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Prediction of human core body temperature using non-invasive measurement methods

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Abstract

The measurement of core body temperature is an efficient method for monitoring heat stress amongst workers in hot conditions. However, invasive measurement of core body temperature (e.g. rectal, intestinal, oesophageal temperature) is impractical for such applications. Therefore, the aim of this study was to define relevant non-invasive measures to predict core body temperature under various conditions. We conducted two human subject studies with different experimental protocols, different environmental temperatures (10 °C, 30 °C) and different subjects. In both studies the same non-invasive measurement methods (skin temperature, skin heat flux, heart rate) were applied. A principle component analysis was conducted to extract independent factors, which were then used in a linear regression model. We identified six parameters (three skin temperatures, two skin heat fluxes and heart rate), which were included for the calculation of two factors. The predictive value of these factors for core body temperature was evaluated by a multiple regression analysis. The calculated root mean square deviation (rmsd) was in the range from 0.28 °C to 0.34 °C for all environmental conditions. These errors are similar to previous models using non-invasive measures to predict core body temperature. The results from this study illustrate that multiple physiological parameters (e.g. skin temperature and skin heat fluxes) are needed to predict core body temperature. In addition, the physiological measurements chosen in this study and the algorithm defined in this work are potentially applicable as real-time core body temperature monitoring to assess health risk in broad range of working conditions.

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References

  • Armstrong LE, Casa DJ, Millard-Stafford M, Moran DS, Pyne SW, Roberts WO (2007) American College of Sports Medicine position stand. Exertional heat illness during training and competition. Med Sci Sports Exerc 39(3):556–572

    Article  Google Scholar 

  • Basset FA, Cahill F, Handrigan G, Ducharme MB, Cheung SS (2011) The effect of lower body cooling on the changes in three core temperature indices. Physiol Meas 32(4):385–394

    Article  CAS  Google Scholar 

  • Bouchama A, Knochel JP (2002) Heat stroke. N Engl J Med 346(25):1978–1988

    Article  CAS  Google Scholar 

  • Brotherhood JR (2008) Heat stress and strain in exercise and sport. J Sci Med Sport 11(1):6–19

    Article  Google Scholar 

  • Buller MJ, Castellani J, Roberts WS, Hoyt RW, Jenkins OC (2011) Human thermoregulatory system state estimation using non-invasive physiological sensors. Conf Proc IEEE Eng Med Biol Soc 2011:3290–3293

    Google Scholar 

  • Buono MJ, Ulrich RL (1998) Comparison of mean skin temperature using ‘covered’ versus ‘uncovered’ contact thermistors. Physiol Meas 19(2):297–300

    Article  CAS  Google Scholar 

  • Carter KB, Perry AM (1977) An assessment of a non-invasive technique for measuring deep body temperature. J Med Eng Technol 1(1):29–32

    Article  CAS  Google Scholar 

  • Cheuvront SN, Kenefick RW, Montain SJ, Sawka MN (2010) Mechanisms of aerobic performance impairment with heat stress and dehydration. J Appl Physiol 109(6):1989–1995

    Article  Google Scholar 

  • Dollberg S, Rimon A, Atherton HD, Hoath SB (2000) Continuous measurement of core body temperature in preterm infants. Am J Perinatol 17(5):257–264

    Article  CAS  Google Scholar 

  • Domitrovich JW, Cuddy JS, Ruby BC (2010) Core-temperature sensor ingestion timing and measurement variability. J Athl Training 45(6):594–600

    Article  Google Scholar 

  • Ducharme MB, Kenny GP (2009) A calorimetric validation of evaporative and dry heat losses measured with heat flow transducers. Paper presented at the 13th International Conference on Environmental Ergonomics, Boston

  • Durnin JVGA, Womersley J (1974) Body fat assessed from total-body density and its estimation from skinfold thickness-measurements on 481 men and women aged from 16 to 72 Years. Brit J Nutr 32(1):77–97

    Article  CAS  Google Scholar 

  • Epstein Y, Roberts WO (2011) The pathopysiology of heat stroke: an integrative view of the final common pathway. Scand J Med Sci Sport 21(6):742–748

    Article  CAS  Google Scholar 

  • Field A (2009) Discovering statistics using SPSS, 3rd edn. SAGE, London

    Google Scholar 

  • Flouris AD, Cheung SS (2009) Influence of thermal balance on cold-induced vasodilation. J Appl Physiol 106(4):1264–1271

    Article  Google Scholar 

  • Fox RH, Solman AJ (1971) A new technique for monitoring the deep body temperature in man from the intact skin surface. J Physiol 212(2):8P–10P

    CAS  Google Scholar 

  • Goodman DA, Kenefick RW, Cadarette BS, Cheuvront SN (2009) Influence of sensor ingestion timing on consistency of temperature measures. Med Sci Sports Exerc 41(3):597–602

    Article  Google Scholar 

  • Gunga HC, Sandsund M, Reinertsen RE, Sattler F, Koch J (2008) A non-invasive device to continuously determine heat strain in humans. J Therm Biol 33(5):297–307

    Article  Google Scholar 

  • Gunga HC, Werner A, Stahn A, Steinach M, Schlabs T, Koralewski E, Kunz D, Belavy DL, Felsenberg D, Sattler F, Koch J (2009) The Double Sensor-A non-invasive device to continuously monitor core temperature in humans on earth and in space. Respir Physiol Neurobiol 169(Suppl 1):S63–S68

