Comparison between load carriage and grade walking on a treadmill

The comfort and functional performance of personal protective equipment for police officers: a systematic scoping review

This scoping review aimed to identify and summarise evidence on the comfort and functional performance of police officer personal protective equipment (PPE). The Arksey and O'Malley (2005) five-stage framework for scoping reviews was followed. PubMed, CINAHL, Scopus, and Web of Science were searched, and 35 articles were included in the review. The findings show that increased police PPE mass increases heart rate, metabolic energy expenditure, and perceived exertion in response to exercise. Unisex armour designs cause increased discomfort for females with larger bra sizes. PPE reduces joint-specific range of motion, with the design and location impairing movement more than mass. Jumping and sprinting performance is decreased with heavy PPE but unaffected by lighter protection, while agility is compromised with most forms of protection. Future research is needed on the fit and function of PPE for specialist police units, such as mounted police, along with further investigations on how fit can affect functional performance.

Physiological stress in flat and uphill walking with different backpack loads in professional mountain rescue crews

This study aimed to determine the interactive physiological effect of backpack load carriage and slope during walking in professional mountain rescuers. Sixteen mountain rescuers walked on a treadmill at 3.6 km/h for 5 min in each combination of three slopes (1%, 10%, 20%) and five backpack loads (0%, 10%, 20%, 30%, and 40% body weight). Relative heart rate (%HRmax), relative oxygen consumption (%VO₂max), and rating of perceived exertion (RPE, Borg 1-10 scale) were compared across conditions using two-way ANOVA. Significant differences in %VO₂max, %HRmax, and RPE across slopes and loads were found where burden increased directly with slope and load (main effect of slope, p < 0.001 for all; main effect of load, p < 0.001 for all). Additionally, significant slope by load interactions were found for all parameters, indicating an additive effect (p < 0.001 for all). Mountain rescuers should consider the physiological interaction between slope and load when determining safe occupational walking capacity.

Cardiorespiratory responses of load carriage in female and male soldiers

PURPOSE

To investigate the effect of sex and load carriage on cardiorespiratory responses to high intensity exercise in male and female soldiers.

METHODS

Soldiers (9 women, 9 men) performed a graded treadmill test until exhaustion with no load (NL) and combat-gear with body armor (CG). Cohen's d effect sizes, paired t-tests and ANOVA were used to study differences between conditions. A mixed linear regression model analyzed the relationship between heart rate (HR) and oxygen uptake (V̇O₂) with load and between sexes.

RESULTS

Wearing CG resulted in, for both sexes, a decreased time to exhaustion (-11 min), lower V̇O_2peak (L/min) ES = 0.56; VO_2peak (mL//kg/min) ES = 2.44, both p < 0.001, a net decrease in minute ventilation (ES = 3.53) and no change in HR_max. No sex-difference were present except for absolute V̇O_2peak. The VO₂ and HR relationship showed a cardiorespiratory reduction wearing CG vs. NL. Added load was equal between sexes, although female soldiers' CG relative to body mass was higher (25%) than male soldiers' (20%), p < 0.01.

CONCLUSION

Wearing CG reduces soldiers' cardiorespiratory capacity and exercise performance level, although the reduction cannot be explained solely based on the added load of CG, instead CG seems to restrict the capacity to fully ventilate. No sex differences were found in relative cardiorespiratory responses to wearing CG compared to NL.

Heat tolerance during uncompensable heat stress in men and women wearing firefighter personal protective equipment

Firefighters run a risk of heat strain during occupational tasks. The number of female firefighters has been increasing, but research relevant to this group is still scarce. We aimed to investigate whether there are any sex differences in heat tolerance or physiological responses during uncompensable heat stress while wearing firefighter personal protective equipment. Twelve female (28 ± 7 years, 66 ± 5 kg, 51.7 ± 4.7 mL kg^-1 min^-1) and 12 male (27 ± 7 years, 83 ± 8 kg, 58.8 ± 7.5 mL kg^-1 min^-1) participants performed walking (maximum of 60 min) at 6W·kg^-1, 40 °C, and 14% relative humidity. No differences were observed between groups in heat tolerance, rectal temperature, heart rate, percent body mass loss, thermal sensation, and rate of perceived exertion. Thus, when personnel are selected using gender-neutral physical employment standards, sex is not an independent factor influencing heat tolerance when wearing firefighter personal protective equipment during uncompensable heat stress.

