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Validity of a noninvasive estimation of deep body temperature when wearing personal protective equipment during exercise and recovery

Authors: Andrew P. Hunt; Mark J. Buller; Matthew J. Maley; Joseph T. Costello; Ian B. Stewart;

Validity of a noninvasive estimation of deep body temperature when wearing personal protective equipment during exercise and recovery

Abstract

Deep body temperature is a critical indicator of heat strain. However, direct measures are often invasive, costly, and difficult to implement in the field. This study assessed the agreement between deep body temperature estimated from heart rate and that measured directly during repeated work bouts while wearing explosive ordnance disposal (EOD) protective clothing and during recovery.Eight males completed three work and recovery periods across two separate days. Work consisted of treadmill walking on a 1% incline at 2.5, 4.0, or 5.5 km/h, in a random order, wearing EOD protective clothing. Ambient temperature and relative humidity were maintained at 24 °C and 50% [Wet bulb globe temperature (WBGT) (20.9 ± 1.2) °C] or 32 °C and 60% [WBGT (29.0 ± 0.2) °C] on the separate days, respectively. Heart rate and gastrointestinal temperature (TGI) were monitored continuously, and deep body temperature was also estimated from heart rate (ECTemp).The overall systematic bias between TGI and ECTemp was 0.01 °C with 95% limits of agreement (LoA) of ±0.64 °C and a root mean square error of 0.32 °C. The average error statistics among participants showed no significant differences in error between the exercise and recovery periods or the environmental conditions. At TGI levels of (37.0-37.5) °C, (37.5-38.0) °C, (38.0-38.5) °C, and > 38.5 °C, the systematic bias and ± 95% LoA were (0.08 ± 0.58) °C, (- 0.02 ± 0.69) °C, (- 0.07 ± 0.63) °C, and (- 0.32 ± 0.56) °C, respectively.The findings demonstrate acceptable validity of the ECTemp up to 38.5 °C. Conducting work within an ECTemp limit of 38.4 °C, in conditions similar to the present study, would protect the majority of personnel from an excessive elevation in deep body temperature (> 39.0 °C).

Countries
Australia, United Kingdom
Keywords

Adult, Male, 570, Heat Stress, Medicine (General), Explosive ordnance disposal, Heat Strain, Physical Exertion, 610, Body core temperature, Heat strain, Thermometry, Environment, Heat stress, Body Temperature, heat stress, Young Adult, R5-920, Protective Clothing, Heart Rate, Humans, Protective clothing, Personal Protective Equipment, Monitoring, Physiologic, Explosive Ordnance Disposal, U, Research, Body Core Temperature, Healthy Volunteers, Military Science, Exercise Test, /dk/atira/pure/core/subjects/sportsci, Kalman filter, Kalman Filter, Sports and Exercise Sciences

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    influence
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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
17
Top 10%
Top 10%
Top 10%
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gold