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Clothing plays an important role in heat stress management; if it prevents adequate heat exchange between the
human body and the ambient environment when working, the body will store heat causing elevated core
temperatures and potential health risks. This paper summarizes a series of tests performed on clothing that could be
worn by underground miners in Canada. These evaluations, undertaken using a human calorimeter, were each
believed to be the first of their kind addressing human heat storage directly as opposed to using indirect
thermometry. These studies initially assessed standard coverall arrangements and popular activewear for prolonged
continuous work, continued with tests simulating intermittent work in hot-dry and warm-wet (or humid)
environments, and concluded with the recent intermittent work evaluation of arc-flash or flame resistant (AFR)
clothing. Throughout the studies, young, healthy, un-medicated, non-acclimated male volunteers were subjected to
exercise/recovery test protocols lasting up to 120 minutes. The subjects exercised at 360-400 W rates of metabolic
heat production, verging on American Conference of Governmental Industrial Hygienist’s (ACGIH) “Heavy”
classification, in environments ranging from approximately 23 to 29°C wet-bulb globe temperature (WBGT). The
results emphasize the benefits of direct calorimetry in providing a more accurate depiction of heat storage
compared to indirect thermometry. The latest AFR tests confirmed the previous findings that coverall
arrangements, currently typical of the Canadian industry, may be detrimental to miners' health, as caused by
elevated body temperatures. This is as a consequence of reduced heat loss to the environment compared to single-
layer, closer-fitting alternatives that promote evaporative cooling. However, in regard to AFR clothing ensembles
needing special consideration, or the requiring a clothing adjustment factor when applying the ACGIH heat stress
screening criteria, this could not be confirmed. Despite the additional protective properties of the fabrics, the results
tend to indicate within each clothing category, i.e. coveralls, or work-pant/long-sleeved t-shirt, that there were no
significant differences between comparable AFR and non-AFR options in terms of the progression of increasing
core temperature or overall heat storage. Consequently, the closer fitting long-sleeved shirt ensembles tested, as a
whole, through allowing greater evaporation, could reduce the rate of increasing body temperatures allowing for
longer or more intense activity before core temperatures thresholds are reached.
Keywords: Heat stress, Clothing, WBGT, Arc-flash, Flame resistant, Snellen calorimeter
of auto-compression superimposed over summer limit evaporative cooling to some degree. The number
climatic conditions can be significant. Also, despite clothing of layers, the fabric, their fit and extent,
Canadian mines being highly mechanized there are proximity to the skin, spacing and venting also control
certain regular tasks that have high metabolic demands. effective moisture evaporation. Even tasks performed
Consequently, with increasingly adverse thermal with a low level of activity or clothing insulation value,
environments, the same level of work activity may not or both, can present a significant heat stress risk if they
be sustainable. For occupational tasks involving physical are performed under hot environmental conditions [3].
activity, the risk of heat stress becomes greater as the Conversely, insulative clothing and high activity tasks,
level of heat rejection required to maintain thermal such as mine rescue, can present risks at low
homeostasis increases and as metabolic heat loss environmental temperatures. This was evident with core
mechanisms reach their limit. Below mean skin temperatures approaching 39°C in a mine rescue
temperatures of ∼34-36°C, the body can reject heat simulation that required an average metabolic work rate
of 538 W, “Very Heavy” according to the ACGIH
through both dry and evaporative heat transfer
classification, in an environment with an equivalent
mechanisms. Above this mean skin temperature, the
WBGT of ~16°C (assumes Tdb ≈ Tg and the
direction of dry heat transfer is reversed and evaporative
psychrometric wet-bulb temperature, Twb ≈ Tnwb) [4].
heat rejection becomes the primary heat loss mechanism.
Hence, efficient and useful evaporation of sweat is To accommodate the effects of clothing, the
critical, and clothing becomes a significant moderator. application of the WBGT criteria incorporates Clothing
Adjustment Factors that range from 0°C for cotton
The wet-bulb globe temperature (WBGT) is one of
coveralls worn over modest undergarments through to an
the most widely used empirical indices in the
11°C downward adjustment of the TLV value for
management of heat exposure and the heat stress to
encapsulating vapor barrier clothing [1]. With respect to
which workers may be exposed. In Canada, the WBGT
AFR clothing, depending upon the fire retardant rating
threshold limit value (TLV) criteria for heat stress and
and the clothing ensemble, downward corrections
strain, as published by the American Conference of
ranging from 0.5 to 3.2°C have been proposed [2,5].
