Impact of passive heat stress on persons with spinal cord injury: Implications for Olympic spectators.
Impact of passive heat stress on persons with spinal cord injury: Implications for Olympic spectators.
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被动热应激对脊髓损伤患者的影响：对奥运会观众的影响。
DOI：
10.1080/23328940.2019.1631730
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Price,MikeJ
中科院分区：
文献类型：
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作者：
Trbovich,MichelleB;Handrakis,JohnP;Kumar,NinaS;Price,MikeJ
环境热应激可能会对健康、工作能力和运动表现产生负面影响，如果不加以缓解，可能会导致危及生命的后果。随着即将到来的东京奥运会将在预期的温暖环境温度(高达29摄氏度)下举行，以及观众可能会在户外长时间停留，某些体温调节能力受损的人群因被动热应激而患上与高温相关的疾病的风险将更高。脊髓损伤(SCI)患者是这些人群中的一员，这是由于分散的交感神经系统，使他们分别通过血管扩张和出汗而在对流和蒸发冷却方面受到损害。本文综述了(1)被动热应激下脊髓损伤患者的体温调节生理反应：损伤程度和完整性的影响；(2)被动热应激对生活质量(QOL)、户外活动、行为体温调节和认知的影响；(3)对为脊髓损伤患者提供健康护理的临床医生的建议和教育；(4)未来探索脊髓损伤患者被动热应激文献空白的方向。本文旨在使消费者和医疗保健专业人员掌握有关脊髓损伤患者被动热应激反应的最新知识，以便他们能够在最大限度地安全和享受的情况下参加奥运会。
Environmental heat stress can negatively impact health, work capacity, and athletic performance and potentially to lead to life-threatening consequences if not mitigated. With the upcoming Toyko Olympic games to be held during anticipated warm ambient temperatures (up to 29°C), and with spectators potentially spending long durations of time outdoors, certain populations of persons with impaired thermoregulatory capacity will be at higher risk of heat-related illness from passive heat stress. Persons with spinal cord injury (SCI) are one of these groups as a result of a decentralized sympathetic nervous system, which leaves them with impairment in convective and evaporative cooling via vasodilation and sweating, respectively. This review summarizes (1) thermoregulatory physiological responses of persons with SCI under passive heat stress: the effect of level and completeness of injury; (2) the impact of passive heat stress on quality of life (QOL), outdoor participation, behavioral thermoregulation, and cognition; (3) recommendations and education for clinicians providing health care for persons with SCI; and (4) suggestions of future directions for exploring the gaps in the literature on passive heat stress in persons with SCI. This article aims to equip consumers with SCI and health-care professionals with the most up-to-date knowledge on passive heat stress responses in persons with SCI, so that their attendance at the Olympic games can be done with maximal safety and enjoyment.