van Wd Wouter Marken Lichtenbelt

Evaluation of wireless determination of skin temperature using iButtons

Measurements of skin temperatures are often complicated because of the use of wired sensors. This is so in field studies, but also holds for many laboratory conditions. This article describes a wireless temperature system for human skin temperature measurements, i.e. the Thermochron iButton DS1291H. The study deals with validation of the iButton and its application on the human skin, and describes clinical and field measurements. The validation study shows that iButtons have a mean accuracy of -0.09 degrees C (-0.4 degrees C at most) with a precision of 0.05 degrees C (0.09 degrees C at most). These properties can be improved by using calibration. Due to the size of the device the response time is longer than that of conventional sensors, with a tau in water of 19 s. On the human skin under transient conditions the response time is significantly longer, revealing momentary deviations with a magnitude of 1 degrees C. The use of iButtons has been described in studies on circadian rhythms, sleep and cardiac surgery. With respect to circadian rhythm and sleep research, skin temperature assessment by iButtons is of significant value in laboratory, clinical and home situations. We demonstrate that differences in laboratory and field measurements add to our understanding of thermophysiology under natural living conditions. The advantage of iButtons in surgery research is that they are easy to sterilize and wireless so that they do not hinder the surgical procedure. In conclusion, the application of iButtons is advantageous for measuring skin temperatures in those situations in which wired instruments are unpractical and fast responses are not required.

Seasonal changes in metabolic and temperature responses to cold air in humans

The metabolic and temperature response to mild cold were investigated in summer and winter in a moderate oceanic climate. Subjects were 10 women and 10 men, aged 19-36 years and BMI 17-32 kg/m2. Metabolic rate (MR) and body temperatures were measured continuously in a climate chamber with an ambient temperature of 22 degrees C for 1 h and subsequently 3 h of 15 degrees C. The average metabolic response during cold exposure, measured as the increase in kJ/min over time, was significantly higher in winter (11.5%) compared to summer (7.0%, P < .05). The temperature response was comparable in both seasons. The metabolic response in winter was significantly related to the response in summer (r2 = .47, P < .001). Total heat production during cold exposure was inversely related to the temperature response in both seasons (summer, r2 = .39, P < .01; winter r2 = .32, P < .05). In conclusion, the observed higher metabolic response in winter compared to summer indicates cold adaptation. The magnitude of the cold response varies, but the relative contribution of metabolic and temperature response was subject specific and consistent throughout the seasons, which can have implications for energy balance and body composition.

Differences between young adults and elderly in thermal comfort, productivity, and thermal physiology in response to a moderate temperature drift and a steady-state condition.

UNLABELLED Results from naturally ventilated buildings show that allowing the indoor temperature to drift does not necessarily result in thermal discomfort and may allow for a reduction in energy use. However, for stationary conditions, several studies indicate that the thermal neutral temperature and optimum thermal condition differ between young adults and elderly. There is a lack of studies that describe the effect of aging on thermal comfort and productivity during a moderate temperature drift. In this study, the effect of a moderate temperature drift on physiological responses, thermal comfort, and productivity of eight young adults (age 22-25 year) and eight older subjects (age 67-73 year) was investigated. They were exposed to two different conditions: S1-a control condition; constant temperature of 21.5 degrees C; duration: 8 h; and S2-a transient condition; temperature range: 17-25 degrees C, duration: 8 h, temperature drift: first 4 h: +2 K/h, last 4 h: -2 K/h. The results indicate that thermal sensation of the elderly was, in general, 0.5 scale units lower in comparison with their younger counterparts. Furthermore, the elderly showed more distal vasoconstriction during both conditions. Nevertheless, TS of the elderly was related to air temperature only, while TS of the younger adults also was related to skin temperature. During the constant temperature session, the elderly preferred a higher temperature in comparison with the young adults. PRACTICAL IMPLICATIONS Because the stock of fossil fuels is limited, energy savings play an important role. Thermal comfort is one of the most important performance indicators to successfully apply measures to reduce the energy need in buildings. Allowing drifts in indoor temperature is one of the options to reduce the energy demand. This study contributes to the knowledge concerning the effects of a moderate temperature drift and the age of the inhabitants on their thermal comfort.

