Face cooling by cold wind in walking subjects

The effects of low to moderate wind speeds on face temperature, thermal and pain sensations while subjects walked on a treadmill during cold exposure were studied in eight healthy men. The purpose of the study was to evaluate further the risk of frostbite at different activity levels. The walking speed was 2.8 km h(-1) and two inclination levels were used, 0 degrees and 6 degrees. The subjects were exposed to -10 degrees C and 0, 1 or 5 m s(-1) wind for 60 min dressed in cold-protective clothing with only the face unprotected. Results from previous experiments with the same subjects standing for 30 min were included in the analysis of the data. Each individual was exposed to all combinations of air velocity and activity level. The exposure to -10 degrees C and the highest wind speed used would carry no risk of frostbite according to the wind chill index. Cold lowered the skin temperature of the face significantly and wind further increased skin cooling. The activity level did not affect forehead and cheek temperatures, but the average nose skin temperature was higher and pain sensations were reduced at a higher work rate. The predicted risk of frostbite in the nose, based on average responses, would thus be less at a higher work rate. However, the results indicate that exercise does not necessarily protect all individuals from frostbite at moderate air speeds, since the nose skin temperature of 25% of the subjects dropped to 0 degrees C at 5 m s(-1) during both standing and walking. Thus the potential individual risk of frostbite in the nose is similar during light exercise and standing. Moreover, the risk of frostbite seems to be underestimated by the wind chill index under the conditions tested in this study.     

Cold wind stimulation reflex.

The bradycardia induced by cold wind blown on the face and the early cephalic release of insulin induced by feeding have been shown to be caused by a vagal reflex stimulation. An experiment was designed to determine whether cold wind blown on the face would induce both pancreatic and cardiac stimulation. A 4 degrees C wind blown on the face for 4 min produced a rapid and persistent bradycardia, which interestingly persisted for up to 35 min after the test. The effect on respiration rate is more gradual and vanishes immediately after cold wind stimulation. Cold wind produced a slight reduction of insulin secretion, as evidenced by the fall of both plasma insulin and C-peptide, and caused a significant increase in plasma norepinephrine. These results suggest that the cold wind action of the vagus nerve is exerted on the heart and that of the sympathetic on the pancreas, whereas during the cephalic phase of feeding a vagal influence is observed on the pancreas and a sympathetic action on the heart. The mechanisms of the quantitative and qualitative control of these autonomic responses are not known and deserve further investigation.     

Autonomic nervous system and adaptation to cold in man.

The responses to cold hand test (blood pressure increase and tachycardia) and to a cold face test (blood pressure increase and bradycardia) were used to study the role of the autonomic nevrous system in cold adaptation in humans. The Eskimos (men, women, children) were shown to have a very weak sympathetic response to cold but the vagal response (bradycardia) was identical to that of white people. A group of mailmen from Quebec city living outdoors approximately 30 h/wk throughout the year was also studied. A significant decline in the cold pressor response and an enhanced bradycardia (cold face test) were observed at the end of the winter. Similarly the fall in skin temperature of the cheek was not as pronounced when the measurements were made in May compared to those made in October. A group of soldiers was also studied before and after an Arctic expedition. It was found that the bradycardia of the cold face test was also more pronounced after sojourning in the cold. These results indicate that repeated exposures to severe cold in men activate some adaptive mechanisms characterized by a diminution of the sympathetic response and a concomitant enhancement of the vagal activation normally observed when the extremities and the face are exposed to cold.     

Effects of age, sex, and physical fitness on responses to local cooling

The response to local cooling was estimated by the cold hand test (5 degrees C for 2 min) and the cold face test (0 degrees C with 66 km.h-1 wind for 2 min). Heart rate, blood pressure, and skin temperature were measured before, during, and after the tests. The increase in blood pressure (cold hand test) and the fall in Tsk (cold face test) were reduced in trained subjects. Similarly older subjects (53-60 yr of age) responded less to a cold hand test than younger subjects aged 20-40. However, the bradycardia caused by the cold face test was more pronounced in the older subjects. The responses to the cold hand and cold face tests were the same for male and female subjects. During the 2 min after the test, blood pressure and heart rate fell below initial values in the female group but not in the male. It is concluded that, besides adaptation to cold, individual factors such as age, sex, and physical fitness also have a relative importance in the responses to local cooling.     

