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Radiation (heat transfer)
Transfer of heat via electromagnetic waves without direct contact; occurs between objects of different temperatures
Requirement for radiation
A temperature gradient between the body and surrounding surfaces must exist
Conduction (heat transfer)
Direct transfer of heat between objects in physical contact
Requirement for conduction
Direct physical contact between objects of different temperatures
Convection (heat transfer)
Transfer of heat via movement of air or fluid across the skin
Difference between air vs water convection
Water removes heat much faster than air because it has a higher heat capacity and density
Evaporation (heat loss)
Heat loss through the conversion of sweat from liquid to vapor
Requirement for evaporation
A water vapor pressure gradient between the skin and environment must exist
Normal core temperature
~37°C (98.6°F)
Dangerously high core temperature
40–41°C (104–106°F)
Core temperature
Temperature of vital organs (brain, heart, lungs)
Shell temperature
Temperature of skin and peripheral tissues
Core-to-shell gradient
The temperature difference between core and skin that allows heat dissipation
Why the core-to-shell gradient is important
Without a gradient, heat cannot move from the core to the skin for dissipation
Process of evaporative cooling
Sweat absorbs heat from the skin as it changes from liquid to vapor, lowering body temperature
Role of water vapor pressure in evaporation
Evaporation depends on the gradient between water vapor pressure at the skin and in ambient air
Environmental factor most limiting evaporation
High relative humidity
Why high humidity impairs cooling
Reduces the vapor pressure gradient, limiting sweat evaporation
Strategies to reduce heat illness risk
| Gradual heat exposure (acclimation), proper hydration, lighter clothing, adjusting intensity, exercising in cooler parts of the day
Role of heat acclimation in prevention
Improves sweating efficiency and cardiovascular stability
Heat cramps
Painful muscle spasms due to fluid and electrolyte imbalance
Heat exhaustion
Inability to continue exercise due to cardiovascular strain and dehydration
Heat stroke
ife-threatening condition characterized by core temperature >40°C and CNS dysfunction
Most dangerous heat illness
Heat stroke
Dry bulb temperature (Tdb)
Ambient air temperature measured in the shade
Black globe temperature (Tg)
Measures radiant heat from direct sunlight
Wet bulb temperature (Twb)
Reflects evaporative cooling potential and humidity
Wet Bulb Globe Temperature (WBGT)
Composite index of environmental heat stress combining Tdb, Twb, and Tg
WBGT formula
WBGT = 0.1Tdb + 0.7Twb + 0.2Tg
Primary source of heat during exercise
Metabolic heat production from voluntary muscle contraction
sources of heat gain
Shivering and hormone-induced increases in metabolic rate (non-shivering thermogenesis)
Role of the hypothalamus
Acts as the body’s thermostat, regulating heat gain and heat loss
Hypothalamus response to heat gain
Anterior hypothalamus increases sweating and skin blood flow
Hypothalamus response to heat loss
Posterior hypothalamus increases heat production and reduces skin blood flow
Effect of heat stress on performance
Increases cardiovascular strain, reduces VO₂max, and accelerates fatigue
Why performance declines in the heat
Competition between muscles and skin for blood flow and impaired thermoregulation
Heat acclimation
Physiological adaptations to heat in controlled environments
Heat acclimatization
Physiological adaptations to heat in natural environments
Key heat acclimation adaptations
Increased plasma volume, earlier onset of sweating, increased sweat rate, reduced heart rate
How acclimation improves performance
Enhances heat dissipation and cardiovascular stability
Total body water percentage
50–70% of body mass
Euhydration
Normal body water content within homeostatic range
Hypohydration
State of body water deficit
Dehydration
The process of losing body water
Hyperhydration
State of excessive body water
Trigger for renin release
Low blood volume or low blood pressure
Source of renin
Kidneys
Overall function of RAAS
Conserves sodium and water to restore blood volume and pressure
Hyponatremia definition
Dilution of plasma sodium concentration <135 mmol/L
When hyponatremia most likely occurs
Prolonged exercise with excessive intake of low-sodium fluids
Risk factors for hyponatremia
Long duration exercise (>4 h), excessive drinking, small body size, high sweat sodium losses, females
Symptoms of hyponatremia
Headache, nausea, confusion, swelling, seizures in severe cases
Urine color method
Urine color 1–3 indicates hydration; ≥5 suggests hypohydration
Body weight method
1 kg body weight loss ≈ 1 L sweat loss
Hydration cutoffs via body weight
>2% body mass loss = hypohydration
Urine specific gravity (USG)
Values ≥1.020 indicate dehydration
Planned drinking
Scheduled fluid intake based on sweat rate and conditions; best for long, intense exercise in heat
Drinking to thirst
Adequate for shorter, lower-intensity exercise in cooler conditions
Pre-exercise hydration goal
Begin exercise euhydrated
Dehydration threshold to avoid
>2% body mass loss
Post-exercise rehydration guideline
Consume 1.25–1.5 L fluid per 1 kg body weight lost
Sodium recommendation
Include sodium when exercise lasts >2 h in heat or sweat sodium losses are high