Influence of acute heat mitigation strategies on core temperature, heart rate and aerobic performance in females: A systematic literature review.

This review examined the effect of acute heat mitigation strategies on physiological strain and exercise performance in females exercising in the heat. Three databases were searched for original research with an acute heat mitigation (intervention) and control strategy in active females and reporting core temperature, heart rate and/or aerobic exercise performance/capacity with ≥ 24°C wet bulb globe temperature. Hedges' g effect sizes were calculated to evaluate outcomes. Thirteen studies (n = 118) were included. Most studies that applied an acute heat mitigation strategy to females did not reduce thermal (9/10) or cardiovascular (6/6) strain or improve exercise performance/capacity (8/10). The most effective strategies for attenuating thermal strain were pre-cooling with ice-slurry (effect size = -2.2 [95% CI, -3.2, -1.1]) and ice-vests (-1.9 [-2.7, -1.1]), and pre- and per-cooling with an ice-vest (-1.8 [-2.9, -0.7]). Only pre-cooling with an ice-vest improved running performance (-1.8 [-2.9, -0.7]; ~0.43 min) whilst sodium hyperhydration improved cycling capacity at 70% V O2peak (0.8 [0.0, 1.6]; ~20.1 min). There is currently limited research on acute heat mitigation strategies in females, so the evidence for the efficacy is scarce. Some studies show beneficial effects with ice-slurry, ice-vests and sodium hyperhydration, which can guide future research to support female exercise performance in the heat.

The effect of alcohol consumption on human physiological and perceptual responses to heat stress: a systematic scoping review.

BACKGROUND: Ethyl alcohol (ethanol) consumption is ostensibly known to increase the risk of morbidity and mortality during hot weather and heatwaves. However, how alcohol independently alters physiological, perceptual, and behavioral responses to heat stress remains poorly understood. Therefore, we conducted a systematic scoping review to understand how alcohol consumption affects thermoregulatory responses to the heat. METHODS: We searched five databases employing the following eligibility criteria, studies must have: 1) involved the oral consumption of ethanol, 2) employed a randomized or crossover-control study design with a control trial consisting of a volume-matched, non-alcoholic beverage, 3) been conducted in healthy adult humans, 4) reported thermophysiological, perceptual, hydration status markers, and/or behavioral outcomes, 5) been published in English, 6) been conducted in air or water at temperatures of > 28°C, 7) involved passive rest or exercise, and 8) been published before October 4th, 2023. RESULTS: After removing duplicates, 7256 titles were screened, 29 papers were assessed for eligibility and 8 papers were included in the final review. Across the 8 studies, there were a total of 93 participants (93 male/0 female), the average time of heat exposure was 70 min and average alcohol dose was 0.68 g·kg1. There were 23 unique outcome variables analyzed from the studies. The physiological marker most influenced by alcohol was core temperature (lowered with alcohol consumption in 3/4 studies). Additionally, skin blood flow was increased with alcohol consumption in the one study that measured it. Typical markers of dehydration, such as increased urine volume (1/3 studies), mass loss (1/3 studies) and decreased plasma volume (0/2 studies) were not consistently observed in these studies, except for in the study with the highest alcohol dose. CONCLUSION: The effect of alcohol consumption on thermoregulatory responses is understudied, and is limited by moderate doses of alcohol consumption, short durations of heat exposure, and only conducted in young-healthy males. Contrary to current heat-health advice, the available literature suggests that alcohol consumption does not seem to impair physiological responses to heat in young healthy males.

Predictive models for heat stress assessment in Holstein dairy heifers using infrared thermography and machine learning.

