The range of normative surface skin temperature changes in adolescents: prospective multicenter study
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Yulia Roitblat
Abstract
Aim
We aimed to establish a normative range of surface skin temperature (SST) changes due to blood redistribution in adolescents and to register the time needed for complete postural change-related blood redistribution.
Methods
The healthy volunteers (age 15–18, n = 500, M 217, F 283) were recruited for this prospective multicenter study. The volunteers were asked to keep one extremity down and another extremity up in supine rest, sitting with straight legs, and upright rest. We obtained temperature readings being taken from the tips of the middle fingers and temperature readings from the tips of the first toes at the ambient temperature of 25 °C and 30 °C. The control group consisted of a 100 of adult volunteers.
Results
The resting temperature of the middle fingers for a sitting participant was 28.6 ± 0.8 °C. The physiological change of this temperature during body position changes was 4.5 ± 1.1 °C and for most of the participants remained within the 26.5–31.5 °C range at 25 °C. For the toe, physiological skin temperature range was 25.5–33 °C. At 30 °C, these ranges were 27–33 °C for the fingers and 27–34 °C for the toes. On average, 2–3 min were needed for such temperature changes.
Conclusion
At normal room temperature, the SST of thermoneutral adolescents may vary within a range of approximately 5 °C only due to the blood redistribution in the body. This range is specific for each person due to individual peculiarities of the vasomotor activity. This normative range of SSTs should be taken into account during investigations of thermoregulation.
Acknowledgments
The authors sincerely thank Mordechai Cohen, Rachelle Sevitt, Orit Rome, Leor Sinai, Geoffrey P. Jacobs, and Alex Lasky in Israel, and USA-based Kimberly Schwartz, Roger Kassebaum, Damon Scoville, Pauline Kim, Omri Chaspher and Ethan Suman for assistance. We thank Ronit Ofir for taking care of the lab equipment.
References
[1] Hanna EG, Tait PW. Limitations to thermoregulation and acclimatization challenge human adaptation to global warming. Int J Environ Res Public Health. 2015;12(7):8034–74.10.3390/ijerph120708034Search in Google Scholar PubMed PubMed Central
[2] van Loenhout JA, Delbiso TD, Kiriliouk A, Rodriguez-Llanes JM, Segers J, Guha-Sapir D. Heat and emergency room admissions in the Netherlands. BMC Public Health. 2018;18(1):108.10.1186/s12889-017-5021-1Search in Google Scholar PubMed PubMed Central
[3] Wellenius GA, Eliot MN, Bush KF, Holt D, Lincoln RA, Smith AE, et al. Heat-related morbidity and mortality in New England: evidence for local policy. Environ Res. 2017;156:845–53.10.1016/j.envres.2017.02.005Search in Google Scholar PubMed
[4] Magalhaes C, Vardasca R, Mendes J. Recent use of medical infrared thermography in skin neoplasms. Skin Res Technol. 2018;24:587–91.10.1111/srt.12469Search in Google Scholar PubMed
[5] MacRae BA, Annaheim S, Spengler CM, Rossi RM. Skin temperature measurement using contact thermometry: a systematic review of setup variables and their effects on measured values. Front Physiol. 2018;9:29.10.3389/fphys.2018.00029Search in Google Scholar PubMed PubMed Central
[6] Xu Y, Wei X, Wang G. Temperature-change-based thermal tomography. Int J Biomed Imaging. 2009;2009:464235.10.1155/2009/464235Search in Google Scholar PubMed PubMed Central
[7] Liu W, Jia D, Chao J, Zhang H, Liu T, Zhang Y, et al. An optical fiber based data-driven method for human skin temperature 3-D mapping. IEEE J Biomed Health Inform. 2018. doi: 10.1109/JBHI.2018.2854734. [Epub ahead of print]Search in Google Scholar PubMed
[8] Gomes LH, Carneiro-Júnior MA, Marins JC. Thermoregulatory responses of children exercising in a hot environment. Rev Paul Pediatr. 2013;31(1):104–10.10.1590/S0103-05822013000100017Search in Google Scholar
