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The objective of this study was to examine the impact of four single-bout heating and cooling strategies on warming up and cooling down core body temperature. Heating strategies included: Passive heating in a hot environment (60 min), Active heating (30 min) + passive heating (30 min) in a hot environment, Active heating(60 min) in a hot environment, and Active heating (60 min) at room temperature. Cooling strategies to reduce body core temperature to baseline included: Cool vest (18°C) , Damp neck towel (24°C) combined with arm (i.e. hand, forearm and half of upper arm) cool water immersion (15°C), Combination of both, A control with participant sitting in a thermoneutral room (20°C air temperature) without any additional cooling intervention.
This semi-randomized crossover control trial was performed between September and October 2020. Data collection took place over the course of 5-weeks with 10 subjects, with one data collection session with all subjects per week (hence, 40 trials total). Baseline gastrointestinal temperature (Tgi) was recorded, and the final Tgi at the end of the heating intervention (Part I), was used as the starting temperature for the current study (Part II).
Part I focused on assessing the efficacy of different heating strategies (Passive heating in a hot environment (60 min), Active heating (30 min) + passive heating (30 min) in a hot environment, Active heating(60 min) in a hot environment, and Active heating (60 min) at room temperature), aiming to reach a core temperature of 38.5°C during a 60-minute period.
Part II focused on cooling the body to a pre-exercise baseline core temperature. Cooling strategies consisted of: 1) Cool vest (18°C) with 500 mL (16 fl oz) ice water consumption, 2) Damp neck towel (24°C) combined with arm (i.e. hand, forearm and half of upper arm) cool water immersion (15°C) and 500 mL (16 fl oz) ice water consumption 3) Combination of cool vest (18°C), damp neck towel (24°C) with arm cool water immersion (15°C), and 500 mL (16 fl oz) ice water consumption or 4) A control with participant sitting in a thermoneutral room (20°C air temperature) without any additional cooling intervention. Thermoneutral water was consumed ad libitum for all interventions in addition to the 500 mL (16 fl oz) ice water consumption for experimental trials (#1-3).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy young men exposed to heating and cooling protocols | Other | All participants underwent four times a heating protocol separated by at least one week, and during these days after undergoing the heating protocol they also participated in a protocol aiming to cool down their body temperature. Each of the four heating and cooling interventions are described as interventions. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Passive heating in hot conditions | Other | Participants performed seated passive heating in 54C conditions |
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| Measure | Description | Time Frame |
|---|---|---|
| Body core temperature | A portable telemetry system (E-Celsius, BodyCAP, Hérouville Saint-Clair, France) for temperature sensor capsule, with an accuracy of +/- 0.2°C, was used to measure body core temperature. | During 60 minute of heating intervention, followed by 60 minutes of cooling intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Skin temperature | Wireless temperature sensors (iButton DS1+2L, Dallas Semiconductor Corp, USA), with an accuracy of ± 0.5°C and a resolution of 0.0625°C, were used to measure Tsk at 20-second intervals. Sensors at four locations (neck, right shoulder, and right shin with all 0.28 weighted coefficient, and left hand with a coefficient of 0.16 to calculate weighted Tsk outcome) as suggested per ISO protocol, held in place at the skin using Opsite transparent film (Opsite Flexigrid, Smith & Nephew Medical Limited, Hull, England). |
| Measure | Description | Time Frame |
|---|---|---|
| Sweat rate | To determine sweat rate fluid intake, body mass, and urine volume was collected and sweat rate was calculated. | Covering the 60 min of heating and 60 min of cooling resulting in an average sweat rate per hour. |
| Urine specific gravity |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Community Services Building | Tempe | Arizona | 85004 | United States |
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Participants performed 4 arms in non-random order (i.e. passive heating, exercise in the heat + passive heating, exercise in the heat, exercise at room temperature), followed by randomized cooling interventions (i.e. a cool slush and one of the three cooling treatments: 1) cool vest, 2) lower arm cool water immersion with cold towel in the neck, 3) combination of 1+2) or heaving no cooling intervention at room temperature with thermoneutral water only).
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| Active heating + passive heating in hot conditions | Other | Participants performed 30 minutes of biking exercise in 43C + 30 min of passive seated heating in 54C conditions. |
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| Active heating in hot conditions | Other | Participants performed 60 minutes of biking exercise in 43C. |
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| Active heating at room temperature | Other | Participants performed active heating through biking exercise for 60 minutes at room temperature. |
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| Cool vest | Other | Cool vest (18°C) with 500 mL (16 fl oz) ice water consumption |
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| Damp neck towel combined with arm cool water immersion | Other | Damp neck towel (24°C) combined with arm (i.e. hand, forearm and half of upper arm) cool water immersion (15°C) and 500 mL (16 fl oz) ice water consumption |
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| Combination of cooling interventions | Other | Combination of cool vest (18°C), damp neck towel (24°C) with arm cool water immersion (15°C), and 500 mL (16 fl oz) ice water consumption |
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| Control in thermoneutral room without cooling | Other | A control with participant sitting in a thermoneutral room (20°C air temperature) without any additional cooling intervention. |
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| During 60 minute of heating intervention, followed by 60 minutes of cooling intervention. |
| Heart rate | Participants wore an elastic chest strap device (Bioharness-3, Zephyr Technology, Annapolis, MD, USA), measuring HR in beats per minute (bpm) at 1-second intervals. | During 60 minute of heating intervention, followed by 60 minutes of cooling intervention. |
As a marker for urine concentration urine specific gravity (USG) was measured.
| Pre (within 30 min before heating) and post heating (within 5 min after finishing heating) and cooling interventions (within 5 min after finishing cooling). |
| Environmental temperature | During each intervention, the ambient temperature of each testing condition were logged every minute (Kestrel 5400 Heat Stress Tracker with wind vane, Nielsen-Kellerman, Boothwyn, PA, USA). | Continuous measurements during the 60 minute heating intervention, followed by the total duration of cooling to baseline intervention for a maximum of 60 minutes. |
| Relative humidity | During each intervention, the relative humidity of each testing condition were logged every minute (Kestrel 5400 Heat Stress Tracker with wind vane, Nielsen-Kellerman, Boothwyn, PA, USA). | Continuous measurements during the 60 minute heating intervention, followed by the total duration of cooling to baseline intervention for a maximum of 60 minutes. |