Cited by 89Thermoregulation and physiological responsesSports Performance and TrainingCardiovascular and exercise physiology

Reliability and validity of the CORE sensor to assess core body temperature during cycling exercise

Open access
Verdel, Nina, Podlogar, Tim, Ciuha, Urša, Holmberg, Hans-Christer, Debevec, Tadej, Supej, Matej·2021·Sensors

Abstract

Monitoring core body temperature (Tc) during training and competitions, especially in a hot environment, can help enhance an athlete’s performance, as well as lower the risk for heat stroke. Accordingly, a noninvasive sensor that allows reliable monitoring of Tc would be highly beneficial in this context. One such novel non-invasive sensor was recently introduced onto the market (CORE, greenTEG, Rümlang, Switzerland), but, to our knowledge, a validation study of this device has not yet been reported. Therefore, the purpose of this study was to evaluate the validity and reliability of the CORE sensor. In Study I, 12 males were subjected to a low-to-moderate heat load by performing, on two separate occasions several days apart, two identical 60-min bouts of steady-state cycling in the laboratory at 19 °C and 30% relative humidity. In Study II, 13 males were subjected to moderate-to-high heat load by performing 90 min of cycling in the laboratory at 31 °C and 39% relative humidity. In both cases the core body temperatures indicated by the CORE sensor were compared to the corresponding values obtained using a rectal sensor (Trec). The first major finding was that the reliability of the CORE sensor is acceptable, since the mean bias between the two identical trials of exercise (0.02 °C) was not statistically significant. However, under both levels of heat load, the body temperature indicated by the CORE sensor did not agree well with Trec, with approximately 50% of all paired measurements differing by more than the predefined threshold for validity of ≤0.3 °C. In conclusion, the results obtained do not support the manufacturer’s claim that the CORE sensor provides a valid measure of core body temperature.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.3390/s21175932

