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皮肤温度适应生理应变指数 (aPSI) 预测了运动热病
Mark J Buller1, Emma Y Atkinson1, Michelle E Akana2
1Thermal and Mountain Medicine Division, U. S. Army Research Institute of Environmental Medicine, Natick, MA 01760, United States of America.
Physiological measurement
|September 10, 2025
概括
适应生理应变指数 (aPSI) 准确地预测实时的运动热病 (EHI) 风险. 这种新的实地实践指标识别了86.7%的EHI病例,为预防强度运动期间与热有关的伤害提供了关键的见解.
科学领域:
- 环境生理学环境生理学
- 运动医学 运动医学
- 职业健康 职业健康 职业健康
背景情况:
- 运动热病 (EHI) 在热环境中运动时会带来重大风险.
- 生理监测是评估EHI风险和实施管理策略的关键.
- 目前还没有一个实用的,可在现场部署的指标来预测EHI发生率.
研究的目的:
- 为了比较五个热应变指数在预测EHI中的有效性.
- 确定现场可行的实时EHI风险评估指标.
主要方法:
- 评估了五个热应变指数:皮肤温度,估计的核心温度,核心-皮肤温度差异,生理应变指数 (PSI) 和自适应生理应变指数 (aPSI).
- 在为期几天的身体评估中,从5080名美国海军陆战队新兵那里收集了数据.
- 评估了每个指数的预测能力与30个已记录的EHI案例相比.
主要成果:
- aPSI发现了86.7%的EHI病例,警报时间约为35分钟,虚假阳性率为15%.
- 单点皮肤温度确定了83.3%的EHI病例.
- 其他指数如PSI和估计的核心温度显示出较低的预测准确性 (分别为63.3%和23.3%).
结论:
- aPSI是第一个现场实践指数,可以准确地实时识别EHI风险.
- aPSI在要求苛刻的环境中,在身体活跃的个体中,在预防与热有关的伤害方面取得了重大进展.
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