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Book ; Online: Hydration and Fluid Needs during Physical Activity

Casa, Douglas J. / Kavouras, Stavros

2022

Keywords	Humanities ; Social interaction ; hydration ; fluid ; carbohydrate ; professional ; soccer ; hydration status ; water-electrolyte balance ; acid-base balance ; fluids osmolarity ; team sports ; nutrition ; women in sport ; heat acclimation ; dehydration ; kidney injury ; performance ; thirst ; drinking ; sweat ; sodium ; hyponatremia ; overhydration ; marathon ; triathlon ; hot temperature ; electrolyte balance ; body temperature regulation ; acclimatization ; ultra-endurance running ; running ; recreational running ; tropical climate ; sweat electrolyte ; fluid replacement ; hydration plan ; euhydration ; children ; urine ; hypohydration ; hyperhydration ; fluid loss ; fluid balance ; total body water ; physical activity ; sweat rate ; fluid consumed ; pathogenic eating behaviors ; American tackle football ; voluntary fluid intake ; thirst perception
Language	0\|e
Size	1 electronic resource (154 pages)
Publisher	MDPI - Multidisciplinary Digital Publishing Institute
Publishing place	Basel
Document type	Book ; Online
Note	English ; Open Access
HBZ-ID	HT021617761
ISBN	9783036537481 ; 3036537481
Database	ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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Book: Preventing sudden death in sport and physical activity

Casa, Douglas J.

2012

Author's details	ed. by Douglas J. Casa
Keywords	Death, Sudden, Cardiac / prevention & control ; Athletic Injuries / prevention & control
Subject code	617.1/027
Language	English
Size	XXXII, 367 S. : Ill., graph. Darst., 26 cm
Publisher	Jones & Bartlett Learning
Publishing place	Sudbury, Mass
Publishing country	United States
Document type	Book
Note	Includes bibliographical references and index
HBZ-ID	HT017141237
ISBN	978-0-7637-8554-3 ; 0-7637-8554-7
Database	Catalogue ZB MED Medicine, Health

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Article: Cooling Modality Effectiveness and Mortality Associate[d] with Prehospital Care of Exertional Heat Stroke Casualties.

Stearns, Rebecca L / Jardine, John / Yeargin, Susan W / Szymanski, Michael R / Casa, Douglas J

The Journal of emergency medicine

2024 Volume 66, Issue 3, Page(s) e397–e399

MeSH term(s)	Humans ; Heat Stroke/complications ; Heat Stroke/therapy ; Hypothermia, Induced ; Cold Temperature ; Emergency Medical Services
Language	English
Publishing date	2024-01-15
Publishing country	United States
Document type	Letter
ZDB-ID	605559-x
ISSN	0736-4679
ISSN	0736-4679
DOI	10.1016/j.jemermed.2023.10.034
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Article ; Online: Comparison between digital and paper urine color to assess hydration status.

Sekiguchi, Yasuki / Martin, David G / Yoshihara, Ayami / Casa, Douglas J

European journal of nutrition

2023 Volume 62, Issue 4, Page(s) 1915–1919

Abstract: Purpose: The purpose of this study was to investigate associations between digital urine color and paper urine color with other urine indices to assess hydration status.: Methods: Twelve male subjects (mean ± standard deviation; age, 26 ± 8 years; ... ...

