The Effects of Passive Heating and Head-cooling on Perception of Exercise in the Heat

The capacity to perform exercise is reduced in a hot environment when compared to cooler conditions. A limiting factor appears to be a higher core body temperature (T (core)) and it has been suggested that an elevated T (core) reduces the drive to exercise, this being reflected in higher ratings of perceived exertion (RPE). The purpose of the present study was to determine whether passive heating to increase T (core) would have a detrimental effect on RPE and thermal comfort during subsequent exercise in the heat and whether head-cooling during passive heating would attenuate these unpleasant sensations of an elevated T (core) during subsequent exercise in the heat. Nine physically-active, non-heat-acclimated volunteers [6 males, 3 females; age: 21 +/- 1 year, VO(2max) 50 +/- 9 ml kg(-1).min(-1), peak power output: 286 +/- 43 W (mean +/- SD)] performed two 12-minute constant-load cycling tests at 70% VO(2max) in a warm-dry environment (34 +/- 1 degrees C, relative humidity <30%) separated by a period of passive heating in a sauna (68 +/- 3 degrees C) to increase T (core). In one trial, subjects had their head and face cooled continually in the sauna (HC), the other trial was a control (CON). Passive heating increased T (core) by 1.22 +/- 0.03 degrees C in the CON and by 0.75 +/- 0.07 degrees C in the HC trial (P < 0.01). Passive heating increased weighted mean skin temperature (T (msk)) in both the CON and HC trials (P < 0.01), however, head-cooling lowered T (msk) during passive heating (P < 0.05). Exercise time following passive heating was reduced in both the CON and HC trials (P < 0.05). Passive heating increased RPE (P < 0.01), however, RPE was lower following passive heating with head-cooling (P < 0.05). There was a significant correlation between T (core) and RPE (r = 0.82, P < 0.001). In conclusion, our results suggest increased RPE during exercise in the heat is primarily due to the increase in T (core). Furthermore, head-cooling attenuates the rise in T (core) and the effect on RPE is proportional to the rise on T (core).