Human thermoregulatory responses during cold water immersion after artificially induced sunburn

1992 ◽  
Vol 262 (4) ◽  
pp. R617-R623 ◽  
Author(s):  
K. B. Pandolf ◽  
R. W. Gange ◽  
W. A. Latzka ◽  
I. H. Blank ◽  
A. J. Young ◽  
...  
Keyword(s):  
Skin Temperature ◽  
Rectal Temperature ◽  
Cold Water ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
The Body ◽  
Esophageal Temperature ◽  
Mean Skin Temperature ◽  
Thermoregulatory Responses ◽  
The Mean

Thermoregulatory responses during cold-water immersion (water temperature 22 degrees C) were compared in 10 young men before as well as 24 h and 1 wk after twice the minimal erythemal dose of ultraviolet-B radiation that covered approximately 85% of the body surface area. After 10 min of seated rest in cold water, the mean exercised for 50 min on a cycle ergometer (approximately 51% of maximal aerobic power). Rectal temperature, regional and mean heat flow (hc), mean skin temperature from five sites, and hearrt rate were measured continuously for all volunteers while esophageal temperature was measured for six subjects. Venous blood samples were collected before and after cold water immersion. The mean skin temperature was higher (P less than 0.05) throughout the 60-min cold water exposure both 24 h and 1 wk after sunburn compared with before sunburn. Mean hc was higher (P less than 0.05) after 10 min resting immersion and during the first 10 min of exercise when 24 h postsunburn was compared with presunburn, with the difference attributed primarily to higher hc from the back and chest. While rectal temperature and heart rate did not differ between conditions, esophageal temperature before immersion and throughout the 60 min of cold water immersion was higher (P less than 0.05) when 24 h postsunburn was compared with presunburn. Plasma volume increased (P less than 0.05) after 1 wk postsunburn compared with presunburn, whereas plasma protein concentration was reduced (P less than 0.05). After exercise cortisol was greater (P less than 0.05) 24 h postsunburn compared with either presunburn or 1 wk postsunburn.(ABSTRACT TRUNCATED AT 250 WORDS)

Thermoregulatory responses to cold water at different times of day

1999 ◽  
Vol 87 (1) ◽  
pp. 243-246 ◽  
Author(s):  
John W. Castellani ◽  
Andrew J. Young ◽  
James E. Kain ◽  
Michael N. Sawka
Keyword(s):  
Cold Water ◽  
Water Immersion ◽  
Early Morning ◽  
Cold Water Immersion ◽  
Time Of Day ◽  
Mean Skin Temperature ◽  
Mean Body Temperature ◽  
Metabolic Heat ◽  
Body Temperature Change ◽  
The Mean

This study examined how time of day affects thermoregulation during cold-water immersion (CWI). It was hypothesized that the shivering and vasoconstrictor responses to CWI would differ at 0700 vs. 1500 because of lower initial core temperatures (Tcore) at 0700. Nine men were immersed (20°C, 2 h) at 0700 and 1500 on 2 days. No differences ( P > 0.05) between times were observed for metabolic heat production (M˙, 150 W ⋅ m−2), heat flow (250 W ⋅ m−2), mean skin temperature (T sk, 21°C), and the mean body temperature-change in M˙(ΔM˙) relationship. Rectal temperature (Tre) was higher ( P < 0.05) before (Δ = 0.4°C) and throughout CWI during 1500. The change in Tre was greater ( P < 0.05) at 1500 (−1.4°C) vs. 0700 (−1.2°C), likely because of the higher Tre-T skgradient (0.3°C) at 1500. These data indicate that shivering and vasoconstriction are not affected by time of day. These observations raise the possibility that CWI may increase the risk of hypothermia in the early morning because of a lower initial Tcore.

Heat balance precedes stabilization of body temperatures during cold water immersion

2003 ◽  
Vol 95 (1) ◽  
pp. 89-96 ◽  
Author(s):  
Peter Tikuisis
Keyword(s):  
Heat Balance ◽  
Cold Water ◽  
Water Immersion ◽  
Heat Content ◽  
Cold Water Immersion ◽  
The Body ◽  
Body Temperatures ◽  
Mean Body Temperature ◽  
The Core ◽  
Region Temperature

