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hyslology

of PeaL
Cuesuons Lo onder
Corey's sLory vldeo quesuons
WhaL facLors aecL hyperLhermla?
Pow does your body respond acuLely Lo Lhe heaL?
Pow ls exerclse performance lmpacLed by Lhe heaL?
Pow does your body compensaLe for exerclse ln Lhe heaL?
Pow can you mlnlmlze Lhe negauves Lhrough
accllmauzauon, coollng and Lralnlng?
WhaL are heaL relaLed lllnesses and how do you prevenL
and/or LreaL Lhem?
hyslology of PeaL
M1: Corey CeLs PoL
M2: AcuLe 8esponses
M3: Lxerclse ln Lhe PeaL
M4: Corey's uaLa & Cuesuons
M3: Mlnlmlzlng Lhe negauves
Accllmauzauon, Coollng SLraLegles, 1ralnlng
M6: 8lsks, Consequences & racucal 1lps
Module 2 - AcuLe 8esponses
!"#$%&'
)'*+',-#",' .-$-&/'
0-/#1,2 -3'/4&5 6178 #'*+
91: 81" ,'2+1&7
;,%1,%4'2
8ody 1emperaLure 8alance
normal Core
1emperaLure =
37 C or 98.6 l PLA1 CAln
1) MeLabollc PeaL
2) LnvlronmenLal PeaL
- Conducuon
- Convecuon
- 8adlauon
PLA1 LCSS
- Conducuon
- Convecuon
- 8adlauon
- Lvaporauon
lacLors Aecung PyperLhermla
lacLors
PeaL producuon
(8M8, physlcal acuvlLy)
Clrcadlan rhyLhms
Age/Cender
8ody shape/Slze/8ody faL
PeaL lndex = 1emp/Pumld
LxLernal 1hermal Load =
1emp, humld, wlnd, solar
(W81C lndex)

^ Core 8ody
1emperaLure
(PyperLhermla?)

ModulaLors
LnvlronmenLal lacLors
(1emp, Pumld, Wlnd)
Pydrauon sLaLus
llLness, Accllmauzauon
CnS Modulauon
CloLhlng
urugs
Coollng sLraLegles
PeaL Lxposure - AcuLe 8esponse
! vasodllauon of skln
ArLerlovenous anasLamomoses
! Sweaung
! PearL raLe
! venulauon (anung?)
ConLrolled by
AnLerlor
PypoLhalamus
PeaL Loss SLraLegles
8esL Lxerclse 8ecovery
Lvaporauon
Convecuon
8adlauon
Conducuon
P
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L
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hoLo 8y Mlnghong [CC-8?-SA-3.0] vla Wlklmedla Commons
up nexL:
Module 3 - Lxerclse ln Lhe PeaL
Why ls lL so hard?
Module 3 - Lxerclse ln Lhe PeaL
!"#$%&'
<1&#,%6"4&5 0-/#1,2
)8+'2 1= >?',/%2'
<-,7%1@-2/"$-, ,'2+1&2'2
<-"2'2 1= =-45"'
AB1/-$ C <'&#,-$D
lnLenslLy vs. PeaL Caln
C
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1lme
l
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3
0
0
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au
s
223 waus
130 waus
100 waus
^ lnLenslLy = ^ meLabollc raLe = ^ heaL producuon
Pow hoL you geL for a glven work raLe depends on Lhe capaclLy of your heaL
dlsslpauon mechanlsms and Lhe envlronmenLal condluons
^ 1emperaLure vs erformance
Cf Muscle = Cood (C
10
), up Lo cerLaln polnL
Slngle sprlnL = 3 ^ per degree C

warm up*
Cf Core above 38 lmpalrs exerclse of:
40-80 vC
2
max of 1 hr or longer
near maxlmal for greaLer Lhan 3 mln
Maxlmal lsomeLrlc conLracuons
8epeaL sprlnL bouLs
Summary of daLa from: nybo, PyperLhermla and laugue, ! Appl hyslol 2008
vC
2
max ln Lhe PeaL
As core/skln LemperaLure drls up:
8lood shunLed Lo perlphery/skln
8rlngs heaL Lo surface
8lood pressure j
C
2
LransporL j Lo muscle (perlpheral faugue?)
P8 ^, lowers hearL ll ume (l1)
j preload, jl1 = jSv, j C & vC
2
max
1lme
P
e
a
r
L

