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van de Kerkhof TM, Bongers CCWG, Périard JD, Eijsvogels TMH. Performance Benefits of Pre- and Per-cooling on Self-paced Versus Constant Workload Exercise: A Systematic Review and Meta-analysis. Sports Med 2024; 54:447-471. [PMID: 37803106 PMCID: PMC10933154 DOI: 10.1007/s40279-023-01940-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/17/2023] [Indexed: 10/08/2023]
Abstract
BACKGROUND AND OBJECTIVE Exercise in hot environments impairs endurance performance. Cooling interventions can attenuate the impact of heat stress on performance, but the influence of an exercise protocol on the magnitude of performance benefit remains unknown. This meta-analytical review compared the effects of pre- and per-cooling interventions on performance during self-paced and constant workload exercise in the heat. METHODS The study protocol was preregistered at the Open Science Framework ( https://osf.io/wqjb3 ). A systematic literature search was performed in PubMed, Web of Science, and MEDLINE from inception to 9 June, 2023. We included studies that examined the effects of pre- or per-cooling on exercise performance in male individuals under heat stress (> 30 °C) during self-paced or constant workload exercise in cross-over design studies. Risk of bias was assessed using the Cochrane Risk of Bias Tool for randomized trials. RESULTS Fifty-nine studies (n = 563 athletes) were identified from 3300 records, of which 40 (n = 370 athletes) used a self-paced protocol and 19 (n = 193 athletes) used a constant workload protocol. Eighteen studies compared multiple cooling interventions and were included more than once (total n = 86 experiments and n = 832 paired measurements). Sixty-seven experiments used a pre-cooling intervention and 19 used a per-cooling intervention. Average ambient conditions were 34.0 °C [32.3-35.0 °C] and 50.0% [40.0-55.3%] relative humidity. Cooling interventions attenuated the performance decline in hot conditions and were more effective during a constant workload (effect size [ES] = 0.62, 95% confidence interval [CI] 0.44-0.81) compared with self-paced exercise (ES = 0.30, 95% CI 0.18-0.42, p = 0.004). A difference in performance outcomes between protocols was only observed with pre-cooling (ES = 0.74, 95% CI 0.50-0.98 vs ES = 0.29, 95% CI 0.17-0.42, p = 0.001), but not per-cooling (ES = 0.45, 95% CI 0.16-0.74 vs ES = 0.35, 95% CI 0.01-0.70, p = 0.68). CONCLUSIONS Cooling interventions attenuated the decline in performance during exercise in the heat, but the magnitude of the effect is dependent on exercise protocol (self-paced vs constant workload) and cooling type (pre- vs per-cooling). Pre-cooling appears to be more effective in attenuating the decline in exercise performance during a constant workload compared with self-paced exercise protocols, whereas no differences were found in the effectiveness of per-cooling.
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Affiliation(s)
- Tessa M van de Kerkhof
- Department of Physiology (392), Radboud University Medical Center, Radboud Institute for Health Sciences, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands
| | - Coen C W G Bongers
- Department of Physiology (392), Radboud University Medical Center, Radboud Institute for Health Sciences, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands
- School of Sports and Exercise, HAN University of Applied Sciences, Nijmegen, The Netherlands
| | - Julien D Périard
- University of Canberra Research Institute for Sport and Exercise, Canberra, ACT, Australia
| | - Thijs M H Eijsvogels
- Department of Physiology (392), Radboud University Medical Center, Radboud Institute for Health Sciences, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
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Rosales AM, Walters MJ, McGlynn ML, Collins CW, Slivka DR. Influence of topical menthol gel on thermoregulation and perception while walking in the heat. Eur J Appl Physiol 2024; 124:317-327. [PMID: 37505231 DOI: 10.1007/s00421-023-05279-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Accepted: 07/18/2023] [Indexed: 07/29/2023]
Abstract
PURPOSE Menthol is known to elicit opposing thermoregulatory and perceptual alterations during intense exercise. The current purpose was to determine the thermoregulatory and perceptual effects of topical menthol application prior to walking in the heat. METHODS Twelve participants walked (1.6 m s-1, 5% grade) for 30 min in the heat (38 °C, 60% relative humidity) with either a 4% menthol or control gel on the upper (shoulder to wrist) and lower (mid-thigh to ankle) limbs. Skin blood flow (SkBF), sweat (rate, composition), skin conductivity, heart rate, temperature (skin, core), and thermal perception were measured prior to and during exercise. RESULTS Skin conductivity expressed as time to 10, 20, 30, and 40 µS was delayed due to menthol (559 ± 251, 770 ± 292, 1109 ± 301, 1299 ± 335 s, respectively) compared to the control (515 ± 260, 735 ± 256, 935 ± 300, 1148 ± 298 s, respectively, p = 0.048). Sweat rate relative to body surface area was lower due to menthol (0.55 ± 0.16 L h-1 m(2)-1) than the control (0.64 ± 0.16 L h-1 m(2)-1, p = 0.049). Core temperature did not differ at baseline between the menthol (37.4 ± 0.3 °C) and control (37.3 ± 0.4 °C, p = 0.298) but was higher at 10, 20, and 30 min due to menthol (37.5 ± 0.3, 37.7 ± 0.2, 38.1 ± 0.3 °C, respectively) compared to the control (37.3 ± 0.4, 37.4 ± 0.3, 37.7 ± 0.3 °C, respectively, p < 0.05). The largest rise in core temperature from baseline was at 30 min during menthol (0.7 ± 0.3 °C) compared to the control (0.4 ± 0.2 °C, p = 0.004). Overall, the menthol treatment was perceived cooler, reaching "slightly warm" whereas the control treatment reached "warm" (p < 0.001). CONCLUSION Menthol application to the limbs impairs whole-body thermoregulation while walking in the heat despite perceiving the environment as cooler.
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Affiliation(s)
- Alejandro M Rosales
- School of Health and Kinesiology, University of Nebraska at Omaha, 6001 Dodge Street, Omaha, NE, 68182, USA
- School of Integrative Physiology and Athletic Training, Montana Center for Work Physiology and Exercise Metabolism, University of Montana, 32 Campus Drive, Missoula, MT, 59812, USA
| | - Matthias J Walters
- School of Health and Kinesiology, University of Nebraska at Omaha, 6001 Dodge Street, Omaha, NE, 68182, USA
| | - Mark L McGlynn
- School of Health and Kinesiology, University of Nebraska at Omaha, 6001 Dodge Street, Omaha, NE, 68182, USA
| | - Christopher W Collins
- School of Health and Kinesiology, University of Nebraska at Omaha, 6001 Dodge Street, Omaha, NE, 68182, USA
| | - Dustin R Slivka
- School of Health and Kinesiology, University of Nebraska at Omaha, 6001 Dodge Street, Omaha, NE, 68182, USA.
- School of Integrative Physiology and Athletic Training, Montana Center for Work Physiology and Exercise Metabolism, University of Montana, 32 Campus Drive, Missoula, MT, 59812, USA.
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Villegas-Serna T, Wilson LJ, Curtis C. Topical application of L-Menthol - Physiological and genetic considerations to assist in developing female athlete research: A narrative review. J Therm Biol 2024; 119:103758. [PMID: 38070272 DOI: 10.1016/j.jtherbio.2023.103758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 11/11/2023] [Accepted: 11/16/2023] [Indexed: 02/25/2024]
Abstract
L-menthol is a cyclic monoterpene derived from aromatic plants, which gives a cooling sensation upon application. With this in mind, L-menthol is beginning to be considered as a potential ergogenic aid for exercise and sporting competitions, particularly in hot environments, however female-specific research is lacking. The aim of this narrative review is to summarize available literature relating to topical application of L-menthol and provide commentary on avenues of consideration relating to future research developments of topical L-menthol in female athletes. From available studies in male participants, L-menthol topical application results in no endurance exercise performance improvements, however decreases in thermal sensation are observed. Mixed results are observed within strength performance parameters. Several genetic variations and single nucleotide polymorphisms have been identified in relation to sweat production, fluid loss and body mass changes - factors which may influence topical application of L-menthol. More specifically to female athletes, genetic variations relating to sweat responses and skin thickness, phases of the menstrual cycle, and body composition indices may affect the ergogenic effects of L-menthol topical application, via alterations in thermogenic responses, along with differing tissue distribution compared to their male counterparts. This narrative review concludes that further development of female athlete research and protocols for topical application of L-menthol is warranted due to physiological and genetic variations. Such developments would benefit research and practitioners alike with further personalized sport science strategies around phases of the menstrual cycle and body composition indices, with a view to optimize ergogenic effects of L-menthol.