Certain previous studies suggest, as hypothesized herein, that heat balance (i.e., when heat loss is matched by heat production) is attained before stabilization of body temperatures during cold exposure. This phenomenon is explained through a theoretical analysis of heat distribution in the body applied to an experiment involving cold water immersion. Six healthy and fit men (mean ± SD of age = 37.5 ± 6.5 yr, height = 1.79 ± 0.07 m, mass = 81.8 ± 9.5 kg, body fat = 17.3 ± 4.2%, maximal O2 uptake = 46.9 ± 5.5 l/min) were immersed in water ranging from 16.4 to 24.1°C for up to 10 h. Core temperature (Tco) underwent an insignificant transient rise during the first hour of immersion, then declined steadily for several hours, although no subject's Tco reached 35°C. Despite the continued decrease in Tco, shivering had reached a steady state of ∼2 × resting metabolism. Heat debt peaked at 932 ± 334 kJ after 2 h of immersion, indicating the attainment of heat balance, but unexpectedly proceeded to decline at ∼48 kJ/h, indicating a recovery of mean body temperature. These observations were rationalized by introducing a third compartment of the body, comprising fat, connective tissue, muscle, and bone, between the core (viscera and vessels) and skin. Temperature change in this “mid region” can account for the incongruity between the body's heat debt and the changes in only the core and skin temperatures. The mid region temperature decreased by 3.7 ± 1.1°C at maximal heat debt and increased slowly thereafter. The reversal in heat debt might help explain why shivering drive failed to respond to a continued decrease in Tco, as shivering drive might be modulated by changes in body heat content.

Effect of occluded venous return on core temperature during cold water immersion

1988 ◽  
Vol 65 (6) ◽  
pp. 2709-2713 ◽  
Author(s):  
K. D. Mittleman ◽  
I. B. Mekjavic
Keyword(s):  
Blood Flow ◽  
Cold Water ◽  
Water Immersion ◽  
Peripheral Circulation ◽  
Cold Water Immersion ◽  
Esophageal Temperature ◽  
Complete Neglect ◽  
Rate Of Cooling ◽  
Physical Laws ◽  
Male Subjects

Recent studies using inanimate and animal models suggest that the afterdrop observed upon rewarming from hypothermia is based entirely on physical laws of heat flow without involvement of the returning cooled blood from the limbs. During the investigation of thermoregulatory responses to cold water immersion (15 degrees C), blood flow to the limbs (minimized by the effects of hydrostatic pressure and vasoconstriction) was occluded in 17 male subjects (age, 29.0 +/- 3.3 yr). Comparisons of rectal (Tre) and esophageal temperature (Tes) responses were made during the 5 min before occlusion, during the 10-min occlusion period, and for 5 min immediately after the release of the cuffs (postocclusion). In the preocclusion phase, Tre and Tes showed similar cooling rates. The occlusion of blood flow to the extremities significantly arrested the cooling of Tes (P less than 0.05) with little effect on Tre. Upon release of the pressure cuffs, the returning extremity blood flow resulted in an increased rate of cooling, that was three times greater at the esophageal site (-0:149 +/- 0.052 vs. -0.050 +/- 0.026 degrees C.min-1). These results suggest that the cooled peripheral circulation, minimized during cold water immersion, may dramatically affect esophageal temperature and the complete neglect of the circulatory component to the afterdrop phenomenon is not warranted.

scholarly journals Physiologic and Perceptual Responses to Cold-Shower Cooling After Exercise-Induced Hyperthermia

2016 ◽  
Vol 51 (3) ◽  
pp. 252-257 ◽  
Author(s):  
Cory L. Butts ◽  
Brendon P. McDermott ◽  
Brian J. Buening ◽  
Jeffrey A. Bonacci ◽  
Matthew S. Ganio ◽  
...  
Keyword(s):  
Heart Rate ◽  
Cooling Rate ◽  
Rectal Temperature ◽  
Muscle Pain ◽  
Cold Water ◽  
Thermal Sensation ◽  
Water Immersion ◽  
Heat Stroke ◽  
Cold Water Immersion ◽  
Exercise Induced

