Activity modification in heat: critical assessment of guidelines across athletic, occupational, and military settings in the USA

Yuri Hosokawa, Douglas J. Casa, Juli M. Trtanj, Luke N. Belval, Patricia A. Deuster, Sarah M. Giltz, Andrew J. Grundstein, Michelle D. Hawkins, Robert A. Huggins, Brenda Jacklitsch, John F. Jardine, Hunter Jones, Josh B. Kazman, Mark E. Reynolds, Rebecca L. Stearns, Jennifer K. Vanos, Alan L. Williams, W. Jon Williams

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

Exertional heat illness (EHI) risk is a serious concern among athletes, laborers, and warfighters. US Governing organizations have established various activity modification guidelines (AMGs) and other risk mitigation plans to help ensure the health and safety of their workers. The extent of metabolic heat production and heat gain that ensue from their work are the core reasons for EHI in the aforementioned population. Therefore, the major focus of AMGs in all settings is to modulate the work intensity and duration with additional modification in adjustable extrinsic risk factors (e.g., clothing, equipment) and intrinsic risk factors (e.g., heat acclimatization, fitness, hydration status). Future studies should continue to integrate more physiological (e.g., valid body fluid balance, internal body temperature) and biometeorological factors (e.g., cumulative heat stress) to the existing heat risk assessment models to reduce the assumptions and limitations in them. Future interagency collaboration to advance heat mitigation plans among physically active population is desired to maximize the existing resources and data to facilitate advancement in AMGs for environmental heat.

Original languageEnglish (US)
Pages (from-to)405-427
Number of pages23
JournalInternational Journal of Biometeorology
Volume63
Issue number3
DOIs
StatePublished - Mar 15 2019
Externally publishedYes

Fingerprint

Sports
Hot Temperature
Guidelines
risk factor
mitigation
body fluid
heat production
body temperature
health and safety
hydration
acclimation
risk assessment
fitness
resource
Intrinsic Factor
Clothing
Water-Electrolyte Balance
Thermogenesis
Acclimatization
Body Fluids

Keywords

  • Exertional heat illness
  • Health
  • Heat hazard
  • Policy and procedure
  • Safety

ASJC Scopus subject areas

  • Ecology
  • Atmospheric Science
  • Health, Toxicology and Mutagenesis

Cite this

Activity modification in heat : critical assessment of guidelines across athletic, occupational, and military settings in the USA. / Hosokawa, Yuri; Casa, Douglas J.; Trtanj, Juli M.; Belval, Luke N.; Deuster, Patricia A.; Giltz, Sarah M.; Grundstein, Andrew J.; Hawkins, Michelle D.; Huggins, Robert A.; Jacklitsch, Brenda; Jardine, John F.; Jones, Hunter; Kazman, Josh B.; Reynolds, Mark E.; Stearns, Rebecca L.; Vanos, Jennifer K.; Williams, Alan L.; Williams, W. Jon.

In: International Journal of Biometeorology, Vol. 63, No. 3, 15.03.2019, p. 405-427.

Research output: Contribution to journalReview article

Hosokawa, Y, Casa, DJ, Trtanj, JM, Belval, LN, Deuster, PA, Giltz, SM, Grundstein, AJ, Hawkins, MD, Huggins, RA, Jacklitsch, B, Jardine, JF, Jones, H, Kazman, JB, Reynolds, ME, Stearns, RL, Vanos, JK, Williams, AL & Williams, WJ 2019, 'Activity modification in heat: critical assessment of guidelines across athletic, occupational, and military settings in the USA', International Journal of Biometeorology, vol. 63, no. 3, pp. 405-427. https://doi.org/10.1007/s00484-019-01673-6
Hosokawa, Yuri ; Casa, Douglas J. ; Trtanj, Juli M. ; Belval, Luke N. ; Deuster, Patricia A. ; Giltz, Sarah M. ; Grundstein, Andrew J. ; Hawkins, Michelle D. ; Huggins, Robert A. ; Jacklitsch, Brenda ; Jardine, John F. ; Jones, Hunter ; Kazman, Josh B. ; Reynolds, Mark E. ; Stearns, Rebecca L. ; Vanos, Jennifer K. ; Williams, Alan L. ; Williams, W. Jon. / Activity modification in heat : critical assessment of guidelines across athletic, occupational, and military settings in the USA. In: International Journal of Biometeorology. 2019 ; Vol. 63, No. 3. pp. 405-427.
@article{fb4c61dcbf53414f9eee3af79ed3ab6c,
title = "Activity modification in heat: critical assessment of guidelines across athletic, occupational, and military settings in the USA",
abstract = "Exertional heat illness (EHI) risk is a serious concern among athletes, laborers, and warfighters. US Governing organizations have established various activity modification guidelines (AMGs) and other risk mitigation plans to help ensure the health and safety of their workers. The extent of metabolic heat production and heat gain that ensue from their work are the core reasons for EHI in the aforementioned population. Therefore, the major focus of AMGs in all settings is to modulate the work intensity and duration with additional modification in adjustable extrinsic risk factors (e.g., clothing, equipment) and intrinsic risk factors (e.g., heat acclimatization, fitness, hydration status). Future studies should continue to integrate more physiological (e.g., valid body fluid balance, internal body temperature) and biometeorological factors (e.g., cumulative heat stress) to the existing heat risk assessment models to reduce the assumptions and limitations in them. Future interagency collaboration to advance heat mitigation plans among physically active population is desired to maximize the existing resources and data to facilitate advancement in AMGs for environmental heat.",
keywords = "Exertional heat illness, Health, Heat hazard, Policy and procedure, Safety",
author = "Yuri Hosokawa and Casa, {Douglas J.} and Trtanj, {Juli M.} and Belval, {Luke N.} and Deuster, {Patricia A.} and Giltz, {Sarah M.} and Grundstein, {Andrew J.} and Hawkins, {Michelle D.} and Huggins, {Robert A.} and Brenda Jacklitsch and Jardine, {John F.} and Hunter Jones and Kazman, {Josh B.} and Reynolds, {Mark E.} and Stearns, {Rebecca L.} and Vanos, {Jennifer K.} and Williams, {Alan L.} and Williams, {W. Jon}",
year = "2019",
month = "3",
day = "15",
doi = "10.1007/s00484-019-01673-6",
language = "English (US)",
volume = "63",
pages = "405--427",
journal = "International Journal of Biometeorology",
issn = "0020-7128",
publisher = "Springer New York",
number = "3",

