Laboratory assessment of heat strain in female and male wildland firefighters

  1. Carballo Leyenda, Belén 1
  2. Gutiérrez Arroyo, Jorge 1
  3. Gerardo Villa Vicente, José 1
  4. García-Heras, Fabio 1
  5. Rodríguez Medina, Juan 1
  6. A Rodríguez-Marroyo, Jose 1
  1. 1 Universidad de León
    info
    Universidad de León

    León, España

    ROR https://ror.org/02tzt0b78

    Geographic location of the organization Universidad de León
Proceedings:
Cognitive Computing and Internet of Things

ISSN: 2771-0718

Year of publication: 2023

Type: Conference paper

DOI: 10.54941/AHFE1003976 SCOPUS: 2-s2.0-105031528445 GOOGLE SCHOLAR lock_openOpen access editor

Abstract

Wildland firefighters (WFF) face a set of specific work-related factors that directly affect their physical and cognitive abilities and compromise their health and safety. The working conditions include hard physical work and environmental conditions that combine high temperatures and high radiant heat. Such environments make using personal protective equipment (PPE) mandatory to protect them from risks. This fact restricts heat removal and adds extra weight, increasing thermal strain and the risk of heat-related illnesses on WFF. Since the number of females WFF has increased, it is necessary to study the repercussions of heat stress on this group. To date, it is not yet well-known whether sex-related differences in thermoregulation will be relevant when the individuals are wearing PPE and performing high physical effort in a hot environ-ment. Therefore, we aimed to investigate the physiological response when performing moderate to high-intensity effort in a hot-dry environment while wearing PPE accor-ding to sex. Twenty WFF 10 females [23.9 ± 3.2 yr, 163.8 ± 3.4 cm and 62.7 ± 9.1 kg] and 10 males [31.9 ± 6.6 yr, 178.8 ± 5.8 cm and 73.9 ± 7.7 kg]) performed a 125 min treadmill test in a controlled ambient (30◦ C and 30% relative humidity). The protocol consisted of two exercise stages where WFF performed different continuous and vari-able exercise bouts in order to mimic the effort performed during real deployments. Participants wore the full standard PPE during the test. Oxygen uptake (VO2 ), heart rate (HR), core temperature (CT) and chest temperature (SkT) were monitored throughout the test. HR and CT were used to calculate the physiological strain index (PSI). Differences in body mass pre-post trials corrected for fluid intake were used to calculate sweat production (SwP), sweating rate (SwR), and evaporative efficiency (EE). Differences (p < 0.05) between females and males were found in %VO2max (62.5 ± 7.4 vs 55.3 ± 5.), HR (155 ± 10 vs 134 ± 14 beats·min–1 ), % of maximal HR (81.3 ± 3.5 vs 42.3 ± 6.5), CT (38.0 ± 10 vs 37.7 ± 0.33◦ C), SkT (36.0 ± 0.6 vs 35.3 ± 0.6◦ C) and PSI (4.1 ± 0.5 vs 3.5 ± 0.6). Even though SwR was higher (p < 0.05) for male participants (1001.5 ± 268.3 ml) compared to females (647.5 ± 145.9 ml), females had higher EE (32.9 ± 4.6 vs 16.7 ± 6.2 %). In conclusion, performing high-intensity exercise in hot-dry conditions while wearing PPE leads to a higher thermal and cardiovascular load for female WFF, making them more susceptible to heat illness. These results could be linked to lower aerobic fitness, sweating rate, and hormonal aspects that increased the thermal burden.

Funding information

The authors would like to thank the volunteers for their generous participation in the study. This research was supported by the European Union\u2019s Horizon 2020 research and innovation program under grant agreement No 883315. The contents of this publication do not necessarily ref lect the position or opinion of the European Commission.