Meaningful wind chill indicators derived from heat transfer principles

The wind chill index (WCI) and the more widely used wind chill equivalent temperature represent an attempt to combine several weather-related variables (temperature, wind velocity and solar radiation) into a single index which can indicate human comfort. Since its introduction in 1945, the WCI has been criticized mainly on the ground that the underlying model does not comply with modern heat transfer theory. In spite of that, the WCI, calibrated to human comfort, has proven to be successful in predicting discomfort and tolerance of man to the cold. Nevertheless, neither the WCI nor the wind chill equivalent temperature can be actually measured and, therefore, without the additional calibration they are meaningless. In this study we have shown that the WCI represents the instantaneous rate of heat loss from bare skin at the moment of exposure to the cold, and as such, it correlates reasonably well with measurable variables that represent a feeling of cold. Two new wind chill indicators have been introduced: exposed skin temperature and maximum exposure time. These indicators yield more information than the WCI provides, are measurable, have physical meaning and are based on established heat transfer principles.     

A cooling vest for working comfortably in a moderately hot environment

To alleviate worker's thermal discomfort in a moderately hot environment, a new cooling vest was designed and proposed in this paper. To investigate the effect of the cooling vest and to collect the knowledge for the design of comfortable cooling vest, subjective experiments were conducted. Two kinds of cooling vests, the new one and the commercially available one, were used for comparison. The new cooling vest had more insulation and its surface temperature was higher than the commercially available one. Experiments were performed in the climatic chamber where operative temperature was controlled at 30.2 degrees C and relative humidity was at 37% under still air. In addition, experiment without cooling vest was carried out as a control condition. The results obtained in these experiments were as follow: 1) By wearing both types of cooling vest, the whole body thermal sensation was closer to the neutral conditions than those without cooling vest. This effect was estimated to be equal to the 5.7 degrees C decrement of operative temperature. The subjects felt more comfortable with the cooling vest than without it. They felt more thermally acceptable than that without cooling vest. Wearing the cooling vest was useful to decrease the sweating sensation. 2) The local discomfort was observed when the local thermal sensation was "cool" approximately "cold" with the cooling vest. 3) The new cooling vest kept the skin temperature at chest at about 32.6 degrees C. On the other hand, by wearing the commercially available one, it lowered to about 31.1 degrees C. By wearing the new cooling vest, there was a tendency that local thermal sensation vote was higher and local comfort sensation vote was more comfortable than those of the condition wearing the commercially available one. It is important for the design of a comfortable cooling garment to prevent over-cool down from the body.     

Case study of skin temperature and thermal perception in a hot outdoor environment

Focusing on the understanding and the estimation of the biometeorological conditions during summer in outdoor places, a field study was conducted in July 2010 in Athens, Greece over 6 days at three different sites: Syntagma Square, Ermou Street and Flisvos coast. Thermo-physiological measurements of five subjects were carried out from morning to evening for each site, simultaneously with meteorological measurements and subjective assessments of thermal sensation reported by questionnaires. The thermo-physiological variables measured were skin temperature, heat flux and metabolic heat production, while meteorological measurements included air temperature, relative humidity, wind speed, globe temperature, ground surface temperature and global radiation. The possible relation of skin temperature with the meteorological parameters was examined. Theoretical values of mean skin temperature and mean radiant temperature were estimated applying the MENEX model and were compared with the measured values. Two biometeorological indices, thermal sensation (TS) and heat load (HL)—were calculated in order to compare the predicted thermal sensation with the actual thermal vote. The theoretically estimated values of skin temperature were underestimated in relation to the measured values, while the theoretical model of mean radiant temperature was more sensitive to variations of solar radiation compared to the experimental values. TS index underestimated the thermal sensation of the five subjects when their thermal vote was ‘hot’ or ‘very hot’ and overestimated thermal sensation in the case of ‘neutral’. The HL index predicted with greater accuracy thermal sensation tending to overestimate the thermal sensation of the subjects.     

