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Otani H, Goto T, Kobayashi Y, Goto H, Hosokawa Y, Tokizawa K, Shirato M. The fan cooling vest use reduces thermal and perceptual strain during outdoor exercise in the heat on a sunny summer day. INTERNATIONAL JOURNAL OF BIOMETEOROLOGY 2024:10.1007/s00484-024-02690-w. [PMID: 38771319 DOI: 10.1007/s00484-024-02690-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Revised: 04/07/2024] [Accepted: 04/21/2024] [Indexed: 05/22/2024]
Abstract
The fan cooling vest is coming into very common use by Japanese outdoor manual workers. We examined that to what extent using this vest reduces thermal strain and perception during outdoor exercise in the heat on a sunny summer day. Ten male baseball players in high school conducted two baseball training sessions for 2-h with (VEST) or without (CON) a commercially available fan cooling vest on a baseball uniform. These sessions commenced at 10 a.m. on separate days in early August. The fan airflow rate attached the vest was 62 L·s-1. Neither ambient temperature (Mean ± SD: VEST 31.9 ± 0.2°C; CON 31.8 ± 0.7°C), wet-bulb globe temperature (VEST 31.2 ± 0.4°C; CON 31.4 ± 0.5°C) nor solar radiation (VEST 1008 ± 136 W·m-2; CON 1042 ± 66 W·m-2) was different between trials. Mean skin temperature (VEST 34.5 ± 1.1°C; CON 35.1 ± 1.4°C), infrared tympanic temperature (VEST 38.9 ± 0.9°C; CON 39.2 ± 1.2°C), heart rate (VEST 127 ± 31 bpm; CON 139 ± 33 bpm), body heat storage (VEST 140 ± 34 W·m-2; CON 160 ± 22 W·m-2), thermal sensation (- 4-4: VEST 0 ± 2; CON 3 ± 1) and rating of perceived exertion (6-20: VEST 11 ± 2; CON 14 ± 2) were lower in VEST than CON (all P < 0.05). Total distance measured with a global positioning system (VEST 3704 ± 293 m; CON 3936 ± 501 m) and body fluid variables were not different between trials. This study indicates that the fan cooling vest use can reduce thermal strain and perception during outdoor exercise in the heat on a sunny summer day. Cooling with this vest would be effective to mitigate thermal risks and perceptual stress in athletes and sports participants under such settings.
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Affiliation(s)
- Hidenori Otani
- Faculty of Health Care Sciences, Himeji Dokkyo University, 7-2-1 Kamiono, Himeji, Hyogo, 670-8524, Japan.
| | - Takayuki Goto
- National Institute of Technology, Akashi College, Uozumi-Cho, 679-3 Nishioka, Akashi, Hyogo, 674-0084, Japan
| | - Yuki Kobayashi
- National Institute of Technology, Akashi College, Uozumi-Cho, 679-3 Nishioka, Akashi, Hyogo, 674-0084, Japan
| | - Heita Goto
- Kyushu Kyoritsu University, 1-8 Jiyugaoka, Yahatanishi-Ku, Kitakyushu, Fukuoka, 807-8585, Japan
| | - Yuri Hosokawa
- Faculty of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama, 359-1164, Japan
| | - Ken Tokizawa
- National Institute of Occupational Safety and Health, 1-4-6 Umezono, Kiyose, Tokyo, 204-0024, Japan
| | - Minayuki Shirato
- Meiji Gakuin University, 1-2-37 Shiroganedai, Minato-Ku, Tokyo, 108-8636, Japan
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Su Y, Hoekstra SP, Leicht CA. Hot water immersion is associated with higher thermal comfort than dry passive heating for a similar rise in rectal temperature and plasma interleukin-6 concentration. Eur J Appl Physiol 2024; 124:1109-1119. [PMID: 37870668 PMCID: PMC10954860 DOI: 10.1007/s00421-023-05336-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Accepted: 09/28/2023] [Indexed: 10/24/2023]
Abstract
PURPOSE To compare the perceptual responses and interleukin-6 (IL-6) concentration following rectal temperature-matched dry heat exposure (DH) and hot water immersion (HWI). METHODS Twelve healthy young adults (BMI 23.5 ± 3.6 kg/m2; age: 25.8 ± 5.7 years) underwent 3 trials in randomised order: DH (air temperature 68.9 °C), HWI (water temperature 37.5 °C), and thermoneutral dry exposure (CON, air temperature 27.3 °C). Blood samples to determine IL-6 plasma concentration were collected; basic affect and thermal comfort, rectal and skin temperature (Tskin) were assessed throughout the intervention. RESULTS Rectal temperature (Trec) did not differ between DH (end temperature 38.0 ± 0.4 °C) and HWI (37.9 ± 0.2 °C, P = 0.16), but was higher compared with CON (37.0 ± 0.3 °C; P ≤ 0.004). Plasma IL-6 concentration was similar after DH (pre to post: 0.8 ± 0.5 to 1.4 ± 1.5 pg·ml-1) and HWI (0.5 ± 0.2 to 0.9 ± 0.6 pg·ml-1; P = 0.46), but higher compared with CON (0.6 ± 0.5 to 0.6 ± 0.4 pg·ml-1; P = 0.01). At the end of the intervention, basic affect and thermal comfort were most unfavourable during DH (Basic affect; DH: - 0.7 ± 2.9, HWI: 0.8 ± 1.9, CON 1.9 ± 1.9, P ≤ 0.004; Thermal comfort; 2.6 ± 0.8, HWI: 1.4 ± 0.9 and CON: 0.2 ± 0.4; P ≤ 0.004). Mean Tskin was highest for DH, followed by HWI, and lowest for CON (DH: 38.5 ± 1.3 °C, HWI: 36.2 ± 0.5 °C, CON: 31.6 ± 0.7 °C, P < 0.001). CONCLUSION The IL-6 response did not differ between DH and HWI when matched for the elevation in Trec. However, thermal comfort was lower during DH compared to HWI, which may be related to the higher Tskin during DH.
