Sex-related differences in thermoregulatory responses while wearing protective clothing

This study examined the thermoregulatory responses of men (group M) and women (group F) to uncompensable heat stress. In total, 13 M mean (SD) age 31.8 (4.7) years, mass 82.7 (12.5) kg, height␣1.79␣(0.06) m, surface area to mass ratio 2.46␣(0.18) m² · kg⁻¹ · 10⁻², Dubois surface area 2.01 (0.16) m², %body fatness 14.6 (3.9)%, V˙O_2peak 49.0 (4.8) ml · kg⁻¹ · min⁻¹] and 17 F 23.2 (4.2) years, 62.4 (7.7) kg, 1.65 (0.07) m, 2.71 (0.14) m² · kg⁻¹ · 10⁻², 1.68 (0.13) m², 20.2 (4.8)%, 43.2 (6.6) ml · kg⁻¹ · min⁻¹, respectively] performed light intermittent exercise (repeated intervals of 15 min of walking at 4.0 km · h⁻¹ followed by 15 min of seated rest) in the heat (40°C, 30% relative humidity) while wearing nuclear, biological, and chemical protective clothing (0.29 m² ·°C · W⁻¹ or 1.88 clo, Woodcock vapour permeability coefficient 0.33 i _m). Group F consisted of eight non-users and nine users of oral contraceptives tested during the early follicular phase of their menstrual cycle. Heart rates were higher for F throughout the session reaching 166.7 (15.9) beats · min⁻¹ at 105 min (n = 13) compared with 145.1 (14.4) beats · min⁻¹ for M. Sweat rates and evaporation rates from the clothing were lower and average skin temperature () was higher for F. The increase in rectal temperature (T _re) was significantly faster for the F, increasing 1.52 (0.29)°C after 105 min compared with an increase of 1.37 (0.29)°C for M. Tolerance times were significantly longer for M 142.9 (24.5) min] than for F 119.3 (17.3) min]. Partitional calorimetric estimates of heat storage (S) revealed that although the rate of S was similar between genders 42.1 (6.6) and 46.1 (9.7) W · m⁻² for F and M, respectively], S expressed per unit of total mass was significantly lower for F 7.76 (1.44) kJ · kg⁻¹] compared with M 9.45 (1.26) kJ · kg⁻¹]. When subjects were matched for body fatness (n = 8 F and 8 M), tolerance times 124.5 (14.7) and 140.3 (27.4) min for F and M, respectively] and S 8.67 (1.44) and 9.39 (1.05) kJ · kg⁻¹ for F and M, respectively] were not different between the genders. It was concluded that females are at a thermoregulatory disadvantage compared with males when wearing protective clothing and exercising in a hot environment. This disadvantage can be attributed to the lower specific heat of adipose versus non-adipose tissue and a higher percentage body fatness. Accepted: 31 October 1997