Screening criteria for increased susceptibility to heat stress during work or leisure in hot environments in healthy individuals aged 31-70 years.

Population aging and global warming generate important public health risks, as older adults have increased susceptibility to heat stress (SHS). We defined and validated sex-specific screening criteria for SHS during work and leisure activities in hot environments in individuals aged 31-70 years using age, anthropometry, and cardiorespiratory fitness. A total of 123 males and 44 females [44 ± 14 years; 22.9 ± 7.4% body fat; 40.3 ± 8.6 peak oxygen uptake (mlO2/kg/min)] participated, separated into the Analysis (n = 111) and Validation (n = 56) groups. Within these groups, participants were categorized into YOUNG (19-30 years; n = 47) and OLDER (31-70 years; n = 120). All participants performed exercise in the heat inside a direct calorimeter. Screening criteria for OLDER participants were defined from the Analysis group and were cross-validated in the Validation group. Results showed that 30% of OLDER individuals in the Analysis group were screened as SHS positive. A total of 274 statistically valid (p < 0.05) criteria were identified suggesting that OLDER participants were at risk for SHS when demonstrating two or more of the following (males/females): age ≥ 53.0/55.8 years; body mass index ≥29.5/25.7 kg/m2; body fat percentage ≥ 28.8/34.9; body surface area ≤2.0/1.7 m2; peak oxygen uptake ≤48.3/41.4 mlO2/kg fat free mass/min. In the Validation group, McNemar χ2 comparisons confirmed acceptable validity for the developed criteria. We conclude that the developed criteria can effectively screen individuals 31-70 years who are at risk for SHS during work and leisure activities in hot environments and can provide simple and effective means to mitigate the public health risks caused by heat exposure.

Aging Impairs Whole-Body Heat Loss in Women under Both Dry and Humid Heat Stress.

PURPOSE: This study was designed to determine whether age-related impairments in whole-body heat loss, which are known to exist in dry heat, also occur in humid heat in women. METHODS: To evaluate this possibility, 10 young (25 ± 4 yr) and 10 older (51 ± 7 yr) women matched for body surface area (young, 1.69 ± 0.11; older, 1.76 ± 0.14 m, P = 0.21) and peak oxygen consumption (V˙O2peak) (young, 38.6 ± 4.6; older, 34.8 ± 6.6 mL·kg·min, P = 0.15) performed four 15-min bouts of cycling at a fixed metabolic heat production rate (300 W; equivalent to ~45% V˙O2peak), each separated by a 15-min recovery, in dry (35°C, 20% relative humidity) and humid heat (35°C, 60% relative humidity). Total heat loss (evaporative ± dry heat exchange) and metabolic heat production were measured using direct and indirect calorimetry, respectively. Body heat storage was measured as the temporal summation of heat production and loss. RESULTS: Total heat loss was lower in humid conditions compared with dry conditions during all exercise bouts in both groups (all P < 0.05), resulting in 49% and 39% greater body heat storage in young and older women, respectively (both P < 0.01). Total heat loss was also lower in older women compared with young women during exercise bouts 1, 2 and 3 in dry heat (all P < 0.05) and bouts 1 and 2 in humid heat (both P < 0.05). Consequently, body heat storage was 29% and 16% greater in older women compared with young women in dry and humid conditions, respectively (both P < 0.05). CONCLUSIONS: Increasing ambient humidity reduces heat loss capacity in young and older women. However, older women display impaired heat loss relative to young women in both dry and humid heat, and may therefore be at greater risk of heat-related injury during light-to-moderate activity.

The recommended Threshold Limit Values for heat exposure fail to maintain body core temperature within safe limits in older working adults.

