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Zhou S, Ouyang L, Li B, Hodder S, Yao R. A thermoregulation model based on the physical and physiological characteristics of Chinese elderly. Comput Biol Med 2024; 172:108262. [PMID: 38479196 DOI: 10.1016/j.compbiomed.2024.108262] [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: 11/06/2023] [Revised: 02/13/2024] [Accepted: 03/06/2024] [Indexed: 03/26/2024]
Abstract
Given the increasing aging population and rising living standards in China, developing an accurate and straightforward thermoregulation model for the elderly has become increasingly essential. To address this need, an existing one-segment four-node thermoregulation model for the young was selected as the base model. This study developed the base model considering age-related physical and physiological changes to predict mean skin temperatures of the elderly. Measured data for model optimization were collected from 24 representative healthy Chinese elderly individuals (average age: 67 years). The subjects underwent temperature step changes between neutral and warm conditions with a temperature range of 25-34 °C. The model's demographic representation was first validated by comparing the subjects' physical characteristics with Chinese census data. Secondly, sensitivity analysis was performed to investigate the influences of passive system parameters on skin and core temperatures, and adjustments were implemented using measurement or literature data specific to the Chinese elderly. Thirdly, the active system was modified by resetting the body temperature set points. The active parameters to control thermoregulation activities were further optimized using the TPE (Tree-structured Parzen Estimator) hyperparameter tuning method. The model's accuracy was further verified using independent experimental data for a temperature range of 18-34 °C for Chinese elderly. By comprehensively considering age-induced thermal response changes, the proposed model has potential applications in designing and optimizing thermal management systems in buildings, as well as informing energy-efficient strategies tailored to the specific needs of the Chinese elderly population.
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Affiliation(s)
- Shan Zhou
- Joint International Research Laboratory of Green Buildings and Built Environments (Ministry of Education), Chongqing University, Chongqing, 400045, China; National Center for International Research of Low-carbon and Green Buildings (Ministry of Science and Technology), Chongqing University, Chongqing, 400045, China
| | - Linyuan Ouyang
- Joint International Research Laboratory of Green Buildings and Built Environments (Ministry of Education), Chongqing University, Chongqing, 400045, China; National Center for International Research of Low-carbon and Green Buildings (Ministry of Science and Technology), Chongqing University, Chongqing, 400045, China
| | - Baizhan Li
- Joint International Research Laboratory of Green Buildings and Built Environments (Ministry of Education), Chongqing University, Chongqing, 400045, China; National Center for International Research of Low-carbon and Green Buildings (Ministry of Science and Technology), Chongqing University, Chongqing, 400045, China
| | - Simon Hodder
- School of Design & Creative Arts, Loughborough University, Loughborough, LE11 3TU, UK
| | - Runming Yao
- Joint International Research Laboratory of Green Buildings and Built Environments (Ministry of Education), Chongqing University, Chongqing, 400045, China; National Center for International Research of Low-carbon and Green Buildings (Ministry of Science and Technology), Chongqing University, Chongqing, 400045, China; School of the Built Environment, University of Reading, Reading, RG6 6DB, UK.
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Castellani MP, Rioux TP, Castellani JW, Reed MD, Whalen S, Cisternelli M, Python G, Lewandowski MJ, Xu X. Validation of a human thermoregulatory model during prolonged immersion in warm water. Comput Biol Med 2023; 167:107575. [PMID: 37865983 DOI: 10.1016/j.compbiomed.2023.107575] [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: 05/01/2023] [Revised: 09/29/2023] [Accepted: 10/11/2023] [Indexed: 10/24/2023]
Abstract
This study validates the Six Cylinder Thermoregulatory Model (SCTM) during prolonged warm water immersion, which underpins the Probability of Survival Decision Aid (PSDA) currently in use by the United States Coast Guard (USCG). PSDA predicts survival time for hypothermia and dehydration. USCG has been using PSDA for search and rescue operation since 2010. In 2019, USCG organized a workshop to review PSDA performance and concluded that PSDA is an essential tool for operation, although it occasionally overestimates survival times in warm waters above 16 °C. Forty-six human subjects were immersed from the neck down in 18, 22, and 26 °C water for 45 min up to 10 h. Rectal temperature (Tcore), 10-site mean skin temperature (Tsk), and water loss were measured. At the end of immersion, Tcore ranged from 35.2 to 38.0 °C, and Tsk ranged from 19.7 to 27.4 °C. The SCTM-predicted Tcore, Tsk and water loss were compared to the measured values. Root mean squared deviation (RMSD) was used to test for acceptable predictions. Tcore RMSDs were 0.2, 0.14, and 0.3 °C in 18, 22, and 26 °C water respectively. Tsk RMSDs were 1.44, 0.76, and 1.1 °C in 18, 22, and 26 °C water respectively. SCTM underpredicted water loss by 84%. Overall, SCTM predicted Tcore and Tsk with acceptable accuracy in 18 and 22 °C water for up to 10 h, but overpredicted in 26 °C water. Future studies and algorithm development are required to improve water loss prediction as well as Tcore and Tsk prediction in 26 °C water.
