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Hijabs are predominantly worn in hot environments, but very rare studies on the thermo-physiological effects of wearing hijabs are found. We investigated the effects of wearing rayon and polyester hijabs on wearers' physiological and subjective responses in warm-humid and hot-dry environments. Eight females (25.0 ± 2.3 y in age, 157.7 ± 4.1 cm in height, and 50.8 ± 7.5 kg in weight) participated in three conditions (No hijab, rayon hijab, and polyester hijab condition) during exercise in two thermal environments: a warm-humid (30 °C and 70%RH) and a hot-dry environment (36 °C and 30%RH), which generated an identical wet-bulb globe temperature at 27 °C. The results showed that no differences in rectal temperature were found among the three clothing conditions or the two environments, whereas auditory canal temperature was higher in the hot-dry than in the warm-humid environment (P < 0.05) with no differences between the polyester and rayon hijab conditions. Mean skin temperature and neck temperature were higher for the polyester condition than for the rayon condition in the warm-humid environment (P < 0.05). Sweat rate was greater for the polyester hijab condition than for the no hijab condition in the warm-humid environment (P = 0.049). Heart rate was greater for the polyester hijab condition than for the other two conditions in the warm-humid environment (P < 0.05). Subjects felt more thermally uncomfortable when wearing the polyester hijab than the rayon hijab in the warm-humid environment. Greater thermal burden of the polyester hijab when compared to the rayon hijab was marked in the warm-humid environment, not in the hot-dry environment. [ABSTRACT FROM AUTHOR]

Until now, only a few comprehensive studies have validated analytical heat stress indices in different conditions. The present study aims to investigate the validity of these indicators in predicting the physiological parameters of workers. This cross-sectional study was conducted with 194 male employees working in warm environments. First, demographic information was collected. After participants rested for 30 min, their heart rate and tympanic temperature were measured. The subjects then performed their routine tasks. At the end of 90 min, their heart rate and tympanic temperature were again measured. Additionally, their metabolism rate and clothing thermal insulation were estimated. Environmental parameters were also measured at 30-, 60-, and 90-min time points. Additional information required to compute the indices was recorded. Then, the values of each of the indices were computed. Finally, the validity of the indices was assessed under different conditions. The results indicated that the highest regression coefficients with tympanic temperature were assigned to modified physiologically equivalent temperature (mPET) (0.7515), predicted heat strain (PHS) (0.7201), and predicted mean vote (PMV) (0.7082), index, respectively. Also, the greatest regression coefficients with heart rate belonged to mPET (0.7773), PMV (0.7624), and PHS (0.6479) index, respectively. Based on the results, the highest diagnostic accuracies of receiver operating characteristic (ROC) curves for tympanic temperature were related to indices of mPET, PHS, and PMV with the area under the ROC curve (AUC) of 0.945, 0.931, and 0.930, respectively. Of the studied indices, it was observed that mPET, PHS, PMV, and PPD showed more validity compared to others. [ABSTRACT FROM AUTHOR]

The present observational study was conducted to uncover potential differences in the risk of experiencing high occupational heat strain during agriculture work between migrants and their native coworkers, as well as to elucidate the factors that may contribute to such differences. The study took place over the period from 2016 through 2019 and involved monitoring 124 experienced and acclimatized individuals from high-income (HICs), upper-middle-income (UMICs), as well as lower-middle- and low-income (LMICs) countries. Baseline self-reported data for age, body stature, and body mass were collected at the start of the study. Second-by-second video recordings throughout the work shifts were captured using a video camera and were used to estimate workers' clothing insulation, covered body surface area, and body posture, as well as to calculate their walking speed, the amount of time they spent on different activities (and their intensity) and unplanned breaks throughout their work shifts. All information derived from the video data was used to calculate the physiological heat strain experienced by the workers. The core temperature of migrant workers from LMICs (37.81 ± 0.38 °C) and UMICs (37.71 ± 0.35 °C) was estimated to be significantly higher compared to the core temperature of native workers from HICs (37.60 ± 0.29 °C) (p < 0.001). Moreover, migrant workers from LMICs faced a 52% and 80% higher risk for experiencing core body temperature above the safety threshold of 38 °C compared to migrant workers from UMICs and native workers from HICs, respectively. Our findings show that migrant workers originating from LMICs experience higher levels of occupational heat strain, as compared to migrant workers from UMICs and native workers from HICs, because they take fewer unplanned breaks during work, they work at a higher intensity, they wear more clothing, and they have a smaller body size. [ABSTRACT FROM AUTHOR]

Increasing heatwave frequency due to climate change threatens outdoor workers' health. We aimed to assess the on-site heat strain level of outdoor workers using wearable sensors and identify the factors for consideration in developing individual-based heat adaptation strategies. Seven road construction workers were recruited and asked to wear necklace-form temperature loggers and smartwatches monitoring heart rate (HR). The questionnaire was delivered daily to ask about their psychological comfort level during work. Workers were exposed to up to 5.4 °C higher temperature than the official air temperature, indicating that the national heatwave alarm does not reflect on-site heat conditions. Based on the measured HR data, heat strain levels were defined. When HR exceeded the level of "180-age," we assumed extreme heat strain occurred, which requires immediate cessation of work. When HR exceeded 40% of the individual heart rate reserve (the difference between the maximum and resting HR), we assumed high heat strain occurred, indicating a stressed condition. High heat strain occurred in all workers on 9 of the 13 monitored days, whereas the official heatwave alarms were issued only on four dates. Additionally, three workers experienced extreme heat strain on two dates. The main factor for workers experiencing extreme heat strain was age. Comparing the heat strain levels from HR with the survey results, we found that the older workers considered their condition comfortable even under extreme and high heat strain. Thus, an individual sensor-based early-warning system is needed to prevent heat strain not perceived by outdoor workers. The findings emphasize the need for a personalized adaptation strategy for heatwaves and will be a baseline for developing a new work manual that mainstreams climate change impacts. [ABSTRACT FROM AUTHOR]