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Affiliation(s)
- Yunuo Su
- Peter Harrison Centre for Disability Sport, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, LE11 3TU, UK
| | - Sven P Hoekstra
- Peter Harrison Centre for Disability Sport, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, LE11 3TU, UK
- Department of Rehabilitation Medicine, University of Texas Health Science Center at San Antonio, San Antonio, USA
| | - Christof A Leicht
- Peter Harrison Centre for Disability Sport, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, LE11 3TU, UK.
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Yang J, Wei Y, An Q, Yuan M. Association between physiological and perceptual heat strain while wearing stab-resistant body armor. J Therm Biol 2023; 114:103567. [PMID: 37209632 DOI: 10.1016/j.jtherbio.2023.103567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Revised: 02/25/2023] [Accepted: 04/05/2023] [Indexed: 05/22/2023]
Abstract
In this study, we explored the association between physiological and perceptual heat strain while wearing stab-resistant body armor (SRBA). Human trials were performed on ten participants in warm and hot environments. Physiological responses (core temperature, skin temperature, and heart rate), and perceptual responses (thermal sensation vote, thermal comfort vote, restriction of perceived exertion (RPE), wetness of skin, and wetness of clothing) were recorded throughout the trials, and subsequently, the physiological strain index (PSI), and perceptual strain index (PeSI) were calculated. The results indicated that the PeSI showed a significant moderate association with the PSI, and was capable of predicting PSI for low (PSI = 3) and high (PSI = 7) levels of physiological strain with the areas under the curves of 0.80 and 0.64, respectively. Moreover, Bland-Altman analysis indicated that the majority of the PSI ranged within the 95% confidence interval, and the mean difference between PSI and PeSI was 0.14 ± 2.02 with the lower 95% limit and upper 95% limit being -3.82 to 4.10, respectively. Therefore, the subjective responses could be used as an indicator for predicting physiological strain while wearing SRBA. This study could provide fundamental knowledge for the usage of SRBA, and the development of physiological heat strain assessment.
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Affiliation(s)
- Jie Yang
- College of Safety Science and Engineering, Xi'an University of Science and Technology, Xi'an, 710054, China
| | - Yuchen Wei
- State Key Laboratory of Explosion Science and Technology, Beijing Institute of Technology, Beijing, 100081, China.
| | - Qiqi An
- College of Safety Science and Engineering, Xi'an University of Science and Technology, Xi'an, 710054, China
| | - Mengqi Yuan
- State Key Laboratory of Explosion Science and Technology, Beijing Institute of Technology, Beijing, 100081, China
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Miyazawa T, Mizutani M, Sheahan JP, Ichikawa D. Intermittent face cooling reduces perceived exertion during exercise in a hot environment. J Physiol Anthropol 2021; 40:12. [PMID: 34488878 PMCID: PMC8420073 DOI: 10.1186/s40101-021-00262-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 08/23/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Facial cooling (FC) is effective in improving endurance exercise performance in hot environments. In this study, we evaluated the impact of intermittent short-lasting FC on the ratings of perceived exertion (RPE) during exercise. METHODS Ten healthy men performed 40 continuous minutes of ergometric cycle exercise at 65% of the peak heart rate in a climatic chamber controlled at an ambient temperature of 35 °C and a relative humidity of 50%. In the control (CONT) trial, the participants performed the exercise without FC. In two cooling trials, each participant underwent 10 s of FC at 2- (FC2) and 4-min (FC4) intervals while continuing to exercise. FC was achieved by applying two soft-gel packs (cooled to 0 °C) directly and bilaterally on the forehead, eyes, and cheeks. In another cooling trial, 10 s of FC was performed at 2-min intervals using two soft-gel packs cooled to 20 °C (FC2-20). RESULTS The RPE values in the FC4 trial were significantly lower than those in the CONT trial at 20 min (FC4, 11.6 ± 2.2 points; CONT, 14.2 ± 1.3 points; P < 0.01). Further, significant differences in the RPE values were observed between the FC4 and CONT trials at 5-15 min and 25-40 min (P < 0.05). RPE values were also significantly lower in the FC2 trial than in the CONT trial (5-40 min). Although the RPE values in the FC2-20 trial were significantly lower (5-10 min; 15-20 min) than those in the CONT trial, there were no significant differences in the RPE between the FC2-20 and CONT trials at 25-40 min. At 35 min, the RPE values were significantly higher in the FC2-20 trial than in the FC2 trial (P < 0.05). CONCLUSION Intermittent short-lasting FC was associated with a decrease in RPE, with shorter intervals and lower temperatures eliciting greater attenuation of increase in the RPE.
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Affiliation(s)
- Taiki Miyazawa
- Department of Health and Sports Science, Faculty of Wellness, Shigakkan University, Obu, Japan.
