Skip to main content

Part of the book series: SpringerBriefs in Medical Earth Sciences ((BRIEFSMEEASC))

  • 719 Accesses

Abstract

Safety and performance during exercise and physical activity in the heat are limited by the human body’s physiological ability to balance heat gain and heat loss. Circumstances where heat gain from internal or external sources outweighs the ability to dissipate it can lead to dangerous increases in body temperature. Humans possess an ability to adapt to exercise in warm environments and minimize the deleterious effects through heat acclimatization. In situations where human physiology cannot overcome thermal challenges, exertional heat illnesses can manifest. These exertional heat illnesses can range from relatively benign to potentially fatal when left untreated. Technologies, techniques, and strategies to mitigate the consequences of exercise in warm environments should consider the existing physiological mechanisms to successfully promote health and maximize performance.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 44.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 59.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lieberman DE (2015) Human locomotion and heat loss: an evolutionary perspective. Compr Physiol 5:99–117

    Google Scholar 

  2. Whipp BJ, Wasserman K (1969) Efficiency of muscular work. J Appl Physiol 26:644–648

    Article  CAS  Google Scholar 

  3. Snellen JW (1960) External work in level and grade walking on a motor-driven treadmill. J Appl Physiol 15:759–753

    Article  Google Scholar 

  4. Pihlainen K, Santtila M, Häkkinen K, Lindholm H, Kyröläinen H (2014) Cardiorespiratory responses induced by various military field tasks. Mil Med 179:218–224

    Article  Google Scholar 

  5. Tam E, Rossi H, Moia C, Berardelli C, Rosa G, Capelli C, Ferretti G (2012) Energetics of running in top-level marathon runners from Kenya. Eur J Appl Physiol 112:3797–3806

    Article  Google Scholar 

  6. Parsons K (1993) Human thermal environments. CRC Boca Raton, FL

    Google Scholar 

  7. Mitchell, D. (1974). Convective heat loss from man and other animals. Heat Loss from Animals and Man. J. L. Monteith and L. E. Mount. London, Elsevier.

    Google Scholar 

  8. ISO (1989) ISO 7933 - Hot environments: analytical determination and interpretation of thermal stress using calculation of required sweat rate. ISO, Geneva

    Google Scholar 

  9. Wenger CB (1972) Heat of evaporation of sweat: thermodynamic considerations. J Appl Physiol 32:456–459

    Article  CAS  Google Scholar 

  10. Cramer MN, Jay O (2014) Selecting the correct exercise intensity for unbiased comparisons of thermoregulatory responses between groups of different mass and surface area. J Appl Physiol 116:1123–1132

    Article  Google Scholar 

  11. Dervis S, Coombs GB, Chaseling GK, Filingeri D, Smoljanić J, Jay O (2016) A comparison of thermoregulatory responses to exercise between mass-matched groups with large differences in body fat. J Appl Physiol 120:615–623

    Article  CAS  Google Scholar 

  12. Deren TM, Coris EE, Bain AR, Walz SM, Jay O (2012) Sweating is greater in NCAA football linemen independently of heat production. Med Sci Sports Exerc 44:244–252

    Article  Google Scholar 

  13. Lorenzo S, Halliwill JR, Sawka MN, Minson CT (2010) Heat acclimation improves exercise performance. J Appl Physiol 109:1140–1147

    Article  Google Scholar 

  14. Racinais S, Alonso JM, Coutts AJ et al (2015) Consensus recommendations on training and competing in the heat. - PubMed - NCBI. Scand J Med Sci Sports 25:6–19

    Article  Google Scholar 

  15. Armstrong LE (1992) Artificial heat acclimatization. Natl Strength Cond Assoc J 14:72–73

    Article  Google Scholar 

  16. Coyle EF, González-Alonso J (2001) Cardiovascular drift during prolonged exercise: new perspectives. Exerc Sport Sci Rev 29:88–92

    CAS  Google Scholar 

  17. Périard JD, Travers GJS, Racinais S, Sawka MN (2016) Cardiovascular adaptations supporting human exercise-heat acclimation. Auton Neurosci 196:52–62

    Article  Google Scholar 

  18. Armstrong LE, Maresh CM (1991) The induction and decay of heat acclimatisation in trained athletes. Sports Med 12:302–312

    Article  CAS  Google Scholar 

  19. Poirier MP, Gagnon D, Friesen BJ, Hardcastle SG, Kenny GP (2015) Whole-body heat exchange during heat acclimation and its decay. Med Sci Sports Exerc 47:390–400

    Article  Google Scholar 

  20. Garrett AT, Creasy R, Rehrer NJ, Patterson MJ, Cotter JD (2011) Effectiveness of short-term heat acclimation for highly trained athletes. Eur J Appl Physiol 112:1827–1837

    Article  Google Scholar 

  21. Casadio JR, Kilding AE, Cotter JD, Laursen PB (2016) From lab to real world: heat acclimation considerations for elite athletes. Sports Med 23:531

    Google Scholar 

  22. Buono MJ, Numan TR, Claros RM, Brodine SK, Kolkhorst FW (2009) Is active sweating during heat acclimation required for improvements in peripheral sweat gland function? Am J Physiol Regul Integr Comp Physiol 297:R1082–R1085

    Article  CAS  Google Scholar 

  23. Casa DJ, Csillan D (2009) Preseason heat-acclimatization guidelines for secondary school athletics. J Athl Train 44:332