}

TY - JOUR

T1 - Activity modification in heat

T2 - critical assessment of guidelines across athletic, occupational, and military settings in the USA

AU - Hosokawa, Yuri

AU - Casa, Douglas J.

AU - Trtanj, Juli M.

AU - Belval, Luke N.

AU - Deuster, Patricia A.

AU - Giltz, Sarah M.

AU - Grundstein, Andrew J.

AU - Hawkins, Michelle D.

AU - Huggins, Robert A.

AU - Jacklitsch, Brenda

AU - Jardine, John F.

AU - Jones, Hunter

AU - Kazman, Josh B.

AU - Reynolds, Mark E.

AU - Stearns, Rebecca L.

AU - Vanos, Jennifer K.

AU - Williams, Alan L.

AU - Williams, W. Jon

PY - 2019/3/15

Y1 - 2019/3/15

N2 - Exertional heat illness (EHI) risk is a serious concern among athletes, laborers, and warfighters. US Governing organizations have established various activity modification guidelines (AMGs) and other risk mitigation plans to help ensure the health and safety of their workers. The extent of metabolic heat production and heat gain that ensue from their work are the core reasons for EHI in the aforementioned population. Therefore, the major focus of AMGs in all settings is to modulate the work intensity and duration with additional modification in adjustable extrinsic risk factors (e.g., clothing, equipment) and intrinsic risk factors (e.g., heat acclimatization, fitness, hydration status). Future studies should continue to integrate more physiological (e.g., valid body fluid balance, internal body temperature) and biometeorological factors (e.g., cumulative heat stress) to the existing heat risk assessment models to reduce the assumptions and limitations in them. Future interagency collaboration to advance heat mitigation plans among physically active population is desired to maximize the existing resources and data to facilitate advancement in AMGs for environmental heat.

AB - Exertional heat illness (EHI) risk is a serious concern among athletes, laborers, and warfighters. US Governing organizations have established various activity modification guidelines (AMGs) and other risk mitigation plans to help ensure the health and safety of their workers. The extent of metabolic heat production and heat gain that ensue from their work are the core reasons for EHI in the aforementioned population. Therefore, the major focus of AMGs in all settings is to modulate the work intensity and duration with additional modification in adjustable extrinsic risk factors (e.g., clothing, equipment) and intrinsic risk factors (e.g., heat acclimatization, fitness, hydration status). Future studies should continue to integrate more physiological (e.g., valid body fluid balance, internal body temperature) and biometeorological factors (e.g., cumulative heat stress) to the existing heat risk assessment models to reduce the assumptions and limitations in them. Future interagency collaboration to advance heat mitigation plans among physically active population is desired to maximize the existing resources and data to facilitate advancement in AMGs for environmental heat.

KW - Exertional heat illness

KW - Health

KW - Heat hazard

KW - Policy and procedure

KW - Safety

UR - http://www.scopus.com/inward/record.url?scp=85060984225&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85060984225&partnerID=8YFLogxK

U2 - 10.1007/s00484-019-01673-6

DO - 10.1007/s00484-019-01673-6

M3 - Review article

C2 - 30710251

AN - SCOPUS:85060984225

VL - 63

SP - 405

EP - 427

JO - International Journal of Biometeorology

JF - International Journal of Biometeorology

SN - 0020-7128

IS - 3

ER -