| | - Mirai Mizutani
- Department of Physical Education, Shigakkan University Junior College, Obu, Japan
| | | | - Daisuke Ichikawa
- Department of Biomedical Engineering, Toyo University, Kawagoe, Japan
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Local cooling during hot water immersion improves perceptions without inhibiting the acute interleukin-6 response. Eur J Appl Physiol 2021; 121:1581-1591. [PMID: 33646422 PMCID: PMC8144146 DOI: 10.1007/s00421-021-04616-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Accepted: 02/04/2021] [Indexed: 11/02/2022]
Abstract
PURPOSE Passive elevation of body temperature can induce an acute inflammatory response that has been proposed to be beneficial; however, it can be perceived as uncomfortable. Here, we investigate whether local cooling of the upper body during hot water immersion can improve perception without inhibiting the interleukin-6 (IL-6) response. METHODS Nine healthy male participants (age: 22 ± 1 years, body mass: 83.4 ± 9.4 kg) were immersed up to the waist for three 60-min water immersion conditions: 42 °C hot water immersion (HWI), 42 °C HWI with simultaneous upper-body cooling using a fan (FAN), and 36 °C thermoneutral water immersion (CON). Blood samples to determine IL-6 plasma concentration were collected pre- and post-water immersion; basic affect and thermal comfort were assessed throughout the intervention. RESULTS Plasma IL-6 concentration was higher for HWI and FAN when compared with CON (P < 0.01) and did not differ between HWI and FAN (P = 0.22; pre to post, HWI: 1.0 ± 0.6 to 1.5 ± 0.7 pg·ml-1, FAN: 0.7 ± 0.5 to 1.1 ± 0.5 pg·ml-1, CON: 0.5 ± 0.2 to 0.5 ± 0.2 pg·ml-1). At the end of immersion, basic affect was lowest for HWI (HWI: - 1.8 ± 2.0, FAN: 0.2 ± 1.6, CON 1.0 ± 2.1, P < 0.02); thermal comfort for HWI was in the uncomfortable range (3.0 ± 1.0, P < 0.01 when compared with FAN and CON), whereas FAN (0.7 ± 0.7) and CON (-0.2 ± 0.7) were in the comfortable range. CONCLUSION Local cooling of the upper body during hot water immersion improves basic affect and thermal comfort without inhibiting the acute IL-6 response.
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Yuan M, Wei Y, An Q, Yang J. Effects of a liquid cooling vest on physiological and perceptual responses while wearing stab-resistant body armor in a hot environment. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2021; 28:1025-1032. [PMID: 33350899 DOI: 10.1080/10803548.2020.1858618] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
This study determines the effects of a liquid cooling vest (LCV) on physiological and perceptual responses while wearing stab-resistant body armor (SRBA). Ten healthy male volunteers wearing SRBA performed human trials with the LCV and without (control) in a hot environment (30 °C and 40% relative humidity). Physiological parameters and perceptual responses were recorded during the tests. The results indicated that the difference in the mean skin temperature and scapula skin temperature between the two conditions was up to 1.2 and 2.5 °C, respectively. The LCV did not significantly decrease the core temperature, heart rate, sweat loss, oxygen consumption, rating of perceived exertion and restriction of movement. However, a significant difference was observed between conditions in terms of evaporation efficiency and thermal sensation. Therefore, the LCV attenuated an increase in thermal sensation but did not mitigate physiological strain. This work can provide fundamental knowledge for high-performance personal cooling system development.
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Affiliation(s)
- Mengqi Yuan
- State Key Laboratory of Explosion Science and Technology, Beijing Institute of Technology, China
| | - Yuchen Wei
- State Key Laboratory of Explosion Science and Technology, Beijing Institute of Technology, China
| | - Qiqi An
- College of Safety Science and Engineering, Xi'an University of Science and Technology, China
| | - Jie Yang
- College of Safety Science and Engineering, Xi'an University of Science and Technology, China
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Kajiki M, Yamashita N, Ito R, Matsumoto T. Effects of air-perfused rucksack on physiological and perceptual strain during low-intensity exercise in a hot environment. Temperature (Austin) 2020; 7:157-164. [PMID: 33015243 DOI: 10.1080/23328940.2020.1757991] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Abstract
The upcoming Tokyo Olympic and Paralympic Games may be held amid extremely high wet-bulb globe temperature conditions. Many studies have focused on countermeasures to prevent the reduction in exercise performance in the heat. However, cooling strategies for managing heat stress of staff and spectators remain poorly understood. The present study investigated the effects of a lightweight fan cooling device, namely a commercially available air-perfused rucksack, on physiological and perceptual responses during low-intensity exercise in a hot environment. Ten males walked (5.5 km/h, 2.0% gradient) for 60 min in hot conditions (35°C, 50% relative humidity). All participants performed two trials with and without the air-perfused rucksack, respectively. Air was blown onto the upper back and neck via two fans attached on either side of the rucksack. Rectal temperature, neck skin temperature, heart rate, and physiological strain index were significantly lower during walking (P < 0.05) with the rucksack. Additionally, the ratings of perceived exertion, thermal sensation, and thermal comfort were significantly lower (P < 0.05) with the rucksack. These data suggest that the air-perfused rucksack may be effective for managing heat stress of staff and spectators at the Tokyo Olympic and Paralympic Games. Abbreviations CON: control trial; ES: effect sizes; FAN: fan cooling trial; HR: heart rate; mTsk: mean skin temperature; pre: pre-exercise; PSI: physiological strain index; RPE: rating of perceived exertion; SD: standard deviation; TC: thermal comfort; Tneck: neck skin temperature; Tre: rectal temperature; TS: thermal sensation.