A new occupational heat tolerance test: A feasibility study

Heat tolerance tests identify those susceptible to heat illnesses and monitor heat adaptations. Currently, tolerance tests do not replicate the uncompensable heat strain environments experienced in some occupations. In addition, tests can take up to 2 h to complete, and cannot offer intra and inter individual comparisons, due to the use of a fixed exercise intensity. This study aimed to assess the validity and reliability of a new heat occupational tolerance test (HOTT: 40 min at 6 W kg^-1 metabolic heat production, 50 °C 10% RH, in protective clothing) to the standard heat tolerance test (HTT: 2 h walk at 5 km h^-1 1% gradient, 40 °C 40% RH, in shorts and t-shirt). Eighteen participants (age: 21 ± 3 yrs, body mass: 81.3 ± 5.9 kg) completed trials to assess the validity and/or reliability of the HOTT. Peak rectal temperature (T_re) displayed strong agreement and low measurement error (0.19 °C) between HTT (38.7 ± 0.4 °C) and HOTT (38.6 ± 0.4 °C). Strong agreement was also displayed for physiological and perceptual measures between the two HOTT trials, including peak T_re (38.5 ± 0.4 °C vs. 38.5 ± 0.4 °C) and peak heart rate (182 ± 20 b min^-1 vs. 182 ± 21 b min^-1). The HOTT is the first tolerance test that assesses individuals' responses whilst wearing protective clothing in high temperatures. It can consistently identify individuals' levels of heat tolerance within a reduced time frame. In addition, it allows for participant monitoring over time and comparisons between individuals to be made. A continuum based approach is recommended when assessing individuals' responses to the HOTT.

Estimating oxygen consumption from heart rate using adaptive neuro-fuzzy inference system and analytical approaches

In new approaches based on adaptive neuro-fuzzy systems (ANFIS) and analytical method, heart rate (HR) measurements were used to estimate oxygen consumption (VO2). Thirty-five participants performed Meyer and Flenghi's step-test (eight of which performed regeneration release work), during which heart rate and oxygen consumption were measured. Two individualized models and a General ANFIS model that does not require individual calibration were developed. Results indicated the superior precision achieved with individualized ANFIS modelling (RMSE = 1.0 and 2.8 ml/kg min in laboratory and field, respectively). The analytical model outperformed the traditional linear calibration and Flex-HR methods with field data. The General ANFIS model's estimates of VO2 were not significantly different from actual field VO2 measurements (RMSE = 3.5 ml/kg min). With its ease of use and low implementation cost, the General ANFIS model shows potential to replace any of the traditional individualized methods for VO2 estimation from HR data collected in the field.

Effect of load mass on posture, heart rate and subjective responses of recreational female hikers to prolonged load carriage

Load carriage has been associated with a risk of upper and lower limb musculoskeletal disorders with women suffering significantly higher injury rates than their male counterparts. Despite this injury risk, there are limited evidence-based guidelines for recreational hikers, particularly female recreational hikers, regarding safe backpack loads. The purpose of the present study was to determine how variations in load mass affected the heart rate, posture and subjective responses of women during prolonged walking to provide evidence for a load mass limit for female recreational hikers. Heart rate (HR), posture and ratings of perceived exertion (RPE) and discomfort were collected for 15 female experienced recreational hikers (22.3 ± 3.9 years) while they hiked for 8 km at a self-selected pace under four different load conditions (0%, 20%, 30% and 40% of body weight (BW)). Although HR was not significantly affected by load mass or walking distance, increasing load mass and distance significantly affected posture, RPE and discomfort of the upper body. Carrying a 20% BW load induced significant changes in trunk posture, RPE and reported shoulder discomfort compared to the unloaded condition. The 20% BW load also resulted in a mean RPE rating of 'fairly light', which increased to 'hard' when carrying a 40% BW load. As load carriage distance increased participants reported significantly increased shoulder, neck and upper back discomfort. Based on the changes to posture, self-reported exertion and discomfort when carrying loads of 20%, 30% and 40% BW over 8 km, it was concluded that a backpack load limit of 30% BW should be recommended for female recreational hikers during prolonged walking.

