OLYMPIC GAMES TOKYO 2020 - cloudfront.net
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Beat The Heat during the Olympic Games Tokyo 2020 10 TOP TIPS 1. eat acclimatisation by training in the H 6. o not use clothing that limits sweat D heat for at least two weeks. [see p. 7, 9] evaporation. [see p. 14] 2. If you cannot acclimatise for two weeks, 7. any medications can impair your M try at least one week! [see p. 8, 10] ability to tolerate heat, so discuss your medications with your sports physician. 3. Implement your hydration plan starting in the days preceding the event. 8. iarrhoea and vomiting impair your D [see p. 11–13] hydration status and will require the use of Oral Rehydration Solutions (ORS). 4. se pre-cooling strategies during your U warm-up (e.g. ice vest). [see p. 14] 9. se a non-greasy sunscreen. U [see p. 14] 5. Test your cooling strategies during practice prior to the event/competition. 10. se a hat and Category 3 sunglasses. U [see p. 14] [see p. 14] 2
Beat The Heat during the Olympic Games Tokyo 2020 The Games of the XXXII Olympiad Tokyo 2020 (24 Jul – 9 Aug) will take place in 34 92 32 hot and humid environmental conditions. 88 30 84 Hot and humid ambient conditions limit 28 80 heat dissipation capacity during exercise, 26 24 76 thus impairing endurance performance 22 72 and increasing the risk of exertional 20 68 heat illness such as heat cramps, heat 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 exhaustion and heat stroke. Hour (local) The risk of heat-related illness can be reduced by adopting countermeasures 95 such as heat acclimatisation. 90 Relative Humidity (%) 85 This document addresses some 80 “Frequently Asked Questions” 75 about performing in hot and humid 70 ambient conditions and provides 65 recommendations to optimise 60 performance and reduce the risk 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 of heat illness. Hour (local) Figure 1: Typical Tokyo weather during 24 July – 9 August Olympic period (Tokyo airport average data from 1998–2018) 3
How is body temperature maintained? Figure 2: The athletes’ thermal environment The ambient conditions during When resting in temperate Radiation sporting events are generally environmental conditions, core determined using the Wet-Bulb- body temperature in humans is Globe-Temperature (WBGT) index. around 37ºC, while muscle and The WBGT is calculated from skin temperature is approximately the dry (standard thermometer) 35ºC and 31ºC, respectively. During (solar radiation – direct or reflected towards the athlete) (evaporative heat loss by radition from the body) temperature, the wet-bulb physical exertions, such as running temperature (indicative of the true or race-walking, muscle contractions capacity of the air to evaporate produce a considerable amount of Convection water according to its relative heat, inducing a large increase in (requires air flow at a lower temperature than the skin for humidity and air velocity) and the muscle temperature which drives an negative cooling effect) solar radiation (globe temperature). increase in core body temperature. Thus, both a hot and dry (e.g. The heat produced is dissipated 37ºC, 25% relative humidity as into the environment via the skin during the 2016 UCI Road World through sensible (i.e. convection and Sweat evaporation Championships in Qatar) or a warm radiation) and insensible evaporation (main avenue for heat dissipation in the exercising human) and humid (e.g. 28ºC, 75% relative heat loss pathways, primarily in the humidity as during the 2014 FIFA form of sweating. In hot ambient World Cup in Brazil) environment conditions, the gradient between can produce the same WBGT (27ºC). skin and environmental temperature Metabolic production (¼ of the energy is converted is minimal, possibly even negative, into mechanical work, ¾ is converted into heat) such that heat dissipation occurs mainly through sweat evaporation. BEAT THE HEAT DURING THE OLYMPIC GAMES TOKYO 2020 4
