{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T22:43:37Z","timestamp":1791413017486,"version":"4.3.3"},"reference-count":39,"publisher":"National Athletic Trainers' Association","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Context:<\/jats:title>\n                  <jats:p>Athletic trainers must have sound evidence for the best practices in treating and preventing heat-related emergencies and potentially catastrophic events.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective:<\/jats:title>\n                  <jats:p>To examine the effectiveness of a superficial cooling vest on core body temperature (Tc) and skin temperature (Tsk) in hypohydrated hyperthermic male participants.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design:<\/jats:title>\n                  <jats:p>A randomized control design with 2 experimental groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting:<\/jats:title>\n                  <jats:p>Participants exercised by completing the heat-stress trial in a hot, humid environment (ambient temperature \u200a=\u200a 33.1 \u00b1 3.1\u00b0C, relative humidity \u200a=\u200a 55.1 \u00b1 8.9%, wind speed \u200a=\u200a 2.1 \u00b1 1.1 km\/hr) until a Tc of 38.7 \u00b1 0.3\u00b0C and a body mass loss of 3.27 \u00b1 0.1% were achieved.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Patients or Other Participants:<\/jats:title>\n                  <jats:p>Ten healthy males (age \u200a=\u200a 25.6 \u00b1 1.6 years, mass \u200a=\u200a 80.3 \u00b1 13.7 kg).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Intervention(s):<\/jats:title>\n                  <jats:p>Recovery in a thermoneutral environment wearing a cooling vest or without wearing a cooling vest until Tc returned to baseline.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measure(s):<\/jats:title>\n                  <jats:p>Rectal Tc, arm Tsk, time to return to baseline Tc, and cooling rate.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results:<\/jats:title>\n                  <jats:p>During the heat-stress trial, Tc significantly increased (3.6%) and, at 30 minutes of recovery, Tc had decreased significantly (2.6%) for both groups. Although not significant, the time for return to baseline Tc was 22.6% faster for the vest group (43.8 \u00b1 15.1 minutes) than for the no-vest group (56.6 \u00b1 18.0 minutes), and the cooling rate for the vest group (0.0298 \u00b1 0.0072\u00b0C\/min) was not significantly different from the cooling rate for the no-vest group (0.0280 \u00b1 0.0074\u00b0C\/min). The Tsk during recovery was significantly higher (2.1%) in the vest group than in the no-vest group and was significantly lower (7.1%) at 30 minutes than at 0 minutes for both groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions:<\/jats:title>\n                  <jats:p>We do not recommend using the cooling vest to rapidly reduce elevated Tc. Ice-water immersion should remain the standard of care for rapidly cooling severely hyperthermic individuals.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4085\/1062-6050-43.1.55","type":"journal-article","created":{"date-parts":[[2009,12,30]],"date-time":"2009-12-30T15:37:55Z","timestamp":1262187475000},"page":"55-61","source":"Crossref","is-referenced-by-count":44,"title":["Thermoregulatory Influence of a Cooling Vest on Hyperthermic Athletes"],"prefix":"10.4085","volume":"43","author":[{"given":"Rebecca M.","family":"Lopez","sequence":"first","affiliation":[{"name":"University of Connecticut, Storrs, CT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle A.","family":"Cleary","sequence":"first","affiliation":[{"name":"University of Hawai\u2018i, Honolulu, HI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leon C.","family":"Jones","sequence":"first","affiliation":[{"name":"Lancaster High School, Lancaster, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron E.","family":"Zuri","sequence":"first","affiliation":[{"name":"Broward Health, Coral Springs, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"issue":"3","key":"2020060411432724600_i1062-6050-43-1-55-Binkley1","first-page":"329","article-title":"National