The Extra Load Index as a method for comparing the relative economy of load carriage systems

The Extra Load Index (ELI) has been proposed as a suitable method of assessing the relative economy of load carriage systems. The purpose of this study was to determine, based on empirical evidence, that the ELI can accommodate variations in both body composition and added load. In total, 30 women walked carrying loads of up to 70% body mass at self-selected walking speeds whilst expired air was collected. In addition, each of the women had body composition assessed via dual energy X-ray absorptiometry. Results show that the ELI is independent of body composition variables, the magnitude of additional loads and the speed of progression. Consequently, it is suggested that it represents an appropriate method of comparing load carriage systems in both scientific and commercial arenas. STATEMENT OF RELEVANCE: This paper demonstrates that ELI is independent of body composition, added load and speed and is therefore an appropriate method to generalise comparisons of load carriage systems. It has the advantage of being easily understood by manufacturers and consumers whilst retaining appropriate scientific precision.

Ergonomic effects of load carriage on the upper and lower back on metabolic energy cost of walking

We examined the effects of load carriage position on the energy cost of walking defined as the ratio of the 2-min steady-state oxygen consumption to the speed and economical speed. Fourteen healthy men walked on a treadmill at various speeds without and with load on the lower and upper back, which corresponded to 15% of their body mass. The energy cost of walking significantly decreased during walking with load than without load at slower speeds. A significant decrease in the energy cost of walking was also observed while carrying the load on the upper back than on the lower back at 60-80 m/min. The economical speed significantly decreased when carrying the load on the upper and lower back, and it was significantly correlated with body height. These findings suggest that an optimal carrying method is evident to reduce physical stress during walking with loads.

Baby carriage: infants walking with loads

Maintaining balance is a central problem for new walkers. To examine how infants cope with the additional balance control problems induced by load carriage, 14-month-olds were loaded with 15% of their body weight in shoulder-packs. Both symmetrical and asymmetrical loads disrupted alternating gait patterns and caused less mature footfall patterns. Walking was most severely compromised by back loads. Infants with less walking experience, lower levels of walking proficiency, and chubbier body proportions were more adversely affected. In addition, infants displayed a unique postural response to asymmetrical loads. In contrast to older children and adults, infants leaned with loads rather than in the opposite direction to the loads. Findings are discussed in terms of development from accommodation to compensatory strategies.

Influence of carrying heavy loads on soldiers' posture, movements and gait

Military personnel are required to carry heavy loads whilst marching; this load carriage represents a substantial component of training and combat. Studies in the literature mainly concentrate on physiological effects, with few biomechanical studies of military load carriage systems (LCS). This study examines changes in gait and posture caused by increasing load carriage in military LCS. The four conditions used during this study were control (including rifle, boots and helmet carriage, totalling 8 kg), webbing (weighing 8 kg), backpack (24 kg) and a light antitank weapon (LAW; 10 kg), resulting in an incremental increase in load carried from 8, 16, 40 to 50 kg. A total of 20 male soldiers were evaluated in the sagittal plane using a 3-D motion analysis system. Measurements of ankle, knee, femur, trunk and craniovertebral angles and spatiotemporal parameters were made during self-paced walking. Results showed spatiotemporal changes were unrelated to angular changes, perhaps a consequence of military training. Knee and femur ranges of motion (control, 21.1 degrees +/- 3.0 and 33.9 degrees +/- 7.1 respectively) increased (p < 0.05) with load (LAW, 25.5 degrees +/- 2.3 and 37.8 degrees +/- 1.5 respectively). The trunk flexed significantly further forward, confirming results from previous studies. In addition, the craniovertebral angle decreased (p < 0.001) indicating a more forward position of the head with load. It is concluded that the head functions in concert with the trunk to counterbalance load. The higher muscular tensions necessary to sustain these changes have been associated with injury, muscle strain and joint problems.