Analysis of the African American female nose

The African American nose has been broadly classified as ethnic yet it differs significantly in morphology from that of other ethnic groups with which it is categorized. The objectives of this study were to (1) establish an objective protocol for analysis of the African American female nose using anthropometric measurements, and (2) determine whether subjective subcategorization schemes are a reliable replacement for anthropometry. African American women (n = 107) between the ages of 18 and 30 years consented to participate in this study. Photographs and 14 standard anthropometric measurements were taken of the face and nasal region, including nose length, nose width, special upper face height, intercanthal distance, mouth width, nasal bridge inclination, nasal tip protrusion, ala thickness, nasal root width, nasal bridge length, tangential length of ala, length of columella, nasofrontal angle, and nasolabial angle. Nasal indices including nose width-nose height index, nasal tip protrusion-nose height index, and nasal tip protrusion-nasal width index were calculated. In addition, photographic analysis was performed to evaluate nostril shape, nasal base shape, and nasal dorsal height. Proportional relationships and subcategorization schemes were evaluated. A new method of nasal analysis for the African American woman uses the proportional relationships of the anthropometric measurements. Proportional relationships included a columellar to lobule ratio of 1.5:1, a nasolabial angle of 86 degrees, and an alar width to intercanthal distance ratio of 5:4. The nasal dorsal height classification scheme was the most reliable for subjective analysis. The degree of variability found within this group of young African American women is illustrated by the following indices and their respective ranges: nose width-nose height index mean, 79.7 (range, 57 to 102); nasal tip protrusion-nose height index mean, 33.8 (range, 23 to 46); and nasal tip protrusion-nose width index mean, 42.8 (range, 32 to 61). The guidelines provided are a baseline from which to begin analysis and evaluation.     

Regional differences in temperature sensation and thermal comfort in humans

Sensations evoked by thermal stimulation (temperature-related sensations) can be divided into two categories, "temperature sensation" and "thermal comfort." Although several studies have investigated regional differences in temperature sensation, less is known about the sensitivity differences in thermal comfort for the various body regions. In the present study, we examined regional differences in temperature-related sensations with special attention to thermal comfort. Healthy male subjects sitting in an environment of mild heat or cold were locally cooled or warmed with water-perfused stimulators. Areas stimulated were the face, chest, abdomen, and thigh. Temperature sensation and thermal comfort of the stimulated areas were reported by the subjects, as was whole body thermal comfort. During mild heat exposure, facial cooling was most comfortable and facial warming was most uncomfortable. On the other hand, during mild cold exposure, neither warming nor cooling of the face had a major effect. The chest and abdomen had characteristics opposite to those of the face. Local warming of the chest and abdomen did produce a strong comfort sensation during whole body cold exposure. The thermal comfort seen in this study suggests that if given the chance, humans would preferentially cool the head in the heat, and they would maintain the warmth of the trunk areas in the cold. The qualitative differences seen in thermal comfort for the various areas cannot be explained solely by the density or properties of the peripheral thermal receptors and thus must reflect processing mechanisms in the central nervous system.     

Brain, blood and rectal temperature during whole body cooling

To determine if rectal temperature is an adequate index of brain temperature during changing thermal conditions, we measured rectal, cerebral cortical, and carotid arterial blood temperatures simultaneously during whole body cooling in adult cats. The mean steady state rectal, brain and carotid arterial temperatures at the onset of cooling were: 39.2 +/- 0.2, 38.5 +/- 0.2, and 38.3 +/- 0.3 degrees C, respectively. Rectal temperature decreased faster than both brain and arterial blood, while only a small temperature difference was observed between brain and arterial blood, brain always exceeding blood. Rectal temperature cannot be considered an adequate index of brain temperature. Carotid arterial temperature is a better estimate of brain temperature.     