Athletic Trainers' Association position statement: exertional heat illnesses.","volume":"37","author":"Binkley","year":"2002","journal-title":"J Athl Train"},{"key":"2020060411432724600_i1062-6050-43-1-55-Armstrong1","first-page":"15","volume-title":"Performing in Extreme Environments","author":"Armstrong","year":"2000"},{"issue":"2","key":"2020060411432724600_i1062-6050-43-1-55-Clapp1","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1016\/S1440-2440(01)80026-8","article-title":"Rapid cooling techniques in joggers experiencing heat strain.","volume":"4","author":"Clapp","year":"2001","journal-title":"J Sci Med Sport"},{"issue":"5","key":"2020060411432724600_i1062-6050-43-1-55-Cheuvront1","doi-asserted-by":"crossref","first-page":"1841","DOI":"10.1152\/japplphysiol.00912.2002","article-title":"Efficacy of intermittent, regional microclimate cooling.","volume":"94","author":"Cheuvront","year":"2003","journal-title":"J Appl Physiol"},{"issue":"4","key":"2020060411432724600_i1062-6050-43-1-55-Armstrong2","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/S0735-6757(96)90048-0","article-title":"Whole-body cooling of hyperthermic runners: comparison of two field therapies.","volume":"14","author":"Armstrong","year":"1996","journal-title":"Am J Emerg Med"},{"issue":"8167","key":"2020060411432724600_i1062-6050-43-1-55-Weiner1","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/S0140-6736(80)92764-6","article-title":"A physiological body-cooling unit for treatment of heat stroke.","volume":"1","author":"Weiner","year":"1980","journal-title":"Lancet"},{"issue":"8","key":"2020060411432724600_i1062-6050-43-1-55-Greenleaf1","first-page":"747","article-title":"Fluid-electrolyte shifts and thermoregulation: rest and work in heat with head cooling.","volume":"51","author":"Greenleaf","year":"1980","journal-title":"Aviat Space Environ Med"},{"issue":"2","key":"2020060411432724600_i1062-6050-43-1-55-Clements1","first-page":"146","article-title":"Ice-water immersion and cold-water immersion provide similar cooling rates in runners with exercise-induced hyperthermia.","volume":"37","author":"Clements","year":"2002","journal-title":"J Athl Train"},{"issue":"6","key":"2020060411432724600_i1062-6050-43-1-55-Sandor1","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1080\/00913847.1997.11440257","article-title":"Heat illness: on-site diagnosis and cooling treatment.","volume":"25","author":"Sandor","year":"1997","journal-title":"Physician Sportsmed"},{"issue":"3","key":"2020060411432724600_i1062-6050-43-1-55-Rasch1","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.1152\/jappl.1993.74.3.1229","article-title":"Selective brain cooling is affected by wearing headgear during exercise.","volume":"74","author":"Rasch","year":"1993","journal-title":"J Appl Physiol"},{"issue":"1","key":"2020060411432724600_i1062-6050-43-1-55-Costrini1","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1249\/00005768-199002000-00004","article-title":"Emergency treatment of exertional heatstroke and comparison of whole body cooling techniques.","volume":"22","author":"Costrini","year":"1990","journal-title":"Med Sci Sports Exerc"},{"issue":"4","key":"2020060411432724600_i1062-6050-43-1-55-Hexamer1","doi-asserted-by":"crossref","first-page":"177","DOI":"10.2114\/jpa.15.177","article-title":"Control of liquid cooling garments: technical control of body heat storage.","volume":"15","author":"Hexamer","year":"1996","journal-title":"Appl Human Sci"},{"issue":"5","key":"2020060411432724600_i1062-6050-43-1-55-Roberts1","doi-asserted-by":"crossref","first-page":"111","DOI":"10.3810\/psm.1998.05.1669","article-title":"Tub cooling for exertional heatstroke.","volume":"26","author":"Roberts","year":"1998","journal-title":"Physician Sportsmed"},{"issue":"1\u20132","key":"2020060411432724600_i1062-6050-43-1-55-Desruelle1","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/PL00013794","article-title":"Thermoregulatory effects of three different types of head cooling