Effects of the self-contained breathing apparatus and fire protective clothing on maximal oxygen uptake

To examine the effects of firefighting personal protective ensemble (PPE) and self-contained breathing apparatus (SCBA) on exercise performance, 12 males completed two randomly ordered, graded exercise treadmill tests (GXTPPE and GXTPT). Maximal oxygen consumption (VO2max) during GXTPPE was 17.3% lower than the GXTPT in regular exercise clothing (43.0 +/- 5.7 vs. 52.4 +/- 8.5 ml/kg per min, respectively). The lower VO2max during the PPE condition was significantly related (r = 0.81, p < 0.05) to attenuated peak ventilation (142.8 +/- 18.0 vs. 167.1 +/- 15.6 l/min), which was attributed to a significant reduction in tidal volume (2.6 +/- 10.4 vs. 3.2 +/- 0.4 l). Breathing frequency at peak exercise was unchanged (55 +/- 7 vs. 53 +/- 7 breaths/min). The results of this investigation demonstrate that PPE and the SCBA have a negative impact on VO2max. These factors must be considered when evaluating aerobic demands of fire suppression work and the fitness levels of firefighters.

Effect of load and speed on the energetic cost of human walking

It is well established that the energy cost per unit distance traveled is minimal at an intermediate walking speed in humans, defining an energetically optimal walking speed. However, little is known about the optimal walking speed while carrying a load. In this work, we studied the effect of speed and load on the energy expenditure of walking. The O(2) consumption and CO(2) production were measured in ten subjects while standing or walking at different speeds from 0.5 to 1.7 m s(-1) with loads from 0 to 75% of their body mass (M(b)). The loads were carried in typical trekker's backpacks with hip support. Our results show that the mass-specific gross metabolic power increases curvilinearly with speed and is directly proportional to the load at any speed. For all loading conditions, the gross metabolic energy cost (J kg(-1) m(-1)) presents a U-shaped curve with a minimum at around 1.3 m s(-1). At that optimal speed, a load up to 1/4 M(b) seems appropriate for long-distance walks. In addition, the optimal speed for net cost minimization is around 1.06 m s(-1) and is independent of load.

Effects of load carriage, load position, and walking speed on energy cost of walking

PURPOSE

The purpose of this study was to examine the effects of load, load position, and walking speed on the energy cost of walking per unit distance (Cw: ml/kg/m).

METHODS

Eight young male subjects walked on a treadmill at various speeds with and without load in the hands, on the back, and on the legs. The Cw values were determined from the ratio of 2-min steady-state oxygen consumption (Vo2) above resting value (net Vo2) to the walking speed (v): Cw = net Vo2/v.

RESULTS

An energy-saving phenomenon was observed when the load was carried on the back at slower speeds. This phenomenon diminished at faster speeds, particularly when walking faster than 90 m/min. It was also observed when the load was carried in the hands at slower speeds.

CONCLUSIONS

These findings partly supported our hypothesis that an energy-saving phenomenon would be observed due to an interaction between rotative torque around the center of body mass and excessive burden on the lower muscles as a function of speed.

