[Frontiers in Bioscience 15, 259-290, January 1, 2010]

Human thermoregulation: separating thermal and nonthermal effects on heat loss

Glen P. Kenny1, W. Shane Journeay2

1Human and Environmental Physiology Research Unit, Laboratory for Human Bioenergetics and Environmental Physiology, School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada, K1N 6N5, 2Dalhousie Medical School, Dalhousie University, Faculty of Medicine, Halifax, Nova Scotia, B3H 4H7, Canada

TABLE OF CONTENTS

1. Abstract
2. Introduction
3. Overview of skin blood flow control
4. Thermal factors influencing skin blood flow
5. Nonthermal factors influencing skin blood flow
5.1. Baroreceptors and skin blood flow under thermoneutral conditions
5.2. Baroreflex control of skin blood flow during hyperthermia
5.3. Central command
5.4. Metaboreceptors
6. Overview of eccrine sweat gland control
7. Thermal factors influencing eccrine sweating
8. Nonthermal influences on eccrine sweating
8.1. Central command
8.2. Metaboreceptors
8.3. Baroreceptors
8.4. Considerations
9. Postexercise thermoregulation - overview
10. Nonthermal baroreflex modulation of postexercise heat loss responses
11. The relative contribution of nonthermal input on postexercise heat loss responses
12. Other factors
12.1. Level of hyperthermia
12.2. Hydration status
12.3. Sex-related differences
13. Human heat balance during and following dynamic exercise: A calorimetric perspective
14. Time course of thermogenesis and thermolysis during and following steady-state exercise
15. Calorimetric evidence for nonthermal modulation of whole-body heat loss
16. Summary
17. Acknowledgments
18. References

1. ABSTRACT

Human thermoregulatory control during heat stress has been studied at rest, during exercise and more recently during exercise recovery. Heat balance in the body is maintained by changes in the rate of heat loss via adjustments in skin blood flow and sweating. Independent of thermal control, the actions of nonthermal factors have important consequences in the control of heat loss responses during and following exercise. While the effect of these nonthermal factors is largely considered to be an inhibitory or excitatory stimulus which displaces the set-point about which temperature is regulated, their effects on human thermoregulatory control are far reaching. Many factors can affect the relative contribution of thermal and nonthermal influences to heat balance including exercise intensity, hemodynamic status, and the level of hyperthermia imposed. This review will characterize the physiological responses associated with heat stress and discuss the thermal and nonthermal influences on sweating and skin blood flow in humans. Further, recent calorimetric evidence for the understanding of thermal and nonthermal contributions to human heat balance will also be discussed.