Initial Stay Times and Heat Mitigation Controls for Uncompensable Occupational Heat Stress - Part I
Safe Maximum Work Times and the Effectiveness of Work-rest Allocations in Mitigating Increases in Core Temperature During and on the Day Following Prolonged Moderate-intensity Work in the Heat in Young and Older Workers
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Glen P Kenny, PhD
- Phone Number: 4282 613-562-5800
- Email: gkenny@uottawa.ca
Study Contact Backup
- Name: Fergus O'Connor, PhD
- Phone Number: 6136178682
- Email: foconnor@uottawa.ca
Study Locations
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-
Ontario
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Ottawa, Ontario, Canada, K1N6N5
- University of Ottawa
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- young (18-30 years) and older adults (50-69 years)
- habitually active, not endurance trained (<2 sessions per week, <150 minutes per week)
- non-smoking
- English or French speaking
- ability to provide informed consent
Exclusion Criteria:
- pre-existing health conditions (e.g., diabetes, hypertension)
- use of medication deemed to significantly modulate thermoregulatory function and heat tolerance (e.g., antidepressants, antihistamines, diuretics)
- engaged in jobs and/or activities that involve frequent exposure to hot environments (e.g., regular sauna use)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Younger adults
Adults aged 18-30 years with no pre-existing health conditions
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Participants perform a continuous moderate-intensity work bout (metabolic rate of ~200 W/m2) until core temperature reaches 38.0°C (equivalent to a 1°C increase in body core temperature above resting levels), which is immediately followed by intermittent work using a 3:1 work-rest allocation, starting with a 15 min rest break followed by a 45 min work bout for a total work duration of ~240 min.
The work protocol is performed in the morning of day 1, and repeated in a post-lunch work period (i.e., afternoon of day 1) and on the morning of the next day (i.e., morning of day 2).
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Experimental: Older adults
Adults aged 50-69 with no pre-existing health conditions
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Participants perform a continuous moderate-intensity work bout (metabolic rate of ~200 W/m2) until core temperature reaches 38.0°C (equivalent to a 1°C increase in body core temperature above resting levels), which is immediately followed by intermittent work using a 3:1 work-rest allocation, starting with a 15 min rest break followed by a 45 min work bout for a total work duration of ~240 min.
The work protocol is performed in the morning of day 1, and repeated in a post-lunch work period (i.e., afternoon of day 1) and on the morning of the next day (i.e., morning of day 2).
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Initial stay time
Time Frame: End of first (morning day 1) continuous work bout
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Total continuous work time to achieve an initial absolute increase in core temperature of 38°C (equivalent to a 1°C increase in body core temperature above resting levels) (note: in instances where a participant voluntarily terminates work prematurely before the absolute core temperature of ≥38°C (or relative increase of ≥1°C) is achieved or the absolute core temperature is <38°C (or relative increase of <1°C), the time of termination or end of the work bout will be taken as the initial stay time respectively).
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End of first (morning day 1) continuous work bout
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Initial stay time
Time Frame: End of second (afternoon day 1) continuous work bout
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Total continuous work time to achieve an initial absolute increase in core temperature of 38°C (equivalent to a 1°C increase in body core temperature above resting levels) (note: in instances where a participant voluntarily terminates work prematurely before the absolute core temperature of ≥38°C (or relative increase of ≥1°C) is achieved or the absolute core temperature is <38°C (or relative increase of <1°C), the time of termination or end of the work bout will be taken as the initial stay time respectively).
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End of second (afternoon day 1) continuous work bout
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Initial stay time
Time Frame: End of third (morning day 2) continuous work bout
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Total continuous work time to achieve an initial absolute increase in core temperature of 38°C (equivalent to a 1°C increase in body core temperature above resting levels) (note: in instances where a participant voluntarily terminates work prematurely before the absolute core temperature of ≥38°C (or relative increase of ≥1°C) is achieved or the absolute core temperature is <38°C (or relative increase of <1°C), the time of termination or end of the work bout will be taken as the initial stay time respectively).