Purpose: Klotho is a cytoprotective protein that increases during acute physiological stressors (e.g., exercise heat stress), although age-related declines in klotho may underlie cellular vulnerability to heat stress. The present study aimed to compare serum klotho in healthy older men and men with type 2 diabetes (T2D) or hypertension (HTN) during prolonged exercise in temperate or hot conditions. Methods: We evaluated serum klotho in 12 healthy older men (mean [SD]; 59 years [4]), 10 men with HTN (60 years [4]), and 9 men with T2D (60 years [5]) before and after 180 min of moderate-intensity (fixed metabolic rate of 200 W/m2; ~ 3.4 METs) exercise and 60 min of recovery in temperate (wet-bulb globe temperature (WBGT) 16 °C) and hot (WBGT 32 °C) environments. Core temperature (rectal), heart rate (HR), and heart rate reserve (HRR) were measured continuously while klotho was measured at the end of baseline, exercise, and recovery. Results: Total exercise duration was reduced during the hot condition in older men with HTN and T2D than healthy older men (both p ≤ 0.049), despite similar core temperatures, HR, and HRR. Klotho was higher than rest following exercise in the heat in healthy older men (+ 191 pg/mL [189]; p < 0.001) and responses were greater (p = 0.036) than men with HTN (+ 118 pg/mL [49]; p = 0.030), although klotho did not increase in men with T2D (+ 4 pg/mL [71]; p ≥ 0.638). Conclusion: Given klotho's role in cytoprotection, older men with HTN and especially T2D may be at increased cellular vulnerability to prolonged exercise or physically demanding exercise in the heat. [ABSTRACT FROM AUTHOR]

Heat stress is one of the most common complaints of health care employees who wear isolation gowns to protect themselves from biological agents, particularly during the warmer seasons. This study was conducted in a climatic chamber to determine the influence of airflow within isolated hospital gowns on physiological-perceptual heat strain indices. The experiment was conducted in three trials: regular clothes (CON), an impenetrable gown without air blowing (GO), and a gown with air blowing (GO + FAN) at temperature conditions of 27 °C and 25% relative humidity (RH). During the trial, physiological-perceptual response data were recorded for a half-hour on a treadmill at a speed of km/hr and a slope of 0% activity at 5-min intervals. The ASHRAE Likert scale was used to assess thermal comfort (TC), thermal sensation (TS), and skin wetness sensation (WS). As the results show, there was a significant difference in mean scores for TC and WS in both sexes when working in the CON, GO, and GO + FAN groups (P < 0.001). In women, the mean scores for TS, TC, and WS reduced considerably (P < 0.001) in the GO and GO + FAN in the amount of 10 and 12 CFM (20 m 3 /h), but in males, there was a statistically significant difference between mean scores (P < 0.001) in the GO + FAN at 12 CFM (20 m 3 /h) and 14 CFM (24 m 3 /h). Also, the greatest difference between the average heart rate, chest temperature, and temperature inside the clothes in women and men in the trials GO and GO + FAN was observed in the air flow 12 CFM and 14 CFM, respectively (P < 0.001). The usage of an air blower in isolated hospital clothes has been shown to influence physiological-perceptual parameters in men and women substantially. The existence of airflow in these gowns can improve safety, performance, and thermal comfort while also decreasing the risk of heat-related disorders. [ABSTRACT FROM AUTHOR]

The Intergovernmental Panel on Climate Change, IPCC predicts that hot seasons will get even hotter due to global climate change. There exists a critical dependence of human metabolic processes on temperature. Changes in thermal balance therefore, have an adverse effect on health because they raise body temperature, cause excessive sweating, and accelerate the rate of dehydration. Different nations and professional groups use different techniques to measure heat strain. This paper aims to review previous research conducted in the area of heat strain due to heat exposure among workers in Southeast Asia and also to profile mitigation strategies in North East India. Studies conducted between the years 2011 to 2023 in the evaluation of the health impacts of occupational heat stress were searched systematically using several sources of databases like PubMed, Google Scholar, Science Direct, Web of Science, Scopus, etc. It was noted that a greater proportion of previous research on evaluating physiological effects was carried out in controlled environments as opposed to real-world field settings. While such studies give us valuable insights into the relationship, applying the same methodology in the workplace may not be feasible. In India, very few research has been carried out on workplace heat stress, and even fewer have been done in North East India using physiological indicators. North East India is also affected by global climate change leading top more hotter days than before. The region of Northeast India, particularly Guwahati (Assam), has recently seen extreme heat waves during the sweltering summer months. With less literature available in this geographical location, studies with actual field-based settings are much needed to understand the occupational health impacts in this region. This review can formulate a suitable methodology for assessing the health impacts in working environment. This can also help the local health professionals to recognize the heat strain parameters that are acceptable worldwide, and use as pertinent indicators to scrutinize worker’s health and develop preventive agendas as climate change advances. [ABSTRACT FROM AUTHOR]

Thermal stress has a direct effect on various types of DNA damage, which depends on the stage of the cell cycle when the cell is exposed to different climate conditions. A literature review was conducted to systematically investigate and assess the overall effect of heat stress and DNA damage following heat exposure. In this study, electronic databases including PubMed, Scopus, and Web of Science were searched to find relevant literature on DNA damage in different ambient temperatures. Outcomes included (1) measurement of DNA damage in heat exposure, (2) three different quantification methods (comet assay, 8-hydroxy-2-deoxyguanosine (8-OHdG), and γ-H2AX), and (3) protocols used for moderate (31) and high temperatures (42). The evidence shows that long exposure and very high temperature can induce an increase in DNA damage through aggregate in natural proteins, ROS generation, cell death, and reproductive damage in hot-humid and hot-dry climate conditions. A substantial increase in DNA damage occurs following acute heat stress exposure, especially in tropical and subtropical climate conditions. The results of this systematic literature review showed a positive association between thermal stress exposure and inhibition of repair of DNA damage. [ABSTRACT FROM AUTHOR]

