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Predictive validity of a computer model of body temperature during exercise.

The predictive validity of a computer model of human temperature regulation is tested by comparison with experimental data. Three male subjects were exercised at five different rates (B.M.R., 100 W, 150 W, 200 W, and 250 W) on a cycle ergometer in a controlled-environmental facility. Thermal conditions ranged from 13 degrees to 29 degrees C on the Effective Temperature (E.T.) scale. Two core (rectal and tympanic) and four skin temperature sites (2 torso, 1 leg, and 1 arm) were monitored. Experimental figures for core temperature (TC) and mean body temperature (MBT), evolved from the six monitored sites, were compared with matched simulation data from the computer model. A high negative correlation (r = -0.87) was found for increasing "effective temperature" and mean absolute difference (d) between experimental and simulation data for mean body temperatures. The model has increasing predictive validity as higher heat stress is encountered (E.T. greater than 25 degrees C, d MBT less than 0.3 degrees C), which decreases (E.T. less than 16 degrees C, d MBT greater than 0.8 degrees C) in reduced environmental temperatures.

Body Temperature Regulation↗

Body temperature of dry cows on pasture: environmental and behavioral effects.

To investigate interrelations among factors potentially affecting body temperature, we observed body temperature, activity, and relative aggregation of 3 to 5 dry cows from a herd of 12 to 15 every 20 min. Ambient conditions were noted every 1 h and fly counts every 3 h. Observations during daylight for 5 d with and without shade indicated effects of shade were minimal and were extended to 24 h without shade at six weekly intervals. Cows lie down during the evening, grazed near sunrise and sunset, and alternated standing and grazing during the day. The aggregation index was greatest during periods of standing and least during grazing; however, it remained constant across periods of similar activity. Cows shifted activity from grazing to standing during periods of increased fly activity. Ambient temperatures ranging from 13 to 35 degrees C had little influence on measured variables. Body temperatures showed one to three daily dips (greater than 1 degree C) and a hysteresis pattern. Almost all dips were associated with transitions from lying to grazing. Body temperature was constant in the morning, rose to a higher level in the afternoon, and remained high until the next morning.

Animals↗

Control of body temperature during abdominal aortic surgery.

BACKGROUND: Careful control of body temperature during anesthesia aims to prevent cardiocirculatory complications during the phase of recovery from anesthesia. Numerous studies have examined methods for warming the gases breathed by the patient, but the question of whether low flow anesthesia or heat and moisture exchanges can also influence the pattern of body temperature remains unresolved. METHODS: In this clinical trial we evaluated the mean body temperature profile measured at five points in 40 patients divided into two groups: Group I was ventilated with a non-rebreathing circuit and Group II was ventilated with a circle system using low flow rates of fresh gases. All patients were treated with a hydrophobic heat moisture exchanger. RESULTS: The results point out a significantly (P < 0.01) lower decrease in mean body temperature 40 min after the start of mechanical ventilation with the use of low flow rate anesthesia. CONCLUSIONS: This study shows that anesthesia carried out using low fresh gas flow rates and heat moisture exchanger is able to reduce the fall in mean body temperature, when compared with anesthesia carried out using high fresh gas flow rates and heat moisture exchanger.

Anesthesia↗

Admission body temperature predicts long-term mortality after acute stroke: the Copenhagen Stroke Study.

