Evidence map›Paper›PMID 42545245›Full record

ArticleLa Medicina del lavoro2026

A Portable Heat-Exchange-Based System for Assessing Digital Vascular Response to Cold.

Carlotta Massotti, Paolo Bertoli, Marcella Mauro, Marco Tarabini, Angelo Tirabasso, Massimo Bovenzi

Abstract readValidation Study
In one paragraph

Article in La Medicina del lavoro, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Carlotta MassottiDepartment of Mechanical Engineering, Politecnico di Milano, Milan, Italy.
Paolo BertoliClinical Unit of Occupational Medicine, Department of Medical Sciences, University of Trieste, U.C.O. di Medicina del Lavoro, Trieste, Italy.
Marcella MauroClinical Unit of Occupational Medicine, Department of Medical Sciences, University of Trieste, U.C.O. di Medicina del Lavoro, Trieste, Italy.
Marco TarabiniDepartment of Mechanical Engineering, Politecnico di Milano, Milan, Italy.
Angelo TirabassoDepartment of Occupational and Environmental Medicine, Epidemiology and Hygiene, National Institute for Insurance Against Accidents at Work (INAIL), Monte Porzio Catone, Rome, Italy.
Massimo BovenziClinical Unit of Occupational Medicine, Department of Medical Sciences, University of Trieste, U.C.O. di Medicina del Lavoro, Trieste, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital vascular assessment is relevant in occupational medicine, but current measurement methods may be complex and poorly portable.

objectiveTo validate a portable heat-exchange-based system for assessing cold-induced digital vascular response, using strain-gauge plethysmography as the reference method.

methodsTwenty healthy volunteers, 10 males and 10 females, underwent five subsequent sessions. Finger blood flow (FBF) was assessed by strain-gauge plethysmography, while simultaneously, fingertip thermal power (TP) was recorded with a portable thermoflowmeter. FBF was measured at baseline, while both FBF and TP were measured during application of 1-N contact force alone and during 1-N force combined with local cooling at 10 °C. The relationship between TP and FBF, after adjustment for covariates (age, sex, body mass index (BMI), and room temperature), was evaluated in the cooled condition using a linear mixed model including fixed and random effects.

resultsLocal cooling induced a significant vascular response, with FBF decreasing from 1.23 to 0.98 ml/100 ml/s (p<0.0001). In the cooled-condition model, TP was significantly associated with FBF, with each 1 ml/100ml/s increase in FBF corresponding to a 39.6 mW increase in TP (p<0.0001). Under cooling, TP showed lower within-subject variability than FBF (wsCV ≈0.19 vs ≈0.64). BMI was positively associated with TP (4.40 mW per kg/m², p=0.007), whereas age and sex were not significant predictors.

conclusionsThese findings support the interpretation of TP as a perfusion-related thermal descriptor with potential applicability in occupational health surveillance. Further validation in subjects with digital vascular disorders is needed.

Indexed as

Cold TemperatureFingersAdultFemaleHot TemperatureHumansMalePlethysmographyRegional Blood FlowYoung Adult

Identifiers

PMID42545245
PMCPMC13510296

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