PURPOSE: The American Conference of Governmental and Industrial Hygienists (ACGIH®) Threshold Limit Values (TLV® guidelines) for work in the heat consist of work-rest (WR) allocations designed to ensure a stable core temperature that does not exceed 38°C. However, the TLV® guidelines have not been validated in older workers. This is an important shortcoming given that adults as young as 40 years demonstrate impairments in their ability to dissipate heat. We therefore evaluated body temperature responses in older adults during work performed in accordance to the TLV® recommended guidelines. METHODS: On three occasions, 9 healthy older (58 ± 5 years) males performed a 120-min work-simulated protocol in accordance with the TLV® guidelines for moderate-to-heavy intensity work (360 W fixed rate of heat production) in different wet-bulb globe temperatures (WBGT). The first was 120 min of continuous (CON) cycling at 28.0°C WBGT (CON[28°C]). The other two protocols were 15-min intermittent work bouts performed with different WR cycles and WBGT: (i) WR of 3:1 at 29.0°C (WR3:1[29°C]) and (ii) WR of 1:1 at 30.0°C (WR1:1[30°C]). Rectal temperature was measured continuously. The rate of change in mean body temperature was determined via thermometry (weighting coefficients: rectal, 0.9; mean skin temperature, 0.1) and direct calorimetry. RESULTS: Rectal temperature exceeded 38°C in all participants in CON[28°C] and WR3:1[29°C] whereas a statistically similar proportion of workers exceeded 38°C in WR1:1[30°C] (χ2; P = 0.32). The average time for rectal temperature to reach 38°C was: CON[28°C], 53 ± 7; WR3:1[29°C], 79 ± 11; and WR1:1[30°C], 100 ± 29 min. Finally, while a stable mean body temperature was not achieved in any work condition as measured by thermometry (i.e., >0°C·min-1; all P<0.01), heat balance as determined by direct calorimetry was achieved in WR3:1[29°C] and WR1:1[30°C] (both P ≥ 0.08). CONCLUSION: Our findings indicate that the TLV® guidelines do not prevent body core temperature from exceeding 38°C in older workers. Furthermore, a stable core temperature was not achieved within safe limits (i.e., ≤38°C) indicating that the TLV® guidelines may not adequately protect all individuals during work in hot conditions.

Do the Threshold Limit Values for Work in Hot Conditions Adequately Protect Workers?

PURPOSE: We evaluated core temperature responses and the change in body heat content (ΔHb) during work performed according to the ACGIH threshold limit values (TLV) for heat stress, which are designed to ensure a stable core temperature that does not exceed 38.0°C. METHODS: Nine young males performed a 120-min work protocol consisting of cycling at a fixed rate of heat production (360 W). On the basis of the TLV, each protocol consisted of a different work-rest (WR) allocation performed in different wet-bulb globe temperatures (WBGT). The first was 120 min of continuous (CON) cycling at 28.0°C WBGT (CON[28.0°C]). The remaining three protocols were intermittent work bouts (15-min duration) performed at various WR and WBGT: (i) WR of 3:1 at 29.0°C (WR3:1[29.0°C]), (ii) WR of 1:1 at 30.0°C (WR1:1[30.0°C]), and (iii) WR of 1:3 at 31.5°C (WR1:3[31.5°C]) (total exercise time: 90, 60, and 30 min, respectively). The change in rectal (ΔTre) and mean body temperature (ΔTb) was evaluated with thermometry. ΔHb was determined via direct calorimetry and also used to calculate ΔTb. RESULTS: Although average rectal temperature did not exceed 38.0°C, heat balance was not achieved during exercise in any work protocol (i.e., rate of ΔTre > 0°C·min; all P values ≤ 0.02). Consequently, it was projected that if work was extended to 4 h, the distribution of participant core temperatures higher and lower than 38.0°C would be statistically similar (all P values ≥ 0.10). Furthermore, ΔHb was similar between protocols (P = 0.70). However, a greater ΔTb was observed with calorimetry relative to thermometry in WR3:1[29.0°C] (P = 0.03), WR1:1[30.0°C] (P = 0.02), and WR1:3[31.5°C] (P < 0.01) but not CON[28.0°C] (P = 0.32). CONCLUSION: The current study demonstrated that heat balance was not achieved and ΔTb and ΔHb were inconsistent, suggesting that the TLV may not adequately protect workers during work in hot conditions.

Increased Air Velocity Reduces Thermal and Cardiovascular Strain in Young and Older Males during Humid Exertional Heat Stress.

