Thermal strain and fluid balance during a 72-km military route march in a field setting

Introduction: A physiological profiling study was conducted to evaluate thermal strain as well as fluid and electrolyte balances on heat-acclimatised men performing a 72-km route march in a field setting. Methods: 38 male soldiers (age range 18–23 years) participated in the study, as part of a cohor...

Full description

Saved in:
Bibliographic Details
Main Authors: Beng Hoong Poon, Suriya Prakaash, Ya Shi Teo, Priscilla Weiping Fan, Jason Kai Wei Lee
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2022-09-01
Series:Singapore Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.11622/smedj.2021053
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823861043418365952
author Beng Hoong Poon
Suriya Prakaash
Ya Shi Teo
Priscilla Weiping Fan
Jason Kai Wei Lee
author_facet Beng Hoong Poon
Suriya Prakaash
Ya Shi Teo
Priscilla Weiping Fan
Jason Kai Wei Lee
author_sort Beng Hoong Poon
collection DOAJ
description Introduction: A physiological profiling study was conducted to evaluate thermal strain as well as fluid and electrolyte balances on heat-acclimatised men performing a 72-km route march in a field setting. Methods: 38 male soldiers (age range 18–23 years) participated in the study, as part of a cohort that marched for 72 km, with loads for about 26 hours. Core temperature and heart rate sensors were used for the duration of the march. Fluid and food intake and output were monitored for the duration of the march. Blood samples were taken one day before the march (pre-march), immediately after the march (Post 1) and on the 15th day after the march to ascertain recovery (Post 2) to assess fluid and electrolyte profiles. Results: Mean core temperature was within safe limits, ranging from 37.1 to 38.1°C throughout the march. There was an overall decrease in serum sodium levels, a decline in serum sodium concentration in 28 participants and three instances of hyponatraemia (serum sodium concentration <135 mmol/L). Conclusion: Our study found low thermal strain heat-acclimatised individuals during a 72-km route march. However, there was an overall decrease in serum sodium levels, even when the participants were allowed to drink ad libitum. Challenges of exercise-associated hyponatraemia during prolonged activities remain to be addressed.
format Article
id doaj-art-94afa5caf2224bbd9ea216cd0c85d17a
institution Kabale University
issn 0037-5675
2737-5935
language English
publishDate 2022-09-01
publisher Wolters Kluwer – Medknow Publications
record_format Article
series Singapore Medical Journal
spelling doaj-art-94afa5caf2224bbd9ea216cd0c85d17a2025-02-10T05:28:57ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352022-09-0163949750210.11622/smedj.2021053Thermal strain and fluid balance during a 72-km military route march in a field settingBeng Hoong PoonSuriya PrakaashYa Shi TeoPriscilla Weiping FanJason Kai Wei LeeIntroduction: A physiological profiling study was conducted to evaluate thermal strain as well as fluid and electrolyte balances on heat-acclimatised men performing a 72-km route march in a field setting. Methods: 38 male soldiers (age range 18–23 years) participated in the study, as part of a cohort that marched for 72 km, with loads for about 26 hours. Core temperature and heart rate sensors were used for the duration of the march. Fluid and food intake and output were monitored for the duration of the march. Blood samples were taken one day before the march (pre-march), immediately after the march (Post 1) and on the 15th day after the march to ascertain recovery (Post 2) to assess fluid and electrolyte profiles. Results: Mean core temperature was within safe limits, ranging from 37.1 to 38.1°C throughout the march. There was an overall decrease in serum sodium levels, a decline in serum sodium concentration in 28 participants and three instances of hyponatraemia (serum sodium concentration <135 mmol/L). Conclusion: Our study found low thermal strain heat-acclimatised individuals during a 72-km route march. However, there was an overall decrease in serum sodium levels, even when the participants were allowed to drink ad libitum. Challenges of exercise-associated hyponatraemia during prolonged activities remain to be addressed.https://journals.lww.com/10.11622/smedj.2021053enduranceexercisehydrationprolonged physical activitysoldiers
spellingShingle Beng Hoong Poon
Suriya Prakaash
Ya Shi Teo
Priscilla Weiping Fan
Jason Kai Wei Lee
Thermal strain and fluid balance during a 72-km military route march in a field setting
Singapore Medical Journal
endurance
exercise
hydration
prolonged physical activity
soldiers
title Thermal strain and fluid balance during a 72-km military route march in a field setting
title_full Thermal strain and fluid balance during a 72-km military route march in a field setting
title_fullStr Thermal strain and fluid balance during a 72-km military route march in a field setting
title_full_unstemmed Thermal strain and fluid balance during a 72-km military route march in a field setting
title_short Thermal strain and fluid balance during a 72-km military route march in a field setting
title_sort thermal strain and fluid balance during a 72 km military route march in a field setting
topic endurance
exercise
hydration
prolonged physical activity
soldiers
url https://journals.lww.com/10.11622/smedj.2021053
work_keys_str_mv AT benghoongpoon thermalstrainandfluidbalanceduringa72kmmilitaryroutemarchinafieldsetting
AT suriyaprakaash thermalstrainandfluidbalanceduringa72kmmilitaryroutemarchinafieldsetting
AT yashiteo thermalstrainandfluidbalanceduringa72kmmilitaryroutemarchinafieldsetting
AT priscillaweipingfan thermalstrainandfluidbalanceduringa72kmmilitaryroutemarchinafieldsetting
AT jasonkaiweilee thermalstrainandfluidbalanceduringa72kmmilitaryroutemarchinafieldsetting