Methods of evaluating protective clothing relative to heat and cold stress: Thermal manikin, biomedical modeling, and human testing

Journal of Occupational and Environmental Hygiene

Volumn 8, Issue 10, 2011, Pages 588-599

  O'Brien, Catherine ^a   Blanchard, Laurie A ^a   Cadarette, Bruce S ^a   Endrusick, Thomas L ^a   Xu, Xiaojiang ^a   Berglund, Larry G ^a   Sawka, Michael N ^a   Hoyt, Reed W ^a  

^a U S ARMY RESEARCH INSTITUTE OF ENVIRONMENTAL MEDICINE   (United States)

Author keywords

health hazard assessment; thermal strain; thermoregulation

Indexed keywords

ACCLIMATIZATION; ARTICLE; BODY TEMPERATURE; COLD; EVALUATION; HEAT; HUMAN; OCCUPATIONAL EXPOSURE; PHYSIOLOGICAL STRESS; PROTECTIVE CLOTHING;

ACCLIMATIZATION; BODY TEMPERATURE; COLD TEMPERATURE; HOT TEMPERATURE; HUMANS; OCCUPATIONAL EXPOSURE; PROTECTIVE CLOTHING; STRESS, PHYSIOLOGICAL;

EID: 80053323478     PISSN: 15459624     EISSN: 15459632     Source Type: Journal    
DOI: 10.1080/15459624.2011.613291     Document Type: Article

References (69)