Heat stress is a condition that impairs the animal's productive and reproductive performance, and can be monitored by physiological and environmental variables, including body surface temperature, through infrared thermography. The objective of this work is to develop computational models for classification of heat stress from respiratory rate variable in dairy cattle using infrared thermography. The database used for the construction of the models was obtained from 10 weaned heifers, housed in a climate chamber with temperature control, and submitted to thermal comfort and heat wave treatments. Physiological and environmental data were collected, as well as thermographic images. The machine learning modeling environment used was IBM Watson, IBM's cognitive computing services platform, which has several data processing and mining tools. Classifier models for heat stress were evaluated using the confusion matrix metrics and compared to the traditional method based on Temperature and Humidity Index. The best accuracy obtained for classification of the heat stress level was 86.8%, which is comparable to previous works. The authors conclude that it was possible to develop accurate and practical models for real-time monitoring of dairy cattle heat stress.

Assessment of the effects of heat stress on the production of dairy cows by using two comfort thermal indices in Southern Chile.

Heat stress has been recognized as a serious problem in dairy farms around the world due to the increasing heat waves and higher genetic potential of dairy cows. In Chile, milk production is concentrated in the southern regions of the country, where animals graze all year around, consequently being exposed directly to environmental conditions. Nevertheless, there are few studies conducted in Chile that have evaluated at the commercial level the impact of heat stress on milk production. The aim of this study was to assess the effects of summer conditions, across periods, on the milk production of cows at different stages of lactation in a dairy farm located in Southern Chile. Daily meteorological and milk yield records of three summers from a dairy farm were collected to characterize the relationship between two thermal stress indices and milk yield. The thermal comfort indices used were the comprehensive climate index (CCI), and the adjusted temperature humidity index (THIadj). The average values of CCI and THIadj were dependent on the period (P < 0.0001) with maximum CCI of 40.2 °C, 31.7 °C, and 27.5 °C for the 2012-2013, 2015-2016, and 2016-2017 periods, respectively. A similar response was recorded when THIadj was used (85.5, 78.0, and 73.9, respectively). In the 2012-2013 summer, 44.4% of the days presented conditions of heat stress (CCI ≥23), a value that fell to 26.7% in the summer of 2015-2016 and only 5.6% in the 2016-2017. On the opposite, when the THIadj was used, these values were 50%, 48.9%, and 5.6%, respectively. In conclusion, both comfort thermal indices are good tools to determine the risk of thermal stress in dairy cows, with a large variation between the three summer periods but also between indices. Likewise, cows in the early and mid-lactation periods are more affected in terms of milk yield.

One day of environment-induced heat stress damages the murine myocardium.

The physiological consequences of environment-induced heat stress (EIHS), caused by prolonged exposure to excess heat and humidity, are largely unknown. The purpose of this investigation was to determine the extent to which EIHS alters cardiac health. We hypothesized that 24 h of EIHS would cause cardiac injury and cellular dysfunction in a murine EIHS model. To test this hypothesis, 7-wk-old female mice were housed under thermoneutral (TN) conditions (n = 12; 31.2 ± 1.01°C, 35 ± 0.7% humidity) or EIHS conditions (n = 14; 37.6 ± 0.01°C, 42.0 ± 0.06% humidity) for 24 h. Environment-induced heat stress increased rectal temperature by 2.1°C (P < 0.01) and increased subcutaneous temperature by 1.8°C (P < 0.01). Body weight was decreased by 10% (P = 0.03), heart weight/body weight was increased by 26% (P < 0.01), and tissue water content was increased by 11% (P < 0.05) in EIHS compared with TN. In comparison with TN, EIHS increased protein abundance of heat shock protein (HSP) 27 by 84% (P = 0.01); however, HSPs 90, 60, 70, and phosphorylated HSP 27 were similar between groups. Histological inspection of the heart revealed that EIHS animals had increased myocyte vacuolation in the left ventricle (P = 0.01), right ventricle (P < 0.01), and septum (P = 0.01) compared with TN animals. Biochemical indices are suggestive of mitochondrial remodeling, increased autophagic flux, and robust activation of endoplasmic reticulum stress in hearts from EIHS mice compared with TN mice. These data demonstrate that 1 day of EIHS is sufficient to induce myocardial injury and biochemical dysregulation.NEW & NOTEWORTHY The consequences of prolonged environment-induced heat stress (EIHS) on heart health are largely unknown. We discovered that a 24-h exposure to environmental conditions sufficient to cause EIHS resulted in cardiac edema and histopathologic changes in the right and left ventricles. Furthermore, among other biochemical changes, EIHS increased autophagic flux and caused endoplasmic reticulum stress. These data raise the possibility that thermic injury, even when insufficient to cause heat stroke, can damage the myocardium.

