Publications by authors named "Hein Daanen"

Cold-induced vasodilation (CIVD) is a physiological response characterized by cyclic vasodilation occurring within 5-10 min of cold exposure, predominantly in the fingers and toes. This study aimed to determine the roles of body dimensions, specifically surface-to-mass (SM) ratio and sex in modulating CIVD responses. Thirty-nine participants (mean ± SD age: 24 ± 3 yr; height: 174 ± 28 cm; weight: 75.

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Purpose: The rising frequency of extreme heat events poses an escalating threat of heat-related illnesses and fatalities, placing an additional strain on global healthcare systems. Whether the risk of heat-related issues is sex specific, particularly among the elderly, remains uncertain.

Methods: 16 men and 15 women of similar age (69 ± 5 years) were exposed to an air temperature of 39.

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Study Design: A three-arm randomized controlled trial.

Objectives: To investigate the effects of the Wim Hof Method (WHM), with (WHM-C) and without cold exposure (WHM-NC), on mental and physical health in persons with chronic spinal cord injury (SCI).

Setting: Rehabilitation centre (assessments and once-weekly intervention sessions) and home-based (daily intervention sessions).

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Background: There is concern that the values provided by devices using infrared thermometry in emergency departments (EDs) do not reflect body core temperature accurately.

Objectives: Evaluation of three thermometers commonly used in the ED.

Methods: Two infrared ear thermometers and an infrared forehead thermometer were evaluated using 1) the Voltcraft IRS-350 calibration device, 2) comparing temperature values to a rectal end-exercise temperature (T-RECT) of 38.

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Purpose: As climate change accelerates, healthcare workers (HCW) are expected to be more frequently exposed to heat at work. Heat stress can be exacerbated by physical activity and unfavorable working requirements, such as wearing personal protective equipment (PPE). Thus, understanding its potential negative effects on HCW´s health and working performance is becoming crucial.

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A common practice for those operating in cold environments includes repetitive glove doffing and donning to perform specific tasks, which creates a repetitive cycle of hand cooling and rewarming. This study aimed to determine the influence of intraday repeated hand cooling on cold-induced vasodilation (CIVD), sympathetic activation, and finger/hand temperature recovery. Eight males and two females (mean ± SD age: 28 ± 5 year; height: 181 ± 9 cm; weight: 79.

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Purpose: For wheelchair users with a spinal cord injury, the lower body may be a more convenient cooling site than the upper body. However, it remains unknown if leg cooling reduces thermal strain in these individuals. We compared the impact of upper-body versus lower-body cooling on physiological and perceptual outcomes during submaximal arm-crank exercise under heat stress in individuals with paraplegia.

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Paralympic athletes may be at increased risk for exertional heat illness (EHI) due to reduced thermoregulatory ability as a consequence of their impairment. This study investigated the occurrence of heat-stress related symptoms and EHI, and the use of heat mitigation strategies in Paralympic athletes, both in relation to the Tokyo 2020 Paralympic Games and previous events. Paralympic athletes competing in Tokyo 2020 were invited to complete an online survey five weeks prior to the Paralympics and up to eight weeks after the Games.

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Purpose: This study aimed to compare the impact of hot-humid environmental conditions on performance outcomes, thermoregulatory responses, and thermal perception during exercise between elite para- and able-bodied (AB) athletes.

Methods: Twenty elite para-athletes (para-cycling and wheelchair tennis) and 20 elite AB athletes (road cycling, mountain biking, beach volleyball) performed an incremental exercise test in a temperate environment (mean ± SD, 15.2°C ± 1.

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Article Synopsis
  • The study investigated how cold-induced vasodilation (CIVD) affects the fingers and toes of people with paraplegia compared to able-bodied individuals, focusing on physiological and perceptual responses.
  • Seven participants with paraplegia and seven able-bodied individuals immersed their hands and feet in cold water under different temperature conditions (cool, thermoneutral, hot) for 40 minutes.
  • Results showed that while similar CIVD occurred in the fingers of both groups, significant differences emerged in the responses of toes, with paraplegic participants showing unexpected CIVDs more frequently in cooler conditions, suggesting central factors play a larger role in these responses.
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Heat flux systems are increasingly used to assess core body temperature. However, validation of multiple systems is scarce. Therefore, an experiment was performed in which three commercially available heat flux systems (3 M, Medisim and Core) were compared to rectal temperature (T).

