Critical Assessment of the Recommended Alert Limit Curves for Occupational Heat Exposure.

IF 3.1 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Hayden W Hess, M Jo Hite, Molly E Heikkinen, Macie L Tarr, Erica Tourula, Blair D Johnson, David Hostler, Zachary J Schlader
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引用次数: 0

Abstract

Background: Occupational heat stress recommendations aim to achieve thermal equilibrium and keep core temperature (Tc) below 38.0°C. We assessed the recommended alert limit curves when: (1) work-rest ratios are adjusted based on wet-bulb globe temperature (WBGT) at a fixed rate of metabolic heat production (Hprod) and (2) Hprod is adjusted based on WBGT at a fixed work-rest ratio. We tested the hypothesis that adhering to occupational heat stress recommendations results in thermal equilibrium and prevents TC from exceeding 38.0°C.

Methods: Unacclimated adults completed 4-hour exposures at a fixed WBGT, Hprod, and work-rest ratio. There were six iterations of compliant trials (n = 70 observations; A: 24.1°C, 431 W, 60:0 min; B: 26.6°C, 461 W, 45:15 min; C: 28.4°C, 462 W, 30:30 min; D: 29.7, 453 W, 15:45 min; E: 27.3°C, 412 W, 30:30 min; F: 31.6°C, 290 W, 30:30 min) and two iterations of noncompliant trials (n = 24 observations; G: 31.6°C, 413 W, 30:30 min; H: 36.1°C, 453 W, 15:45 min).

Results: Mean and peak TC across the compliant trials were 37.6°C ± 0.3°C and 37.9°C ± 0.3°C. Thus, 65/70 (93%) and 44/70 (63%) trials did not exceed a mean or peak core TC of 38.0°C. Mean and peak TC across the noncompliant trials exceeded 38.0°C in all trials. The rate of heat gain differed between compliant and noncompliant trials (0.08°C ± 0.07°C/h vs. 0.41°C ± 0.34°C/h; p < 0.0001) but on average thermal equilibrium was < 0.1°C/h in the compliant trials.

Conclusion: Compliance with the occupational heat stress recommendations resulted in thermal equilibrium and mitigated the development of excessive heat strain.

Trial registration: ClinicalTrials.gov: NCT04767347.

职业性热暴露推荐警戒极限曲线的关键评估。
背景:职业热应激建议的目标是实现热平衡并保持核心温度(Tc)低于38.0°C。我们评估了推荐的警报极限曲线:(1)在固定的代谢产热率(Hprod)下,根据湿球温度(WBGT)调整工作-休息比;(2)在固定的工作-休息比下,根据WBGT调整工作-休息比。我们测试了坚持职业热应激建议导致热平衡并防止TC超过38.0°C的假设。方法:未适应的成年人在固定的WBGT, Hprod和工作休息比下完成4小时的暴露。有6次顺应试验(n = 70个观察值,A: 24.1°C, 431 W, 60:0 min; B: 26.6°C, 461 W, 45:15 min; C: 28.4°C, 462 W, 30:30 min; D: 29.7, 453 W, 15:45 min; E: 27.3°C, 412 W, 30:30 min; F: 31.6°C, 290 W, 30:30 min)和2次不顺应试验(n = 24个观察值,G: 31.6°C, 413 W, 30:30 min; H: 36.1°C, 453 W, 15:45 min)。结果:依从性试验的平均和峰值温度分别为37.6°C±0.3°C和37.9°C±0.3°C。因此,65/70(93%)和44/70(63%)的试验没有超过38.0°C的平均或峰值核心温度。所有非依从性试验的平均和峰值温度均超过38.0°C。服从和不服从试验的热增益率不同(0.08°C±0.07°C/h vs. 0.41°C±0.34°C/h); p结论:服从职业热应激建议导致热平衡,减轻了过度热应变的发展。试验注册:ClinicalTrials.gov: NCT04767347。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American journal of industrial medicine
American journal of industrial medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.90
自引率
5.70%
发文量
108
审稿时长
4-8 weeks
期刊介绍: American Journal of Industrial Medicine considers for publication reports of original research, review articles, instructive case reports, and analyses of policy in the fields of occupational and environmental health and safety. The Journal also accepts commentaries, book reviews and letters of comment and criticism. The goals of the journal are to advance and disseminate knowledge, promote research and foster the prevention of disease and injury. Specific topics of interest include: occupational disease; environmental disease; pesticides; cancer; occupational epidemiology; environmental epidemiology; disease surveillance systems; ergonomics; dust diseases; lead poisoning; neurotoxicology; endocrine disruptors.
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