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End of third (morning day 2) continuous work bout
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Average core temperature
Time Frame: Period of work-rest allocations following initial stay time for morning day 1
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Average core temperature over final 2-hours of each work bout
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Period of work-rest allocations following initial stay time for morning day 1
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Average core temperature
Time Frame: Period of work-rest allocations following initial stay time for afternoon day 1
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Average core temperature following initial stay time
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Period of work-rest allocations following initial stay time for afternoon day 1
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Average core temperature
Time Frame: Period of work-rest allocations following initial stay time for morning day 2
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Average core temperature following initial stay time
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Period of work-rest allocations following initial stay time for morning day 2
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Systolic blood pressure
Time Frame: End of first (morning day 1) work period
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Arterial blood pressure measured via automated oscillometry
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End of first (morning day 1) work period
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Systolic blood pressure
Time Frame: End of second (afternoon day 1) work period
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Arterial blood pressure measured via automated oscillometry
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End of second (afternoon day 1) work period
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Systolic blood pressure
Time Frame: End of third (morning day 2) work period
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Arterial blood pressure measured via automated oscillometry
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End of third (morning day 2) work period
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Diastolic blood pressure
Time Frame: End of first (morning day 1) work period
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Arterial blood pressure measured via automated oscillometry
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End of first (morning day 1) work period
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Diastolic blood pressure
Time Frame: End of second (afternoon day 1) work period
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Arterial blood pressure measured via automated oscillometry
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End of second (afternoon day 1) work period
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Diastolic blood pressure
Time Frame: End of third (morning day 2) work period
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Arterial blood pressure measured via automated oscillometry
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End of third (morning day 2) work period
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Mean arterial blood pressure
Time Frame: End of first (morning day 1) work period
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Calculated as 1/3 * systolic blood pressure + 2/3 * diastolic blood pressure
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End of first (morning day 1) work period
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Mean arterial blood pressure
Time Frame: End of second (afternoon day 1) work period
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Calculated as 1/3 * systolic blood pressure + 2/3 * diastolic blood pressure
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End of second (afternoon day 1) work period
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Mean arterial blood pressure
Time Frame: End of third (morning day 2) work period
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Calculated as 1/3 * systolic blood pressure + 2/3 * diastolic blood pressure
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End of third (morning day 2) work period
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Rate pressure product
Time Frame: End of first (morning day 1) work period
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Calculated as systolic blood pressure * heart rate
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End of first (morning day 1) work period
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Rate pressure product
Time Frame: End of second (afternoon day 1) work period
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Calculated as systolic blood pressure * heart rate
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End of second (afternoon day 1) work period
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Rate pressure product
Time Frame: End of third (morning day 2) work period
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Calculated as systolic blood pressure * heart rate
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End of third (morning day 2) work period
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Fluid consumption
Time Frame: End of first (morning day 1) work period
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Cumulative fluid consumption calculated by weighing the participant's water intake
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End of first (morning day 1) work period
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Fluid consumption
Time Frame: End of second (afternoon day 1) work period
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Cumulative fluid consumption calculated by weighing the participant's water intake
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End of second (afternoon day 1) work period
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Fluid consumption
Time Frame: End of third (morning day 2) work period
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Cumulative fluid consumption calculated by weighing the participant's water intake
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End of third (morning day 2) work period
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Fluid loss
Time Frame: End of first (morning day 1) work period
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Fluid loss calculated as the change in body mass (corrected for food/fluid consumption).
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End of first (morning day 1) work period
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Fluid loss
Time Frame: End of second (afternoon day 1) work period
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Fluid loss calculated as the change in body mass (corrected for food/fluid consumption).
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End of second (afternoon day 1) work period
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Fluid loss
Time Frame: End of third (morning day 2) work period
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Fluid loss calculated as the change in body mass (corrected for food/fluid consumption).