[9] Xiao J, Spicer T, Jian L, Yun GY, Shao C, Nairn J, et al. Variation in population vulnerability to heat wave in Western Australia. Front Public Health. 2017;5:64.10.3389/fpubh.2017.00064Search in Google Scholar PubMed PubMed Central
[10] Yeargin SW, Casa DJ, Judelson DA, McDermott BP, Ganio MS, Lee EC, et al. Thermoregulatory responses and hydration practices in heat-acclimatized adolescents during preseason high school football. J Athl Train. 2010;45(2):136–46.10.4085/1062-6050-45.2.136Search in Google Scholar PubMed PubMed Central
[11] Falk B, Dotan R. Temperature regulation and elite young athletes. Med Sport Sci. 2011;56:126–49.10.1159/000320645Search in Google Scholar
[12] Morrissey C, Montero D, Raverdy C, Masson D, Amiot MJ, Vinet A. Effects of exercise intensity on microvascular function in obese adolescents. Int J Sports Med. 2018;39(6):450–5.10.1055/a-0577-4280Search in Google Scholar
[13] Sehl PL, Leites GT, Martins JB, Meyer F. Responses of obese and non-obese boys cycling in the heat. Int J Sports Med. 2012;33(6):497–501.10.1055/s-0031-1301314Search in Google Scholar
[14] Cowgill LW, Eleazer CD, Auerbach BM, Temple DH, Okazaki K. Developmental variation in ecogeographic body proportions. Am J Phys Anthropol. 2012;148(4):557–70.10.1002/ajpa.22072Search in Google Scholar
[15] Council on Sports Medicine and Fitness and Council on School Health, Bergeron MF, Devore C, Rice SG, American Academy of Pediatrics. Policy statement – climatic heat stress and exercising children and adolescents. Pediatrics. 2011;128(3):e741–7.10.1542/peds.2011-1664Search in Google Scholar
[16] Gao JH, Li LP, Wang J, Liu XB, Wu HX, Li J, et al. Progress of research in relation to the impact of climate change on children’s health status. Zhonghua Liu Xing Bing Xue Za Zhi. 2017;38(6):832–6.Search in Google Scholar
[17] Van Someren EJ, Raymann RJ, Scherder EJ, Daanen HA, Swaab DF. Circadian and age-related modulation of thermoreception and temperature regulation: mechanisms and functional implications. Ageing Res Rev. 2002;1(4):721–78.10.1016/S1568-1637(02)00030-2Search in Google Scholar
[18] Pronina TS, Orlova NI, Rybakov VP. Circadian rhythm of skin temperature of children during puberty. Fiziol Cheloveka. 2015;41(2):74–84.10.1134/S0362119715020152Search in Google Scholar
[19] Tyler CJ, Reeve T, Cheung SS. Cold-induced vasodilation during single digit immersion in 0 °C and 8 °C water in men and women. PLoS One. 2015;10(4):e0122592.10.1371/journal.pone.0122592Search in Google Scholar PubMed PubMed Central
[20] Charkoudian N, Hart EC, Barnes JN, Joyner MJ. Autonomic control of body temperature and blood pressure: influences of female sex hormones. Clin Auton Res. 2017;27(3):149–55.10.1007/s10286-017-0420-zSearch in Google Scholar PubMed
[21] Demirel H, Bahar A, Gokgoz N, Arslan M, Dane S. Right-sided lateralization of skin temperature in healthy young persons. Clin Invest Med. 2016;39(6):27515.10.25011/cim.v39i6.27515Search in Google Scholar
[22] Makhrova IA, Ivashchenko IN. The hygiene of clothing for children and adolescents with obesity on the basis of characteristics of heat exchange. Gig Sanit. 2013;(2):61–6.Search in Google Scholar
[23] American Academy of Thermology – AAT. Guidelines for Neuromusculoskeletal Infrared Thermography Sympathetic Skin Response (SSR) Studies. Pan Am J Med Thermol. 2016;2(1):35–43.10.18073/2358-4696/pajmt.v2n1p35-43Search in Google Scholar
[24] Lawson RN, Alt LL. Skin temperature recording with phosphors: a new technique. Can Med Assoc J. 1965;92:255–60.Search in Google Scholar
[25] Olesen BW. Thermal comfort. In: Bruel and Kjaer, Technical Review No. 2, 1982, Copenhagen.Search in Google Scholar
[26] Olesen BW, Parsons KC. Introduction to thermal comfort standards and to the proposed new version of EN ISO 7730. Energy Build. 2002;34:537–48.10.1016/S0378-7788(02)00004-XSearch in Google Scholar
