Rectal,telemetry pill and tympanic membrane thermometry during exercise heat stress

We compared the accuracy of an ingestible telemetry pill method of core temperature (T_c) measurement and an infrared tympanic membrane thermometer to values from a rectal thermistor during exercise-induced heat stress. Ten well-trained subjects completed four exercise trials consisting of 40 min constant-load exercise at 63% of maximum work rate followed by a 16.1 km time trial at 30 °C and 70% relative humidity. Temperature at rest was not different between the three methods of T_c measurement (T_re: 37.2±0.3 °C; T_p: 37.2±0.2 °C; T_ty: 37.1±0.3 °C; P=0.40$P=0.40$). Temperature rose continuously during the exercise period (ΔT_re: 2.2±0.5 °C; ΔT_p: 2.2±0.5 °C; ΔT_ty: 1.9±0.5 ±°C and there were no differences between T_re and T_p measurements at any time throughout exercise (P=0.32$P=0.32$). While there were no differences between T_re and T_ty after 10 min (P=0.11$P=0.11$) and 20 min (P=0.06$P=0.06$) of exercise, T_ty was lower than T_re after 30 min of exercise (P<0.01$P<0.01$) and remained significantly lower throughout the remainder of the exercise period. These results demonstrate that the telemetry pill system provides a valid measurement of trunk temperature during rest and exercise-induced thermal strain. T_ty was significantly lower than T_re when temperature exceeded 37.5 °C. However, whether these differences are due to selective brain cooling or imperfections in the tympanic membrane thermometer methodology remains to be determined.