Older adults have been reported to have a lower evaporative heat loss capacity than younger adults during exercise when full sweat evaporation is permitted. However, it is unclear how conditions of restricted evaporative and convective heat loss (i.e., high humidity, clothing insulation) alter heat stress. to the purpose of this study was to examine the heat stress responses of young and older males during and following exercise in a warm/humid environment under two different levels of air velocity. Ten young (YOUNG: 24±2 yr) and 10 older (OLDER: 59±3 yr) males, matched for body surface area performed 4×15-min cycling bouts (15-min rest) at a fixed rate of heat production (400 W) in warm/humid conditions (35°C, 60% relative humidity) under 0.5 (Low) and 3.0 (High) m·s(-1) air velocity while wearing work coveralls. Rectal (Tre) and mean skin (MTsk) temperatures, heart rate (HR), local sweat rate, % max skin blood flow (SkBF) (recovery only), and blood pressure (recovery only) were measured. High air velocity reduced core and skin temperatures (p < 0.05) equally in YOUNG and OLDER males (p > 0.05) but was more effective in reducing cardiovascular strain (absolute and % max HR; p < 0.05) in YOUNG males (p < 0.05). Greater increases in local dry heat loss responses (% max SkBF and cutaneous vascular conductance) were detected across time in OLDER than YOUNG males in both conditions (p < 0.05). Local dry heat loss responses and cardiovascular strain were attenuated during the High condition in YOUNG compared to OLDER (p < 0.05). High air velocity reduced the number of males surpassing the 38.0°C Tre threshold from 90% (Low) to 50% (High). Despite age-related local heat loss differences, YOUNG and OLDER males had similar levels of heat stress during intermittent exercise in warm and humid conditions while wearing work coveralls. Increased air velocity was effective in reducing heat stress equally, and cardiovascular strain to a greater extent, in YOUNG and OLDER males, and may be useful for mitigating heat stress in all workers.

The Influence of Arc-Flash and Fire-Resistant Clothing on Thermoregulation during Exercise in the Heat.

We evaluated the effect of arc-flash and fire-resistant (AFR) clothing ensembles (CE) on whole-body heat dissipation during work in the heat. On 10 occasions, 7 males performed four 15-min cycling bouts at a fixed rate of metabolic heat production (400 W) in the heat (35°C), each separated by 15-min of recovery. Whole-body heat loss and metabolic heat production were measured by direct and indirect calorimetry, respectively. Body heat storage was calculated as the temporal summation of heat production and heat loss. Responses were compared in a semi-nude state and while wearing two CE styles: (1) single-piece (coveralls) and (2) two-piece (workpant + long-sleeve shirt). For group 1, there was one non-AFR single-piece CE (CE1STD) and three single-piece CE with AFR properties (CE2AFR, CE3AFR, CE4AFR). For group 2, there was one non-AFR two-piece CE (CE5STD) and four two-piece CE with AFR properties (CE6AFR, CE7AFR, CE8AFR, CE9AFR). The workpants for CE6AFR were not AFR-rated, while a cotton undershirt was also worn for conditions CE8AFR and CE9AFR and for all single-piece CE. Heat storage for all conditions (CE1STD: 328 ± 55, CE2AFR: 335 ± 87, CE3AFR: 309 ± 95, CE4AFR: 403 ± 104, CE5STD: 253 ± 78, CE6AFR: 268 ± 89, CE7AFR: 302 ± 70, CE8AFR: 360 ± 36, CE9AFR: 381 ± 99 kJ) was greater than the semi-nude state (160 ± 124 kJ) (all p ≤ 0.05). No differences were measured between single-piece uniforms (p = 0.273). Among the two-piece uniforms, heat storage was greater for CE8AFR and CE9AFR relative to CE5STD and CE6AFR (all p ≤ 0.05), but not CE7AFR (both p > 0.05). Differences between clothing styles were measured such that greater heat storage was observed in both CE1STD and CE2-4AFR relative to CE5STD. Further, heat storage was greater in CE2AFR and CE4AFR relative to CE6AFR, while it was greater in CE4AFR compared to CE7AFR. Body heat storage during work in the heat was not influenced by the use of AFR fabrics in the single- or two-piece uniforms albeit less heat was stored in the two-piece uniforms when no undershirt was worn. However, heat storage was comparable between clothing styles when an undershirt was worn with the two-piece uniform.

Preservation of cognitive performance with age during exertional heat stress under low and high air velocity.

