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Work-rest regimens for work in hot environments: A scoping review.
Thomas A Deshayes1,2, Hsen Hsouna1,2, Mounir A A Braham3,4
1Montreal Heart Institute, Montréal, Québec, Canada.
American Journal of Industrial Medicine
|February 12, 2024
Summary
Occupational heat stress is managed with work-rest regimens, but studies show they often fail to prevent high core temperatures. More research is needed on their effectiveness beyond physical exertion in diverse populations.
Area of Science:
- Occupational Health
- Environmental Physiology
- Human Factors Engineering
Background:
- Occupational health organizations recommend work-rest regimens to limit heat stress.
- These regimens aim to prevent core body temperature from exceeding 38°C or increasing by 1°C.
- Existing knowledge on the effectiveness of these regimens in hot environments needs comprehensive mapping.
Purpose of the Study:
- To conduct a scoping review of existing research on work-rest regimens in hot environments.
- To identify gaps in the current literature regarding the physiological effectiveness of these regimens.
- To propose recommendations for future research directions.
Main Methods:
- A systematic search was conducted across 10 scientific databases.
- Studies focusing on work-rest regimens under hot environmental conditions were included.
- Data extraction focused on study characteristics, regimens used, and reported outcomes.
Main Results:
- 49 articles were reviewed, with 35 being experimental studies, predominantly in laboratory settings.
- Most studies involved healthy young males and focused on physical tasks, with limited reporting on performance outcomes.
- Despite work-rest regimens, 77% of experimental studies reported core temperatures exceeding 38°C.
Conclusions:
- Current research on the physiological effectiveness of work-rest regimens for heat stress is limited.
- Studies are often short, focus on specific demographics, and neglect non-physical performance impacts.
- Further research is required to establish effective, evidence-based work-rest strategies for diverse occupational settings.
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