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Weller RS, Daanen HA, McClintock RJ, Roberts NA, Dunn TL, Jones DM. Cold-induced vasodilation during sequential immersions of the hand. Eur J Appl Physiol 2024; 124:775-781. [PMID: 37864008 PMCID: PMC10879250 DOI: 10.1007/s00421-023-05304-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Accepted: 08/17/2023] [Indexed: 10/22/2023]
Abstract
A common practice for those operating in cold environments includes repetitive glove doffing and donning to perform specific tasks, which creates a repetitive cycle of hand cooling and rewarming. This study aimed to determine the influence of intraday repeated hand cooling on cold-induced vasodilation (CIVD), sympathetic activation, and finger/hand temperature recovery. Eight males and two females (mean ± SD age: 28 ± 5 year; height: 181 ± 9 cm; weight: 79.9 ± 10.4 kg) performed two 30-min hand immersions in cold (4.3 ± 0.92 °C) water in an indoor environment (18 °C). Both immersions (Imm1; Imm2) were performed on the same day and both allowed for a 10-min recovery. CIVD components were calculated for each finger (index, middle, ring) during each immersion. CIVD onset time (index, p = 0.546; middle, p = 0.727; ring, p = 0.873), minimum finger temperature (index, p = 0.634; middle, p = 0.493; ring, p = 0.575), and mean finger temperature (index, p = 0.986; middle, p = 0.953; ring, p = 0.637) were all similar between immersions. Recovery rates generally demonstrated similar responses as well. Findings suggest that two sequential CIVD tests analyzing the effect of prior cold exposure of the hand does not impair the CIVD response or recovery. Such findings appear promising for those venturing into cold environments where hands are likely to be repeatedly exposed to cold temperatures.
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Affiliation(s)
- Rebecca S Weller
- Naval Health Research Center, 140 Sylvester Rd, San Diego, CA, USA.
- Leidos, Inc., San Diego, CA, USA.
- Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
| | - Hein A Daanen
- Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Rebecca J McClintock
- Naval Health Research Center, 140 Sylvester Rd, San Diego, CA, USA
- Leidos, Inc., San Diego, CA, USA
| | | | - Timothy L Dunn
- Naval Health Research Center, 140 Sylvester Rd, San Diego, CA, USA
| | - Douglas M Jones
- Naval Health Research Center, 140 Sylvester Rd, San Diego, CA, USA
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Notley SR, Mitchell D, Taylor NAS. A century of exercise physiology: concepts that ignited the study of human thermoregulation. Part 3: Heat and cold tolerance during exercise. Eur J Appl Physiol 2024; 124:1-145. [PMID: 37796292 DOI: 10.1007/s00421-023-05276-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Accepted: 07/04/2023] [Indexed: 10/06/2023]
Abstract
In this third installment of our four-part historical series, we evaluate contributions that shaped our understanding of heat and cold stress during occupational and athletic pursuits. Our first topic concerns how we tolerate, and sometimes fail to tolerate, exercise-heat stress. By 1900, physical activity with clothing- and climate-induced evaporative impediments led to an extraordinarily high incidence of heat stroke within the military. Fortunately, deep-body temperatures > 40 °C were not always fatal. Thirty years later, water immersion and patient treatments mimicking sweat evaporation were found to be effective, with the adage of cool first, transport later being adopted. We gradually acquired an understanding of thermoeffector function during heat storage, and learned about challenges to other regulatory mechanisms. In our second topic, we explore cold tolerance and intolerance. By the 1930s, hypothermia was known to reduce cutaneous circulation, particularly at the extremities, conserving body heat. Cold-induced vasodilatation hindered heat conservation, but it was protective. Increased metabolic heat production followed, driven by shivering and non-shivering thermogenesis, even during exercise and work. Physical endurance and shivering could both be compromised by hypoglycaemia. Later, treatments for hypothermia and cold injuries were refined, and the thermal after-drop was explained. In our final topic, we critique the numerous indices developed in attempts to numerically rate hot and cold stresses. The criteria for an effective thermal stress index were established by the 1930s. However, few indices satisfied those requirements, either then or now, and the surviving indices, including the unvalidated Wet-Bulb Globe-Thermometer index, do not fully predict thermal strain.