Subjective perceptual methods for comparing backpacks in the field

Subjective perceptual methods have provided useful information in the laboratory about small differences in backpack design when physiological and biomechanical comparisons are ineffective, but have never been used in the field. This study therefore evaluated, in a controlled field trial with 10 male participants, the suitability of quantitative and qualitative subjective perceptual approaches to distinguish between subtle design differences in two backpacks, each loaded to 15 kg. In addition, initial quantitative subjective impressions about the two backpacks during a 15 min simulated 'in-shop' trial were compared with post-field trial backpack preference. In the simulated 'in-shop' trial the participants 'tried out' the backpack in a manner that was very similar to the way that they would normally try out a backpack as if they were considering buying one in an 'outdoor' shop. It included donning and doffing the pack several times and walking around the room wearing the backpack. In the controlled field trial, participants carried the two backpacks for approximately 15 min around a 1313 m hilly outdoor track at a self-selected walking pace which elicited a moderate exercise intensity. Seven participants preferred backpack A. Three preferred backpack B. The qualitative approach, which required participants to provide free-format written responses to semi-structured open-ended questions immediately after the field trial, successfully identified specific reasons underlying participants' preferences. The main reasons for preferring backpack A were better balance, weight distribution, stability up and down hill and over obstacles, fewer pressure points on their back and easier strap location and adjustment. The quantitative approach, which involved participants responding to written post-field trial questions on visual analogue or category ratio rating scales, was generally unsuccessful in distinguishing between backpacks. Thus, qualitative subjective perceptual methods appeared to be more useful than quantitative ones in distinguishing between backpacks and in identifying positive and negative design features under controlled field conditions in which participants carry a backpack at a moderately intense self-selected exercise level. However, since the quantitative approach had been successful in distinguishing between backpacks in an earlier similar study, in which participants exercised more intensely by walking uphill on a treadmill at a fixed pace, it is possible that the quantitative subjective perceptual approach may be capable of distinguishing between backpacks in the field if a fixed pace eliciting higher exercise intensity were to be used. Finally, since quantitative responses to questions about the backpacks after a short simulated 'in-shop' trial closely agreed with participants' post-field trial overall backpack preference, it is concluded that initial subjective impressions may be a good guide to backpack preference after limited field usage.

An evaluation of physiological demands and comfort between the use of conventional and lightweight self-contained breathing apparatus

The additional physiological strain associated with the use of self-contained breathing apparatus (SCBA) is mostly linked to the additional weight. Lightweight and conventional SCBA were assessed in a submaximal step test performed in full firekit (total weights 15 and 27 kg, respectively). Factors assessed were: comparative energy expenditure of the two sets, relationship between comparative energy expenditure and aerobic fitness and subjective discomfort. Measured variables were: oxygen consumption, heart rate, estimated VO2max and subjective discomfort (body part discomfort scale). The lightweight SCBA displayed a significant oxygen consumption benefit, which was independent of dynamic workrate and valued at 0.2561 min(-1). Mean heart rate responses were significantly lower with the light set. No relationship was found between comparative energy expenditure and aerobic fitness. The light set was rated as significantly more comfortable than the heavy. Further research is required to assess the extent of the energy consumption benefit in realistic fire suppression protocols and the contribution of ergonomic factors to the energy and comfort benefits.

Biomechanical and metabolic effects of varying backpack loading on simulated marching

Twelve healthy, male Army recruits performed three, 40-min treadmill marches at 6 km/h, under three load carriage conditions: 0%-body weight (BW) backpack load, 15%-BW load and 30%-BW load. Kinematic and kinetic data were obtained, immediately before and after each treadmill march, for computing ankle, knee and hip joint rotations and moments. Metabolic data (oxygen uptake (VO2), expired ventilation (VE), respiratory exchange ratio (RER)), heart rate (HR) and ratings of perceived exertion (RPE) were collected continuously during marching. Significant differences (p < or = 0.05) were observed between each load for VO2, HR and VE throughout the marches. At 40 min, relative energy costs for 0%-BW, 15%-BW and 30%-BW loads were 30, 36 and 41% VO2max, respectively. RPE responses during marching significantly differed for only the 30%-BW load and were greater than responses at 0%-BW and 15%-BW loads. During load carriage trials prior to treadmill marches (pre-march), peaks in internal, hip extension, knee extension and ankle plantar flexion moments increased with increasing backpack load. Relative to 0%-BW load, percentage increases in knee moments, due to 15%-BW and 30%-BW loads, pre-march, were substantially larger than the percentage increases for hip extension and plantar flexion moments, pre-march. Pre-march and post-march peaks in hip extension and ankle plantar flexion moments were similar with all loads, while notable pre-march to post-march declines were observed for knee extension moment peaks, at 15%-BW and 30%-BW load. Pre-march joint loading data suggests that the knee may be effecting substantial compensations during backpack loaded marching, perhaps to attenuate shock or reduce load elsewhere. Post-march kinetic data (particularly at 15%-BW and 30%-BW load), however, indicates that such knee mechanics were not sustained and suggests that excessive knee extensor fatigue may occur prior to march end, even though overall metabolic responses, at 15%-BW and 30%-BW load, remained within generally recommended limits to prevent fatigue during prolonged work.