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Affiliation(s)
- Tatiana Villegas-Serna
- Department of Nutrition, Food Science and Physiology, School of Pharmacy and Nutrition, Pamplona, Spain; University of Navarra, Pamplona, Spain
| | - Laura J Wilson
- London Sport Institute, Middlesex University, London, NW4 4BT, United Kingdom
| | - Christopher Curtis
- Department of Nutrition, Food Science and Physiology, School of Pharmacy and Nutrition, Pamplona, Spain; University of Navarra, Pamplona, Spain.
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Miranda Neto M, Meireles ACF, Alcântara MA, de Magalhães Cordeiro AMT, Silva AS. Peppermint essential oil (Mentha piperita L.) increases time to exhaustion in runners. Eur J Nutr 2023; 62:3411-3422. [PMID: 37665425 DOI: 10.1007/s00394-023-03235-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Accepted: 08/08/2023] [Indexed: 09/05/2023]
Abstract
PURPOSE This study aimed to evaluate the capacity of peppermint essential oil to improve the physical performance of runners in running protocol until exhaustion. METHODS In a clinical, randomized, double-blind, cross-over and controlled study, fourteen male recreational runners (37.1 ± 2.0 years; 24 ± 1.1 kg/m2; 53.1 ± 1.7 mL kg min) performed two runs to exhaustion at 70% of VO2max, after intake of 500 mL of water added with 0.05 mL of peppermint essential oil (PEO) or placebo (PLA), plus 400 mL of the drink during the initial part of the exercise. Records were made of body temperature (BT), thermal sensation (TS), thermal comfort (TC), subjective perception of effort (SPE), sweat rate (SR), and urine volume and density. RESULTS Time to exhaustion was 109.9 ± 6.9 min in PEO and 98.5 ± 6.2 min in PLA (p = 0.009; effect size: 0.826). No significant changes were observed in the values of BT, TS, TC, SPE, SR, lost body mass, and urine volume and density (p > 0.05). CONCLUSION Peppermint essential oil added to water before and during a race significantly increases the time to exhaustion of recreational runners but without altering BT, TS, TC, or hydration status, so the mechanisms involved were not clarified in this study. BRAZILIAN REGISTRY OF CLINICAL TRIALS (REBEC) RBR-75zt25z.
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Affiliation(s)
- Manoel Miranda Neto
- Postgraduate Program in Nutrition Sciences, Health Sciences Center, Federal University of Paraíba, Campus I, University City, João Pessoa, Paraíba, 58059-900, Brazil
| | - Ana Carolina Freitas Meireles
- Laboratory of Physical Training Studies Applied to Performance and Health, Federal University of Paraíba, João Pessoa, Paraíba, Brazil
| | - Maristela Alves Alcântara
- Food Technology Department, Center for Technology and Regional Development, Federal University of Paraíba, Campus I, João Pessoa, Paraíba, Brazil
| | | | - Alexandre Sérgio Silva
- Postgraduate Program in Nutrition Sciences, Health Sciences Center, Federal University of Paraíba, Campus I, University City, João Pessoa, Paraíba, 58059-900, Brazil.
- Associate Postgraduate Program in Physical Education, University of Pernambuco/Federal University of Paraíba, João Pessoa, Paraíba, Brazil.
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(-)-Menthol-β-cyclodextrin inclusion complex production and characterization. POLISH JOURNAL OF CHEMICAL TECHNOLOGY 2022. [DOI: 10.2478/pjct-2022-0008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Abstract
(-)-Menthol has been widely used in clinical medicine, flavor, and fragrance. However, high volatility, short retention time, low solubility in water, and whisker growth of menthol are crucial problems for its application. In this paper, (-)-menthol-β-cyclodextrin inclusion complex was fabricated to solve these problems. The product was characterized by X-ray diffraction, Fourier transform infrared spectroscopy and thermogravimetric analysis. The results showed that menthol was successfully encapsulated in the cavity of β-cyclodextrin. Menthol itself vaporized almost completely at around 120 oC, while the maximum menthol release rate occurred at 267.5 oC after the formation of the inclusion complex. The stability and retention time were improved. The menthol release reaction order, apparent activation energy and the pre-exponential factor were obtained and their values were 0, 142.9 kJ/mol and 1.6 × 1013 respectively. The structure of menthol-β-cyclodextrin inclusion complex was investigated by molecular simulation and the minimum energy, –116.7 kJ/mol, was obtained at –0.8 × 10–10 m.
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Coudevylle GR, Sinnapah S, Collado A, Fenouillet F, Hue O, Parrat M, Robin N. If Motivation Was a Key Factor in Aerobic Performance in Tropical Climate? Front Psychol 2021; 11:619198. [PMID: 33597904 PMCID: PMC7882517 DOI: 10.3389/fpsyg.2020.619198] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Accepted: 12/24/2020] [Indexed: 11/28/2022] Open
Abstract
This mini review examines the impact of tropical climate (TC) on motivational factors during aerobic performance and proposes the tracks of an integrative theoretical model to better understand the direct and indirect motivational mechanisms that can operate on athletic performances. TC is detrimental for aerobic performance and, although it clearly induces physiological constraints, these do not seem to be the only factors that explain the performance decline. Indeed, TC performance researchers have developed a theory of anticipation, which suggests that the brain commands a reduction in effort to protect the body from probable harm and heatstroke risk. The objective of this mini review is thus to examine the possibility that motivation may be a key factor in TC performance. The main psychological impacts of TC on aerobic performance are reviewed and an integrative theoretical model is presented that may help to better understand the mechanisms of motivation.
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Affiliation(s)
| | - Stéphane Sinnapah
- Laboratory ACTES (EA 3596), University of the French Antilles, Pointe-à-Pitre, France
| | - Aurélie Collado
- Laboratory ACTES (EA 3596), University of the French Antilles, Pointe-à-Pitre, France
| | - Fabien Fenouillet
- Laboratoire Interdisciplinaire en Neurosciences, Physiologie et Psychologie: Apprentissages, Activité Physique, Santé (LINP2-2APS), University of Paris Nanterre, Nanterre, France
| | - Olivier Hue
- Laboratory ACTES (EA 3596), University of the French Antilles, Pointe-à-Pitre, France
| | - Matthieu Parrat
- Laboratory ACTES (EA 3596), University of the French Antilles, Pointe-à-Pitre, France
| | - Nicolas Robin
- Laboratory ACTES (EA 3596), University of the French Antilles, Pointe-à-Pitre, France
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Barwood MJ, Gibson OR, Gillis DJ, Jeffries O, Morris NB, Pearce J, Ross ML, Stevens C, Rinaldi K, Kounalakis SN, Riera F, Mündel T, Waldron M, Best R. Menthol as an Ergogenic Aid for the Tokyo 2021 Olympic Games: An Expert-Led Consensus Statement Using the Modified Delphi Method. Sports Med 2020; 50:1709-1727. [PMID: 32623642 PMCID: PMC7497433 DOI: 10.1007/s40279-020-01313-9] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
INTRODUCTION Menthol topical application and mouth rinsing are ergogenic in hot environments, improving performance and perception, with differing effects on body temperature regulation. Consequently, athletes and federations are beginning to explore the possible benefits to elite sport performance for the Tokyo 2021 Olympics, which will take place in hot (~ 31 °C), humid (70% RH) conditions. There is no clear consensus on safe and effective menthol use for athletes, practitioners, or researchers. The present study addressed this shortfall by producing expert-led consensus recommendations. METHOD Fourteen contributors were recruited following ethical approval. A three-step modified Delphi method was used for voting on 96 statements generated following literature consultation; 192 statements total (96/96 topical application/mouth rinsing). Round 1 contributors voted to "agree" or "disagree" with statements; 80% agreement was required to accept statements. In round 2, contributors voted to "support" or "change" their round 1 unaccepted statements, with knowledge of the extant voting from round 1. Round 3 contributors met to discuss voting against key remaining statements. RESULTS Forty-seven statements reached consensus in round 1 (30/17 topical application/rinsing); 14 proved redundant. Six statements reached consensus in round 2 (2/4 topical application/rinsing); 116 statements proved redundant. Nine further statements were agreed in round 3 (6/3 topical application/rinsing) with caveats. DISCUSSION Consensus was reached on 62 statements in total (38/24 topical application/rinsing), enabling the development of guidance on safe menthol administration, with a view to enhancing performance and perception in the heat without impairing body temperature regulation.