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Affiliation(s)
- Sean R Notley
- Defence Science and Technology Group, Department of Defence, Melbourne, Australia
- School of Human Kinetics, University of Ottawa, Ottawa, Canada
| | - Duncan Mitchell
- Brain Function Research Group, School of Physiology, University of the Witwatersrand, Johannesburg, South Africa
- School of Human Sciences, University of Western Australia, Crawley, Australia
| | - Nigel A S Taylor
- Research Institute of Human Ecology, College of Human Ecology, Seoul National University, Seoul, Republic of Korea.
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3
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Kingma B, Sullivan-Kwantes W, Castellani J, Friedl K, Haman F. We are all exposed, but some are more exposed than others. Int J Circumpolar Health 2023; 82:2199492. [PMID: 37052125 PMCID: PMC10116924 DOI: 10.1080/22423982.2023.2199492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2023] Open
Abstract
This paper defines functional cold exposure zones that illustrate whether a person is at risk of developing physical performance loss or cold weather injuries. Individual variation in body characteristics, activity level, clothing and protective equipment all contribute to variation in the effective exposure. Nevertheless, with the right education, training, and cold-adapted behaviours the exposure differences might not necessarily lead to increased risk for cold injury. To support the preparation process for cold weather operations, this paper presents a biophysical analysis explaining how much cold exposure risk can vary between individuals in the same environment. The results suggest that smaller persons are prone to be underdressed for moderate activity levels and larger persons are prone to be overdressed. The consequences of these discrepancies place people at different risks for performance loss or cold weather injuries. Nonetheless, even if all are well-dressed at the whole-body level, variation in hand morphology is also expected to influence hand skin temperatures that can be maintained; with smaller hands being more prone to reach skin temperatures associated with dexterity loss or cold weather injuries. In conclusion, this work focusses on bringing cold science to the Arctic warrior, establishing that combating cold stress is not a one size fits all approach.
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Affiliation(s)
- Boris Kingma
- The Netherlands Organization for Applied Scientific Research (TNO), Unit Defence, Safety and Security, Department of Human Performance, Soesterberg, The Netherlands
| | | | - John Castellani
- Thermal and Mountain Medicine Division, United States Army Research Institute of Environmental Medicine, Natick, MA, USA
| | - Karl Friedl
- Thermal and Mountain Medicine Division, United States Army Research Institute of Environmental Medicine, Natick, MA, USA
| | - François Haman
- Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
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Ojanen T, Pihlainen K, Yli-Renko J, Vaara JP, Nykänen T, Heikkinen R, Kyröläinen H. Effects of 36-hour recovery on marksmanship and hormone concentrations during strenuous winter military survival training. BMC Sports Sci Med Rehabil 2023; 15:105. [PMID: 37596657 PMCID: PMC10439591 DOI: 10.1186/s13102-023-00711-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 08/02/2023] [Indexed: 08/20/2023]
Abstract
OBJECTIVES Survival training can provide a unique setting for scientific examination of human stress responses and physical performance in a realistic operational military context. The aim of the present study was to observe effects of a 36-h recovery period on serum hormone concentrations, salivary cortisol, and marksmanship during 10-day winter military survival training in north of the Arctic Circle. DESIGN AND METHODS Sixty-eight male soldiers were randomly divided into two groups; EXP (n = 26) and CON (n = 42). While CON performed the whole exercise phase in the field, EXP had 36-h recovery period between days 6 and 8. Several hormones were measured during the study to investigate recovery. RESULTS Subjective physical and mental demand as well as catabolic hormone levels increased and anabolic hormones decreased in CON (p < 0.05), whereas in EXP, recovery period attenuated negative effects of survival training. Prone shooting performance decreased (87.5 ± 6.5 vs. 76.3 ± 8.8, points out of 100, p < 0.05) between days 6 and 8 in CON while EXP was able to maintain shooting performance throughout the study. CONCLUSION A short recovery during a strenuous training can prevent the degradation in psychophysiological state and shooting performance in soldiers, which can be crucial for survival in demanding operational winter environment. In the present study, 36-h rest period during the field training seems to enhance recovery but the duration of the period was inadequate for full recovery from the accumulated operative stress. In conclusion, appropriate recovery periods should be implemented in order to optimize occupational performance during high operative stress.
