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PubMed2004

Errors in body temperature assessment related to individual variation, measuring technique and equipment.

Errors in body temperature measurement might seriously influence the evaluation of an individual's health condition. We studied individual variation, measurement technique and the equipment used when assessing body temperature. In the first part of the study, three volunteers performed repeated measurements for five mornings. In the second part, the morning rectal, oral, ear and axillary temperatures were measured once in 84 men and women (19-59 years). The repeated measurements showed a daily temperature difference of 0.1-0.4 degrees C in rectal and oral temperatures, 0.2 degrees C-1.7 degrees C in the ear and 0.1-0.9 degrees C in the axillary temperatures. In the sample of 84 subjects, men and postmenopausal women had a lower mean body temperature compared to premenopausal women. The mean deviation between rectal temperature, and oral, ear and axillary temperatures, respectively, was > 0.5 degrees C, with a large individual variation. In conclusion, in order to improve the evaluation of body temperature, the assessment should be based on the individual variation, the same site of measurement and no adjustment of oral, ear or axillary temperatures to the rectal site.

Adult↗
PubMed2003

Regulation of body temperature and neuroprotection by endogenous interleukin-6 in cerebral ischemia.

Although the function of fever is still unclear, it is now beyond doubt that body temperature influences the outcome of brain damage. An elevated body temperature is often found in stroke patients and denotes a bad prognosis. However, the pathophysiologic basis and treatment options of elevated body temperature after stroke are still unknown. Cerebral ischemia rapidly induced neuronal interleukin-6 (IL-6) expression in mice. In IL-6-deficient mice, body temperature was markedly decreased after middle cerebral artery occlusion (MCAO), but infarct size was comparable to that in control mice. If body temperature was controlled by external warming after MCAO, IL-6-deficient mice had a reduced survival, worse neurologic status, and larger infarcts than control animals. In cell culture, IL-6 exerted an antiapoptotic and neuroprotective effect. These data suggest that IL-6 is a key regulator of body temperature and an endogenous neuroprotectant in cerebral ischemia. Neuroprotective properties apparently compensate for its pyretic action after MCAO and enhance the safety of this endogenous pyrogen.

Animals↗
PubMed1988

Effects of muramyl dipeptide and core body temperature on peritoneal bacterial clearance.

To examine the interaction between muramyl dipeptide (MDP) and core body temperature in murine peritonitis, 120 Sprague-Dawley rats were randomized to receive either 0, 1, or 4 micrograms/g body weight of MDP. Twenty-four hours later a sublethal intraperitoneal inoculation of Escherichia coli was given after core body temperature regulation at 32 degrees C to 40 degrees C, which was maintained for 30 minutes. Killing of the rats at 1, 3, or 6 hours later allowed evaluation of peritoneal white blood cell and bacterial counts. Results demonstrated that MDP (independent of core body temperature) caused an increased peritoneal white blood cell response at one and six hours and an increased peritoneal bacterial clearance at three hours. Increasing core body temperature adversely affected peritoneal bacterial clearance. High-dose MDP was clearly significant in acceleration of peritoneal bacterial clearance. No interaction between MDP and core body temperature was seen.

Acetylmuramyl-Alanyl-Isoglutamine↗
PubMed2001

GABA-A receptors in mPOAH simultaneously regulate sleep and body temperature in freely moving rats.

Sleep-wakefulness and body temperature are two circadian rhythmic biological phenomena. The role of GABAergic inputs in the medial preoptico-anterior hypothalamus (mPOAH) on simultaneous regulation of those phenomena was investigated in freely moving normally behaving rats. The GABA-A receptors were blocked by microinjecting picrotoxin, and the effects on electrophysiological parameters signifying sleep-wakefulness, rectal temperature and brain temperature were recorded simultaneously. The results suggest that, normally, GABA in the medial preoptic area acts through GABA-A receptor that induces sleep and prevents an excessive rise in body temperature. However, the results do not allow us to comment on the cause and effect relationship, if any, between changes in sleep-wakefulness and body temperature. The changes in brain and rectal temperatures showed a positive correlation, however, the former varied within a narrower range than that of the latter.

Animals↗
PubMed2003

Depressed patients have higher body temperature: 5-HT transporter long promoter region effects.