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End of third (morning day 2) work period
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Change in plasma volume
Time Frame: End of first (morning day 1) work period
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Determined from venous blood samples
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End of first (morning day 1) work period
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Change in plasma volume
Time Frame: End of second (afternoon day 1) work period
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Determined from venous blood samples
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End of second (afternoon day 1) work period
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Change in plasma volume
Time Frame: End of third (morning day 2) work period
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Determined from venous blood samples
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End of third (morning day 2) work period
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Thermal comfort scale
Time Frame: End of first (morning day 1) continuous work bout
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Thermal comfort assessed via a visual analog scale ("How comfortable does your body temperature feel?") (4: very uncomfortable to 1: comfortable)
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End of first (morning day 1) continuous work bout
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Thermal comfort scale
Time Frame: End of second (afternoon day 1) continuous work bout
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Thermal comfort assessed via a visual analog scale ("How comfortable does your body temperature feel?") (4: very uncomfortable to 1: comfortable)
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End of second (afternoon day 1) continuous work bout
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Thermal comfort scale
Time Frame: End of third (morning day 2) continuous work bout
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Thermal comfort assessed via a visual analog scale ("How comfortable does your body temperature feel?") (4: very uncomfortable to 1: comfortable)
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End of third (morning day 2) continuous work bout
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Thirst sensation scale
Time Frame: End of first (morning day 1) continuous work bout
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Assessed via a visual analog scale ("How thirsty are you?")
(9: very, very thirsty to 1: Not thirsty at all)
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End of first (morning day 1) continuous work bout
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Thirst sensation scale
Time Frame: End of second (afternoon day 1) continuous work bout
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Assessed via a visual analog scale ("How thirsty are you?")
(9: very, very thirsty to 1: Not thirsty at all)
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End of second (afternoon day 1) continuous work bout
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Thirst sensation scale
Time Frame: End of third (morning day 2) continuous work bout
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Assessed via a visual analog scale ("How thirsty are you?")
(9: very, very thirsty to 1: Not thirsty at all)
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End of third (morning day 2) continuous work bout
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Rating of Perceived Exertion
Time Frame: End of first (morning day 1) continuous work bout
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Perceived exertion assessed via a self-report questionnaire upon verbal prompting (6: no exertion at all to 20: maximal exertion).
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End of first (morning day 1) continuous work bout
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Rating of Perceived Exertion
Time Frame: End of second (afternoon day 1) continuous work bout
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Perceived exertion assessed via a self-report questionnaire upon verbal prompting (6: no exertion at all to 20: maximal exertion).
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End of second (afternoon day 1) continuous work bout
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Rating of Perceived Exertion
Time Frame: End of third (morning day 2) continuous work bout
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Perceived exertion assessed via a self-report questionnaire upon verbal prompting (6: no exertion at all to 20: maximal exertion).
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End of third (morning day 2) continuous work bout
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Orthostatic Intolerance Symptoms Assessment
Time Frame: End of first (morning day 1) continuous work bout
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Cumulative sum of scores on 6 questions asking participant to rank symptoms associated with orthostatic intolerance.
All symptoms scored on a scale from 0 (none) to 10 (worst possible) and include feelings of: (1) "dizziness, lightheadedness, feeling faint, or feeling like you might black out"; (2) "Problems with vision (blurring, seeing spots, tunnel vision, etc.)"; (3) "Weakness"; (4) "Fatigue"; (5) "Trouble concentrating"; and (6) "Head and neck discomfort".
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End of first (morning day 1) continuous work bout
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Orthostatic Intolerance Symptoms Assessment
Time Frame: End of second (afternoon day 1) continuous work bout
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Cumulative sum of scores on 6 questions asking participant to rank symptoms associated with orthostatic intolerance.
All symptoms scored on a scale from 0 (none) to 10 (worst possible) and include feelings of: (1) "dizziness, lightheadedness, feeling faint, or feeling like you might black out"; (2) "Problems with vision (blurring, seeing spots, tunnel vision, etc.)"; (3) "Weakness"; (4) "Fatigue"; (5) "Trouble concentrating"; and (6) "Head and neck discomfort".
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End of second (afternoon day 1) continuous work bout
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Orthostatic Intolerance Symptoms Assessment
Time Frame: End of third (morning day 2) continuous work bout
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Cumulative sum of scores on 6 questions asking participant to rank symptoms associated with orthostatic intolerance.