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Affiliation(s)
- Tommi Ojanen
- Finnish Defence Research Agency, Human Performance Division, Finnish Defence Forces, Tuusula, Finland.
| | - Kai Pihlainen
- Defence Command, Training Division, Finnish Defence Forces, Helsinki, Finland
| | - Jussi Yli-Renko
- Department of Leadership and Military Pedagogy, National Defence University, Finnish Defence Forces, Helsinki, Finland
| | - Jani P Vaara
- Department of Leadership and Military Pedagogy, National Defence University, Finnish Defence Forces, Helsinki, Finland
| | - Tarja Nykänen
- Army Academy, Finnish Defence Forces, Lappeenranta, Finland
| | - Risto Heikkinen
- Statistical Analysis Services, Analyysitoimisto Statisti Oy, Jyväskylä, Finland
| | - Heikki Kyröläinen
- Department of Leadership and Military Pedagogy, National Defence University, Finnish Defence Forces, Helsinki, Finland
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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Arcidiacono DM, Lavoie EM, Potter AW, Vangala SV, Holden LD, Soucy HY, Karis AJ, Friedl KE, Santee WR, Looney DP. Peak performance and cardiometabolic responses of modern US army soldiers during heavy, fatiguing vest-borne load carriage. Appl Ergon 2023; 109:103985. [PMID: 36764233 DOI: 10.1016/j.apergo.2023.103985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 01/06/2023] [Accepted: 01/24/2023] [Indexed: 06/18/2023]
Abstract
INTRODUCTION Physiological limits imposed by vest-borne loads must be defined for optimal performance monitoring of the modern dismounted warfighter. PURPOSE To evaluate how weighted vests affect locomotion economy and relative cardiometabolic strain during military load carriage while identifying key physiological predictors of exhaustion limits. METHODS Fifteen US Army soldiers (4 women, 11 men; age, 26 ± 8 years; height, 173 ± 10 cm; body mass (BM), 79 ± 16 kg) performed four incremental walking tests with different vest loads (0, 22, 44, or 66% BM). We examined the effects of vest-borne loading on peak walking speed, the physiological costs of transport, and relative work intensity. We then sought to determine which of the cardiometabolic indicators (oxygen uptake, heart rate, respiration rate) was most predictive of task failure. RESULTS Peak walking speed significantly decreased with successively heavier vest loads (p < 0.01). Physiological costs per kilometer walked were significantly higher with added vest loads for each measure (p < 0.05). Relative oxygen uptake and heart rate were significantly higher during the loaded trials than the 0% BM trial (p < 0.01) yet not different from one another (p > 0.07). Conversely, respiration rate was significantly higher with the heavier load in every comparison (p < 0.01). Probability modeling revealed heart rate as the best predictor of task failure (marginal R2, 0.587, conditional R2, 0.791). CONCLUSION Heavy vest-borne loads cause exceptional losses in performance capabilities and increased physiological strain during walking. Heart rate provides a useful non-invasive indicator of relative intensity and task failure during military load carriage.
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Affiliation(s)
- Danielle M Arcidiacono
- United States Army Research Institute of Environmental Medicine (USARIEM), 10 General Greene Avenue, Natick, MA, 01760, USA; Oak Ridge Institute for Science and Education (ORISE), 1299 Bethel Valley Rd, Oak Ridge, TN, 37830, USA
| | - Elizabeth M Lavoie
- United States Army Research Institute of Environmental Medicine (USARIEM), 10 General Greene Avenue, Natick, MA, 01760, USA; Oak Ridge Institute for Science and Education (ORISE), 1299 Bethel Valley Rd, Oak Ridge, TN, 37830, USA; University at Buffalo, SUNY, 211 Kimball Tower, Buffalo, NY, 14214, USA
| | - Adam W Potter
- United States Army Research Institute of Environmental Medicine (USARIEM), 10 General Greene Avenue, Natick, MA, 01760, USA
| | - Sai V Vangala
- United States Army Research Institute of Environmental Medicine (USARIEM), 10 General Greene Avenue, Natick, MA, 01760, USA
| | - Lucas D Holden
- United States Army Research Institute of Environmental Medicine (USARIEM), 10 General Greene Avenue, Natick, MA, 01760, USA; Oak Ridge Institute for Science and Education (ORISE), 1299 Bethel Valley Rd, Oak Ridge, TN, 37830, USA
| | - Hope Y Soucy
- United States Army Research Institute of Environmental Medicine (USARIEM), 10 General Greene Avenue, Natick, MA, 01760, USA; Oak Ridge Institute for Science and Education (ORISE), 1299 Bethel Valley Rd, Oak Ridge, TN, 37830, USA
| | - Anthony J Karis
- United States Army Research Institute of Environmental Medicine (USARIEM), 10 General Greene Avenue, Natick, MA, 01760, USA
| | - Karl E Friedl
- United States Army Research Institute of Environmental Medicine (USARIEM), 10 General Greene Avenue, Natick, MA, 01760, USA
| | - William R Santee
- United States Army Research Institute of Environmental Medicine (USARIEM), 10 General Greene Avenue, Natick, MA, 01760, USA
| | - David P Looney
- United States Army Research Institute of Environmental Medicine (USARIEM), 10 General Greene Avenue, Natick, MA, 01760, USA.