BACKGROUND: Depression has been associated with a decrease in intracellular serotonin (5-HT) reuptake through its transporter, SERT. The 5-HT transporter long promoter region (5-HTTLPR) deletion in the SERT gene has also been associated with a decrease in 5-HT reuptake. Conversely, increases in extracellular 5-HT have been associated with increased temperature. It has not been established, however, whether body temperature in depressed patients is different from controls. Here, we hypothesized that temperature would be increased in depressed patients as well as in those with the 5-HTTLPR deletion. METHODS: A strict oral temperature protocol employed single, cross-sectional, naturalistic time-of-day temperature measures in 125 subjects (46 normal controls, 79 outpatients with major depression). Controls and depressed patients were free of psychotropic medication and classified by the Structured Clinical Interview for Psychiatric Diagnoses. Eighty-one of the subjects (68 depressed, 13 normal) were additionally genotyped for 5-HTTLPR polymorphisms. RESULTS: Depressed patients had a significantly higher uncorrected body temperature (mean +/- SD 98.38 +/- 0.61 degrees F) than controls (mean +/- SD 98.13 +/- 0.59 degrees F; F = 4.8, p = 0.03). An age (F = 14.09, p < 0.001) and time-of-day (11.4, p = 0.001) correction revealed a more robust (F = 14.02, p < 0.001) difference between depressed patients (mean +/- SD 98.44 +/- 0.55 degrees F) and controls (mean +/- SD 98.02 +/- 0.56 degrees F). When normalized for age and circadian differences between subjects, random, outpatient oral temperatures had a sensitivity of 63% and a specificity of 76% in identifying the depressed subjects from the controls. Independent of depression, subjects with the 5-HTTLPR deletion (short SERT allele) were warmer (mean +/- SD 98.33 +/- 0.65 degrees F) than those lacking the short allele on either chromosome (mean +/- SD 97.91 +/- 0.69 degrees F; F = 7.0, p = 0.01). However, the genotype did not explain the temperature differences between controls and depressed patients. CONCLUSION: This is the first demonstration of an increased daytime body temperature in cases with major depression. Subjects with a corrected temperature above 98.3 degrees F were 2.6-fold more likely to be depressed. The results may strengthen the hypothesis of an inflammatory component of depression. In addition, the findings suggest a potential link between genetic differences in 5-HT transport and body temperature.

Adolescent↗
PubMed2005

Body temperature and mortality in acute cerebral infarction.

BACKGROUND AND OBJECTIVE: In animal models, a rise in body temperature after cerebral ischemia consistently produces more extensive brain damage. In humans, however the relationship between body temperature and stroke outcome has been far less extensively investigated, providing conflicting results. The objective of the present study is to determine whether body temperature recorded during the first 72 hours after admission is an independent predictor of mortality in acute cerebral infarction. MATERIAL AND METHOD: The medical records of patients admitted within 48 hours of onset of symptoms to Prasat Neurological Institute between 1 January 2002 and 31 December 2003, with a diagnosis of cerebral infarction, confirmed by CT or MRI of the brain were retrospectively studied. The relationship between the highest temperature recorded during the first 72 hours after admission and mortality during hospital stay was evaluated. Multiple logistic regression analysis included relevant confounders and potential predictors such as gender, age, hypertension, diabetes, smoking, previous stroke, ischemic heart disease, atrial fibrillation, consciousness and infections was performed. RESULTS: There were 332 patients included in the present study. During the first 72 hours after admission, 88 (26.5%) patients had fever (> 37.5 degrees C). The highest temperature recorded during the first 72 hours after admission was a significant predictor of in hospital mortality in the final multivariate logistic regression model. For each 1 degree C increase in body temperature the odd ratio of mortality rose by 3.95 (OR, 3.95; 95%CI, 1.84 - 8.45). CONCLUSION: In the present study, the highest body temperature recorded during the first 72 hours after admission was shown to be a significant predictor of mortality in acute cerebral infarct patients.

Acute Disease↗
PubMed2002

Normal oral, rectal, tympanic and axillary body temperature in adult men and women: a systematic literature review.

