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Abstract

This investigation compared the effects of external pre-cooling and mid-exercise cooling methods on running time trial performance and associated physiological responses. Nine trained male runners completed familiarisation and three randomised 5 km running time trials on a non-motorised treadmill in the heat (33°C). The trials included pre-cooling by cold-water immersion (CWI), mid-exercise cooling by intermittent facial water spray (SPRAY), and a control of no cooling (CON). Temperature, cardiorespiratory, muscular activation, and perceptual responses were measured as well as blood concentrations of lactate and prolactin. Performance time was significantly faster with CWI (24.5 ± 2.8 min; P = 0.01) and SPRAY (24.6 ± 3.3 min; P = 0.01) compared to CON (25.2 ± 3.2 min). Both cooling strategies significantly (P < 0.05) reduced forehead temperatures and thermal sensation, and increased muscle activation. Only pre-cooling significantly lowered rectal temperature both pre-exercise (by 0.5 ± 0.3°C; P < 0.01) and throughout exercise, and reduced sweat rate (P < 0.05). Both cooling strategies improved performance by a similar magnitude, and are ergogenic for athletes. The observed physiological changes suggest some involvement of central and psychophysiological mechanisms of performance improvement.
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... Nine of the eleven included studies examined either the forehead or the face temperature. Six studies [12,46,[49][50][51]54] examined local perceptual sensations (thermal sensation and thermal discomfort). Face cooling, such as the effect of neck and head cooling on the neck and head regions, has the potential to greatly improve thermal sensation and alleviate thermal discomfort at the face. ...
... Face cooling, such as the effect of neck and head cooling on the neck and head regions, has the potential to greatly improve thermal sensation and alleviate thermal discomfort at the face. For physiological outcomes, although three studies [12,46,55] have suggested that face cooling appears to improve athletic performance in the heat (Table 3), the effect of face cooling on prolonged endurance performance needs further investigation. This is supported by the fact that face cooling only reduced RPE at the end of the stage [56]. ...
... Such small decrements of RPE may not be sufficiently large to elicit behavioral adaptation in highly trained subjects as their perceptual responses differ from those of the untrained population [57]. Stevens et al. [46] found that even in moderately trained subjects, face cooling improved the self-paced running speed for the first 2 km but was soon nullified thereafter. Nonetheless, intermittent face cooling significantly improved forehead temperatures, thermal sensation and muscle activation during the 5-km running time trial. ...
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It is well known that uncompensable heat stress greatly impairs endurance and team sport-related performance because an increase in the core temperature directly induces a greater magnitude of the central fatigue in the heat than in thermal neutral environments. Numerous studies have been conducted in an attempt to discover reliable cooling strategies for improving endurance performance and repeated sprint ability while exercising in the heat. Whole-body pre-cooling has been shown to improve endurance performance in both dry and humid heat. Despite this, the reduction in thermal perceptions associated with pre-cooling gradually narrows during intense exercise. Hence, effective per-cooling strategies to improve athletic performance in the heat are required. Unfortunately, due to practical issues, adopting pre-cooling approaches as a per-cooling (cooling during exercise) modality to improve athletic performance is impractical. Thus, we sought to examine the impact of head, neck and face cooling on athletic performance in heat. According to current evidence, cooling the head, neck and face reduced local skin temperature in the areas where cooling was applied, resulting in improved local perceptual sensations. In the heat, neck cooling during exercise improves athletic performance in both endurance and team sports athletes. Furthermore, from a practical standpoint, neck cooling is preferred over head, face and combined head/face and neck cooling for both endurance and team sport athletes in the heat. Nonetheless, for all athletes who have access to water, face cooling is a recommended cooling strategy. There is a lack of research on the systematic selection of per-cooling modalities to improve athletic performance based on environmental conditions and the nature of sports. In addition, powerful but portable head, neck and face cooling systems are urgently needed to assist athletes in improving their performance in hot conditions.
... Precooling with cold or iced water has been suggested to enhance performance or time to exhaustion in endurance events [15,16]. ...
... Urine samples were collected before and after the trial to detect the urine specific gravity using the digital handheld urine specific gravity refractometer (PAL-10S, ATAGO, Japan). In addition, nude body mass was measured using a digital weighing scale (AH100, Huawei, China; precision of 0.02 kg) before and after the trial, which was corrected for fluid ingestion, urine excretion, and blood removal to estimate sweat rate (L · h −1 ) via the following equation (Stevens et al., 2017b): ...