1. Muza, S.R., L.E. Banderet, and B.S. Cadarette: Protective uniforms for nuclear, biological, and chemical warfare: Metabolic, thermal, respiratory, and psychological issues. In Medical Aspects of Harsh Environments, K.B. Pandolf and R.E. Burr (eds.). Washington, D.C.: Borden Institute, 2002. pp. 1095-1138.
2. Patton, J.F., T.E. Bidwell, M.M. Murphy, et al.: Energy cost of wearing chemical protective clothing during progressive treadmill walking. Aviat. Space Environ. Med. 66:238-242 (1995).
3. Montain, S.J., M.N. Sawka, B.S. Cadarette, et al.: Physiological tolerance to uncompensable heat stress: Effects of exercise intensity, protective clothing, and climate. J. Appl. Physiol. 77:216-222 (1994). (Pubitemid 24226138)
4. Cortili, G., P. Mognoni, and F. Saibene: Work tolerance and physiological responses to thermal environment wearing protective NBC clothing. Ergonomics 39:620-633 (1996). (Pubitemid 26121715)
5. Young, A.J., C. O'Brien, M.N. Sawka, et al.: Physiological problems associated with wearing NBC protective clothing during cold weather. Aviat. Space Environ. Med. 71:184-189 (2000). (Pubitemid 30070833)
6. Bratt, G.M., T.A. Kluchinsky, P. Coady, et al.: The Army health hazard assessment program's medical cost-avoidance model. Am. J. Prev. Med. 38:S34-S41 (2010).
7. U.S. Department of the Army: Heat Stress Control and Heat Casualty Management (TB MED 507). Washington, D.C.: Headquarters, Department of the Army and Air Force, 2003.
8. U.S. Department of the Army: Prevention and Management of Cold-Weather Injuries (TB MED 508). Washington, D.C.: Department of the Army, 2005.
9. Gonzalez, R.R.: Biophysics of heat transfer and clothing considerations. In Human Performance Physiology and Environmental Medicine at Terrestrial Extremes, K.B. Pandolf, M.N. Sawka, and R.R. Gonzalez (eds.). Indianapolis, Ind.: Benchmark Press, 1988. pp. 45-95.
10. Gonzalez, R.R., C.A. Levell, L.A. Stroschein, et al.: Copper Manikin and Heat Strain Model Evaluations of Chemical Protective Ensembles for the Technical Cooperation Program (TTCP) (T94-4). Natick, Mass.: U.S. Army Research Institute of Environmental Medicine, 1993.
11. Gibson, P., M. Auerbach, J. Giblo, et al.: Interlaboratory evaluation of a new sweating guarded hot plate test method. J. Bldg. Physics 18:182-200 (1994).
12. International Organization for Standardization (ISO): Textiles-Physiological Effects-Measurement of Thermal and Water-Vapour Resistance Under Steady-State Conditions (Sweating Guarded-Hotplate Test) (ISO 11092:1993) [Standard] Geneva: 1993.
13. McCullough, E.A.: Factors affecting the resistance to heat transfer provided by clothing. J. Therm. Biol. 18:405-407 (1993). (Pubitemid 223039027)
14. American Society of Testing and Materials International (ASTM): Standard Test Method for Measuring the Evaporative Resistance of Clothing Using a Sweating Manikin (ASTM F2370-10). [Standard] Philadelphia, Pa.: ASTM, 2010.
15. American Society of Testing and Materials International (ASTM): Standard Test Method for Measuring the Thermal Insulation of Clothing Using a Heated Manikin (ASTM F1291-10). [Standard] Philadelphia, Pa.: ASTM, 2010.
16. Breckenridge, J.R.: Effects of body motion on convective and evaporative heat exchanges through clothing. In Clothing Comfort: Interaction of Thermal, Ventilation, Construction, and Assessment Factors, N.R.S. Hollis and R.F. Goldman (eds.). Ann Arbor, Mich.: The Fiber Society, 1977. pp. 153-166.
17. Woodcock, A.H.: Moisture Permeability Index, a New Index for Describing Evaporative Heat Transfer Through Fabric Systems (EP-149). Natick, Mass.: Quartermaster Research and Engineering Command, 1961.
18. Woodcock, A.H.: Moisture transfer in textile systems. Part I. Text. Res. J. 32:628-633 (1962).
19. Woodcock, A.H., and J.R. Breckenridge: A model description of thermal exchange for the nude man in hot environments. Ergonomics 8:223-235 (1965).
20. Gonzalez, R.R., L.A. Stroschein, C.A. Levell, et al.: Relative Applications of Integrating Environment, Clothing and Personal Equipment on Military Operations. Natick, Mass.: U.S. Army Research Institute of Environmental Medicine, 1989. pp. 38-198.
21. Gonzalez, R.R., T.M. McClellan, W.R. Withey, et al.: Heat strain models applicable for protective clothing systems: Comparison of core temperature response. J. Appl. Physiol. 83:1017-1032 (1997). (Pubitemid 27392323)