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Affiliation(s)
- Michael P Castellani
- Oak Ridge Institute for Science and Education (ORISE), USA; Thermal and Mountain Medicine Division, U.S. Army Research Institute of Environmental Medicine, Natick, MA, USA
| | - Timothy P Rioux
- Thermal and Mountain Medicine Division, U.S. Army Research Institute of Environmental Medicine, Natick, MA, USA
| | - John W Castellani
- Thermal and Mountain Medicine Division, U.S. Army Research Institute of Environmental Medicine, Natick, MA, USA
| | | | - Stefanie Whalen
- Oak Ridge Institute for Science and Education (ORISE), USA; Navy Experimental Diving Unit, Panama City, FL, 32407, USA
| | | | - Grace Python
- USCG Research and Development Center, New London, CT, 06320, USA
| | | | - Xiaojiang Xu
- Thermal and Mountain Medicine Division, U.S. Army Research Institute of Environmental Medicine, Natick, MA, USA.
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Kingma B, Sullivan-Kwantes W, Castellani J, Friedl K, Haman F. We are all exposed, but some are more exposed than others. Int J Circumpolar Health 2023; 82:2199492. [PMID: 37052125 PMCID: PMC10116924 DOI: 10.1080/22423982.2023.2199492] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Accepted: 04/01/2023] [Indexed: 04/14/2023] Open
Abstract
This paper defines functional cold exposure zones that illustrate whether a person is at risk of developing physical performance loss or cold weather injuries. Individual variation in body characteristics, activity level, clothing and protective equipment all contribute to variation in the effective exposure. Nevertheless, with the right education, training, and cold-adapted behaviours the exposure differences might not necessarily lead to increased risk for cold injury. To support the preparation process for cold weather operations, this paper presents a biophysical analysis explaining how much cold exposure risk can vary between individuals in the same environment. The results suggest that smaller persons are prone to be underdressed for moderate activity levels and larger persons are prone to be overdressed. The consequences of these discrepancies place people at different risks for performance loss or cold weather injuries. Nonetheless, even if all are well-dressed at the whole-body level, variation in hand morphology is also expected to influence hand skin temperatures that can be maintained; with smaller hands being more prone to reach skin temperatures associated with dexterity loss or cold weather injuries. In conclusion, this work focusses on bringing cold science to the Arctic warrior, establishing that combating cold stress is not a one size fits all approach.
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Affiliation(s)
- Boris Kingma
- The Netherlands Organization for Applied Scientific Research (TNO), Unit Defence, Safety and Security, Department of Human Performance, Soesterberg, The Netherlands
| | | | - John Castellani
- Thermal and Mountain Medicine Division, United States Army Research Institute of Environmental Medicine, Natick, MA, USA
| | - Karl Friedl
- Thermal and Mountain Medicine Division, United States Army Research Institute of Environmental Medicine, Natick, MA, USA
| | - François Haman
- Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
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Xu X, Rioux TP, Castellani MP. Three dimensional models of human thermoregulation: A review. J Therm Biol 2023; 112:103491. [PMID: 36796931 DOI: 10.1016/j.jtherbio.2023.103491] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Revised: 01/27/2023] [Accepted: 02/02/2023] [Indexed: 02/05/2023]
Abstract
Numerous human thermoregulatory models have been developed and widely used in various applications such as aerospace, medicine, public health, and physiology research. This paper is a review of three dimensional (3D) models for human thermoregulation. This review begins with a short introduction of thermoregulatory model development followed by key principles for mathematical description of human thermoregulation systems. Different representations of 3D human bodies are discussed with respect to their detail and prediction capability. The human body was divided into fifteen layered cylinders in early 3D models (cylinder model). Recent 3D models have utilized medical image datasets to develop geometrically correct human models (realistic geometry model). The finite element method is mostly used to solve the governing equations and get numerical solutions. The realistic geometry models provide a high degree of anatomical realism and predict whole-body thermoregulatory responses at high resolution and at organ and tissue levels. Thus, 3D models extend to a wide range of applications where temperature distribution is critical, such as hypothermia/hyperthermia therapy and physiology research. The development of thermoregulatory models will continue with the growth in computational power, advancement in numerical methods and simulation software, advances in modern imaging techniques, and progress in the basic science of thermal physiology.
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Affiliation(s)
- Xiaojiang Xu
- Thermal and Mountain Medicine Division, U.S. Army Research Institute of Environmental Medicine, USA.
| | - Timothy P Rioux
- Thermal and Mountain Medicine Division, U.S. Army Research Institute of Environmental Medicine, USA
| | - Michael P Castellani
- Thermal and Mountain Medicine Division, U.S. Army Research Institute of Environmental Medicine, USA; Oak Ridge Institute for Science and Education (ORISE), USA
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