How does heat affect performance? Figure 3: The effect of temperature on running performance An increase in muscle temperature (e.g. through warm-up) has several benefits for explosive athletic performance such as sprints, jumps and throws. 1.0 However, preventing an excessive rise in core body temperature during prolonged exercise requires 0.5 transferring metabolic heat from the working muscles and core to the skin and then dissipating Change in performance >25°C versus
What is the normal body temperature response during exercise? Figure 4: Maximal body core temperature when competing in the heat Body temperature increases after a few minutes of exercise. The heat dissipation capacity of the environment is determined by air temperature, radiant temperature, humidity and air velocity. The athlete’s personal potential for heat loss is determined by their acclimatisation status, sweat rate, clothing and fitness. The environment together Core with the individual athlete’s potential for heat loss will determine to what extent their core temperature Body temperature will increase. can reach between Core temperature will keep rising during exercise unless heat production is reduced (e.g. reduce 39–410C speed). Depending on the intensity and duration of the exercise, a plateau in body temperature may occur anywhere around 38.5–40ºC when exercising in temperate environments. However, athletes can transiently achieve a core body temperature above 41ºC when competing intensely in hot ambient conditions. BEAT THE HEAT DURING THE OLYMPIC GAMES TOKYO 2020 6
How best to prepare for competition in the heat Figure 5: Adaptations to repeated training in the heat for unacclimatised athletes The best way to prepare for It is therefore recommended competition in the heat is to that athletes train in a similar train in the heat (i.e. to heat environment to that in which 120 acclimatise). Heat adaptation competition will occur, Exercise Capacity is achieved via repeated commencing heat adaptation Thermal Comfort exercise/heat exposure that at least two weeks prior to increases body core and competition. Adaptation (% Day 1) Sweating Rate skin temperature, as well as Skin Temperature inducing significant sweating. Conducting an initial heat acclimatisation camp several 100 Core Temperature This adaptation to the weeks before the target event heat Heart can be achieved using Rate may also enhance the rate hot ambient conditions of adaptation to the heat in Plasma Volume (i.e. acclimatisation) or a follow-up pre-competition by simulating hot ambient camp. The most visible body conditions using purpose- adaptations to repeated 80 built environmental chambers training in the heat include 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 or improvised low-tech “hot an increased sweat rate, 120 Days of Heat Acclimation rooms” (i.e. acclimation). a decreased heart rate at Exercise Capacity Thermal Comfort The number of days required a given intensity, a better to achieve optimal adaptation retention of electrolytes, Adaptation (% Day 1) Sweating Rate Skin Temperature varies between individuals, and a decreased body 100 Core Temperature but most adaptations tend core temperature. Source: Périard, J. D., Racinais, S. & Sawka, M. N. Scand Heart Rate TT in the to develop heat7–10 within without training in the heat days, 350Sci Sports 25, 20–38 (2015). J Med Plasma Volume with 14 days being optimal TT in the heat after 1 week of training in the heat for most. 80 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 TT in the heat after 2 weeks of training in the heat 300 Days of Heat Acclimation TT in cool environment er output (W) BEAT THE HEAT DURING THE OLYMPIC GAMES TOKYO 2020 7 TT in the heat without training in the heat 350 TT in the heat after 1 week of training in the heat