UNLABELLED: Older adults may be at greater risk for occupational injuries given their reduced capacity to dissipate heat, leading to greater thermal strain and potentially cognitive decrements. PURPOSE: To examine the effects of age and increased air velocity, during exercise in humid heat, on information processing and attention. METHODS: Nine young (24 ± 1 years) and 9 older (59 ± 1 years) males cycled 4 × 15 min (separated by 15 min rest) at a fixed rate of heat production (400 W) in humid heat (35°C, 60% relative humidity) under 0.5 (low) and 3.0 (high) m·s(-1) air velocity wearing coveralls. At rest, immediately following exercise (end exercise), and after the final recovery, participants performed an abbreviated paced auditory serial addition task (PASAT, 2 sec pace). RESULTS: PASAT numbers of correct responses at end exercise were similar for young (low = 49 ± 3; high = 51 ± 3) and older (low = 46 ± 5; high = 47 ± 4) males and across air velocity conditions, and when scored relative to age norms. Psychological sweating, or an increased sweat rate with the administration of the PASAT, was observed in both age groups in the high condition. CONCLUSION: No significant decrements in attention and speeded information processing were observed, with age or altered air velocity, following intermittent exercise in humid heat.

Whole-body heat exchange during heat acclimation and its decay.

PURPOSE: The purpose of this study was to quantify how much whole-body heat loss increases during heat acclimation and the decay in these improvements after heat acclimation. METHODS: Ten males underwent a 14-d heat acclimation protocol that consisted of 90 min of cycling in the heat (40°C, 20% relative humidity) at approximately 50% of maximum oxygen consumption. Before (day 0), during (day 7), and at the end (day 14) of the heat acclimation protocol as well as 7 and 14 d after heat acclimation (days 21 and 28), whole-body heat exchange (evaporative and dry) was measured using direct calorimetry during three bouts of 30-min exercise at 300 (Ex1), 350 (Ex2), and 400 W·m (Ex3), each separated by 10 and 20 min of recovery, respectively, at 35°C and 16% relative humidity. Concurrent measurements of metabolic heat production (indirect calorimetry) allowed for the direct calculation of change in body heat content (ΔHb). RESULTS: After accounting for an increase in net dry heat gain, increases in whole-body evaporative heat loss were evident for Ex2 and Ex3 on day 7 (Ex2, 4.9 ± 5.6%; Ex3, 9.0 ± 6.0%; both P ≤ 0.05) and all heat loads on day 14 (Ex1, 7.6 ± 8.3%; Ex2, 7.7 ± 5.5%; Ex3, 11.2 ± 4.6%; all P ≤ 0.05) relative to day 0 (Ex1, 494 ± 27 W; Ex2, 583 ± 21 W; Ex3, 622 ± 36 W). As a result, a lower cumulative ΔHb was measured on day 7 (-18 ± 8%, P ≤ 0.001) and day 14 (-26 ± 10%, P ≤ 0.001) compared with that measured on day 0 (1062 ± 123 kJ). Most of these improvements were retained after 2 wk of nonexposure to the heat. CONCLUSIONS: This is the first study to quantify how much 14 d of heat acclimation can increase whole-body evaporative heat loss, which can improve by as much as approximately 11%.

Increased air velocity during exercise in the heat leads to equal reductions in hydration shifts and interleukin-6 with age.

PURPOSE: The effectiveness of increased air velocity in reducing hydration shifts and physiological strain during work in the heat was examined in young and older males. METHODS: Ten young (mean ± SE, 24 ± 1 years) and 10 older (59 ± 1 years) males, matched for height, mass, and body surface area, cycled 4 × 15-min at moderate-to-heavy heat production (400 W), with 15-min rest separations between exercise bouts (final recovery 30 min), while wearing work clothing in humid heat (35 °C, 60 % relative humidity) under low (~0.5 m s(-1)) and high (~3.0 m s(-1)) air velocity. Rectal temperature (T re) and heart rate were measured continuously, whereas hydration indices and interleukin (IL)-6 were measured at rest (PRE) and following the final recovery (POST). RESULTS: Young and older males experienced similar thermal and cardiovascular strain within the low (T re end-exercise: young = 38.28 ± 0.11, older = 38.31 ± 0.08 °C) and high (T re end-exercise: young = 37.94 ± 0.08, older = 37.87 ± 0.08 °C) air velocity conditions, with a reduced increase in both groups in high compared to low. Percent changes in plasma volume were similarly greater during the low (young = -10.9 ± 1.2, older = -10.8 ± 0.9 %) compared to high (young = -5.7 ± 0.6, older = -6.9 ± 0.7 %) condition for both groups. Despite elevated IL-6 at PRE in the older males, the IL-6 absolute change was similar between young (low = +4.10 ± 0.95, high = +0.99 ± 0.32 pg mL(-1)) and older (low = +3.58 ± 0.83, high = +1.24 ± 0.28 pg mL(-1)) males yet greater during the low compared to high condition. CONCLUSIONS: Increased air velocity was effective in reducing the increase in hydration shifts and physiological strain (i.e. IL-6, thermal and cardiovascular strain) equally in young and older males.