    Article  Google Scholar 

  • Kaciuba-Uscilko H, Grucza R (2001) Gender differences in thermoregulation. Curr Opin Clin Nutr Metab Care 4(6):533–536

    Article  CAS  Google Scholar 

  • Kampmann B, Brode P, Fiala D (2012) Physiological responses to temperature and humidity compared to the assessment by UTCI, WGBT and PHS. Int J Biometeorol 56(3):505–513

    Article  Google Scholar 

  • Kimberger O, Thell R, Schuh M, Koch J, Sessler DI, Kurz A (2009) Accuracy and precision of a novel non-invasive core thermometer. Brit J Anaesth 103(2):226–231

    Article  CAS  Google Scholar 

  • Lim CL, Byrne C, Lee JKW (2008) Human thermoregulation and measurement of body temperature in exercise and clinical settings. Ann Acad Med Singap 37(4):347–353

    Google Scholar 

  • Mäkinen T, Gavhed D, Holmer I, Rintamaki H (2000) Thermal responses to cold wind of thermoneutral and cooled subjects. Eur J Appl Physiol 81(5):397–402

    Article  Google Scholar 

  • Moran DS, Mendal L (2002) Core temperature measurement: methods and current insights. Sports Med 32(14):879–885

    Article  Google Scholar 

  • Nybo L (2008) Hyperthermia and fatigue. J Appl Physiol 104(3):871–878

    Article  Google Scholar 

  • Psikuta A, Fiala D, Laschewski G, Jendritzky G, Richards M, Blazejczyk K, Mekjavic I, Rintamaki H, de Dear R, Havenith G (2012) Validation of the Fiala multi-node thermophysiological model for UTCI application. Int J Biometeorol 56(3):443–460

    Article  Google Scholar 

  • Pusnik I, Miklavec A (2009) Dilemmas in measurement of human body temperature. Instrum Sci Technol 37(5):516–530

    Article  CAS  Google Scholar 

  • Taylor NAS (2006) Challenges to temperature regulation when working in hot environments. Ind Health 44(3):331–344

    Article  Google Scholar 

  • Teunissen LP, Klewer J, de Haan A, de Koning JJ, Daanen HA (2011) Non-invasive continuous core temperature measurement by zero heat flux. Physiol Meas 32(5):559–570

    Article  CAS  Google Scholar 

  • Teunissen LP, de Haan A, de Koning JJ, Daanen HA (2012) Telemetry pill versus rectal and esophageal temperature during extreme rates of exercise-induced core temperature change. Physiol Meas 33(6):915–924

    Article  CAS  Google Scholar 

  • Togawa T (1985) Body-temperature measurement. Clin Phys Physiol Meas 6(2):83–108

    Article  CAS  Google Scholar 

  • Togawa T, Nemoto T, Yamazaki T, Kobayashi T (1976) A modified internal temperature measurement device. Med Biol Eng 14(3):361–364

    Article  Google Scholar 

  • Togawa T, Nemoto T, Tsuji T, Suma K (1979) Deep temperature monitoring in intensive care. Resuscitation 7(1):53–57

    Article  Google Scholar 

  • Van der Spek RD, Van Lingen RA, Van Zoeren-Grobben D (2009) Body temperature measurement in VLBW infants by continuous skin measurement is a good or even better alternative than continuous rectal measurement. Acta Paediatr 98(2):282–285

    Article  Google Scholar 

  • Wartzek T, Muhlsteff J, Imhoff M (2011) Temperature measurement. Biomed Tech (Berl) 56(5):241–257

    Article  Google Scholar 

  • Wilkinson DM, Carter JM, Richmond VL, Blacker SD, Rayson MP (2008) The effect of cool water ingestion on gastrointestinal pill temperature. Med Sci Sports Exer 40(3):523–528

    Article  Google Scholar 

  • Yamakage M, Namiki A (2003) Deep temperature monitoring using a zero-heat-flow method. J Anesth 17:108–115

    Article  Google Scholar 

  • Yokota M, Berglund LG, Santee WR, Buller MJ, Karis AJ, Roberts W, Cuddy JS, Ruby BC, Hoyt RW (2012) Applications of real-time thermoregulatory models to occupational heat stress: validation with military and civilian field studies. J Strength Cond Res 26(2):37–44

    Article  Google Scholar 

  • Zeiner A, Klewer J, Sterz F, Haugk M, Krizanac D, Testori C, Losert H, Ayati S, Holzer M (2010) Non-invasive continuous cerebral temperature monitoring in patients treated with mild therapeutic hypothermia: an observational pilot study. Resuscitation 81(7):861–866

    Article  Google Scholar 

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Acknowledgements

The authors would like to thank the EU project consortium PROSPIE (FP7-NMP-229042), in particular George Havenith from Loughborough University for support with the experimental setup. Moreover, we thank all the subjects for participating in this study. In addition, we would like to thank Tero Mäkinen and Hannu Rintamäki from the Oulu Regional Institute of Occupational Health (Finland) for providing data from their study.

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Correspondence to René Michel Rossi.

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Niedermann, R., Wyss, E., Annaheim, S. et al. Prediction of human core body temperature using non-invasive measurement methods. Int J Biometeorol 58, 7–15 (2014). https://doi.org/10.1007/s00484-013-0687-2

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  • DOI: https://doi.org/10.1007/s00484-013-0687-2

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