Whole-body heat exchange in women during constant- and variable-intensity work in the heat

• Published in: European journal of applied physiology 2020-12, Vol.120 (12), p.2665-2675
• Main Authors: Notley, Sean R., D’Souza, Andrew W., Meade, Robert D., Richards, Brodie J., Kenny, Glen P.
• Format: Article
• Language: English
• Subjects: Biomedical and Life Sciences; Biomedicine; Calorimetry; Heat; Heat loss; Human Physiology; Metabolic rate; Metabolism; Occupational Medicine/Industrial Medicine; Original Article; Relative humidity; Sports Medicine; Women
• ISSN: 1439-6319; 1439-6327
• DOI: 10.1007/s00421-020-04486-3

Purpose Time-weighted averaging is used in occupational heat stress guidelines to estimate the metabolic demands of variable-intensity work. However, compared to constant-intensity work of the same time-weighted average metabolic rate, variable-intensity work may cause decrements in total heat loss (dry + evaporative heat loss) that exacerbate heat storage in women. We therefore used direct calorimetry to assess whole-body total heat loss and heat storage (metabolic heat production minus total heat loss) in women and men during constant- and variable-intensity work of equal average intensity. Methods Ten women [mean (SD); 31 (11) years] and fourteen men [30 (8) years] completed two trials involving 90-min of constant- and variable-intensity work (cycling) eliciting an average metabolic heat production of ~ 200 W/m 2 in dry-heat (40 °C, ~ 15% relative humidity). External work was fixed at ~ 40 W/m 2 for constant-intensity work, and alternated between ~ 15 and ~ 60 W/m 2 (5-min each) for variable-intensity work. Results When expressed as a time-weighted average over each work period, total heat loss did not differ between men and women (mean difference [95% CI]; 4 W/m 2 [− 11, 20]; p  = 0.572) or between constant- and variable-intensity work (1 W/m 2 [− 3, 5]; p  = 0.642). Consequently, heat storage did not differ significantly between men and women (− 4 W/m 2 [− 17, 8]; p  = 0.468) or between constant- and variable-intensity work (0 W/m 2 [− 3, 3]; p  = 0.834). Conclusion Neither whole-body heat loss nor heat storage was modulated by the partitioning of work intensity, indicating that time-weighted averaging is appropriate for estimating metabolic demand to assess occupational heat stress in women.