Evidence map›Paper›PMID 38051495›Full record

SynthesisSports medicine (Auckland, N.Z.)2024

Quantifying Exercise Heat Acclimatisation in Athletes and Military Personnel: A Systematic Review and Meta-analysis.

Harry A Brown, Thomas H Topham, Brad Clark, Leonidas G Ioannou, Andreas D Flouris, James W Smallcombe, Richard D Telford, Ollie Jay, Julien D Périard

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Sports medicine (Auckland, N.Z.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
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

9 authors at 3 institutions in 2 countries.

Harry A BrownResearch Institute for Sport and Exercise (UCRISE), University of Canberra, Bruce, ACT, Australia.ORCID 0000-0003-3433-5151
Thomas H TophamResearch Institute for Sport and Exercise (UCRISE), University of Canberra, Bruce, ACT, Australia.ORCID 0000-0003-0780-379X
Brad ClarkResearch Institute for Sport and Exercise (UCRISE), University of Canberra, Bruce, ACT, Australia.ORCID 0000-0003-2277-0463
Leonidas G IoannouFAME Laboratory, Department of Physical Education and Sport Science, University of Thessaly, Trikala, Greece.ORCID 0000-0001-5460-8167
Andreas D FlourisFAME Laboratory, Department of Physical Education and Sport Science, University of Thessaly, Trikala, Greece.ORCID 0000-0002-9823-3915
James W SmallcombeFaculty of Medicine and Health, Heat and Health Research Incubator, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0002-0557-1537
Richard D TelfordResearch Institute for Sport and Exercise (UCRISE), University of Canberra, Bruce, ACT, Australia.ORCID 0000-0003-4485-9362
Ollie JayFaculty of Medicine and Health, Heat and Health Research Incubator, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0002-6076-6337
Julien D PériardResearch Institute for Sport and Exercise (UCRISE), University of Canberra, Bruce, ACT, Australia. Julien.Periard@canberra.edu.au.ORCID 0000-0002-6266-4246
University of Canberra · AUThe University of Sydney · AUUniversity of Thessaly · GR

Funding

National Health and Medical Research Council APP1162371
6 · The paper itself

Abstract

backgroundAthletes and military personnel are often expected to compete and work in hot and/or humid environments, where decrements in performance and an increased risk of exertional heat illness are prevalent. A physiological strategy for reducing the adverse effects of heat stress is to acclimatise to the heat.

objectiveThe aim of this systematic review was to quantify the effects of relocating to a hotter climate to undergo heat acclimatisation in athletes and military personnel. ELIGIBILITY CRITERIA: Studies investigating the effects of heat acclimatisation in non-acclimatised athletes and military personnel via relocation to a hot climate for < 6 weeks were included. DATA SOURCES: MEDLINE, SPORTDiscus, CINAHL Plus with Full Text and Scopus were searched from inception to June 2022. RISK OF BIAS: A modified version of the McMaster critical review form was utilised independently by two authors to assess the risk of bias. DATA SYNTHESIS: A Bayesian multi-level meta-analysis was conducted on five outcome measures, including resting core temperature and heart rate, the change in core temperature and heart rate during a heat response test and sweat rate. Wet-bulb globe temperature (WBGT), daily training duration and protocol length were used as predictor variables. Along with posterior means and 90% credible intervals (CrI), the probability of direction (Pd) was calculated.

resultsEighteen articles from twelve independent studies were included. Fourteen articles (nine studies) provided data for the meta-analyses. Whilst accounting for WBGT, daily training duration and protocol length, population estimates indicated a reduction in resting core temperature and heart rate of - 0.19 °C [90% CrI: - 0.41 to 0.05, Pd = 91%] and - 6 beats·min

conclusionsData from athletes and military personnel relocating to a hotter climate were consistent with a reduction in resting core temperature and heart rate, in addition to an attenuated rise in core temperature and heart rate during an exercise-based heat response test. An increase in sweat rate is also attainable, with the extent of these adaptations dependent on WBGT, daily training duration and protocol length. PROSPERO REGISTRATION: CRD42022337761.

Indexed as

AcclimatizationAthletesHeart RateHeat Stress DisordersHot TemperatureMilitary PersonnelSweatingBody TemperatureBody Temperature RegulationExerciseHumans

Identifiers

PMID38051495
OpenAlexW4389347518

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.