Abstract	Purpose: The purpose of this study was to investigate associations between digital urine color and paper urine color with other urine indices to assess hydration status. Methods: Twelve male subjects (mean ± standard deviation; age, 26 ± 8 years; body mass, 57.8 ± 5.3 kg; height, 177.5 ± 8.9 cm; VO Results: There were extremely large associations found between digital urine color and paper urine color (r = 0.926, p < 0.001). Correlation coefficients showing associations with USG and UOsmo were similar between digital urine color (USG, r = 0.695, p < 0.001; UOsmo, r = 0.555, p < 0.001) and paper urine color (USG, r = 0.713, p < 0.001; UOsmo, r = 0.570, p < 0.001). Bland-Altman analysis indicated that no proportional bias was observed between digital and paper urine colors (bias, - 0.148; SD of bias, 0.492; 95% LOA, - 1.11, 0.817; p = 0.094). Conclusions: Strong associations were found between digital and paper urine colors with no proportional bias. Furthermore, the degree of associations with USG and UOsmo was similar between digital and paper urine color. These results indicate that digital urine color is a useful tool to assess hydration status and this method could be used as an alternative method to using paper urine color.
MeSH term(s)	Humans ; Male ; Adolescent ; Young Adult ; Adult ; Dehydration/diagnosis ; Dehydration/urine ; Osmolar Concentration ; Urinalysis/methods ; Hot Temperature ; Biomarkers/urine ; Urine ; Specific Gravity ; Color
Chemical Substances	Biomarkers
Language	English
Publishing date	2023-02-01
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1466536-0
ISSN	1436-6215 ; 1436-6207
ISSN (online)	1436-6215
ISSN	1436-6207
DOI	10.1007/s00394-022-03037-0
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Article ; Online: The effect of heat mitigation strategies on thermoregulation and productivity during simulated occupational work in the heat in physically active young men.

Morrissey-Basler, Margaret C / Brewer, Gabrielle J / Anderson, Travis / Adams, William M / Navarro, John S / Marcelino, Monique / Martin, David G / Casa, Douglas J

Frontiers in sports and active living

2024 Volume 5, Page(s) 1274141

Abstract: Purpose: To investigate heat stress mitigation strategies on productivity and thermoregulatory responses during simulated occupational work in the heat.: Methods: Thirteen physically active men (age, 25 ± 4 years; body mass,77.8 ± 14.7 kg; VO: ... ...

Abstract	Purpose: To investigate heat stress mitigation strategies on productivity and thermoregulatory responses during simulated occupational work in the heat. Methods: Thirteen physically active men (age, 25 ± 4 years; body mass,77.8 ± 14.7 kg; VO Results: [COOL + VEST + H Conclusion: Our results suggest that during a simulated occupational shift in a laboratory setting, additional heat mitigation strategies ([COOL + VEST + H
Language	English
Publishing date	2024-01-11
Publishing country	Switzerland
Document type	Journal Article
ISSN	2624-9367
ISSN (online)	2624-9367
DOI	10.3389/fspor.2023.1274141
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Article ; Online: Heatstroke.

Mayer, Thom / Casa, Douglas J

The New England journal of medicine

2019 Volume 381, Issue 12, Page(s) 1186–1187

MeSH term(s)	Heat Stroke ; Humans
Language	English
Publishing date	2019-09-18
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	207154-x
ISSN	1533-4406 ; 0028-4793
ISSN (online)	1533-4406
ISSN	0028-4793
DOI	10.1056/NEJMc1909690
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Article ; Online: Perceived challenges and barriers for females working in the heat.

Morrissey-Basler, Margaret C / Eason, Christianne M / Clines, Stephanie H / Kaufman, Cecilia E / Casa, Douglas J

Journal of occupational and environmental hygiene

2023 Volume 21, Issue 2, Page(s) 97–107

Abstract: Given rising temperatures, globally, heat exposures and catastrophic heat illnesses are a major concern in laborer and industrial sectors. The purpose of this study was to evaluate the perceptions of females laboring in the heat regarding challenges and ... ...