in humans during a mild hyperthermia.","volume":"81","author":"Desruelle","year":"2000","journal-title":"Eur J Appl Physiol"},{"issue":"1","key":"2020060411432724600_i1062-6050-43-1-55-Shapiro1","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1249\/00005768-199002000-00003","article-title":"Field and clinical observations of exertional heat stroke patients.","volume":"22","author":"Shapiro","year":"1990","journal-title":"Med Sci Sports Exerc"},{"issue":"1","key":"2020060411432724600_i1062-6050-43-1-55-Germain1","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1139\/y87-017","article-title":"The effect of face fanning during recovery from exercise hyperthermia.","volume":"65","author":"Germain","year":"1987","journal-title":"Can J Physiol Pharmacol"},{"issue":"suppl 5","key":"2020060411432724600_i1062-6050-43-1-55-Godek1","first-page":"S280","article-title":"Rapid cooling of an NFL defensive lineman with a core temperature of 40.9\u00b0C during a full padded practice [abstract].","volume":"37","author":"Godek","year":"2005","journal-title":"Med Sci Sports Exerc"},{"issue":"suppl 5","key":"2020060411432724600_i1062-6050-43-1-55-Cotter1","doi-asserted-by":"crossref","first-page":"S28","DOI":"10.1097\/00005768-200305001-00145","article-title":"Ice-based cooling does not hasten recovery or prevent heat loss activity in hot humans [abstract].","volume":"35","author":"Cotter","year":"2003","journal-title":"Med Sci Sports Exerc"},{"issue":"suppl 5","key":"2020060411432724600_i1062-6050-43-1-55-Schiller1","doi-asserted-by":"crossref","first-page":"S97","DOI":"10.1097\/00005768-199705001-00563","article-title":"Effect of different cooling methods on thermoregulation following intermittent anaerobic exercise in the heat [abstract].","volume":"29","author":"Schiller","year":"1997","journal-title":"Med Sci Sports Exerc"},{"issue":"suppl 2","key":"2020060411432724600_i1062-6050-43-1-55-Walker1","first-page":"S-60","article-title":"A comparison of three cooling methods on core body temperature [abstract].","volume":"39","author":"Walker","year":"2004","journal-title":"J Athl Train"},{"issue":"suppl 5","key":"2020060411432724600_i1062-6050-43-1-55-Smith1","first-page":"S313","article-title":"Efficacy of aluminum weave cooling capes in reducing thermal load following exercise [abstract].","volume":"36","author":"Smith","year":"2004","journal-title":"Med Sci Sports Exerc"},{"issue":"4","key":"2020060411432724600_i1062-6050-43-1-55-Proulx1","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1152\/japplphysiol.00541.2002","article-title":"Effect of water temperature on efficiency during hyperthermia in humans.","volume":"94","author":"Proulx","year":"2003","journal-title":"J Appl Physiol"},{"issue":"2","key":"2020060411432724600_i1062-6050-43-1-55-Mitchell1","first-page":"247","article-title":"The influence of different external cooling methods on thermoregulatory responses before and after intense intermittent exercise in the heat.","volume":"15","author":"Mitchell","year":"2001","journal-title":"J Strength Cond Res"},{"issue":"3","key":"2020060411432724600_i1062-6050-43-1-55-Bulbulian1","first-page":"198","article-title":"Effectiveness of a commercial head-neck cooling device.","volume":"13","author":"Bulbulian","year":"1999","journal-title":"J Strength Cond Res"},{"issue":"1","key":"2020060411432724600_i1062-6050-43-1-55-Hasegawa1","first-page":"122","article-title":"Wearing a cooling jacket during exercise reduces thermal strain and improves endurance exercise performance in a warm environment.","volume":"19","author":"Hasegawa","year":"2005","journal-title":"J Strength Cond Res"},{"issue":"suppl 2","key":"2020060411432724600_i1062-6050-43-1-55-Lopez1","first-page":"S-44","article-title":"Superficial cooling does not decrease core body temperature before, during, or after exercise in an American football uniform [abstract].","volume":"40","author":"Lopez","year":"2005","journal-title":"J Athl Train"},{"issue":"suppl 5","key":"2020060411432724600_i1062-6050-43-1-55-Dugas1","doi-asserted-by":"crossref","first-page":"S306","DOI":"10.1097\/00005768-199905001-01513","article-title":"The