Evaluating the Impact of Heat Stress on Placental Function: A Systematic Review.

Ambient heat stress poses a significant threat to public health, with rising temperatures exacerbating the risks associated with pregnancy. This systematic review examined the associations between heat stress exposure and placental function, synthesizing methodologies from the existing literature to inform future research approaches. Analyzing 24 articles, it explores various study designs, temperature exposure parameters, pregnancy windows, and placental outcome variables. Findings across human and animal studies reveal diverse effects on placental weight, efficiency, blood flow, anatomy, gene expression, and steroid levels under heat stress conditions. While animal studies primarily utilize randomized controlled trials, human research relies on observational methodologies due to ethical constraints. Both demonstrate alterations in placental morphology and function, underscoring the importance of understanding these changes for maternal and fetal health. The review underscores the urgent need for further research, particularly in human populations, to elucidate mechanisms and develop interventions mitigating heat stress's adverse effects on placental health. Ultimately, this synthesis contributes to understanding the complex interplay between environmental factors and pregnancy outcomes, informing strategies for maternal and fetal well-being amidst climate change challenges.

Heat stress and the velocity-duration relationship in amateur runners.

Tolerance to high-intensity constant power exercise can be characterized by the hyperbolic power-duration (or velocity-duration) relationship. The hyperbola is defined by the asymptote (critical power or velocity) and the curvature constant (W' or D'). The effects of thermoregulatory stress on middle-distance running performance are equivocal-possibly due to the complexities of the hyperbolic velocity-duration relationship for these relatively short duration events. We aimed to measure the effects of heat stress on the velocity-duration relationship in amateur runners. Fifteen participants (23 ± 6 years) completed a series of constant-velocity running bouts to intolerance in three heat indices (MILD: 20°C, VERY HOT: 38°C, EXTREME: 55°C). Critical velocity (CV) in MILD (3.52 ± 0.86 m/s) was higher than VERY HOT (3.39 ± 0.82 m/s) and EXTREME (3.29 ± 1.05 m/s; F[2.28] = 3.80, p < 0.035) with no effect of thermal stress on D' (F[2.28] = 2.48, p = 0.11). In amateur competitive/recreational runners, heat stress of ≥38°C heat index negatively affected CV. Thus, even during relatively short events, such as middle-distance running where fluid loss is not a primary concern, heat stress may negatively impact performance.

Sex differences in heat stress vulnerability among middle-aged and older adults (PSU HEAT Project).

Individuals over the age of 65 yr are the most vulnerable population during severe environmental heat events, experiencing worse health outcomes than any other age cohort. The risk is greater in older women than in age-matched men; however, whether that reflects a greater susceptibility to heat in women, or simply population sex proportionality, is unclear. Seventy-two participants (29 M/43 F) aged 40-92 yr were exposed to progressive heat stress at a metabolic rate designed to reflect activities of daily living. Experiments were conducted in both hot-dry (HD; up to 53°C; ≤25% rh) and warm-humid (WH; ∼35°C; ≥50% rh) environments. After critical limits were determined for each condition, forward stepwise multiple linear regression analyses were conducted with net metabolic rate (Mnet) and age entered into the model first, followed by sex, body mass (mb), maximal oxygen consumption (V̇o2max), body surface area, and LDL cholesterol. After accounting for Mnet and age, sex further improved the regression model in the HD environment ([Formula: see text] = 0.34, P < 0.001) and the WH environment ([Formula: see text] = 0.36, P < 0.005). Sex explained ∼15% of the variance in critical environmental limits in HD conditions and 12% in WH conditions. Heat compensability curves were shifted leftward for older women, indicating age- and sex-dependent heat vulnerability compared with middle-aged women and older men in WH (P = 0.007, P = 0.03) and HD (P = 0.001, P = 0.01) environments. This reflects the heterogeneity of thermal-balance thresholds associated with aging relative to those seen in young adults and suggests that older females are more vulnerable than their age-matched male counterparts.NEW & NOTEWORTHY In contrast to young adults, there are sex differences in critical environmental limits in middle-aged and older adults. Older women exhibit lower critical environmental limits in both humid and dry extreme environments demonstrated by a leftward shift in heat compensability curves. These data confirm a true sex difference in heat vulnerability of older adults and support the epidemiological mortality data from environmental heat waves.

