{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T12:30:06Z","timestamp":1777206606949,"version":"3.51.4"},"reference-count":78,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T00:00:00Z","timestamp":1675728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To quantify the current literature and limitations associated with research examining thermoregulatory and cardiovascular strain in laborers working in the heat.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>PubMed, SCOPUS, and SPORTDiscus were searched for terms related to the cardiovascular system, heat stress, and physical work. Qualifying studies included adult participants (18\u201365 years old), a labor\u2010intensive environment or exercise protocol simulating a labor environment, a minimum duration of 120\u2009min of physical work, and environmental heat stress (ambient temperature \u226526.0\u00b0C and \u226530% relative humidity). Studies included at least one of the following outcomes: pre\u2010 and peak\u00a0physical work, core temperature, heart rate (HR), systolic blood pressure, diastolic blood pressure, HR variability, and rate pressure product.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010one out of 1559 potential studies qualified from our search. There was a total of 598 participants (mean\u2009=\u200928\u2009\u00b1\u200950 participants per study, range\u2009=\u20094\u2013238 participants per study), which included 51 females (8.5%) and 547 males (91.5%). Of the participants, 3.8% had cardiovascular risk factors (diabetes: <jats:italic>n<\/jats:italic>\u2009=\u200910; hypertension: <jats:italic>n<\/jats:italic>\u2009=\u200913)\u00a0and 96.2% were characterized as \u201chealthy\u201d. Fifty\u2010seven percent\u00a0of the included studies were performed in a laboratory setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Studies were predominantly in men (91.5%), laboratory settings (57%), and \u201chealthy\u201d individuals (96.2%). To advance equity in protection against occupational heat stress and better inform future heat safety recommendations to protect all workers, future studies must focus on addressing these limitations. Employers, supervisors, and other safety stakeholders should consider these limitations while implementing current heat safety recommendations.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.23462","type":"journal-article","created":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T12:42:06Z","timestamp":1675773726000},"page":"267-280","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Limitations associated with thermoregulation and cardiovascular research assessing laborers performing work in the heat"],"prefix":"10.1002","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4488-3648","authenticated-orcid":false,"given":"Margaret C.","family":"Morrissey","sequence":"first","affiliation":[{"name":"Korey Stringer Institute University of Connecticut  Storrs Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9598-6586","authenticated-orcid":false,"given":"Sean P.","family":"Langan","sequence":"additional","affiliation":[{"name":"Korey Stringer Institute University of Connecticut  Storrs Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabrielle J.","family":"Brewer","sequence":"additional","affiliation":[{"name":"Korey Stringer Institute University of Connecticut  Storrs Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeb F.","family":"Struder","sequence":"additional","affiliation":[{"name":"Korey Stringer Institute University of Connecticut  Storrs Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John S.","family":"Navarro","sequence":"additional","affiliation":[{"name":"Korey Stringer Institute University of Connecticut  Storrs Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan N.","family":"Nye","sequence":"additional","affiliation":[{"name":"Korey Stringer Institute University of Connecticut  Storrs Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas J.","family":"Casa","sequence":"additional","affiliation":[{"name":"Korey Stringer Institute University of Connecticut  Storrs Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,2,7]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.3814"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2020.541483"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2016-103555"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2542-5196(18)30237-7"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/2165079918813380"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11356-018-3211-8"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000001365"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6726a1"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00484-013-0752-x"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18126303"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22946"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40572-019-00250-8"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.23297"},{"key":"e_1_2_12_15_1","article-title":"Analysis of exertion\u2010related injuries and fatalities in US laborers","author":"Morrissey MC","journal-title":"IJERPH"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1113\/jphysiol.2007.142158"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/0265673021000058357"},{"issue":"10","key":"e_1_2_12_18_1","first-page":"1147","article-title":"Cardiac strain between normal weight and overweight workers in hot\/humid weather in the Persian Gulf","volume":"4","author":"Dehghan H","year":"2013","journal-title":"Int J Prev Med"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1159\/000398787"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.119.044860"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2021.08.008"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-019-01426-3"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1992.73.6.2668"},{"issue":"1","key":"e_1_2_12_24_1","first-page":"37","article-title":"Heat stress in occupational work","volume":"4","author":"Astrand I","year":"1975","journal-title":"Ambio"},{"key":"e_1_2_12_25_1","unstructured":"FACT SHEET: Biden administration mobilizes to protect workers and communities from extreme heat. 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