Ergonomics International

It was the purpose of this study to examine whether replacing long pants (P) with shorts (S) would reduce the heat stress of wearing firefighting protective clothing during exercise in a warm environment. Twenty-four Toronto Firefighters were allocated to one of four groups that performed heavy (H, 4.8?km·h^?1, 5% grade), moderate (M, 4.5?km·h^?1, 2.5% grade), light (L, 4.5?km·h^?1) or very light (VL, 2.5?km·h^?1) exercise while wearing their full protective ensemble and self-contained breathing apparatus. Participants performed a familiarization trial followed by two experimental trials at 35°C and 50% relative humidity wearing either P or S under their protective overpants. Replacing P with S had no impact on the rectal temperature (T_re) or heart rate response during heavy or moderate exercise where exposure times were less than 1?h (40.8?±?5.8 and 53.5?±?9.2?min for H and M, respectively while wearing P, and 43.5?±?5.3 and 54.2?±?8.4?min, respectively while wearing S). In contrast, as exposure times were extended during lighter exercise T_re was reduced by as much as 0.4°C after 80?min of exercise while wearing S. Exposure times were significantly increased from 65.8?±?9.6 and 83.5?±?11.6?min during?L and VL, respectively while wearing P to 73.3?±?8.4 and 97.0?±?12.5?min, respectively while wearing S. It was concluded that replacing P with S under the firefighting protective clothing reduced the heat stress associated with wearing the protective ensemble and extended exposure times approximately 10?–?15% during light exercise. However, during heavier exercise where exposure times were less than 1?h replacing P with S was of little benefit.     

The impact of various rehydration volumes for firefighters wearing protective clothing in warm environments

This study examined different fluid replacement quantities during intermittent work while wearing firefighting protective clothing and self-contained breathing apparatus in the heat (35 degrees C, 50% relative humidity). Twelve firefighters walked at 4.5 km per h with 0% elevation on an intermittent work (50 min) and rest (30 min) schedule until they reached a rectal temperature of 39.5 degrees C during work periods and 40.0 degrees C during rest, heart rates of 95% of maximum and/or exhaustion. During the heat-stress trials subjects received one of four fluid replacement quantities, high (H), moderate (M), low (L), and no hydration (NH), where H, M and L represented 78%, 63% and 37% of fluid loss, respectively. The total tolerance time (work + rest) was significantly greater during H (111.8 +/- 3.5), M (112.9 +/- 5.2) and L (104.2 +/- 5.8) compared to NH (95.3 +/- 3.8). In addition, work time (min), which excluded rest periods, was significantly greater in H (82.6 +/- 3.5), and M (82.9 +/- 5.2) compared to NH (65.3 +/- 3.8). It is concluded that incorporating even partial fluid replacement strategies while wearing firefighting protective clothing and self-contained breathing apparatus in the heat improves tolerance time.     

Impact of fluid replacement on heat storage while wearing protective clothing

This study used partitional calorimetry to determine the influence of fluid replacement on heat storage during uncompensable heat stress. Eight males performed either light (L; level treadmill walking at 0.97 m x s(-1) (3.5 km x h(-1)) or heavy (H; 1.33 m x s(-1) (4.8 km x h(-1)) at a 4% grade) exercise at 40 degrees C and 30% relative humidity while wearing nuclear, biological and chemical (NBC) protective clothing. Subjects received either no fluid (NF), or 200 or 250 ml of fluid (F) as warm water at approximately 35 degrees C immediately before and every 15 min during the L and H trials respectively. Similar reductions in heart rate were observed at both metabolic rates with F but rectal temperature responses were not different between F and NF. Tolerance time was extended during L/F (106.5 +/- 22.1 min) compared with L/NF (93.1 +/- 20.8 min) but fluid replacement had no influence during H (59.8 +/- 9.5 min and 58.3 +/- 11.1 min for F and NF respectively). Fluid replacement also had no effect on the rate of heat storage during L (108.2 +/- 20.6 W x m(-2) and 111.0 +/- 22.6 W x m(-2) for F and NF respectively) and H (172.5 +/- 11.5 W x m(-2) and 182.1 +/- 15.8 W x m(-2) for F and NF respectively). However, heat storage expressed per unit of mass was significantly increased during L/F (18.5 +/- 4.0 kJ x kg(-1) ) compared with the other trials (16.3 +/- 4.8 kJ x kg(-1), 16.6 +/- 3.0 kJ x kg(-1) and 16.7 +/- 4.0 kJ x kg(-1) for L/NF, H/F and H/NF respectively). It was concluded that fluid replacement does not alter the rate of heat storage during uncompensable heat stress but does increase the heat storage capacity during light exercise when tolerance times are > 60 min.     