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Bordenave N, Brown R, Basset F, Power J, Godin N, Haman F. Revisiting survival at sea from a nutrition and food perspective: rationalizing the rations. Appl Physiol Nutr Metab 2023; 48:219-225. [PMID: 36332203 DOI: 10.1139/apnm-2022-0229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
This study examines the design of food rations for survival at sea required by the International Maritime Organization through the Life Saving Appliances (LSA) Code, as implemented by Transport Canada. Energy demand and body fat reserves were estimated for the Canadian population based on demographic and anthropometric data. It was determined that caloric content of food rations could be drastically decreased without potential harm to survivors of a marine abandonment. Coupled with ration reformulation, such decrease could be an opportunity to extend safe survival conditions to up to 5 days versus 2 days as currently provisioned by the LSA Code.
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Affiliation(s)
- Nicolas Bordenave
- School of Nutrition Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, ON K1N 6N5, Canada.,School of Chemistry and Biomolecular Sciences, Faculty of Science, University of Ottawa, Ottawa, ON K1N 6N5, Canada
| | - Robert Brown
- School of Maritime Studies, Marine Institute, Memorial University of Newfoundland, St. John's, NL A1C 5R3, Canada
| | - Fabien Basset
- School of Human Kinetics and Recreation, Memorial University of Newfoundland, St. John's, NL A1C 5S7, Canada
| | - Jonathan Power
- Ocean, Coastal and River Engineering Research Centre, National Research Council of Canada, St. John's, NL A1B 3X5, Canada
| | | | - François Haman
- School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, ON, Canada K1N 6N5
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Robinson Y, Khorram-Manesh A, Arvidsson N, Sinai C, Taube F. Does climate change transform military medicine and defense medical support? Front Public Health 2023; 11:1099031. [PMID: 37213601 PMCID: PMC10194660 DOI: 10.3389/fpubh.2023.1099031] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 04/11/2023] [Indexed: 05/23/2023] Open
Abstract
Background Climate change has effects on multiple aspects of human life, such as access to food and water, expansion of endemic diseases as well as an increase of natural disasters and related diseases. The objective of this review is to summarize the current knowledge on climate change effects on military occupational health, military healthcare in a deployed setting, and defense medical logistics. Methods Online databases and registers were searched on August 22nd, 2022 and 348 papers retrieved, published between 2000 and 2022, from which we selected 8 publications that described climate effects on military health. Papers were clustered according to a modified theoretical framework for climate change effects on health, and relevant items from each paper were summarized. Results During the last decades a growing body of climate change related publications was identified, which report that climate change has a significant impact on human physiology, mental health, water- and vector borne infectious diseases, as well as air pollution. However, regarding the specific climate effects on military health the level of evidence is low. The effects on defense medical logistics include vulnerabilities in the cold supply chain, in medical devices functioning, in need for air conditioning, and in fresh water supply. Conclusions Climate change may transform both the theoretical framework and practical implementations in military medicine and military healthcare systems. There are significant knowledge gaps on climate change effects on the health of military personnel in operations of both combat and non-combat nature, alerting the need for prevention and mitigation of climate-related health issues. Further research within the fields of disaster and military medicine is needed to explore this novel field. As climate effects on humans and the medical supply chain may degrade military capability, significant investments in military medical research and development are needed.