Hot or not? Thermal reactions to social contact

Previous studies using thermal imaging have suggested that face and body temperature increase during periods of sexual arousal. Additionally, facial skin temperature changes are associated with other forms of emotional arousal, including fear and stress. This study investigated whether interpersonal social contact can elicit facial temperature changes. Study 1: infrared images were taken during a standardized interaction with a same- and opposite-sex experimenter using skin contact in a number of potentially high-intimate (face and chest) and low-intimate (arm and palm) locations. Facial skin temperatures significantly increased from baseline during the face and chest contact, and these temperature shifts were larger when contact was made by an opposite-sex experimenter. Study 2: the topography of facial temperature change was investigated in five regions: forehead, periorbital, nose, mouth and cheeks. Increased temperature in the periorbital, nose and mouth regions predicted overall facial temperature shifts to social contact. Our findings demonstrate skin temperature changes are a sensitive index of arousal during interpersonal interactions.     

Perception of foot temperature in young women with cold constitution: analysis of skin temperature and warm and cold sensation thresholds

To examine the disease state of cold constitution, physiological measurements of the foot were conducted by investigating thermal sensations under an environmental condition of 25 degrees C-26 degrees C (neutral temperature) in 29 young women with and without cold constitution. The subjects were classified into 3 groups according to their experiences with cold constitution: cold constitution, intermediate, and normal groups. Foot skin temperature was measured by thermography. Thermal sensations were measured on the dorsum of the left foot using a thermal stimulator. Cold and warm spots on the dorsum of the right foot were ascertained. Thermal stimulation was delivered by a copper probe. No significant differences in foot skin temperature among these 3 groups were identified as measured in a laboratory under neutral temperature conditions. However, the mean warm sensation threshold was +6.3+/-1.09 degrees C (mean+/-SEM) for the cold constitution group (n=14), +3.4+/-2.10 degrees C (mean+/-SEM) for the intermediate group (n=7), and -0.25+/-1.96 degrees C (mean+/-SEM) for the normal group (n=6). The difference was significant between the cold constitution and normal groups. No significant differences among the 3 groups were found in the cold sensation threshold. This may be attributable to the distribution of thermal receptors and to chronically reduced blood flow in subcutaneous tissues, where the skin temperature receptors responsible for temperature sensation are located.     

Cold-induced bronchoconstriction: role of cutaneous reflexes vs. direct airway effects

To determine the relative contributions of direct airway vs. reflex cutaneous thermal receptor stimulation in cold-induced bronchoconstriction, we isolated these two aspects of cold exposure in 10 asthmatics and 13 normal subjects. Ice packs were applied to the skin of the face, chest, thigh, and upper arm in random sequence while serially measuring specific conductance. In this fashion a limited mapping of skin-mediated bronchoconstriction was established. Warm packs were applied to the same areas of control for any potential nonspecific stimulatory effects. Cooling the skin induced bronchoconstriction to a similar degree in both groups; this effect was very small, did not induce symptoms, and was only seen with stimulation of the face. At another time, the subjects performed isocapnic hyperventilation of frigid air to ascertain their response to direct airway cooling. A moderate but significant correlation existed between skin and airway sensitivity; however, the magnitude of the two responses differed markedly. Breathing cold air at rest had no effect on lung function; however, elevating ventilation promptly produced bronchial narrowing. Hence, in a cold environment, the most potent stimulus for the development of airway obstruction in asthmatics derives from a direct airway effect.     