Exercise conducted in hot, humid environments increases the risk for exertional heat stroke (EHS). The current recommended treatment of EHS is cold-water immersion; however, limitations may require the use of alternative resources such as a cold shower (CS) or dousing with a hose to cool EHS patients.Context: To investigate the cooling effectiveness of a CS after exercise-induced hyperthermia.Objective: Randomized, crossover controlled study.Design: Environmental chamber (temperature = 33.4°C ± 2.1°C; relative humidity = 27.1% ± 1.4%).Setting: Seventeen participants (10 male, 7 female; height = 1.75 ± 0.07 m, body mass = 70.4 ± 8.7 kg, body surface area = 1.85 ± 0.13 m2, age range = 19–35 years) volunteered.Patients or Other Participants: On 2 occasions, participants completed matched-intensity volitional exercise on an ergometer or treadmill to elevate rectal temperature to ≥39°C or until participant fatigue prevented continuation (reaching at least 38.5°C). They were then either treated with a CS (20.8°C ± 0.80°C) or seated in the chamber (control [CON] condition) for 15 minutes.Intervention(s): Rectal temperature, calculated cooling rate, heart rate, and perceptual measures (thermal sensation and perceived muscle pain).Main Outcome Measure(s): The rectal temperature (P = .98), heart rate (P = .85), thermal sensation (P = .69), and muscle pain (P = .31) were not different during exercise for the CS and CON trials (P &gt; .05). Overall, the cooling rate was faster during CS (0.07°C/min ± 0.03°C/min) than during CON (0.04°C/min ± 0.03°C/min; t16 = 2.77, P = .01). Heart-rate changes were greater during CS (45 ± 20 beats per minute) compared with CON (27 ± 10 beats per minute; t16 = 3.32, P = .004). Thermal sensation was reduced to a greater extent with CS than with CON (F3,45 = 41.12, P &lt; .001).Results: Although the CS facilitated cooling rates faster than no treatment, clinicians should continue to advocate for accepted cooling modalities and use CS only if no other validated means of cooling are available.Conclusions:

scholarly journals SUMMIT METABOLISM OF NEWBORN CALVES WITH AND WITHOUT COLOSTRUM FEEDING

1986 ◽  
Vol 66 (4) ◽  
pp. 937-944 ◽  
Author(s):  
M. OKAMOTO ◽  
J. B. ROBINSON ◽  
R. J. CHRISTOPHERSON ◽  
B. A. YOUNG
Keyword(s):  
Body Weight ◽  
Metabolic Rate ◽  
Rectal Temperature ◽  
Cold Water ◽  
Water Immersion ◽  
Resting Metabolic Rate ◽  
The Body ◽  
Metabolic Rates ◽  
Colostrum Feeding ◽  
Time Required

Resting and summit metabolic rates were measured in 13 newborn (2.5–15 h old) male Holstein calves exposed to warm and cold tempertures in a water immersion system. Six calves were bottle fed 1 kg of colostrum 30 min before the measurements commenced. In the remaining seven calves, colostrum was withheld until after the end of the measurement period. There were no significant effects of colostrum feeding on resting or summit metabolic rates or the time required for rectal temperature to drop to 35 °C when the calves were immersed in cold water. The time required for rectal temperature to drop to 35 °C increased as the body weight of the calves increased; for each kilogram additional body weight, cooling was delayed for an extra 2.9 min. The resting metabolic rate averaged for both feeding treatments was 2.0 ± 0.1 W kg−1 while mean rectal temperature was 39.1 ± 0.2 °C. Mean summit metabolic rate was 7.2 ± 0.4 W kg−1 and occurred at a mean rectal temperature of 35.4 ± 0.3 °C. The average ratio of the summit to resting metabolic rate was 3.7 ± 0.2. Cooling via water immersion was associated with increases in plasma levels of glucose and free fatty acids. The feeding of 1 kg of colostrum 30 min prior to exposure to acute cold did not improve the apparent resistance of the calves to hypothermia. Key words: Newborn calf, summit metabolism, cold tolerance

scholarly journals Effect Of Cold Water Immersion On Skin Temperature

2018 ◽  
Vol 50 (5S) ◽  
pp. 802
Author(s):  
Braulio Sánchez-Ureña ◽  
Daniel Rojas-Valverde ◽  
Randall Gutiérrez-Vargas ◽  
Juan Carlos Gutiérrez-Vargas ◽  
Christopher T. Minson
Keyword(s):  
Skin Temperature ◽  
Cold Water ◽  
Water Immersion ◽  
Cold Water Immersion

Effects of Body Composition on Thermoregulatory Responses During Cold Water Immersion in Healthy Males

2008 ◽  
Vol 40 (Supplement) ◽  
pp. S228
Author(s):  
Greg Farnell ◽  
Katherine Pierce ◽  
Rob Demes ◽  
Tiffany Collinsworth ◽  
Edward J. Ryan ◽  
...  
Keyword(s):  
Body Composition ◽  
Cold Water ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
Thermoregulatory Responses ◽  
Healthy Males

The Effects of Bundling on Infant Temperature

PEDIATRICS ◽  
1994 ◽  
Vol 94 (5) ◽  
pp. 669-673
Author(s):  
Geeta Grover ◽  
Carol D. Berkowitz ◽  
Marita Thompson ◽  
Lynne Berry ◽  
James Seidel ◽  
...  
Keyword(s):  
Los Angeles ◽  
Skin Temperature ◽  
Rectal Temperature ◽  
Room Temperature ◽  
Significant Rise ◽  
Mean Skin Temperature ◽  
Term Infants ◽  
Young Infants ◽  
Wilcoxon Rank Sum Test ◽  
The Mean