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Affiliation(s)
- Masanobu Kajiki
- Laboratory for Exercise Physiology and Biomechanics, Graduate School of Health and Sport Sciences, Chukyo University, Toyota, Japan
| | - Naoyuki Yamashita
- Faculty of Arts and Sciences, Kyoto Institute of Technology, Kyoto, Japan
| | - Ryo Ito
- School of Liberal Arts and Sciences, Daido University, Nagoya, Japan
| | - Takaaki Matsumoto
- Laboratory for Exercise Physiology and Biomechanics, Graduate School of Health and Sport Sciences, Chukyo University, Toyota, Japan
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Hayashi N, Kashima H, Ikemura T. Facial Blood Flow Responses to Dynamic Exercise. Int J Sports Med 2020; 42:241-245. [PMID: 32947640 DOI: 10.1055/a-1244-9870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
We reported previously that a static handgrip exercise evoked regional differences in the facial blood flow. The present study examined whether regional differences in facial blood flow are also evoked during dynamic exercise. Facial blood flow was measured by laser speckle flowgraphy during 15 min of cycling exercise at heart rates of 120 bpm, 140 bpm and 160 bpm in 12 subjects. The facial vascular conductance index was calculated from the blood flow and mean arterial pressure. The regional blood flow and conductance index values were determined in the forehead, eyelid, nose, cheek, ear and lip. One-way ANOVA and Tukey's post-hoc test were used to examine effects of exercise intensity and target regions. The blood flow and conductance index in skin areas increased significantly with the exercise intensity. The blood flow and conductance index in the lip increased significantly at 120 bpm and 140 bpm compared to the control, while the values in the lip at 160 bpm did not change from the control values. These results suggest that the blood flow in facial skin areas, not in the lip, responds similarly to dynamic exercise, in contrast to the responses to static exercise.
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Affiliation(s)
- Naoyuki Hayashi
- Institute for Liberal Arts, Tokyo Institute of Technology, Meguro-ku
| | - Hideaki Kashima
- School of Health Sciences, Prefectural University of Hiroshima, Hiroshima
| | - Tsukasa Ikemura
- Institute for Liberal Arts, Tokyo Institute of Technology, Meguro-ku.,College of Liberal Arts and Sciences, Kitasato University, Sagamihara
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Kim JH, Seo Y, Quinn T, Yorio P, Roberge R. Intersegmental differences in facial warmth sensitivity during rest, passive heat and exercise. Int J Hyperthermia 2020; 36:654-659. [PMID: 31311353 DOI: 10.1080/02656736.2019.1627430] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
Background: Increased facial warmth sensations could lead to thermal discomfort, and different facial regions may demonstrate concurrent temperature differences. The study aim was examining facial warmth sensitivity differences by facial region under differing environmental conditions. Methods: Twelve men had heat flux measurements of six facial regions during 30 min each of rest in thermoneutral conditions (25 °C, 30% relative humidity (RH)), rest in warm conditions (40 °C, 30% RH), and cycling at 400 W of metabolic heat production (40 °C, 30% RH). Results: The forehead demonstrated highest temperatures at termination of all study conditions; lowest temperatures were noted for the nose under thermoneutral conditions and chin during warmth and exercise conditions. Five of six facial regions demonstrated significant differences in warmth sensitivity, decreasing to two of six regions during warm conditions and one of six regions during exercise, with the upper lip most sensitive in all conditions. Body thermal comfort (TC) perceptions, regressed individually on mean facial temperature (Tface) vs. core temperature (Tco), indicated that Tface was significantly more related than Tco to perceived TC (p = .001). Perceived TC, regressed individually on perceived overall body thermal sensation (TS) vs. facial TS, demonstrated that Tface was significantly more related to perceived TC (p = .004). Conclusion: There were regional differences in facial warmth sensitivity together with different facial temperatures moving toward equilibration when the body is subjected to heat-producing activities. Perceptions of TC were more strongly related to Tface than to Tco or overall body TS.
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Affiliation(s)
- Jung-Hyun Kim
- a Department of Sports Medicine , Kyung Hee University , Yongin-si , South Korea.,b Centers for Disease Control and Prevention , National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory , Pittsburgh , PA , USA
| | - Yongsuk Seo
- b Centers for Disease Control and Prevention , National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory , Pittsburgh , PA , USA
| | - Tyler Quinn
- b Centers for Disease Control and Prevention , National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory , Pittsburgh , PA , USA
| | - Patrick Yorio
- b Centers for Disease Control and Prevention , National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory , Pittsburgh , PA , USA
| | - Raymond Roberge
- b Centers for Disease Control and Prevention , National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory , Pittsburgh , PA , USA
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Physiological and perceptual responses while wearing stab-resistant body armor in hot and humid environment. J Therm Biol 2019; 86:102451. [DOI: 10.1016/j.jtherbio.2019.102451] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2019] [Revised: 09/27/2019] [Accepted: 10/29/2019] [Indexed: 11/19/2022]
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Del Ferraro S, Tombolini F, Plebani C, Molinaro V. Thermophysiological response of Newton manikin equipped with power-assisted filtering device incorporating a full-face mask in hot environment. Int J Hyperthermia 2017; 33:717-723. [PMID: 28540803 DOI: 10.1080/02656736.2017.1316874] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
One of the most common reasons inducing discomfort in wearing a respirator is an unpleasant local thermal perception. In this study, the effect of a power-assisted filtering device incorporating a full-face mask on the thermophysiological response was investigated by performing tests on a Newton manikin in a climatic chamber, where hot conditions were simulated setting the ambient temperature at 34 °C and the relative humidity at 32%. Two different levels of metabolic rate (1 MET and 3 MET) were considered. Results show that the variation of metabolic rate plays an important role in the heat exchanges with the environment causing different values of the local and global temperatures. At 1 MET the manikin is in thermal balance with the external environment with or without respirator. At 3 MET although the thermoregulation system is very stressed (the rectal temperature Tre increases continuously with or without respirator), the effect of the respirator produces a small decrease of the local and global temperatures and also of the amount of sweat generated by active thermoregulation Swa (reaching its maximum value of 30 g/min when the respirator is not worn). Furthermore, a little amelioration of the face and body sensation and comfort was observed. In any case, wearing the respirator seems not to provide additional thermal load.
