Acute Exercise, Heat Exposure
Conditions
Keywords
heat exposure, menthol, exercise
Brief summary
The purpose of this study is to examine the human thermoregulatory impact of applying a commercially available menthol gel (BioFreeze) to the skin prior to moderate intensity walking under heated conditions. Experimental Visits will consist of 30 min of treadmill walking at a moderate pace (3.5 mph, 5% grade) under hot conditions (38°C, 60%RH) and will be randomized and counterbalanced for BioFreeze or a hypoallergenic gel (control) application. Gels will be applied to areas commonly exposed during outdoor activity in warm conditions (shoulder to wrist, mid thigh to ankle). Accordingly, participants will wear shorts and a tank top shirt during exercise. Core temperature, skin temperature, galvanic skin response, laser doppler blood flow, and heart rate will be continuously recorded throughout the exercise bout via an integrated analog to digital converter. Sweat will be collected during exercise using commercially available absorbent patches. Thermal sensation will be assessed throughout exercise via the American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE) thermal sensation likert scale (cold to hot). Lastly, nude body weight will be recorded pre and post exercise for sweat rate determination. The BioFreeze and control trials will be separated by a 7-14 day washout period.
Detailed description
3 experimental visits to the laboratory will be conducted. All visits will take place at the University of Nebraska at Omaha, Exercise Physiology Laboratory. Visit 1 will consist of the physical activity readiness questionnaire (PARQ), adverse reaction to BioFreeze, and body composition (hydrostatic weigh, bioelectrical impedance). Visits 2 and 3 will be separated by 7-14 days, randomized, and counterbalanced for experimental (BioFreeze) and control (hypoallergenic cream) trials. Both the experimental and control visits will follow the same protocol. Participants will arrive following an overnight fast state while also refraining from strenuous activity, alcohol consumption, tobacco use, and recreational drugs for the previous 24 hour period. During these visit researchers will apply BioFreeze using a gloved hand from shoulder to wrist and mid thigh to ankle (areas outside of the clothing). A hypoallergenic cream will be applied during the control visit. Exercise will consist of 30 min of moderate intensity treadmill walking (3.5 mph at 5% grade) within a heated temperature/humidity controlled chamber (38°C, 60% relative humidity). Participants will be weighed before, and after completion of the exercise calculate sweat rate. Prior to the exercise session, participants will sit for 5 min in an ambient room temperature environment as a baseline. During baseline and during the exercise core temperature, skin temperature, laser doppler blood flow, galvanic skin response, and heart rate will be collected continuously. Sweat patches will be adhered to the forehead during exercise at minute 10 for collection of sweat composition over the next 10-20 minutes. Thermal perception using the ASHRAE scale (cold to hot) will be assessed pre and during exercise. VISIT 1 Visit 1 will take approximately 1 hour. Informed consent will be given. Participants will then complete the physical activity readiness questionnaire (PARQ) to be cleared for physical activity. Participants will have a small amount of the BioFreeze cream applied to a small area of the forearm (\ 2 x 2 in) to test for any adverse reaction over a period of 15 minutes. This initial skin reaction test is not a part of the research protocol. Those without a reaction will have height, weight, and body fat composition measured. Height and weight will be measured using a medical scale and stadiometer, respectively. Body fat will be assessed with hydrostatic weighing using an electronic load cell based system (Exertech, Dresbach, MN) correcting for residual lung volume or via a bio-electrical impedance analyzer (InBodyUSA, Cerritos, CA). VISITS 2 AND 3 Visits 2 and 3 will take approximately 2 hours each. Upon arrival at the lab, a nude body weight will be collected with the subject in a private room. While still in the room, subjects will self-insert a rectal thermistor 12-15 cm beyond the anal sphincter and don a chest strap heart rate monitor. After dressing in their exercise clothing, subjects will exit the private room so that chest, forearm, and calf thermistors can be adhered to the skin with tape. Laser doppler flow (forearm and or/finger) will be adhered with tape and galvanic skin response (fingers) will be adhered using Velcro straps to the skin. Measuring instruments will be recorded using an integrated digital to analog converter (ADInstruments, Colorado Springs, CO). Following instrumentation, subjects will sit for 5 minutes as a baseline in a temperate environment. Immediately after, a researcher with gloved hands will topically apply BioFreeze or the control hypoallergenic cream from the shoulder to wrist and mid-thigh to ankle. Subjects will then enter the heat chamber (38°C, 60% relative humidity) and immediately begin a 30-minute walk on a treadmill (3.5 mph, 5% grade). Subjects will be intermittently asked to hold their arm steady for laser doppler flow collection (10, 20, 30 minutes). Subjects will also briefly pause at minute 10 in order to adhere an absorbent patch to their forehead for sweat collection over the following 10-20 minutes. Thermal perception using the ASHRAE scale (cold to hot) will be assessed pre and during exercise. After 30 minutes of walking, subjects will exit the chamber for removal of all skin and finger sensors. Subjects will then re-enter the private room, remove their own rectal thermistor with gloved hands, and then a final nude body weight will be recorded after toweling off. The rectal thermistor will measure core temperature. The heart rate monitor will measure the beats of the heart. Skin thermistors will measure the temperature of the skin surfaces. Laser doppler flow measure the relative units of blood flow velocity. Galvanic skin response measures skin conductivity changes as individuals begin to sweat. Sweat is collected for assessment of sweat composition. Thermal perception is assessed for individual perception surrounding the temperature of the ambient environment. Nude body weight is measured to calculate sweat rate.