BACKGROUND AND PURPOSE: Body temperature is considered crucial in the management of acute stroke patients. Recently hypothermia applied as a therapy for stroke has been demonstrated to be feasible and safe in acute stroke patients. In the present study, we investigated the predictive role of admission body temperature to the long-term mortality in stroke patients. METHODS: We studied 390 patients with acute stroke admitted within 6 hours from stroke onset. Admission clinical characteristics (age, sex, admission stroke severity, admission blood glucose, cardiovascular risk factor profile, and stroke subtype) were recorded for patients with hypothermia (body temperature < or =37 degrees C) versus patients with hyperthermia (body temperature >37 degrees C). Univariately the mortality rates for all patients were studied by Kaplan-Meier statistics. To find independent predictors of long-term mortality for all patients, Cox proportional-hazards models were built. We included all clinical characteristics and body temperature as a continuous variable. RESULTS: Patients with hyperthermia had more severe strokes and more frequently diabetes, whereas no difference was found for the other clinical characteristics. For all patients mortality rate at 60 months after stroke was higher for patients with hyperthermia (73 per 100 cases versus 59 per 10 cases, P=0.001). When body temperature was studied in a multivariate Cox proportional-hazards model, a 1 degrees C increase of admission body temperature independently predicted a 30% relative increase (95% CI, 4% to 57%) in long-term mortality risk. For 3-month survivors we found no association between body temperature and long-term survival when studied in a multivariate Cox proportional hazard model (hazards ratio, 1.11 per 1 degrees C; 95% CI, 0.82 to 1.52). CONCLUSION: Low body temperature on admission is considered to be an independent predictor of good short-term outcome. The present study suggests that admission body temperature seems to be a major determinant even for long-term mortality after stroke. Hypothermic therapy in the early stage in which body temperature is kept low for a longer period after ictus could be a long-lasting neuroprotective measure.

Acute Disease↗

Simultaneous determination of circadian rhythms of locomotor activity and body temperature in the rat.

Stimultaneous determination of the circadian rhythms of locomotor activity and body temperature was carried out in the rat. Deep body temperature was monitored continuously using a telemetric device. The circadian rhythm of locomotor activity was characterized by clustering of several bursts of activity during the dark period. The circadian rhythm of body temperature was also characterized by bursts of small fluctuations which were well correlated with those of locomotor activity. Correlation between the two functions was such that the regression line expressing body temperature as a function of locomotor activity had approximately the same slope for dark and light periods, but a body temperature for a given amount of locomotor activity was significantly higher during the dark period than during the light one. After a prolonged exposure to constant light, the circadian rhythm disappeared in both functions. Both showed bursts of fluctuations which were correlated with each other. These results indicate that the bursts of body temperature increment were dependent on those of the locomotor activity. However, manifestation of the circadian rhythm per se of body temperature could not be explained as resulting exclusively from the circadian fluctuation of locomotor activity.

Animals↗

Genetic variation in body temperature and its response to short-term acute heat stress in broilers.

Genetic variation in body temperature of broilers and its response to short-term acute (43.5 C for 45 min) heat stress was studied. Body temperatures before (T0) and after (T45) heat exposure were recorded and the changes in body temperature (T delta) were calculated for 5-wk-old chicks from 32 broiler sire families. The T0 data were utilized to rank the families as to their relative body temperature and used to conduct a one-generation divergent family selection program for high basal body temperature (H-BT) and low basal body temperature (L-BT). A control (C) line was established by random selection from the nonselected birds. There was little genetic variation in the base broiler population for body temperature, and one generation of selection for divergence in T0 did not result in differences. There were also no differences among lines in T45. Low realized heritability estimates of .09 and .17 were obtained for T0 in the L-BT and H-BT lines. Phenotypic correlations between body temperature and body weight were very low for all groups. Highly significant negative correlations were observed between T0 and T delta after heat exposure. The T0 fluctuated during the course of each day and between days. The adjustment of the data to eliminate this variation did not result in increased heritability estimates.

Animals↗

pKa of fentanyl varies with temperature: implications for acid-base management during extremes of body temperature.