Recent studies have characterized individually experienced temperatures or individually experienced heat indices, including new exposure metrics that capture dimensions of exposure intensity, frequency, and duration. Yet, few studies have examined the personal thermal exposure in underrepresented groups, like outdoor workers, and even fewer have assessed corresponding changes in physiologic heat strain. The objective of this paper is to examine a cohort of occupationally exposed grounds and public safety workers (n = 25) to characterize their heat exposure and resulting heat strain. In addition, a secondary aim of this work is to compare individually heat index exposure (IHIE) across exposure metrics, fixed-site in situ weather stations, and raster-derived urban heat island (UHI) measurements in Charleston, SC, a humid coastal climate in the Southeastern USA. A Bland–Altman (BA) analysis was used to assess the level of agreement between the personal IHIE measurements and weather-station heat index (HI) and Urban Heat Island (UHI) measurements. Linear mixed-effect models were used to determine the association between individual risk factors and in situ weather station measurements significantly associated with IHIE measurements. Multivariable stepwise Cox proportional hazard modeling was used to identify the individual and workplace factors associated with time to heat strain in workers. We also examined the non-linear association between heat strain and exposure metrics using generalized additive models. We found significant heterogeneity in IHIE measurements across participants. We observed that time to heat strain was positively associated with a higher IHIE, older age, being male, and among Caucasian workers. Important nonlinear associations between heat strain occurrence and the intensity, frequency, and duration of personal heat metrics were observed. Lastly, our analysis found that IHIE measures were significantly similar for weather station HI, although differences were more pronounced for temperature and relative humidity measurements. Conversely, our IHIE findings were much lower than raster-derived UHI measurements. Real-time monitoring can offer important insights about unfolding temperature-health trends and emerging behaviors during thermal extreme events, which have significant potential to provide situational awareness. [ABSTRACT FROM AUTHOR]

This study aimed to better understand environmental heat stress and physiological heat strain indicators in lactating dairy cows. Sixteen heat stress indicators were derived using microenvironmental parameters that were measured at the surrounding of cows and at usual fixed locations in the barn by using handheld and fixed subarea sensors, respectively. Twenty high-producing Holstein–Friesian dairy cows (> 30.0 kg/day) from an intensive dairy farm were chosen to measure respiration rate (RR), vaginal temperature (VT), and body surface temperature of forehead (FT), eye (ET), and muzzle (MT). Our results show that microenvironments measured by the handheld sensor were slightly warmer and drier than those measured by the fixed subarea sensor; however, their derived heat stress indicators correlated equally well with physiological indicators. Interestingly, ambient temperature (Ta) had the highest correlations with physiological indicators and the best classification performance in recognizing actual heat strain state. Using segmented mixed models, the determined Ta thresholds for maximum FT, mean FT, RR, maximum ET, mean ET, VT, mean MT, and maximum MT were 24.1 °C, 24.2 °C, 24.4 °C, 24.6 °C, 24.6 °C, 25.3 °C, 25.4 °C, and 25.4 °C, respectively. Thus, we concluded that the fixed subarea sensor is a reliable tool for measuring cows' microenvironments; Ta is an appropriate heat stress indicator; FT, RR, and ET are good early heat strain indicators. The results of this study could be helpful for dairy practitioners in a similar intensive setting to detect and respond to heat strain with more appropriate indicators. [ABSTRACT FROM AUTHOR]

The occurrence of long-lasting severe heat stress, such as in July–August 2003, July 2010, or in April–May 2018 has been one of the biggest meteorological threats in Europe in recent years. The paper focuses on the biometeorological and mortality effects of the hot June that was observed in Central Europe in 2019. The basis of the study was hourly and daily Universal Thermal Climate Index (UTCI) values at meteorological stations in Poland for June 2019. The average monthly air temperature and UTCI values from 1951 to 2018 were analysed as background. Grosswetterlagen calendar of atmospheric circulation was used to assess synoptic conditions of heat wave. Several heat strain measures were applied : net heat storage (S), modelled heart rate (HR), sultriness (HSI), and UTCI index. Actual total mortality (TM) and modelled strong heat-related mortality (SHRM) were taken as indicators of biometeorological consequences of the hot June in 2019. The results indicate that prolonged persistence of unusually warm weather in June 2019 was determined by the synoptic conditions occurring over the European region and causing advection of tropical air. They led to the emergence of heat waves causing 10% increase in TM and 5 times bigger SHRM then in preceding 10 years. Such increase in SHRM was an effect of overheating and overload of circulatory system of human organism. [ABSTRACT FROM AUTHOR]

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Purpose: Whole-body thermal and hydration clamps were used to evaluate their independent and combined impact on the electrical activity of the brain. It was hypothesised that those stresses would independently modify the electroencephalographic (EEG) responses, with those changes being greater when both stresses were superimposed. Methods: Alpha and beta spectral data (eyes closed) were collected from the frontal, central-parietal and occipital cortices of both hemispheres in resting, healthy and habitually active males (N = 8; mean age 25 years). Three dehydration states were investigated (euhydrated and 3% and 5% mass decrements) in each of two thermal states (normothermia [mean body temperature 36.3 °C] and moderate hyperthermia [38.4 °C]). The combination of those passively induced states yielded six levels of physiological strain, with the EEG data from each level separately examined using repeated-measures ANOVA with planned contrasts. Results: When averaged across the frontal cortices, alpha power was elevated relative to the occipital cortices during moderate hyperthermia (P = 0.049). Conversely, beta power was generally reduced during hyperthermia (P = 0.013). Neither the alpha nor beta power spectra responded to dehydration, nor did dehydration elevate the heat-induced responses (P > 0.05). Conclusion: Moderate hyperthermia, but neither mild nor moderate dehydration, appeared to independently alter brain electrical activity. Moreover, the combination of moderate hyperthermia with 5% dehydration did not further increase those changes. That outcome was interpreted to mean that, when those states were superimposed, the resulting neurophysiological changes could almost exclusively be attributed to the thermal impact per se, rather than to their combined influences. [ABSTRACT FROM AUTHOR]