Cardiorespiratory and thermoregulatory response of working in fire-fighter protective clothing in a temperate environment

The cardiorespiratory and thermal responses of two intensities of treadmill exercise were compared for brief periods (12 min) in fire ensemble (FE) but without self contained breathing apparatus, and sports ensemble (SE), in a temperature environment. A further experiment explored the responses of subjects exercising in FE over a prolonged period (60 min). Eighteen male fire-fighters wearing either FE or SE walked on a level treadmill for 6 min at 5 km x h(-1) increasing to 7 km x h(-1) for 6 min. Following a recovery interval of 1 h, the exercise protocol was repeated in the second ensemble; the order of ensemble was balanced. Heart rate (HR), rectal temperature (Tre), VO2 max and rating of perceived exertion (RPE) were monitored continuously under both ensembles. At 7 km x h(-1), VO2 was significantly higher (p<0.05) in FE (36.1 and 39.9 ml x kg(-1) x min(-1)) than in SE and represented 74% VO2 max. There were no changes Tre. In experiment 2, following a rest interval of at least 36 h, eight subjects in FE walked on the treadmill at 6 km x h (gradient 10%) for 60 min also in temperate conditions, where HR, Tre and RPE were recorded at 10-min intervals. During the 60-min exercise in FE, HR reached 161 beats x min(-1) and Tre increased to 38.3 degrees C. Despite considerable subject discomfort, Tre remained below dangerous levels (38.4 degrees C). When RPE were compared with a physiological strain index (PSI) calculated from Tre and HR data over 60 min, there was no significant difference (p<0.05) with a correlation coefficient (r) of 0.98. The results suggest that RPE and PSI are closely related when exercise is sufficiently prolonged or intense to elevate Tre and HR in fire-fighters wearing FE in temperate conditions. If further investigation confirms this relationship for hot humid conditions in which fire-fighters operate, then with training, it may provide individuals with a valid measure of dangerous levels of perceived heat strain.     

Physiological responses to working with fire fighting equipment in the heat in relation to subjective fatigue

Heart rate (HR), rectal temperature (Tre), blood pressure, temperature and relative humidity changes inside clothing were measured on 18 professional firemen (mean age 29.4 +/- 7.4 yr, VO2 max 41.4 + 8.8 ml kg-1 min-1) wearing fire fighter's uniforms (SU) or aluminized, fire resistant, impermeable clothing with self contained breathing apparatus (FE). The subjects exercised on a cycle ergometer with a work load of 1.5 W kg-1, at 39 +/- 1 degree C and at 70 +/- 5% relative humidity. They stopped exercising at a point of subjective fatigue and overheating which--according to their judgement--would cause them to stop working during real fire fighting. The working time until fatigue for subjects wearing FE was considerably lower than the corresponding value for SU. The HR and Tre values rose progressively throughout the exercise with no tendency to reach a plateau. In some cases the HR reached near maximal level. The Tre continued to rise even during 10 min of recovery and in many subjects exceeded 39 degrees C. These data showed that despite spontaneous termination of exercise, the limit of tolerance was reached by most of the subjects.     