Thermal Comfort Adaptation (% Day 1) Sweating Rate How much can performance be 120 Exercise Capacity Skin Temperature Thermal Comfort 100 Core Temperature Adaptation (% Day 1) Sweating Rate improved by heat acclimatisation? 100 Skin Temperature Core Temperature Heart Rate Heart Rate Plasma Volume Plasma Volume 80 80 0 1 2 3 04 51 6 27 8 3 9 10 4 11 512 136 14 7 8 9 10 11 12 13 14 Figure 6: The impact Days of of heat acclimatisation on cycling Heat Acclimation Days of Heat Acclimation time trial (TT) performance in the heat Heat stress can dramatically decrease endurance performance, but this reduction in performance TT in the heat without training in the heat can be mitigated progressively with heat 350 TT in the heat after 1 week of training in the heat acclimatisation. Heat acclimatisation is an ideal TT in the heat after 2 weeks of training in the heat adjunct to other performance-enhancing strategies TT in the heat (e.g. without training high-altitude in theHeat training). heatacclimatisation 300 350 TT in cool environment willheat alsoafter reduce the of risk of heat-related in the heatillness. Power output (W) TT in the 1 week training 250 If the TT in the heatsigns afterand symptoms 2 weeks of heat-related of training in the heat illness develop then: 300 TT in cool environment • Call for medical assistance Power output (W) 200 10 20 30 40 50 60 70 80 90 100 Percent distance completed (43km) • R emove the individual from the heat source (e.g. from out of the sun to shade) 250 • Where possible start active cooling Therefore, heat acclimatisation should be a priority before any event where hot and/or humid 200 conditions are likely or expected. Indeed, heat 10 20 30 40 50 60 70 80 90 100 acclimatisation does not impair performance Percent distance completed (43km) in cooler environments and may even enhance performance under certain conditions. Source: Racinais, S., Périard, J. D., Karlsen, A. & Nybo, L. Med Sci Sports Exerc 47, 601–606 (2015). BEAT THE HEAT DURING THE OLYMPIC GAMES TOKYO 2020 8
How to heat acclimatise in a cold country Figure 7: The different heat acclimatisation methods HEAT There are a wide variety of overall benefits of passive ACCLIMATISATION approaches that can increase ACCLIMATION heat acclimation will be HEAT Natural Environment core and skin temperature less than training in hot Artificial Environment (outdoor/field training) and stimulate sweating. (indoor/laboratory training) conditions. Water ambient ACCLIMATISATION ACCLIMATION temperature should be Natural Environment Artificial Environment The first choice should be (outdoor/field training) (indoor/laboratory training) around 40ºC in order to elicit to train for 60–90 minutes adaptation while remaining SELF-PACED CONSTANT a day CONTROLLED in the same ambient CONTROLLED PASSIVE EXERCISE WORK RATE conditions INTENSITY HYPERTHERMIA tolerableHEATING (this can easily be as the upcoming SELF-PACED CONSTANT CONTROLLED CONTROLLED PASSIVE measured with a floating EXERCISE WORK RATE INTENSITY HYPERTHERMIA HEATING competition for two weeks. pool thermometer). However, if this is not possible, most adaptations Another approach to induce can be acquired by artificially heat adaptation is to ACTIVITY ACTIVITY ACTIVITY ACTIVITY ACTIVITY ACTIVITY ACTIVITY simulating ACTIVITY heat during indoor ACTIVITY wear extra ACTIVITYclothing during Football, running, etc. Walking at 6km/h, running at 12km/h, Cycle ergometer at 65% VO2max heart rate Work +/– Rest to Football, running, maintain core etc. Water immersion, Walking at 6km/h, or sauna bathing running at 12km/h, trainingCycle (i.e. use ergometer at of a purpose- Work +/– Rest to trainingWater maintain core to increase immersion, or sauna bathing the cycle ergometer at 185 W temperature at 38.5°C 65% VO heart rate CONDITIONS (e.g. 145 bpm) CONDITIONS CONDITIONS cycle ergometer at 185 W built environmental 2max (e.g. 145 bpm) chamber temperature at heat stimulus. Collectively, 38.5°C Outdoor (variable) CONDITIONS CONDITIONS CONDITIONS Water 40–42°C CONDITIONS