Personal Protective Equipment Immediately Alters the Core-Skin Temperature Gradient in Recruit Firefighters.
William R Kinnaird1, Andrew R Moore1, Tiffany J Oberther1
1Department of Kinesiology, Augusta University, 3109 Wrightsboro Road, Augusta, GA 30909, USA.
Life (Basel, Switzerland)
|May 4, 2026
Summary
Personal protective equipment (PPE) significantly reduces the core-skin temperature gradient in recruit firefighters. This effect is primarily driven by increased skin temperature when wearing PPE during fire academy training.
Area of Science:
- Occupational Health
- Environmental Physiology
- Human Factors Engineering
Background:
- Firefighters face extreme heat stress during operations.
- Understanding the physiological impact of personal protective equipment (PPE) is crucial for firefighter safety.
- Existing research often focuses on prolonged exposure rather than immediate effects.
Purpose of the Study:
- To quantify the immediate impact of personal protective equipment (PPE) on the core-skin temperature gradient in recruit firefighters.
- To analyze how donning and doffing PPE affects thermal regulation during fire academy training.
- To investigate the relationship between PPE use and core and skin temperature changes.
Main Methods:
- Nine recruit firefighters were monitored during fire academy training.
- Core and skin temperatures were continuously measured using ingestible pills and chest monitors.
- Repeated-measures ANOVAs analyzed temperature gradients under PPE ON and PPE OFF conditions.
Main Results:
- A significant reduction in the core-skin temperature gradient was observed when firefighters wore PPE (p < 0.001).
- Skin temperature was significantly higher when PPE was worn compared to when it was off.
- No significant interaction or main effect of PPE status was found for core temperature.
Conclusions:
- Donning personal protective equipment (PPE) significantly decreases the core-skin temperature gradient in recruit firefighters.
- Increased skin temperature is the primary factor contributing to the reduced gradient during PPE use.
- These findings highlight the immediate thermoregulatory challenges firefighters face when wearing PPE.
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