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Affiliation(s)
- M J Barwood
- Department of Sport, Health and Nutrition, Leeds Trinity University, Brownberrie Lane, Horsforth, Leeds, LS18 5HD, UK.
| | - O R Gibson
- Centre for Human Performance, Exercise and Rehabilitation (CHPER), Department Life Sciences, Division of Sport, Health and Exercise Sciences, Brunel University London, Kingston Lane, Uxbridge, UB8 3PH, UK
| | - D J Gillis
- Human Performance Laboratory, Department of Sport and Movement Science, Salem State University, Salem, MA, 01970, USA
| | - O Jeffries
- School of Biomedical, Nutritional and Sport Sciences, Faculty of Medical Sciences, Newcastle University, Catherine Cookson Building, Newcastle Upon Tyne, NE2 4HH, UK
| | - N B Morris
- Department of Nutrition, Exercise and Sports, University of Copenhagen, 2100, Copenhagen, Denmark
| | - J Pearce
- Performance Nutrition Technical Lead, High Performance Sport New Zealand, Auckland, New Zealand
| | - M L Ross
- Australian Institute of Sport, Bruce, 2617, Australia
- Mary Mackillop Institute for Health Research, Australian Catholic University, Melbourne, 3000, Australia
| | - C Stevens
- School of Health and Human Sciences, Southern Cross University, Hogbin Dr, Coffs Harbour, NSW, 2450, Australia
| | - K Rinaldi
- Laboratoire ACTES (EA3596), Université des Antilles et de la Guyane, BP 250, 97157, Pointe-à-Pitre, France
- Arkea Samsic Pro Cycling Team, 35170, Bruz, France
| | - S N Kounalakis
- Faculty of Physical and Cultural Education, Evelpidon Hellenic Army Academy, Vari, Greece
| | - F Riera
- UPRES EA 35-96, UFR-STAPS, Université des Antilles et de la Guyane, BP 250, 97157, Pointe à Pitre Cedex, France
- Laboratoire Performance Santé Altitude, Université de Perpignan Via Domitia, UFR Sciences et Techniques des Activités Physiques et Sportives, 7 avenue Pierre de Coubertin, 66120, Font-Romeu, France
| | - T Mündel
- School of Sport Exercise and Nutrition, Massey University, Palmerston, New Zealand
| | - M Waldron
- College of Engineering, Applied Sports Science Technology and Medicine Research Centre (A-STEM), Swansea University Bay Campus, Swansea, Wales, UK
- School of Science and Technology, University of New England, Armidale, NSW, Australia
| | - R Best
- Centre for Sport Science and Human Performance, Waikato Institute of Technology, Hamilton, 3200, New Zealand
- School of Health and Social Care, Teesside University, Middlesbrough, Tees Valley, TS1 3BX, UK
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Keringer P, Farkas N, Gede N, Hegyi P, Rumbus Z, Lohinai Z, Solymar M, Ruksakiet K, Varga G, Garami A. Menthol can be safely applied to improve thermal perception during physical exercise: a meta-analysis of randomized controlled trials. Sci Rep 2020; 10:13636. [PMID: 32788718 PMCID: PMC7423903 DOI: 10.1038/s41598-020-70499-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Accepted: 07/27/2020] [Indexed: 02/03/2023] Open
Abstract
Menthol is often used as a cold-mimicking substance to allegedly enhance performance during physical activity, however menthol-induced activation of cold-defence responses during exercise can intensify heat accumulation in the body. This meta-analysis aimed at studying the effects of menthol on thermal perception and thermophysiological homeostasis during exercise. PubMed, EMBASE, Cochrane Library, and Google Scholar databases were searched until May 2020. Menthol caused cooler thermal sensation by weighted mean difference (WMD) of - 1.65 (95% CI, - 2.96 to - 0.33) and tended to improve thermal comfort (WMD = 1.42; 95% CI, - 0.13 to 2.96) during physical exercise. However, there was no meaningful difference in sweat production (WMD = - 24.10 ml; 95% CI, - 139.59 to 91.39 ml), deep body temperature (WMD = 0.02 °C; 95% CI, - 0.11 to 0.15 °C), and heart rate (WMD = 2.67 bpm; 95% CI - 0.74 to 6.09 bpm) between the treatment groups. Menthol improved the performance time in certain subgroups, which are discussed. Our findings suggest that different factors, viz., external application, warmer environment, and higher body mass index can improve menthol's effects on endurance performance, however menthol does not compromise warmth-defence responses during exercise, thus it can be safely applied by athletes from the thermoregulation point of view.
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Affiliation(s)
- Patrik Keringer
- Department of Thermophysiology, Institute for Translational Medicine, Medical School, University of Pecs, 7624, Pecs, Hungary
| | - Nelli Farkas
- Institute for Translational Medicine, Szentagothai Research Centre, Medical School, University of Pecs, 7624, Pecs, Hungary
- Institute of Bioanalysis, Medical School, University of Pecs, 7624, Pecs, Hungary
| | - Noemi Gede
- Institute for Translational Medicine, Szentagothai Research Centre, Medical School, University of Pecs, 7624, Pecs, Hungary
| | - Peter Hegyi
- Institute for Translational Medicine, Szentagothai Research Centre, Medical School, University of Pecs, 7624, Pecs, Hungary
- Department of Translational Medicine, First Department of Medicine, Medical School, University of Pecs, 7624, Pecs, Hungary
| | - Zoltan Rumbus
- Department of Thermophysiology, Institute for Translational Medicine, Medical School, University of Pecs, 7624, Pecs, Hungary
| | - Zsolt Lohinai
- Department of Conservative Dentistry, Faculty of Dentistry, Semmelweis University, 1088, Budapest, Hungary
| | - Margit Solymar
- Department of Thermophysiology, Institute for Translational Medicine, Medical School, University of Pecs, 7624, Pecs, Hungary
| | - Kasidid Ruksakiet
- Department of Conservative Dentistry, Faculty of Dentistry, Semmelweis University, 1088, Budapest, Hungary
- Department of Oral Biology, Faculty of Dentistry, Semmelweis University, 1089, Budapest, Hungary
| | - Gabor Varga
- Department of Oral Biology, Faculty of Dentistry, Semmelweis University, 1089, Budapest, Hungary
| | - Andras Garami
- Department of Thermophysiology, Institute for Translational Medicine, Medical School, University of Pecs, 7624, Pecs, Hungary.