Indoor (40°C, 40%RH) Outdoor (variable) Indoor (40°C, 40%RH) Indoor (40°C, 40%RH) Outdoor (variable) Indoor (40°C, 40%RH) CONDITIONS if available, Sauna 70–90°C CONDITIONS or even using CONDITIONS artificialWater techniques 40–42°C aimed Indoor (40°C, 40%RH) Outdoor (variable) DURATION 60–90 MINS DURATION DURATION DURATION DURATION Indoor (40°C, 40%RH) heatersIndoorand boiling (40°C, 40%RH) water Indoor (40°C, 40%RH)at inducing heat Sauna 70–90°C adaptation DURATION 45–60 MINS, or 60–90 MINS 60–90 MINS 60–90 MINS intermittent for 30 MINS to artificially create hot and are called “heat acclimation”. DURATION 60–90 MINS DURATION DURATION DURATION 60–90 MINS humid ambient 60–90 MINS conditions). 60–90 MINS Although notfor as 45–60 MINS, or intermittent specific as 30 MINS exercise heat acclimatisation, It is also possible to use heat acclimation can be passive heat acclimation used before travelling techniques such as hot Source: Daanen, H. A. M., Racinais, S. & Périard, to a hot environment to water immersion or sauna J. D. Sports Med 48, 409–430 (2018). reduce the time required for bathing for 30–40 minutes acclimatisation upon arrival. pre- or post-training, but the BEAT THE HEAT DURING THE OLYMPIC GAMES TOKYO 2020 9
When to heat acclimatise Figure 8: Examples of heat acclimatisation strategies, HEAT depending on travel requirements Despite the benefits of heat ACCLIMATISATION ACCLIMATION acclimatisation, only 15% of Natural Environment athletes Artificial participating in the 2015 Environment (outdoor/field training) (indoor/laboratory IAAF Worldtraining) Championships 2 WEEKS’ ACCLIMATISATION BEFORE TRAVELLING ACCLIMATISED (Beijing) which were held in a hot at time of competition and humid environment, prepared ACCLIMATISATION IN ADVANCE + MAINTENANCE 1 SESSION/WEEK specifically by training in the heat SELF-PACED CONSTANT CONTROLLED CONTROLLED PASSIVE EXERCISE WORK RATE INTENSITY prior to competition. HYPERTHERMIA HEATING While some ACCLIMATISED at time of competition degree of heat acclimatisation does occur by regular training PRE-ACCLIMATION + 1 WEEK ACCLIMATISATION UPON ARRIVAL even in cool conditions, the most ACCLIMATISED at time of competition effective method to obtain all the heat adaptation benefits is 2 WEEKS’ ACCLIMATISATION UPON ARRIVAL ACTIVITY ACTIVITY ACTIVITY ACTIVITY to train in conditions ACTIVITY similar to Football, running, etc. Walking at 6km/h, Cycle ergometer at Work +/– Rest to Water immersion, running at 12km/h, 65% VO2max heart rate ACCLIMATISED the upcoming competition (using maintain core or sauna bathing cycle ergometer at 185 W at time of competition temperature at 38.5°C CONDITIONS (e.g. 145 bpm) either real or simulated CONDITIONS conditions). Outdoor (variable) CONDITIONS CONDITIONS CONDITIONS Water 40–42°C Indoor (40°C, 40%RH) Outdoor (variable) Indoor (40°C, 40%RH) Indoor (40°C, 40%RH) Travel Indoor to the competition (40°C, 40%RH) Sauna 70–90°C should be -8 -7 -6 -5 -4 -3DURATION -2 -1 Competition planned to ensure optimum heat DURATION 60–90 MINS DURATION DURATION DURATION Number of weeks before competition 60–90 MINS 60–90 MINS adaption 60–90 MINS and intermittent taking forinto 45–60 MINS, or account 30 MINS the competition schedule. BEAT THE HEAT DURING THE OLYMPIC GAMES TOKYO 2020 10
How does hydration impact on performance? Figure 9: Dehydration level when competing in the heat HEAT Heat dissipation relies on sweat ACCLIMATISATION ACCLIMATION evaporation. However, profuse sweating Natural Environment may leadEnvironment Artificial to progressive dehydration (outdoor/field training) if(indoor/laboratory fluids are not training) sufficiently replaced. Severe dehydration accelerates the rise in whole-body temperature and impairs prolonged exercise performance. This SELF-PACED CONSTANT CONTROLLED CONTROLLED PASSIVE EXERCISE WORK RATE INTENSITY reduction in performance HYPERTHERMIA HEATINGoccurs as dehydration negatively impacts the normal