The impact of various rehydration volumes for firefighters wearing protective clothing in warm environments

This study examined different fluid replacement quantities during intermittent work while wearing firefighting protective clothing and self-contained breathing apparatus in the heat (35°C, 50% relative humidity). Twelve firefighters walked at 4.5 km per h with 0% elevation on an intermittent work (50 min) and rest (30 min) schedule until they reached a rectal temperature of 39.5°C during work periods and 40.0°C during rest, heart rates of 95% of maximum and/or exhaustion. During the heat-stress trials subjects received one of four fluid replacement quantities, high (H), moderate (M), low (L), and no hydration (NH), where H, M and L represented 78%, 63% and 37% of fluid loss, respectively. The total tolerance time (work + rest) was significantly greater during H (111.8 ± 3.5), M (112.9 ± 5.2) and L (104.2 ± 5.8) compared to NH (95.3 ± 3.8). In addition, work time (min), which excluded rest periods, was significantly greater in H (82.6 ± 3.5), and M (82.9 ± 5.2) compared to NH (65.3 ± 3.8). It is concluded that incorporating even partial fluid replacement strategies while wearing firefighting protective clothing and self-contained breathing apparatus in the heat improves tolerance time.     

Effects of the self-contained breathing apparatus and fire protective clothing on maximal oxygen uptake

To examine the effects of firefighting personal protective ensemble (PPE) and self-contained breathing apparatus (SCBA) on exercise performance, 12 males completed two randomly ordered, graded exercise treadmill tests (GXTPPE and GXTPT). Maximal oxygen consumption (VO2max) during GXTPPE was 17.3% lower than the GXTPT in regular exercise clothing (43.0 +/- 5.7 vs. 52.4 +/- 8.5 ml/kg per min, respectively). The lower VO2max during the PPE condition was significantly related (r = 0.81, p < 0.05) to attenuated peak ventilation (142.8 +/- 18.0 vs. 167.1 +/- 15.6 l/min), which was attributed to a significant reduction in tidal volume (2.6 +/- 10.4 vs. 3.2 +/- 0.4 l). Breathing frequency at peak exercise was unchanged (55 +/- 7 vs. 53 +/- 7 breaths/min). The results of this investigation demonstrate that PPE and the SCBA have a negative impact on VO2max. These factors must be considered when evaluating aerobic demands of fire suppression work and the fitness levels of firefighters.     

Cardiovascular and thermal consequences of protective clothing: a comparison of clothed and unclothed states

We have undertaken a laboratory-based examination of the cardiovascular and thermal impact of wearing thermal (heat) protective clothing during fatiguing exercise in the heat. Seven males completed semi-recumbent, intermittent cycling (39.6 degrees C, 45% relative humidity) wearing either protective clothing or shorts (control). Mean core and skin temperatures, cardiac frequency (f(c)), stroke volume (Q), cardiac output (Q), arterial pressure, forearm blood flow (Q(f)), plasma volume change, and sweat rates were measured. In the clothed trials, subjects experienced significantly shorter times to fatigue (52.5 vs. 58.9 min), at lower peak work rates (204.3 vs. 277.4 W), and with higher core (37.9 degrees vs. 37.5 degrees C) and mean skin temperatures (37.3 degrees vs. 36.9 degrees C). There was a significant interaction between time and clothing on f(c), such that, over time, the clothing effect became more powerful. Clothing had a significant main affect on Q, but not Q, indicating the higher Q was chronotropically driven. Despite a greater sweat loss when clothed (923.0 vs. 547.1 g.m(-2) x h(-1); P<0.05), Q(f) and plasma volume change remained equivalent. Protective clothing reduced exercise tolerance, but did not affect overall cardiovascular function, at the point of volitional fatigue. It was concluded that, during moderately heavy, semi-recumbent exercise under hot, dry conditions, the strain on the unclothed body was already high, such that the additional stress imparted by the clothing ensemble represented a negligible, further impact upon cardiovascular stability.     

