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. 2023 Oct 6;54(2):447–471. doi: 10.1007/s40279-023-01940-y

Table 2.

Study characteristics, constant workload studies

Study Age (years) VO2max (mL kg−1 min−1) or fitness level Type of exercise (primary outcome measure) Type of cooling Method of cooling Ambient conditions Airflow Lab/field study
Pre-cooling

Barwood et al. 2019

(n = 8) [65]

22 ± 2 Trained Cycling test to exhaustion at 70% Pmax, (time to exhaustion) Pre-cooling Menthol spray (100 mL) during pre-loaded trial 35 °C/20% RH 1.85 m/s (fan) Lab, indoor

Choo et al. 2019

(n = 11) [66]

30 ± 6 51.1 ± 8.2 60-min cycling trial at 15 RPE/’hard or heavy’ (mean power output) Pre-cooling

(a) Ice slurry ingestion (1.25 g/kg/5 min; 0.1 °C) during rest

(b) Cold water immersion (22.3 °C) during rest

33.9 °C/42.5% RH Unknown Lab, indoor

Hasegawa et al. 2005

(n = 9) [76]

22 ± 1 48.3 ± 1.7 Cycling test to exhaustion at 80% VO2,max (time to exhaustion) Pre-cooling Cooling jacket during pre-loaded trial 32.0 °C/70–80% RH Unknown Lab, indoor

Mitchell et al. 2003

(n = 11) [77]

24 ± 7 54.8 ± 4.2 Running test to exhaustion at 100% VO2,max (time to exhaustion) Pre-cooling Fan cooling with water spray (100 mL/2 min) during rest 38 °C/40% RH 4.0 m/s (fan) Lab, indoor

Nakamura et al. 2020

(n = 8) [78]

22 ± 1 42.4 Cycling text to exhaustion at 75% VO2,max (time to exhaustion) Pre-cooling

a) Hand and forearm immersion in cold water (10 °C) during rest

b) Ice slurry ingestion (4 g/kg BM; − 1 °C) during rest

c) Hand and forearm immersion in cold water (10 °C) and ice slurry ingestion (4 g/kg BM; − 1 °C)

35.0 °C/62.5% RH Unknown Lab, indoor

Osakabe et al. 2021

(n = 8) [79]

23 ± 1 51.8 ± 5.0 2 × 30-min intermittent cycling protocol, 15-min half-time (mean power output) Pre-cooling Fan with skin wetting (~ 20 °C) during half-time 35 °C/50% RH 0.8 m/s (fan) Lab, indoor

Siegel et al. 2012

(n = 8) [80]

26 ± 4 54.2 ± 2.5 Running to exhaustion at first ventilatory threshold (time to exhaustion Pre-cooling

(a) Ice slurry ingestion (7.5 g/kg; − 1 °C) during rest

(b) Cold water immersion (24 °C) during rest

34.0 °C/52% RH Unknown Lab, indoor

Uckert et al. 2007

(n = 20) [81]

26 ± 4 Trained Running incremental step test to exhaustion (time to exhaustion) Pre-cooling Cooling vest (0–5 °C) during rest 30–32 °C/50% RH Unknown Lab, indoor

Walters et al. 2017

(n = 22) [82]

20 ± 2 Recreationally active Cycling graded exercise test Pre-cooling Cooling cap (5–10 °C) during rest 35 °C/15% RH Unknown Lab, indoor

Xu et al. 2021

(n = 7) [83]

20 ± 1 60.7 ± 4.1 Running to exhaustion at 80% VO2,max (time to exhaustion) Pre-cooling

(a) Cooling vest (4 °C) during rest

(b) Cold fluid ingestion (2.3 mL/kg BM; 4 °C) during rest

(c) Cooling vest (4 °C) and cold fluid ingestion (2.3 mL/kg BM; 4 °C) during rest

38.1 °C/55.3% RH Unknown Lab, indoor
Per-cooling

Cuttel et al. 2016

(n = 8) [67]

24 ± 4 Recreationally active Cycling to exhaustion at 60% Wmax (time to exhaustion) Per-cooling

(a) Cooling vest (stored at − 24 °C) during whole trial

(b) Neck cooling collar (stored at − 24 °C) during time trial

35 °C/50.1% RH Unknown Lab, indoor

Flood et al. 2017

(n = 8) [68]

26 ± 5 55.4 ± 6.0 Cycling to exhaustion at 16 RPE/’hard or very hard’ (time to exhaustion) Per-cooling Menthol mouth rinse (25 mL every 10 min; 19.8 °C) during whole trial 35.0 °C/47.8% RH Unknown Lab, indoor

Jeffries et al. 2018

(n = 10) [69]

33 ± 9 52.4 ± 5.3 Cycling to exhaustion at 70% Wmax (time to exhaustion) Per-cooling

(a) Ice slurry ingestion (1.25 g/kg; 0.3 °C) at 85% of baseline time to exhaustion

(b) Menthol mouth rinse (25 mL; 19.5 °C) at 85% of baseline time to exhaustion

35 °C/40% RH Unknown Lab, indoor

Luomala et al. 2012

(n = 7) [70]

32 ± 3 56 ± 3 Cycling in 10-min cycles until exhaustion; 9 min at 60% VO2,max, 1 min at 80% VO2,max (time to exhaustion) Per-cooling Cooling vest (− 20 °C) from 30 min into exercise until the end 30 °C/40% RH Unknown Lab, indoor

Mündel et al. 2006

(n = 8) [71]

26 ± 7 54 ± 5 Cycling to exhaustion at 65% Wmax (time to exhaustion) Per-cooling Cold drink ingestion (≥ 300 mL; 3.6° C) during whole trial 33.9 °C/27.9% RH 0.5 m/s (fan) Lab, indoor

Mündel and Jones 2010

(n = 9) [72]

25 ± 7 54 ± 5 Cycling to exhaustion at 65% Wmax (time to exhaustion) Per-cooling Menthol mouth rinse (25 mL every 10 min; 19 °C) during whole trial 34 °C/27% RH 0.5 m/s (fan) Lab, indoor

Parton et al. 2020

(n = 11) [73]

20 ± 1 53.9 ± 6.9 Cycling to exhaustion at 16 RPE/’hard or very hard’ (time to exhaustion) Per-cooling Menthol mouth rinse (25 mL every 10 min; 31.8 °C) during whole trial 34.9 °C/40.6% RH Unknown Lab, indoor

Scheadler et al. 2013

(n = 12) [74]

23 ± 4 53.8 ± 5.2 Running to exhaustion at 75% VO2,max (time to exhaustion) Per-cooling Palm cooling device during whole trial 30 °C/50% RH Unknown Lab, indoor

Tyler et al. 2011

(n = 8) [75]

26 ± 2 56.2 ± 9.2 Running to exhaustion at 70% VO2,max (time to exhaustion) Per-cooling Neck cooling collar (stored at − 80 °C for 24–28 h, 10 min in ambient conditions) during whole trial 32.2 °C/53% RH Unknown Lab, indoor

BM body mass, lab laboratory, min minutes, PCM phase change material, RH relative humidity, RPE rate of perceived exertion, VO2max maximal oxygen consumption, Wmax maximal workload