Moderate-intensity intermittent work in the heat results in similar low-level dehydration in young and older males.

Older individuals may be more susceptible to the negative thermal and cardiovascular consequences of dehydration during intermittent work in the heat. This study examined the hydration, thermal, and cardiovascular responses to intermittent exercise in the heat in 14 Young (Y, Mean ± SE; 25.8 ± 0.8 years), Middle-age (MA, 43.6 ± 0.9 years), and Older (O, 57.2 ± 1.5 years) healthy, non-heat acclimated males matched for height, mass, body surface area, and percent body fat. Rectal temperature (Tre), heart rate (HR), local sweat rate (LSR), and hydration indices were measured during 4 × 15-min moderate to heavy cycling bouts at 400 W heat production, each followed by a 15-min rest period, in Warm/Dry (35°C, 20% relative humidity [RH]) and Warm/Humid (35°C, 60% RH) heat. No differences were observed between the age groups for Tre, Tre change, HR, LSR, mass change, urine specific gravity, and plasma protein concentration in either condition, irrespective of the greater level of thermal and cardiovascular strain experienced in the Warm/Humid environment. Plasma volume changes (Dry Y: -5.4 ± 0.7, MA: -6.2 ± 0.9, O: -5.7 ± 0.9%, Humid Y: -7.3 ± 1.0, MA: -7.9 ± 0.8, O: -8.4 ± 1.0%) were similar between groups, as were urine specific gravity and plasma protein concentrations. Thus, physically active Young, Middle-age, and Older males demonstrate similar hydration, thermal, and cardiovascular responses during moderate- to high-intensity intermittent exercise in the heat.

Are circulating cytokine responses to exercise in the heat augmented in older men?

Age-related chronic low-grade inflammation may render older individuals more susceptible to heat illnesses. The purpose of this study was to examine the influence of intermittent work in the heat on the circulating cytokine responses of older workers. Fourteen young (aged 25.6 ± 0.7 years) and older (aged 57.7 ± 1.5 years) males, matched for body surface area, cycled for 4 × 15 min (separated by 15-min rest) at moderate to heavy intensity (400 W heat production) in warm/dry (35 °C, 20% relative humidity (RH)) and warm/humid (35 °C, 60% RH) conditions. Rectal (Tre) and mean skin (MTsk) temperatures and heart rate were measured continuously, ratings of perceived exertion and thermal sensation recorded at the end of each exercise bout, and blood samples at baseline (PRE) and following the final 60-min recovery (POST) were analyzed for interleukin (IL)-6, tumor necrosis factor (TNF)-α, and percent changes in blood (BV) and plasma (PV) volumes. No differences were observed between the age groups for Tre, MTsk, heart rate, perceptual strain, or percentage of changes in BV, PV, or ΔTNF-α. Under both conditions, the older males had elevated IL-6 and TNF-α (PRE, POST) compared with the young males. ΔIL-6 tended to be greater in the warm/humid condition (+2.53 ± 0.49 and +1.52 ± 0.41 pg·mL(-1)) compared with the warm/dry condition (+1.02 ± 0.13 and +0.68 ± 0.18 pg·mL(-1)) for older but not young males, respectively. Young and older males experienced similar thermal, cardiovascular, and perceptual strain within the warm/dry and warm/humid conditions.

Body heat storage during intermittent work in hot-dry and warm-wet environments.