The influence of local effects on thermal sensation under non-uniform environmental conditions - Gender differences in thermophysiology, thermal comfort and productivity during convective and radiant cooling

Applying high temperature cooling concepts, i.e. high temperature cooling (T(supply) is 16-20°C) HVAC systems, in the built environment allows the reduction in the use of (high quality) energy. However, application of high temperature cooling systems can result in whole body and local discomfort of the occupants. Non-uniform thermal conditions, which may occur due to application of high temperature cooling systems, can be responsible for discomfort. Contradictions in literature exist regarding the validity of the often used predicted mean vote (PMV) index for both genders, and the index is not intended for evaluating the discomfort due to non-uniform environmental conditions. In some cases, however, combinations of local and general discomfort factors, for example draught under warm conditions, may not be uncomfortable. The objective of this study was to investigate gender differences in thermophysiology, thermal comfort and productivity in response to thermal non-uniform environmental conditions. Twenty healthy subjects (10 males and 10 females, age 20-29 years) were exposed to two different experimental conditions: a convective cooling situation (CC) and a radiant cooling situation (RC). During the experiments physiological responses, thermal comfort and productivity were measured. The results show that under both experimental conditions the actual mean thermal sensation votes significantly differ from the PMV-index; the subjects are feeling colder than predicted. Furthermore, the females are more uncomfortable and dissatisfied compared to the males. For females, the local sensations and skin temperatures of the extremities have a significant influence on whole body thermal sensation and are therefore important to consider under non-uniform environmental conditions.

INCREASED SYSTOLIC BLOOD PRESSURE AFTER MILD COLD AND REWARMING: RELATION TO COLD-INDUCED THERMOGENESIS AND AGE

Aim:  Higher winter mortality in elderly has been associated with augmented systolic blood pressure (SBP) response and with impaired defense of core temperature. Here we investigated whether the augmented SBP upon mild cold exposure remains after a rewarming period, and whether SBP changes are linked to thermoregulation. Therefore, we tested the following hypotheses: cold‐induced increase in SBP (1) remains augmented after rewarming in elderly compared to young adults (2) is related to non‐shivering thermogenesis (NST) upon mild cold (3) is related to vasoconstriction upon mild cold.

Beyond the classic thermoneutral zone Including thermal comfort

The thermoneutral zone is defined as the range of ambient temperatures where the body can maintain its core temperature solely through regulating dry heat loss, i.e., skin blood flow. A living body can only maintain its core temperature when heat production and heat loss are balanced. That means that heat transport from body core to skin must equal heat transport from skin to the environment. This study focuses on what combinations of core and skin temperature satisfy the biophysical requirements of being in the thermoneutral zone for humans. Moreover, consequences are considered of changes in insulation and adding restrictions such as thermal comfort (i.e. driver for thermal behavior). A biophysical model was developed that calculates heat transport within a body, taking into account metabolic heat production, tissue insulation, and heat distribution by blood flow and equates that to heat loss to the environment, considering skin temperature, ambient temperature and other physical parameters. The biophysical analysis shows that the steady-state ambient temperature range associated with the thermoneutral zone does not guarantee that the body is in thermal balance at basal metabolic rate per se. Instead, depending on the combination of core temperature, mean skin temperature and ambient temperature, the body may require significant increases in heat production or heat loss to maintain stable core temperature. Therefore, the definition of the thermoneutral zone might need to be reformulated. Furthermore, after adding restrictions on skin temperature for thermal comfort, the ambient temperature range associated with thermal comfort is smaller than the thermoneutral zone. This, assuming animals seek thermal comfort, suggests that thermal behavior may be initiated already before the boundaries of the thermoneutral zone are reached.