22. Sawka, M.N.: Physiological consequences of hypohydration: Exercise performance and thermoregulation. Med. Sci. Sports Exerc. 24:657-670 (1992).
23. Xu, X., and J. Werner: A dynamic model of the human/clothing/environment- system. Appl. Hum. Sci. 16:61-75 (1997).
24. Gonzalez, R.R.: SCENARIO revisited: Comparisons of operational and rational models in predicting human responses to the environment. J. Therm. Biol. 29: 515-527 (2004). (Pubitemid 39311176)
25. Kraning, K.K., and R.R. Gonzalez: A mechanistic computer simulation of human work in heat that accounts for physical and physiological effects of clothing, aerobic fitness and progressive dehydration. J. Therm. Biol. 22:331-342 (1997). (Pubitemid 28034876)
26. Xu, X., M. Amin, and W.R. Santee: Probability of Survival Decision Aid (PSDA) (T08-05). Natick, Mass.: U.S. Army Research Institute of Environmental Medicine, 2008.
27. Xu, X., W.R. Santee, G.G. Giesbrecht, et al.: Prediction of Manual Performance During Cold Exposure. SAE Transactions, J. Aerospace 113:564-567 (2004).
28. Xu, X., W.R. Santee, L.G. Berglund, et al.: Theoretical analysis of extremity immersion cooling for brain temperature management. In Hypothermia for Acute Brain Damage, N. Hayashi et al. (eds.). Tokyo: Hypothermia for Acute Brain Damage, 2004. pp. 98-101.
29. Xu, X., T.L. Endrusick, W.R. Santee, et al.: Simulation of toe thermal responses to cold exposure while wearing protective footwear. SAE Transactions, J. Aerospace 114:2860-2864 (2006).
30. Cadarette, B.S., S.N. Cheuvront, M.A. Kolka, et al.: Intermittent microclimate cooling during exercise-heat stress in chemical protective clothing. Ergonomics 49:209-219 (2006). (Pubitemid 43250536)
31. Cadarette, B.S., L. Levine, and S.B. Robinson: Physiological Responses to Heat Stress in the Joint Protective Aircrew Ensemble (JPACE) Coverall with Varied Protective Equipment (T07-02). Natick, Mass.: U.S. Army Research Institute of Environmental Medicine, 2006.
32. Wenger, C.B.: Human adaptation to hot environments. In Medical Aspects of Harsh Environments, K.B. Pandolf and R.E. Burr (eds.). Washington, DC: Borden Institute, 2001. pp. 51-86.
33. Sawka, M.N., and C.B. Wenger: Physiological responses to acute exercise-heat stress. In Human Performance Physiology and Environmental Medicine at Terrestrial Extremes, K.B. Pandolf and R.E. Burr (eds.). Indianapolis, Ind.: Benchmark Press, Inc., 1988. pp. 97-151.
34. Sawka, M.N., and E.F. Coyle: Influence of body water and blood volume on thermoregulation and exercise performance in the heat. Exerc. Sport Sci. Rev. 27:167-218 (1999).
35. Sawka, M.N., S.J. Montain, and W.A. Latzka: Hydration effects on thermoregulation and performance in the heat. Comp. Biochem. Physiol. 128:679-690 (2001). (Pubitemid 32244452)
36. Stephens, D.P., K. Aoki, W.A. Kosiba, et al.: Nonnoradrenergic mechanism of reflex cutaneous vasoconstriction in men. Am. J. Physiol. 280:H1496-H1504 (2001).
37. Hoffman, R.G.: Human psychological performance in cold environments. In Medical Aspects of Harsh Environments, K.B. Pandolf et al. (eds.) Washington, D.C.: Borden Institute, 2001. pp. 383-410.
38. Daanen, H.A.M.: Finger cold-induced vasodilation: A review. Eur. J. Appl. Physiol. 89:411-426 (2003). (Pubitemid 36805998)
39. O'Brien, C.: Reproducibility of the cold-induced vasodilation response in the human finger. J. Appl. Physiol. 98:1334-1340 (2005). (Pubitemid 40396508)
40. Pozos, R.S. and D.F. Danzl: Human physiological responses to cold stress and hypothermia. In Medical Aspects of Harsh Environments, K.B. Pandolf and R.E. Burr (eds.). Washington, D.C.: Borden Institute, 2001. pp. 351-382.
41. American Society of Testing and Materials International (ASTM): Standard Practice for Determining the Physiological Responses of the Wearer to Protective Clothing Ensembles (ASTM F2668-07). [Standard] Philadelphia, Pa.: ASTM 2007.
42. Cohen, J.: Statistical Power Analysis for the Behavioral Sciences. New York: Academic Press, 1969.
43. Sawka, M.N., and K.B. Pandolf: Physical exercise in hot climates: Physiology, performance, and biomedical issues. In Medical Aspects of Harsh Environments, K.B. Pandolf and R.E. Burr (eds.). Washington, D.C.: Borden Institute, 2001. pp. 87-133.