Normal oral, rectal, tympanic and axillary body temperature in adult men and women: a systematic literature review The purpose of this study was to investigate normal body temperature in adult men and women. A systematic review of data was performed. Searches were carried out in MEDLINE, CINAHL, and manually from identified articles reference lists. Studies from 1935 to 1999 were included. Articles were classified as (1) strong, (2) fairly strong and (3) weak evidence. When summarizing studies with strong or fairly strong evidence the range for oral temperature was 33.2-38.2 degrees C, rectal: 34.4-37.8 degrees C, tympanic: 35.4- 37.8 degrees C and axillary: 35.5-37.0 degrees C. The range in oral temperature for men and women, respectively, was 35.7-37.7 and 33.2-38.1 degrees C, in rectal 36.7-37.5 and 36.8-37.1 degrees C, and in tympanic 35.5-37.5 and 35.7-37.5 degrees C. The ranges of normal body temperature need to be adjusted, especially for the lower values. When assessing body temperature it is important to take place of measurement and gender into consideration. Studies with random samples are needed to confirm the range of normal body temperature with respect to gender and age.

Adult↗
PubMed2002

Involvement of the suprachiasmatic nucleus in body temperature modulation by food deprivation in rats.

Recently we found that food-deprived rats kept under a light-dark cycle showed a progressive reduction in body temperature during the light phase on each subsequent day while body temperature in the dark phase did not differ from baseline values. In this study, we investigated the effect of lesioning the hypothalamic suprachiasmatic nucleus (SCN) on body temperature modulation by food deprivation. In the SCN-lesioned rats in which daily rhythms of body temperature and activity were abolished, body temperature was unchanged by food deprivation. We also examined the effect of food deprivation on the daily changes in Fos expression in the SCN. Under normal fed conditions the number of SCN cells expressing Fos is high during the day and low at night. Food deprivation attenuated the amplitude of this daily change in Fos expression in the SCN. This tendency was prominent in the dorsal part of the SCN, while the ventral part showed no effect of food deprivation. These findings suggest that the SCN plays some role in body temperature modulation due to food deprivation.

Animals↗
PubMed1989

[Body temperature of newborn cynomolgus monkeys].

This report dealt with the change of body temperature (rectal temperature) in the newborn cynomolgus monkeys (Macaca fascicularis) with a view to take it as an index for their health conditions. The body temperatures of 183 newborn babies which were well cared for by their mothers was 33.0 to 37.7 degrees C about 10 hr after birth. On the other hand, the body temperatures of 21 newborn babies which were not well cared for by their mothers was very low, ranging from 24.1 to 34.8 degrees C. In five newborn monkeys which were well cared for, the body temperature averaged about 36 degrees C just after birth and then declined rapidly by 32 to 33 degrees C at 40 to 50 minutes after birth. Then it gradually began to rise, reaching 36 to 37 degrees C at 180 to 240 min after birth. In the other four newborn monkeys which were delivered by Caesarean section, the temperature was 37 to 38 degrees C just after birth. Then it decreased to 29 to 32 degrees C at 120 minutes after birth when the newborns remained singly in a cage without warming.

Animals↗
PubMed1992

In vivo T1 values from guinea pig brain depend on body temperature.

T1 and T2 values were calculated from guinea pig brain in vivo at 0.5 T. T1 values showed significant dependence on body temperature, but the effect varied significantly from animal to animal and from one tissue type to another. Mean dependencies were 8.2 ms/degrees C for corpus callosum, 14.7 ms/degrees C for gray matter, and 21.5 ms/degrees C for hemispheric white matter (1.7, 2.6, and 4.5%/degrees C, respectively), all with respect to core temperature. These findings suggest that body temperature monitoring and control may be needed when sensitive measurements of T1 are being made. There was evidence for regulation of brain temperature within the hyperthermic range of body temperature.

Animals↗
PubMed2006

Body temperature and resistance to evaporative water loss in tropical Australian frogs.

Although the skin of most amphibians measured to date offers no resistance to evaporative water loss (EWL), some species, primarily arboreal frogs, produce skin secretions that increase resistance to EWL. At high air temperatures, it may be advantageous for amphibians to increase EWL as a means to decrease body temperature. In Australian hylid frogs, most species do not decrease their resistance at high air temperature, but some species with moderate resistance (at moderate air temperatures) gradually decrease resistance with increasing air temperature, and some species with high resistance (at moderate air temperatures) abruptly decrease resistance at high air temperatures. Lower skin resistance at high air temperatures decreases the time to desiccation, but the lower body temperatures allow the species to avoid their critical thermal maximum (CT(Max)) body temperatures. The body temperatures of species with low to moderate resistances to EWL that do not adjust resistance at high air temperatures do not warm to their CT(Max), although for some species, this is because they have high CT(Max) values. As has been reported previously for resistance to EWL generally, the response pattern of change of EWL at high air temperatures has apparently evolved independently among Australian hylids. The mechanisms involved in causing resistance and changes in resistance are unknown.