Unravelling the impact of heat stress on daughter pregnancy rate in Mehsana buffalo through innovative breeding interventions.

Heat stress profoundly affects the reproductive success of buffaloes, which are vital for the dairy industry due to their unique anatomical and physiological characteristics, necessitating careful evaluation under such conditions. Hence, this guided our search for quantifying heat stress' impact on Mehsana buffaloes using the best THI model and evaluating sires' performance. Fertility records (days open converted to daughter pregnancy rate) were collected in the span of over 24 years, w.e.f. 1989 to 2012. Finally, 3070 records of first lactation cows, daughters of 117 sires from DURDA, Gujarat, India, were used in the analysis. Meteorological data were retrieved from IMD, Pune, to understand the relationship between daughter pregnancy rate (DPR) and heat stress indicators. Several heat stress models were compared based on R2, adjusted R2, AIC, and BIC values, and the impact of heat stress was quantified. The year was classified into different heat stress zones, viz., Non heat stress zone (NHSZ), Heat stress zone (HSZ), and critical heat stress zone (CHSZ), drawing from the findings of DPR and THI. The THI 4th model based on dry and wet bulb temperature was identified as the best-fit model, and DPR significantly changed (P < 0.01) by 1.14% per unit change in THI value based on the month of calving. The average EBVs of the sires for DPR were found to be 20.78% (NHSZ), 38.09% (HSZ), and 39.08% (CHSZ) using BLUP-SM and 20.78% (NHSZ), 37.30% (HSZ), and 38.87% (HSZ) using BLUP-AM. Subsequently, the optimum sire for each of the zones was prioritized. It is noteworthy that bulls that performed better in NHSZ did not perform as well in HSZ and CHSZ, and vice versa. This supports the possibility of evaluating bulls independently in each heat stress zone.

Nicotine exacerbates exertional heat strain in trained men: a randomized, placebo-controlled, double-blind study.

To determine whether using nicotine exacerbates exertional heat strain through an increased metabolic heat production (Hprod) or decreased skin blood flow (SkBF), 10 nicotine-naïve trained males [37 ± 12 yr; peak oxygen consumption (V̇o2peak): 66 ± 10 mL·min-1·kg-1] completed four trials at 20°C and 30°C following overnight transdermal nicotine (7 mg·24 h-1) and placebo use in a crossover, double-blind design. They cycled for 60 min (55% V̇o2peak) followed by a time trial (∼75% V̇o2peak) during which measures of gastrointestinal (Tgi) and mean weighted skin ([Formula: see text]sk) temperatures, SkBF, Hprod, and mean arterial pressure (MAP) were made. The difference in ΔTgi between nicotine and placebo trials was greater during 30°C (0.4 ± 0.5°C) than 20°C (0.1 ± 0.7°C), with [Formula: see text]sk higher during nicotine than placebo trials (0.5 ± 0.5°C, P = 0.02). SkBF became progressively lower during nicotine than placebo trials (P = 0.01) and progressively higher during 30°C than 20°C trials (P < 0.01); MAP increased from baseline (P < 0.01) and remained elevated in all trials. The difference in Hprod between 30°C and 20°C trials was lower during nicotine than placebo (P = 0.01) and became progressively higher during 30°C than 20°C trials with exercise duration (P = 0.03). Mean power output during the time trial was lower during 30°C than 20°C trials (24 ± 25 W, P = 0.02), and although no effect of nicotine was observed (P > 0.59), two participants (20%) were unable to complete their 30°C nicotine trials as one reached the ethical limit for Tgi (40.0°C), whereas the other withdrew due to "nausea and chills" (Tgi = 39.7°C). These results demonstrate that nicotine use increases thermal strain and risk of exertional heat exhaustion by reducing SkBF.NEW & NOTEWORTHY In naïve participants, acute nicotine use exerts a hyperthermic effect that increases the risk of heat exhaustion during exertional heat strain, which is driven by a blunted skin blood flow response. This has implications for 1) populations that face exertional heat strain and demonstrate high nicotine use (e.g., athletes and military, 25%-50%) and 2) study design whereby screening and exclusion for nicotine use or standardization of prior use (e.g., overnight abstinence) is encouraged.