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Affiliation(s)
- Simona Del Ferraro
- a Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Laboratory of Ergonomics and Physiology , INAIL, Monte Porzio Catone , Rome , Italy
| | - Francesca Tombolini
- b Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Chemical Risk Laboratory , INAIL, Monte Porzio Catone , Rome , Italy
| | - Carmela Plebani
- b Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Chemical Risk Laboratory , INAIL, Monte Porzio Catone , Rome , Italy
| | - Vincenzo Molinaro
- a Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Laboratory of Ergonomics and Physiology , INAIL, Monte Porzio Catone , Rome , Italy
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Real-Time Monitoring of Occupants’ Thermal Comfort through Infrared Imaging: A Preliminary Study. BUILDINGS 2017. [DOI: 10.3390/buildings7010010] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Abstract
Cooling strategies that help prevent a reduction in exercise capacity whilst exercising in the heat have received considerable research interest over the past 3 decades, especially in the lead up to a relatively hot Olympic and Paralympic Games. Progressing into the next Olympic/Paralympic cycle, the host, Rio de Janeiro, could again present an environmental challenge for competing athletes. Despite the interest and vast array of research into cooling strategies for the able-bodied athlete, less is known regarding the application of these cooling strategies in the thermoregulatory impaired spinal cord injured (SCI) athletic population. Individuals with a spinal cord injury (SCI) have a reduced afferent input to the thermoregulatory centre and a loss of both sweating capacity and vasomotor control below the level of the spinal cord lesion. The magnitude of this thermoregulatory impairment is proportional to the level of the lesion. For instance, individuals with high-level lesions (tetraplegia) are at a greater risk of heat illness than individuals with lower-level lesions (paraplegia) at a given exercise intensity. Therefore, cooling strategies may be highly beneficial in this population group, even in moderate ambient conditions (~21 °C). This review was undertaken to examine the scientific literature that addresses the application of cooling strategies in individuals with an SCI. Each method is discussed in regards to the practical issues associated with the method and the potential underlying mechanism. For instance, site-specific cooling would be more suitable for an athlete with an SCI than whole body water immersion, due to the practical difficulties of administering this method in this population group. From the studies reviewed, wearing an ice vest during intermittent sprint exercise has been shown to decrease thermal strain and improve performance. These garments have also been shown to be effective during exercise in the able-bodied. Drawing on additional findings from the able-bodied literature, the combination of methods used prior to and during exercise and/or during rest periods/half-time may increase the effectiveness of a strategy. However, due to the paucity of research involving athletes with an SCI, it is difficult to establish an optimal cooling strategy. Future studies are needed to ensure that research outcomes can be translated into meaningful performance enhancements by investigating cooling strategies under the constraints of actual competition. Cooling strategies that meet the demands of intermittent wheelchair sports need to be identified, with particular attention to the logistics of the sport.
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Yang Y, Chan AP. Perceptual strain index for heat strain assessment in an experimental study: An application to construction workers. J Therm Biol 2015; 48:21-7. [DOI: 10.1016/j.jtherbio.2014.12.007] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2014] [Revised: 12/12/2014] [Accepted: 12/12/2014] [Indexed: 10/24/2022]
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Guéritée J, Tipton MJ. The relationship between radiant heat, air temperature and thermal comfort at rest and exercise. Physiol Behav 2014; 139:378-85. [PMID: 25437244 DOI: 10.1016/j.physbeh.2014.11.064] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2014] [Revised: 11/19/2014] [Accepted: 11/21/2014] [Indexed: 10/24/2022]
Abstract
The aims of the present work were to investigate the relationships between radiant heat load, air velocity and body temperatures with or without coincidental exercise to determine the physiological mechanisms that drive thermal comfort and thermoregulatory behaviour. Seven male volunteers wearing swimming trunks in 18°C, 22°C or 26°C air were exposed to increasing air velocities up to 3 m s(-1) and self-adjusted the intensity of the direct radiant heat received on the front of the body to just maintain overall thermal comfort, at rest or when cycling (60 W, 60 rpm). During the 30 min of the experiments, skin and rectal temperatures were continuously recorded. We hypothesized that mean body temperature should be maintained stable and the intensity of the radiant heat and the mean skin temperatures would be lower when cycling. In all conditions, mean body temperature was lower when facing winds of 3 m s(-1) than during the first 5 min, without wind. When facing winds, in all but the 26°C air, the radiant heat was statistically higher at rest than when exercising. In 26°C air mean skin temperature was lower at rest than when exercising. No other significant difference was observed. In all air temperatures, high correlation coefficients were observed between the air velocity and the radiant heat load. Other factors that we did not measure may have contributed to the constant overall thermal comfort status despite dropping mean skin and body temperatures. It is suggested that the allowance to behaviourally adjust the thermal environment increases the tolerance of cold discomfort.
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Affiliation(s)
- Julien Guéritée
- University of Portsmouth, Department of Sport and Exercise Science, Portsmouth, UK.
| | - Michael J Tipton
- University of Portsmouth, Department of Sport and Exercise Science, Spinnaker Building, Cambridge Rd, Portsmouth, UK
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Teunissen LPJ, Wang LC, Chou SN, Huang CH, Jou GT, Daanen HAM. Evaluation of two cooling systems under a firefighter coverall. APPLIED ERGONOMICS 2014; 45:1433-8. [PMID: 24798511 DOI: 10.1016/j.apergo.2014.04.008] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/06/2013] [Revised: 03/16/2014] [Accepted: 04/06/2014] [Indexed: 05/26/2023]
Abstract
Firemen often suffer from heat strain. This study investigated two chest cooling systems for use under a firefighting suit. In nine male subjects, a vest with water soaked cooling pads and a vest with water perfused tubes were compared to a control condition. Subjects performed 30 min walking and 10 min recovery in hot conditions, while physiological and perceptual parameters were measured. No differences were observed in heart rate and rectal temperature, but scapular skin temperature and fluid loss were lower using the perfused vest. Thermal sensation was cooler for the perfused vest than for the other conditions, while the cool pad vest felt initially cooler than control. However, comfort and RPE scores were similar. We conclude that the cooling effect of both tested systems, mainly providing a (temporally) cooler thermal sensation, was limited and did not meet the expectations.