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Douzi W, Dupuy O, Theurot D, Smolander J, Dugué B. Per-Cooling (Using Cooling Systems during Physical Exercise) Enhances Physical and Cognitive Performances in Hot Environments. A Narrative Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E1031. [PMID: 32041228 PMCID: PMC7036802 DOI: 10.3390/ijerph17031031] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/30/2019] [Revised: 01/25/2020] [Accepted: 01/29/2020] [Indexed: 12/19/2022]
Abstract
There are many important sport events that are organized in environments with a very hot ambient temperature (Summer Olympics, FIFA World Cup, Tour de France, etc.) and in hot locations (e.g., Qatar). Additionally, in the context of global warming and heat wave periods, athletes are often subjected to hot ambient temperatures. It is known that exercising in the heat induces disturbances that may provoke premature fatigue and negatively affects overall performance in both endurance and high intensity exercises. Deterioration in several cognitive functions may also occur, and individuals may be at risk for heat illnesses. To train, perform, work and recover and in a safe and effective way, cooling strategies have been proposed and have been routinely applied before, during and after exercise. However, there is a limited understanding of the influences of per-cooling on performance, and it is the subject of the present review. This work examines the influences of per-cooling of different areas of the body on performance in terms of intense short-term exercises ("anaerobic" exercises), endurance exercises ("aerobic" exercises), and cognitive functioning and provides detailed strategies that can be applied when individuals train and/or perform in high ambient temperatures.
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Affiliation(s)
| | | | | | | | - Benoit Dugué
- University of Poitiers, Laboratoire Mobilité Vieillissement Exercice (MOVE)-EA6314, Faculty of Sport Sciences, 8 Allée Jean Monnet, 86000 Poitiers, France; (W.D.); (O.D.); (D.T.); (J.S.)
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Sun M, Shichao D, Tang W, Jia L, Gong J. Design of Spherical Crystallization for Drugs Based on Thermal-Induced Liquid–Liquid Phase Separation: Case Studies of Water-Insoluble Drugs. Ind Eng Chem Res 2019. [DOI: 10.1021/acs.iecr.9b03795] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Mengmeng Sun
- School of Chemical Engineering, State Key Laboratory of Chemical Engineering, Tianjin University, Tianjin 300072, China
- The Co-Innovation Center of Chemistry and Chemical Engineering of Tianjin, Key Laboratory Modern Drug Delivery and High Efficiency in Tianjin, Tianjin 300072, China
| | - Du Shichao
- School of Chemical Engineering, State Key Laboratory of Chemical Engineering, Tianjin University, Tianjin 300072, China
- The Co-Innovation Center of Chemistry and Chemical Engineering of Tianjin, Key Laboratory Modern Drug Delivery and High Efficiency in Tianjin, Tianjin 300072, China
| | - Weiwei Tang
- School of Chemical Engineering, State Key Laboratory of Chemical Engineering, Tianjin University, Tianjin 300072, China
- The Co-Innovation Center of Chemistry and Chemical Engineering of Tianjin, Key Laboratory Modern Drug Delivery and High Efficiency in Tianjin, Tianjin 300072, China
| | - Lina Jia
- School of Chemical Engineering, State Key Laboratory of Chemical Engineering, Tianjin University, Tianjin 300072, China
- The Co-Innovation Center of Chemistry and Chemical Engineering of Tianjin, Key Laboratory Modern Drug Delivery and High Efficiency in Tianjin, Tianjin 300072, China
| | - Junbo Gong
- School of Chemical Engineering, State Key Laboratory of Chemical Engineering, Tianjin University, Tianjin 300072, China
- The Co-Innovation Center of Chemistry and Chemical Engineering of Tianjin, Key Laboratory Modern Drug Delivery and High Efficiency in Tianjin, Tianjin 300072, China
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Wingo JE, Ng J, Katica CP, Carter SJ. Fan cooling after cardiovascular drift does not reverse decrements in maximal oxygen uptake during heat stress. Temperature (Austin) 2019; 6:260-270. [PMID: 31608305 DOI: 10.1080/23328940.2019.1657344] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2019] [Revised: 08/14/2019] [Accepted: 08/14/2019] [Indexed: 01/07/2023] Open
Abstract
Cardiovascular (CV) drift, the progressive increase in heart rate (HR) and decrease in stroke volume (SV) during constant rate, moderate intensity exercise, is related to reduced maximal oxygen uptake (V̇O2max) during heat stress. Once it has already occurred, it is unknown whether the detrimental effects of CV drift on V̇O2max can be reversed. This study tested the hypothesis that fan cooling after CV drift has occurred attenuates decrements in V̇O2max associated with CV drift. Eight men completed a control graded exercise test (GXT) in 22°C to measure V̇O2max. Then on separate, counterbalanced occasions, they completed one 15-min (15MIN) and two 45-min bouts (45NF and 45FAN) of cycling in 35°C, 40% RH at 60% V̇O2max, each immediately followed by a GXT to measure V̇O2max. For one of the 45-min trials (45FAN), fan airflow (4.5 m/s) was directed at participants beginning ~5 min before the GXT and continuing throughout the remainder of exercise. The purpose of the separate 15- and 45-min trials was to measure V̇O2max during the same time interval that CV drift occurred. HR increased (13.8% and 11.4%) and SV decreased (14.4% and 14.1%) for 45NF and 45FAN, respectively; trials were not different (all P > 0.05). Despite a decrease in mean skin temperature of ~1°C with fan use, V̇O2max decreased similarly between conditions (17% vs. 15% for 45NF and 45FAN, P = 0.54). Fan cooling after CV drift was insufficient to reverse the negative consequences of CV drift on V̇O2max after prolonged exercise in a hot environment. Abbreviations: 15MIN: 15-min trial; 45FAN: 45-min, fan trial; 45NF: 45-min, no fan trial; ANOVA: Analysis of variance; CV: Cardiovascular; GXT: Graded exercise test; HR: Heart rate; SV: Stroke volume; T̅b: Mean body temperature; Tre: Rectal temperature; T̅sk: Mean skin temperature; V̇O2max: Maximal oxygen uptake.
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Affiliation(s)
- Jonathan E Wingo
- Department of Kinesiology, University of Alabama, Tuscaloosa, AL, USA
| | - Jason Ng
- Department of Kinesiology, University of Alabama, Tuscaloosa, AL, USA.,Department of Kinesiology, California State University, San Bernardino, CA, USA
| | - Charles P Katica
- Department of Kinesiology, University of Alabama, Tuscaloosa, AL, USA.,Department of Kinesiology, Pacific Lutheran University, Tacoma, WA, USA
| | - Stephen J Carter
- Department of Kinesiology, University of Alabama, Tuscaloosa, AL, USA.,Department of Kinesiology, Indiana University Bloomington, Bloomington, IN, USA
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12
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Douzi W, Dugué B, Vinches L, Al Sayed C, Hallé S, Bosquet L, Dupuy O. Cooling during exercise enhances performances, but the cooled body areas matter: A systematic review with meta‐analyses. Scand J Med Sci Sports 2019; 29:1660-1676. [DOI: 10.1111/sms.13521] [Citation(s) in RCA: 34] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2018] [Revised: 07/10/2019] [Accepted: 07/17/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Wafa Douzi
- Laboratoire Mobilité Vieillissement Exercice (MOVE)‐EA6314, Faculty of Sport Sciences University of Poitiers Poitiers France
| | - Benoit Dugué
- Laboratoire Mobilité Vieillissement Exercice (MOVE)‐EA6314, Faculty of Sport Sciences University of Poitiers Poitiers France
| | - Ludwig Vinches
- Department of Mechanical Engineering ‐ Ecole de Technologie Supérieure Montréal QC Canada
| | - Chady Al Sayed
- Department of Mechanical Engineering ‐ Ecole de Technologie Supérieure Montréal QC Canada
| | - Stéphane Hallé
- Department of Mechanical Engineering ‐ Ecole de Technologie Supérieure Montréal QC Canada
| | - Laurent Bosquet
- Laboratoire Mobilité Vieillissement Exercice (MOVE)‐EA6314, Faculty of Sport Sciences University of Poitiers Poitiers France
| | - Olivier Dupuy
- Laboratoire Mobilité Vieillissement Exercice (MOVE)‐EA6314, Faculty of Sport Sciences University of Poitiers Poitiers France
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13
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Coudevylle GR, Sinnapah S, Robin N, Collado A, Hue O. Conventional and Alternative Strategies to Cope With the Subtropical Climate of Tokyo 2020: Impacts on Psychological Factors of Performance. Front Psychol 2019; 10:1279. [PMID: 31214085 PMCID: PMC6558207 DOI: 10.3389/fpsyg.2019.01279] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Accepted: 05/15/2019] [Indexed: 12/01/2022] Open
Abstract
The thermal discomfort caused by a hot or hot-wet climate can have negative effects on human performance. The 2020 Summer Olympic and Paralympic Games will take place in Tokyo’s hot and humid summer period, possibly exposing athletes to severe environmental stressors. In addition to technical, tactical, physical and nutritional preparation, Olympians and Paralympians need an optimal psychological state to turn in their best performances, especially in terms of emotional control, concentration and motivation. Yet, the tropical climate can have many negative effects on these factors. Better understanding of the negative effects of this climate and the strategies to manage them might be crucial for competitors, coaches and their teams in Japan. At the psychological level, cooling interventions before, during and/or immediately after exercise were mainly studied on perceptual responses. However, the effects of these interventions on other psychological components such as cognitive abilities or psychological states and the use of psychological techniques have been little explored, especially in hot-wet climate. Thus, this article proposes to take stock of the knowledge on the conventional and alternative strategies that help athletes to psychologically cope with the subtropical climate of Tokyo.