Governmental Industrial Hygienists (ACGIH) [1,2], are
However, work based on determining the point where
the basis for virtually every province’s occupational
there is a clear loss of thermal equilibrium found no
health and safety regulations or guidelines for thermal
significant difference between fire retardant ensembles
stress management. The WBGT combines the ambient
and cotton work clothes and has proposed a 0°C
dry-bulb air temperature (Tdb, °C), the relative humidity
adjustment [6].
(RH) combined with air movement as a natural wet-bulb
temperature (Tnwb, °C), and radiant heating effects, These clothing adjustment factors can have a
where applicable, through a globe temperature (T g, °C) significant impact. For example, upon applying an
into a single environmental measure. The premise behind adjustment of 2.0-3.0°C to the WBGT screening criteria
the threshold limits is to prevent the body’s core in Table 1 when wearing specialized clothing, activities
temperature from exceeding 38.0-38.5°C. The previously pertaining to “Light” work with a 75-100%
environmental temperature exposure limits, Table 1, are work allocation may now be limited to a 0-25% work
based upon work-rate, the ratio of continued effort to rest allocation, Furthermore, where “Heavy” work was
periods (work:recovery ratio) and worker acclimation. undertaken at a 25-50% allocation, the same order
Other considerations in the application of WBGT based correction would now only accommodate “Light” to
TLVs include temperature adjustments for the clothing “Moderate” work. In deep mines, increasing ventilation
worn and body weight corrections to the metabolic work rates and/or introducing mechanical cooling could be
rate categories that are based upon a 70 kg subject. used to negate the loss of productive time, or the
downgrading of maximum work intensity. However, the
The insulative effects of clothing ensembles ranging
associated capital and operating costs can be significant,
from the standard work coverall, including a modest
potentially to the point of the operation being
second layer, through specialized clothing with AFR
uneconomic. Therefore, a better understanding of
fabrics, and semi permeable or impermeable suits, as
clothing factors and their appropriateness is imperative.
required for particular occupations, have the potential to
2
Table 2. Subject characteristics for the three clothing evaluations performed in the modified Snellen calorimeter.
Age Height Weight Body Fat BSA VO2max
(yrs) (m) (kg) (%) (m2) (mlO2/kg/min)
Evaporative
Test 1 20 ± 1 1.76 ± 0.02 79.5 ± 3.7 16.4 ± 3.5 1.97 ± 0.05 53.6 ± 1.4
Properties
Work:Rest
Test 2 22.9 ± 0.4 1.78 ± 0.03 77.3 ± 2.9 15.7 ± 1.6 58.3 ± 2.1
Hot: Humid
AFR
Test 3 23 ± 1 1.73 ± 0.03 79.5 ± 6.8 17.7 ± 2.9 1.93 ± 0.09 46.9 ± 4.4
Clothing
BSA – Body Surface Area
2. Clothing Tests where, S is the rate of body heat storage; M is the rate of
metabolic energy expenditure; W is the rate of external
The study reported here continues the evaluation of work; R, C and K are the rates of radiant convective and
clothing ensembles in a “gold standard” modified conductive heat exchange, respectively, which combined
Snellen direct air human calorimeter [7]. This testing constitute the dry heat exchange; and E is the rate of
capacity, at the University of Ottawa, is essentially a evaporative heat exchange.
precisely controlled and monitored environmental test
vessel that can accommodate the testing of human While heat storage is determined indirectly, its
subjects, contained within another precisely controlled derivation should be considered more direct than that of
and monitored environmental chamber. It provides the using a two-compartment model based upon core and
rates of whole-body evaporative and dry heat losses (or skin temperatures. Although the measurement of a
gains), as well as the change in body heat content (and temperature is direct, the determination of a mean skin
therefore the level of thermal strain), in humans by temperature through the application of weighting factors,
performing simultaneous minute-by-minute plus applying multipliers to combine the core and mean
measurements of the individual heat balance skin temperatures renders the two-compartment model
components. As will be described, this sequence of work approach less direct.