Abstract	Given rising temperatures, globally, heat exposures and catastrophic heat illnesses are a major concern in laborer and industrial sectors. The purpose of this study was to evaluate the perceptions of females laboring in the heat regarding challenges and barriers encountered in their respective industries while working in the heat. A consensual qualitative research (CQR) design was employed to gain information related to participant occupational and job characteristics, feelings while working in the heat, adjustments made by employers when they work in the heat, and their experience working in the heat specific to their identified sex. Females were eligible to participate if they were currently employed in an environment that required them to work in the heat. Twelve females participated in a single, 45-60 min one-on-one semi-structured interview. Participants reported working in the manufacturing, agriculture, tourism, and railroad industries. Upon completion of data analysis, one primary theme was identified: heat stress mitigation strategies, which were further broken down into two subthemes of formal strategies provided by the employer and informal strategies driven by the employees. Participants indicated there was a lack of heat stress prevention strategies implemented by their employers, which resulted in employees creating their own strategies to protect themselves and their coworkers from heat stress. Results indicated there are limited heat stress prevention strategies that are provided in industries that include females working in the heat. Unique considerations should be made to protect this population from the dangers of heat stress and must go beyond workers protecting themselves.
MeSH term(s)	Humans ; Female ; Qualitative Research ; Industry ; Heat Stress Disorders/prevention & control ; Heat Stress Disorders/epidemiology ; Temperature ; Agriculture
Language	English
Publishing date	2023-11-21
Publishing country	England
Document type	Journal Article
ZDB-ID	2131820-7
ISSN	1545-9632 ; 1545-9624
ISSN (online)	1545-9632
ISSN	1545-9624
DOI	10.1080/15459624.2023.2268725
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Article ; Online: Recommended water immersion duration for the field treatment of exertional heat stroke when rectal temperature is unavailable.

Flouris, Andreas D / Notley, Sean R / Stearns, Rebecca L / Casa, Douglas J / Kenny, Glen P

European journal of applied physiology

2023 Volume 124, Issue 2, Page(s) 479–490

Abstract: Introduction: The recommended treatment for exertional heat stroke is immediate, whole-body immersion in < 10 °C water until rectal temperature (T: Methods: We compiled data for 54 men and 18 women from 7 previous laboratory studies and derived ... ...

Abstract	Introduction: The recommended treatment for exertional heat stroke is immediate, whole-body immersion in < 10 °C water until rectal temperature (T Methods: We compiled data for 54 men and 18 women from 7 previous laboratory studies and derived immersion durations for reaching 38.6 °C T Results: Age, height, weight, body surface area, body fat, fat mass, lean body mass, and peak oxygen uptake were weakly associated with the cooling time to a safe T Conclusion: The reported immersion durations are effective for > 90% of exertional heat stroke patients with pre-immersion T
MeSH term(s)	Male ; Humans ; Female ; Body Temperature ; Temperature ; Immersion ; Water ; Exercise ; Heat Stroke/therapy ; Heat Stroke/diagnosis ; Cold Temperature
Chemical Substances	Water (059QF0KO0R)
Language	English
Publishing date	2023-08-08
Publishing country	Germany
Document type	Journal Article
ZDB-ID	124793-1
ISSN	1439-6327 ; 1432-1025 ; 0301-5548 ; 1439-6319
ISSN (online)	1439-6327 ; 1432-1025
ISSN	0301-5548 ; 1439-6319
DOI	10.1007/s00421-023-05290-5
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Article ; Online: Relationship Between Running Biomechanics and Core Temperature Across a Competitive Road Race.

DeJong Lempke, Alexandra F / Szymanski, Michael R / Willwerth, Sarah B / Brewer, Gabrielle J / Whitney, Kristin E / Meehan, William P / Casa, Douglas J

Sports health

2024 , Page(s) 19417381241236877

Abstract: Background: Outdoor races introduce environmental stressors to runners, and core temperature changes may influence runners' movement patterns. This study assessed changes and determined relationships between sensor-derived running biomechanics and core ... ...