OBJECTIVE: The pKa of fentanyl has not been measured previously at varying extremes of body temperature. The goal of this laboratory investigation was to test the hypothesis that the pKa of fentanyl changes with temperature. DESIGN: The investigation involved measuring the pKa values of aqueous fentanyl at varying temperatures. SETTING: The investigation was conducted in a controlled laboratory environment. PARTICIPANTS: No human or animal subjects were involved. INTERVENTIONS: Because no live subjects were involved in the investigation, no interventions were necessary. MEASUREMENTS AND MAIN RESULTS: This paper reports the effect of temperature on the pKa of fentanyl. The pKa of aqueous fentanyl was measured at 15 degrees C, 25 degrees C, 37 degrees C, 42 degrees C, and 47.5 degrees C by potentiometric titration in 0.01 mmol/L of potassium chloride after extensive degassing. Data were analyzed using the least squares method with an appropriately fitting equation. The pKa of fentanyl was found to change in a similar manner to the neutral point of water at varying temperatures. CONCLUSIONS: This finding has implications for the bioavailability of fentanyl at extremes of body temperature in association with the clinical acid-base management of the patient. Clinical implications for differing methods of intraoperative acid-base management at varying temperatures are discussed.

Acid-Base Equilibrium↗

Determination of regional brain temperature using proton magnetic resonance spectroscopy to assess brain-body temperature differences in healthy human subjects.

Proton magnetic resonance spectroscopy ((1)H MRS) was used to determine brain temperature in healthy volunteers. Partially water-suppressed (1)H MRS data sets were acquired at 3T from four different gray matter (GM)/white matter (WM) volumes. Brain temperatures were determined from the chemical-shift difference between the CH(3) of N-acetyl aspartate (NAA) at 2.01 ppm and water. Brain temperatures in (1)H MRS voxels of 2 x 2 x 2 cm(3) showed no substantial heterogeneity. The volume-averaged temperature from single-voxel spectroscopy was compared with body temperatures obtained from the oral cavity, tympanum, and temporal artery regions. The mean brain parenchyma temperature was 0.5 degrees C cooler than readings obtained from three extra-brain sites (P < 0.01). (1)H MRS imaging (MRSI) data were acquired from a slice encompassing the single-voxel volumes to assess the ability of spectroscopic imaging to determine regional brain temperature within the imaging slice. Brain temperature away from the center of the brain determined by MRSI differed from that obtained by single-voxel MRS in the same brain region, possibly due to a poor line width (LW) in MRSI. The data are discussed in the light of proposed brain-body temperature gradients and the use of (1)H MRSI to monitor brain temperature in pathologies, such as brain trauma.

Adult↗

Sleep and 24 hour body temperatures: a comparison in young men, naturally cycling women and women taking hormonal contraceptives.

Body temperature has a circadian rhythm, and in women with ovulatory cycles, also a menstrual rhythm. Body temperature and sleep are believed to be closely coupled, but the influence on their relationship of gender, menstrual cycle phase and female reproductive hormones is unresolved. We investigated sleep and 24 h rectal temperatures in eight women with normal menstrual cycles in their mid-follicular and mid-luteal phases, and in eight young women taking a steady dose of oral progestin and ethinyl oestradiol (hormonal contraceptive), and compared their sleep and body temperatures with that of eight young men, sleeping in identical conditions. All subjects maintained their habitual daytime schedules. Rectal temperatures were elevated throughout 24 h in the luteal phase compared with the follicular phase in the naturally cycling women, consistent with a raised thermoregulatory set-point. Rectal temperatures in the women taking hormonal contraceptives were similar to those of the naturally cycling women in the luteal phase. Gender influenced body temperature: the naturally cycling women and the women taking hormonal contraceptives attained their nocturnal minimum body temperatures earlier than the men, and the naturally cycling women had blunted nocturnal body temperature drops compared with the men. Sleep architecture was essentially unaffected by either menstrual cycle phase or gender. The women taking hormonal contraceptives had less slow wave sleep (SWS), however, than the naturally cycling women. Gender, menstrual cycle phase and hormonal contraceptives significantly influenced body temperature, but had only minor consequences for sleep, in the young men and women in our study.

Body Mass Index↗

Basal body temperature method for detecting ovarian cycle in the Captive Beluga (Delphinapterus leucas).

