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DOI10.1152/japplphysiol.00597.2023
Relation of body surface area-to-mass ratio to risk of exertional heat stroke in healthy men and women
发表日期2024
ISSN8750-7587
EISSN1522-1601
起始页码136
结束页码3
卷号136期号:3
英文摘要Risk of exertional heat stroke (EHS) is an ongoing challenge for United States military personnel, for athletes and for individuals with occupational stressors that involve prolonged activity in hot environments. Higher body mass index (BMI) is significantly associated with increased risk for EHS in activity duty U.S. Soldiers. During exercise, heat is generated primarily by contracting skeletal muscle (and other metabolically active body mass) and dissipated based on body surface area (BSA). Thus, in compensable environments, a higher BSA & sdot;mass-1 may be a benefit to heat dissipation and decrease the risk of EHS. The purpose of the present analysis was to test the hypothesis that BSA & sdot;mass(-1) ratio is an important biophysical characteristic contributing to the risk of EHS. We employed a matched case-control approach, where each individual with a diagnosis of EHS was matched to five controls who were never diagnosed with EHS but were in the same unit and had the same job title. We used a multivariate conditional logistic regression model including variables of BSA & sdot;mass(-1), sex, age, military rank, and race. BSA & sdot;mass(-1) significantly predicted EHS risk (P = 0.006), such that people with higher BSA & sdot;mass(-1) were at lower risk of developing EHS when controlling for other potential factors such as age and race. This relationship persisted after adjustment for other anthropometric measures of body size including weight, BMI, and BSA. These data suggest that biophysical factors play an important role in EHS risk, particularly in a healthy military-aged cohort of men and women. NEW & NOTEWORTHY With the impacts of climate change yielding higher average ambient temperatures over time, the incidence of EHS for individuals participating in outdoor activities may consequently increase. With the larger sample size in this study compared with prior research in this field, we were able to use various methods that had not been applied before. For example, we were able to mutually adjust for different measurements of body size to understand which metric had the highest association with EHS risk. Understanding factors that may be modifiable may be important for developing interventions to counteract the increased risk of EHS associated with climate change.
英文关键词body size; body temperature; heat stress; military physiology; thermoregulation
语种英语
WOS研究方向Physiology ; Sport Sciences
WOS类目Physiology ; Sport Sciences
WOS记录号WOS:001185003100002
来源期刊JOURNAL OF APPLIED PHYSIOLOGY
文献类型期刊论文
条目标识符http://gcip.llas.ac.cn/handle/2XKMVOVA/291589
作者单位United States Department of Defense; United States Army; United States Department of Defense; United States Army; Tel Aviv University
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GB/T 7714
. Relation of body surface area-to-mass ratio to risk of exertional heat stroke in healthy men and women[J],2024,136(3).
APA (2024).Relation of body surface area-to-mass ratio to risk of exertional heat stroke in healthy men and women.JOURNAL OF APPLIED PHYSIOLOGY,136(3).
MLA "Relation of body surface area-to-mass ratio to risk of exertional heat stroke in healthy men and women".JOURNAL OF APPLIED PHYSIOLOGY 136.3(2024).
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