Effect of combined dynamic and static workload on heart rate recovery cost

The objective of the present study was to develop a simplified heart rate recovery cost (RC) model and to validate it under various degrees of dynamic and static task components. The simplified model of heart rate recovery cost consisted of two parameters: heart rate increase (delta HR) and recovery time (T). The following formula revealed their relationship: RC (recovery cost) = T x (delta HR-1)/ln delta HR Exercise, including cycling at three work loads (40, 60, 80 W) on a cycle ergometer, and carrying a backpack with three weights (0, 7.5, 15 kg) was studied in seven male subjects. For each exercise condition, resting HR, working HR, and recovery time (T) were recorded. The results support the hypothesis that neither heart rate increase nor recovery cost could completely assess the physical stress incurred when performing a combined dynamic/static exercise. The delta HR measurement was more sensitive to the increase of static load and the calculated RC value increased with both dynamic and static load. The simplified model of recovery cost can be easily applied without interfering with a person's work routine and without discomfort.

Subjective perceptual methods for comparing backpacks

Subjective perceptual methods may provide useful information about small differences in backpack design when physiological and biomechanical comparisons are ineffective. This study used two subjective perceptual methods, category ratio scale (CRS) ratings of perceived discomfort and written questionnaires for comparing two types of leisure backpack. CRS ratings of perceived discomfort for each of 24 body regions after 30 min of uphill (15% grade) treadmill walking at 3 km h-1 in 10 males, failed to distinguish between a New Zealand designed backpack (Pack A) and a British designed backpack (Pack B), each weighted to 20 kg. A simple pre- and post-walking written questionnaire using either a visual analogue linear scale or free-format responses indicated that more subjects found Pack A easier to adjust but that it had less comfortable shoulder and waist straps. It was considered to be more comfortable with regard to balance and posture and for shoulder, back and leg muscular tension. Pack B was initially more comfortable but required more lumbar support. Pack B was considered more comfortable for waist and shoulder pressure only. Overall preference was for Pack A (seven subjects) rather than Pack B (three subjects). In conclusion, in this study a questionnaire approach was found to be more useful than CRS ratings of perceived discomfort and the New Zealand designed backpack was preferred.

Heart rate and oxygen uptake relationship: a comparison of loaded marching and running in women

