Sam D. Blacker

The effect of cool water ingestion on gastrointestinal pill temperature

UNLABELLED Telemetric gastrointestinal (GI) temperature pills are now commonly used to measure core body temperature and could minimize the risk of heat illness while maximizing operational effectiveness in workers subject to high levels of thermal strain. PURPOSE To quantify the effect of repeated cool water ingestion on the accuracy of GI pill temperature. METHODS Ten operational firefighters ingested a pill to measure GI temperature (T1int) before overnight sleep. Two hours following breakfast and 11.5 h after ingesting T1int, the firefighters ingested a second pill (T2int) before performing 8.5 h of intermittent activity (repetitive cycles of 30 min of seated rest followed by 30 min of general firefighter duties). During the first 2 min of each 30-min rest period, the firefighters consumed 250 mL of chilled water (5-8 degrees C). RESULTS Water ingestion had a highly variable effect both within and between subjects in transiently (32 +/- 10 min) reducing the temperature of T2int in comparison with T1int. In general, this transient reduction in T2int became progressively smaller as time following ingestion increased. In some firefighters, the difference between T1int and T2int became negligible (+/- 0.1 degrees C) after 3 h, whereas in two others, large differences (peaking at 2.0 degrees C and 6.3 degrees C) were still observed when water was consumed 8 h after pill ingestion. CONCLUSION These results show that a GI pill ingested immediately prior to physical activity cannot be used to measure core body temperature accurately in all individuals during the following 8 h when cool fluids are regularly ingested. This makes GI temperature measurement unsuitable for workers who respond to emergency deployments when regular fluid consumption is recommended operational practice.

Physical demands of firefighter search and rescue in ambient environmental conditions

This study investigated the physiological responses and limitations to a simulated search and rescue scenario in a high-rise building under ambient conditions. Sixteen firefighters performed the scenario under four conditions: standard duration breathing apparatus (SDBA) and 45 mm hose; extended duration breathing apparatus (EDBA) and 45 mm hose; SDBA and 70 mm hose; EDBA and 70 mm hose. Core temperature, skin temperature and heart rate were monitored. In four of 32 trials the casualty was rescued; the remainder of the trials were terminated for safety, high core temperature or shortage of air. Final core temperature and heart rate were higher in the EDBA (39.1°C; 72% heart rate reserve (HRR)) than SDBA conditions (38.6°C; 67%HRR). No differences were observed between hose sizes. The scenario proved too onerous to complete successfully in the majority of cases. Replacing SDBA with EDBA eliminates air supply as a limiting factor, but brings with it challenges of managing thermal strain.

An investigation of a novel three-dimensional activity monitor to predict free-living energy expenditure

Abstract The aim of this study was to assess the capability of the 3dNX™ accelerometer to predict energy expenditure in two separate, free-living cohorts. Twenty-three adolescents and 14 young adults took a single dose of doubly labelled water and wore a 3dNX™ activity monitor during waking hours for a 10-day period while carrying out their normal routines. Multiple linear regression with backward elimination was used to establish the strength of the associations between various indices of energy expenditure, physical activity counts, and anthropometric variables. 3dNX™ output accounted for 27% and 35% of the variance in the total energy expenditure of the adolescent and young adult cohort, respectively. The explained variance increased to 78%, with a standard error of estimate of 7%, when 3dNX™ output was combined with body composition variables. The 3dNX™ accelerometer can be used to predict free-living daily energy expenditure with a standard error of estimate of 1.65 MJ in adolescents and 1.52 MJ in young adults. The inclusion of anthropometric variables reduces the error to approximately 1 MJ. Although it remains to cross-validate these models in other populations, early indications suggest that the 3dNX™ provides a useful method of predicting energy expenditure in free-living individuals.

Injuries and injury risk factors among British army infantry soldiers during predeployment training

Purpose This prospective cohort study examined injuries and injury risk factors in 660 British Army infantry soldiers during a predeployment training cycle. Methods Soldiers completed a questionnaire concerning physical characteristics, occupational factors, lifestyle characteristics (including physical training time) and previous injury. Direct measurements included height, body mass, sit-ups, push-ups and run time. Electronic medical records were screened for injuries over a 1-year period before operational deployment. Backward-stepping Cox regression calculated HR and 95% CI to quantify independent injury risk factors. Results One or more injuries were experienced by 58.5% of soldiers. The new injury diagnosis rate was 88 injuries/100 person-years. Most injuries involved the lower body (71%), especially the lower back (14%), knee (19%) and ankle (15%). Activities associated with injury included sports (22%), physical training (30%) and military training/work (26%). Traumatic injuries accounted for 83% of all injury diagnoses. Independent risk factors for any injury were younger age (17–19 years (HR 1.0), 20–24 years (HR 0.71, 95% CI 0.55 to 0.93), 25–29 years (HR 0.89, 95% CI 0.66 to 1.19) and 30–43 years (HR 0.41, 95% CI 0.27 to 0.63), previous lower limb injury (yes/no HR 1.49, 95% CI 1.19 to 1.87) and previous lower back injury (yes/no HR 1.30, 95% CI 1.03 to 1.63). Conclusion British infantry injury rates were lower than those reported for US infantry (range 101–223 injuries/100 soldier-years), and younger age and previous injury were identified as independent risk factors. Future efforts should target reducing the incidence of traumatic injuries, especially those related to physical training and/or sports.