8
a
L
e

SeL WL: 230 Waus
rolonged Lxerclse ln Lhe PeaL
Sv down, blood Lo muscles down
Sweaung lncreases - v j over ume
Compensauon = ^ P8 for glven submax WL
CeLs worse over ume (Cardlovascular url)
roblem: AL hlgh
workloads,
clrculaLory regulauon
can overrlde Lemp
regulauon causlng
vasoconsLrlcuon ln
perlphery - can lead
Lo Lhermal ln[ury
Cardlovascular url
laugue ln Lhe PeaL
vC
2
max: perlpheral faugue componenL
j muscle blood ow (C
2
, glyc, LA, lons)
rolonged conLracuon or endurance
= CenLral laugue
CnS lnvolvemenL
Crlucal 1emp around 40 C?
lmporLance of skln LemperaLure

laugue ln Lhe PeaL (Con'L)
With permission: Nybo L , and Nielsen B J Appl Physiol 2001;91:1055-1060
1he changes ln force durlng 2 mln of susLalned MvC wlLh Lhe
knee exLensors durlng hyperLhermla and conLrol condluons.
1lmlng of sprlnL vs endurance acuvlues
WhaL we know:
SprlnL performance ^ w/ warmer muscles
Lndurance j wlLh hlgh core LemperaLure
We are colder ln Lhe mornlng Lhan Lhe aernoon due
Lo clrcadlan rhyLhms
AmblenL LemperaLures are usually warmer ln Lhe
aernoon Lhan Lhe mornlng
1. WhaL do you Lhlnk Lhls all means for when sprlnLers vs.
endurance aLhleLes llke Lo compeLe?
2. WhaL's Lhe lmpacL for sprlnL evenLs LhaL have muluple
quallfylng heaLs LhroughouL Lhe day?
up nexL:
Module 4 - Corey's uaLa
Module 4 - Corey's uaLa
!"#$%&'
E"'241&2 F'*%&7',
9'-,# F-#' G-#-
)'*+',-#",' G-#-
<15&%4@' ;',=1,*-&/'
8emlnder: Corey's Cuesuons
Pow dld Corey's body cool down lf Lhe
room was warmer Lhan hls core
LemperaLure?
Why dld pumng hls hands ln cold
waLer help lower hls core LemperaLure
so much?
Why dld Corey's hearL raLe sLay
elevaLed well aer exerclse?
Corey's 1emperaLure uaLa
Corey's PearL 8aLe uaLa
1emperaLure &
Cognluve luncuon (Cl)
no decremenL for Corey
Cl surprlslngly well malnLalned
Ceneral 1rends:
lnlual rlse ln performance
Plgh level of adapLablllLy ln mlddle
lall o ln performance as Lhermal sLress ^
LlLher eecuve Lemp or durauon of exposure
Plgh Lhermal sLress compeLes for auenuon
uependenL on complexlLy/Lype of Lask
More complex
Less complex
1lme of Lxposure and/or 1emp.
C
o
g
.

e
r
f
o
r
m
.

Cl uecremenL
up nexL:
Module 3 - Mlnlmlzlng Lhe negauves
ln oLher words, whaL can we do abouL
all Lhese problems ln Lhe heaL?
Module 3 - Mlnlmlzlng Lhe negauves
!"#$%&'
H//$%*-4I-41&
<11$%&5 2#,-#'5%'2
),-%&%&5 %& #J' J'-#
PeaL Accllmauzauon
1akes abouL 1 week (4 days - 2 weeks)
Lxerclslng ln heaL wlll speed Lhe process
^ lasma volume (3-27)
^ SweaL ablllLy (3xs: > 2 l/hr)
^ SweaL dlsLrlbuuon
j SweaL Lhreshold (change hypoLhal seL pL)
j SweaL & urlne elecLrolyLes (more dlluLe)
noLe: llLness ln general lmproves heaL Lolerance
even lf Lralnlng was ln a cool envlronmenL
Coollng SLraLegles
lce vesLs, lce packs, mlsL fans, cold alr
Coollng hands, feeL, arms, legs, eLc.
recoollng- waLer lmmerslon

