U.S. Army Research Institute of Environmental Medicine, USA.
Institute of Naval Medicine, United Kingdom.
J Sci Med Sport. 2021 Oct;24(10):975-981. doi: 10.1016/j.jsams.2021.04.008. Epub 2021 Apr 26.
The proliferation of user-friendly low-cost wearable sensors has brought the concept of real-time physiological monitoring for exertional heat illness to the cusp of reality. This paper reviews and discusses the current state of the art in real-time physiological status monitoring for exertional heat illness mitigation within the military context. The review examines how both advanced sensor systems, models and algorithms are being combined in an international and collaborative way and how this is providing real solutions to military units to reduce the risk held by the commander. This paper provides additional detail into the process of integrating physiological status monitoring into military training, it explores the development of on-body sensors, the algorithms that can provide actionable information, the process of planning and dynamic risk assessment and describes some of the physiological monitoring systems that are currently being developed by the representative nations. It then discusses the knowledge gaps of how the technology will be integrated into military training, the importance of meaningful, accurate information that is both sensitive and specific and further developing the accuracy of the algorithms and models that are being employed. Finally, it talks about future direction and how individualizing physiological status monitoring can lead to performance enhancement in the form of individualized heat acclimatization programs. In conclusion, physiological status monitoring is at a stage of transition and integration where it can be used effectively to manage and reduce exertional heat illness to enable military personnel to train hard-train safe.
用户友好、低成本的可穿戴传感器的大量出现，使得实时生理监测在运动性热疾病方面的概念成为现实。本文综述和讨论了在军事背景下实时生理状态监测在运动性热疾病缓解方面的最新技术。本文考察了先进的传感器系统、模型和算法如何以国际合作的方式结合在一起，以及这如何为军事单位提供实际解决方案，以降低指挥官面临的风险。本文提供了将生理状态监测整合到军事训练中的过程的更多细节，探讨了体上传感器的发展、能够提供可操作信息的算法、规划和动态风险评估的过程，并描述了一些目前由代表性国家开发的生理监测系统。然后讨论了如何将技术整合到军事训练中的知识差距，讨论了信息的重要性，这些信息既需要准确又要有意义，并且需要进一步提高所采用的算法和模型的准确性。最后，它讨论了未来的方向，以及生理状态监测的个性化如何以个性化的热适应计划的形式提高性能。总之，生理状态监测正处于过渡和整合阶段，可以有效地用于管理和减少运动性热疾病，使军事人员能够努力训练，安全训练。
