Phillip O Bodurtha, MariaLena A Shaw, Andrew M Greenfield, Dina M Pitsas, Billie K Alba, John W Castellani, Catherine O'Brien, Afton D Seeley
{"title":"当在温和寒冷的空气中穿着湿衣服时,立即装载可以提高核心温度,但不能提高皮肤温度。","authors":"Phillip O Bodurtha, MariaLena A Shaw, Andrew M Greenfield, Dina M Pitsas, Billie K Alba, John W Castellani, Catherine O'Brien, Afton D Seeley","doi":"10.1177/10806032251376323","DOIUrl":null,"url":null,"abstract":"<p><p>IntroductionMembers of the military are regularly exposed to austere environmental conditions that may create clothing saturation in cold conditions. This study sought to determine whether immediate ruck initiation is superior in maintaining rectal temperature (<i>T<sub>re</sub></i>), improving skin temperatures, and augmenting thermal comfort compared with remaining static and/or delayed ruck initiation when wet in cold air.MethodsEleven healthy adults (10 males and 1 female, 26±9 y old, 22.5±8.6% body fat) participated in this study. Volunteers were immersed in warm water (34.0±0.3°C) before entering the cold chamber (5.3±0.4°C) and began immediately rucking (IR) or stood statically for 60 min (Static) before rucking (delayed rucking [DR]) for 60 min.ResultsIR initiation was superior in elevating <i>T<sub>re</sub></i> compared with Static at 20 min (37.6±0.4 vs 37.3±0.2°C, <i>P</i>=0.033), 40 min (37.9±0.4 vs 37.5±0.2°C, <i>P</i>=0.012), and 60 min (37.9±0.4 vs 37.6±0.3°C, <i>P</i>=0.016). IR <i>T<sub>re</sub></i> was also greater than DR at 40 min (37.9±0.4 vs 37.4±0.5°C, <i>P</i>=0.002) and 60 min of wet-cold exposure (37.9±0.4 vs 37.5±0.5°C, <i>P</i><0.001). Consequently, IR tended to improve thermal sensation ratings compared with both DR and Static. Yet, IR was no more sufficient in overcoming wet-cold decrements in skin temperatures than Static, especially at the finger (<i>P</i>>0.05).ConclusionsCompared with DR and Static, IR is effective at elevating deep body temperature and improving thermal perceptions but is significantly less effective at improving wet-cold skin temperatures compared with Static.</p>","PeriodicalId":49360,"journal":{"name":"Wilderness & Environmental Medicine","volume":" ","pages":"10806032251376323"},"PeriodicalIF":1.1000,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Immediate Load Carriage Improves Core Temperature but Not Skin Temperatures When Wearing Wet Clothing in Mild Cold Air.\",\"authors\":\"Phillip O Bodurtha, MariaLena A Shaw, Andrew M Greenfield, Dina M Pitsas, Billie K Alba, John W Castellani, Catherine O'Brien, Afton D Seeley\",\"doi\":\"10.1177/10806032251376323\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>IntroductionMembers of the military are regularly exposed to austere environmental conditions that may create clothing saturation in cold conditions. This study sought to determine whether immediate ruck initiation is superior in maintaining rectal temperature (<i>T<sub>re</sub></i>), improving skin temperatures, and augmenting thermal comfort compared with remaining static and/or delayed ruck initiation when wet in cold air.MethodsEleven healthy adults (10 males and 1 female, 26±9 y old, 22.5±8.6% body fat) participated in this study. Volunteers were immersed in warm water (34.0±0.3°C) before entering the cold chamber (5.3±0.4°C) and began immediately rucking (IR) or stood statically for 60 min (Static) before rucking (delayed rucking [DR]) for 60 min.ResultsIR initiation was superior in elevating <i>T<sub>re</sub></i> compared with Static at 20 min (37.6±0.4 vs 37.3±0.2°C, <i>P</i>=0.033), 40 min (37.9±0.4 vs 37.5±0.2°C, <i>P</i>=0.012), and 60 min (37.9±0.4 vs 37.6±0.3°C, <i>P</i>=0.016). IR <i>T<sub>re</sub></i> was also greater than DR at 40 min (37.9±0.4 vs 37.4±0.5°C, <i>P</i>=0.002) and 60 min of wet-cold exposure (37.9±0.4 vs 37.5±0.5°C, <i>P</i><0.001). Consequently, IR tended to improve thermal sensation ratings compared with both DR and Static. Yet, IR was no more sufficient in overcoming wet-cold decrements in skin temperatures than Static, especially at the finger (<i>P</i>>0.05).ConclusionsCompared with DR and Static, IR is effective at elevating deep body temperature and improving thermal perceptions but is significantly less effective at improving wet-cold skin temperatures compared with Static.