Heart rate (beats.min-1; fc) measured during marching with a load is often used to predict the oxygen cost (l.min-1; VO2) of the activity. The prediction comes from the fc/VO2 relationship determined from laboratory measures of fc and VO2 during treadmill running. Studies in men have suggested that this may not be appropriate although this has yet to be examined in women. This study, therefore, compared the fc/VO2 relationship between loaded marching and maximal running protocols in women. Sixteen female subjects [mean (SD), age 21.9 (2.3) years, height 6 (0.06) m, weight 62.6 (7.6) kg] had their fc (from three-lead chest electrodes) and VO2 measured first during standard treadmill run protocols, and again 1 week later during loaded marching protocols. The slopes and intercepts determined from linear regression of fc on VO2 for each individual for each protocol were compared as were the maximal fc(fcmax), VO2 and ratings of perceived exertion (RPE) from the last work period of each protocol in paired t-tests. The fc/VO2 slopes (P < 0.01) and intercepts (P < 0.05) differed significantly between loaded marching and running. fcmax for loaded marching were 90% of fcmax for running (P < 0.01) and VO2peak for loaded marching were 80% of those for running (P < 0.01). However, RPE at the final levels for the two protocols were not significantly different. The data suggest that in women the fc/VO2 relationships for loaded marching and for running are different. This difference is similar to that found in men when speed is held constant and the load and gradient are varied. The results suggest that it would be erroneous to use fc and VO2 measured during running protocols in the laboratory to estimate energy expenditure and work intensity during loaded marching in the field.

Determinants of load carrying ability

The aim of this paper is to review the literature in respect of the main determinants of a person's load carrying ability. Possible determinants of load carriage ability include age, anthropometry, aerobic and anaerobic power, muscle strength, body composition and gender; other relevant factors are the subjective effects perceived during load carriage, the dimensions and placement of the load, biomechanical factors, nature of the terrain and the gradient, the effect of climate and protective clothing. It is important to distinguish between the maximum load carrying capacity and load carriage ability which enables the individual to retain the capability to perform other tasks - eg, observation and navigation, or industrial tasks. The soldier has been used as the worst case example of extremely heavy loads having to be carried for long durations; civilian examples are usually less demanding except in the case of mountaineers, explorers and some occupations. The energy cost of walking with loads has been found to depend primarily upon the walking speed, body weight and load weight, together with terrain factors such as gradient and surface type; equations exist which allow the prediction of energy expenditures from these variables, and they can provide a valuable guide in assessing the physical severity of proposed tasks involving load carriage. Other factors such as the degree of environmental heat stress and protective clothing worn would have to be taken into account, but the level of energy expenditure (or heat production) assumes central importance as it is related to physical exhaustion, heat exhaustion and also less directly to the efficiency of performance of occupational task involving load carriage. This review confirms that there is no obvious definition of a maximal load, because of the widely varying circumstances which might apply, but for healthy young males there appears to be some consensus for the traditional rule of thumb of one-third body weight, or 24 kg on an assumed mean body weight of 72 kg, or in terms of relative work load equivalent to one-third of the VO(2) max for a working day. Renbourn (1954c) considered that the load carried by the soldier will probably always be a compromise between what is physiologically sound and what is operationally essential. Load carriage in industrial and other civilian areas will also involve a similar compromise and may in some circumstances lead to important implications for health and safety.

Metabolic response of endurance athletes to training with added load

Endurance athletes were divided into experimental (n = 12) and control (n = 12) groups to investigate the effects of extra-load training on energy metabolism during exercise. A vest weighing 9%-10% body weight was worn every day from morning to evening for 4 weeks including every (n = 6) or every other (n = 6) training session. After 4 weeks the control group had a lower blood lactate concentration during submaximal running, whereas the experimental group had significantly higher blood lactate and oxygen uptake (p less than 0.01--p less than 0.05), and a lower 2 mmol lactate threshold (p less than 0.05) and an increased blood lactate concentration after a short running test to exhaustion (p less than 0.05). Those experimental subjects (n = 6) who used the added load during every training session had a lower 2 mmol lactate threshold, improved running time to exhaustion, improved vertical velocity when running up stairs and an increased VO2 during submaximal running after the added load increased anaerobic metabolism in the leg muscle during submaximal and maximal exercise. An increased recruitment and adaptation of the fast twitch muscle fibres is suggested as the principal explanation for the observed changes.