We examined heat balance using an American Conference of Governmental Industrial Hygienists threshold limit value allocated exercise protocol in hot-dry (HD; 46 °C, 10% relative humidity (RH)) and warm-wet (WW; 33 °C, 60% RH) environments of equivalent WBGT (29 °C) for different clothing ensembles. Whole-body heat exchange and changes in body heat content (ΔH(b)) were measured using simultaneous direct whole-body and indirect calorimetry. Eight males performed six 15-min cycling periods at a constant rate of metabolic heat production (360 W) interspersed by 5-min rest periods for six experimental trials: HD and WW environments for a seminude control (CON), modified work uniform (MWU, moisture permeable top and work pants), and standard work uniform (SWU, work coveralls and cotton undergarments). Whole-body evaporative and dry heat exchange, rectal temperature (T(re)), and heart rate were measured continuously. The cumulative ΔH(b) during the 2 h intermittent exercise protocol was similar between HD and WW environments for each of the clothing ensembles (CON, 387 ± 55 vs. 435 ± 49 kJ; MWU, 485 ± 58 vs. 531 ± 61 kJ; SWU, 585 ± 74 vs. 660 ± 54 kJ, respectively). Similarly, no differences in T(re) (CON, 37.67 ± 0.07 vs. 37.48 ± 0.08 °C; MWU, 37.73 ± 0.08 vs. 37.53 ± 0.09 °C; SWU, 38.01 ± 0.09 vs. 37.94 ± 0.05 °C) or heat rate (CON, 93 ± 3 vs. 84 ± 3 beats·min⁻¹; MWU, 102 ± 5 vs. 95 ± 9 beats·min⁻¹; SWU, 119 ± 8 vs. 110 ± 9 beats·min⁻¹) were observed at the end of the 2 h intermittent exercise protocol in HD vs. WW environments, respectively. We showed similar levels of thermal and cardiovascular strain for intermittent work performed in high heat stress conditions of varying environmental conditions but similar WBGT.

A field evaluation of the physiological demands of miners in Canada's deep mechanized mines.

This study was conducted to evaluate the physical/mechanical characteristics of typical selected mining tasks and the energy expenditure required for their performance. The study comprised two phases designed to monitor and record the typical activities that miners perform and to measure the metabolic energy expenditure and thermal responses during the performance of these activities under a non-heat stress environmental condition (ambient air temperature of 25.8°C and 61% relative humidity with a wet bulb globe temperature (WBGT) of 22.0°C). Six common mining jobs were evaluated in 36 miners: (1) production drilling (jumbo drill) (n = 3), (2) production ore transportation (load-haul dump vehicle) (n = 4), (3) manual bolting (n = 9), (4) manual shotcrete (wet/dry) (n = 3), (5) general services (n = 8) and, (6) conventional mining (long-hole drill) (n = 9). The time/motion analysis involved the on-site monitoring, video recording, and mechanical characterization of the different jobs. During the second trial, continuous measurement of oxygen consumption was performed with a portable metabolic system. Core (ingestible capsule) and skin temperatures (dermal patches) were recorded continuously using a wireless integrated physiological monitoring system. We found that general services and manual bolting demonstrated the highest mean energy expenditure (331 ± 98 and 290 ± 95 W, respectively) as well as the highest peak work rates (513 and 529 W, respectively). In contrast, the lowest mean rate of energy expenditure was measured in conventional mining (221 ± 44 W) and manual shotcrete (187 ± 77 W) with a corresponding peak rate of 295 and 276 W, respectively. The low rate of energy expenditure recorded for manual shotcrete was paralleled by the lowest work to rest ratio (1.8:1). While we found that production drilling had a moderate rate of energy expenditure (271 ± 11 W), it was associated with the highest work to rest ratio (6.7:1) Despite the large inter-variability in energy expenditure and work intervals among jobs, only small differences in average core temperature (average ranged between 37.20 ± 0.22 to 37.42 ± 0.18°C) were measured. We found a high level of variability in the duration and intensity of tasks performed within each mining job. This was paralleled by a large variation in the work to rest allocation and mean energy expenditure over the course of the work shift.

Cortisol and interleukin-6 responses during intermittent exercise in two different hot environments with equivalent WBGT.

Blood marker concentrations such as cortisol (COR) and interleukin (IL)-6 are commonly used to evaluate the physiological strain associated with work in the heat. It is unclear, however, if hot environments of an equivalent thermal stress, as defined by a similar wet bulb globe temperature (WBGT), result in similar response patterns. This study examined markers of neuroendocrine (COR) and immune (IL-6) responses, as well as the cardiovascular and thermal responses, relative to changes in body heat content measured by whole-body direct calorimetry during work in two different hot environments with equivalent WBGT. Eight males performed a 2-hr heavy intermittent exercise protocol (six 15-min bouts of cycling at a constant rate of metabolic heat production (360W) interspersed by 5-min rest periods) in Hot/Dry (46°C, 10% relative humidity [RH]) and Warm/Humid (33°C, 60% RH) conditions (WBGT ∼ 29°C). Whole-body evaporative and dry heat exchange, change in body heat content (ΔH(b)), rectal temperature (T(re)), and heart rate were measured continuously. Venous blood was obtained at rest (PRE) and the end of each exercise bout for the measurement of changes in plasma volume (PV), plasma protein (an estimate of plasma water changes), COR, and IL-6. Ratings of perceived exertion and thermal sensation were measured during the last minute of each exercise bout. No differences existed for ΔH(b), heart rate, T(re),%ΔPV, plasma protein concentration, perceptual strain (thermal sensation, perceived exertion), and COR between the Hot/Dry and Warm/Humid conditions. IL-6 exhibited an interaction effect (p = 0.041), such that greater increases were observed in the Hot/Dry (Δ = 1.61 pg·mL(-1)) compared with the Warm/Humid (Δ = 0.64 pg·mL(-1)) environment. These findings indicate that work performed in two different hot environments with equivalent WBGT resulted in similar levels of thermal, cardiovascular, and perceptual strain, which support the use of the WBGT stress index. However, the greater IL-6 response in the Hot/Dry requires further research to elucidate the effects of different hot environments and work intensities.