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Affiliation(s)
- Guillaume R Coudevylle
- Laboratory ACTES (UPRES-EA 3596), University of the French West Indies, Pointe-à-Pitre, France
| | - Stéphane Sinnapah
- Laboratory ACTES (UPRES-EA 3596), University of the French West Indies, Pointe-à-Pitre, France
| | - Nicolas Robin
- Laboratory ACTES (UPRES-EA 3596), University of the French West Indies, Pointe-à-Pitre, France
| | - Aurélie Collado
- Laboratory ACTES (UPRES-EA 3596), University of the French West Indies, Pointe-à-Pitre, France
| | - Olivier Hue
- Laboratory ACTES (UPRES-EA 3596), University of the French West Indies, Pointe-à-Pitre, France
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14
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Jeffries O, Waldron M. The effects of menthol on exercise performance and thermal sensation: A meta-analysis. J Sci Med Sport 2019; 22:707-715. [DOI: 10.1016/j.jsams.2018.12.002] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2018] [Revised: 11/02/2018] [Accepted: 12/02/2018] [Indexed: 12/13/2022]
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15
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Enhancement of Exercise Capacity in the Heat With Repeated Menthol-Spray Application. Int J Sports Physiol Perform 2019; 14:644-649. [PMID: 30427234 DOI: 10.1123/ijspp.2018-0561] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Purpose: Exercise performance is impaired in the heat, and a contributing factor to this decrement is thermal discomfort. Menthol spraying of skin is one means of alleviating thermal discomfort but has yet to be shown to be ergogenic using single-spray applications. The authors examined whether repeated menthol spraying could relieve thermal discomfort, reduce perception of exertion, and improve exercise performance in hot (35°C), dry (22% relative humidity) conditions, hypothesizing that it would. Methods: A total of 8 trained cyclists completed 2 separate conditions of fixed-intensity cycling (50% maximal power output) for 45 min before a test to exhaustion (TTE; 70% maximal power output) with 100 mL of menthol spray (0.20% menthol) or control spray applied to the torso after 20 and 40 min. Perceptual (thermal sensation, thermal comfort, and rating of perceived exertion) performance (TTE duration), thermal variables (skin temperature, rectal temperature, and cardiac frequency), and sweating were measured. Data were compared using analysis of variance to .05 alpha level. Results: Menthol spray improved thermal sensation (cold sensation cf warm/hot after first spraying; P = .008) but only descriptively altered thermal comfort (comfortable cf uncomfortable; P = .173). Sweat production (994 [380] mL cf 1180 [380] mL; P = .020) and sweat rate (827 [327] mL·h-1 cf 941 [319] mL·h-1; P = .048) lowered. TTE performance improved (4.6 [1.74] cf 2.4 [1.55] min; P = .004). Menthol-spray effects diminished despite repeated applications, indicating increased contribution of visceral thermoreceptors to thermal perception. Conclusion: Repeated menthol spraying improves exercise capacity but alters thermoregulation, potentially conflicting behavioral and thermoregulatory drivers; care should be taken with its use. Carrying and deploying menthol spray would impose a logistical burden that needs consideration against performance benefit.
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Gibson OR, Wrightson JG, Hayes M. Intermittent sprint performance in the heat is not altered by augmenting thermal perception via L-menthol or capsaicin mouth rinses. Eur J Appl Physiol 2018; 119:653-664. [PMID: 30580384 PMCID: PMC6394657 DOI: 10.1007/s00421-018-4055-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2018] [Accepted: 12/10/2018] [Indexed: 11/18/2022]
Abstract
Purpose Cooling sensations elicited by mouth rinsing with L-menthol have been reported as ergogenic. Presently, responses to L-menthol mouth rinsing during intermittent sprint performance (ISP) in the heat are unknown and the impact of increased thermal perception on ISP via capsaicin has also not been quantified. This experiment aimed to identify whether eliciting cooling/warming sensations via L-menthol/capsaicin would alter ISP in the heat. Method Fourteen participants (mass = 72 ± 9 kg, \documentclass[12pt]{minimal}
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\begin{document}$$\dot {V}{{\text{O}}_{2{\text{peak}}}}$$\end{document}V˙O2peak = 3.30 ± 0.90 L min−1), undertook four experimental trials, involving 40 min of ISP in hot conditions (40.2 ± 0.6 °C, 42 ± 2% R.H.) with mouth rinsing (25 mL, 6 s) at the protocol onset, and every 10 min thereafter. Cooling (0.01% L-menthol; MEN), warming (0.2% capsaicin; CAP), placebo (0.3 sham-CHO; PLA), and control (water; CON) mouth rinses were utilized. Performance was quantified via power (PP) and work done (WD) during sprints. Heart rate (HR), core (Trec) and skin (Tskin) temperature, perceived exertion (RPE), thermal sensation (Tsens), and comfort (Tcom) were measured at 10 min intervals. Sweat rate (whole-body sweat rate) was calculated from ∆mass. Result PP reduced over time (P < 0.05); however, no change was observed between trials for PP or WD (P > 0.05). Tcom increased over time and was lower in MEN (2.7 ± 1.1; P < 0.05) with no difference between CAP (3.1 ± 1.2), PLA (3.2 ± 1.3) and CON (3.1 ± 1.3). RPE, Tsens HR, Trec, and Tskin increased over time (P < 0.05) with no between trial differences (P > 0.05). Conclusion Despite improved thermal comfort via L-menthol, ISP did not improve. Capsaicin did not alter thermal perception or ISP. The reduction in ISP over time in hot conditions is not influenced by thermal perception. Electronic supplementary material The online version of this article (10.1007/s00421-018-4055-0) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- O R Gibson
- Centre for Human Performance, Exercise and Rehabilitation, College of Health and Life Sciences, Brunel University London, Uxbridge, UK. .,Division of Sport, Health and Exercise Sciences, Department of Life Sciences, College of Health and Life Sciences, Brunel University London, Uxbridge, UK.
| | - J G Wrightson
- Faculty of Kinesiology, University of Calgary, Calgary, Canada
| | - M Hayes
- Environmental Extremes Laboratory, University of Brighton, Eastbourne, UK
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17
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Endurance Performance is Influenced by Perceptions of Pain and Temperature: Theory, Applications and Safety Considerations. Sports Med 2018; 48:525-537. [PMID: 29270865 DOI: 10.1007/s40279-017-0852-6] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Models of endurance performance now recognise input from the brain, including an athlete's ability to cope with various non-pleasurable perceptions during exercise, such as pain and temperature. Exercise training can reduce perceptions of both pain and temperature over time, partly explaining why athletes generally have a higher pain tolerance, despite a similar pain threshold, compared with active controls. Several strategies with varying efficacy may ameliorate the perceptions of pain (e.g. acetaminophen, transcranial direct current stimulation and transcutaneous electrical stimulation) and temperature (e.g. menthol beverages, topical menthol products and other cooling strategies, especially those targeting the head) during exercise to improve athletic performance. This review describes both the theory and practical applications of these interventions in the endurance sport setting, as well as the potentially harmful health consequences of their use.
