Thermoregulatory effects of three different types of head cooling in humans during a mild hyperthermia

Seven healthy young men participated in six trials with three different types of local cooling cool air breathing (CAB), face skin cooling (FaC), and combined cooling (CoC)] in a warm environment for 90 min while either resting (operative temperature: T ₀ = 40°C, dew point temperature: T _dp = 15°C, air velocity: v _a = 0.3 m·s⁻¹) or exercising on a cycle ergometer with an external work load of 90 W (T ₀ = 36°C, T _dp = 15°C, v _a = 0.3 m·s⁻¹). Cool air (10°C) arrived at the entry point of the hood and/or the mask at a ventilation rate of 12 m · s⁻¹. Oesophageal temperature was not affected by any kind of cooling, while tympanic temperature was decreased at rest by both FaC and CoC respectively −0.15 (0.06) and −0.09 (0.03)°C, P ≤ 0.05]. Mean skin temperature was decreased by FaC and CoC at rest respectively −0.31 (0.07) and −0.27 (0.09)°C, P ≤ 0.05] and during exercise respectively −0.64 (0.15) and −1.04 (0.22)°C, P ≤ 0.01]. CAB had no effect on skin temperatures. CoC and FaC reduced head skin temperature during both rest and work (P < 0.001) with no effect on the skin temperature of the rest of the body, except under CoC with exercise (P < 0.05). CAB did not influence local sweating. FaC, however, decreased the more profuse sweat rates (P ≤ 0.05) at rest, while CoC decreased all sweating rates at rest (P ≤ 0.05) and only the back, head and leg sweating rates during exercise (P ≤ 0.05). These results suggest that head skin cooling causes a reduction in heat strain, while CAB does not. This beneficial influence does not, however, appear to be the result of selective brain cooling. Tympanic temperature seems to be a good index of the core thermal inputs to the hypothalamic regulatory system, since variations in that parameter were associated with similarly directed variations in the sweating outputs. Accepted: 12 April 1999