r
e
c
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l
l
n
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^ 1lme Lo 40 C
^ PeaL sLorage
j SweaL raLe
jCenLral faugue
^ Work
1ralnlng/Compeung ln Lhe PeaL
Ad[usL Lralnlng volume and lnLenslLy
8educe warm up
racuce race pace
MonlLor urlne color & body welghL
^ uld lnLake
SelecL approprlaLe cloLhlng
up nexL: Module 6 -
8lsk, Consequences and racucal 1lps
urugs?
!
Module 6 - 8lsks, Consequences and
racucal 1lps
!"#$%&'
G'J87,-41&
9'-# <,-*+2
9'-# >?J-"241&
9'-# K#,1L'
;,'@'&41&M),'-#*'&#
;,'5&-&/8
1hermal ulsLress (uehydrauon)
NO 1= .P Q R )J%,2#S *-86'
TUVO R H3'/#2 21*' +',=1,*-&/'
WO R G%2/1*=1,# X $'#J-,58
YO R G-&5',1"2 A2-$%@-4&5 2#1+2D
NWO R G'$%,%"*S 2J,%@'$'7 2L%&
TZO R G'-#J
2-3 uehydrauon & erformance by 1ype
Mlnlmal lmpacL:
Slngle sprlnL (oseL by lower wL?)
SLrengLh and balllsuc movemenLs
Accuracy & sklll
uecremenL ln performance:
Aeroblc/endurance
8epeaL sprlnLs
1eam sporLs (soccer, baskeLball, fooLball)
revenuon: uehydrauon vs. PyponaLremla
LllLe ALhleLes = 8lsk dehydrauon
8ecreauonal aLhleLes & ulLraevenLs = 8lsk hyponaLremla
Many guldellnes - common = avold > 2 8W loss
8ecommendauons:
24 hrs pre: loods, ulds LhaL ^ hydrauon (frulL, CPC, veggles)
2 hrs pre: lngesL 1-3 cups uld
uurlng: keep uld losses less Lhan 2
rlor Lo comp: racuce dlerenL workouLs ln dlerenL condluons
and measure nude body welghL changes
LvenLs > 1 hrs: LlecLrolyLe/CPC beverages every 13 mln
1hermal ulsLress (PeaL Cramps)
Cccur ln large muscles of legs, arms, and abdomen aer several
hours of sLrenuous exerclse (especlally ln heaL)
Can happen laLer when relaxlng or aL nlghL
osslble Causes:
uehydrauon
LlecLrolyLe lmbalance,
especlally na
+

laugue from excess work =
alLered neuromuscular conLrol
1hermal ulsLress (PeaL Cramps 2)
revenuon:
- roper hydrauon
- LlecLrolyLes
- Accllmauzauon
1reaLmenL:
- Cool place Lo resL
- CenLle sLreLchlng
- LlecLrolyLe drlnks

noLe: llrsL sympLom ln
specLrum of heaL lllnesses
1hermal ulsLress (PeaL Lxhausuon)
9'-# '?J-"241& (SLep 2 on heaL lllness conunuum)
rofuse sweaung, cool skln ln heaL, goose bumps
8apld + weak pulse, low 8 (can'L compensaLe for vasodllauon)
ulzzy, falnL, dlsorlenLed
Low 8, nausea, headache
uanger, uanger:
SLop all acuvlLy and resL
Move Lo a cooler place
urlnk cool waLer or sporLs drlnks
1hermal ulsLress (PeaL SLroke)
9'-# 2#,1L'[ Medlcal Lmergency!
no more sweaung (ln 30 of people)
Confuslon or unconsclousness
PoL + dry skln
^ P8 & breaLhlng
Core Lemp > 104 l (40C)
20 faLallLy raLe or predlsposed
Lo heaL sLroke ln fuLure
!"#$ &'"()* +',- ". /"0012 34)5 677889 :;<=>
PeaL lllness Conunuum
9'-#
<,-*+2
9'-#
>?J-"241&
9'-# K#,1L'
<,-*+2
;,1="2' 2:'-4&5
>?/'22%&5 #J%,2#
\-"2'-S J'-7-/J'S ,-+%7 9FS $1: .;
<J%$$2S 5112' 6"*+2
K:'-4&5 2#1+2S J1#M7,8 2L%&
<1&="2%1&S G%21,%'&#-41&
]&/1&2/%1"2&'22
F-+%7 ,%2' %& /1,' #'*+
<1*-S G'-#J
1reaLmenL - PeaL lllnesses
lnlual: 8esL, cool place, ulds wlLh elecLrolyLes
More serlous (wlLh above):
Lle person down ln cool area, elevaLe feeL
8emove excess cloLhlng
Cold compresses on face, neck, armplLs, groln
MlsL wlLh fan
Seek emergency medlcal help
8lggesL WeaLher klller ln u.S. "
PyperLhermla and regnancy
1he 8lsk: PyperLhermla of > 38.3 C (101 l) durlng
rsL 6 weeks of pregnancy puLs baby aL rlsk of a
neural Lube blrLh defecL
8e cauuous abouL:
PoL Lubes, very hoL baLhs
levers
rolonged and/or lnLense exerclse
See your physlclan lf you Lhlnk you've been
hyperLhermlc ln Lhe rsL LrlmesLer of pregnancy
CongraLulauons for nlshlng Lhe
hyslology of PeaL Secuon. We hope
you found Lhe lnformauon
lnLeresung and useful.

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