Methods for improving thermal tolerance in military personnel prior to deployment

Abstract Acute exposure to heat, such as that experienced by people arriving into a hotter or more humid environment, can compromise physical and cognitive performance as well as health. In military contexts heat stress is exacerbated by the combination of protective clothing, carried loads, and uni...

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Main Authors: Edward Tom Ashworth, James David Cotter, Andrew Edward Kilding
Format: Article
Language:English
Published: BMC 2020-11-01
Series:Military Medical Research
Subjects:
Online Access:https://doi.org/10.1186/s40779-020-00287-z
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author Edward Tom Ashworth
James David Cotter
Andrew Edward Kilding
author_facet Edward Tom Ashworth
James David Cotter
Andrew Edward Kilding
author_sort Edward Tom Ashworth
collection DOAJ
description Abstract Acute exposure to heat, such as that experienced by people arriving into a hotter or more humid environment, can compromise physical and cognitive performance as well as health. In military contexts heat stress is exacerbated by the combination of protective clothing, carried loads, and unique activity profiles, making them susceptible to heat illnesses. As the operational environment is dynamic and unpredictable, strategies to minimize the effects of heat should be planned and conducted prior to deployment. This review explores how heat acclimation (HA) prior to deployment may attenuate the effects of heat by initiating physiological and behavioural adaptations to more efficiently and effectively protect thermal homeostasis, thereby improving performance and reducing heat illness risk. HA usually requires access to heat chamber facilities and takes weeks to conduct, which can often make it impractical and infeasible, especially if there are other training requirements and expectations. Recent research in athletic populations has produced protocols that are more feasible and accessible by reducing the time taken to induce adaptations, as well as exploring new methods such as passive HA. These protocols use shorter HA periods or minimise additional training requirements respectively, while still invoking key physiological adaptations, such as lowered core temperature, reduced heart rate and increased sweat rate at a given intensity. For deployments of special units at short notice (< 1 day) it might be optimal to use heat re-acclimation to maintain an elevated baseline of heat tolerance for long periods in anticipation of such an event. Methods practical for military groups are yet to be fully understood, therefore further investigation into the effectiveness of HA methods is required to establish the most effective and feasible approach to implement them within military groups.
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spelling doaj.art-83117891ea074dc899475c96f558b4482022-12-21T22:42:16ZengBMCMilitary Medical Research2054-93692020-11-017111710.1186/s40779-020-00287-zMethods for improving thermal tolerance in military personnel prior to deploymentEdward Tom Ashworth0James David Cotter1Andrew Edward Kilding2Sports Performance Research Institute New Zealand (SPRINZ), Auckland University of TechnologySchool of Physical Education, Sport and Exercise Sciences, University of OtagoSports Performance Research Institute New Zealand (SPRINZ), Auckland University of TechnologyAbstract Acute exposure to heat, such as that experienced by people arriving into a hotter or more humid environment, can compromise physical and cognitive performance as well as health. In military contexts heat stress is exacerbated by the combination of protective clothing, carried loads, and unique activity profiles, making them susceptible to heat illnesses. As the operational environment is dynamic and unpredictable, strategies to minimize the effects of heat should be planned and conducted prior to deployment. This review explores how heat acclimation (HA) prior to deployment may attenuate the effects of heat by initiating physiological and behavioural adaptations to more efficiently and effectively protect thermal homeostasis, thereby improving performance and reducing heat illness risk. HA usually requires access to heat chamber facilities and takes weeks to conduct, which can often make it impractical and infeasible, especially if there are other training requirements and expectations. Recent research in athletic populations has produced protocols that are more feasible and accessible by reducing the time taken to induce adaptations, as well as exploring new methods such as passive HA. These protocols use shorter HA periods or minimise additional training requirements respectively, while still invoking key physiological adaptations, such as lowered core temperature, reduced heart rate and increased sweat rate at a given intensity. For deployments of special units at short notice (< 1 day) it might be optimal to use heat re-acclimation to maintain an elevated baseline of heat tolerance for long periods in anticipation of such an event. Methods practical for military groups are yet to be fully understood, therefore further investigation into the effectiveness of HA methods is required to establish the most effective and feasible approach to implement them within military groups.https://doi.org/10.1186/s40779-020-00287-zHeat acclimationThermoregulationHeat illnessPhysiologyHumanConditioning
spellingShingle Edward Tom Ashworth
James David Cotter
Andrew Edward Kilding
Methods for improving thermal tolerance in military personnel prior to deployment
Military Medical Research
Heat acclimation
Thermoregulation
Heat illness
Physiology
Human
Conditioning
title Methods for improving thermal tolerance in military personnel prior to deployment
title_full Methods for improving thermal tolerance in military personnel prior to deployment
title_fullStr Methods for improving thermal tolerance in military personnel prior to deployment
title_full_unstemmed Methods for improving thermal tolerance in military personnel prior to deployment
title_short Methods for improving thermal tolerance in military personnel prior to deployment
title_sort methods for improving thermal tolerance in military personnel prior to deployment
topic Heat acclimation
Thermoregulation
Heat illness
Physiology
Human
Conditioning
url https://doi.org/10.1186/s40779-020-00287-z
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