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Article Synopsis
  • The study explored the effects of heat acclimation (HA) on immune and wellness indicators in recreational athletes during a controlled-hyperthermia protocol over 10 days.
  • It found that while physiological adaptations like improved sweating and lower body temperature were achieved, resting salivary immunoglobulin-A (s-IgA) and cortisol levels did not change significantly.
  • Ultimately, HA did not negatively impact upper-respiratory symptoms or overall wellness ratings, indicating it’s safe for athletes prior to peak events.
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During the early stage of a fire, a process operator often acts as the first responder and may be exposed to high heat radiation levels. The present limit values of long- (>15 min) and short-term exposure (<5 min), 1.0 and 1.

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  • The study evaluated three cooling methods for soldiers suffering from hyperthermia, highlighting significant differences in required water volume.
  • Ten male soldiers were tested under conditions of induced hyperthermia, comparing cooling through fanning, fanning with a wet t-shirt, and a tarp-assisted cooling method that used a larger volume of water.
  • Results indicated that the tarp-assisted cooling method was more effective and faster in reducing body temperature than the other methods, suggesting it could be a viable option for treating heat-related illnesses, but stressing the importance of immediate cooling methods when water supply is limited.
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Due to time and logistical constraints sweat samples cannot always be analyzed immediately. The purpose of this study was to investigate the effect of storage temperature and duration on sweat electrolyte and metabolite concentrations. Twelve participants cycled for 60 min at 40 W.

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The environmental conditions during the Tokyo Olympic and Paralympic Games are expected to be challenging, which increases the risk for participating athletes to develop heat-related illnesses and experience performance loss. To allow safe and optimal exercise performance of Dutch elite athletes, the Thermo Tokyo study aimed to determine thermoregulatory responses and performance loss among elite athletes during exercise in the heat, and to identify personal, sports-related, and environmental factors that contribute to the magnitude of these outcomes. For this purpose, Dutch Olympic and Paralympic athletes performed two personalized incremental exercise tests in simulated control (15°C, relative humidity (RH) 50%) and Tokyo (32°C, RH 75%) conditions, during which exercise performance and (thermo)physiological parameters were obtained.

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Critical environmental limits are environmental thresholds above which heat gain exceeds heat loss and body core temperature (T) cannot be maintained at equilibrium. Those limits can be represented as critical wet-bulb globe temperature (WBGT), a validated index that represents the overall thermal environment. Little is known about WBGT at rest and during low-to-moderate intensity exercise, or sex differences in WBGT, in unacclimated young adults.

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Introduction: The aim of this study was to compare the effectiveness of exercise versus hot water immersion heat reacclimation (HRA) protocols.

Methods: Twenty-four participants completed a heat stress test (HST; 33°C, 65% RH), which involved cycling at a power output equivalent to 1.5 W·kg-1 for 35 min whereby thermophysiological variables were measured.

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Purpose: Over the last few decades, a global increase in both cold and heat extremes has been observed with significant impacts on human mortality. Although it is well-identified that older individuals (> 65 years) are most prone to temperature-related mortality, there is no consensus on the effect of sex. The current study investigated if sex differences in temperature-related mortality exist in the Netherlands.

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Article Synopsis
  • The overlap of high-risk groups for heat-related health issues and COVID-19 highlights the elderly with pre-existing conditions as particularly vulnerable during summer 2021.
  • Health care facilities face additional challenges during heat waves as healthcare workers are also at risk due to personal protective equipment, which can exacerbate heat stress.
  • The paper suggests that current recommendations for heat-related health protection may conflict with those for COVID-19, indicating a need for revised strategies that balance heat management, infection control, and occupational safety.
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A rise in body core temperature and loss of body water via sweating are natural consequences of prolonged exercise in the heat. This review provides a comprehensive and integrative overview of how the human body responds to exercise under heat stress and the countermeasures that can be adopted to enhance aerobic performance under such environmental conditions. The fundamental concepts and physiological processes associated with thermoregulation and fluid balance are initially described, followed by a summary of methods to determine thermal strain and hydration status.

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. By attaching absorbent patches to the skin to collect sweat, an increase in local skin temperature () underneath the patches seems unavoidable. Yet this effect has not been quantified.

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Purpose: The magnitude of heat acclimation (HA) adaptations varies largely among individuals, but it remains unclear what factors influence this variability. This study compared individual characteristics related to fitness status and body dimensions of low-, medium-, and high responders to HA.

Methods: Twenty-four participants (9 female, 15 male; maximum oxygen uptake [[Formula: see text]O] 52 ± 9 mL kg min) completed 10 daily controlled-hyperthermia HA sessions.

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