ArticleInternational journal of biometeorology2019
Activity modification in heat: critical assessment of guidelines across athletic, occupational, and military settings in the USA.
Article in International journal of biometeorology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.
- Hyperthermia during open water swimming: risks, monitoring and mitigation strategies.European journal of applied physiology · 2025Pooled it
- Epidemiology of Exertional Heat Illness in the Military: A Systematic Review of Observational Studies.International journal of environmental research and public health · 2020Pooled it
- Sustainable solutions to mitigate occupational heat strain - an umbrella review of physiological effects and global health perspectives.Environmental health : a global access science source · 2020Pooled it
- Neck cooling, with or without menthol mouth rinse, improves repeated-shuttle sprint performance and perceived thermal strain in hijab-wearing female futsal players in hot-dry indoor conditions.European journal of applied physiology · 2026Trial
- Can We Protect Our Hearts by Sweating Out Excess Sodium?Exercise and sport sciences reviews · 2026Review
- The future of European outdoor summer sports through the lens of 50 years of the tour de France.Scientific reports · 2026Article
- The Fifth Hurricane Hazard: A Case Study of Heat Risks Faced by Disaster Relief Workers After Hurricane Beryl's Landfall.GeoHealth · 2025Article
- Evaluating Heat Risk: Comparing On-Site WBGT Measurements Versus Smartphone Application Estimates.GeoHealth · 2025Article
- Humidity's Role in Heat-Related Health Outcomes: A Heated Debate.Environmental health perspectives · 2023Article
- Universal Training Precautions: A Review of Evidence and Recommendations for Prevention of Exercise-Related Injury, Illness, and Death in Warfighters and Athletes.Journal of athletic training · 2023Review
- A History of Heat Health Management Policies in the Singapore Military.Healthcare (Basel, Switzerland) · 2023Article
- Increasing Health Risks During Outdoor Sports Due To Climate Change in Texas: Projections Versus Attitudes.GeoHealth · 2022Article
- Verifying Experimental Wet Bulb Globe Temperature Hindcasts Across the United States.GeoHealth · 2022Article
- Classic and exertional heatstroke.Nature reviews. Disease primers · 2022Review
- Exertional heat illnesses in marching band artists: a case series.International journal of biometeorology · 2021Article
- Heat Safety in the Workplace: Modified Delphi Consensus to Establish Strategies and Resources to Protect the US Workers.GeoHealth · 2021Article
- Enhanced intestinal permeability and intestinal co-morbidities in heat strain: A review and case for autodigestion.Temperature (Austin, Tex.) · 2021Review
- Health vs. wealth: Employer, employee and policy-maker perspectives on occupational heat stress across multiple European industries.Temperature (Austin, Tex.) · 2021Article
- Variations in Athlete Heat-Loss Potential Between Hot-Dry and Warm-Humid Environments at Equivalent Wet-Bulb Globe Temperature Thresholds.Journal of athletic training · 2020Article
- Exertional Heat Illness Preparedness Strategies: Environmental Monitoring Policies in United States High Schools.Medicina (Kaunas, Lithuania) · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
18 authors at 10 institutions in 2 countries.
Funding
Abstract
Exertional heat illness (EHI) risk is a serious concern among athletes, laborers, and warfighters. US Governing organizations have established various activity modification guidelines (AMGs) and other risk mitigation plans to help ensure the health and safety of their workers. The extent of metabolic heat production and heat gain that ensue from their work are the core reasons for EHI in the aforementioned population. Therefore, the major focus of AMGs in all settings is to modulate the work intensity and duration with additional modification in adjustable extrinsic risk factors (e.g., clothing, equipment) and intrinsic risk factors (e.g., heat acclimatization, fitness, hydration status). Future studies should continue to integrate more physiological (e.g., valid body fluid balance, internal body temperature) and biometeorological factors (e.g., cumulative heat stress) to the existing heat risk assessment models to reduce the assumptions and limitations in them. Future interagency collaboration to advance heat mitigation plans among physically active population is desired to maximize the existing resources and data to facilitate advancement in AMGs for environmental heat.
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What OpenQuestion holds
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.