Thermoreceptor distribution in different skin layers and its significance for thermoregulation

• 1.1.|The activity pattern of 50 cold receptors of the rabbit nose back skin was investigated.
• 2.2.|The latency of the response of individual cold receptors to identical cold stimuli varied between 0.8 ± 0.3 to 29.4 ± 4.5 s; maximal firing rates are attended after 5.5 ± 0.5 to 72.2 ± 6.2 s. Characteristic phasic responses are only demonstrated by short latency receptors.
• 3.3.|The results suggest that cold receptors are distributed throughout the skin of the rabbit's nose.
• 4.4.|Changes of temperature gradients between different skin layers were measured at different ambient temperatures.
• 5.5.|It is suggested that cold receptors might indicate heat flow through the skin.

     

Evaluation of changes in selected skin parameters under the influence of extremely low temperature

The aim of the work was to evaluate changes in selected skin parameters under the influence of low temperature. The tests were conducted on a group of 20 women using whole-body cryotherapy. The average age of participants was 58.7 ± 7.54 years; the average body weight 77.84 ± 16.01 kg, the mean BMI 30.14 ± 5.81, and the average body height 160.7 ± 6.48 cm. The tested parameters included hydration, lubrication, temperature, and pH of the skin. The skin measurements were made on the first and tenth treatment days, before and after leaving the whole-body cryo-chamber. To assess the data collected before and after the experiment, the measurement taken at each time point were compared. After a series of ten treatment sessions, the greatest decrease was observed in skin hydration and skin temperature. No significant differences were noted for lubrication and skin pH. The analysis showed statistically significant differences in skin parameters between all measurement locations; the upper and lower limbs responded more significantly to cold than other parts of the body. It was also found that the facial skin was more lubricated and hydrated compared to other measuring locations. We conclude that varies skin parts respond differently to low temperature. Cryotherapy causes a significant decrease in temperature and hydration of the skin whereas differences in pH and lubrication of the skin remain insignificant.     

Effect of hypoxic breathing on cutaneous temperature recovery in man

Effect of hypoxia (12% O₂) on skin temperature recovery was studied on healthy young men. Forty male volunteers free of any respiratory disorder were randomly selected to participate in the study. Skin temperature, peripheral blood flow, heart rate and end expiratoryPO₂ andPCO₂ were measured. During hyoxic ventilation the peripheral blood flow was reduced and a corresponding drop in skin temperature occurred. This was partly due to hyperventilation associated with hypoxic ventilation. The recovery of skin temperature after cooling the hand for 2 min in cold water (10–12° C) took 5.5±0.1 min during normal air breathing; during hypoxic ventilation even after 9.1±0.3 min when the skin temperature recovery curve plateaued, the skin temperature remained about 2° C below control. The results of the present investigation indicate that hypoxia interferes with the normal functioning of the thermoregulatory mechanism in man. Hyperventilation associated with hypoxic ventilation is also partly responsible for incomplete recovery of skin temperature.     

Rapid acclimatization to low temperature in the Queensland fruit fly, Dacus tryoni

Dacus tryoni, which overwinters in conditions of wide diurnal fluctuations in temperature, is capable of rapid acclimatization with respect to thresholds for torpor and flight but ability for metabolic compensation is apparently lacking. The rate of reacclimatization on abrupt transfer to lower temperatures is quicker the less the temperature drops and extrapolation of this relationship suggests a time of the order of 1 min for a drop as small as 1°C. This explains why continuous reacclimatization appears to take place during gradual cooling, even when this is as fast as 1°C/min. The insect can rapidly produce its maximum response to extensive drops of temperature as long as the latter falls gradually at a rate no faster than 1°C/min. Acclimatization in nature is therefore ‘immediate’. Reacclimatization to higher temperatures (deacclimatization to cold) depends upon the temperature that the insects are raised to and thus is slower the smaller the rise and understandably is not accomplished more rapidly by a gradual transition.     

The effects of wind and thermal radiation on thermal responses during rest and exercise in a cold environment

1. 1. The purpose of this study was to investigate the effects of thermal radiation and wind on thermal responses at rest and during exercise in a cold environment.

2. 2. The experimental conditions were radiation and wind (R + W), no radiation and wind (W), radiation and no wind (R), no radiation and no wind (C).