The relationship between basal body temperature and circulating progesterone levels were investigated in a female beluga. Body temperature and serum concentrations of progesterone were measured daily and at 2-4 week intervals respectively, in a female beluga that was in captivity for 7 years between 1996 and 2003. The beluga first ovulated in April, 2000 (13 years old). Thereafter, serum concentrations of progesterone showed cyclic changes, indicating that the ovulatory cycle had started. Serum concentrations of progesterone ranged from 0.1 ng/ml to 15.7 ng/ml. Body temperature also showed cyclic changes during the estrous cycle. Body temperature ranged from 34.9 to 35.9 C, and tended to reach the peak during the high progesterone phase. Mating behavior was observed during the low body temperature phase. The changes in body temperature positively correlated with the circulating progesterone levels. The length of the estrous cycle was 36.7 +/- 3.9 (mean +/- SEM) days based on the intervals between the days of mating behavior. This is the first report demonstrating that body temperature clearly changes during the estrous cycle in a captive female beluga. The present finding suggests that measurement of body temperature is a useful method for detecting the ovarian cycle of the beluga in captivity.

Animals↗

Influence of electricity on post-mortal body temperature.

In a case of suicidal application of electricity differences between the rectal temperature of the body and the suspected time of death were observed. In order to answer the question whether an electric current from hand to hand over >30 min led to a rise in body temperature FEM-based computer simulations and animal experiments were carried out. Both resulted in a warming of the soft parts in the arm without warming the body core. Thus a temperature-based estimation of the time since death can also be used in cases with electricity as the cause of death. Besides, in the animal experiment we found a spontaneous rise in the body core temperature even without application of electricity which may be a reason for the typical temperature plateau after death.

Animals↗

Body temperature null distributions in reptiles with nonzero heat capacity: seasonal thermoregulation in the American alligator (Alligator mississippiensis).

Regulation of body temperature may increase fitness of animals by ensuring that biochemical and physiological processes proceed at an optimal rate. The validity of current methods of testing whether or not thermoregulation in reptiles occurs is often limited to very small species that have near zero heat capacity. The aim of this study was to develop a method that allows estimation of body temperature null distributions of large reptiles and to investigate seasonal thermoregulation in the American alligator (Alligator mississippiensis). Continuous body temperature records of wild alligators were obtained from implanted dataloggers in winter (n=7, mass range: 1.6-53.6 kg) and summer (n=7, mass range: 1.9-54.5 kg). Body temperature null distributions were calculated by randomising behavioural postures, thereby randomly altering relative animal surface areas exposed to different avenues of heat transfer. Core body temperatures were predicted by calculations of transient heat transfer by conduction and blood flow. Alligator body temperatures follow regular oscillations during the day. Occasionally, body temperature steadied during the day to fall within a relatively narrow range. Rather than indicating shuttling thermoregulation, however, this pattern could be predicted from random movements. Average daily body temperature increases with body mass in winter but not in summer. Daily amplitudes of body temperature decrease with increasing body mass in summer but not in winter. These patterns result from differential exposure to heat transfer mechanisms at different seasons. In summer, alligators are significantly cooler than predictions for a randomly moving animal, and the reverse is the case in winter. Theoretical predictions show, however, that alligators can be warmer in winter if they maximised their sun exposure. We concluded that alligators may not rely exclusively on regulation of body temperature but that they may also acclimatise biochemically to seasonally changing environmental conditions.

Acclimatization↗

Acetaminophen does not affect 24-h body temperature or sleep in the luteal phase of the menstrual cycle.