started with an evaluation of several clothing
arrangements against a semi-nude condition for
continuous activity. This was used to identify a clothing 2.1.1 Body Heat Content (ΔHb)
ensemble with the best evaporative cooling potential
The differential form of Equation 1, with respect to
under hot conditions. The second study introduced
time, provides the change in body heat content ΔHb. The
intermittent work to better represent the mining activity
individual components of Equation 1 were determined
observed in field observations [8] plus exploring any
through a combination of direct and indirect calorimetry.
differences between hot-dry and warm-wet environments
The evaporative (E) and combined dry (R+C+K) heat
with a common WBGT for standard and modified
exchange of test subjects were established every minute
clothing combinations. The third and latest study
within a modified Snellen direct air calorimeter. This
explored the added detriments, if any, of those
apparatus uses differential air temperature and humidity
ensembles providing additional AFR protection.
measurements of the influent and effluent flows to
Throughout these studies, 6-8 young healthy non-
determine the air mass flow rate and then measure total
smoking male test subjects were used. Their
heat loss/gain with an accuracy of Δ ±2.3W. External
characteristics (mean ± SE), as given in Table 2, shows
work (W) was regulated to predetermined levels through
the similarity between the test subject groups used. For
subjects performing seated pedaling on a constant load
continuity a semi-nude control condition and certain
eddy current cycle ergometer. The rate of metabolic (M)
standard clothing arrangements were also common to all
heat production was calculated from minute-average
three sets of tests.
values of oxygen consumption and respiratory exchange
ratio based on inspired and expired air oxygen and
carbon dioxide gas contents and a ventilometer derived
2.1 Measurements flow rate measurements.
Throughout the clothing tests, the prime assessment
of clothing effects were indirect measurements to
2.1.2 Core Temperature and Other Measurements
determine the change in body heat content ΔHb, from the
heat balance equation given below, and direct Although not reported throughout, the following
measurements of deep body (core) and mean skin measurements are often typical of such calorimeter
temperatures. based studies. Esophageal (Tes) and rectal (Tre) deep
body temperatures were measured every 15 seconds
The standard form of the heat balance equation for through suitably positioned thermocouple probes. Mean
the human body is: skin temperatures were obtained from the weighted
W (1) average of four, regional thermocouple temperatures.
Heart rate was monitored with a Polar coded transmitter.
3
Fig. 1. Semi-nude control (CON), activewear undergarments, standard coverall with undergarment (SWU) and work-pant activewear
long-sleeved shirt (MWU) clothing ensembles.
Additional measures, as considered relevant to each storage during exercise and lower heat loss during
study or an associated research aim, included blood recovery. With a longer exercise period, the coverall
plasma volume and stress marker changes, urine specific arrangements would have resulted in core temperatures
gravity, and subject provided thermal sensation and
perceived exertion ratings.
4
38.2
Ex 1/ Ex 2/ Ex 3/ Ex 4/ Ex 5/ Ex 6/ changes in body heat content under both environmental
Rec 1 Rec 2 Rec 3 Rec 4 Rec 5 Rec 6 conditions. Also, it was found that the change in body
38.0 heat content was consistently greater under the humid
Esophageal Temperature ( C)
5
Fig. 4. Cotton polyester work-pants with activewear and AFR long-sleeved tops; Standard cotton, fire-rated and Nomex® coveralls
over AFR top, and full AFR jacket, top and pant clothing ensembles
AFR coveralls (ATPV 9.5, 65% modacrylic, 33% exercise/recovery cycles. However, of more significance
aramid, 2% carbon nylon antistatic) worn over a is that the graph shows the net change in body
cotton undershirt. temperature, as derived from calorimetry, is significantly
Nomex® coveralls (ATPV 4.5, flame resistant greater than that predicted from 2-compartment
100% Nomex) worn over a cotton undershirt. thermometry. Or, conversely thermometry drastically
AFR ensemble of an AFR jacket (ATPV 8.7, underestimates the amount of heat being stored and
flame resistant, 88% cotton, 12% high tenacity thereby the potential risk. Such underestimation had
nylon) worn over a cotton undershirt along with previously been shown for semi-nude male and female
AFR pants (ATPV 10.1, flame resistant, 45% subjects to be 15-35% after 90 minutes of exercise [15]
modacrylic, 35% lyocell, 15% polyamide-imide, but could be in the order of ~95% after only 10 minutes
5% aramid). of exercise. As describe above, this clothing study
element used 15 minute activity periods.