    Article  Google Scholar 

  24. Armstrong LE (2003) Exertional heat illnesses. Human Kinetics, Champaign, IL

    Google Scholar 

  25. Miller KC (2015) Rethinking the cause of exercise-associated muscle cramping: moving beyond dehydration and electrolyte losses. Curr Sports Med Rep 14:353–354

    Article  Google Scholar 

  26. Bergeron MF (2007) Exertional heat cramps: recovery and return to play. J Sport Rehabil 16:190–196

    Article  Google Scholar 

  27. Casa DJ, Demartini JK, Bergeron MF et al (2015) National Athletic Trainers' association position statement: Exertional heat illnesses. J Athl Train 50:986–1000

    Article  Google Scholar 

  28. Armstrong LE, Lopez RM (2010) Return to exercise training after heat exhaustion. J Sport Rehabil 16:182–189

    Article  Google Scholar 

  29. Leon LR, Bouchama A (2015) Heat stroke. Compr Physiol 5:611–647

    Article  Google Scholar 

  30. Epstein Y, Roberts WO (2011) The pathophysiology of heat stroke: an integrative view of the final common pathway. Scand J Med Sci Sports 21:742–748

    Article  CAS  Google Scholar 

  31. Selkirk GA, McLellan TM, Wright HE, Rhind SG (2008) Expression of intracellular cytokines, HSP72, and apoptosis in monocyte subsets during exertional heat stress in trained and untrained individuals. Am J Physiol Regul Integr Comp Physiol 296:R575–R586

    Article  CAS  Google Scholar 

  32. Kazman JB, Purvis DL, Heled Y, Lisman P, Atias D, Van Arsdale S, Deuster PA (2015) Women and exertional heat illness: identification of gender specific risk factors. US Army Med Dep J,p 58–66

    Google Scholar 

  33. Hosokawa Y, Casa DJ, Rosenberg H et al (2017) Round table on malignant hyperthermia in physically active populations: meeting proceedings. J Athl Train 52:377–383

    Article  Google Scholar 

  34. O'Connor FG, Casa DJ, Bergeron MF et al (2010) American College of Sports Medicine roundtable on exertional heat stroke--return to duty/return to play: conference proceedings. Curr Sports Med Rep 9:314–321

    Article  Google Scholar 

  35. Armstrong LE, Casa DJ, Millard-Stafford ML, Moran DS, Pyne SW, Roberts WO (2007) Exertional heat illness during training and competition. Med Sci Sports Exerc 39:556–572

    Article  Google Scholar 

  36. Ganio MS, Brown CM, Casa DJ, Becker SM, Yeargin SW, McDermott BP, Boots LM, Boyd PW, Armstrong LE, Maresh CM (2009) Validity and reliability of devices that assess body temperature during indoor exercise in the heat. J Athl Train 44:124–135

    Article  Google Scholar 

  37. Casa DJ, Becker SM, Ganio MS et al (2007) Validity of devices that assess body temperature during outdoor exercise in the heat. J Athl Train 42:333–135

    Google Scholar 

  38. Huggins R, Glaviano N, Negishi N, Casa DJ, Hertel J (2012) Comparison of rectal and aural Core body temperature thermometry in Hyperthermic, exercising individuals: a meta-analysis. J Athl Train 47:329–338

    Article  Google Scholar 

  39. Mazerolle SM, Ganio MS, Casa DJ, Vingren J, Klau JF (2011) Is oral temperature an accurate measurement of deep body temperature? A systematic review. J Athl Train 46:566–573

    Article  Google Scholar 

  40. Casa DJ, Armstrong LE, Kenny GP, O'Connor FG, Huggins RA (2012) Exertional heat stroke: new concepts regarding cause and care. Curr Sports Med Rep 11:115–123

    Article  Google Scholar 

  41. Adams WM, Hosokawa Y, Casa DJ (2015) The timing of Exertional heat stroke survival starts prior to collapse. Curr Sports Med Rep 14:273–274

    Article  Google Scholar 

  42. Casa DJ, McDermott BP, Lee EC, Yeargin SW, Armstrong LE, Maresh CM (2007) Cold water immersion: the gold standard for exertional heatstroke treatment. Exerc Sport Sci Rev 35:141–149

    Article  Google Scholar 

  43. Demartini JK, Casa DJ, Stearns R, Belval L, Crago A, Davis R, Jardine J (2015) Effectiveness of cold water immersion in the treatment of exertional heat stroke at the Falmouth road race. Med Sci Sports Exerc 47:240–245

    Article  Google Scholar 

  44. Hosokawa Y, Adams WM, Belval LN, Vandermark LW, Casa DJ (2017) Tarp-assisted cooling as a method of whole-body cooling in Hyperthermic individuals. Ann Emerg Med 69:347–352

    Article  Google Scholar 

  45. Luhring KE, Butts CL, Smith CR, Bonacci JA, Ylanan RC, Ganio MS, McDermott BP (2016) Cooling effectiveness of a modified cold-water immersion method after exercise-induced hyperthermia. J Athl Train 51:946–951

    Article  Google Scholar 

  46. Sinclair WH, Rudzki SJ, Leicht AS, Fogarty AL, Winter SK, Patterson MJ (2009) Efficacy of field treatments to reduce body core temperature in hyperthermic subjects. Med Sci Sports Exerc 41:1984–1990

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Luke N. Belval .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 The Author(s)

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Belval, L.N., Jay, O. (2018). Human Physiology in the Heat. In: Hosokawa, Y. (eds) Human Health and Physical Activity During Heat Exposure. SpringerBriefs in Medical Earth Sciences. Springer, Cham. https://doi.org/10.1007/978-3-319-75889-3_2

Download citation

Publish with us

Policies and ethics