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Updated: Jan 26, 2026

Field-Based Thermal Physiology Assay: Cold Shock Recovery under Ambient Conditions
Published on: March 9, 2021
Estimating personal ambient temperature in moderately cold environments for occupationally exposed populations
Margaret M Sugg1, Scott Stevens2, Jennifer D Runkle2
1Department of Geography and Planning, Appalachian State University, P.O. Box 32066, Boone, NC, 28608, USA.
Working in moderately cold outdoor environments poses health risks, even in warmer climates. Personalized temperature monitoring is crucial for understanding and mitigating these risks for outdoor workers.
Area of Science:
- Occupational Health
- Environmental Health
- Thermophysiology
Background:
- Winter season poses high mortality and morbidity risks, particularly in southern US cities.
- Limited research exists on health effects of working in moderately cold environments for outdoor workers.
- Outdoor grounds management workers in the southeastern US are a vulnerable population for cold exposure.
Purpose of the Study:
- To investigate the health effects of personal cold exposure in outdoor grounds management workers.
- To compare cold exposure in different climatological settings within the southeastern US.
- To assess the relationship between personal ambient temperature and cold symptomatology.
Main Methods:
- Utilized consumer-based sensors for repeated personal cold exposure measurements.
- Recruited outdoor workers from Raleigh, NC, and Boone, NC, for a 3-week data collection in winter 2018.
- Collected data on personal ambient temperatures and cold symptomatology.
Main Results:
- Lower personal ambient temperatures were recorded in Raleigh, NC, compared to Boone, NC.
- Higher relative risk for cold symptomatology was observed in moderately cold (0°C to 20°C) versus extremely cold (<0°C) personal ambient temperatures.
- A weak significant relationship was found between personal ambient temperatures and fixed weather station measurements.
Conclusions:
- Personalized temperature monitoring is more accurate than fixed site measurements for assessing health risks.
- Moderately cold temperatures may pose a greater risk for cold symptomatology than previously thought.
- Advancements in mobile technology will enable real-time, individual-level environmental health monitoring in various occupational settings.
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