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Heat Related Illness in Sport


The Ironman World Championship in Kona, Hawaii consistently highlights the significant impact of heat and humidity on human performance. Despite being prepared with your hydration and cooling methods, ALL athletes are at risk for a heat-related illness. As an athlete, it's critical to understand thermoregulation, the impact of heat on the body during exercise, heat related symptoms, risk factors, what to do if you suffer from it and how to reduce your risk. Stay smart, stay hydrated, stay cool and stay aware. Your health depends on it.

Thermoregulation

Thermoregulation is the maintenance of internal core body temperature by balancing heat generation with heat loss. 98.6 F (37 C) is the accepted norm for human body temperature. Hyperthermia occurs when your body absorbs or generates more heat than it can release. Your body is always adjusting to keep your body in homeostasis. Muscle contractions product heat as a by-product of metabolic processes. Because the body is very inefficient during exercise, ~75% of energy is released as heat (in other words, much of the energy used to fuel muscle contractions is lost as heat). 

When you get too hot, your body needs to cool itself down by offloading some of the heat into the environment. Heat can be lost through the processes of conduction, convection, radiation and evaporation. Evaporation is the primary method of cooling the body during exercise. The evaporation of sweat is the body’s natural air conditioner. To change from a liquid to a gas vapor, the water molecules break and the energy used to break those bonds is taken from the body in the form of heat. When relative humidity is high, the air is close to saturation and holds a significant amount of water vapor. As a result, there is less room in the air for more water molecules to change from liquid to gas, so evaporation slows down. This makes the body's natural cooling system less effective. This leads to sweat pooling on the skin (feeling sticky), causing you to feel hotter, even though you are sweating more.

If the body is generating more heat than it can release - often due to effort, hot and humid conditions, dehydration or other risk factors - it can lead to serious health issues, such as heat exhaustion, heat stroke or death.