functioning of the heart by making it more difficult to maintain blood pressure and blood flow to the working muscles and skin (to lose heat). ACTIVITY ACTIVITY ACTIVITY ACTIVITY a sufficient Therefore, ACTIVITYintake of fluids Football, running, etc. Walking at 6km/h, Cycle ergometer at Work +/– Rest to Water immersion, running at 12km/h, 65% VO2max heart rate before, during and afterbathing maintain core or sauna exercise is cycle ergometer at 185 W temperature at 38.5°C CONDITIONS (e.g. 145 bpm) necessary for athletes CONDITIONS to perform well Outdoor (variable) CONDITIONS CONDITIONS and stay safe when CONDITIONS competing Water 40–42°C in hot Indoor (40°C, 40%RH) Outdoor (variable) Indoor (40°C, 40%RH) Indoor (40°C, 40%RH) Sauna 70–90°C Indoor (40°C, 40%RH) and humid ambient conditions. DURATION DURATION Dehydration 60–90 MINS DURATION DURATION DURATION 45–60 MINS, or 60–90 MINS 60–90 MINS 60–90 MINS intermittent for 30 MINS can range between 2–8% BEAT THE HEAT DURING THE OLYMPIC GAMES TOKYO 2020 11
How much to drink Figure 10: What colour is your urine? HEAT Drinking to satisfy thirst is maximum of about 1.2 L/h). ACCLIMATISATIONadequate for exercise lastingACCLIMATION It is also important to recognise Natural Environment less than one to two hours inArtificial Environment that hydration regimens should (outdoor/field training) cool environments. Planned(indoor/laboratory nevertraining) result in significant over- drinking may enhance sporting hydration, as this can have WELL HYDRATED performance during activities serious health consequences lasting more than 90 minutes, (so called “hyponatremia”, SELF-PACED CONSTANT CONTROLLED CONTROLLED PASSIVE EXERCISE WORK RATE particularly during INTENSITY high-intensity HYPERTHERMIA an imbalance HEATING of the salts in FAIRLY WELL HYDRATED exercise in the heat that elicits the body) that can be more high sweat rates (and when severe than dehydration and carbohydrate intake of 1 g/min even result in death. Simple DEHYDRATED or more is desired). Individuals techniques such as measuring with high sweat rates and/or body mass before and after ACTIVITY ACTIVITY ACTIVITY those concerned with exercise ACTIVITY exercise or ACTIVITY evaluating urine Football, running, etc. Walking at 6km/h, Cycle ergometer at Work +/– Rest to Water immersion, VERY DEHYDRATED running at performance 12km/h, 65% VO should 2max heart rate determine maintain colour in the core or morning sauna bathing (first cycle ergometer at 185 W temperature at 38.5°C CONDITIONS (e.g. 145 bpm) sweat rates under conditions void) canCONDITIONS help athletes assess Outdoor (variable) CONDITIONS Indoor (40°C, 40%RH) Outdoor (variable) intensity, speed) CONDITIONS (exerciseCONDITIONS and fluid losses through sweating Water 40–42°C Sauna 70–90°C Indoor (40°C, 40%RH) Indoor (40°C, 40%RH) SEVERELY DEHYDRATED DURATION ambient conditions similar Indoor (40°C, 40%RH) and estimate hydration needs to that anticipated DURATION 60–90 MINS DURATION DURATIONwhen DURATION and status. It MINS, 45–60 is ofor paramount 60–90 MINS competing, and tailor drinking 60–90 MINS 60–90 MINS importance that athletes intermittent for 30 MINS to prevent body mass losses establish their optimal personal exceeding 2–3% in general. drinking strategies during training and well before arriving Individualised prescription of at the competition. fluids must remain within the limits of how much fluid can be absorbed (i.e. typically a BEAT THE HEAT DURING THE OLYMPIC GAMES TOKYO 2020 12