All symptoms scored on a scale from 0 (none) to 10 (worst possible) and include feelings of: (1) "dizziness, lightheadedness, feeling faint, or feeling like you might black out"; (2) "Problems with vision (blurring, seeing spots, tunnel vision, etc.)"; (3) "Weakness"; (4) "Fatigue"; (5) "Trouble concentrating"; and (6) "Head and neck discomfort".
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End of third (morning day 2) continuous work bout
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Heart rate at initial stay time
Time Frame: End of first (morning day 1) continuous work bout
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Heart rate at the initial increase in absolute core temperature of 38°C (or relative increase of 1°C)
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End of first (morning day 1) continuous work bout
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Heart rate at initial stay time
Time Frame: End of second (afternoon day 1) continuous work bout
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Heart rate at the initial increase in absolute core temperature of 38°C (or relative increase of 1°C)
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End of second (afternoon day 1) continuous work bout
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Heart rate at initial stay time
Time Frame: End of third (morning day 2) continuous work bout
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Heart rate at the initial increase in absolute core temperature of 38°C (or relative increase of 1°C)
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End of third (morning day 2) continuous work bout
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Skin temperature at initial stay time
Time Frame: End of first (morning day 1) continuous work bout
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Skin temperature (4 sites) measured at the initial increase in absolute core temperature of 38°C (or relative increase of 1°C)
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End of first (morning day 1) continuous work bout
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Skin temperature at initial stay time
Time Frame: End of second (afternoon day 1) continuous work bout
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Skin temperature (4 sites) measured at the initial increase in absolute core temperature of 38°C (or relative increase of 1°C)
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End of second (afternoon day 1) continuous work bout
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Skin temperature at initial stay time
Time Frame: End of third (morning day 2) continuous work bout
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Skin temperature (4 sites) measured at the initial increase in absolute core temperature of 38°C (or relative increase of 1°C)
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End of third (morning day 2) continuous work bout
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Average heart rate
Time Frame: Period of work-rest allocations following initial stay time for morning day 1
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Average heart rate following initial stay time
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Period of work-rest allocations following initial stay time for morning day 1
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Average heart rate
Time Frame: Period of work-rest allocations following initial stay time for afternoon day 1
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Average heart rate following initial stay time
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Period of work-rest allocations following initial stay time for afternoon day 1
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Average heart rate
Time Frame: Period of work-rest allocations following initial stay time for morning day 2
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Average heart rate following initial stay time
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Period of work-rest allocations following initial stay time for morning day 2
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Average skin temperature
Time Frame: Period of work-rest allocations following initial stay time for morning day 1
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Average skin temperatures following initial stay time
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Period of work-rest allocations following initial stay time for morning day 1
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Average skin temperature
Time Frame: Period of work-rest allocations following initial stay time for afternoon day 1
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Average skin temperatures following initial stay time
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Period of work-rest allocations following initial stay time for afternoon day 1
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Average skin temperature
Time Frame: Period of work-rest allocations following initial stay time for morning day 2
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Average skin temperatures following initial stay time
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Period of work-rest allocations following initial stay time for morning day 2
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|
Thermal comfort scale
Time Frame: Period of work-rest allocations following initial stay time for morning day 1
|
Thermal comfort assessed via a visual analog scale ("How comfortable does your body temperature feel?") (4: very uncomfortable to 1: comfortable)
|
Period of work-rest allocations following initial stay time for morning day 1
|
|
Thermal comfort scale
Time Frame: Period of work-rest allocations following initial stay time for afternoon day 1
|
Thermal comfort assessed via a visual analog scale ("How comfortable does your body temperature feel?") (4: very uncomfortable to 1: comfortable)
|
Period of work-rest allocations following initial stay time for afternoon day 1
|
|
Thermal comfort scale
Time Frame: Period of work-rest allocations following initial stay time for morning day 2
|
Thermal comfort assessed via a visual analog scale ("How comfortable does your body temperature feel?") (4: very uncomfortable to 1: comfortable)
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Period of work-rest allocations following initial stay time for morning day 2
|
|
Thirst sensation scale
Time Frame: Period of work-rest allocations following initial stay time for morning day 1
|
Assessed via a visual analog scale ("How thirsty are you?")
