Evidence map›Paper›PMID 22488284›Full record

Trial reportJournal of athletic training

Heat stress and cardiovascular, hormonal, and heat shock proteins in humans.

Masaki Iguchi, Andrew E Littmann, Shuo-Hsiu Chang, Lydia A Wester, Jane S Knipper, Richard K Shields

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of athletic training. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04089410 (Direct and Cross Effects of Adaptation to Systemic Hyperthermia), which is not on this map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04089410 nacompletednot on this map

Direct and Cross Effects of Adaptation to Systemic Hyperthermia: Impact on Quality of Life, Neurohormonal and Psychophysiological Human Status

TypeinterventionalSponsorI.M. Sechenov First Moscow State Medical UniversityRan2019 to 2019Enrolled67ConditionsHypoxia, Altitude, Exercise Tolerance, Metabolic Disturbance, Quality of LifeArmsHyperthermic Fitness Treatment (HFT), Placebo Hyperthermic Fitness Treatment, Physical Examination, Assessment of Cardiorespiratory Fitness, Autonomic Balance, Orthostatic and Hypoxic tolerance
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 98 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. A Single Sauna Session Does Not Improve Postprandial Blood Glucose Handling in Individuals with Type 2 Diabetes Mellitus: A Cross-Over, Randomized, Controlled Trial.Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association · 2024
    Trial
  4. Heat therapy promotes the expression of angiogenic regulators in human skeletal muscle.American journal of physiology. Regulatory, integrative and comparative physiology · 2016
    Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Effects of Thermal Environment on Bone Microenvironment: A Narrative Review.International journal of molecular sciences · 2025
    Review
  14. Review
  15. Plasma epinephrine and norepinephrine responses to extreme heat exposures in young and older adults.American journal of physiology. Regulatory, integrative and comparative physiology · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Masaki IguchiPhysical Therapy and Rehabilitation Science Department, University of Iowa, Iowa City, USA.
Andrew E Littmann
Shuo-Hsiu Chang
Lydia A Wester
Jane S Knipper
Richard K Shields
University of Iowa · USThe University of Texas Health Science Center at Houston · USUniversity of Iowa Hospitals and Clinics · US

Funding

Mechanical stress and skeletal plasticity after spinal cord injury in humansR01HD062507 · NICHD · UNIVERSITY OF IOWA · PI SHIELDS, RICHARD K. · 2010 to 2014
$1.5M
NICHD NIH HHS R01 HD062507
6 · The paper itself

Abstract

contextConditions such as osteoarthritis, obesity, and spinal cord injury limit the ability of patients to exercise, preventing them from experiencing many well-documented physiologic stressors. Recent evidence indicates that some of these stressors might derive from exercise-induced body temperature increases.

objectiveTo determine whether whole-body heat stress without exercise triggers cardiovascular, hormonal, and extracellular protein responses of exercise.

designRandomized controlled trial.

settingUniversity research laboratory. PATIENTS OR OTHER

participantsTwenty-five young, healthy adults (13 men, 12 women; age = 22.1 ± 2.4 years, height = 175.2 ± 11.6 cm, mass = 69.4 ± 14.8 kg, body mass index = 22.6 ± 4.0) volunteered. INTERVENTION(S): Participants sat in a heat stress chamber with heat (73°C) and without heat (26°C) stress for 30 minutes on separate days. We obtained blood samples from a subset of 13 participants (7 men, 6 women) before and after exposure to heat stress. MAIN OUTCOME MEASURE(S): Extracellular heat shock protein (HSP72) and catecholamine plasma concentration, heart rate, blood pressure, and heat perception.

resultsAfter 30 minutes of heat stress, body temperature measured via rectal sensor increased by 0.8°C. Heart rate increased linearly to 131.4 ± 22.4 beats per minute (F₆,₂₄ = 186, P < .001) and systolic and diastolic blood pressure decreased by 16 mm Hg (F₆,₂₄ = 10.1, P < .001) and 5 mm Hg (F₆,₂₄ = 5.4, P < .001), respectively. Norepinephrine (F₁,₁₂ = 12.1, P = .004) and prolactin (F₁,₁₂ = 30.2, P < .001) increased in the plasma (58% and 285%, respectively) (P < .05). The HSP72 (F₁,₁₂ = 44.7, P < .001) level increased with heat stress by 48.7% ± 53.9%. No cardiovascular or blood variables showed changes during the control trials (quiet sitting in the heat chamber with no heat stress), resulting in differences between heat and control trials.

conclusionsWe found that whole-body heat stress triggers some of the physiologic responses observed with exercise. Future studies are necessary to investigate whether carefully prescribed heat stress constitutes a method to augment or supplement exercise.

Indexed as

Body TemperatureHeat-Shock ResponseHot TemperatureBlood PressureEpinephrineExerciseFemaleHeart RateHSP72 Heat-Shock ProteinsHumansMaleNorepinephrinePainProlactinYoung AdultEpinephrineHSP72 Heat-Shock ProteinsNorepinephrineProlactin

Identifiers

PMID22488284
PMCPMC3418130
OpenAlexW176799004

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.