How should body heat storage be determined in humans: by thermometry or calorimetry?

The aim of this study was to determine whether in humans there are differences in the heat storage calculated by partitional calorimetry (S, the balance of heat gains and heat losses) compared to the heat storage obtained by conventional methods (thermometry) via either core temperature or mean body temperatures (Tb = 0.8Tc + 0.2Tsk, where Tc is core temperature and Tsk is mean skin temperature) when two different sites are used as an index of Tc [rectal (T(re)) and auditory canal (T(ac)) temperatures]. Since women respond to the heat differently than men, both sexes were studied. After a stabilisation period at thermal neutrality, six men and seven women were exposed to a globe temperature of 50 degrees C, relative humidity of 17% and wind speed of 0.8-1.0 m.s-1 for 90 min semi-nude at rest, where T(re), T(ac), Tsk, metabolic rate, dry (radiant + convective heat exchange) and evaporative heat losses, S, heat storage by Tc (STc) and heat storage by Tb (STb) were assessed every minute. In the mean, S was equal to 350.8(SEM 49.6) kJ whereas STc amounted to only 114.6(SEM 16.2) and 196.7(SEM 32.3) kJ for T(re) and T(ac), respectively (P less than 0.05). Final STb(re) underestimated S by 49% [177.7(SEM 23.0) kJ; P less than 0.05] whereas STb(ac) was not significantly different than S [255.7(SEM 37.9) kJ]. In the women, S corresponded to a total of 294.3(SEM 23.2) kJ, a value that was very similar to the STb(ac) [262.6(SEM 31.0) kJ], whereas STb(re) under-predicated S by 35% [190.4(SEM 26.3) kJ; P less than 0.05].(ABSTRACT TRUNCATED AT 250 WORDS)