Influences of Female Sex and Reproductive Hormones on Physiological Aspects of Heat Acclimation

Study Overview
=================
Brief Summary
-----------------
Women are often understudied in thermal physiology research, leaving recommendations for Soldier safety and performance in hot conditions based largely on data collected in men. Female sex hormones estradiol and progesterone clearly have non-reproductive physiological effects, including influences on thermoregulatory and cardiovascular function. However, mechanisms of differing physiological adaptations to repeated heat exposure (i.e., heat acclimation) as a function of reproductive hormone status have yet to be investigated in a systematic way. Understanding possible sex differences in adaptation or mechanisms for adaptation during heat acclimation is important to ultimately optimize interventions to maximize soldier health and safety during training and deployment in the heat. Our goals in the present study are to evaluate physiological and biophysical responses to a standard heat acclimation protocol in a group of young, healthy men and women. Thirty individuals (n=10 males, n=10 women with a low hormonal status (i.e. early follicular phase), n=10 women with a high hormonal status (i.e. midluteal phase)) will complete 10 consecutive days of exercise (treadmill walking: 3.1 mph/2% grade) in the heat (40°C /40% relative humidity) up to 3hr per day. Changes in core temperature, heart rate, and sex hormones will be assessed to examine differences in thermoregulatory response to heat acclimation.

Official Title
-----------------
Influences of Female Sex and Reproductive Hormones on Physiological Aspects of Heat Acclimation

Conditions
-----------------
Heat Stress, Exertional

Intervention / Treatment
-----------------
* Other: Heat acclimation


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: • Males and females, age 18-40 y (17 y for active duty military) Eumenorrheic females (menstrual cycle length between 24-35 days) or females taking oral contraceptives In good health as determined by OMSO (Office of Medical Support and Oversight) General Medical Clearance and willing to report all medications and dietary supplements (i.e. cold medication, Tylenol. Aleve) to the PI and OMSO. Passed his/her most recent Army Combat Fitness Test (ACFT) (military volunteers only) or exercise at least 2 times per week (civilian volunteers) Willing to not exercise, or drink alcoholic beverages for 24 hours before each testing session Willing to not consume caffeine 12 hours prior to any testing sessions Willing to refrain from additional moderate to strenuous physical activity throughout testing period Males and females with BMI <30 Exclusion Criteria: • Females who are pregnant or planning to become pregnant during the study Females utilizing implantable contraception (intrauterine device, implantable bar) Tested positive for COVID-19 within the past 30 days. Taking prescription or over the counter medication, other than a contraceptive (unless approved by OMSO and Principal Investigator (PI)) Tobacco users, or anyone who has used tobacco within the last four months Physical problems/injuries that would affect walking or running on a treadmill Allergy to skin adhesive Heart, lung, kidney, muscle, endocrine, or nerve disorder(s) History of heat intolerance or orthostatic intolerance Diagnosed and/or treated for fluid/electrolyte imbalance within the last 30 days History of obstructive disease of the gastrointestinal tract including (but not limited to) diverticulosis, diverticulitis and inflammatory bowel disease, peptic ulcer disease, Crohn's disease, ulcerative colitis. Scheduled MRI during testing

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Males<br>10 consecutive day heat acclimation in males | Other: Heat acclimation<br>* 10 consecutive days of heat acclimation<br>|
| Experimental: Females + high hormones<br>10 consecutive day heat acclimation in females with high hormonal dose | Other: Heat acclimation<br>* 10 consecutive days of heat acclimation<br>|
| Experimental: Females + low hormones<br>10 consecutive day heat acclimation in females with low hormonal dose | Other: Heat acclimation<br>* 10 consecutive days of heat acclimation<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Core temperature |  | 10 days | 
| Heart rate |  | 10 days |