Relation of body surface area-to-mass ratio to risk of exertional heat stroke in healthy men and women

Author:

Taylor Kathryn M.1ORCID,Giersch Gabrielle E. W.2ORCID,Caldwell Aaron R.2ORCID,Epstein Yoram3ORCID,Charkoudian Nisha2ORCID

Affiliation:

1. Military Performance Division, U.S. Army Research Institute of Environmental Medicine, Natick, Massachusetts, United States

2. Thermal and Mountain Medicine Division, U.S. Army Research Institute of Environmental Medicine, Natick, Massachusetts, United States

3. School of Public Health, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Abstract

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.

Funder

DOD | United States Army | MEDCOM | U.S. Army Medical Research and Development Command

Publisher

American Physiological Society

Reference28 articles.

1. Body mass index, but not sex, influences exertional heat stroke risk in young healthy men and women

2. Pörtner DCR, Tignor M, Poloczanska ES, Mintenbeck K, Alegría A, Craig M, Langsdorf S, Löschke S, Möller V, Okem A, Rama B (Editors). Technical Summary: Climate Change 2022: Impacts, Adaptation, and Vulnerability. Contribution of Working Group II to the Sixth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge, UK: Cambridge University Press, 2022.

3. ACSM Expert Consensus Statement on Exertional Heat Illness: Recognition, Management, and Return to Activity

4. Beating the heat: military training and operations in the era of global warming

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