3. 3. The air temperature was −5°C. Thermal radiation was 360 W/m². Air velocities were 0.76, 1.73 and 2.8 m/s. Rectal and skin temperatures, heart rate and oxygen consumption were recorded. Thermal and comfort sensations were questioned.

4. 4. There are no significant effects of thermal radiation and wind on the physiological responses except the mean skin temperature. There are significant effects on the mean skin temperature (P < 0.01) and thermal sensation (P < 0.05).

The use of thermal imaging in assessing skin temperature following cryotherapy: a review

Background

Cryotherapy is used in various clinical and sporting settings to reduce odema, decrease nerve conduction velocity, decrease tissue metabolism and to facilitate recovery after exercise induced muscle damage. The basic premise of cryotherapy is to cool tissue temperature and various modalities of cryotherapy such as whole body cryotherapy, cold spray, cryotherapy cuffs, frozen peas, cold water immersion, ice, and cold packs are currently being used to achieve this. However, despite its widespread use, little is known regarding the effectiveness of different cryotherapy modalities to reduce skin temperature.

Objectives

To provide a synopsis of the use of thermal imaging as a method of assessing skin temperature following cryotherapy and to report the magnitude of skin temperature reductions associated with various modalities of cooling.

Design

Structured narrative review.

Methods

Three electronic databases were searched using keywords and MESH headings related to the use of thermal imaging in the assessment of skin temperature following cryotherapy. A hand-search of reference lists and relevant journals and text books complemented the electronic search.

Summary

Nineteen studies met the inclusion criteria. A skin temperature reduction of 5–15 °C, in accordance with the recent PRICE (Protection, Rest, Ice, Compression and Elevation) guidelines, were achieved using cold air, ice massage, crushed ice, cryotherapy cuffs, ice pack, and cold water immersion. There is evidence supporting the use and effectiveness of thermal imaging in order to access skin temperature following the application of cryotherapy.

Conclusions

Thermal imaging is a safe and non-invasive method of collecting skin temperature. Although further research is required, in terms of structuring specific guidelines and protocols, thermal imaging appears to be an accurate and reliable method of collecting skin temperature data following cryotherapy. Currently there is ambiguity regarding the optimal skin temperature reductions in a medical or sporting setting. However, this review highlights the ability of several different modalities of cryotherapy to reduce skin temperature.     

The impact of a small lake on heat stress in a Mediterranean urban park: the case of Tel Aviv,Israel

Field observations of air and surface temperatures, relative humidity, solar radiation and wind were performed in the daytime hours of the warm season around a pond of 4 ha, located in Begin Park, in the city of Tel Aviv, Israel. Observations were carried out at screened meteorological stations on four randomly selected days, all associated with moderate heat stress. Two of them, one representing a warm and dry day, and other, representing a sultry day, are analyzed in detail. At the downwind side of the pond, lower temperatures, a higher relative humidity and a lower heat stress index were observed consistently when compared with stations located upwind of the pond. This effect is regarded here as the "lake effect". The fact that no significant change was noted in the water vapor pressure during most of the daytime hours indicates that the lake effect was related mainly to cooling rather than to moisture transport from the pond. A positive relationship was found between the lake effect and wind speed in both types of weather. The maximum effect of the wind's speed on the lake effect was observed at midday, at which time the temperature drop reached 1.6 degrees C, while the relative humidity rose by 6%. As a result, the heat stress index dropped by 0.8-1.1 degrees C. It is suggested that the temperature drop induced by the pond during the warmest hours of the day was mainly the result of a truncation of the sensible heat flux from the underlying surface when the air, which had previously passed over hot surfaces, swept over the relatively cool water. During the late afternoon and evening hours, when the water became warmer than the surrounding surfaces, latent heat cooling resulting from evaporation became the dominant source of the lake effect, and the lake effect resulted in increasing heat stress. It is concluded that even small bodies of water have a relieving effect on humans in the daytime hours, within the range of 40 m, under both dry and humid hot weather conditions.