Effect of base layer materials on physiological and perceptual responses to exercise in personal protective equipment

Ten men (non-firefighters) completed a 110 min walking/recovery protocol (three 20-min exercise bouts, with recovery periods of 10, 20, and 20 min following successive bouts) in a thermoneutral laboratory while wearing firefighting personal protective equipment over one of four base layers: cotton, modacrylic, wool, and phase change material. There were no significant differences in changes in heart rate, core temperature, rating of perceived exertion, thermal discomfort, and thermal strain among base layers. Sticking to skin, coolness/hotness, and clothing humidity sensation were more favorable (p < 0.05) for wool compared with cotton; no significant differences were identified for the other 7 clothing sensations assessed. Separate materials performance testing of the individual base layers and firefighting ensembles (base layer + turnout gear) indicated differences in thermal protective performance and total heat loss among the base layers and among ensembles; however, differences in heat dissipation did not correspond with physiological responses during exercise or recovery.     

The effect of two kinds of T-shirts on physiological and psychological thermal responses during exercise and recovery

The aim of this study was to investigate the physiological and psychological responses during and after high-intensity exercise in a warm and humid environment in subjects wearing shirts of different fabrics. Eight healthy men exercised on two separate occasions, in random order, wearing two types of long-sleeve T-shirt: one made of polyester (PES) and the other of cotton fabric (CT). They performed three 20 min exercise bouts, with 5 min rest between each, and then rested in a chair for 60 min to recover. The ambient temperature was 25 °C and relative humidity was 60%. The exercise comprised of treadmill running at 8 km/h at 1° grade. Rectal temperature, skin temperatures at eight sites, heart rate, T-shirt mass and ratings of thermal, clothing wettedness, and shivering/sweating sensation were measured before the experiment, during the 5 min rest period after each exercise bout, and during recovery. Nude body mass was measured before the experiment and during recovery. The physiological stress index showed that the exercise produced a state of very high heat stress. Compared with exercise wearing the CT shirt, exercise wearing the PES fabric produced a greater sweating efficiency and less clothing regain (i.e., less sweat retention), but thermophysiological and subjective sensations during the intermittent high-intensity exercise were similar for both fabrics. However, skin temperature returned to the pre-exercise level faster, and the thermal and rating of shivering/sweating sensation were lower after exercise in the warm and humid environment in subjects wearing PES than when wearing the more traditional CT fabric.     

The effect of two kinds of T-shirts on physiological and psychological thermal responses during exercise and recovery

The aim of this study was to investigate the physiological and psychological responses during and after high-intensity exercise in a warm and humid environment in subjects wearing shirts of different fabrics. Eight healthy men exercised on two separate occasions, in random order, wearing two types of long-sleeve T-shirt: one made of polyester (PES) and the other of cotton fabric (CT). They performed three 20 min exercise bouts, with 5 min rest between each, and then rested in a chair for 60 min to recover. The ambient temperature was 25 °C and relative humidity was 60%. The exercise comprised of treadmill running at 8 km/h at 1° grade. Rectal temperature, skin temperatures at eight sites, heart rate, T-shirt mass and ratings of thermal, clothing wettedness, and shivering/sweating sensation were measured before the experiment, during the 5 min rest period after each exercise bout, and during recovery. Nude body mass was measured before the experiment and during recovery. The physiological stress index showed that the exercise produced a state of very high heat stress. Compared with exercise wearing the CT shirt, exercise wearing the PES fabric produced a greater sweating efficiency and less clothing regain (i.e., less sweat retention), but thermophysiological and subjective sensations during the intermittent high-intensity exercise were similar for both fabrics. However, skin temperature returned to the pre-exercise level faster, and the thermal and rating of shivering/sweating sensation were lower after exercise in the warm and humid environment in subjects wearing PES than when wearing the more traditional CT fabric.     