(9: very, very thirsty to 1: Not thirsty at all)
|
Period of work-rest allocations following initial stay time for morning day 1
|
|
Thirst sensation scale
Time Frame: Period of work-rest allocations following initial stay time for afternoon day 2
|
Assessed via a visual analog scale ("How thirsty are you?")
(9: very, very thirsty to 1: Not thirsty at all)
|
Period of work-rest allocations following initial stay time for afternoon day 2
|
|
Thirst sensation scale
Time Frame: Period of work-rest allocations following initial stay time for morning day 2
|
Assessed via a visual analog scale ("How thirsty are you?")
(9: very, very thirsty to 1: Not thirsty at all)
|
Period of work-rest allocations following initial stay time for morning day 2
|
|
Rating of Perceived Exertion
Time Frame: Period of work-rest allocations following initial stay time for morning day 1
|
Perceived exertion assessed via a self-report questionnaire upon verbal prompting (6: no exertion at all to 20: maximal exertion).
|
Period of work-rest allocations following initial stay time for morning day 1
|
|
Rating of Perceived Exertion
Time Frame: Period of work-rest allocations following initial stay time for afternoon day 2
|
Perceived exertion assessed via a self-report questionnaire upon verbal prompting (6: no exertion at all to 20: maximal exertion).
|
Period of work-rest allocations following initial stay time for afternoon day 2
|
|
Rating of Perceived Exertion
Time Frame: Period of work-rest allocations following initial stay time for morning day 2
|
Perceived exertion assessed via a self-report questionnaire upon verbal prompting (6: no exertion at all to 20: maximal exertion).
|
Period of work-rest allocations following initial stay time for morning day 2
|
|
Orthostatic Intolerance Symptoms Assessment
Time Frame: Period of work-rest allocations following initial stay time for morning day 1
|
Cumulative sum of scores on 6 questions asking participant to rank symptoms associated with orthostatic intolerance.
All symptoms scored on a scale from 0 (none) to 10 (worst possible) and include feelings of: (1) "dizziness, lightheadedness, feeling faint, or feeling like you might black out"; (2) "Problems with vision (blurring, seeing spots, tunnel vision, etc.)"; (3) "Weakness"; (4) "Fatigue"; (5) "Trouble concentrating"; and (6) "Head and neck discomfort".
|
Period of work-rest allocations following initial stay time for morning day 1
|
|
Orthostatic Intolerance Symptoms Assessment
Time Frame: Period of work-rest allocations following initial stay time for afternoon day 1
|
Cumulative sum of scores on 6 questions asking participant to rank symptoms associated with orthostatic intolerance.
All symptoms scored on a scale from 0 (none) to 10 (worst possible) and include feelings of: (1) "dizziness, lightheadedness, feeling faint, or feeling like you might black out"; (2) "Problems with vision (blurring, seeing spots, tunnel vision, etc.)"; (3) "Weakness"; (4) "Fatigue"; (5) "Trouble concentrating"; and (6) "Head and neck discomfort".
|
Period of work-rest allocations following initial stay time for afternoon day 1
|
|
Orthostatic Intolerance Symptoms Assessment
Time Frame: Period of work-rest allocations following initial stay time for morning day 2
|
Cumulative sum of scores on 6 questions asking participant to rank symptoms associated with orthostatic intolerance.
All symptoms scored on a scale from 0 (none) to 10 (worst possible) and include feelings of: (1) "dizziness, lightheadedness, feeling faint, or feeling like you might black out"; (2) "Problems with vision (blurring, seeing spots, tunnel vision, etc.)"; (3) "Weakness"; (4) "Fatigue"; (5) "Trouble concentrating"; and (6) "Head and neck discomfort".
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Period of work-rest allocations following initial stay time for morning day 2
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Glen P Kenny, PhD, University of Ottawa
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- HEPRU 2023-03
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ANALYTIC_CODE
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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