Here, the evaluations used a 50:50 work/recovery
regime across 120 minutes that included four repetitions Figure 6 is a similar presentation of mean body
of 15-minute cycling activity (at ~400 W) followed by a temperature changes for cotton and Nomex® coveralls
15-minute recovery. The air supply entering the worn over cotton underwear. This figure shows a similar
calorimeter was controlled to 35°C and 15%RH (~23°C stepped effect regardless of the fabric, through the four
WBGT). At this lower ambient temperature, dry heat exercise/ recovery cycles. But again, the magnitude of
gain from the environment is negligible the determined changes is significantly different
depending on their derivation.
Figures 5 through 7 provide an early indication of the
average results obtained from the AFR clothing trials.
These figures focus on comparing the change in mean
body temperature as derived from the calorimeter
determined change in body heat content versus that from
core and skin temperatures. Further and more exhaustive
analysis is pending peer review for medical publication.
This includes additional clothing ensembles for other
industry sectors, assessing the progression of evaporative
heat loss in relation to the total heat load, hydration,
heart rate, physiological strain, thermal sensation and
rating of perceived exertion. Consequently, for a more
complete understanding of this research, it is highly
recommended that the reader review the full results as
being published elsewhere [14].
Figure 5 compares the change in mean body
temperature of the work-pant long-sleeved shirt
combinations, with and without AFR properties, as
predicted from rectal (core) and skin thermometry (i.e. a
2-compartment model) or calculated from calorimetry
determined body heat storage. Both methods tend to
show a staged increasing change through the four
6
1.80
Ex 1 Ex 2 Ex 3 Ex 4 In both Figures 5 and 6, the calorimetry results show
more clearly an overall effect of ever increasing mean
Change in Mean Body Temperature ( C)
1.60
Non-AFR
Non-AFR
Non-AFR
AFR top
AFR top
AFR top
AFR top
generally supports the previous calorimeter based
shirt
shirt
shirt
shirt
clothing studies that indicated coverall ensembles were
more detrimental to heat loss compared to the work pant
long-sleeved shirt ensembles. However, it also shows
Fig. 5. Mean change in mean body temperature from direct that any discrimination between clothing types and even
calorimetry and indirect temperature measurement for the the semi-nude condition may not have been possible
standard work-pant with non-AFR and AFR tops using indirect thermometry.
2.00 The potential to reach a temperature limit is
Ex1 Ex2 Ex3 Ex4
demonstrated more quantitatively elsewhere in terms of
Change in Mean Body Temperature ( C)
1.80
evaporative heat loss [14]. The results presented there
1.60
generally showed that through the 120 minute
1.40
Rectal & Skin
assessment, in relation to the 400 W heat loss required to
1.20
Calorimetry
maintain thermal equilibrium, heat loss peaked at ~350
1.00 W for the semi-nude control condition, at ~320 W for
0.80 the work-pant combinations and was ~300 W for the
0.60
coverall ensembles.
0.40 Throughout, upon comparing the styles of clothing,
0.20 these calorimeter based mean body temperature change
0.00
results along with those detailing the evaporative cooling
[14], continue to indicate coverall ensembles to be more
Cotton
Cotton
Cotton
Cotton
AFR
AFR
AFR
AFR
Rectal & Skin ATPV values reaching ~10 kcal/cm2, when compared to
1.20
Calorimetry their existing work wear, other factors still need to be
Temperature ( C)
Work pant
AFR Top
Nomex® Coveralls
AFR Coveralls
Cotton Coveralls
Cotton Undershirt
Cotton Undershirt
Cotton Undershirt
1 2 3 4 5 6
8
Apr 21:0. [Epub ahead of print]; DOI: Dehydration in Young and Older Males, BioMed
10.1080/15459624.2015.1029615. Research International, (2015), Article ID 619103.
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