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This study aimed to investigate the effects of mixed-cooling strategies, which combines external (cooling vest + neck cooled collar) and internal cooling (cold sports drink ingestion) on measures of executive function during simulated tennis in hot/humid conditions. In a counterbalanced design (randomised order), eight males undertook two trials [one with the mixed-cooling strategy, (MCOOL condition) and another without (CON condition)] in a climate chamber (36.5°C, 50% relative humidity). All subjects completed an intermittent treadmill protocol simulating a three-set tennis match with a 90-second break during odd-numbered games and 120-second breaks between sets, in accordance with the activity profile and International Tennis Federation rules. The mixed-cooling strategies were adopted before test and break time during the simulated tennis match. Stroop task, 2-back task, More-odd shifting task, gastrointestinal temperature (Tgi), skin temperature, blood lactic acid (BLA), heart rate, urine specific gravity (USG), sweat rate (SR), thermal sensation (TS) and perceived exertion (RPE) were measured. Results showed that the mean exercise time was longer in the MCOOL condition than in the CON condition. The SR was greater in CON trial compared with that in MCOOL trial. Results of two-way analysis of variance with repeated measures revealed that time×condition interactions were significant in BLA, Stroop response time, and switch cost of the more-odd shifting task. There were main effects of condition for Tgi, HR, TS, RPE, BLA, Stroop response time, and switch cost of the more-odd shifting task. In a hot/wet environment, pre- and intermittent mixed-cooling strategies can significantly improve exercise time and measures of executive function of tennis players in a simulated tennis match.
... Pre-cooling may reduce the initial core temperature, allowing for more heat storage during exercise and delaying thermally-induced fatigue. Central mechanisms have also been proposed, in which afferent feedback from thermoreceptors signaling lower body temperatures and less central fatigue may allow for higher motor output through decreased electrical activity in the muscle (Stevens et al. 2016, Tyler et al. 2013. Furthermore, there have been lack studies that compare male and female responses to CWI as pre-cooling (Cheuvront and Haymes, 2001). ...
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Background: Maintaining internal body temperature is critical for the runner’s performance. The inability to reduce the rising temperature may result in hyperthermia and muscle fatigue. Pre-cooling may lower core temperature, allowing for greater heat storage during exercise and delaying thermally-induced fatigue, as well as increased motor output through decrease electrical activity by cooling the muscles. Furthermore, there have been lack studies that compare electrical activity in muscle between gender differences in response to prolonged exercise after pre-cooling. Objective: The purpose of this study to investigate the changes in electrical activity pre and post cold water immersion (CWI) in male and female recreational runners. Methods: This case involved 2 males and 2 females aged 20 years old who are physically active runner with normal-weight BMI. The outcome was measured using electromyography (EMG) which was carried out every 4 minutes while 1st and 2nd running sessions (16 minutes). Results: Male subjects' electrical activity (mV) decreased significantly between 8 to 16 minutes and 16 to 8 minutes (p=0.04, p0.05). But not in female subjects (p0.05). Conclusion: It can be concluded that CWI as pre-cooling had an effect of lowering the electrical activity level in the muscle during running in both genders.Keywords: electromyography, electrical activity, cold water immersion, gender, recreational runner
... The surface area of the human face and neck accounts for only 3.5% and 2% of an adult's total body surface area, respectively [21]. Cooling the face and neck has been widely used to improve athletic performance in the heat [22][23][24][25]. Neck cooling during exercise, in particular, has been shown to improve exercise performance in the heat [23,26,27]. ...
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Face and neck cooling has been found effective in improving thermal comfort during exercise in the heat despite the fact that the surface area of human face and neck regions accounts for only 5.5% of the entire body. Presently very little documented research has been conducted to investi-gate cooling the face and neck only to improve indoor thermal comfort. In this study, two highly energy efficient wearable face and neck cooling fans were used to improve occupant thermal comfort in two warm indoor conditions (30 & 32 °C). Local skin temperatures and perceptual re-sponses while using the two wearable cooling fans were examined and compared. Results showed that both cooling fans could significantly reduce local skin temperatures at the forehead, face and neck regions by up to 2.1 °C. Local thermal sensation votes at the face and neck were de-creased by 0.82-1.21 scale unit at the two studied temperatures. Overall TSVs decreased by 1.03-1.14 and 1.34-1.66 scale units at 30 and 32 °C temperatures, respectively. Both cooling fans could raise the acceptable HVAC temperature setpoint to 32.0 °C, resulting in a 45.7% energy saving over the baseline HVAC setpoint of 24.5 °C. Furthermore, occupants are advised to use the free-control cooling mode when using those two types of wearable cooling fans to improve ther-mal comfort. Finally, despite some issues on dry eyes and dry lips associated with those weara-ble cooling fans, it is concluded that those two highly energy-efficient wearable cooling fans could greatly improve thermal comfort and save HVAC energy.