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Affiliation(s)
| | - Li-Chu Wang
- Taiwan Textile Research Institute, No. 6, Chengtian Rd., Tucheng Dist., New Taipei City 23674, Taiwan, ROC
| | - Shih-Nung Chou
- Taiwan Textile Research Institute, No. 6, Chengtian Rd., Tucheng Dist., New Taipei City 23674, Taiwan, ROC
| | - Chin-Hsien Huang
- Taiwan Textile Research Institute, No. 6, Chengtian Rd., Tucheng Dist., New Taipei City 23674, Taiwan, ROC
| | - Gwo-Tsuen Jou
- Taiwan Textile Research Institute, No. 6, Chengtian Rd., Tucheng Dist., New Taipei City 23674, Taiwan, ROC
| | - Hein A M Daanen
- TNO, PO Box 23, 3769 ZG Soesterberg, The Netherlands; MOVE Research Institute, Faculty of Human Movement Sciences, VU University Amsterdam, Van der Boechorststraat 9, 1081 BT Amsterdam, The Netherlands.
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Iwase S, Kawahara Y, Nishimura N, Nishimura R, Miwa C, Kataoka Y, Kobayashi C, Suzuki T, Shigaraki M, Maeda Y, Takada H, Watanabe Y. A comparison of head-out mist bathing, with or without facial fanning, with head-out half-body low-water level bathing in humans--a pilot study. INTERNATIONAL JOURNAL OF BIOMETEOROLOGY 2014; 58:999-1005. [PMID: 23756607 DOI: 10.1007/s00484-013-0685-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2013] [Revised: 05/12/2013] [Accepted: 05/15/2013] [Indexed: 06/02/2023]
Abstract
To reduce the risks of Japanese-style bathing, half-body bathing (HBLB) has been recommended in Japan, but discomfort due to the cold environment in winter prevents its widespread adoption. The development of the mist sauna, which causes a gradual core temperature rise with sufficient thermal comfort, has reduced the demerits of HBLB. We examined head-out 42 °C mist bathing with 38 °C HBLB up to the navel to see if it could improve thermal comfort without detracting from the merits of HBLB, with and without the effects of facial fanning (FF). The subjects were seven healthy males aged 22-25 years. The following bathing styles were provided: (1) HBLB-head-out half-body low bathing of 38 °C up to the navel (20 min); (2) HOMB-head-out mist bathing of 42 °C and HBLB of 38 °C (20 min); and (3) HOMBFF-HOMB with FF (20 min). HOMB raised the core temperature gradually. HOMBFF suppressed the core temperature rise in a similar fashion to HOMB. Increases in blood pressure and heart rate usually observed in Japanese traditional-style bathing were less marked in HOMBs with no significant difference with and without FF. The greatest body weight loss was observed after Japanese traditional-style bathing, with only one-third of this amount lost after mist bathing, and one-sixth after HBLB. HOMB increased thermal sensation, and FF also enhanced post-bathing invigoration. We conclude that HOMB reduces the risks of Japanese traditional style bathing by mitigating marked changes in the core temperature and hemodynamics, and FF provides thermal comfort and invigoration.
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Affiliation(s)
- Satoshi Iwase
- Department of Physiology, Aichi Medical University, Nagakute, 480-1195, Japan,
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Caretti DM, Barker DJ. Effects of respirator ambient air cooling on thermophysiological responses and comfort sensations. JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL HYGIENE 2014; 11:269-281. [PMID: 24730706 DOI: 10.1080/15459624.2013.858819] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
This investigation assessed the thermophysiological and subjective impacts of different respirator ambient air cooling options while wearing chemical and biological personal protective equipment in a warm environment (32.7 ± 0.4°C, 49.6 ± 6.5% RH). Ten volunteers participated in 90-min heat exposure trials with and without respirator (Control) wear and performed computer-generated tasks while seated. Ambient air cooling was provided to respirators modified to blow air to the forehead (FHC) or to the forehead and the breathing zone (BZC) of a full-facepiece air-purifying respirator using a low-flow (45 L·min(-1)) mini-blower. An unmodified respirator (APR) trial was also completed. The highest body temperatures (TTY) and least favorable comfort ratings were observed for the APR condition. With ambient cooling over the last 60 min of heat exposure, TTY averaged 37.4 ± 0.6°C for Control, 38.0 ± 0.4°C for APR, 37.8 ± 0.5°C for FHC, and 37.6 ± 0.7°C for BZC conditions independent of time. Both the FHC and BZC ambient air cooling conditions reduced facial skin temperatures, reduced the rise in body temperatures, and led to more favorable subjective comfort and thermal sensation ratings over time compared to the APR condition; however statistical differences among conditions were inconsistent. Independent of exposure time, average breathing apparatus comfort scores with BZC (7.2 ± 2.5) were significantly different from both Control (8.9 ± 1.4) and APR (6.5 ± 2.2) conditions when ambient cooling was activated. These findings suggest that low-flow ambient air cooling of the face under low work rate conditions and mild hyperthermia may be a practical method to minimize the thermophysiological strain and reduce perceived respirator discomfort.
