Physiological Responses to Heat Acclimation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

The aim of this meta-analysis was to evaluate the effectiveness of heat acclimatization (HA) on time trial (TT) performance, maximum oxygen uptake (VO ), exercise heart rate (HR ), time trials heart rate (HR ), maximal heart rate (HR ), core temperature (T ), mean skin temperature (T ), thermal comf...

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Veröffentlicht in:Journal of sports science & medicine 2019-06, Vol.18 (2), p.316-326
Hauptverfasser: Rahimi, Gholam R Mohammed, Albanaqi, Alsaeedi L, Van der Touw, Tom, Smart, Neil A
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creator Rahimi, Gholam R Mohammed
Albanaqi, Alsaeedi L
Van der Touw, Tom
Smart, Neil A
description The aim of this meta-analysis was to evaluate the effectiveness of heat acclimatization (HA) on time trial (TT) performance, maximum oxygen uptake (VO ), exercise heart rate (HR ), time trials heart rate (HR ), maximal heart rate (HR ), core temperature (T ), mean skin temperature (T ), thermal comfort (T ), plasma volume (PV), blood lactate concentration and rate of perceived exertion (RPE). Cochrane-CENTRAL, EMBASE, CINAHL and PubMed databases and reference lists of included studies were searched for randomized controlled trials that investigated the efficacy of HA in athletes. Data were then extracted from the entered studies for analyses. A total of 11 randomised controlled trials (215 participants; mean age, 26.09 years; 91% men) were included after screening of 508 titles and abstracts and 19 full-text articles. The pooled standard mean difference (SMD) between the HA and non-HA groups were 0.50 (95% CI: 0.03 to 0.97, p = 0.04) for TT performance and 1 (95% CI: 1 to 2, p = 0.007) for HR . The pooled mean difference (MD) between the HA and non-HA groups were -7 (95% CI: -13 to -1, p = 0.03) for HR . The changes in T and RPE were too small to be meaningful. There were no significant differences between the HA and non-HA groups for VO , HR , T , T , PV and blood lactate concentration (all p > 0.05). This meta-analysis implies that HA may improve tolerance to discomfort during heat exposure, but may not necessarily improve the associated physiological markers of improved performance.
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Cochrane-CENTRAL, EMBASE, CINAHL and PubMed databases and reference lists of included studies were searched for randomized controlled trials that investigated the efficacy of HA in athletes. Data were then extracted from the entered studies for analyses. A total of 11 randomised controlled trials (215 participants; mean age, 26.09 years; 91% men) were included after screening of 508 titles and abstracts and 19 full-text articles. The pooled standard mean difference (SMD) between the HA and non-HA groups were 0.50 (95% CI: 0.03 to 0.97, p = 0.04) for TT performance and 1 (95% CI: 1 to 2, p = 0.007) for HR . The pooled mean difference (MD) between the HA and non-HA groups were -7 (95% CI: -13 to -1, p = 0.03) for HR . The changes in T and RPE were too small to be meaningful. There were no significant differences between the HA and non-HA groups for VO , HR , T , T , PV and blood lactate concentration (all p &gt; 0.05). 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subjects Acclimatization - physiology
Anaerobic threshold
Analysis
Athletes
Athletic Performance - physiology
Blood
Body Temperature
Chronic illnesses
Clinical trials
Drug dosages
Employment
Endurance
Exercise
Fitness training programs
Heart beat
Heart Rate
Heat
Hot Temperature
Humans
Lactates
Lactic Acid - blood
Medicine
Meta-analysis
Oxygen Consumption
Physical fitness
Physiological aspects
Physiology
Plasma Volume
Randomized Controlled Trials as Topic
Review
Science
Skin
Skin Temperature
Sports medicine
Systematic review
title Physiological Responses to Heat Acclimation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
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