Physiological responses of police officers during job simulations wearing chemical, biological, radiological and nuclear personal protective equipment

The aim of this study was to quantify the physiological responses of Police Officers wearing chemical, biological, radiological and nuclear personal protective equipment (CBRN PPE) during firearms house entry (FE) unarmed house entry (UE) and crowd control (CC) simulations. Participants volunteered from the UK Police Force [FE (n = 6, age 33 ± 4 years, body mass 85.3 ± 7.9 kg, [Vdot]O2max 53 ± 5 ml · kg−1 · min−1), UE and CC (n = 11, age 34 ± 5 years, body mass 88.5 ± 13.8 kg, [Vdot]O2max 51 ± 5 ml · kg−1 · min−1)]. Heart rate reserve (HRR) during FE was greater than UE (74 ± 7 vs. 62 ± 6%HRR, p = 0.01) but lower in CC (39 ± 7%HRR, p < 0.01). Peak core body temperature was greater during FE (39.2 ± 0.3°C) than UE (38.9 ± 0.4°C, p < 0.01) and CC (37.5 ± 0.3°C, p < 0.01), with similar trends in skin temperature. There were no differences in the volume of water consumed (1.13 ± 0.44 l, p = 0.51) or change in body mass (−1.68 ± 0.65 kg, p = 0.74) between simulations. The increase in body temperature was a primary physiological limitation to performance. Cooling strategies and revised operating procedures may improve Police Officers’ physical performance while wearing CBRN PPE. Practitioner Summary. In recent years, the likelihood of Police Officers having to respond to a chemical, biological, nuclear or radiological (CBRN) incident wearing personal protective equipment (PPE) has increased. Such apparel is likely to increase physiological strain and impair job performance; understanding these limitations may help improve Officer safety and operational effectiveness.

Neuromuscular and cardiovascular responses of Royal Marine recruits to load carriage in the field.

Cardiovascular and neuromuscular responses of 12 male Royal Marine recruits (age 22 ± 3 years, body mass 80.7 ± 6.8 kg, VO(2)max 52.3 ± 2.7 ml kg(-1) min(-1)) were measured during 19.3 km of load carriage walking at 4.2 km h(-1) and carrying 31.0 kg. Heart rate during load carriage was 145 ± 10 beats·min(-1) (64 ± 5 %HRR) and showed a negative relationship with body mass (r = -0.72, P = 0.009) but no relationship with VO(2)max (ml kg(-1) min(-1); r = -0.40, P = 0.198). Load carriage caused a decrease in vertical jump height (8 ± 9%) and power (5 ± 5%) (P < 0.001). Change in vertical jump power showed a positive relationship with body mass (r(2) = 0.40, P = 0.029) but no relationship to VO(2)max (ml kg(-1) min(-1); r(2) = 0.13, P = 0.257). In conclusion, load carriage caused a reduction in vertical jump performance (i.e. decreased neuromuscular function). Lighter individuals were disadvantaged when carrying absolute loads, as they experienced higher cardiovascular strain and greater decreases in neuromuscular function.

Carbohydrate vs protein supplementation for recovery of neuromuscular function following prolonged load carriage