A comparison of the effects of mixed static and dynamic work with mainly dynamic work in hot conditions

Current physiological criteria for limiting work in hot conditions are frequently based on responses to mainly dynamic work (eg treadmill walking). Their applicability to industrial situations containing mixed static and dynamic work is questioned, since the physiological responses to static work are different from those of dynamic work. Each of eight subjects attempted a one hour uphill treadmill walk (mainly dynamic work), and an uphill treadmill walk whilst intermittently carrying a 20 kg weight in the arms (mixed static and dynamic work). The external work rates in the two conditions were equal, effected by lowering the treadmill gradient in the loaded condition. Experiments were conducted in a hot climate (33 degrees C dry bulb, 25 degrees C wet bulb). Oxygen consumption, minute ventilation, sweat rate and rated perceived exertion were all significantly higher (p less than 0.001) for the mixed static and dynamic work than for the dynamic work. This was also the case for heart rate and forearm skin temperature (p less than 0.01), and for auditory canal temperature (p less than 0.05). There was no significant difference between the two types of work for mean skin temperature, calf skin temperature and chest skin temperature. These results show that for the same external work, physiological strain and perceived exertion are greater for mixed static and dynamic work (carrying a load in the arms) than for mainly dynamic work (walking on a treadmill). They suggest that it is not appropriate to make direct comparisons of laboratory studies based on dynamic work, with practical situations containing mixed static and dynamic work in the heat.

Cardiorespiratory effects of respiratory protective devices during exercise in well-trained men

The effects of a filtering device, an air-line breathing apparatus and a self-contained breathing apparatus ( SCBA ) on pulmonary ventilation, oxygen consumption and heart rate were studied in 12 well-trained firemen aged 21-35 years. Their average maximal oxygen consumption (VO2 max) was 64.9 ml X min-1 X kg-1. Sequential tests without and with the respirator were performed on a treadmill. The continuous test contained five components, each of which lasted 5 min: sitting at rest, walking at 20%, 40%, and 60% of the individual VO2 max, and recovery sitting. During the higher submaximal work levels and recovery, ventilation, heart rate, and oxygen consumption in particular increased more with respirators than without them. At the highest work level the increments in oxygen consumption caused by the respirators were 13%, (8.7 ml X min-1 X kg-1), 7% (4.4 ml X min-1 X kg-1), and 20% (12.7 ml X min-1 X kg-1) of VO2 max. All three respirators hampered respiration, resulting in hypoventilation. The additional effort of breathing and the weight of the apparatus (15 kg with the SCBA ) increased the subjects' cardiorespiratory strain so clearly that the need for rest periods and the individual's work capacity when the respirators are worn must be carefully considered, particularly with the SCBA .

Cardiorespiratory and thermal effects of wearing gas protective clothing

Six healthy men aged 25 to 37 walked on a treadmill at work levels of 21 and 41% of their VO2max for 25 to 30 min wearing gas protective clothing (GPC) consisting of an impermeable suit with a self-contained breathing apparatus (total weight 25 kg) or shorts (control tests, CT) in a temperate environment (ta 24.3 degrees C +/- 1.0 degrees C, rh 30-50%). When the GPC was worn at 21 and 41% VO2max, the most prominent increases, compared with the CT, were noted in the heart rate (means +/- SE, 120 +/- 5 vs 76 +/- 3 beats min-1 and 171 +/- 5 vs 103 +/- 3 beats min-1), mean skin temperature (36.1 +/- 0.2 vs 31.3 degrees C +/- 0.1 degree C and 36.9 +/- 0.3 vs 30.9 degrees C +/- 0.4 degrees C) and sweat rate (473 +/- 51 vs 70 +/- 23 g m-2 h-1 and 766 +/- 81 vs 135 +/- 18 g m-2 h-1) indicating a high cardiovascular and thermoregulatory strain, which was not decreased by ventilating the suit with an air flow of 281 min-1 at 41% VO2max. The ventilation, oxygen consumption and production of carbon dioxide increased in relation to the extra weight of the GPC, partly dependent on the dynamic work level. It was concluded that the increase in the physiological load caused by the GPC was so high that the work-rest regimens, workers' level of physical fitness, cardiovascular health and heat tolerance should be considered whenever gas protective clothing is used.