effect of twenty minutes of pre-exercise cooling on high-intensity running performance [abstract].","volume":"31","author":"Dugas","year":"1999","journal-title":"Med Sci Sports Exerc"},{"issue":"2","key":"2020060411432724600_i1062-6050-43-1-55-Mitchell2","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1055\/s-2003-38203","article-title":"The effect of pre-exercise cooling on high intensity running performance in the heat.","volume":"24","author":"Mitchell","year":"2003","journal-title":"Int J Sports Med"},{"issue":"4","key":"2020060411432724600_i1062-6050-43-1-55-Poulton1","first-page":"358","article-title":"Helicopter cooling of heatstroke victims.","volume":"58","author":"Poulton","year":"1987","journal-title":"Aviat Space Environ Med"},{"issue":"suppl 5","key":"2020060411432724600_i1062-6050-43-1-55-Dale1","doi-asserted-by":"crossref","first-page":"S220","DOI":"10.1097\/00005768-200205001-01228","article-title":"The effects of extrinsic cooling during intermittent exercise in the heat with American football gear [abstract].","volume":"34","author":"Dale","year":"2002","journal-title":"Med Sci Sports Exer"},{"issue":"suppl 5","key":"2020060411432724600_i1062-6050-43-1-55-Johnson1","first-page":"S404","article-title":"Ineffectiveness of torso cooling vests in reducing uncompensable heat stress [abstract].","volume":"37","author":"Johnson","year":"2005","journal-title":"Med Sci Sports Exerc"},{"issue":"suppl 5","key":"2020060411432724600_i1062-6050-43-1-55-Johnson2","first-page":"S170","article-title":"Pre-cooling decreases psychophysical strain during steady-state rowing and enhances self-paced performance in elite rowers [abstract].","volume":"37","author":"Johnson","year":"2005","journal-title":"Med Sci Sports Exerc"},{"key":"2020060411432724600_i1062-6050-43-1-55-ClimaTech1","author":"ClimaTech Safety, Inc"},{"issue":"5","key":"2020060411432724600_i1062-6050-43-1-55-Corcoran1","first-page":"104","article-title":"Why some workers boil over wearing cooling garments.","volume":"71","author":"Corcoran","year":"2002","journal-title":"Occup Health Saf"},{"key":"2020060411432724600_i1062-6050-43-1-55-YSI1","author":"YSI, Inc"},{"key":"2020060411432724600_i1062-6050-43-1-55-Casa1","first-page":"47","article-title":"Exertional heatstroke: a medical emergency.","author":"Casa","year":"2003","journal-title":"Exertional Heat Illnesses"},{"key":"2020060411432724600_i1062-6050-43-1-55-Casa2","article-title":"Inter-Association Task Force on Exertional Heat Illness consensus statement.","author":"Casa","year":"2003"},{"issue":"6","key":"2020060411432724600_i1062-6050-43-1-55-Casa3","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1097\/01.CSMR.0000306292.64954.da","article-title":"Exertional heat stroke in competitive athletes.","volume":"4","author":"Casa","year":"2005","journal-title":"Curr Sports Med Reports"},{"issue":"5","key":"2020060411432724600_i1062-6050-43-1-55-Havenith1","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1159\/000068802","article-title":"Interaction of clothing and thermoregulation.","volume":"1","author":"Havenith","year":"2002","journal-title":"Exog Dermatol"}],"container-title":["Journal of Athletic Training"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/meridian.allenpress.com\/jat\/article-pdf\/43\/1\/55\/1647020\/1062-6050-43_1_55.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/meridian.allenpress.com\/jat\/article-pdf\/43\/1\/55\/1647020\/1062-6050-43_1_55.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T18:54:57Z","timestamp":1749668097000},"score":1,"resource":{"primary":{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/43\/1\/article-p55.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,1,1]]},"references-count":39,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2008,1,1]]}},"URL":"https:\/\/doi.org\/10.4085\/1062-6050-43.1.55","relation":{},"ISSN":["1062-6050"],"issn-type":[{"value":"1062-6050","type":"print"}],"subject":[],"published":{"date-parts":[[2008,1,1]]}}}