Radboud Institute for Health Sciences, Radboud University Medical Center, Department of Physiology, The Netherlands.
Radboud Institute for Health Sciences, Radboud University Medical Center, Department of Physiology, The Netherlands; Liverpool John Moores University, United Kingdom.
J Sci Med Sport. 2018 Mar;21(3):322-326. doi: 10.1016/j.jsams.2017.06.006. Epub 2017 Jun 8.
An accurate and non-invasive measurement of core body temperature (Tc) is of great importance to quantify exercise-induced increases in Tc in athletes or to assess changes in Tc in patient populations. The use of ingestible gastrointestinal telemetric temperature capsules is widely accepted as a surrogate marker for Tc, but widespread implementation is lacking due to the high costs of these disposable capsules. A new and cheaper temperature capsule system (i.e. myTemp) was recently introduced. The aim of present study is to determine the validity and test-retest reliability of the myTemp system.
Ex-vivo experimental study.
Fifteen ingestible temperature capsules (myTemp, Nijmegen, Netherlands) were tested in a highly temperature controlled water bath, in which the water temperature gradually increased from 34°C to 44°C. The study protocol was performed twice for each temperature capsule.
Mean difference between myTemp temperature and water bath temperature was -0.001±0.005°C (Limit of Agreement (LOA): ±0.011°C) during Trial 1 (p=0.11) and -0.001±0.006°C (LOA: ±0.012°C) during Trial 2 (p=0.039). Furthermore, an Intraclass Correlation Coefficient (ICC) of 1.00 was found for both trials. A systematic difference between Trials 1 and 2 of 0.004±0.008°C (LOA: ±0.015°C) was found (p<0.001), whereas the ICC between both trials was 1.00 and the standard error of measurement was 0.005°C.
Although we found a systematic bias for the sensitivity (-0.001°C) and reliability (0.004°C), these values can be considered insignificant from a physiological and clinical perspective. Thus, the myTemp ingestible temperature capsule is a valid technique to measure (water) temperature under controlled circumstances.
准确、无创地测量核心体温(Tc)对于量化运动员运动引起的 Tc 升高或评估患者人群 Tc 的变化非常重要。可口服的胃肠道遥测温度胶囊被广泛认为是 Tc 的替代标志物,但由于这些一次性胶囊成本高昂,因此尚未广泛应用。最近推出了一种新的、更便宜的温度胶囊系统(即 myTemp)。本研究旨在确定 myTemp 系统的有效性和重测信度。
离体实验研究。
在高度控温水浴中测试了 15 个可口服的温度胶囊(myTemp,奈梅亨,荷兰),水温逐渐从 34°C 升高到 44°C。每个温度胶囊的研究方案均进行了两次测试。
在第一次试验中,myTemp 温度与水浴温度之间的平均差值为-0.001±0.005°C(允许误差:±0.011°C)(p=0.11),在第二次试验中,差值为-0.001±0.006°C(允许误差:±0.012°C)(p=0.039)。此外,两次试验的组内相关系数(ICC)均为 1.00。在第一次和第二次试验之间发现了 0.004±0.008°C(允许误差:±0.015°C)的系统差异(p<0.001),而两次试验之间的 ICC 为 1.00,测量的标准误差为 0.005°C。
尽管我们发现灵敏度(-0.001°C)和可靠性(0.004°C)存在系统偏差,但从生理和临床角度来看,这些值可以认为是微不足道的。因此,myTemp 可口服温度胶囊是一种在受控环境下测量(水)温度的有效技术。