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18
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Abstract
The application of menthol has recently been researched as a performance-enhancing aid for various aspects of athletic performance including endurance, speed, strength and joint range of motion. A range of application methods has been used including a mouth rinse, ingestion of a beverage containing menthol or external application to the skin or clothing via a gel or spray. The majority of research has focussed on the use of menthol to impart a cooling sensation on athletes performing endurance exercise in the heat. In this situation, menthol appears to have the greatest beneficial effect on performance when applied internally. In contrast, the majority of investigations into the external application of menthol demonstrated no performance benefit. While studies are limited in number, menthol has not yet proven to be beneficial for speed or strength, and only effective at increasing joint range of motion following exercise that induced delayed-onset muscle soreness. Internal application of menthol may provoke such performance-enhancing effects via mechanisms related to its thermal, ventilatory, analgesic and arousing properties. Future research should focus on well-trained subjects and investigate the addition of menthol to nutritional sports products.
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Affiliation(s)
- Christopher J Stevens
- School of Health and Human Sciences, Southern Cross University, Hogbin Drive, Coffs Harbour, NSW, 2450, Australia.
| | - Russ Best
- School of Social Sciences, Business and Law, Teesside University, Middlesbrough, UK
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19
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Abstract
Menthol is a compound of plant origin and has recently been used to aid exercise performance in hot, humid environments. Menthol creates a sensation of coolness when applied to the skin or mucosal surfaces stimulating the cold receptors. In these environments, fatigue is known to be accelerated and feelings of being hot are one of the main contributors to the early onset of fatigue. However, current research indicates that nonthermal perceptual cooling interventions could alter behavior in the heat by reducing thermal perception. This would allow the athlete to feel cooler when exercising at the same work rate in the heat. Menthol has been investigated as an internal and external intervention. Greater benefits have currently been found for internal interventions than external methods. Future research should focus on the mechanisms, dosage, and timing of both internal and external interventions, and the role menthol could play within speed or strength.
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Affiliation(s)
- Tessa Rose Flood
- University of Chichester, UK College Lane University of Chichester, West Sussex, UNITED KINGDOM
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20
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MacRae BA, Annaheim S, Spengler CM, Rossi RM. Skin Temperature Measurement Using Contact Thermometry: A Systematic Review of Setup Variables and Their Effects on Measured Values. Front Physiol 2018. [PMID: 29441024 DOI: 10.3389/fphys.2018.00029, 10.3389/fpls.2018.00029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background: Skin temperature (Tskin) is commonly measured using Tskin sensors affixed directly to the skin surface, although the influence of setup variables on the measured outcome requires clarification. Objectives: The two distinct objectives of this systematic review were (1) to examine measurements from contact Tskin sensors considering equilibrium temperature and temperature disturbance, sensor attachments, pressure, environmental temperature, and sensor type, and (2) to characterise the contact Tskin sensors used, conditions of use, and subsequent reporting in studies investigating sports, exercise, and other physical activity. Data sources and study selection: For the measurement comparison objective, Ovid Medline and Scopus were used (1960 to July 2016) and studies comparing contact Tskin sensor measurements in vivo or using appropriate physical models were included. For the survey of use, Ovid Medline was used (2011 to July 2016) and studies using contact temperature sensors for the measurement of human Tskinin vivo during sport, exercise, and other physical activity were included. Study appraisal and synthesis methods: For measurement comparisons, assessments of risk of bias were made according to an adapted version of the Cochrane Collaboration's risk of bias tool. Comparisons of temperature measurements were expressed, where possible, as mean difference and 95% limits of agreement (LoA). Meta-analyses were not performed due to the lack of a common reference condition. For the survey of use, extracted information was summarised in text and tabular form. Results: For measurement comparisons, 21 studies were included. Results from these studies indicated minor (<0.5°C) to practically meaningful (>0.5°C) measurement bias within the subgroups of attachment type, applied pressure, environmental conditions, and sensor type. The 95% LoA were often within 1.0°C for in vivo studies and 0.5°C for physical models. For the survey of use, 172 studies were included. Details about Tskin sensor setup were often poorly reported and, from those reporting setup information, it was evident that setups widely varied in terms of type of sensors, attachments, and locations used. Conclusions: Setup variables and conditions of use can influence the measured temperature from contact Tskin sensors and thus key setup variables need to be appropriately considered and consistently reported.
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Affiliation(s)
- Braid A MacRae
- Empa, Swiss Federal Laboratories for Materials Science and Technology, Laboratory for Biomimetic Membranes and Textiles, St. Gallen, Switzerland.,Exercise Physiology Lab, Institute of Human Movement Sciences and Sport, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland
| | - Simon Annaheim
- Empa, Swiss Federal Laboratories for Materials Science and Technology, Laboratory for Biomimetic Membranes and Textiles, St. Gallen, Switzerland
| | - Christina M Spengler
- Exercise Physiology Lab, Institute of Human Movement Sciences and Sport, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland.,Zurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland
| | - René M Rossi
- Empa, Swiss Federal Laboratories for Materials Science and Technology, Laboratory for Biomimetic Membranes and Textiles, St. Gallen, Switzerland
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21
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MacRae BA, Annaheim S, Spengler CM, Rossi RM. Skin Temperature Measurement Using Contact Thermometry: A Systematic Review of Setup Variables and Their Effects on Measured Values. Front Physiol 2018; 9:29. [PMID: 29441024 PMCID: PMC5797625 DOI: 10.3389/fphys.2018.00029] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2017] [Accepted: 01/09/2018] [Indexed: 11/13/2022] Open
Abstract
Background: Skin temperature (Tskin) is commonly measured using Tskin sensors affixed directly to the skin surface, although the influence of setup variables on the measured outcome requires clarification. Objectives: The two distinct objectives of this systematic review were (1) to examine measurements from contact Tskin sensors considering equilibrium temperature and temperature disturbance, sensor attachments, pressure, environmental temperature, and sensor type, and (2) to characterise the contact Tskin sensors used, conditions of use, and subsequent reporting in studies investigating sports, exercise, and other physical activity. Data sources and study selection: For the measurement comparison objective, Ovid Medline and Scopus were used (1960 to July 2016) and studies comparing contact Tskin sensor measurements in vivo or using appropriate physical models were included. For the survey of use, Ovid Medline was used (2011 to July 2016) and studies using contact temperature sensors for the measurement of human Tskinin vivo during sport, exercise, and other physical activity were included. Study appraisal and synthesis methods: For measurement comparisons, assessments of risk of bias were made according to an adapted version of the Cochrane Collaboration's risk of bias tool. Comparisons of temperature measurements were expressed, where possible, as mean difference and 95% limits of agreement (LoA). Meta-analyses were not performed due to the lack of a common reference condition. For the survey of use, extracted information was summarised in text and tabular form. Results: For measurement comparisons, 21 studies were included. Results from these studies indicated minor (<0.5°C) to practically meaningful (>0.5°C) measurement bias within the subgroups of attachment type, applied pressure, environmental conditions, and sensor type. The 95% LoA were often within 1.0°C for in vivo studies and 0.5°C for physical models. For the survey of use, 172 studies were included. Details about Tskin sensor setup were often poorly reported and, from those reporting setup information, it was evident that setups widely varied in terms of type of sensors, attachments, and locations used. Conclusions: Setup variables and conditions of use can influence the measured temperature from contact Tskin sensors and thus key setup variables need to be appropriately considered and consistently reported.