Body temperature and sleep change in association with increased progesterone in the luteal phase of the menstrual cycle in young women. The mechanism by which progesterone raises body temperature is not known but may involve prostaglandins, inducing a thermoregulatory adjustment similar to that of fever. Prostaglandins also are involved in sleep regulation and potentially could mediate changes in sleep during the menstrual cycle. We investigated the possible role of central prostaglandins in mediating menstrual-associated 24-h temperature and sleep changes by inhibiting prostaglandin synthesis with a therapeutic dose of the centrally acting cyclooxygenase inhibitor acetaminophen in the luteal and follicular phases of the menstrual cycle in young women. Body temperature was raised, and nocturnal amplitude was blunted, in the luteal phase compared with the follicular phase. Acetaminophen had no effect on the body temperature profile in either menstrual cycle phase. Prostaglandins, therefore, are unlikely to mediate the upward shift of body temperature in the luteal phase. Sleep changed during the menstrual cycle: on the placebo night in the luteal phase the women had less rapid eye movement sleep and more slow-wave sleep than in the follicular phase. Acetaminophen did not alter sleep architecture or subjective sleep quality. Prostaglandin inhibition with acetaminophen, therefore, had no effect on the increase in body temperature or on sleep in the midluteal phase of the menstrual cycle in young women, making it unlikely that central prostaglandin synthesis underlies these luteal events.

Acetaminophen↗

Body temperature during and following 10-day subcutaneous infusion of clonidine in the rat.

Body temperature in the rat was measured during and after cessation of the continuous subcutaneous infusion of clonidine (10 micrograms/kg per hr) for 10 days. The body temperature of control animals displayed a distinct circadian rhythm. On each day the mean body temperature over the dark phase (2000-0800 hr) was consistently higher (0.6-0.9 degrees C) than the following light phase. The infusion of clonidine was essentially devoid of initial effects on body temperature. However, during the light phases of day 2 onwards the mean body temperature of the animals treated with clonidine was consistently higher (0.4-0.6 degrees C) than that of controls. No such differences were observed during the dark phases. It appeared that the infusion of clonidine limited the fall in body temperature which normally occurred at the onset of the light phases and this resulted in the treated rats displaying a relative hyperthermia. On cessation of the infusion of clonidine (at 2400 hr on day 11) a distinct hyperthermia was observed within 2 hr and was sustained for the remainder of the dark phase and subsequent light phase. This post-infusion hyperthermia was more pronounced than that observed during the period of infusion of clonidine. These results demonstrate that the circadian control of body temperature is disturbed both during and after continuous infusion of clonidine.

Adrenergic Fibers↗

Adrenal and body temperature changes in rabbits exposed to varying effective temperatures.

Eight adult New Zealand White rabbits were exposed individually, in series, to each of 23 effective temperatures (t(eff)) until body temperature (tb) increased 1.1 degrees C or for a period of 2 hours. Body temperature was measured to the nearest 0.1 degree C using FM radio transmitters in the pre-test (baseline) condition and at 2 minute intervals during the test conditions where t(eff) ranged between 21.7 and 34.7 degrees C. The frequency at which the rabbits displayed a 1.1 degree C rise in tb was related to the magnitude of the t(eff), with 100% of the rabbits manifesting this change at t(eff) greater than 30.2 degrees C. At t(eff) of 28.4 through 30.2 degrees C, some, but not all, of the rabbits showed a 1.1 degree C rise in tb whereas none displayed the 1.1 degree C rise in tb at t(eff) below 28.4 degrees C. The mean time necessary for the 1.1 degree C rise in tb was negatively correlated (P less than 0.01) to the magnitude of the t(eff). The significantly (P less than 0.01) elevated plasma corticosterone in rabbits exhibiting 0.6 degree C and 1.1 degree C rise in tb suggests that those animals were stressed physiologically by the experimental procedure. It is concluded that the conditions associated with increased tb induce physiological changes commonly associated with stressors and that the techniques reported herein should be useful in establishing upper environmental temperature limits for housing rabbits.

Animals↗

Body temperature and malaria parasitaemia in rural African children.