Selected physiological and psychobiological responses to physical activity in different configurations of firefighting gear

The aim was to examine selected physiological and psychobiological responses to different configurations of protective firefighting gear. Career firefighters (n = 10) walked on a treadmill (3·5?km · h^?1, 10% grade) for 15?min in three different clothing configurations. On separate days subjects wore: (a) ‘station blues’, (b) a hip boot configuration of firefighting gear, and (c) the current ‘NFPA 1500 standard’ gear. Physiological, psychophysical, and psychological measurements were recorded pre-exercise (5?min), during exercise (15?min), and during post-exercise recovery (10min). Repeated measures ANOVA revealed significant main effects for condition, time, and interaction (p < 0·001) for heart rate (HR), rectal temperature, mean skin temperature, oxygen consumption, breathing distress, thermal sensations, and affect. Furthermore, post hoc analyses revealed that all variables were significantly higher in the NFPA 1500 standard versus the hip boot or the station blues clothing configurations. These data suggest that the current NFPA 1500 standard configuration results in greater physiological and psychobiological stress at a given workload.     

The effect of hyperoxia on submaximal exercise with the self-contained breathing apparatus

The effects of hyperoxia on submaximal exercise with the self-contained breathing apparatus (SCBA) were studied in 25 males. Each participant completed a graded exercise test for the determination of ventilatory threshold (VT) and then a submaximal practice trial with a normoxic gas mixture. The normoxic (20.93 +/- 0.22% O(2); SUB(21)) and hyperoxic (40.18 +/- 0.73% O(2); SUB(40)) submaximal trials were then administered in a random order. All exercise tests were completed on separate days while wearing firefighting gear and the SCBA. Compared with SUB(21), hyperoxia significantly reduced minute ventilation (V(E)), mask pressure (P(mask)), heart rate, blood lactate concentration, perceived exertion, and perceived breathing distress. As expected, hemoglobin saturation remained higher (p < 0.05) during SUB(40). The reductions in both V(E) and P(mask) with hyperoxia imply a reduction in the work of breathing during exercise. Total gas consumption was 10.3 +/- 8.1% lower during SUB(40) when compared to SUB(21), another finding that has significant practical implications for occupational safety.     

Intermittent microclimate cooling during exercise-heat stress in US army chemical protective clothing

The effectiveness of intermittent, microclimate cooling for men who worked in US Army chemical protective clothing (modified mission-oriented protective posture level 3; MOPP 3) was examined. The hypothesis was that intermittent cooling on a 2 min on-off schedule using a liquid cooling garment (LCG) covering 72% of the body surface area would reduce heat strain comparably to constant cooling. Four male subjects completed three experiments at 30 degrees C, 30% relative humidity wearing the LCG under the MOPP 3 during 80 min of treadmill walking at 224 +/- 5 W . m(-2). Water temperature to the LCG was held constant at 21 degrees C. The experiments were; 1) constant cooling (CC); 2) intermittent cooling at 2-min intervals (IC); 3) no cooling (NC). Core temperature increased (1.6 +/- 0.2 degrees C) in NC, which was greater than IC (0.5 +/- 0.2 degrees C) and CC (0.5 +/- 0.3 degrees C) ( p < 0.05). Mean skin temperature was higher during NC (36.1 +/- 0.4 degrees C) than IC (33.7 +/- 0.6 degrees C) and CC (32.6 +/- 0.6 degrees C) and mean skin temperature was higher during IC than CC ( p < 0.05). Mean heart rate during NC (139 +/- 9 b . min(-1)) was greater than IC (110 +/- 10 b . min(-1)) and CC (107 +/- 9 b . min(-1)) ( p < 0.05). Cooling by conduction (K) during NC (94 +/- 4 W . m(-2)) was lower than IC (142 +/- 7 W . m(-2)) and CC (146 +/- 4 W . m(-2)) ( p < 0.05). These findings suggest that IC provided a favourable skin to LCG gradient for heat dissipation by conduction and reduced heat strain comparable to CC during exercise-heat stress in chemical protective clothing.     