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Affiliation(s)
- David M Caretti
- a U.S. Army Edgewood Chemical Biological Center, Aberdeen Proving Ground , Maryland
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Teunissen LPJ, de Haan A, de Koning JJ, Daanen HAM. Effects of wind application on thermal perception and self-paced performance. Eur J Appl Physiol 2013; 113:1705-17. [PMID: 23385657 DOI: 10.1007/s00421-013-2596-9] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2012] [Accepted: 01/19/2013] [Indexed: 10/27/2022]
Abstract
Physiological and perceptual effects of wind cooling are often intertwined and have scarcely been studied in self-paced exercise. Therefore, we aimed to investigate (1) the independent perceptual effect of wind cooling and its impact on performance and (2) the responses to temporary wind cooling during self-paced exercise. Ten male subjects completed four trials involving 15 min standardized incremental intensity cycling, followed by a 15-km self-paced cycling time trial. Three trials were performed in different climates inducing equivalent thermal strain: hot humid with wind (WIND) and warm humid (HUMID) and hot dry (DRY) without wind. The fourth trial (W3-12) was equal to HUMID, except that wind cooling was unexpectedly provided during kilometers 3-12. Physiological, perceptual and performance parameters were measured. Subjects felt generally cooler during the WIND than the HUMID and DRY trials, despite similar heart rate, rectal and skin temperatures and a WBGT of ~4 °C higher. The cooler thermal sensation was not reflected in differences in thermal comfort or performance. Comparing W3-12 to HUMID, skin temperature was 1.47 ± 0.43 °C lower during the wind interval, leading to more favorable ratings of perceived exertion, thermal sensation and thermal comfort. Overall, power output was higher in the W3-12 than the HUMID-trial (256 ± 29 vs. 246 ± 22 W), leading to a 67 ± 48 s faster finish time. In conclusion, during self-paced exercise in the heat, wind provides immediate and constant benefits in physiological strain, thermal perception and performance. Independent of physiological changes, wind still provides a greater sensation of coolness, but does not impact thermal comfort or performance.
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Affiliation(s)
- L P J Teunissen
- MOVE Research Institute Amsterdam, Faculty of Human Movement Sciences, VU University Amsterdam, Van der Boechorststraat 9, 1081 BT Amsterdam, The Netherlands.
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Teunissen LPJ, de Haan A, de Koning JJ, Clairbois HE, Daanen HAM. Limitations of temperature measurement in the aural canal with an ear mould integrated sensor. Physiol Meas 2011; 32:1403-16. [DOI: 10.1088/0967-3334/32/9/004] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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21
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Taniguchi Y, Sugenoya J, Nishimura N, Iwase S, Matsumoto T, Shimizu Y, Inukai Y, Sato M. Contribution of central versus sweat gland mechanisms to the seasonal change of sweating function in young sedentary males and females. INTERNATIONAL JOURNAL OF BIOMETEOROLOGY 2011; 55:203-212. [PMID: 20532572 DOI: 10.1007/s00484-010-0325-1] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/14/2009] [Revised: 01/27/2010] [Accepted: 04/18/2010] [Indexed: 05/29/2023]
Abstract
In summer and winter, young, sedentary male (N = 5) and female (N = 7) subjects were exposed to heat in a climate chamber in which ambient temperature (Ta) was raised continuously from 30 to 42°C at a rate of 0.1°C min(-1) at a relative humidity of 40%. Sweat rates (SR) were measured continuously on forearm, chest and forehead together with tympanic temperature (Tty), mean skin temperature (⁻Ts) and mean body temperature ⁻Tb. The rate of sweat expulsions (Fsw) was obtained as an indicator of central sudomotor activity. Tty and ⁻Tb were significantly lower during summer compared with winter in males; SR was not significantly different between summer and winter in males, but was significantly higher during summer in females; SR during winter was higher in males compared with females. The regression line relating Fsw to ⁻Tb shifted significantly from winter to summer in males and females, but the magnitude of the shift was not significantly different between the two subject groups. The regression line relating SR to Fsw was steepened significantly from winter to summer in males and females, and the change in the slope was significantly greater in females than in males. Females showed a lower slope in winter and a similar slope in summer compared to males. It was concluded that sweating function was improved during summer mediated by central sudomotor and sweat gland mechanisms in males and females, and, although the change of sweat gland function from winter to summer was greater in females as compared with males, the level of increased sweat gland function during summer was similar between the two subject groups.
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Affiliation(s)
- Yumiko Taniguchi
- Department of Physiology, Aichi Medical University School of Medicine, Nagakute, Aichi, 480-1195, Japan.
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Cheung SS. Interconnections between thermal perception and exercise capacity in the heat. Scand J Med Sci Sports 2010; 20 Suppl 3:53-9. [DOI: 10.1111/j.1600-0838.2010.01209.x] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Burdon C, O'Connor H, Gifford J, Shirreffs S, Chapman P, Johnson N. Effect of drink temperature on core temperature and endurance cycling performance in warm, humid conditions. J Sports Sci 2010; 28:1147-56. [DOI: 10.1080/02640414.2010.489197] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Fukazawa T, Havenith G. Differences in comfort perception in relation to local and whole body skin wettedness. Eur J Appl Physiol 2009; 106:15-24. [DOI: 10.1007/s00421-009-0983-z] [Citation(s) in RCA: 99] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/05/2009] [Indexed: 11/28/2022]
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Lin H, Zhang HF, Jiao HC, Zhao T, Sui SJ, Gu XH, Zhang ZY, Buyse J, Decuypere E. Thermoregulation responses of broiler chickens to humidity at different ambient temperatures. I. One week of age. Poult Sci 2005; 84:1166-72. [PMID: 16156198 DOI: 10.1093/ps/84.8.1166] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Three trials were conducted to investigate the effect of RH (35, 60, and 85%) on thermoregulation of 1-wk-old broiler chickens at different temperatures (35, 30, and 25 degrees C). The response to humidity in rectal temperature and plumage temperature at the back and breast within 24 h after exposure were recorded at 5 time points (1,4,8,16, and 24 h). Humidity affected the thermoregulation of 1-wk-old broiler chickens by redistributing heat within the body at high, low, and thermoneutral temperatures. The redistribution of heat resulted in decreased rectal temperature and increased peripheral temperature, which were, respectively, beneficial and unfavorable at high and low temperatures. These results suggested that feedback effects of surface temperature on core temperature also exist in poultry, as already observed in mammals, and could be induced not only by changed ambient temperature but also by the changes in humidity at high temperature. The disturbance of thermal equilibrium could not be established solely by changes in RT, but rather core and surface temperatures had to be considered. The daily rhythms in rectal and surface temperatures were affected by humidity.
