₂₆, respectively. It is concluded that once adaptation to heat has been attained, the time that individuals may spend in cooler conditions before returning to a hot environment could be as long as one month, without the need for extensive re-adaptation to heat.     

Effects of heat acclimation on endurance capacity and prolactin response to exercise in the heat

We examined the effect of heat acclimation (HA) on endurance capacity and blood prolactin (PRL) response to moderate intensity exercise in the heat in young male subjects (n?=?21). Three exercise tests (ET) were completed on a treadmill: H1 (walk at 60% VO₂peak until exhaustion at 42°C), N (walk at 22°C; duration equal to H1) and H2 (walk until exhaustion at 42°C after a 10-day HA program). Heart rate (HR), skin (T _sk) and core (T _c) temperatures and body heat storage (HS) were measured. Blood samples were taken immediately before, during and immediately after each ET. HA resulted in lower HR, T _sk, T _c and HS rate (P?<?0.05) during ET, whereas endurance capacity increased from 88.6?±?27.5?min in H1 to 162.0?±?47.8?min in H2 (P?<?0.001). Blood PRL concentration was lower (P?<?0.05) during exercise in H2 compared to H1 but the peak PRL level observed at the time of exhaustion did not differ in the two trials. Blood PRL concentration at 60?min of exercise in H1 correlated with time to exhaustion in H1 (r?=?–0.497, P?=?0.020) and H2 (r?=?–0.528, P?=?0.014). In conclusion, HA slows down the increase in blood PRL concentration but does not reduce the peak PRL level occurring at the end of exhausting endurance exercise in the heat. Blood PRL response to exercise in the heat in non-heat-acclimated subjects is associated with their endurance capacity in the heat in a heat-acclimated state.     

The effects of pre-warming on the metabolic and thermoregulatory responses to prolonged submaximal exercise in moderate ambient temperatures

To determine the effects of pre-warming on the human metabolic and thermoregulatory responses to prolonged steady-rate exercise in moderate ambient temperatures and relative humidities [means (SD) 21.7 (2.1)° C and 36.7 (5.4)%, respectively], six healthy men each ran at a steady-rate (70% maximal oxygen uptake) on a treadmill until exhausted after being actively pre-warmed (AH), passively pre-warmed (PH), and rested (Cont). Exercise time to exhaustion was significantly reduced following both AH and PH compared to Cont [AH 47.8 (14.0) min, PH 39.6 (16.0) min, Cont 62.0 (8.8) min; P<0.05]. During exercise there were no significant differences in oxygen uptake, total sweat loss, mean skin temperature (T_sk) and the thermal gradient (T _re–T_sk, where T _re is rectal temperature) following the three conditions. Serum prolactin, plasma catecholamine and plasma free fatty acid concentrations were also similar between all three trials. In contrast, T _re, mean body temperature, heart rate and ratings of perceived exertion were significantly greater during the initial 25 min of exercise following both AH and PH, compared with Cont (P<0.05). At exhaustion, there were no significant differences in the metabolic and thermoregulatory responses to exercise between the trials. The current findings demonstrate that AH and PH promote a reduction in prolonged submaximal endurance performance under moderate environmental temperatures compared with pre-exercise rest. Such observations appear likely to have been mediated through mechanisms associated with the earlier development of high internal body temperature which resulted in changes in the capacity for heat storage. Electronic Publication     

Thermoregulatory responses of young and older men to cold exposure

Summary Nine young (20–25 years) and ten older (60–71 years) men, matched for body fatness and surface area :mass ratio, underwent cold tests in summer and winter. The cold tests consisted of a 60-min exposure, wearing only swimming trunks, to an air temperature of 17°C (both seasons) and 12°C (winter only). Rectal (T _re) and mean skin ( _sk) temperatures, metabolic heat production (M), systolic (BP_S) and diastolic (BP_d) blood pressures and heart rate (f _c) were measured. During the equilibrium period (28°C air temperature) there were no age-related differences inT _re, _sk, BP_S, BP_d, orf _c regardless of season, although M of the older men was significantly lower (P<0.003). The decrease inT _re and _sk (due to the marked decrease in six of the older men) and the increase in BPS and BPd were significantly greater (P<0.004) for the older men during all the cold exposures. The rate of increase inM was significantly greater (P<0.01) for the older group when exposed to 12°C in winter and 17°C in summer (due to the marked increase in four of the older men). This trend was not apparent during the 17°C exposure in winter. There was no age-related difference in f_c during the exposures. Significant decreases inT _re and _sk and increases inM, BP_S and BP_d during the 12°C exposure were observed for the older group (P< 0.003) compared to their responses during the 17°C exposure in winter. In contrast,T _re,M, BP_S in the young group were not affected as much by the colder environment. It was concluded that older men have more variable responses and some appear more or less responsive to mild and moderate cold air than young men.     

No effect of skin temperature on human ventilation response to hypercapnia during light exercise with a normothermic core temperature

Hyperthermia potentiates the influence of CO₂ on pulmonary ventilation ( [(V)\dot]_\textE \dot{V}_{\text{E}} ). It remains to be resolved how skin and core temperatures contribute to the elevated exercise ventilation response to CO₂. This study was conducted to assess the influences of mean skin temperature ( [`(T)]<sub>\textSK</sub> \overline{T}_{\text{SK}} ) and end-tidal PCO<sub>2</sub> (P<sub>ET</sub>CO<sub>2</sub>) on [(V)\dot]<sub>\textE</sub> \dot{V}_{\text{E}} during submaximal exercise with a normothermic esophageal temperature (T <sub>ES</sub>). Five males and three females who were 1.76 ± 0.11 m tall (mean ± SD), 75.8 ± 15.6 kg in weight and 22.0 ± 2.2 years of age performed three 1 h exercise trials in a climatic chamber with the relative humidity (RH) held at 31.5 ± 9.5% and the ambient temperature (T <sub>AMB</sub>) maintained at one of 25, 30, or 35°C. In each trial, the volunteer breathed eucapnic air for 5 min during a rest period and subsequently cycle ergometer exercised at 50 W until T <sub>ES</sub> stabilized at ~37.1 ± 0.4°C. Once T <sub>ES</sub> stabilized in each trial, the volunteer breathed hypercapnic air twice for ~5 min with P<sub>ET</sub>CO<sub>2</sub> elevated by approximately +4 or +7.5 mmHg. The significantly (P < 0.05) different increases of P<sub>ET</sub>CO<sub>2</sub> of +4.20 ± 0.49 and +7.40 ± 0.51 mmHg gave proportionately larger increases in [(V)\dot]<sub>\textE</sub> \dot{V}_{\text{E}} of 10.9 ± 3.6 and 15.2 ± 3.6 L min<sup>−1</sup> (P = 0.001). This hypercapnia-induced hyperventilation was uninfluenced by varying the [`(T)]_\textSK \overline{T}_{\text{SK}} to three significantly different levels (P < 0.001) of 33.2 ± 1.2°C, to 34.5 ± 0.8°C to 36.4 ± 0.5°C. In conclusion, the results support that skin temperature between ~33 and ~36°C has neither effect on pulmonary ventilation nor on hypercapnia-induced hyperventilation during a light exercise with a normothermic core temperature.