Thermoregulation in the cold Effect on exercise Fluids Heat and Metabolism 08-09 Mikel Egaña Trinity College Dublin Lecture Outline I. Factors affecting body heat loss II. Physiological Responses to Exercise in the cold III. Cold injuries IV. Acclimatization / habituation to Cold Fluids Heat and Metabolism 08-09. Thermoregulation in the cold. 1 How Does the Body Conserve Heat? Cold stress: environmental condition that causes a loss of body heat that threatens homeostasis • Shivering—rapid involuntary cycle of contraction and relaxation of muscles • Nonshivering thermogenesis — stimulation of metabolism • Peripheral vasoconstriction—reduces blood flow (and metabolic rate) to the skin and prevents unnecessary heat loss Fluids Heat and Metabolism 08-09. Thermoregulation in the cold. BODY HEAT GAINED < BODY HEAT LOST In a cold environment, Conduction. Convection, Radiation and Evaporation can dissipate heat faster than the body produces it Risk of hypothermia (low body temperature) Fluids Heat and Metabolism 08-09. Thermoregulation in the cold. 2 Factors That Affect Body Heat Loss Body size and composition • Subcutaneous fat content: indicator of tolerance for cold exposure due to low thermal conductivity of fat • Women versus men: • • Women higher tolerance than men due to higher fat content (no true sex differences) Body surface area: • children larger area to mass ratio compared to adults. • More difficult to maintain body temperature in the cold Fluids Heat and Metabolism 08-09. Thermoregulation in the cold. Factors That Affect Body Heat Loss Air temperature: The larger the difference between the temperature of skin and cold environment, the greater the heat loss Windchill: Chill factor created by the wind (via convection and conduction). The more humid the greater the physiological stress Fluids Heat and Metabolism 08-09. Thermoregulation in the cold. 3 HEAT LOSS IN COLD WATER • In air: radiation and evaporation main mechanisms for heat loss • In water: conduction allows greater heat transfer. • Water larger thermal conductivity (x26) than air. • Considering all heat transfer mechanisms heat loss 4 times faster in water than in air • Drop in temperature (hypothermia) proportional to duration of exposure or the thermal gradient • Immersion at 15°C: drops rectal temp 2.1°C/hour • Immersion at 4°C: drops rectal temp 3.2°C/hour • Heat loss accelerated if cold water moving Fluids Heat and Metabolism 08-09. Thermoregulation in the cold. HEAT LOSS IN COLD WATER Swimming in cold water: - High body fat content helps maintain rectal temp (Pugh & Edholm 1995) - Lean swimmers can maintain rectal T° at low water T° (17.4°C) Trappe et al. MSSE 1995 For training/competition appropriate water temp: 23-28 °C Fluids Heat and Metabolism 08-09. Thermoregulation in the cold. 4 Responses to Exercise in the Cold • • Oxygen consumption (VO2) • VO2 max: • Submaximal exercise VO2: • Exercising with wet clothing: Ventilation • Sudden exposure to cold: • Submaximal exercise Ve: • As exercise intensity increases: Fluids Heat and Metabolism 08-09. Thermoregulation in the cold. Responses to Exercise in the Cold • • Muscle function • Muscles weaken • Fiber recruitment patterns and muscle efficiency altered. • Shortening velocity and power reduced (higher EE) • Thus, fatigue occurs more rapidly • If proper clothing: exercise performance may be unimpaired (but only until fatigue sets) Metabolism • Fat metabolism: Fluids Heat and Metabolism 08-09. Thermoregulation in the cold. 5 Responses to Exercise in the Cold • • Glucose metabolism • Blood glucose • Muscle glycogen • Lactate: Protein metabolism Fluids Heat and Metabolism 08-09. Thermoregulation in the cold. Responses to Exercise in the Cold Table 22-1 Brooks et a 3rd Edl Fluids Heat and Metabolism 08-09. Thermoregulation in the cold. 6 Cold injury : Hypothermia Inability to regulate body temperature begins when Tbody drops <34.5 °C. Completely lost when Tbody drops below 29.5 °C Hypothermia causes: - Slowing metabolic reactions to one half their normal rates - Reduction in NS: inability to shiver, sleepness and coma - Heart rate to drop, which reduces cardiac output. - Can lead to cardiac arrest (respiration might be functional) Causes of hypothermia: - Exposure to cold water - High wind chill - Use of alcohol of drugs in the cold - Endurance exercise competitions in the cold: glycogen depletion (hypoglycemia) increases risk of hypothermia and thus, reduced CNS function Fluids Heat and Metabolism 08-09. Thermoregulation in the cold. Cold injury : Hypothermia - Effect on respiratory track? Figure 11.15 W&C 4th Ed. Treatment: - Mild hypothermia: dry clothing and warm beverages - Severe hypothermia: medical treatment (hospital) Fluids Heat and Metabolism 08-09. Thermoregulation in the cold. 7 Cold injury : Frostbite • • • • • Ice crystal formation within tissues Vasoconstriction in the skin reduces blood flow to skin, eventually causing frostbite. Risk increase when environmental air temp: <-6 °C Mainly fingers, nose, earlobes and toes If not treated may cause gangrene Fluids Heat and Metabolism 08-09. Thermoregulation in the cold. Acclimatization / Habituation to cold 1. Shivering threshold • • Chronic daily exposure to cold increase secretion of thyroid hormones: tissues become more sensitive to norepinephrine. Also it may increase subcutaneous body fat 2. Hand and cold temperature • Chronic exposure of areas of the skin (hands) may provide greater cold tolerance due to improved intermittent peripheral vasodilation 3. Capacity to sleep • Higher capacity to vasoconstrict peripheral blood vessels allowing the skin temp to decrease without shivering Fluids Heat and Metabolism 08-09. Thermoregulation in the cold. 8
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