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DOI | 10.1152/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 |
ISSN | 8750-7587 |
EISSN | 1522-1601 |
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
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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 |
推荐引用方式 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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