Purpose: Time-weighted averaging is used in occupational heat stress guidelines to estimate the metabolic demands of variable-intensity work. However, compared to constant-intensity work of the same time-weighted average metabolic rate, variable-intensity work may cause decrements in total heat loss (dry + evaporative heat loss) that exacerbate heat storage in women. We therefore used direct calorimetry to assess whole-body total heat loss and heat storage (metabolic heat production minus total heat loss) in women and men during constant- and variable-intensity work of equal average intensity. Methods: Ten women [mean (SD); 31 (11) years] and fourteen men [30 (8) years] completed two trials involving 90-min of constant- and variable-intensity work (cycling) eliciting an average metabolic heat production of ~ 200 W/m2 in dry-heat (40 °C, ~ 15% relative humidity). External work was fixed at ~ 40 W/m2 for constant-intensity work, and alternated between ~ 15 and ~ 60 W/m2 (5-min each) for variable-intensity work. Results: When expressed as a time-weighted average over each work period, total heat loss did not differ between men and women (mean difference [95% CI]; 4 W/m2 [− 11, 20]; p = 0.572) or between constant- and variable-intensity work (1 W/m2 [− 3, 5]; p = 0.642). Consequently, heat storage did not differ significantly between men and women (− 4 W/m2 [− 17, 8]; p = 0.468) or between constant- and variable-intensity work (0 W/m2 [− 3, 3]; p = 0.834). Conclusion: Neither whole-body heat loss nor heat storage was modulated by the partitioning of work intensity, indicating that time-weighted averaging is appropriate for estimating metabolic demand to assess occupational heat stress in women. [ABSTRACT FROM AUTHOR]

Evaporative cooling is the critical heat dissipation mechanism for working individuals wearing thermal protective clothing in hot environments. However, until now, there is no knowledge on garment size design for evaporative cooling optimization, especially when the human body is in movements. In this study, to understand the dynamic effect of garment size on evaporative cooling, we performed experiments on a sweating thermal manikin with seven garment sizes and three walking speeds. The evaporative cooling of global and local manikin body with this wide range garment sizes was present. Results demonstrated that the effect of garment size on evaporative cooling depended on the walking speed. At lower walking speeds, the global evaporative cooling tended to decrease with greater garment size, while at higher walking speeds, the global evaporative cooling tended to increase with greater garment size. Similarly, according to effects of garment size on local evaporative cooling, body segments could be divided into three categories for evaporative cooling optimization. Further, we analyzed factors which influenced the positive effect of walking speed on the evaporative cooling. Results showed that, for most cases, the increase of evaporative cooling caused by walking showed positive linear relationship with the garment size. Further increase of walking speed led to a greater increase rate of evaporative heat loss for body segments with the small air gap. This study provides insights into clothing local characteristics of evaporative cooling with different garment sizes under dynamic conditions and may help clothing design to optimize the evaporative cooling of working individuals in hot environments. [ABSTRACT FROM AUTHOR]

Purpose: To investigate the effects of 60 min daily, short-term (STHA) and medium-term (MTHA) isothermic heat acclimation (HA) on the physiological and perceptual responses to exercise heat stress.Methods: Sixteen, ultra-endurance runners (female = 3) visited the laboratory on 13 occasions. A 45 min sub-maximal (40% Wmax) cycling heat stress test (HST) was completed in the heat (40 °C, 50% relative humidity) on the first (HSTPRE), seventh (HSTSTHA) and thirteenth (HSTMTHA) visit. Participants completed 5 consecutive days of a 60 min isothermic HA protocol (target Tre 38.5 °C) between HSTPRE and HSTSTHA and 5 more between HSTSTHA and HSTMTHA. Heart rate (HR), rectal (Tre), skin (Tsk) and mean body temperature (Tbody), perceived exertion (RPE), thermal comfort (TC) and sensation (TS) were recorded every 5 min. During HSTs, cortisol was measured pre and post and expired air was collected at 15, 30 and 45 min.Results: At rest, Tre and Tbody were lower in HSTSTHA and HSTMTHA compared to HSTPRE, but resting HR was not different between trials. Mean exercising Tre, Tsk, Tbody, and HR were lower in both HSTSTHA and HSTMTHA compared to HSTPRE. There were no differences between HSTSTHA and HSTMTHA. Perceptual measurements were lowered by HA and further reduced during HSTMTHA.Conclusion: A 60 min a day isothermic STHA was successful at reducing physiological and perceptual strain experienced when exercising in the heat; however, MTHA offered a more complete adaptation. [ABSTRACT FROM AUTHOR]

This study investigates indoor heat stress among employees engaged in bakeries in Assiut city. Heat stress is one of the occupational hazards especially in arid climates that impose negative impacts on workers such as heat rashes, heat exhaustion, heat cramps, heat fainting or heat stroke. In this research, 100 subjects were chosen randomly from 20 bakery stations to testify heat stress impacts. Heat stress levels were measured using wet-bulb globe temperature index (WBGT) to evaluate the impacts of environmental factors on the employees. The response of worker's body to this heat stress is expressed as physiological strain index (PSI) that can be estimated by measuring heart rate and core temperature. Results obtained from WBGT index measurements indicated that the average value of heat stress in bakeries reached 31.6 °C that is exceeding than threshold limit value (28 °C) and action limit (25 °C) recommended by American Conference of Government Industrial Hygienists. In addition, WBGT values were compared with the Egyptian Environmental Law 4/1994 and Egyptian Labor Low 12/2003. PSI values fall in the range of 200 < M (metabolic rate) < 260 indicating that workload in bakeries environment lies in the moderate class. According to the questionnaire data, several workers faced heat disorders including heat exhaustion (23 cases), heat cramps (17 cases), and heat stroke (5 cases). Application of control measures such as engineering control, administrative control, and personal protective equipment should be applied. [ABSTRACT FROM AUTHOR]

