ReviewFrontiers in physiology2019
Heat Adaptation in Military Personnel: Mitigating Risk, Maximizing Performance.
Review in Frontiers in physiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 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
29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 83 citations in OpenAlex.
- Does climate change transform military medicine and defense medical support?Frontiers in public health · 2023Pooled it
- The Effect of Dietary Supplements on Endurance Exercise Performance and Core Temperature in Hot Environments: A Meta-analysis and Meta-regression.Sports medicine (Auckland, N.Z.) · 2021Pooled 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
- The effect of 8-day oral taurine supplementation on thermoregulation during low-intensity exercise at fixed heat production in hot conditions of incremental humidity.European journal of applied physiology · 2024Trial
- Extreme Temperatures, Physical Activity, and Adaptation.Journal of public economics · 2026Article
- Nutrition for Tactical Athletes: Insights, Applications and Research Gaps.Sports medicine (Auckland, N.Z.) · 2026Review
- Health outcomes and medical response during a military deployment in Iraq: a prospective observational study of morbidity, treatments, and evacuations.Sao Paulo medical journal = Revista paulista de medicina · 2026Observational
- 25 years of military load carriage.Experimental physiology · 2025Article
- Mitochondrial adaptations from heat acclimation - A narrative review.Journal of thermal biology · 2025Review
- Ramping up the Heat: Induction of Systemic and Pulmonary Immune Responses and Metabolic Adaptations in Mice.bioRxiv : the preprint server for biology · 2025Article
- Combined Active and Passive Isothermic Heating Leads to Similar Core Temperature Compared With Exercise Alone.Journal of athletic training · 2025Article
- Lessons Learned From Caring for Those in Harm's Way: Translating "Operational Readiness" to Civilian Medical Education.Journal of graduate medical education · 2024Article
- New York State Climate Impacts Assessment Chapter 07: Human Health and Safety.Annals of the New York Academy of Sciences · 2024Review
- Review
- N-terminal pro-brain natriuretic peptide - a significant biomarker of disease development and adverse prognosis in patients with exertional heat stroke.Military Medical Research · 2024Article
- Emotional, physiological, biochemical, and behavioral responses to acute stress and uncertainty in military personnel.PloS one · 2024Article
- Knowledge, Attitudes, and Practices of Military Personnel Regarding Heat-Related Illness.Cureus · 2023Article
- Are young military personnel at a disproportional risk of heat illness?BMJ military health · 2023Review
- Molecular biomarkers for assessing the heat-adapted phenotype: a narrative scoping review.The journal of physiological sciences : JPS · 2023Article
- A Systematic Review on Outcomes of Patients with Heatstroke and Heat Exhaustion.Open access emergency medicine : OAEM · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The study of heat adaptation in military personnel offers generalizable insights into a variety of sporting, recreational and occupational populations. Conversely, certain characteristics of military employment have few parallels in civilian life, such as the imperative to achieve mission objectives during deployed operations, the opportunity to undergo training and selection for elite units or the requirement to fulfill essential duties under prolonged thermal stress. In such settings, achieving peak individual performance can be critical to organizational success. Short-notice deployment to a hot operational or training environment, exposure to high intensity exercise and undertaking ceremonial duties during extreme weather may challenge the ability to protect personnel from excessive thermal strain, especially where heat adaptation is incomplete. Graded and progressive acclimatization can reduce morbidity substantially and impact on mortality rates, yet individual variation in adaptation has the potential to undermine empirical approaches. Incapacity under heat stress can present the military with medical, occupational and logistic challenges requiring dynamic risk stratification during initial and subsequent heat stress. Using data from large studies of military personnel observing traditional and more contemporary acclimatization practices, this review article (1) characterizes the physical challenges that military training and deployed operations present (2) considers how heat adaptation has been used to augment military performance under thermal stress and (3) identifies potential solutions to optimize the risk-performance paradigm, including those with broader relevance to other populations exposed to heat stress.
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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.