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Updated: May 12, 2026

A Preclinical Model of Exertional Heat Stroke in Mice
Published on: July 1, 2021
Muscle-damaging exercise increases heat strain during subsequent exercise heat stress
Matthew Benjamin Fortes1, Umberto Di Felice, Alberto Dolci
11College of Health and Behavioural Sciences, Bangor University, Gwynedd, UNITED KINGDOM; and 2Department of Biomedical Sciences and Technologies, University of L'Aquila, Coppito, ITALY.
Exercise-induced muscle damage (EIMD) significantly increases heat strain during subsequent exercise in hot conditions. This heightened physiological stress, particularly within 30 minutes post-damage, elevates the risk of exertional heat illness.
Area of Science:
- Exercise Physiology
- Environmental Physiology
- Sports Medicine
Background:
- Exercise-induced muscle damage (EIMD) is common after strenuous physical activity.
- The impact of EIMD on heat strain during subsequent exercise in hot environments remains poorly understood.
- EIMD may influence thermoregulation through inflammatory responses and altered metabolic efficiency.
Purpose of the Study:
- To investigate the effect of EIMD on physiological heat strain during exercise in a hot environment.
- To assess heat strain at two time points post-EIMD: 30 minutes (acute inflammation) and 24 hours (delayed inflammation and metabolic changes).
- To determine if EIMD increases the risk of exertional heat illness.
Main Methods:
- Thirteen non-heat-acclimated males underwent exercise heat stress tests (40 min at 65% V˙O2max in 33°C, 50% humidity).
- Tests were conducted 30 min (HS1) and 24 h (HS2) after either EIMD (running at -10% gradient) or a control condition (CON, running at +1% gradient) in a crossover design.
- Measurements included rectal and skin temperature, local sweating rate, and metabolic energy expenditure (M˙).
Main Results:
- EIMD led to significantly greater increases in rectal temperature (ΔTre) during both HS1 and HS2 compared to CON.
- Metabolic energy expenditure (M˙) was higher following EIMD during both heat stress tests.
- While thermoeffector responses were unchanged, thermal sensation and perceived exertion were elevated after EIMD during HS1.
Conclusions:
- EIMD increases heat strain during exercise in hot conditions, both acutely (30 min post-EIMD) and to a lesser extent 24 hours later.
- Elevated heat strain post-EIMD suggests a potential increased risk for exertional heat illness, especially when behavioral thermoregulation is disregarded.
- Circulating interleukin-6 (IL-6) levels post-EIMD correlated with increased final rectal temperature during heat stress.
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