Bibliographic References

  • Anderson, C. A. J., Stewart, I. B., Stewart, K. L., Linnane, D. M., Patterson, M. J. and Hunt, A. P. (2022), “Sex-based differences in body core temperature response across repeat work bouts in the heat”, Applied Ergonomics, Elsevier Ltd, Vol. 98 No. September 2021, p. 103586, doi: 10.1016/j.apergo.2021.103586.
  • Barr, D., Gregson, W., Sutton, L. and Reilly, T. (2009), “A practical coo-ling strategy for reducing the physiological strain associated with firefighting activity in the heat”, Ergonomics, Vol. 52 No. 4, pp. 413–420, doi: 10.1080/00140130802707675.
  • Brotherhood, J. R. (2008), “Heat stress and strain in exercise and sport”, Journal of Science and Medicine in Sport, Vol. 11 No. 1, pp. 6–19, doi: 10.1016/j.jsams.2007.08.017.
  • Carballo-Leyenda, B., Villa, J. G., López-Satué, J. and Rodríguez-Marroyo, J. A. (2021), “Wildland firefighters’ thermal exposure in relation to suppression tasks”, International Journal of Wild land Fire, Vol. 30 No. 7, pp. 475–483, doi: 10.1071/WF20076.
  • Carballo-Leyenda, B., Villa, J. G., López-Satué, J., Collado, P. S. and Rodríguez-Marroyo, J. A. (2018), “Fractional contribution of wildland firefighters’ personal protective equipment on physiological strain”, Frontiers in Physiology, Vol. 9 No. AUG, pp. 1–10, doi: 10.3389/fphys.2018.01139.
  • Charkoudian, N. and Stachenfeld, N. (2016), “Sex hormone effects on autonomic mechanisms of thermoregulation in humans”, Autonomic Neuroscience, Elsevier B. V., Vol. 196, pp. 75–80, doi: 10.1016/j.autneu.2015.11.004.
  • Cuddy, J. S., Sol, J. A., Hailes, W. S. and Ruby, B. C. (2015), “Work patterns dictate energy demands and thermal strain during wildland firefighting.”, Wilderness & Environmental Medicine, Elsevier, Vol. 26 No. 2, pp. 221–6, doi: 10.1016/j.wem.2014.12.010.
  • Epstein, Y., Yanovich, R., Moran, D. S. and Heled, Y. (2013), “Physiological employment standards IV: Integration of women in combatunits physiological and medical considerations”, European Journal of Applied Physiology, Vol. 113 No. 11, pp. 2673–2690, doi: 10.1007/s00421-012-2558-7.
  • Gagnon, D. and Kenny, G. P. (2012a), “Sex differences in thermoeffector responses during exercise at fixed requirements for heat loss”, Journal of Applied Physiology, Vol. 113 No. 5, pp. 746–757, doi: 10.1152/japplphysiol.00637.2012.
  • Gagnon, D. and Kenny, G. P. (2012b), “Does sex have an independent effect on thermoeffector responses during exercise in the heat?”, The Journal of Physiology, Vol. 590 No. 23, pp. 5963–5973, doi: 10.1113/jphysiol.2012.240739.
  • Gagnon, D., Jay, O., Lemire, B. and Kenny, G. P. (2008), “Sex-related differences in evaporative heat loss: the importance of metabolic heat production”, European Journal of Applied Physiology, Vol. 104 No. 5, pp. 821–829, doi: 10.1007/s00421-008-0837-0.
  • Havenith, G. (2002), “Interaction of clothing and thermoregulation”, Exogenous Dermatology, Vol. 1 No. 5, pp. 221–230, doi: 10.1159/000068802.
  • Kof ler, P., Burtscher, M., Heinrich, D., Bottoni, G., Caven, B., Bechtold, T., Teresa Herten, A., et al. (2015), “Performance limitation and the role of core temperature when wearing light-weight workwear under moderate thermal conditions”, Journal of Thermal Biology, Vol. 47, pp. 83–90, doi: 10.1016/j.jtherbio.2014.11.007.
  • Larsen, B., Snow, R. and Aisbett, B. (2015), “Effect of heat on fire fighters’ work performance and physiology”, Journal of Thermal Biology, Elsevier, Vol. 53, pp. 1–8, doi: 10.1016/j.jtherbio.2015.07.008.