Interventions
5% menthol gel applied from shoulder to wrist and mid thigh to ankle, 30 minute treadmill walk (3.5 mph at 5% grade at 38°C, 60% relative humidity)
Hypoallergenic gel applied from shoulder to wrist and mid thigh to ankle, 30 minute treadmill walk (3.5 mph at 5% grade at 38°C, 60% relative humidity)
Sponsors
Study design
Intervention model description
Each Subject acts as their own control in a repeated measures design
Eligibility
Inclusion criteria
* 19-45 years of age * cleared for physical activity via the 2022 physical activity readiness questionnaire (PARQ) * no self-reported adverse reactions to menthol based gels
Exclusion criteria
* outside 19-45 years of age * not cleared for physical activity via the 2022 physical activity readiness questionnaire (PARQ) * self-report or signs of sensitivity to menthol gels * pregnant * breast feeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sweat Potassium Concentration | final 10 minutes of the exercise bout | this is a measure of the amount of potassium in the sweat |
| Average Skin Temperature | after 30 minutes of exercise | average measurements from chest, forearm, and calf thermistors |
| Core Temperature | after 30min exercise | measured with rectal thermistor |
| Skin Blood Flow | 10 minutes into exercise bout | Laser Doppler measurement of skin blood flow |
| Galvanic Skin Response | Time to 40 micro-siemens | measurement of skin conductance |
| Sweat Composition | final 10 minutes of exercise bout | Sodium concentrations in collected sweat |
| Sweat Rate | pre to post exercise, approximately 30 minutes | Difference in Nude body weight from pre to post exercise is assumed to be the amount of weight lost via sweat. This value is then expressed as liters of sweat lost per hour if the intervention was to last 1 hr. |
| Thermal Perception | throughout the 30 minute exercise bout | scale of thermal comfort developed by the American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE). The ASHRAE is a 7-point scale to asses thermal sensation, which consists of seven verbal anchors: cold (-3), cool (-2), slightly cool (-1), neutral (0), slightly warm (1), warm (2), and hot (3). The score is reported as the value in () |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Skin Surface Area | preliminary testing completed prior to the study procedures | this is a descriptive measure of the amount of total body weight that is fat. expressed as a percentage. Since this is a repeated measures study (each subject completed all conditions) this test was only done once before the experimental trials. |
| % Body Fat | preliminary testing before beginning the study | this is a descriptive measure of the amount of total body weight that is fat. expressed as a percentage. Since this is a repeated measures study (each subject completed all conditions) this test was only done once before the experimental trials. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| All Study Participants Menthol gel will be applied to the skin or a A hypoallergenic gel will be applied to the skin prior to exercise in the heat.
All subjects complete both menthol gel and hypoallergenic gel conditions in a randomized cross-over study design. At least 7 days were allowed between conditions (washout).