Body mass index and daily physical activity in anorexia nervosa

The level of daily physical activity in 11 non-hospitalized women with anorexia (age: 21-48 yr, body mass index (BMI): 12.5-18.3 kg.m-2), compared with 13 normal-weight women (age: 20-35 yr, BMI 19.2-26.7 kg.m-2), was studied in relation to BMI. Daily physical activity over a 7-d period was determined from movement registration and by combining measurements of average daily metabolic rate (measured in a respiration chamber). Group averages of daily physical activity were similar for subjects with anorexia and control subjects. However, women with anorexia had either a low or a high level of daily physical activity, whereas most control subjects had a moderate level of daily physical activity. In the women with anorexia, daily physical activity was significantly related to BMI (r = 0.84). Subjects with a BMI > or = kg.m-2 were equally or more active compared with control subjects, while subjects with a BMI < 17 kg.m-2 were equally or less active compared with control subjects. The increased physical activity at BMI > or = 17 kg.m-2 is considered to be facilitated by an improving physical capacity combined with the advantages of a low body mass during weight-bearing activities. At lower BMI, undereating and declining physical capacity may have caused the observed decrease in daily physical activity.

Thermal sensation : a mathematical model based on neurophysiology

UNLABELLED Thermal sensation has a large influence on thermal comfort, which is an important parameter for building performance. Understanding of thermal sensation may benefit from incorporating the physiology of thermal reception. The main issue is that humans do not sense temperature directly; the information is coded into neural discharge rates. This manuscript describes the development of a mathematical model of thermal sensation based on the neurophysiology of thermal reception. Experimental data from two independent studies were used to develop and validate the model. In both studies, skin and core temperature were measured. Thermal sensation votes were asked on the seven-point ASHRAE thermal sensation scale. For the development dataset, young adult males (N=12, 0.04Clo) were exposed to transient conditions; Tair 30-20-35-30°C. For validation, young adult males (N=8, 1.0Clo) were exposed to transient conditions; Tair: 17-25-17°C. The neurophysiological model significantly predicted thermal sensation for the development dataset (r2=0.89, P<0.001). Only information from warm-sensitive skin and core thermoreceptors was required. Validation revealed that the model predicted thermal sensation within acceptable range (root mean squared residual=0.38). The neurophysiological model captured the dynamics of thermal sensation. Therefore, the neurophysiological model of thermal sensation can be of great value in the design of high-performance buildings. PRACTICAL IMPLICATIONS The presented method, based on neurophysiology, can be highly beneficial for predicting thermal sensation under complex environments with respect to transient environments.

Individual differences in body temperature and the relation to energy expenditure: the influence of mild cold.

Inter-individual differences in body temperature and resting metabolic rate (RMR), during comfortable temperature and mild cold were studied. Sleeping metabolic rate (SMR) was measured overnight at 22°C and RMR the following morning at 22°C and at 16°C. Intestinal, rectal and skin temperatures were measured as well as the electromyography (EMG). The SMR and the RMR corrected for body composition were significantly related (p<0.001, r2=0.57) which means that individual levels of energy expenditure during the night remained during the day. At 16°C, the RMR increased without increase of EMG activity, indicating non-shivering thermogenesis. Gender differences exist for intestinal, rectal, pectoralis and hand temperature (p<0.05).

A model to predict patient temperature during cardiac surgery

A core temperature drop after cardiac surgery slows down the patients recuperation process. In order to minimize the amount of the so-called afterdrop, more knowledge is needed about the impaired thermoregulatory system during anesthesia and the effect of different protocols on temperature distribution. Therefore, a computer model has been developed that describes heat transfer during cardiac surgery. The model consists of three parts: (1) a passive part, which gives a simplified description of the human geometry and the passive heat transfer processes, (2) an active part that takes into account the thermoregulatory system as a function of the amount of anesthesia and (3) submodels, through which it is possible to adjust the boundary conditions. The validity of the new model was tested by comparing the model results to the measurement results of three surgical procedures. A good resemblance was found between simulation results and the experiments. Next, a model application was shown. A parameter study was performed to study the effect of different temperature protocols on afterdrop. It was shown that the effectiveness of forced-air heating is larger than the benefits resulting from increased environmental temperature or usage of a circulating water mattress. Ultimately, the model could be used to develop a monitoring decision system that advises clinicians what temperature protocol will be best for the patient.