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Affiliation(s)
- Yohan Robinson
- Centre for Disaster Medicine, Gothenburg University, Gothenburg, Sweden
- Joint Centre for Defence Medicine, Swedish Armed Forces, Gothenburg, Sweden
- *Correspondence: Yohan Robinson
| | | | - Niclas Arvidsson
- Centre for Disaster Medicine, Gothenburg University, Gothenburg, Sweden
- Joint Centre for Defence Medicine, Swedish Armed Forces, Gothenburg, Sweden
| | - Cave Sinai
- Centre for Disaster Medicine, Gothenburg University, Gothenburg, Sweden
- Joint Centre for Defence Medicine, Swedish Armed Forces, Gothenburg, Sweden
| | - Fabian Taube
- Centre for Disaster Medicine, Gothenburg University, Gothenburg, Sweden
- Joint Centre for Defence Medicine, Swedish Armed Forces, Gothenburg, Sweden
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8
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Li S, Jia X, Cao B, Liu B, Zhu Y. Thermal comfort characteristics and heating demand of people with different activity status during extremely cold exposure. Building and Environment 2023; 228:109798. [DOI: 10.1016/j.buildenv.2022.109798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
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Lee JKW, Tan B, Kingma BRM, Haman F, Epstein Y. Biomarkers for warfighter safety and performance in hot and cold environments. J Sci Med Sport 2022:S1440-2440(22)00503-5. [PMID: 36623995 DOI: 10.1016/j.jsams.2022.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2022] [Revised: 12/06/2022] [Accepted: 12/19/2022] [Indexed: 12/24/2022]
Abstract
Exposure to extreme environmental heat or cold during military activities can impose severe thermal strain, leading to impairments in task performance and increasing the risk of exertional heat (including heat stroke) and cold injuries that can be life-threatening. Substantial individual variability in physiological tolerance to thermal stress necessitates an individualized approach to mitigate the deleterious effects of thermal stress, such as physiological monitoring of individual thermal strain. During heat exposure, measurements of deep-body (Tc) and skin temperatures and heart rate can provide some indication of thermal strain. Combining these physiological variables with biomechanical markers of gait (in)stability may provide further insight on central nervous system dysfunction - the key criterion of exertional heat stroke (EHS). Thermal strain in cold environments can be monitored with skin temperature (peripheral and proximal), shivering thermogenesis and Tc. Non-invasive methods for real-time estimation of Tc have been developed and some appear to be promising but require further validation. Decision-support tools provide useful information for planning activities and biomarkers can be used to improve their predictions, thus maximizing safety and performance during hot- and cold-weather operations. With better understanding on the etiology and pathophysiology of EHS, the microbiome and markers of the inflammatory responses have been identified as novel biomarkers of heat intolerance. This review aims to (i) discuss selected physiological and biomechanical markers of heat or cold strain, (ii) how biomarkers may be used to ensure operational readiness in hot and cold environments, and (iii) present novel molecular biomarkers (e.g., microbiome, inflammatory cytokines) for preventing EHS.
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Kingma BRM, Steenhoff H, Toftum J, Daanen HAM, Folkerts MA, Gerrett N, Gao C, Kuklane K, Petersson J, Halder A, Zuurbier M, Garland SW, Nybo L. ClimApp-Integrating Personal Factors with Weather Forecasts for Individualised Warning and Guidance on Thermal Stress. Int J Environ Res Public Health 2021; 18:ijerph182111317. [PMID: 34769832 PMCID: PMC8583482 DOI: 10.3390/ijerph182111317] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Revised: 10/15/2021] [Accepted: 10/22/2021] [Indexed: 11/16/2022]
Abstract
This paper describes the functional development of the ClimApp tool (available for free on iOS and Android devices), which combines current and 24 h weather forecasting with individual information to offer personalised guidance related to thermal exposure. Heat and cold stress assessments are based on ISO standards and thermal models where environmental settings and personal factors are integrated into the ClimApp index ranging from -4 (extremely cold) to +4 (extremely hot), while a range of -1 and +1 signifies low thermal stress. Advice for individuals or for groups is available, and the user can customise the model input according to their personal situation, including activity level, clothing, body characteristics, heat acclimatisation, indoor or outdoor situation, and geographical location. ClimApp output consists of a weather summary, a brief assessment of the thermal situation, and a thermal stress warning. Advice is provided via infographics and text depending on the user profile. ClimApp is available in 10 languages: English, Danish, Dutch, Swedish, Norwegian, Hellenic (Greek), Italian, German, Spanish and French. The tool also includes a research functionality providing a platform for worker and citizen science projects to collect individual data on physical thermal strain and the experienced thermal strain. The application may therefore improve the translation of heat and cold risk assessments and guidance for subpopulations. ClimApp provides the framework for personalising and downscaling weather reports, alerts and advice at the personal level, based on GPS location and adjustable input of individual factors.