Objective. To determine whether bundling elevates rectal and/or skin temperature of young infants. Design. Randomized, prospective study stratified by age. Setting. Clinical Studies Center at a teaching hospital in Los Angeles. Patients. Sixty-four well, full-term infants (ages 11 to 95 days). Interventions. Control infants (n = 28) were dressed in a disposable diaper and terry coveralls. Bundled infants (n = 36) were dressed as control infants, plus a cap, a receiving blanket, and a thermal blanket. All infants were monitored in an open crib (room temperature 72° to 75°F). Rectal and skin (anterior mid-lower leg) temperatures and infant states were measured at 5-minute intervals from time 0 to 60 minutes and at 62 and 65 minutes. Results. The mean skin temperature of bundled infants increased by 2.67°C/hr; mean rectal temperature increased by 0.06°C/hr. The mean skin temperature of nonbundled infants increased by 1.5°C/hr; mean rectal temperature decreased by less than 0.01°C/hr. Comparing bundled infants to nonbundled controls, there was a significant rise in skin temperature (P = .0001) but not in rectal temperature (P &gt; .05, Wilcoxon rank sum test). The study had a power &gt; 98% to detect a rise of .5°C in rectal temperature over 60 minutes. The 95% confidence interval for the change in rectal temperature in bundled infants was -0.03 to + 0.15°C. Conclusions. Bundling a healthy infant in a temperate external environment causes an increase in skin temperature, but not in rectal temperature. Elevated rectal temperatures should therefore, rarely if ever be attributed to bundling.

scholarly journals Cold-Water Immersion for Hyperthermic Humans Wearing American Football Uniforms

2015 ◽  
Vol 50 (8) ◽  
pp. 792-799 ◽  
Author(s):  
Kevin C. Miller ◽  
Erik E. Swartz ◽  
Blaine C. Long
Keyword(s):  
Effect Size ◽  
Cold Water ◽  
Water Immersion ◽  
Cold Water Immersion ◽  
Current Treatment ◽  
The Body ◽  
American Football ◽  
Cooling Rates ◽  
Physically Active ◽  
Core Cooling

Context Current treatment recommendations for American football players with exertional heatstroke are to remove clothing and equipment and immerse the body in cold water. It is unknown if wearing a full American football uniform during cold-water immersion (CWI) impairs rectal temperature (Trec) cooling or exacerbates hypothermic afterdrop. Objective To determine the time to cool Trec from 39.5°C to 38.0°C while participants wore a full American football uniform or control uniform during CWI and to determine the uniform's effect on Trec recovery postimmersion. Design Crossover study. Setting Laboratory. Patients or Other Participants A total of 18 hydrated, physically active, unacclimated men (age = 22 ± 3 years, height = 178.8 ± 6.8 cm, mass = 82.3 ± 12.6 kg, body fat = 13% ± 4%, body surface area = 2.0 ± 0.2 m2). Intervention(s) Participants wore the control uniform (undergarments, shorts, crew socks, tennis shoes) or full uniform (control plus T-shirt; tennis shoes; jersey; game pants; padding over knees, thighs, and tailbone; helmet; and shoulder pads). They exercised (temperature approximately 40°C, relative humidity approximately 35%) until Trec reached 39.5°C. They removed their T-shirts and shoes and were then immersed in water (approximately 10°C) while wearing each uniform configuration; time to cool Trec to 38.0°C (in minutes) was recorded. We measured Trec (°C) every 5 minutes for 30 minutes after immersion. Main Outcome Measure(s) Time to cool from 39.5°C to 38.0°C and Trec. Results The Trec cooled to 38.0°C in 6.19 ± 2.02 minutes in full uniform and 8.49 ± 4.78 minutes in control uniform (t17 = −2.1, P = .03; effect size = 0.48) corresponding to cooling rates of 0.28°C·min−1 ± 0.12°C·min−1 in full uniform and 0.23°C·min−1 ± 0.11°C·min−1 in control uniform (t17 = 1.6, P = .07, effect size = 0.44). The Trec postimmersion recovery did not differ between conditions over time (F1,17 = 0.6, P = .59). Conclusions We speculate that higher skin temperatures before CWI, less shivering, and greater conductive cooling explained the faster cooling in full uniform. Cooling rates were considered ideal when the full uniform was worn during CWI, and wearing the full uniform did not cause a greater postimmersion hypothermic afterdrop. Clinicians may immerse football athletes with hyperthermia wearing a full uniform without concern for negatively affecting body-core cooling.

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