Menthol Gel: application of 5% menthol gel from shoulder to wrist and mid thigh to ankle
Control Gel: application of hypoallergenic gel from shoulder to wrist and mid thigh to ankle
Exercise: treadmill walking 3.5 mph at 5% grade
A hypoallergenic gel will be applied to the skin prior to exercise in the heat | 12 |
| Total | 12 |
Baseline characteristics
| Characteristic | All Study Participants | — |
|---|---|---|
| Age, Categorical <=18 years | 0 Participants | — |
| Age, Categorical >=65 years | 0 Participants | — |
| Age, Categorical Between 18 and 65 years | 12 Participants | — |
| Age, Continuous | 28 years STANDARD_DEVIATION 8 | — |
| Body Composition | 20.1 percent body fat STANDARD_DEVIATION 6.3 | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Region of Enrollment United States | 12 participants | — |
| Sex: Female, Male Female | 2 Participants | — |
| Sex: Female, Male Male | 10 Participants | — |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 12 | 0 / 12 |
| other Total, other adverse events | 0 / 12 | 0 / 12 |
| serious Total, serious adverse events | 0 / 12 | 0 / 12 |
Outcome results
Average Skin Temperature
average measurements from chest, forearm, and calf thermistors
Time frame: after 30 minutes of exercise
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Menthol Gel | Average Skin Temperature | 37.6 degrees C | Standard Deviation 0.3 |
| Control Gel | Average Skin Temperature | 37.2 degrees C | Standard Deviation 0.5 |
Core Temperature
measured with rectal thermistor
Time frame: after 30min exercise
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Menthol Gel | Core Temperature | 38.1 degrees C | Standard Deviation 0.3 |
| Control Gel | Core Temperature | 37.7 degrees C | Standard Deviation 0.3 |
Galvanic Skin Response
measurement of skin conductance
Time frame: Time to 40 micro-siemens
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Menthol Gel | Galvanic Skin Response | 1299 seconds | Standard Deviation 335 |
| Control Gel | Galvanic Skin Response | 1148 seconds | Standard Deviation 298 |
Skin Blood Flow
Laser Doppler measurement of skin blood flow
Time frame: 30 minutes into exercise bout
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Menthol Gel | Skin Blood Flow | 196.1 arbitrary units | Standard Deviation 69.4 |
| Control Gel | Skin Blood Flow | 194.8 arbitrary units | Standard Deviation 73.3 |
Skin Blood Flow
Laser Doppler measurement of skin blood flow
Time frame: 10 minutes into exercise bout
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Menthol Gel | Skin Blood Flow | 131.6 arbitrary units | Standard Deviation 71.6 |
| Control Gel | Skin Blood Flow | 119.2 arbitrary units | Standard Deviation 43.2 |
Sweat Composition
Sodium concentrations in collected sweat
Time frame: final 10 minutes of exercise bout
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Menthol Gel | Sweat Composition | 38.9 mmol/L | Standard Deviation 13.8 |
| Control Gel | Sweat Composition | 43.9 mmol/L | Standard Deviation 6.9 |
Sweat Potassium Concentration
this is a measure of the amount of potassium in the sweat
Time frame: final 10 minutes of the exercise bout
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Menthol Gel | Sweat Potassium Concentration | 7.1 mmol/L | Standard Deviation 1.2 |
| Control Gel | Sweat Potassium Concentration | 6.9 mmol/L | Standard Deviation 1.7 |
Sweat Rate
Difference in Nude body weight from pre to post exercise is assumed to be the amount of weight lost via sweat. This value is then expressed as liters of sweat lost per hour if the intervention was to last 1 hr.
Time frame: pre to post exercise, approximately 30 minutes
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Menthol Gel | Sweat Rate | 1.1 Liters per hour | Standard Deviation 0.4 |
| Control Gel | Sweat Rate | 1.3 Liters per hour | Standard Deviation 0.4 |
Thermal Perception
scale of thermal comfort developed by the American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE). The ASHRAE is a 7-point scale to asses thermal sensation, which consists of seven verbal anchors: cold (-3), cool (-2), slightly cool (-1), neutral (0), slightly warm (1), warm (2), and hot (3). The score is reported as the value in ()
Time frame: throughout the 30 minute exercise bout
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Menthol Gel | Thermal Perception | 0.7 units on a scale | Standard Deviation 1.6 |
| Control Gel | Thermal Perception | 1.8 units on a scale | Standard Deviation 1.3 |
% Body Fat
this is a descriptive measure of the amount of total body weight that is fat. expressed as a percentage. Since this is a repeated measures study (each subject completed all conditions) this test was only done once before the experimental trials.
Time frame: preliminary testing before beginning the study
Population: There is only 1 arm for this variable since it is descriptive of the total subjects that subsequently participate in each condition (repeated-measures).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Menthol Gel | % Body Fat | 20.1 percent body fat | Standard Deviation 6.3 |
Skin Surface Area
this is a descriptive measure of the amount of total body weight that is fat. expressed as a percentage. Since this is a repeated measures study (each subject completed all conditions) this test was only done once before the experimental trials.
Time frame: preliminary testing completed prior to the study procedures
Population: There is only 1 arm for this variable since it is descriptive of the total subjects that subsequently participate in each condition (repeated-measures).
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Menthol Gel | Skin Surface Area | 1.98 meters squared | Standard Deviation 0.31 |