What to drink Figure 11: Hydration index (i.e. amount of water retained as HEAT compared to still water) of common beverages Sodium (salt) supplementation during ACCLIMATISATION ACCLIMATION exercise lasting longer than one hour 0.0 0.5 1.0 1.5 Natural Environment 2.0 is Artificial recommendedEnvironment for heavy and “salty” (outdoor/field training) (indoor/laboratory training) Skimmed milk sweaters. Sodium intake may be increased before and after hot-weather Full fat milk training and racing. Electrolyte tablets Orange juice or some salt (a pinch of salt at a time) SELF-PACED CONSTANT CONTROLLED CONTROLLED PASSIVE EXERCISE WORK RATE INTENSITY may be used by athletes HYPERTHERMIA HEATING during training Cola and competition by those who tolerate Diet cola it. It is also advisable to include 30–60 g/h of carbohydrates to drinks for Cold tea sporting performances lasting about Tea one hour and up to 90 g/h for longer ACTIVITY ACTIVITY ACTIVITY ACTIVITY events. ACTIVITY These recommendations can Football, running, etc. Walking at 6km/h, Cycle ergometer at Work +/– Rest to Water immersion, Sports drink running at 12km/h, 65% VO2max heart rate be achieved throughsauna maintain core or a bathing combination of cycle ergometer at 185 W temperature at 38.5°C Sparkling water CONDITIONS (e.g. 145 bpm) fluids and solid foods. CONDITIONS After training or Outdoor (variable) CONDITIONS CONDITIONS CONDITIONS Indoor (40°C, 40%RH) Outdoor (variable) competition in theWater heat, recovery drinks 40–42°C Sauna 70–90°C Still water Indoor (40°C, 40%RH) Indoor (40°C, 40%RH) DURATION Indoor (40°C, 40%RH) should include sodium, carbohydrate and DURATION if necessary, protein Lager 60–90 MINS DURATION DURATION DURATION 45–60 MINS, to or optimise 60–90 MINS 60–90 MINS recovery. The preferred method of 60–90 MINS intermittent for 30 MINS Coffee rehydration is through the consumption of fluids with foods, including salty food. Source: Maughan, R. J. et al. Am J Clin Nutr 103, 717–723 (2016). BEAT THE HEAT DURING THE OLYMPIC GAMES TOKYO 2020 13
What about pre- and per-cooling? Figure 12: An example of a cooling vest that can HEAT be used during the warm-up Before the start of sunglasses in a dark tint ACCLIMATISATION competition, it is advisable ACCLIMATION (i.e. Category 3) and their skin Natural Environment to minimise unnecessaryArtificial Environment by using non-greasy sun- (outdoor/field training) (indoor/laboratory training) heat exposure and heat gain. screen (water-based sun screen should be preferred Athletes should therefore to oil-based sun-screen that warm up in the shade if may affect sweating). SELF-PACED CONSTANT possible. CONTROLLED Athletes should CONTROLLED PASSIVE EXERCISE WORK RATE INTENSITY HYPERTHERMIA HEATING consider external (ice vests, Light-coloured clothing can cold towels, or fanning) and also minimise the effect of internal (cold fluid or ice the sun’s radiation and should slurry ingestion) pre-cooling therefore be preferred, but methods, or a combination clothing should not impair ACTIVITY ACTIVITY of both. ACTIVITY ACTIVITY sweat evaporation. ACTIVITY Self- Football, running, etc. Walking at 6km/h, running at 12km/h, Cycle ergometer at Work +/– Rest to maintain core dousingor with water or other Water immersion, sauna bathing cycle ergometer at 185 W External 65% VO pre-cooling heart rate during temperature at 38.5°Ccooling techniques that are 2max CONDITIONS (e.g. 145 bpm) CONDITIONS Outdoor (variable) CONDITIONS warm-up CONDITIONS such as with CONDITIONS commonly adopted are less Water 40–42°C Indoor (40°C, 40%RH) Outdoor (variable) commercially availableIndoor ice-(40°C, 40%RH)evidence-based Indoor (40°C, 40%RH) Indoor (40°C, 40%RH) Sauna 70–90°C but may offer DURATION cooling vests can provide some psychological DURATION benefit. 60–90 MINS DURATION effective DURATION cooling without DURATION 45–60 MINS, or 60–90 MINS 60–90 MINS 60–90 MINS intermittent for 30 MINS affecting optimal muscle Any cooling method should temperature and function. be tested and individualised during training and not in During competition, athletes competition, to minimise should also protect their eyes disruption to the athlete. by wearing UV-ray blocking BEAT THE HEAT DURING THE OLYMPIC GAMES TOKYO 2020 14
To find out more, visit www.olympic.org/athlete365/well-being/beat-the-heat
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