  • Murphy, M. M., Patton, J., Mello, R., Bidwell, T., & Harp, M. (2001). “Energy cost of physical task performance in men and women wearing chemical protective clothing”, Aviation, space, and environmental medicine, 72(1), 25–31.
  • Notley, S. R., Dervis, S., Poirier, M. P. and Kenny, G. P. (2019), “Menstrual cycle phase does not modulate whole body heat loss during exercise in hot, dry conditions”, Journal of Applied Physiology, Vol. 126 No. 2, pp. 286–293, doi: 10.1152/japplphysiol.00735.2018.
  • Notley, S. R., Park, J., Tagami, K., Ohnishi, N. and Taylor, N. A. S. (2017), “Variati-ons in body morphology explain sex differences in thermoeffector function during compensable heat stress”, Experimental Physiology, Vol. 102 No. 5, pp. 545–562, doi: 10.1113/EP086112.
  • Nunneley, S. A. (1989), “Heat stress in protective clothing. Interactions among physical and physiological factors.”, Scandinavian Journal of Work, Environment & Health, Vol. 15 Suppl 1 No. c, pp. 52–7.
  • Perroni, F., Cardinali, L., Cignitti, L., Gobbi, E., Grugni, F., Amatori, S., Rocchi, M. B. L., et al. (2021), “Are there sex differences in physiological parameters and reaction time responses to overload in firefighters?”, PLoS ONE, Vol. 16 No. 5 May, pp. 1–15, doi: 10.1371/journal.pone.0249559.
  • Petruzzello, S. J., Gapin, J. I., Snook, E. and Smith, D. L. (2009), “Perce-ptual and physiological heat strain: examination in firefighters in laboratory-and field-based studies.”, Ergonomics, Vol. 52 No. 6, pp. 747–754, doi: 10.1080/00140130802550216.
  • Renberg, J., Lignier, M. J., Wiggen, Ø. N., Færevik, H., Helgerud, J. and Sandsund, M. (2022), “Heat tolerance during uncompensable heat stress in men and women wearing firefighter personal protective equipment”, Applied Ergonomics, Elsevier Ltd, Vol. 101 No. February, p. 103702, doi: 10.1016/j.apergo.2022.103702.
  • Roberts, D., Gebhardt, D. L., Gaskill, S. E., Roy, T. C. and Sharp, M. A. (2016), “Cur-rent considerations related to physiological differences between the sexes and physical employment standards”, Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquee, Nutritionet Metabolisme, Vol. 41 No. 6, pp. S108–S120, doi: 10.1139/apnm-2015-0540.
  • Rodríguez-Marroyo, J. A., López-Satue, J., Pernía, R., Carballo, B., García-López, J., Foster, C. and Villa, J. G. (2012), “Physiological work demands of Spanish wildland firefighters during wild fire suppression”, International Arch-ives of Occupational and Environmental Health, Vol. 85 No. 2, pp. 221–228, doi: 10.1007/s00420-011-0661-4.
  • Sol, J. A., Ruby, B. C., Gaskill, S. E., Dumke, C. L. and Domitrovich, J. W. (2018), “Metabolic Demand of Hiking in Wildland Firefighting”, Wilderness and Environmental Medicine, doi: 10.1016/j.wem.2018.03.006.
  • Tikuisis, P., McLellan, T. M. and Selkirk, G. (2002), “Perceptual versus physiological heat strain during exercise-heat stress.”, Medicine and Science in Sports and Exe-rcise, Vol. 34 No. 9, pp. 1454–61, doi: 10.1249/01.mss.0000027764.43430.fe.
  • Yanovich, R., Evans, R., Israeli, E., Constantini, N., Sharvit, N., Merkel, D., Epstein, Y., et al. (2008), “Differences in Physical Fitness of Male and Female Recruits in Gender-Integrated Army Basic Training”, Medicine & Science in Sports & Exercise, Vol. 40 No. 11, pp. S654–S659, doi: 10.1249/MSS.0b013e3181893f30.
  • Yanovich, R., Ketko, I. and Charkoudian, N. (2020), “Sex differences in human thermo regulation: Relevance for 2020 and beyond”, Physiology, Vol. 35 No. 3, pp. 177–184, doi: 10.1152/physiol.00035.2019.