Article
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Thesis
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The impact of environmental conditions on exercise performance in elite athletes has been explored extensively in the laboratory. Research is yet to determine the effect of the environment on performance in applied settings and novel non-thermally mediated ergogenic aids for endurance exercise in the heat have recently been proposed but are poorly understood and have not been tested in an endurance trained population. The studies in this thesis determined the effect of divergent environmental conditions on outdoor swimming performance in elite swimmers and the effect of paracetamol on the performance of trained triathletes during an endurance cycling bout in hot and humid conditions. There was no effect of the environmental conditions on the core temperature or performance of elite swimmers but skin temperature and thermal sensation differed between conditions. Paracetamol had no effect on endurance time trial performance and core and skin temperature, heart rate and thermal perception was unaffected during steady state and time trial cycling. Overall, the findings reiterate the importance of assessing thermal stress and ergogenic aids in ecologically valid settings using well planned applied study designs. Thermal stress was found to be specific to exercise mode, environmental conditions and exercise intensity and trained endurance athletes should continue to use thermally mediated pre- and per-cooling methods as non-thermally mediating ergogenic aids may not reduce core and skin temperature or thermal perception effectively during endurance exercise bouts.
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Sports performance testing is one of the most common and important measures used in sport science. Performance testing protocols must have high reliability to ensure any changes are not due to measurement error or inter-individual differences. High validity is also important to ensure test performance reflects true performance. Time-trial protocols commonly have a coefficient of variation (CV) of <5%, however, familiarization, well-trained subjects and/or conducting the trial outdoors in the athlete’s most familiar environment can lead to CVs of < 1%. Long duration time-trials or the inclusion of sprints within a time-trial appears to not negatively influence reliability. Few studies have assessed the validity of endurance performance tests, and as such more research should evaluate different ways of simulating outdoor performances in the laboratory. The use of warm-up, simulation of convection load, and implementation of race specific hydration practices are important considerations for researchers regarding test validity.
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The purpose of this study was to compare the effects of a cooling strategy designed to predominately lower thermal state with a strategy designed to lower thermal sensation on endurance running performance and physiology in the heat. Eleven moderately trained male runners completed familiarization and three randomized, crossover 5-km running time trials on a non-motorized treadmill in hot conditions (33 °C). The trials included ice slurry ingestion before exercise (ICE), menthol mouth rinse during exercise (MEN), and no intervention (CON). Running performance was significantly improved with MEN (25.3 ± 3.5 min; P = 0.01), but not ICE (26.3 ± 3.2 min; P = 0.45) when compared with CON (26.0 ± 3.4 min). Rectal temperature was significantly decreased with ICE (by 0.3 ± 0.2 °C; P < 0.01), which persisted for 2 km of the run and MEN significantly decreased perceived thermal sensation (between 4 and 5 km) and ventilation (between 1 and 2 km) during the time trial. End-exercise blood prolactin concentration was elevated with MEN compared with CON (by 25.1 ± 24.4 ng/mL; P = 0.02). The data demonstrate that a change in the perception of thermal sensation during exercise from menthol mouth rinse was associated with improved endurance running performance in the heat. Ice slurry ingestion reduced core temperature but did not decrease thermal sensation during exercise or improve running performance.
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Context: Cooling the body before exercise (precooling) has been studied as an ergogenic aid for many thermal conditions; however, airflow accompanying exercise is seldom reported. Objective: To determine whether the physiologic and ergogenic benefits of precooling before endurance exercise may be negated with semirealistic airflow in hot conditions. Design: Crossover study. Setting: Climate-controlled chamber in a research laboratory. Patients or other participants: Ten fit, healthy cyclists. Intervention(s): After a familiarization trial, participants completed 4 randomized, counterbalanced sessions consisting of no precooling versus precooling and no fan airflow versus airflow (~4.8 m/s) during exercise. Precooling was via chest-deep immersion (~24 °C) for 1 hour or until core temperature dropped 0.5 °C. Participants then cycled at 95% ventilatory threshold in a hot environment (temperature = 30 °C, relative humidity = 50%) until volitional exhaustion, core temperature reached >39.5 °C, or heart rate reached >95% of maximum. Main outcome measure(s): Thermal strain was assessed via core temperature (esophageal and rectal thermistors) and mean skin temperature (thermistors at 10 sites) and cardiovascular strain via heart rate and ratings of perceived exertion. Results: Endurance time (28 ± 12 minutes without precooling or airflow) increased by 30 ± 23 minutes with airflow (~109%; 95% confidence interval = 12, 45 minutes; P < .001) and by 16 ± 15 minutes with precooling (~61%; 95% confidence interval = 4, 25 minutes; P = .013), but it was not further extended when the strategies were combined (29 ± 21 minutes longer than control). During cycling without precooling or airflow, mean core and skin temperatures were higher than in all other trials. Precooling reduced heart rate by 7-11 beats/min during the first 5 minutes of exercise, but this attenuation ended by 15 minutes. Conclusions: Most laboratory-based precooling studies have (inadvertently) overestimated the extent of the physiologic and ergogenic benefits for typical athlete-endurance situations. Precooling increases work capacity effectively when airflow is restricted but may have little or no benefit when airflow is present.