44. Pandolf, K.B.: Time course of heat acclimation and its decay. Int. J. Sports Med. 19:S157-S180 (1998).
45. Robinson, S., E.S. Turrell, H.S. Belding, et al.: Rapid acclimatization to work in hot climates. Am. J. Physiol. 140:168-176 (1943).
46. Young, A.J.: Homeostatic responses to prolonged cold exposure: Human cold acclimatization. In Handbook of Physiology, Environmental Physiology, M.J. Fregly and C.M. Blatteis (eds.). Bethesda, Md.: American Physiological Society, 1996. pp. 419-438.
47. O'Brien, C., A.J. Young, and M.N. Sawka: Hypohydration and thermoregulation in cold air. J. Appl. Physiol. 84:185-189 (1998). (Pubitemid 28065127)
48. Cheuvront, S.N., R. Carter, J.W. Castellani, et al.: Hypohydration impairs endurance exercise performance in temperate but not cold air. J. Appl. Physiol. 99:1972-1976 (2005). (Pubitemid 41547199)
49. Kenefick, R.W., N.V. Mahood, M.P. Hazzard, et al.: Hypohydration effects on thermoregulation during moderate exercise in the cold. Eur. J. Appl. Physiol. 92:565-570 (2004). (Pubitemid 39248371)
50. American College of Sports Medicine: Guidelines for Exercise Testing and Prescription. Philadelphia, Pa.: Lippincott, Williams and Wilkins, 2006.
51. Gonzalez, R.R., S.N. Cheuvront, S.J. Montain, et al.: Expanded prediction equations of human sweat loss and water needs. J. Appl. Physiol. 107:379-388 (2009).
52. Montain, S.J., W.A. Latzka, and M.N. Sawka: Fluid replacement recommendations for training in hot weather. Mil. Med. 164:502-508 (1999). (Pubitemid 29321311)
53. Cadarette, B.S., W.R. Santee, S.B. Robinson, et al.: Reflective inserts to reduce heat strain in body armor: Tests with and without irradiance. Aviat. Space Environ. Med. 78:809-813 (2007). (Pubitemid 47264797)
54. O'Brien, C., R.W. Hoyt, M.J. Buller, et al.: Telemetry pill measurement of core temperature in humans during active heating and cooling. Med. Sci. Sports Exerc. 30:468-472 (1998). (Pubitemid 28120249)
55. Kolka, M.A., M.D. Quigley, L.A. Blanchard, et al.: Validation of a temperature telemetry system during moderate and strenuous exercise. J. Therm. Biol. 18:203-210 (1993). (Pubitemid 223039246)
56. Kuwabara, K., T. Mochida, K. Nagano, et al.: Fundamental study of weighting factors for calculating mean skin temperature. J. Human-Environ. System 9:35-42 (2006).
57. Mitchell, D., and C.H. Wyndham: Comparison of weighting formulas for calculating mean skin temperature. J. Appl. Physiol. 26:616-622 (1969).
58. Burton, A.C.: Human calorimetry: II. The average temperature of the tissues of the body. J. Nutr. 9:261-280 (1935).
59. Aoyagi, Y., T.M. McLellan, and R.J. Shephard: Determination of body heat storage in clothing: Calorimetry versus thermometry. Eur. J. Appl. Physiol. 71:197-206 (1995).
60. Lenhardt, R., R. Greif, D.I. Sessler, et al.: Relative contribution of skin and core temperatures to vasoconstriction and shivering thresholds during isoflurane anesthesia. Anesthesiology 91:422-429 (1999). (Pubitemid 29365025)
61. Hertzman, A.B., W.C. Randall, C.N. Peiss, et al.: Regional rates of evaporation from the skin at various environmental temperatures. J. Physiol. 5:153-161 (1952).
62. Weiner, J.S.: The regional distribution ofsweating.J. Physiol. 104:32-40 (1945).
63. Mitchell, J.W., E.R. Nadel, and J.A.J. Stolwijk: Respiratory weight losses during exercise. J. Appl. Physiol. 32:474-476 (1972).
64. Borg, G.: Perceived exertion as an indicator of somatic stress. Scand. J. Rehab. Med. 2:92-98 (1970).
65. Gagge, A.P., J.A.J. Stolwijk, and J.D. Hardy: Comfort and thermal sensations and associated physiological responses during exercise at various ambient temperatures. Environ. Res. 2:209-229 (1969).
66. Berglund, L.G.: Comfort and humidity. ASHRAE J. 40:35-41 (1998). (Pubitemid 128623387)
67. Nielsen, R., and T.L. Endrusick: Sensations of temperature and humidity during alternative work/rest and the influence of underwear knit structure. Ergonomics 33:221-234 (1990). (Pubitemid 20211661)
68. Santee, W.R., L.G. Berglund, A. Cardello, et al.: Physiological and Comfort Assessments of Volunteers Wearing Battle-Dress Uniforms (BDU) of Different Fabrics during Intermittent Exercise (T06-06). Natick, Mass.: U.S. Army Research Institute of Environmental Medicine, 2006.
69. Kolka, M.A.: Temperature regulation in women. Med. Exerc. Nutr. Health 1:201-207 (1992).