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Affiliation(s)
- Braid A. MacRae
- Empa, Swiss Federal Laboratories for Materials Science and Technology, Laboratory for Biomimetic Membranes and Textiles, St. Gallen, Switzerland
- Exercise Physiology Lab, Institute of Human Movement Sciences and Sport, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland
| | - Simon Annaheim
- Empa, Swiss Federal Laboratories for Materials Science and Technology, Laboratory for Biomimetic Membranes and Textiles, St. Gallen, Switzerland
| | - Christina M. Spengler
- Exercise Physiology Lab, Institute of Human Movement Sciences and Sport, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland
- Zurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland
| | - René M. Rossi
- Empa, Swiss Federal Laboratories for Materials Science and Technology, Laboratory for Biomimetic Membranes and Textiles, St. Gallen, Switzerland
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22
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Botonis PG, Kounalakis SN, Cherouveim ED, Koskolou MD, Geladas ND. Effects of menthol application on the skin during prolonged immersion in cool and cold water. Scand J Med Sci Sports 2017; 28:1193-1200. [PMID: 28940766 DOI: 10.1111/sms.12984] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/07/2017] [Indexed: 12/31/2022]
Abstract
The aim of the study was to compare the effect of skin surface menthol application on rectal temperature (Tre) during prolonged immersion in cool and cold water. We hypothesized that menthol application would lead to a slower Tre decline due to the reduced heat loss as a consequence of the menthol-induced vasoconstriction and that this effect would be attenuated during cold-water immersion. Six male subjects were immersed for 55 minutes in stirred cool (24°C) or cold (14°C) water immediately after attaining a Tre of 38°C by cycling at 60% of maximum heart rate on two occasions: without (ΝM) and with (M) whole-body skin application of menthol cream. Tre, the proximal-distal skin temperature gradient, and oxygen uptake were continuously measured. ANOVA with repeated measures was employed to detect differences among variables. Significance level was set at 0.05. The area under the curve for Tre was calculated and was greater in 24°C M (-1.81 ± 8.22 a.u) compared to 24°C NM (-27.09 ± 19.09 a.u., P = .03, r = .90), 14°C NM (-18.08 ± 10.85 a.u., P = .03, r = .90), and 14°C M (-11.71 ± 12.58 a.u, P = .05, r = .81). In cool water, oxygen uptake and local vasoconstriction were increased (P ≤ .05) by 39 ± 25% and 56 ± 37%, respectively, with menthol compared to ΝM, while no differences were observed in cold water. Menthol application on the skin before prolonged immersion reduces heat loss resulting in a blunted Tre decline. However, such a response is less obvious at 14°C water immersion, possibly because high-threshold cold-sensitive fibers are already maximally recruited and the majority of cold receptors saturated.
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Affiliation(s)
- P G Botonis
- Section of Sports Medicine and Biology of Exercise, School of Physical Education and Sports Science, National and Kapodistrian University of Athens, Athens, Greece.,Section of Aquatic Sports, School of Physical Education and Sports Science, National and Kapodistrian University of Athens, Athens, Greece
| | - S N Kounalakis
- Section of Sports Medicine and Biology of Exercise, School of Physical Education and Sports Science, National and Kapodistrian University of Athens, Athens, Greece.,Faculty of Physical and Cultural Education, Evelpidon Hellenic Army Academy, Vari, Greece
| | - E D Cherouveim
- Section of Sports Medicine and Biology of Exercise, School of Physical Education and Sports Science, National and Kapodistrian University of Athens, Athens, Greece
| | - M D Koskolou
- Section of Sports Medicine and Biology of Exercise, School of Physical Education and Sports Science, National and Kapodistrian University of Athens, Athens, Greece
| | - N D Geladas
- Section of Sports Medicine and Biology of Exercise, School of Physical Education and Sports Science, National and Kapodistrian University of Athens, Athens, Greece
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23
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James CA, Richardson AJ, Watt PW, Willmott AG, Gibson OR, Maxwell NS. Short-term heat acclimation improves the determinants of endurance performance and 5-km running performance in the heat. Appl Physiol Nutr Metab 2017; 42:285-294. [DOI: 10.1139/apnm-2016-0349] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This study investigated the effect of 5 days of controlled short-term heat acclimation (STHA) on the determinants of endurance performance and 5-km performance in runners, relative to the impairment afforded by moderate heat stress. A control group (CON), matched for total work and power output (2.7 W·kg−1), differentiated thermal and exercise contributions of STHA on exercise performance. Seventeen participants (10 STHA, 7 CON) completed graded exercise tests (GXTs) in cool (13 °C, 50% relative humidity (RH), pre-training) and hot conditions (32 °C, 60% RH, pre- and post-training), as well as 5-km time trials (TTs) in the heat, pre- and post-training. STHA reduced resting (p = 0.01) and exercising (p = 0.04) core temperature alongside a smaller change in thermal sensation (p = 0.04). Both groups improved the lactate threshold (LT, p = 0.021), lactate turnpoint (LTP, p = 0.005) and velocity at maximal oxygen consumption (vV̇O2max; p = 0.031) similarly. Statistical differences between training methods were observed in TT performance (STHA, −6.2(5.5)%; CON, −0.6(1.7)%, p = 0.029) and total running time during the GXT (STHA, +20.8(12.7)%; CON, +9.8(1.2)%, p = 0.006). There were large mean differences in change in maximal oxygen consumption between STHA +4.0(2.2) mL·kg−1·min−1 (7.3(4.0)%) and CON +1.9(3.7) mL·kg−1·min−1 (3.8(7.2)%). Running economy (RE) deteriorated following both training programmes (p = 0.008). Similarly, RE was impaired in the cool GXT, relative to the hot GXT (p = 0.004). STHA improved endurance running performance in comparison with work-matched normothermic training, despite equality of adaptation for typical determinants of performance (LT, LTP, vV̇O2max). Accordingly, these data highlight the ergogenic effect of STHA, potentially via greater improvements in maximal oxygen consumption and specific thermoregulatory and associated thermal perception adaptations absent in normothermic training.
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Affiliation(s)
- Carl A. James
- Environmental Extremes Laboratory, Centre for Sport and Exercise Science and Medicine (SESAME), University of Brighton, Eastbourne BN20 7UR, UK
- National Sports Institute of Malaysia, Institut Sukan Negara, Bukit Jalil Stadium, Kuala Lumpur 57000, Malaysia
| | - Alan J. Richardson
- Environmental Extremes Laboratory, Centre for Sport and Exercise Science and Medicine (SESAME), University of Brighton, Eastbourne BN20 7UR, UK
| | - Peter W. Watt
- Environmental Extremes Laboratory, Centre for Sport and Exercise Science and Medicine (SESAME), University of Brighton, Eastbourne BN20 7UR, UK
| | - Ashley G.B. Willmott
- Environmental Extremes Laboratory, Centre for Sport and Exercise Science and Medicine (SESAME), University of Brighton, Eastbourne BN20 7UR, UK
| | - Oliver R. Gibson
- Centre for Human Performance, Exercise and Rehabilitation (CHPER), Brunel University London UB8 3PH, UK
| | - Neil S. Maxwell
- Environmental Extremes Laboratory, Centre for Sport and Exercise Science and Medicine (SESAME), University of Brighton, Eastbourne BN20 7UR, UK
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Bongers CCWG, Hopman MTE, Eijsvogels TMH. Cooling interventions for athletes: An overview of effectiveness, physiological mechanisms, and practical considerations. Temperature (Austin) 2017; 4:60-78. [PMID: 28349095 PMCID: PMC5356217 DOI: 10.1080/23328940.2016.1277003] [Citation(s) in RCA: 113] [Impact Index Per Article: 16.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2016] [Revised: 12/22/2016] [Accepted: 12/22/2016] [Indexed: 02/08/2023] Open
Abstract
Exercise-induced increases in core body temperature could negative impact performance and may lead to development of heat-related illnesses. The use of cooling techniques prior (pre-cooling), during (per-cooling) or directly after (post-cooling) exercise may limit the increase in core body temperature and therefore improve exercise performance. The aim of the present review is to provide a comprehensive overview of current scientific knowledge in the field of pre-cooling, per-cooling and post-cooling. Based on existing studies, we will discuss 1) the effectiveness of cooling interventions, 2) the underlying physiological mechanisms and 3) practical considerations regarding the use of different cooling techniques. Furthermore, we tried to identify the optimal cooling technique and compared whether cooling-induced performance benefits are different between cool, moderate and hot ambient conditions. This article provides researchers, physicians, athletes and coaches with important information regarding the implementation of cooling techniques to maintain exercise performance and to successfully compete in thermally stressful conditions.