Heat stress and bulkiness of chemical protective clothing impair performance of medical personnel in basic lifesaving tasks

The study examined the impact of chemical protective (CP) clothing on the performance of lifesaving tasks in thermoneutral and cold conditions. Eleven males performed pre-exercise followed by lifesaving tasks wearing either field combat uniform at 21 degrees C (U) or CP clothing at 21 degrees C (CPN) and -5 degrees C (CPC). The tasks were ventilating a doll (VA) and connecting an intravenous line (IV). Mean skin temperature was significantly higher for CPN compared to U and CPC during pre-exercise, VA and IV. Changes in blood pressure were significantly greater with CP clothing than without during VA and IV. The number of breaths per min (in VA) and time needed for IV increased by 19% (p < 0.05) and 18%, respectively, for CPN compared to U. Due to the cold, the additional increment was 5% and 17%, respectively, for CPC. Wearing of CP clothing in thermoneutral or in cold conditions may not prevent but, especially in the cold, significantly impede the performance of basic medical tasks. The findings of this study showed that performing medical tasks while wearing nuclear, biological and chemical protective clothing is impaired due to significant changes in physiological strain. This suggests that realistic training in local conditions as well as in cold conditions is needed to realise the restrictions due to protective clothing.     

Core temperature and heart rate response to repeated bouts of firefighting activities

During live-fire firefighting operations and training evolutions, firefighters often consume multiple cylinders of air and continue to wear their personal protective equipment even after fire suppression activities have ceased. However, most studies have only reported core temperature changes during short-term firefighting activities and have shown a very modest increase in core temperature. Therefore, the purpose of this study is to evaluate core temperature and heart rate (HR) during repeated bouts of firefighting activity over ～3 h. The results of this study show that core temperatures increase by an average of 1.9°C – to a larger magnitude than previously reported – and continue to increase during subsequent work cycles (38.4 vs. 38.7) even after long breaks of more than 30 min. The rate of core temperature increase during work continues to increase later in the training exercise (from 0.036 to 0.048°C/min), increasing the risk for exertional heat stress particularly if long-duration firefighting activity is required at these later times.

Practitioner Summary: To date, core temperature and HR changes during firefighting have been reported for short-term studies, which may significantly underestimate the physiological burden of typical firefighting activities. Firefighter core temperatures are shown to increase to a larger magnitude than previously observed and the rate of rise in core temperature increases during subsequent firefighting activities.     

Heat stress and bulkiness of chemical protective clothing impair performance of medical personnel in basic lifesaving tasks

The study examined the impact of chemical protective (CP) clothing on the performance of lifesaving tasks in thermoneutral and cold conditions. Eleven males performed pre-exercise followed by lifesaving tasks wearing either field combat uniform at 21°C (U) or CP clothing at 21°C (CPN) and–;5°C (CPC). The tasks were ventilating a doll (VA) and connecting an intravenous line (IV). Mean skin temperature was significantly higher for CPN compared to U and CPC during pre-exercise, VA and IV. Changes in blood pressure were significantly greater with CP clothing than without during VA and IV. The number of breaths per min (in VA) and time needed for IV increased by 19% (p < 0.05) and 18%, respectively, for CPN compared to U. Due to the cold, the additional increment was 5% and 17%, respectively, for CPC. Wearing of CP clothing in thermoneutral or in cold conditions may not prevent but, especially in the cold, significantly impede the performance of basic medical tasks. The findings of this study showed that performing medical tasks while wearing nuclear, biological and chemical protective clothing is impaired due to significant changes in physiological strain. This suggests that realistic training in local conditions as well as in cold conditions is needed to realise the restrictions due to protective clothing.     