The influence of activewear worn under standard work coveralls on whole-body heat loss.

This study evaluated the influence of activewear undergarments worn under the standard mining coveralls on whole-body heat exchange and change in body heat content during work in the heat. Each participant performed 60 min of cycling at a constant rate of heat production of 400 W followed by 60 min of recovery in a whole-body calorimeter regulated at 40°C and 15% relative humidity donning one of the four clothing ensembles: (1) cotton underwear and shorts only (Control, CON); (2) Activewear only (ACT); (3) Coveralls+Cotton undergarments (COV+COT); or (4) Coveralls+Activewear undergarments (COV+ACT). In the latter two conditions a hard hat with earmuffs, gloves, and socks with closed toe shoes were worn. We observed that both COV+COT and COV+ACT resulted in a similar mean (±SE) change in body heat content, which was significantly greater compared with the CON and ACT during exercise, suggesting that the rate of thermal strain was elevated to a similar degree in both coverall conditions (CON: 245±32 kJ; ACT: 260±29 kJ; COV+COT: 428±36 kJ; COV+ACT: 466±15 kJ; p<0.001). During recovery, the negative change in body heat content was greater for both COV+COT and COV+ACT compared with the CON and ACT but similar between COV+COT and COV+ACT due to the greater amount of heat stored during exercise (CON: -83±16 kJ; ACT: -104±33 kJ; COV+COT: -198±30 kJ; COV+ACT: -145±12 kJ; p=0.048). Core temperatures and heart rate were also significantly elevated for the COV+COT and COV+ACT compared with the CON and ACT conditions during and following exercise (p<0.05). These results suggest that while activewear undergarments are not detrimental, they provide no thermoregulatory benefit when replacing the cotton undergarment worn under the standard coverall during work in the heat.

Ice cooling vest on tolerance for exercise under uncompensable heat stress.

This study was conducted to evaluate the effectiveness of a commercial, personal ice cooling vest on tolerance for exercise in hot (35°C), wet (65% relative humidity) conditions with a nuclear biological chemical suit (NBC). On three separate occasions, 10 male volunteers walked on a treadmill at 3 miles per hour and 2% incline while (a) seminude (denoted CON), (b) dressed with a nuclear, biological, chemical (NBC) suit with an ice vest (V) worn under the suit (denoted NBCwV); or (c) dressed with an NBC suit but without an ice vest (V) (denoted NBCwoV). Participants exercised for 120 min or until volitional fatigue, or esophageal temperature reached 39.5°C. Esophageal temperature (T(es)), heart rate (HR), thermal sensation, and ratings of perceived exertion were measured. Exercise time was significantly greater in CON compared with both NBCwoV and NBCwV (p < 0.05), whereas T(es), thermal sensation, heart rate, and rate of perceived exertion were lower (p < 0.05). Wearing the ice vest increased exercise time (NBCwoV, 103.6 ± 7.0 min; NBCwV, 115.9 ± 4.1 min) and reduced the level of thermal strain, as evidenced by a lower T(es) at end-exercise (NBCwoV, 39.03 ± 0.13°C; NBCwV, 38.74 ± 0.13°C) and reduced thermal sensation (NBCwoV, 6.4 ± 0.4; NBCwV, 4.8 ± 0.6). This was paralleled by a decrease in rate of perceived exertion (NBCwoV, 14.7 ± 1.6; NBCwV, 12.4 ± 1.6) (p < 0.05) and heat rate (NBCwoV, 169 ± 6; NBCwV, 159 ± 7) (p < 0.05). We show that a commercially available cooling vest can significantly reduce the level of thermal strain during work performed in hot environments.