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Affiliation(s)
- H Lin
- Department of Animal Science, Shandong Agricultural University, Taian, Shandong 271018, PR China.
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Lin H, Zhang HF, Du R, Gu XH, Zhang ZY, Buyse J, Decuypere E. Thermoregulation responses of broiler chickens to humidity at different ambient temperatures. II. Four weeks of age. Poult Sci 2005; 84:1173-8. [PMID: 16156199 DOI: 10.1093/ps/84.8.1173] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Two experiments were conducted to investigate the effect of RH (35, 60, and 85%) on thermoregulation of broiler chickens at high (35 degrees C) and mild (30 degrees C) temperatures at the age of 4 wk. The effects of humidity on rectal temperature (RT) and plumage temperature at back (PBAT) and skin temperature at breast (SBRT) were determined at 1, 4, 8, 16, and 24 h after exposure. The RT, PBAT, and SBRT were all significantly increased by high temperature (35 degrees C). Humidity had a significant influence on RT at 35 degrees C but not at 30 degrees C. The peripheral temperatures (PBAT and SBRT) were significantly affected by humidity but responded differently at high (35 degrees C) compared with mild temperature (30 degrees C). In conclusion, high humidity above 60% impaired the heat transmission from body core to the periphery at 35 degrees C but facilitated it at 30 degrees C in 4-wk-old broiler chickens. The effect of humidity on nonevaporative heat loss was depended on air temperature, as nonevaporative heat loss was suppressed by high humidity (>60% RH) at high temperature but enhanced at the mild temperature. The effect of humidity on the relationship between peripheral and core temperature depends on ambient temperature as well as on the age of the broiler chicken. The disturbance of thermal balance could not be determined only by changes in RT or peripheral temperature at a single time point but could be determined by mean body temperature within a certain time frame.
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Affiliation(s)
- H Lin
- Department of Animal Science, Shandong Agricultural University, Taian, Shandong 271018, PR China.
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Yamashita K, Matsuo J, Tochihara Y, Kondo Y, Takayama S, Nagayama H. Thermal sensation and comfort during exposure to local airflow to face or legs. JOURNAL OF PHYSIOLOGICAL ANTHROPOLOGY AND APPLIED HUMAN SCIENCE 2005; 24:61-6. [PMID: 15684546 DOI: 10.2114/jpa.24.61] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
The present study examined the contribution of local airflow temperature to thermal sensation and comfort in humans. Eight healthy male students were exposed to local airflow to their faces (summer condition) or legs (winter condition) for 30 minutes. Local airflow temperature (Tf) was maintained at 18 degrees C to 36 degrees C, and ambient temperature (Ta) was maintained at 17.4 degrees C to 31.4 degrees C. Each subject was exposed to 16 conditions chosen from the combination of Tf and Ta. Based on the results of multiple regression analysis, the standardized partial regression coefficient of Tf and Ta were determined to be 0.93 and 0.13 in the summer condition, and 0.71 and 0.36 in the winter condition at the end of the exposure. Also, thermal comfort was observed to depend closely on the interrelation between Tf and Ta. The present data suggested that local airflow temperature is an important thermal factor regarding thermal sensation and comfort.
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Doufas AG, Wadhwa A, Lin CM, Shah YM, Hanni K, Sessler DI. Neither arm nor face warming reduces the shivering threshold in unanesthetized humans. Stroke 2003; 34:1736-40. [PMID: 12775889 DOI: 10.1161/01.str.0000077014.47422.db] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND AND PURPOSE Hand warming and face warming, combined with inhalation of heated air, are reported to suppress shivering. However, hand or face temperature contributes only a few percent to control of shivering. Thus, it seems unlikely that manipulating hand or facial skin temperature alone would be sufficient to permit induction of therapeutic hypothermia. We tested the hypothesis that focal arm (forearm and hand) warming or lower facial warming, combined with inhalation of heated and humidified gas, only minimally reduces the shivering threshold (triggering core temperature). METHODS We studied 8 healthy male volunteers (18 to 40 years of age) on 3 days: (1) control (no warming), (2) arm warming with forced air at approximately 43 degrees C, and (3) face warming with 21 L/min of air at approximately 42 degrees C at a relative humidity of 100%. Fluid at approximately 4 degrees C was infused via a central venous catheter to decrease tympanic membrane temperature 1 degrees C/h to 2 degrees C/h; mean skin temperature was maintained at 31 degrees C. A sustained increase in oxygen consumption quantified the shivering threshold. RESULTS Shivering thresholds did not differ significantly between the control (36.7+/-0.1 degrees C), arm-warming (36.5+/-0.3 degrees C), or face-warming (36.5+/-0.3 degrees C; analysis of variance, P=0.34) day. The study was powered to have a 95% probability of detecting a difference of 0.5+/-0.5 degrees C (mean+/-SD) between control and either of the 2 treatments at alpha=0.05. CONCLUSIONS Focal arm or face warming did not substantially reduce the shivering threshold in unanesthetized volunteers. It thus seems unlikely that these nonpharmacological modalities will substantially facilitate induction of therapeutic hypothermia.
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Affiliation(s)
- Anthony G Doufas
- Outcomes Research Institute, Department of Anesthesiology, University of Louisville, Louisville, KY, USA.
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