[27] Kolosovas-Machuca ES, González FJ. Distribution of skin temperature in Mexican children. Skin Res Technol. 2011;17(3):326–31.10.1111/j.1600-0846.2011.00501.xSearch in Google Scholar PubMed
[28] Launay JC, Savourey G. Cold adaptations. Ind Health. 2009;47(3):221–7.10.2486/indhealth.47.221Search in Google Scholar PubMed
[29] Tansey EA, Roe SM, Johnson CJ. The sympathetic release test: a test used to assess thermoregulation and autonomic control of blood flow. Adv Physiol Educ. 2014;38(1):87–92.10.1152/advan.00095.2013Search in Google Scholar PubMed
[30] Panchenko OA, Onishchenko VO, IuIe L. The reaction of human surface and inside body temperature to extreme hypothermia. Fiziol Zh. 2011;57(6):85–92.10.15407/fz57.06.085Search in Google Scholar
[31] Parsons K. Human thermal environments. 3rd ed. Boca Raton, FL: Taylor & Francis, 2013. pp. 323–50, 56.Search in Google Scholar
[32] Johnson JM. How does skin blood flow get so high? J Physiol. 2006;577(Pt 3):768.10.1113/jphysiol.2006.123406Search in Google Scholar PubMed PubMed Central
[33] Mosdósi B, Bölcskei K, Helyes Z. Impairment of microcirculation and vascular responsiveness in adolescents with primary Raynaud phenomenon. Pediatr Rheumatol Online J. 2018;16(1):20.10.1186/s12969-018-0237-xSearch in Google Scholar PubMed PubMed Central
[34] Shah AS, Gao Z, Dolan LM, Dabelea D, D’Agostino Jr RB, Urbina EM. Assessing endothelial dysfunction in adolescents and young adults with type 1 diabetes mellitus using a non-invasive heat stimulus. Pediatr Diabetes. 2015;16(6):434–40.10.1111/pedi.12189Search in Google Scholar PubMed PubMed Central
[35] Hammersen JE, Neukam V, Nüsken KD, Schneider H. Systematic evaluation of exertional hyperthermia in children and adolescents with hypohidrotic ectodermal dysplasia: an observational study. Pediatr Res. 2011;70(3):297–301.10.1203/PDR.0b013e318227503bSearch in Google Scholar PubMed
[36] Limbaugh JD, Wimer GS, Long LH, Baird WH. Body fatness, body core temperature, and heat loss during moderate-intensity exercise. Aviat Space Environ Med. 2013;84(11):1153–8.10.3357/ASEM.3627.2013Search in Google Scholar
[37] Bohman H, Jonsson U, Päären A, von Knorring L, Olsson G, von Knorring AL. Prognostic significance of functional somatic symptoms in adolescence: a 15-year community-based follow-up study of adolescents with depression compared with healthy peers. BMC Psychiatry. 2012;12:90.10.1186/1471-244X-12-90Search in Google Scholar PubMed PubMed Central
[38] Stewart JM, McLeod KJ, Sanyal S, Herzberg G, Montgomery LD. Relation of postural vasovagal syncope to splanchnic hypervolemia in adolescents. Circulation. 2004;110(17):2575–81.10.1161/01.CIR.0000145543.88293.21Search in Google Scholar PubMed
[39] Poláchová I, Smolan S. Examination of the vascular system of lower extremities with infrared thermography – healthy subjects. Acta Univ Palacki Olomuc Fac Med. 1991;129:139–49.Search in Google Scholar
Supplementary Material
The online version of this article offers supplementary material (DOI: https://doi.org/10.1515/ijamh-2018-0199).
©2019 Walter de Gruyter GmbH, Berlin/Boston
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- Pharmacology for obesity: perspectives of history
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- Trends and risk factors of adolescent opioid abuse/misuse: understanding the opioid epidemic among adolescents
- The prevalence of neuropathy among type 1 diabetic adolescents in Iran: a systematic review and meta-analysis
- Original Articles
- The relationship between spiritual health and health-promoting lifestyle among students
- Investigating the relationship between Islamic lifestyle and general health in adolescents
- Participation and attitudes towards gambling in Ghanaian youth: an exploratory analysis of risk and protective factors
- Effectiveness of acupressure on anxiety of children undergoing anesthesia
- Occupational agricultural injuries among the preadolescent workers of West Bengal, India
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