Cites

1 of 1 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 25

  1. [1]Johnson J. Exercise in a Hot Environment: The Skin Circulation Scand. J. Med. Sci. Sports 2010 20 29 39 10.1111/j.1600-0838.2010.01206.x 21029188 · DOI
  2. [2]Ruddock A.D. Tew G.A. Purvis A.J. Reliability of Intestinal Temperature Using an Ingestible Telemetry Pill System during Exercise in a Hot Environment J. Strength Cond. Res. 2014 28 861 869 10.1519/JSC.0b013e3182aa5dd0 24561595 · DOI
  3. [3]American College of Sports Medicine Armstrong L.E. Casa D.J. Millard-Stafford M. Moran D.S. Pyne S.W. Roberts W.O. American College of Sports Medicine Position Stand. Exertional Heat Illness during Training and Competition Med. Sci. Sports Exerc. 2007 39 556 572 10.1249/MSS.0b013e31802fa199 17473783 · DOI
  4. [4]Knochel J.P. Environmental Heat Illness: An Eclectic Review Arch. Intern. Med. 1974 133 841 864 10.1001/archinte.1974.00320170117011 4821779 · DOI
  5. [5]Muniz-Pardos B. Sutehall S. Angeloudis K. Shurlock J. Pitsiladis Y.P. The Use of Technology to Protect the Health of Athletes During Sporting Competitions in the Heat Front. Sports Act. Living 2019 1 38 10.3389/fspor.2019.00038 33344961 PMC7739590 · DOI
  6. [6]Patterson M.J. Stocks J.M. Taylor N.A.S. Sustained and Generalized Extracellular Fluid Expansion Following Heat Acclimation J. Physiol. 2004 559 327 334 10.1113/jphysiol.2004.063289 15218070 PMC1665061 · DOI
  7. [7]Garrett A.T. Goosens N.G. Rehrer N.J. Rehrer N.G. Patterson M.J. Cotter J.D. Induction and Decay of Short-Term Heat Acclimation Eur. J. Appl. Physiol. 2009 107 659 670 10.1007/s00421-009-1182-7 19727796 · DOI
  8. [9]Casa D.J. Becker S.M. Ganio M.S. Brown C.M. Yeargin S.W. Roti M.W. Siegler J. Blowers J.A. Glaviano N.R. Huggins R.A. Validity of Devices That Assess Body Temperature during Outdoor Exercise in the Heat J. Athl. Train. 2007 42 333 342 18059987 PMC1978469
  9. [10]Savoie F.A. Dion T. Asselin A. Gariepy C. Boucher P.M. Berrigan F. Goulet E.D.B. Intestinal Temperature Does Not Reflect Rectal Temperature during Prolonged, Intense Running with Cold Fluid Ingestion Physiol. Meas. 2015 36 259 272 10.1088/0967-3334/36/2/259 25582636 · DOI
  10. [11]Jensen B.N. Jensen F.S. Madsen S.N. Løssl K. Accuracy of Digital Tympanic, Oral, Axillary, and Rectal Thermometers Compared with Standard Rectal Mercury Thermometers Eur. J. Surg. 2000 166 848 851 10.1080/110241500447218 11097149 · DOI
  11. [12]Lee S.M. Williams W.J. Fortney Schneider S.M. Core Temperature Measurement during Supine Exercise: Esophageal, Rectal, and Intestinal Temperatures Aviat. Space Environ. Med. 2000 71 939 945 11001349
  12. [13]Moran D.S. Mendal L. Core Temperature Measurement: Methods and Current Insights Sports Med. 2002 32 879 885 10.2165/00007256-200232140-00001 12427049 · DOI
  13. [14]Roberts W.O. Assessing Core Temperature in Collapsed Athletes Phys. Sportsmed. 1994 22 49 55 10.1080/00913847.1994.11947680 29272635 · DOI
  14. [15]Gosselin J. Béliveau J. Hamel M. Casa D. Hosokawa Y. Morais J.A. Goulet E.D.B. Wireless Measurement of Rectal Temperature during Exercise: Comparing an Ingestible Thermometric Telemetric Pill Used as a Suppository against a Conventional Rectal Probe J. Therm. Biol. 2019 83 112 118 10.1016/j.jtherbio.2019.05.010 31331509 · DOI
  15. [16]Gant N. Atkinson G. Williams C. The Validity and Reliability of Intestinal Temperature during Intermittent Running Med. Sci. Sports Exerc. 2006 38 1926 1931 10.1249/01.mss.0000233800.69776.ef 17095925 · DOI
  16. [17]Ganio M.S. Brown C.M. Casa D.J. Becker S.M. Yeargin S.W. McDermott B.P. Boots L.M. Boyd P.W. Armstrong L.E. Maresh C.M. Validity and Reliability of Devices That Assess Body Temperature during Indoor Exercise in the Heat J. Athl. Train. 2009 44 124 135 10.4085/1062-6050-44.2.124 19295956 PMC2657027 · DOI
  17. [18]Cheshire W.P. Thermoregulatory Disorders and Illness Related to Heat and Cold Stress Auton. Neurosci. 2016 196 91 104 10.1016/j.autneu.2016.01.001 26794588 · DOI
  18. [20]Düking P. Fuss F.K. Holmberg H.-C. Sperlich B. Recommendations for Assessment of the Reliability, Sensitivity, and Validity of Data Provided by Wearable Sensors Designed for Monitoring Physical Activity JMIR Mhealth Uhealth 2018 6 e9341 10.2196/mhealth.9341 PMC5952119 29712629 · DOI
  19. [21]Sperlich B. Holmberg H.-C. Wearable, Yes, but Able?: It Is Time for Evidence-Based Marketing Claims! Br. J. Sports Med. 2017 51 1240 10.1136/bjsports-2016-097295 27986762 PMC5537552 · DOI
  20. [22]Iannetta D. Inglis E.C. Pogliaghi S. Murias J.M. Keir D.A. A “Step-Ramp-Step” Protocol to Identify the Maximal Metabolic Steady State Med. Sci. Sports Exerc. 2020 52 2011 2019 10.1249/MSS.0000000000002343 32205678 · DOI
  21. [23]Bland J.M. Altman D.G. Measuring Agreement in Method Comparison Studies Stat. Methods Med. Res. 1999 8 135 160 10.1177/096228029900800204 10501650 · DOI · Paper page
  22. [24]Casa D.J. DeMartini J.K. Bergeron M.F. Csillan D. Eichner E.R. Lopez R.M. Ferrara M.S. Miller K.C. O’Connor F. Sawka M.N. National Athletic Trainers’ Association Position Statement: Exertional Heat Illnesses J. Athl. Train. 2015 50 986 1000 10.4085/1062-6050-50.9.07 26381473 PMC4639891 · DOI · Paper page
  23. [25]Giersch G.E.W. Morrissey M.C. Katch R.K. Colburn A.T. Sims S.T. Stachenfeld N.S. Casa D.J. Menstrual Cycle and Thermoregulation during Exercise in the Heat: A Systematic Review and Meta-Analysis J. Sci. Med. Sport 2020 23 1134 1140 10.1016/j.jsams.2020.05.014 32499153 · DOI
  24. [26]Byrne C. Lim C.L. The Ingestible Telemetric Body Core Temperature Sensor: A Review of Validity and Exercise Applications Br. J. Sports Med. 2007 41 126 133 10.1136/bjsm.2006.026344 17178778 PMC2465229 · DOI
  25. [27]Teunissen L.P.J. de Haan A. de Koning J.J. Daanen H.A.M. Telemetry Pill versus Rectal and Esophageal Temperature during Extreme Rates of Exercise-Induced Core Temperature Change Physiol. Meas. 2012 33 915 924 10.1088/0967-3334/33/6/915 22551669 · DOI

Cited by

Sorted by citations

Authors
Verdel, N., Podlogar, T., Ciuha, U., Holmberg, H.-C., Debevec, T., & Supej, M.
Affiliations
  • Mid Sweden University (SE)
  • University of Primorska (SI)
  • Jožef Stefan Institute (SI)
  • Luleå University of Technology (SE)
  • University of Ljubljana (SI)
Corresponding author
Verdel, Nina
Venue
Sensors
Publisher
MDPI AG
Published
2021-09-03
Volume
21
Issue
17
Pages
5932
ISSN
1424-8220 (ISSN-L)
OpenAlex
W3197036417
Cited by
89
References
1
Citations by year
2026: 28 · 2025: 23 · 2024: 15 · 2023: 13 · 2022: 9 · 2021: 1
FWCI
5.81
Type
journal article
Language
en
Open access
Locations
  • Sensors (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Repository of the University of Ljubljana (University of Ljubljana) (publishedVersion, cc-by)
  • Diva portal (Dalarna University Library) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • University of Birmingham Research Portal (University of Birmingham) (submittedVersion, cc-by)
  • University of Birmingham Research Portal (University of Birmingham) (submittedVersion, other-oa)
Funders
  • Horizon 2020 (824984)
  • Javna Agencija za Raziskovalno Dejavnost RS (J5-9350, P5-0147)
Topics
  • Health Sciences › Medicine › Physiology › Thermoregulation and physiological responses
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
  • Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
Keywords
core body temperature, non-invasive temperature monitoring, sensor validation, measurement reliability, cycling exercise, heat load, rectal temperature, heatstroke prevention, thermal comfort
MeSH terms
Body Temperature, Hot Temperature, Humans, Male, Reproducibility of Results, Exercise, Heat Stroke

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review