Heat balance and cumulative heat storage during exercise performed in the heat in physically active younger and middle-aged men.

On separate days, eight physically active younger (22 +/- 2 years) and eight highly trained middle-aged (45 +/- 4 years) men matched for physical fitness and body composition performed 90 min of semi-recumbent cycling at a constant rate of heat production (290 W) followed by 60 min of seated recovery in either a temperate (T, 30 degrees C), warm (W, 35 degrees C) or hot (H, 40 degrees C) ambient condition. Rectal temperature (T (re)) was measured continuously, while the rate of whole-body heat loss (H (L)), as well as changes in body heat content (H (b)) was measured simultaneously using direct whole-body and indirect calorimetry. No difference in H (L) was observed between age groups for all ambient conditions. Accordingly, the average H (b) during the 90-min exercise was similar for the younger (+193 +/- 52, 212 +/- 82 and +211 +/- 44 kJ for T, W and H, respectively) and middle-aged men (+192 +/- 119, +225 +/- 76 and +217 +/- 130 kJ for T, W and H, respectively). This was paralleled by a similar increase in T (re) of 0.40 +/- 0.20, 0.36 +/- 0.14 and 0.34 +/- 0.23 degrees C for T, W and H, respectively in the younger men and 0.37 +/- 0.23, 0.32 +/- 0.19 and 0.28 +/- 0.14 degrees C for T, W and H, respectively in the middle-aged men. After 60 min of recovery, H (b) was similar for the younger and the middle-aged men, respectively (-45 +/- 52 and -38 +/- 31 kJ for T; -57 +/- 78 and -40 +/- 25 kJ for W; and -32 +/- 71 and 11 +/- 96 kJ for H). End recovery T (re) remained elevated to similar levels in both the younger and middle-aged men, respectively, for each of the ambient conditions (0.24 +/- 019 and 0.18 +/- 0.18 degrees C for T; 0.25 +/- 0.11 and 0.24 +/- 0.14 degrees C for W and 0.33 +/- 0.21 and 0.33 +/- 0.13 degrees C for H). We conclude that highly trained middle-aged men demonstrate a similar capacity for heat dissipation when compared with physically active younger men.

Heat balance and cumulative heat storage during intermittent bouts of exercise.

PURPOSE: The aim of this study was to investigate heat balance during thermal transients caused by successive exercise bouts. Whole-body heat loss (H x L) and changes in body heat content (Delta Hb) were measured using simultaneous direct whole-body and indirect calorimetry. METHODS: Ten participants performed three successive bouts of 30-min cycling (Ex1, Ex2, and Ex3) at a constant rate of heat production of approximately 500 W, each separated by 15-min rest (R1, R2, and R3) at 30 degrees C. RESULTS: Despite identical rates of heat production during exercise, the time constant (tau) of the exponential increase in H x L was greater in Ex1 (tau = 12.3 +/- 2.3 min) relative to both Ex2 (tau = 7.2 +/- 1.6 min) and Ex3 (tau = 7.1 +/- 1.6 min) (P < 0.05). Delta Hb during Ex1 (256 +/- 76 kJ) was greater than during Ex2 (135 +/- 60 kJ) and Ex3 (124 +/- 78 kJ) (P < 0.05). During recovery bouts, heat production was the same, and the tau of the exponential decrease in H L was the same during R1 (tau = 6.5 +/- 1.1 min), R2 (tau = 5.9 +/- 1.3 min), and R3 (tau = 6.0 +/- 1.2 min). Delta Hb during R1 (-82 +/- 48 kJ), R2 (-91 +/- 48 kJ), and R3 (-88 +/- 54 kJ) were the same. The cumulative Delta Hb was consequently greater at the end of Ex2 and Ex3 relative to the end of Ex1 (P < 0.05). Likewise, cumulative Delta Hb was greater at the end of R2 and R3 relative to R1 (P < 0.05). CONCLUSION: The proportional decrease in the amount of heat stored in the successive exercise bouts is the result of an enhanced rate of heat dissipation during exercise and not due to a higher rate of heat loss in the recovery period. Despite a greater thermal drive with repeated exercise, the decline in the rate of total heat loss during successive recovery bouts was the same.