Impact of fluid replacement on heat storage while wearing protective clothing

This study used partitional calorimetry to determine the influence of fluid replacement on heat storage during uncompensable heat stress. Eight males performed either light (L; level treadmill walking at 0.97 m·s^-1 (3.5 km·h^-1) or heavy (H; 1.33 m·s^-1 (4.8 km·h^-1) at a 4% grade) exercise at 40°C and 30% relative humidity while wearing nuclear, biological and chemical (NBC) protective clothing. Subjects received either no fluid (NF), or 200 or 250 ml of fluid (F) as warm water at ~ 35°C immediately before and every 15 min during the L and H trials respectively. Similar reductions in heart rate were observed at both metabolic rates with F but rectal temperature responses were not different between F and NF. Tolerance time was extended during L/F (106.5±22.1 min) compared with L/NF (93.1±20.8 min) but fluid replacement had no influence during H (59.8±9.5 min and 58.3±11.1 min for F and NF respectively). Fluid replacement also had no effect on the rate of heat storage during L (108.2±20.6 W·m^-2 and 111.0±22.6 W·m^-2 for F and NF respectively) and H (172.5±11.5 W·m^-2 and 182.1±15.8 W·m^-2 for F and NF respectively). However, heat storage expressed per unit of mass was significantly increased during L/F (18.5±4.0 kJ·kg^-1) compared with the other trials (16.3±4.8 kJ·kg^-1, 16.6±3.0 kJ·kg^-1 and 16.7±4.0 kJ·kg^-1 for L/NF, H/F and H/NF respectively). It was concluded that fluid replacement does not alter the rate of heat storage during uncompensable heat stress but does increase the heat storage capacity during light exercise when tolerance times are > 60 min.     

A review of: “Human Motor Actions: Bernstein Reassessed.” Edited by H. T. A. WHITING. (Oxford: North-Holland, 1984.) [Pp. xxxv + 633.] ISBN 0-444-86813-5.

The physical work performance of eight fit fire fighters wearing fire brigade uniforms and wearing breathing apparatus was assessed. They were tested in a climatic chamber set at temperatures of 15 and 45°C respectively. The test was performed with and without fire fighting equipment. The subjects walked on a treadmill at a speed of 3.5km/h, which produce a workload equivalent of 20% of the subjects' maximal oxygen uptake without equipment, and 30% with equipment. The test lasted for 60 min. Heart rate, oxygen uptake, skin and deep body temperatures were measured during the test. The subjects estimated perceived physical exertion and perceived temperature. Wearing fire fighting equipment increased the oxygen uptake by 0.4 1min^-1. Heart rate at the end of the experiments reached near-maximum levels when the temperature was 45°C with equipment, and deep body temperature increased to an average of 38.7°C. The subjects' ratings of perceived exertion were highly correlated to heart rate. The loading induced by heat and protective equipment reduced the ability to perform strenuous work. The combination of thick clothing and heavy breathing apparatus was found to have a significant limiting effect on the endurance of fire fighters.     

Reproducibility of body temperature response to standardized test conditions when assessing clothing

Abstract

The traditional use of core temperature to assess the thermal effects of clothing has recently been questioned. The purpose of this study was to assess the reproducibility of body temperature in five subjects (mean age, 226 ± 1-5 yrs) wearing either athletic clothing or a chemical protective overgarment while exercising at 20°C and at 40°C. The exercise was preceded by a 1 h adaptation period in a controlled environmental chamber. Results indicated that mean group change in rectal temperature (δT_r ) appeared to be reproducible for both garment ensembles at 20°C but not at 40°C. For mean change in oesophageal temperature ( δT_oes ) at 20°C, reproducibility was obtained for the overgarment but not for the athletic garment; at 40°C, mean δT_oes appeared to be reproducible with both garments. However, when individual responses were examined, there was little reproducibility for either δT_r or δT_oes . In addition, these measurements failed to show differences in the types of clothing worn. It was concluded that the use of core temperature to assess heat stress imposed by wearing clothing during exercise may lead to erroneous conclusions.