Global warming will unquestionably increase the impact of heat on individuals who work in already hot workplaces in hot climate areas. The increasing prevalence of this environmental health risk requires the improvement of assessment methods linked to meteorological data. Such new methods will help to reveal the size of the problem and design appropriate interventions at individual, workplace and societal level. The evaluation of occupational heat stress requires measurement of four thermal climate factors (air temperature, humidity, air velocity and heat radiation); available weather station data may serve this purpose. However, the use of meteorological data for occupational heat stress assessment is limited because weather stations do not traditionally and directly measure some important climate factors, e.g. solar radiation. In addition, local workplace environmental conditions such as local heat sources, metabolic heat production within the human body, and clothing properties, all affect the exchange of heat between the body and the environment. A robust occupational heat stress index should properly address all these factors. This article reviews and highlights a number of selected heat stress indices, indicating their advantages and disadvantages in relation to meteorological data, local workplace environments, body heat production and the use of protective clothing. These heat stress and heat strain indices include Wet Bulb Globe Temperature, Discomfort Index, Predicted Heat Strain index, and Universal Thermal Climate Index. In some cases, individuals may be monitored for heat strain through physiological measurements and medical supervision prior to and during exposure. Relevant protective and preventive strategies for alleviating heat strain are also reviewed and proposed. [ABSTRACT FROM AUTHOR]

During acclimatization to heat and cold, the body experiences additional thermally induced physiological strain. The first signs show up in the respiratory organs because respiration is a continuous heat exchange process in which the body is in closest contact with the ambient air. There are no behavioral or other adjustments to prevent the ambient air from entering into the body's core area through the respiratory tract. The Acclimatization Thermal Strain Index (ATSI) describes the acclimatization thermal loading (ATL) on respiratory organs until full adaptation is achieved. The aim here is to further assess the ATSI scheme using a range of actual but contrasting bioclimatic conditions. To simulate ATL, scenarios of the consequences of acclimatization due to movement to or from five contrasting climates are used. The results show that adjusting to cold comes with greater physiological strain than adjusting to heat, the biggest impact occurring for a change of location from hot-humid to cold-dry climatic conditions. The approach can be used to assess risks due to increases in short-term thermal variability in weather conditions such as encountered during heat waves and cold snaps. The information could also be useful for assessing the need for public health services and measures that might be used to help mitigate impacts. [ABSTRACT FROM AUTHOR]

This study compared heat strain during walking while wearing impermeable protective suits between fan-precooling and nonprecooling conditions. Six males engaged in 60 min of walking at a moderate speed (∼2.5 km/h) in a hot environment (37 °C, 40 % relative humidity). Fanning using a fan (4.5 m/s) and spraying water over the body before wearing the suits produced significantly lower rectal temperature before the walking (37.3 ± 0.1 °C vs. 37.0 ± 0.1 °C, P < 0.05). In addition, whilst walking, rectal temperature was significantly lower in the precooling condition (maximum difference: 0.4 °C at 15 min of walking; 38.0 ± 0.1 °C vs. 37.8 ± 0.1 °C at the end of walking, P < 0.05). Although skin temperature decreased during fanning, no difference was observed during walking. Heart rate was lower in the precooling condition during the early stages of walking. Thermal and fatigue perceptions whilst walking did not differ between the conditions. Body weight loss was significantly lower in the precooling condition. These results may indicate that fan precooling attenuates exertional heat strain while wearing impermeable protective clothing. The fan-cooling method is practical, convenient, and yields lower heat strain during prolonged moderate exertion. [ABSTRACT FROM AUTHOR]

The present paper made the heat balance equation (HBE) for nude or minimally clad subjects a linear function of mean skin temperature ( t) by applying new equations for sweating efficiency ( η) and thermoregulatory sweat rate ( S). As the solution of the HBE, the equation predicting t was derived and used for a heat strain scale of subjects. The η was proportional to the reciprocal of S/ E ( S, sweat rate; E maximum evaporative capacity) and the S was proportional to t with a parameter of the sweating capacity of the subject. The errors of predicted t from observations due to the approximation of η were examined based on experimental data conducted on eight young male subjects. The value of errors of t was −0.10 ± 0.42 °C (mean ± sample standard deviation (SSD)). We aim to apply the predicted t of a subject at a level of sweating capacity as a heat strain scale of a function of four environmental factors (dry- and wet-bulb temperatures, radiation, and air velocity) and three human factors (metabolic rate, sweating capacity, and clothing (≤0.2clo)). [ABSTRACT FROM AUTHOR]

This paper applies the heat balance equation (HBE) for clothed subjects as a linear function of mean skin temperature ( t) by a new sweating efficiency ( η) and an approximation for the thermoregulatory sweat rate. The equation predicting t in steady state conditions was derived as the solution of the HBE and used for a predictive heat strain scale. The heat loss from the wet clothing (WCL) area was identified with a new variable of 'virtual dripping sweat rate VDSR' ( S). This is a subject's un-evaporated sweat rate in dry clothing from the regional sweat rate exceeding the maximum evaporative capacity, and adds the moisture to the clothing, reducing the intrinsic clothing insulation. The S allowed a mass balance analysis of the wet clothing area identified as clothing wetness ( w). The w was derived by combining the HBE at the WCL surface from which the evaporation rate and skin heat loss from WCL region are given. Experimental results on eight young male subjects wearing typical summer clothing, T-shirt and trousers verified the model for predicting t with WCL thermal resistance ( R) identified as 25 % of dry clothing ( R). [ABSTRACT FROM AUTHOR]