Heat-related illness.

ABSTRACT: This article concisely overviews heat-related illnesses, emphasizing their significant impact on public health. It explores the pathophysiology of conditions ranging from mild heat cramps to life-threatening heat stroke, highlighting key heat transfer mechanisms and the importance of environmental factors. Differential diagnosis considerations, prevention strategies, and nursing implications are discussed, underscoring the need for prompt recognition and intervention in managing these conditions.

Influence of thermal heat load accumulation on daily rumination time of lactating Holstein cows in a zone with temperate climate.

In the future, conflicts between animal welfare and climate change will gradually intensify. In the present study, we investigated the daily rumination time (RT) of lactating Holstein-Friesian cows in a zone with temperate climate and the effects of heat load duration and heat load intensity. Responses of individual cows to heat load were assessed, adjusting for milk yield, lactation number, days in milk as well as reproductive status and season. A total of 27,149 data points from 183 cows in a naturally ventilated barn in Brandenburg, Germany, were collected from June 2015 to May 2017. Ambient temperature and relative humidity were recorded at eight positions inside the barn every 5 min, and the temperature-humidity index (THI) was calculated. Based on THI, the degree of heat load was determined, using critical thresholds of THI = 68, 72, and 80. Daily RT was measured with a microphone-based sensor system (collar) on the cow's neck. The analysis models included autocorrelations in time series as well as individual cow-related effects. With each 5 min exposure to contemporaneous heat load, a decrease of approximately 1.17 min d-1 in RT per cow from non-heat stress to heat stress conditions by exceeding THI ≥68 (p < 0.01). This effect was intensified by exceeding the critical THI thresholds of 68 and 72. As heat load duration and intensity increased, daily RT decreased in comparison to daily RT under non-stress conditions. High-yielding (>38.4 kg milk/day) cows were more influenced in rumination time than low-yielding (≤28.8 kg milk/day) cows. With moderate contemporaneous heat load, RT decreased by 0.14 min d-1 per 5 min in high-yielding cows compared to low-yielding cows under moderate heat load. A decrease of 0.1 min d-1 was found in daily RT of mid-yielding cows. However, the delayed effects of heat load (one to three days after the heat stress event) were associated with days in milk and reproduction status. When the heat load duration lasted for several days, the responses were less pronounced than the impacts of contemporaneous heat load (when the heat stress event lasted for one day). Delayed mild heat load resulted in an increase in RT by 0.13 min d-1 in lactating cows ≤60 DIM. This was also found with delayed moderate heat load. Lactating cows ≤60 DIM showed a rise of 0.09 min d-1 in RT. RT also showed interactions with reproduction status of cows under delayed moderate heat stress. Lactating cows with ≤180 days of pregnancy showed an increase of 0.61 min d-1 in RT. Similarly, cows with >180 days of pregnancy had 0.64 min d-1 more RT compared to non-pregnant cows. Further analysis with higher temporal resolution of RT than data accumulation in 24-h blocks as well as the assessment of the correlation between feed composition, intake and rumination will elucidate the influence of heat load on daily RT.