Literature DB >> 33677693

The physiological strain index does not reliably identify individuals at risk of reaching a thermal tolerance limit.

Sarah L Davey1,2, Victoria Downie1,3, Katy Griggs1,4, George Havenith5.   

Abstract

PURPOSE: The physiological strain index (PSI) was developed to assess individuals' heat strain, yet evidence supporting its use to identify individuals at potential risk of reaching a thermal tolerance limit (TTL) is limited. The aim of this study was to assess whether PSI can identify individuals at risk of reaching a TTL.
METHODS: Fifteen females and 21 males undertook a total of 136 trials, each consisting of two 40-60 minute periods of treadmill walking separated by ~ 15 minutes rest, wearing permeable or impermeable clothing, in a range of climatic conditions. Heart rate (HR), skin temperature (Tsk), rectal temperature (Tre), temperature sensation (TS) and thermal comfort (TC) were measured throughout. Various forms of the PSI-index were assessed including the original PSI, PSIfixed, adaptive-PSI (aPSI) and a version comprised of a measure of heat storage (PSIHS). Final physiological and PSI values and their rate of change (ROC) over a trial and in the last 10 minutes of a trial were compared between trials completed (C, 101 trials) and those terminated prematurely (TTL, 35 trials).
RESULTS: Final PSIoriginal, PSIfixed, aPSI, PSIHS did not differ between TTL and C (p > 0.05). However, differences between TTL and C occurred in final Tsk, Tre-Tsk, TS, TC and ROC in PSIfixed, Tre, Tsk and HR (p < 0.05).
CONCLUSION: These results suggest the PSI, in the various forms, does not reliably identify individuals at imminent risk of reaching their TTL and its validity as a physiological safety index is therefore questionable. However, a physiological-perceptual strain index may provide a more valid measure.

Entities:  

Keywords:  Heat illness; Heat stress; Heat stress indices; Hyperthermia-induced fatigue; Physiological strain index; Thermal tolerance limit

Year:  2021        PMID: 33677693     DOI: 10.1007/s00421-021-04642-3

Source DB:  PubMed          Journal:  Eur J Appl Physiol        ISSN: 1439-6319            Impact factor:   3.078


  30 in total

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