</p>\",\"PeriodicalId\":49360,\"journal\":{\"name\":\"Wilderness & Environmental Medicine\",\"volume\":\" \",\"pages\":\"10806032251376323\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-09-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Wilderness & Environmental Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/10806032251376323\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Wilderness & Environmental Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10806032251376323","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
军队成员经常暴露在恶劣的环境条件下,在寒冷的条件下可能会造成衣服饱和。本研究试图确定在潮湿的冷空气中,与保持静止和/或延迟起肛相比,立即起肛是否在保持直肠温度(Tre)、改善皮肤温度和增加热舒适方面更优越。方法健康成人10例,男1例,女1例,年龄26±9岁,体脂22.5±8.6%。在进入冷室(5.3±0.4°C)之前,将志愿者浸泡在温水(34.0±0.3°C)中,立即开始摇床(IR)或在摇床(延迟摇床[DR])前静立60分钟(Static)。结果sir起始在20 min(37.6±0.4 vs 37.3±0.2°C, P=0.033)、40 min(37.9±0.4 vs 37.5±0.2°C, P=0.012)和60 min(37.9±0.4 vs 37.6±0.3°C, P=0.016)时升高Tre优于Static。在40 min(37.9±0.4 vs 37.4±0.5°C, P=0.002)和60 min湿冷暴露(37.9±0.4 vs 37.5±0.5°C, PP>0.05)时,IR Tre也大于DR。结论与DR和Static相比,IR在提高深部体温和改善热感觉方面有效,但在改善湿冷皮肤温度方面的效果明显低于Static。
Immediate Load Carriage Improves Core Temperature but Not Skin Temperatures When Wearing Wet Clothing in Mild Cold Air.
IntroductionMembers of the military are regularly exposed to austere environmental conditions that may create clothing saturation in cold conditions. This study sought to determine whether immediate ruck initiation is superior in maintaining rectal temperature (Tre), improving skin temperatures, and augmenting thermal comfort compared with remaining static and/or delayed ruck initiation when wet in cold air.MethodsEleven healthy adults (10 males and 1 female, 26±9 y old, 22.5±8.6% body fat) participated in this study. Volunteers were immersed in warm water (34.0±0.3°C) before entering the cold chamber (5.3±0.4°C) and began immediately rucking (IR) or stood statically for 60 min (Static) before rucking (delayed rucking [DR]) for 60 min.ResultsIR initiation was superior in elevating Tre compared with Static at 20 min (37.6±0.4 vs 37.3±0.2°C, P=0.033), 40 min (37.9±0.4 vs 37.5±0.2°C, P=0.012), and 60 min (37.9±0.4 vs 37.6±0.3°C, P=0.016). IR Tre was also greater than DR at 40 min (37.9±0.4 vs 37.4±0.5°C, P=0.002) and 60 min of wet-cold exposure (37.9±0.4 vs 37.5±0.5°C, P<0.001). Consequently, IR tended to improve thermal sensation ratings compared with both DR and Static. Yet, IR was no more sufficient in overcoming wet-cold decrements in skin temperatures than Static, especially at the finger (P>0.05).ConclusionsCompared with DR and Static, IR is effective at elevating deep body temperature and improving thermal perceptions but is significantly less effective at improving wet-cold skin temperatures compared with Static.
期刊介绍:
Wilderness & Environmental Medicine, the official journal of the Wilderness Medical Society, is the leading journal for physicians practicing medicine in austere environments. This quarterly journal features articles on all aspects of wilderness medicine, including high altitude and climbing, cold- and heat-related phenomena, natural environmental disasters, immersion and near-drowning, diving, and barotrauma, hazardous plants/animals/insects/marine animals, animal attacks, search and rescue, ethical and legal issues, aeromedial transport, survival physiology, medicine in remote environments, travel medicine, operational medicine, and wilderness trauma management. It presents original research and clinical reports from scientists and practitioners around the globe. WEM invites submissions from authors who want to take advantage of our established publication''s unique scope, wide readership, and international recognition in the field of wilderness medicine. Its readership is a diverse group of medical and outdoor professionals who choose WEM as their primary wilderness medical resource.