Body temperature was measured and the prevalence of malaria parasitaemia was determined in 198 rural school children aged 6-12 years in a hyperendemic area of southwest Nigeria over a 14 week period spanning part of both wet and dry seasons. Body temperature values in apparently healthy children and in children with malaria parasitaemia were similar with group mean of 37.1 to 37.3 degrees C and with little or no variation in these values with season. The proportion of individual measurements with values > 37.5 degrees C in the two groups were respectively 4.3 and 6%. Despite a seasonal variation in parasite rate, with the highest rates in the wet and the lowest rates in the dry season, there was no significant difference in the proportion of subjects with parasite density > 1000/ul between season. There was also no relationship between parasite density and body temperature. In general, children with parasitaemia < 1000/ul were not pyrexial and less than 2% of all episodes of detectable parasitaemia was accompanied by symptoms of acute malaria. These findings suggest that the presence of malaria parasitaemia has little or no effect on body temperature pattern in a group of rural school children in an endemic area.

Body Temperature↗

Diagnostic accuracy of routine postoperative body temperature measurements.

BACKGROUND: On surgical wards, body temperature is routinely measured, but there is no proof that this is useful for detecting postoperative infection. The aim of this study was to compare temperature measurements (the test) with the confirmed absence or presence of a postoperative infection (the reference standard). METHODS: A prospective triple-blinded diagnostic study involving 308 consecutive patients was performed. A positive test result was defined as a postoperative temperature > or = 38.0 degrees C. The reference standard was considered to indicate a postoperative infection if results of a bacterial culture were positive or if an infection was suspected on clinical grounds. RESULTS: Data for 284 of 308 patients were analyzed (2282 temperature measurements). The prevalence of infection was 7% (19 of 284 patients). The temperature curves of patients were used as units of analysis and revealed that a temperature > or = 38.0 degrees C had a sensitivity of 37% (95% confidence interval [CI], 0.16%-0.62%) and a specificity of 80% (95% CI, 0.75%-0.85%). The likelihood ratio for a positive test result was 1.8 (95% CI, 0.7-4.0) and for a negative test result was 0.8 (95% CI, 0.4-1.4). When all 2282 measurements were considered as independent test results, the positive predictive value was only 8% (95% CI, 5%-13%). Six of 8 patients with a severe infection had temperatures < 38 degrees C. CONCLUSION: Routine measurement of body temperature is of limited value in the detection of infection after elective surgery for noninfectious conditions. Serious postoperative infections can even occur without an accompanying increase in temperature.

Adult↗

Influence of admission body temperature on stroke mortality.

BACKGROUND AND PURPOSE: The influence of body temperature on stroke outcome remains uncertain. The aim of this study was to investigate the prognostic role of admission body temperature on short-term and long-term mortality in a retrospective cohort study of patients with acute stroke. METHODS: A retrospective cohort of 509 patients with acute stroke, admitted to a tertiary hospital between July 1, 1995, and June 30, 1997, was studied. The relationship between admission body temperature and mortality both in-hospital and at 1-year mortality was evaluated. Body temperature on admission was classified as hypothermia (</=36.5 degrees C), normothermia (>36.5 degrees C and </=37.5 degrees C), and hyperthermia (>37.5 degrees C). Logistic regression and proportional hazards function analysis were performed after adjustment for clinical predictors of stroke outcome. RESULTS: In ischemic stoke, mortality was lower among patients with hypothermia and higher among patients with hyperthermia. The odds ratio for in-hospital mortality in hypothermic versus normothermic patients was 0.1 (95% CI, 0.02 to 0.5). The relative risk for 1-year mortality of hyperthermic versus normothermic patients was 3.4 (95% CI, 1.6 to 7.3). A similar but nonsignificant trend for in-hospital mortality was seen among patients with hemorrhagic stroke. CONCLUSIONS: An association between admission body temperature and stroke mortality was noted independent of clinical variables of stroke severity. Hyperthermia was associated with an increase in 1-year mortality. Hypothermia was associated with a reduction in in-hospital mortality.

Aged↗