Abstract	Background: Outdoor races introduce environmental stressors to runners, and core temperature changes may influence runners' movement patterns. This study assessed changes and determined relationships between sensor-derived running biomechanics and core temperature among runners across an 11.27-km road race. Hypothesis: Core temperatures would increase significantly across the race, related to changes in spatiotemporal biomechanical measures. Study design: Cross-sectional cohort study. Level of evidence: Level 3. Methods: Twenty runners (9 female, 11 male; age, 48 ± 12 years; height, 169.7 ± 9.1 cm; mass, 71.3 ± 13.4 kg) enrolled in the 2022 Falmouth Road Race were recruited. Participants used lightweight technologies (ingestible thermistors and wearable sensors) to monitor core temperature and running biomechanics throughout the race. Timestamps were used to align sensor-derived measures for 7 race segments. Observations were labeled as core temperatures generally within normal limits (<38°C) or at elevated core temperatures (≥38°C). Multivariate repeated measures analyses of variance were used to assess changes in sensor-derived measures across the race, with Bonferroni post hoc comparisons for significant findings. Pearson's Results: Eighteen participants developed hyperthermic core temperatures (39.0°C ± 0.5°C); core temperatures increased significantly across the race ( Conclusion: Core temperatures and kinetics increased significantly across a race, yet these outcomes were not strongly correlated. The observed kinetic changes may have been attributed to fatigue-related influences over the race. Clinical relevance: Clinicians may not expect changes in biomechanical movement patterns to signal thermal responses during outdoor running in a singular event.
Language	English
Publishing date	2024-03-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	2508802-6
ISSN	1941-0921 ; 1941-7381
ISSN (online)	1941-0921
ISSN	1941-7381
DOI	10.1177/19417381241236877
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Article ; Online: Exertional Heatstroke Survivors' Knowledge and Beliefs about Exertional Heatstroke Diagnosis, Treatment, and Return to Play.

Miller, Kevin C / Amaria, Noshir Y / Casa, Douglas J / Jardine, John F / Stearns, Rebecca L / O'Connor, Paul / Scarneo-Miller, Samantha E

Journal of athletic training

2024

Abstract: Context: Little information exists regarding what exertional heatstroke (EHS) survivors know and believe about EHS best practices. Understanding this would help clinicians focus educational efforts to ensure survival and safe return-to-play following ... ...

Abstract	Context: Little information exists regarding what exertional heatstroke (EHS) survivors know and believe about EHS best practices. Understanding this would help clinicians focus educational efforts to ensure survival and safe return-to-play following EHS. Objective: We sought to better understand what EHS survivors knew about EHS seriousness (e.g., lethality, short- and long-term effects), diagnosis and treatment procedures, and recovery. Design: Multi-year, cross-sectional, descriptive design. Setting: An 11.3-km road race located in the Northeastern United States in August 2022 and 2023. Patients or other participants: Forty-two of 62 runners with EHS (15 women, 27 men; age: 33±15 y; pre-treatment rectal temperature [TREC]: 41.5±0.9°C). Interventions: Medical professionals evaluated runners requiring medical attention at the finish line. If they observed TREC ≥40°C with concomitant central nervous system dysfunction (CNS) EHS was diagnosed and patients were immersed in a 189.3-L tub filled with ice-water. Before medical discharge, we asked EHS survivors 15 questions about their experience and knowledge of select EHS best practices. Survey items were piloted and validated by experts and laypersons a priori (content validity index ≥0.88 for items and scale). Main outcome measures: Survey responses. Results: Sixty-seven percent (28/42) of patients identified EHS as potentially fatal and 76% (32/42) indicated it negatively affected health. Seventy-nine percent (33/42) correctly identified TREC as the best temperature site to diagnose EHS. Most patients (74%, 31/42) anticipated returning to normal exercise within 1 week post-EHS; 69% (29/42) stated EHS would not impact future race participation. Patients (69%, 29/42) indicated it was important to tell their primary care physician about their EHS. Conclusions: Our patients were knowledgeable on the potential seriousness and adverse health effects of EHS and the necessity of TREC for diagnosis. However, educational efforts should be directed towards helping patients understand safe recovery and return-to-play timelines following EHS.
Language	English
Publishing date	2024-04-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	2070051-9
ISSN	1938-162X ; 1062-6050
ISSN (online)	1938-162X
ISSN	1062-6050
DOI	10.4085/1062-6050-0677.23
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