Purpose: This paper investigates the relationship between core temperature ( T), skin temperature ( T) and heat flux (HF) during exercise in hot conditions. Method: Nine test volunteers, wearing an Army Combat Uniform and body armor, participated in three sessions at 25 °C/50 % relative humidity (RH); 35 °C/70 % RH; and 42 °C/20 % RH. Each session consisted of two 1-h treadmill walks at ~350 W and ~540 W intensity. T and HF from six sites on the forehead, sternum, pectoralis, left rib cage, left scapula, and left thigh, and T (i.e., core temperature pill used as a suppository) were measured. Multiple linear regressions were conducted to derive algorithms that estimate T from T and HF at each site. A simple model was developed to simulate influences of thermal conductivity and thickness of the local body tissues on the relationship between T, T, and HF. Results: Coefficient of determination ( R) ranged from 0.30 to 0.88, varying with locations and conditions. Good sites for T measurement at surface were the sternum, and a combination of the sternum, scapula, and rib sites. The combination of T and HF measured at the sternum explained ~75 % or more of variance in observed T in hot environments. The forehead was found unsuitable for exercise in heat due to sweating and evaporative heat loss. The derived algorithms are likely applicable only for the same ensemble or ensembles with similar thermal and vapor resistances. Conclusion: Algorithms for T measurement are location-specific and their accuracy is dependent, to a large degree, on sensor placement. [ABSTRACT FROM AUTHOR]

Cooling vests (CV) are often used to reduce heat strain. CVs have traditionally used ice as the coolant, although other phase-change materials (PCM) that melt at warmer temperatures have been used in an attempt to enhance cooling by avoiding vasoconstriction, which supposedly occurs when ice CVs are used. This study assessed the effectiveness of four CVs that melted at 0, 10, 20 and 30 °C (CV, CV, CV, and CV) when worn by 10 male volunteers exercising and then recovering in 40 °C air whilst wearing fire-fighting clothing. When compared with a non-cooling control condition (CON), only the CV and CV vests provided cooling during exercise (40 and 29 W, respectively), whereas all CVs provided cooling during resting recovery (CV 69 W, CV 66 W, CV 55 W and CV 29 W) ( P < 0.05). In all conditions, skin blood flow increased when exercising and reduced during recovery, but was lower in the CV and CV conditions compared with control during exercise (observed power 0.709) ( P < 0.05), but not during resting recovery (observed power only 0.55). The participants preferred the CV to the CV, which caused temporary erythema to underlying skin, although this resolved overnight after each occurrence. Consequently, a cooling vest melting at 10 °C would seem to be the most appropriate choice for cooling during combined work and rest periods, although possibly an ice-vest (CV) may also be appropriate if more insulation was worn between the cooling packs and the skin than used in this study. [ABSTRACT FROM AUTHOR]

The purpose of this study was to investigate the influences of menthol application according to the amount of surface area on physiological and psychological heat strains, along with body regional influences. Male students underwent two stages of experiments: [Experiment 1] Cutaneous thermal threshold test at rest on eight body regions with/without a 0.8% menthol application at T 28°C and 50% RH; [Experiment 2] Six exercise tests with/without a 0.8% menthol spray at T 28°C and 40% RH, while wearing firefighter's protective clothing (No menthol, PC; Face and neck menthol, PC; Upper body menthol, PC; Whole body menthol application, PC) or wearing normal clothing (No menthol, NC; Upper body menthol, NC). Experiment 1 showed that menthol caused no significant influence on cutaneous warm thresholds, while menthol applications evoked earlier detection of cool sensations, especially on the chest ( P = 0.043). Experiment 2 revealed that NC, PC and PC caused lower mean skin temperature, especially with higher peripheral vasoconstrictions on the extremities at rest. During exercise, NC, PC and PC induced greater and earlier increases in rectal temperatures ( T) and a delayed sweat response, but lessened psychological burdens ( P < 0.05). Both physiological and psychological effects of PC were insignificant. For a composite analysis, individual Menthol Sensitivity Index at cooling in Experiment 1 had significant relationships with the threshold for T increase and changes in heart rate in NC of Experiment 2 ( P < 0.05). Our results indicate that menthol's topical influence is body region-dependent, as well as depending on the exposed body surface area. [ABSTRACT FROM AUTHOR]

This study examined heat stress, heart rate (HR), fluid balance, micro-environment temperature and humidity with Islamic athletic clothing (IC) compared to traditional soccer uniform (SC). Ratings of perceived exertion (RPE), session RPE (S-RPE), comfort, and cooling response were also examined. Female volunteers ( N = 8) completed a treadmill $$ \dot{V}{\text{O}}_{{2{\text{peak}}}} $$ test and then, in a randomized, counter-balanced order, two intermittent running bouts (45 min total) in a hot environment (30.0°C WBGT) in IC and SC. Thereafter, participants sat for 40 min in the hot ambient environment. Repeated measures ANOVA revealed significantly greater micro-environment temperature ( p = 0.02) (IC 33.3 ± 3.2°C, SC 32.0 ± 2.8°C) and humidity ( p = 0.04) (IC 48.4 ± 8.1%, SC 42.9 ± 7.9%) in IC during the exercise trial but no difference in the 40-min recovery period for micro-environment temperature ( p = 0.25) or humidity ( p = 0.18). No significant difference ( p > 0.05) was shown for core temperature ( T) (IC 38.3 ± 0.4°C, SC 38.2 ± 0.4°C), HR (IC l54 ± 28 beats min, SC 151 ± 26 beats min) or RPE (IC 4.7 ± 2.1, SC 3.8 ± 1.7) during the exercise trial or recovery period. Results from a paired t test revealed a significantly greater ( p < 0.05) S-RPE (IC 5.8 ± 1.2, SC 4.3 ± 1.9), sweat loss (IC 1.4 ± 0.4 L h, SC 1.2 ± 0.4 L h) and greater discomfort during the exercise and recovery period for the IC. IC clothing appears to have no detrimental effects on heat storage or heat strain during exercise or recovery. [ABSTRACT FROM AUTHOR]