BackgroundThis study examined the effect of carbohydrate and whey protein supplements on recovery of neuromuscular function after prolonged load carriage.MethodsTen male participants (body mass: 81.5 ± 10.5 kg, age: 28 ± 9 years, O2max: 55.0 ± 5.5 ml·kg-1·min-1) completed three treadmill walking tests (2 hr, 6.5 km·h-1), carrying a 25 kg backpack consuming 500 ml of either: (1) Placebo (flavoured water) [PLA], (2) 6.4% Carbohydrate Solution [CHO] or (3) 7.0% Whey Protein Solution [PRO]. For three days after load carriage, participants consumed two 500 ml supplement boluses. Muscle performance was measured before and at 0, 24, 48 and 72 h after load carriage, during voluntary and electrically stimulated contractions.ResultsIsometric knee extension force decreased immediately after load carriage with no difference between conditions. During recovery, isometric force returned to pre-exercise values at 48 h for CHO and PRO but at 72 h for PLA. Voluntary activation decreased immediately after load carriage and returned to pre-exercise values at 24 h in all conditions (P = 0.086). During recovery, there were no differences between conditions for the change in isokinetic peak torque. Following reductions immediately after load carriage, knee extensor and flexor peak torque (60°·s-1) recovered to pre-exercise values at 72 h. Trunk extensor and flexor peak torque (15°·s-1) recovered to pre-exercise values at 24 h (P = 0.091) and 48 h (P = 0.177), respectively.ConclusionRecovery of neuromuscular function after prolonged load carriage is improved with either carbohydrate or whey protein supplementation for isometric contractions but not for isokinetic contractions.

Development of an operational fitness test for the Royal Air Force

Since 2002, the Royal Air Force (RAF) has been working towards developing role-related physical tests for use as an operational fitness test (OFT). The purpose of this study was to establish reliability of the OFT (comprising four tests), investigate gym-based tests as predictors of performance and establish performance standards. Fifty-eight RAF personnel performed the OFT on three occasions. A separate cohort carried out fitness and anthropometric tests before performing the OFT, by way of establishing performance predictors. Documented evidence and views of an expert panel were used to determine OFT standards. Reliability ranged from moderate to good for three tests, with one test (Dig) showing poor reliability. The 95% limits of agreement for the prediction models ranged from good to poor (6.7–34.2%). The prediction models were not sufficiently accurate to estimate confidently OFT performance, but could be used as a guide to quantify likely outcome and training needs.

New Zealand Blackcurrant Extract Improves High-Intensity Intermittent Running

We examined the effect of New Zealand blackcurrant (NZBC) extract on high-intensity intermittent running and postrunning lactate responses. Thirteen active males (age: 25 ± 4 yrs, height: 1.82 ± 0.07 m, body mass: 81 ± 14 kg, VO2max: 56 ± 4 ml·kg-1·min-1, vVO2max: 17.6 ± 0.8 km·h-1) performed a treadmill running protocol to exhaustion, which consisted of stages with 6 × 19 s of sprints with 15 s of low-intensity running between sprints. Interstage rest time was 1 min and stages were repeated with increasing sprint speeds. Subjects consumed capsuled NZBC extract (300 mg·day-1 CurraNZ; containing 105 mg anthocyanin) or placebo for 7 days (double-blind, randomized, crossover design, wash-out at least 14 days). Blood lactate was collected for 30 min postexhaustion. NZBC increased total running distance by 10.6% (NZBC: 4282 ± 833 m, placebo: 3871 ± 622 m, p = .02), with the distance during sprints increased by 10.8% (p = .02). Heart rate, oxygen uptake, lactate and rating of perceived exertion were not different between conditions for the first 4 stages completed by all subjects. At exhaustion, blood lactate tended to be higher for NZBC (NZBC: 6.01 ± 1.07 mmol·L-1, placebo: 5.22 ± 1.52 mmol·L-1, p = .07). There was a trend for larger changes in lactate following 15 min (NZBC: -2.89 ± 0.51 mmol·L-1, placebo: -2.46 ± 0.39 mmol·L-1, p = .07) of passive recovery. New Zealand blackcurrant extract (CurraNZ) may enhance performance in sports characterized by high-intensity intermittent exercise as greater distances were covered with repeated sprints, there was higher lactate at exhaustion, and larger changes in lactate during early recovery after repeated sprints to exhaustion.

Within-day and between-days reproducibility of isokinetic parameters of knee, trunk and shoulder movements

The purpose of this study was to examine the within-day and between-days reproducibility of isokinetic parameters of knee, shoulder and trunk movements. Ten healthy males (age 30 ± 8 years, height 1.79 ± 0.05 m, body mass 79.4 ± 8.3 kg) performed isokinetic concentric contractions (knee: 60 and 180 ◦ /s; shoulder: 60 and 180 ◦ /s: and; trunk: 15 and 60 ◦ /s) at 0 (baseline), 2, 24, 48 and 72 hours. Reproducibility of the baseline peak moment, mean peak moment and maximum work was assessed using Bland and Altman limits of agreement and pre-planned paired t-tests ( P< 0.05). Peak moment of knee, trunk and shoulder extensors at low velocities had highest reproducibility within and between days over a time period of 3 days. Peak moment at high and low velocities of knee extensors was consistently the most reliable parameter over a 3 day period. It is concluded that isokinetic parameters can be reproducibly measured in a combined session of knee, shoulder and trunk movements in healthy male subjects over a 3-day time period.