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Affiliation(s)
- Coen C W G Bongers
- Radboud Institute of Health Sciences, Radboud university medical center, Department of Physiology , Nijmegen, The Netherlands
| | - Maria T E Hopman
- Radboud Institute of Health Sciences, Radboud university medical center, Department of Physiology , Nijmegen, The Netherlands
| | - Thijs M H Eijsvogels
- Radboud Institute of Health Sciences, Radboud university medical center, Department of Physiology, Nijmegen, The Netherlands; Research Institute for Sports and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom
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Botonis PG, Geladas ND, Kounalakis SN, Cherouveim ED, Koskolou MD. Effects of menthol application on the skin during prolonged immersion in swimmers and controls. Scand J Med Sci Sports 2016; 27:1560-1568. [PMID: 27859725 DOI: 10.1111/sms.12799] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/18/2016] [Indexed: 12/16/2022]
Abstract
We hypothesized that menthol application on the skin would enhance vasoconstriction of subjects immersed in cool water, which would reduce heat loss and rectal temperature (Tre) cooling rate. Furthermore, it was hypothesized that this effect would be greater in individuals acclimatized to immersion in 24 °C water, such as swimmers. Seven swimmers (SW) and seven physical education students (CON) cycled at 60% VO2 max until Tre attained 38 °C, and were then immediately immersed in stirred water maintained at 24 °C on two occasions: without (NM) and with (M; 4.6 g per 100 mL of water) whole-body skin application of menthol cream. Heart rate, Tre, proximal-distal skin temperature gradient, oxygen uptake (VO2 ), electromyographic activity (EMG), and thermal sensation were measured. Tre reduction was similar among SW and CON in NM and CON in M (-0.71±0.31 °C in average), while it was smaller for SW in M (-0.37±0.18 °C, P < 0.01). VO2 and heart rate were greater in M compared with NM condition (P = 0.01). SW in M exhibited a shift of the threshold for shivering, as reflected in increased VO2 and EMG activity, toward a higher Tre compared with the other trials. Menthol application on the skin before immersion reduces heat loss, but defends Tre decline more effectively in swimmers than in non-swimmers.
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Affiliation(s)
- P G Botonis
- Department of Sports Medicine and Biology of Exercise, School of Physical Education and Sports Science, University of Athens, Athens, Greece.,Department of Aquatic Sports, School of Physical Education and Sports Science, University of Athens, Athens, Greece
| | - N D Geladas
- Department of Sports Medicine and Biology of Exercise, School of Physical Education and Sports Science, University of Athens, Athens, Greece
| | - S N Kounalakis
- Department of Sports Medicine and Biology of Exercise, School of Physical Education and Sports Science, University of Athens, Athens, Greece
| | - E D Cherouveim
- Department of Sports Medicine and Biology of Exercise, School of Physical Education and Sports Science, University of Athens, Athens, Greece
| | - M D Koskolou
- Department of Sports Medicine and Biology of Exercise, School of Physical Education and Sports Science, University of Athens, Athens, Greece
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Stevens CJ, Taylor L, Dascombe BJ. Cooling During Exercise: An Overlooked Strategy for Enhancing Endurance Performance in the Heat. Sports Med 2016; 47:829-841. [DOI: 10.1007/s40279-016-0625-7] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Gillis DJ, Barwood MJ, Newton PS, House JR, Tipton MJ. The influence of a menthol and ethanol soaked garment on human temperature regulation and perception during exercise and rest in warm, humid conditions. J Therm Biol 2016; 58:99-105. [PMID: 27157339 DOI: 10.1016/j.jtherbio.2016.04.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2015] [Revised: 04/19/2016] [Accepted: 04/22/2016] [Indexed: 01/22/2023]
Abstract
UNLABELLED This study assessed whether donning a garment saturated with menthol and ethanol (M/E) can improve evaporative cooling and thermal perceptions versus water (W) or nothing (CON) during low intensity exercise and rest in warm, humid conditions often encountered in recreational/occupational settings. It was hypothesised there would be no difference in rectal (Tre) and skin (Tsk) temperature, infra-red thermal imagery of the chest/back, thermal comfort (TC) and rating of perceived exertion (RPE) between M/E, W and CON, but participants would feel cooler in M/E versus W or CON. METHODS Six volunteers (mean [SD] 22 [4] years, 72.4 [7.4] kg and 173.6 [3.7] cm) completed (separate days) three, 60-min tests in 30°C, 70%rh, in a balanced order. After 15-min of seated rest participants donned a dry (CON) or 80mL soaked (M/E, W) long sleeve shirt appropriate to their intervention. They then undertook 30-min of low intensity stepping at a rate of 12steps/min on a 22.5cm box, followed by 15-min of seated rest. Measurements included heart rate (HR), Tre, Tsk (chest/back/forearm), thermal imaging (back/chest), thermal sensation (TS), TC and RPE. Data were reported every fifth minute as they changed from baseline and the area under the curves were compared by condition using one-way repeated measures ANOVA, with an alpha level of 0.05. RESULTS Tre differed by condition, with the largest heat storage response observed in M/E (p<0.05). Skin temperature at the chest/back/forearm, and thermal imaging of the chest all differed by condition, with the greatest rate of heat loss observed in W and M/E respectively (p<0.01). Thermal sensation differed by condition, with the coolest sensations observed in M/E (p<0.001). No other differences were observed. CONCLUSIONS Both M/E and W enhanced evaporative cooling compared CON, but M/E causes cooler sensations and a heat storage response, both of which are likely mediated by menthol.
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Affiliation(s)
- D Jason Gillis
- Human Performance Laboratory, Department of Sport and Movement Science, Salem State University, Salem, MA 01970, USA.
| | - M J Barwood
- Dept. Sport, Exercise and Rehabilitation, Northumbria University, Newcastle-Upon-Tyne, UK
| | - P S Newton
- Human Performance Research and Development, Canadian Forces Morale and Welfare Services, Ottawa, Ontario, Canada
| | - J R House
- Extreme Environments Laboratory, Department of Sport and Exercise Science, Portsmouth University, Portsmouth PO1 2ER, UK
| | - M J Tipton
- Extreme Environments Laboratory, Department of Sport and Exercise Science, Portsmouth University, Portsmouth PO1 2ER, UK
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Tokizawa K, Takahashi M. Daytime napping results in an underestimation of thermal strain during exercise in the heat: authors' response. Occup Environ Med 2015; 72:753-4. [PMID: 26283764 DOI: 10.1136/oemed-2015-103197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2015] [Accepted: 07/31/2015] [Indexed: 11/03/2022]
Affiliation(s)
- Ken Tokizawa
- National Institute of Occupational Safety and Health, Kawasaki, Japan
| | - Masaya Takahashi
- National Institute of Occupational Safety and Health, Kawasaki, Japan
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