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2007, Piran, Slovenia

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Acute and chronic heat exposure<br />

INTRA-INDIVIDUAL VARIABILITY OF STRAIN DURING<br />

UNCOMPENSABLE HEAT STRESS: A LONGITUDINAL STUDY<br />

Bernhard Kampmann 1 , Georg Bresser 2<br />

1 Division of Applied Physiology, Occupational Medicine & Infectiology, Department of Safety<br />

Engineering, Bergische Universität Wuppertal, Germany<br />

2 Central Mine Rescue Station, Deutsche Steinkohle AG, Herne, Germany<br />

Contact person: kampmann@uni-wuppertal.de<br />

INTRODUCTION<br />

Whenever mean values of physiological strain are recorded for a group of subjects, the intraindividual<br />

variability of the single subjects implicitly is included within the results. To<br />

estimate this contribution to data variability, we decided to carry out a longitudinal study for<br />

two types of training, that had been studied before at the Central Mine Rescue Station for all<br />

mine rescue brigadesmen of a coal mine (52 brigadesmen): for a standard mine rescue<br />

training (SMRT) in a training gallery (with flame protection clothing and SCBA (self<br />

contained breathing apparatus); Kampmann et al., 1997) lasting for two hours, and for a heat<br />

tolerance test (HTT) at ta = 39°C and 88 % relative humidity, treadmill work of 70 Watts<br />

external load, lasting for maximal 30 minutes (Kampmann et al., 1996); only shorts, t-shirt,<br />

socks and safety boots were worn for HTT. Both exposures represented uncompensable heat<br />

stress. The longitudinal study comprised of four brigadesmen of the operational rescue team<br />

of the Central Mine Rescue Station and was extended for 10 years (1990-2000), so additional<br />

information about changes in physiological strain with age could be expected.<br />

METHODS<br />

Before the SMRT started during the late morning, bicycle ergometry was performed, resulting<br />

in a Dynavit ® -score that displays specific fitness (i.e. fitness per body mass). A Dynavit ® -<br />

score of 75 was mandatory for participation in the SMRT that started after a resting period of<br />

about 1.5 hours. The details of the SMRT are given in (Kampmann et al., 1997). From 56<br />

continuous recordings of heart rate and rectal temperature 53 data sets could be evaluated.<br />

During the SMRT the timetable for the training was followed as closely as possible, resulting<br />

in a total duration of 124 ±2 minutes. During the time of investigation, the Central Mine<br />

Rescue Station moved to another location and another training gallery was used; as in both<br />

training facilities no statistical differences were found, the results were analyzed in total.<br />

On different days a HTT according to Stoklossa (Kampmann et al., 1996) was performed after<br />

a resting period around 8:30 and after a further resting period another training took place that<br />

will not be discussed here. Heart rate and body temperatures were monitored continuously.<br />

The exposure was stopped at Tre > 38.5 °C, HR > “220-age” or at request of the subjects.<br />

After it took some time to reinstall the climatic chambers after moving to another location 36<br />

HTTs could be analyzed.<br />

RESULTS<br />

Table 1 gives the anthropometric data of the participating subjects. From these data, body<br />

mass, and the correspondingly Broca-index and BMI, had a significant increase during the<br />

investigation for subjects 1, 3 and 4. The Dynavit-score showed no linear trend with time for<br />

any subjects. No habituation effects were expected during the investigation as all subjects had<br />

participated for several years in mine rescue training (Kampmann and Bresser, 2005)<br />

Table 2 gives heart rates and rectal temperatures at the beginning and end of the SMRT: for<br />

none of the subjects, rectal temperature at the end of SMRT depends significantly on the<br />

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