Limitations associated with thermoregulation and cardiovascular research assessing laborers performing work in the heat

Author:

Morrissey Margaret C.1ORCID,Langan Sean P.1ORCID,Brewer Gabrielle J.1,Struder Jeb F.1,Navarro John S.1,Nye Megan N.1,Casa Douglas J.1

Affiliation:

1. Korey Stringer Institute University of Connecticut Storrs Connecticut USA

Abstract

AbstractPurposeTo quantify the current literature and limitations associated with research examining thermoregulatory and cardiovascular strain in laborers working in the heat.MethodsPubMed, SCOPUS, and SPORTDiscus were searched for terms related to the cardiovascular system, heat stress, and physical work. Qualifying studies included adult participants (18–65 years old), a labor‐intensive environment or exercise protocol simulating a labor environment, a minimum duration of 120 min of physical work, and environmental heat stress (ambient temperature ≥26.0°C and ≥30% relative humidity). Studies included at least one of the following outcomes: pre‐ and peak physical work, core temperature, heart rate (HR), systolic blood pressure, diastolic blood pressure, HR variability, and rate pressure product.ResultsTwenty‐one out of 1559 potential studies qualified from our search. There was a total of 598 participants (mean = 28 ± 50 participants per study, range = 4–238 participants per study), which included 51 females (8.5%) and 547 males (91.5%). Of the participants, 3.8% had cardiovascular risk factors (diabetes: n = 10; hypertension: n = 13) and 96.2% were characterized as “healthy”. Fifty‐seven percent of the included studies were performed in a laboratory setting.ConclusionsStudies were predominantly in men (91.5%), laboratory settings (57%), and “healthy” individuals (96.2%). To advance equity in protection against occupational heat stress and better inform future heat safety recommendations to protect all workers, future studies must focus on addressing these limitations. Employers, supervisors, and other safety stakeholders should consider these limitations while implementing current heat safety recommendations.

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Perceived challenges and barriers for females working in the heat;Journal of Occupational and Environmental Hygiene;2023-10-06

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