Human and Environmental Physiology Research Unit, School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada.
Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Am J Ind Med. 2024 Dec;67(12):1148-1158. doi: 10.1002/ajim.23664. Epub 2024 Sep 30.
To mitigate health risks associated with occupational heat stress, workers are advised to adhere to a work-rest regimen, and hydrate regularly. However, it remains unclear if beverage temperature influences whole-body heat exchange during work-rest cycles, and if responses differ in older workers who have a blunted heat loss capacity.
Ten young (mean [SD]: 22 [3] years) and 10 older (60 [4] years) males performed four 15-min bouts of moderate-intensity cycling at a fixed rate of metabolic heat production (200 W·m), each interspersed by 15-min rest in dry heat (40°C, 12% relative humidity). On separate days, participants consumed either ice-slurry (0°C), standardized to provide a heat transfer capacity of 75 kJ·m, or an identical mass of warm fluid (37.5°C) before the first and third exercise bouts. Evaporative and dry heat exchange (direct calorimetry) and metabolic heat production (indirect calorimetry) were measured continuously to determine cumulative heat storage (summation of heat loss and heat gain) over the entire protocol. Rectal temperature was also measured continuously.
Relative to warm fluid, ice-slurry ingestion reduced cumulative heat storage in young (69 [181] vs. 216 [94] kJ) and older males (90 [104] vs. 254 [140] kJ, main effect: p < 0.01), but was unaffected by age (p = 0.49). However, rectal temperature was unaffected by beverage temperature in both groups (all p ≥ 0.15).
We show that cold fluid ingestion is an appropriate administrative control for both young and older males as it can mitigate increases in body heat content during moderate-intensity work-rest cycles in dry heat.
为了减轻与职业性热应激相关的健康风险,建议工人遵守工作-休息方案,并定期补水。然而,目前尚不清楚饮料温度是否会影响工作-休息周期中的全身热交换,以及在热损失能力减弱的老年工人中,反应是否不同。
10 名年轻(平均[标准差]:22[3]岁)和 10 名老年(60[4]岁)男性以固定代谢产热率(200W·m)进行 4 次 15 分钟的中等强度自行车运动,每次运动之间穿插 15 分钟在干热(40°C,12%相对湿度)中休息。在不同的日子里,参与者在第一次和第三次运动前分别饮用冰沙(0°C)或相同质量的温水(37.5°C),以提供 75kJ·m 的热传递能力。通过连续测量蒸发和干热交换(直接量热法)和代谢产热(间接量热法)来确定整个方案中累积热量储存(热量损失和热量获得的总和)。直肠温度也连续测量。
与温水相比,冰沙摄入使年轻男性(69[181]比 216[94]kJ)和老年男性(90[104]比 254[140]kJ,主要效应:p<0.01)的累积热量储存减少,但年龄无影响(p=0.49)。然而,两组的直肠温度均不受饮料温度的影响(p≥0.15)。
我们表明,在干热环境中,冷水摄入是年轻和老年男性的一种合适的管理控制措施,因为它可以减轻中等强度工作-休息周期中身体热量含量的增加。