Body ventilation systems (BVS) are effective in reducing heat strain, but the amount of heat that a BVS removes from a human body is unclear. The purpose of this study was to propose a method for quantifying BVS cooling capacity using manikin evaluation and modeling. Cooling capacity was calculated as the product of maximum cooling potential and cooling efficiency. The maximum cooling potential is calculated as the difference in enthalpy between the air entering and exiting the BVS where the outlet air temperature is equal to skin temperature with a relative humidity of 100%. The cooling efficiency, defined as a ratio of the cooling capacity to the maximum cooling potential, can be determined through measurements on sweating thermal manikins. A BVS system was evaluated on a manikin with the ventilation fan ON (flow rate 4.7 L/s) or OFF under eleven ambient conditions. The measured cooling efficiencies were 0.31 ± 0.02 and almost constant. Using this cooling efficiency, the BVS cooling capacities at various skin temperature and ambient conditions were estimated. This two-step approach can be used to quantify BVS cooling effectiveness during physiology studies. First, the cooling efficiency is determined on sweating thermal manikins. Second, the cooling capacity is calculated from the skin temperature, ambient temperature and relative humidity. However, various factors may reduce the actual cooling provided by the BVS, and the calculated cooling capacity should be considered the upper limit for cooling. [ABSTRACT FROM AUTHOR]

The purpose of this study was to investigate the validity of a newly developed method for quantifying perceived skin wettedness (W (p)) as an index to evaluate heat strain. Eight male subjects underwent 12 experimental conditions: activities (rest and exercise) × clothing (Control, Tyvek and Vinyl condition) × air temperatures (25 and 32°C). To quantify the W (p), a full body map with 21 demarcated regions was presented to the subject. The results showed that (1) at rest in 25°C, W (p) finally reached 4.4, 8.3 and 51.6% of the whole body surface area for Control, Tyvek, and Vinyl conditions, respectively, while W (p) at rest in 32°C rose to 35.8, 61.4 and 89.8%; (2) W (p) has a distinguishable power to detect the most wetted and the first wetted regions. The most wetted body regions were the upper back, followed by the chest, front neck, and forehead. The first perceived regions in the skin wetted map were the chest, forehead, and upper back; (3) W (p) at rest showed a significant relationship with the calculated skin wettedness (w) (r = 0.645, p < 0.01) and (4) W (p) had a significant relationship with core temperature, skin temperature, heart rate, total sweat rate, thermal comfort, and humidity sensation (p < 0.05), but these relationships were dependent on the level of activities and clothing insulation. W (p) in hot environments was more valid as a heat strain index of workers wearing normal clothing in light works, rather than wearing impermeable protective clothing in strenuous works. [ABSTRACT FROM AUTHOR]

A previous study by the authors using a heated thermal manikin showed that the cooling rates of phase change material (PCM) are dependent on temperature gradient, mass, and covering area. The objective of this study was to investigate if the cooling effects of the temperature gradient observed on a thermal manikin could be validated on human subjects in extreme heat. The subjects wore cooling vests with PCMs at two melting temperatures (24 and 28°C) and fire-fighting clothing and equipment, thus forming three test groups (vest24, vest28 and control group without the vest). They walked on a treadmill at a speed of 5 km/h in a climatic chamber (air temperature = 55°C, relative humidity = 30%, vapour pressure = 4,725 Pa, and air velocity = 0.4 m/s). The results showed that the PCM vest with a lower melting temperature (24°C) has a stronger cooling effect on the torso and mean skin temperatures than that with a higher melting temperature (28°C). Both PCM vests mitigate peak core temperature increase during the resting recovery period. The two PCM vests tested, however, had no significant effect on the alleviation of core temperature increase during exercise in the heat. To study the possibility of effective cooling of core temperature, cooling garments with PCMs at even lower melting temperatures (e.g. 15°C) and a larger covering area should be investigated. [ABSTRACT FROM AUTHOR]

We compared the effects of an ice-slush beverage (ISB) and a cool liquid beverage (CLB) on cycling performance, changes in rectal temperature (T (re)) and stress responses in hot, humid conditions. Ten trained male cyclists/triathletes completed two exercise trials (75 min cycling at ~60% peak power output + 50 min seated recovery + 75% peak power output × 30 min performance trial) on separate occasions in 34°C, 60% relative humidity. During the recovery phase before the performance trial, the athletes consumed either the ISB (mean ± SD -0.8 ± 0.1°C) or the CLB (18.4 ± 0.5°C). Performance time was not significantly different after consuming the ISB compared with the CLB (29.42 ± 2.07 min for ISB vs. 29.98 ± 3.07 min for CLB, P = 0.263). T (re) (37.0 ± 0.3°C for ISB vs. 37.4 ± 0.2°C for CLB, P = 0.001) and physiological strain index (0.2 ± 0.6 for ISB vs. 1.1 ± 0.9 for CLB, P = 0.009) were lower at the end of recovery and before the performance trial after ingestion of the ISB compared with the CLB. Mean thermal sensation was lower (P < 0.001) during recovery with the ISB compared with the CLB. Changes in plasma volume and the concentrations of blood variables (i.e., glucose, lactate, electrolytes, cortisol and catecholamines) were similar between the two trials. In conclusion, ingestion of ISB did not significantly alter exercise performance even though it significantly reduced pre-exercise T(re) compared with CLB. Irrespective of exercise performance outcomes, ingestion of ISB during recovery from exercise in hot humid environments is a practical and effective method for cooling athletes following exercise in hot environments. [ABSTRACT FROM AUTHOR]

