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Cited by 647

The DOI matches its Crossref record; 67 of the 67 references it cites were found in a registry or an index.

Exercise under heat stress: thermoregulation, hydration, performance implications, and mitigation strategies

Open access
Périard, Julien D., Eijsvogels, Thijs M. H., Daanen, Hein A. M.·2021·Physiological Reviews
DOI 10.1152/physrev.00038.2020
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Abstract

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. An outline is provided on how exercise-heat stress disrupts these homeostatic processes, leading to hyperthermia, hypohydration, sodium disturbances, and in some cases exertional heat illness. The impact of heat stress on human performance is also examined, including the underlying physiological mechanisms that mediate the impairment of exercise performance. Similarly, the influence of hydration status on performance in the heat and how systemic and peripheral hemodynamic adjustments contribute to fatigue development is elucidated. This review also discusses strategies to mitigate the effects of hyperthermia and hypohydration on exercise performance in the heat by examining the benefits of heat acclimation, cooling strategies, and hyperhydration. Finally, contemporary controversies are summarized and future research directions are provided.

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Metadata

Authors
Périard, J. D., Eijsvogels, T. M. H., & Daanen, H. A. M.
Venue
Physiological Reviews
Publisher
American Physiological Society
Published
2021-10-01
Volume
101
Issue
4
Pages
1873-1979
ISSN
  • 0031-9333 (ISSN-L)
  • 1522-1210
DOI
10.1152/physrev.00038.2020
OpenAlex
W3139937405
Cited by
647
References
67
FWCI
12.69
Type
journal article
Language
en
Open access
green

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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