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Exercise increases core body temperature (Tc), which is necessary to optimise physiological processes. However, excessive increase in Tc may impair performance and places participants at risk for the development of heat-related illnesses. Cooling is an effective strategy to attenuate the increase in Tc. This meta-analysis compares the effects of cooling before (precooling) and during exercise (percooling) on performance and physiological outcomes. A computerised literature search, citation tracking and hand search were performed up to May 2013. 28 studies met the inclusion criteria, which were trials that examined the effects of cooling strategies on exercise performance in men, while exercise was performed in the heat (>30°C). 20 studies used precooling, while 8 studies used percooling. The overall effect of precooling and percooling interventions on exercise performance was +6.7±0.9% (effect size (ES)=0.43). We found a comparable effect (p=0.82) of precooling (+5.7±1.0% (ES=0.44)) and percooling (+9.9±1.9% (ES=0.40)) to improve exercise performance. A lower finishing Tc was found in precooling (38.9°C) compared with control condition (39.1°C, p=0.03), while Tc was comparable between conditions in percooling studies. No correlation between Tc and performance was found. We found significant differences between cooling strategies, with a combination of multiple techniques being most effective for precooling (p<0.01) and ice vest for percooling (p=0.02). Cooling can significantly improve exercise performance in the heat. We found a comparable ES for precooling and percooling on exercise performance, while the type of cooling technique importantly impacts the effects. Precooling lowered the finishing core temperature, while there was no correlation between Tc and performance.
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Whole body precooling was hypothesized to reduce thermoregulatory and metabolic responses, thereby enhancing running time. Fourteen male runners completed two high-intensity running tests consisting of resting in 24 degrees C (normothermic condition; NC) or 5 degrees C (hypothermic condition; HC) for 30 min followed by 10–16 min of rest at 24 degrees C and then an exercise bout (24 degrees C) at 82% maximal aerobic capacity to exhaustion. Rectal temperature (Tre) before exercise was lower (by 0.37 degrees C; P < 0.005) and exercise duration was longer (by 121 +/- 24%; P < 0.05) in HC than in NC. Tre and mean skin (Tsk) and mean body (Tb) temperatures remained lower during HC (P < 0.01). Pre- and postexercise changes for Tsk, Tb, thermal gradient (Tre-Tsk), and heart rate (HR) were larger in HC than in NC (P < 0.05). Final Tre, Tre-Tsk, HR, and blood lactate were similar between HC and NC. During exercise, heat storage was greater (P < 0.01) in HC than in NC (173 +/- 46 and 143 +/- 38 W/m2, respectively) and subjects sweated more in NC than in HC (P < 0.01). O2 consumption was lower initially in HC than in NC (P < 0.05), but O2 pulse was not different. It was concluded that precooling results in greater exercise endurance with enhanced heat storage rate and less stress on metabolic and cardiovascular systems.
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ENVIRONMENTAL CONDITIONS, PARTICULARLY HEAT, CAN HAVE AN IMPACT ON PERFORMANCE. PRECOOLING AS A MEANS OF IMPROVING PERFORMANCE IN HOT AND HUMID ENVIRONMENTS HAS BECOME POPULAR IN BOTH TEAM AND ENDURANCE SPORTS. ALTHOUGH A VARIETY OF PRECOOLING METHODS HAVE BEEN RESEARCHED AND USED IN THE FIELD, THERE IS VERY LITTLE RESEARCH ON THE PRACTICALITIES OF USING THE VARIOUS COOLING METHODS WITH TEAMS OR INDIVIDUAL ATHLETES. THIS ARTICLE WILL DISCUSS THE PRACTICAL ASPECTS OF IMPLEMENTING A PRECOOLING REGIME.