The present study was conducted in order to evaluate whether physiological strain is alleviated by a new personal cooling system (CS) consisting of a layered vest and integrated blower that generate a flow of air. Twelve male volunteers were exposed to climatic conditions of 40°C, 40%RH (40/40), and 35°C, 60%RH (35/60) during a 115 min exercise routine, followed by 70 min resting recovery, while wearing a battle dress uniform (BDU) and a ballistic vest, with (COOL) or without (NOCOOL) CS. The CS was able to attenuate the physiological strain levels during exercise, when compared to identical exposures without the CS. Temperature elevation, (Δ T re) after 100 min of exercise, was lower by 0.26 ± 0.20 and 0.34 ± 0.21°C in 40/40 and 35/60, respectively, ( p < 0.05). Mean skin temperature $$ {\left( {\ifmmode\expandafter\bar\else\expandafter\=\fi{T}_{{{\text{sk}}}} } \right)} $$ was lower by 0.9 ± 0.4 and 0.6 ± 0.5°C for 40/40 and 35/60, respectively. Heart rate (HR) was not significantly different for COOL versus NOCOOL for 40/40. At 35/60, HR was lower by 10 beats per min (bpm) ( p < 0.05). Physiological strain index (PSI) was 9 and 21% lower for the 40/40 and 35/60, respectively, for COOL versus NOCOOL ( p < 0.05). Heat storage ( S) rates were 19 and 24% lower and sweat rates were 21 and 25% lower for the 40/40 and 35/60, respectively, for COOL versus NOCOOL ( p < 0.05). However, the CS was not effective in alleviating physiological strain during resting recovery with no difference in T re cooling rate, S, or HR drop rate between groups over resting recovery periods. The CS tested in this study was found to be an effective tool for lowering physiological strain while exercising but not during resting recovery. Therefore, the CS should be further developed in order to achieve greater attenuation of the thermal strain during exercise and improve effectiveness during rest. Overall, it has the potential to be useful for both military and sports personnel. [ABSTRACT FROM AUTHOR]

The purpose of this present study was to compare the physiological effects of the hydrophilic and hydrophobic properties of the fabrics investigated in exercising and resting subjects at an ambient temperature of 30°C and a relative humidity of 50% with and without wind. Three kinds of clothing ensemble were tested: wool and cotton blend with high moisture regain (A), 100% cotton with intermediate moisture regain (B), 100% polyester clothing with low moisture regain (C). The experiments were performed using seven young adult women as subjects. They comprised six repeated periods of 10-min exercise on a cycle ergometer at an intensity of 40% maximal oxygen uptake followed by 5 min of rest (20 min for the last rest). The experiments comprised two sessions. During session I (first three repetitions of exercise and rest) the subjects were exposed to an indifferent wind velocity and during session II (last three repetitions of exercise and rest) they were exposed to a wind velocity of 1.5 m · s−1. Rectal temperature and skin temperatures at eight sites, pulse rate and clothing microclimate were recorded throughout the whole period. The main findings can be summarized as follows: rectal temperature during session II was kept at a significantly lower level in A than in B and C. Clothing microclimate humidity at the chest was significantly lower in A than in B and C during session II. Skin and clothing microclimate temperatures at the chest were significantly lower in A than in B and C during session II. Pulse rate was significantly higher in C than in A and B during sessions I and II. It was concluded that the hydrophilic properties of the fabrics studied were of physiological significance for reducing heat strain during exercise and rest especially when influenced by wind. [ABSTRACT FROM AUTHOR]

A simple model was developed to describe the transport of water vapour from subjects working in hot environments while wearing chemical-protective clothing. The goal of the modelling was to obtain a better estimate of evaporative cooling of the subjects, as it was hypothesised that calculations of evaporative heat loss based on changes in dressed weight over-estimate the actual benefit experienced by the subjects. The model employed measured values of vapour pressure within the clothing ensemble to estimate the skin vapour pressure. The resistance of the clothing ensemble to water vapour transport was calculated from measurements of the physical properties of the materials in conjunction with estimates of the resistance of air layers between the clothing layers. The model predicts mean evaporation rates from the skin that are approximately 60% of those calculated from measured changes in dressed weight. Error analysis failed to account for the magnitude of this difference and possible explanations for the difference are advanced. A brief examination of the effect of wicking suggests that some of the difference results from a reduction of the resistance of the garment to water vapour due to wicking of liquid sweat through fabric layers. [ABSTRACT FROM AUTHOR]

The aim of the present study was to examine heart rate and rectal temperature responses to dynamic exercise in a hot environment and their relationship to sweating and skin blood flow. Eight physically trained men were the study subjects. The experiments consisted of 60-min bicycle ergometer tests at intensities of 50 and 100 W in the heat (36°C/30% relative humidity). During the tests, oxygen consumption, heart rate, rectal temperature, and skin temperatures on eight sites were measured. The whole-body sweat rate and evaporation rate and the rate of dripping sweat were measured by a continuous weighing technique. Skin blood flow was estimated from the changes in forearm blood flow. In all, 13 tests were done at 50 W and 10 tests were conducted at 100W. At 50W, a physiological steady state was attained in all tests, i.e. the rise in heart rate was < 10 beats min. At 100W, in all experiments the heart rate and rectal temperature increased continuously throughout the tests. At the end of exercise, the heart rate varied from 98 to 150 beats min. At 50 W work load, the heart rate and rectal temperature did not significantly correlate with any of the thermoregulatory parameters. At 100 W, the heart rate and rectal temperature correlated with the total sweat rate ( r = −0.66 and −0.71, respectively; P<0.05), with the onset of dripping ( r=0.74 and 0.66, respectively, P<0.05), and with the ratio of forearm blood flow to dripping sweat rate ( r=0.83 and 0.85, respectively; P<0.01). The present results suggest that during physical work in the heat the level of thermal strain may be more precisely determined by the interaction of cutaneous circulation and sweating. [ABSTRACT FROM AUTHOR]