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Affiliation(s)
- B. R. M. Kingma
- Section for Integrative Physiology, Department of Nutrition, Exercise and Sports, University of Copenhagen, DK-2200 Copenhagen, Denmark;
- TNO, Unit Defence, Safety & Security, Department of Human Performance, Netherlands Organization for Applied Scientific Research, 3769 DE Soesterberg, The Netherlands
- Correspondence: or
| | - H. Steenhoff
- International Centre for Indoor Environment and Energy, Department of Civil Engineering, Technical University of Denmark, Building 402, DK-2800 Lyngby, Denmark; (H.S.); (J.T.)
| | - J. Toftum
- International Centre for Indoor Environment and Energy, Department of Civil Engineering, Technical University of Denmark, Building 402, DK-2800 Lyngby, Denmark; (H.S.); (J.T.)
| | - H. A. M. Daanen
- Department of Human Movement Sciences, Faculty of Behaviour and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Van der Boechorststraat 7-9, 1081 BT Amsterdam, The Netherlands; (H.A.M.D.); (M.A.F.); (N.G.)
| | - M. A. Folkerts
- Department of Human Movement Sciences, Faculty of Behaviour and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Van der Boechorststraat 7-9, 1081 BT Amsterdam, The Netherlands; (H.A.M.D.); (M.A.F.); (N.G.)
| | - N. Gerrett
- Department of Human Movement Sciences, Faculty of Behaviour and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Van der Boechorststraat 7-9, 1081 BT Amsterdam, The Netherlands; (H.A.M.D.); (M.A.F.); (N.G.)
| | - C. Gao
- Thermal Environment Laboratory, Department of Design Sciences, Division of Ergonomics and Aerosol Technology, Faculty of Engineering (LTH), Lund University, 221 00 Lund, Sweden; (C.G.); (K.K.); (J.P.); (A.H.)
| | - K. Kuklane
- Thermal Environment Laboratory, Department of Design Sciences, Division of Ergonomics and Aerosol Technology, Faculty of Engineering (LTH), Lund University, 221 00 Lund, Sweden; (C.G.); (K.K.); (J.P.); (A.H.)
- Institute for Safety (IFV), 2718 RP Zoetermeer, The Netherlands
| | - J. Petersson
- Thermal Environment Laboratory, Department of Design Sciences, Division of Ergonomics and Aerosol Technology, Faculty of Engineering (LTH), Lund University, 221 00 Lund, Sweden; (C.G.); (K.K.); (J.P.); (A.H.)
| | - A. Halder
- Thermal Environment Laboratory, Department of Design Sciences, Division of Ergonomics and Aerosol Technology, Faculty of Engineering (LTH), Lund University, 221 00 Lund, Sweden; (C.G.); (K.K.); (J.P.); (A.H.)
| | - M. Zuurbier
- Public Health Services Gelderland Midden, 6828 HZ Arnhem, The Netherlands;
| | | | - L. Nybo
- Section for Integrative Physiology, Department of Nutrition, Exercise and Sports, University of Copenhagen, DK-2200 Copenhagen, Denmark;
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Kent JA, Hayes KL. Exercise Physiology From 1980 to 2020: Application of the Natural Sciences. Kinesiol Rev (Champaign) 2021; 10:238-247. [PMID: 35464337 PMCID: PMC9022627 DOI: 10.1123/kr.2021-0024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
The field of exercise physiology has enjoyed tremendous growth in the past 40 years. With its foundations in the natural sciences, it is an interdisciplinary field that is highly relevant to human performance and health. The focus of this review is on highlighting new approaches, knowledge, and opportunities that have emerged in exercise physiology over the last four decades. Key among these is the adoption of advanced technologies by exercise physiologists to address fundamental research questions, and the expansion of research topics to range from molecular to organismal, and population scales in order to clarify the underlying mechanisms and impact of physiological responses to exercise in health and disease. Collectively, these advances have ensured the position of the field as a partner in generating new knowledge across many scientific and health disciplines.
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Affiliation(s)
- Jane A Kent
- Muscle Physiology Laboratory, Department of Kinesiology, University of Massachusetts Amherst, Amherst, Massachusetts, USA
| | - Kate L Hayes
- Muscle Physiology Laboratory, Department of Kinesiology, University of Massachusetts Amherst, Amherst, Massachusetts, USA
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