Air↗
PubMed2006

Circadian variation in heart rate, blood pressure, body temperature and EEG of immature broiler breeder chickens in restricted-fed and ad libitum-fed states.

1. Heart rate, intra-aortic blood pressure, deep body temperature and telencephalic EEG were monitored by radiotelemetry in 6 freely moving immature broiler breeders (three in each of two years), during routine food restriction and then ad libitum feeding, over two 24-h periods in each feeding state.2. Heart rate, blood pressure and body temperature were all higher during ad libitum than restricted feeding, and heart rate and body temperature were higher by day (12 h) than at night (12 h). The decreases in heart rate and body temperature at night were greater during restricted than ad libitum feeding. Blood pressure tended to be higher at night, except in year 2 during restricted feeding. Body temperature and ambient temperature were higher in year 2 than year 1.3. During restricted feeding, marked peaks in heart rate, blood pressure and body temperature in the 15 min after provision of the daily food ration at 09:00 h, when birds were eating, were equivalent to corresponding values seen during ad libitum feeding.4. Relative powers in delta (1 to 4 Hz) and theta (4 to 8 Hz) frequency bands of the EEG power spectrum were higher at night in year 2 only, while power in the alpha (8 to 12 Hz) band was higher at night in both years.5. It is concluded that most of the variation in heart rate, blood pressure and body temperature between feeding states and times of day/night can be accounted for in terms of variation in food intake and energy expenditure. The greater slow wave (delta, theta) EEG activity seen after lights-off in year 2 may reflect non-paradoxical sleep at that time.

Animal Husbandry↗
PubMed1991

Obesity, diet and body temperature.

Studies conducted thus far on the pathogenesis of obesity have not clearly determined the role of body temperature in the energy balance. In an attempt to explore this relationship further, research has been undertaken, a part of which is represented by the present investigation carried out on 22 adult males: 11 having a BMI less than or equal to 25 (group A) and 11 with BMI greater than 25 (group B). Body temperature was measured by mouth and on the skin surface (in 4 points according to Ramanathan) on 2 consecutive days (every 30 min from noon to 6:30 p.m.), the 1st day with the participants fasting and the 2nd day after consumption of a meal whose energy content represented a part (45%) of the 24-hour energy intake of the subjects, as previously ascertained by a survey of their food consumption. The study was carried out under frequently checked microclimatic conditions. During the week prior to the measurements, the alimentary consumption of the subjects was monitored by direct weighing for 5 consecutive days. A significant rise in body temperature, probably due to dietary thermogenesis, was observed in group A (internal temperature: F = 13.05; skin temperature: F = 6.48) as well as in group B (internal temperature: F = 24.88; skin temperature: F = 5.35) after the meal. However in group B the skin temperature showed a smaller increase than in group A (delta t degree 0.31 vs. 0.49) and an earlier trend towards the basal values (nearly 5 vs. 6 h after the meal). In both groups a decrease in the skin delta t degrees is evident at 3 and 3.5 h, respectively, after the meal, followed by a more remarkable increase in this difference between the 4th and the 5th hour. The meaning of this decrease as well as the difference in body temperature versus caloric intake is discussed. Normal weight individuals demonstrated a positive correlation (r = 0.83) between usual caloric intake per square meter of body surface and fasting internal body temperature. This correlation was not observed in subjects with BMI greater than 25.

Adult↗
PubMed1975

Changes with age in protein-bound iodine (PBI) and body temperature in the mouse.

Protein-bound iodine (PBI), body temperature, and the response of the thyroid gland to different doses of thyrotropin (TSH) were examined in males of two inbred strains of mice at different ages. Results indicate persistent decline in PBI with advancing age that is significantly greater in DBA/2J than C57BL/6J mice. The magnitude of the PBI response to TSH diminishes in both strains with advancing age but is significantly greater in strain DBA/2J than C57BL/6J. Body temperature was found to decline with advancing age and was highly correlated with thyroid function. Although additional research is needed, a tentative conclusion is that advancing age imparts a diminished response of the thyroid gland to endogenous thyrotropin. This is the first report of age-related changes and particularly correlation between PBI and body temperature in genetically controlled mouse strains. The indications are that such thyroid-temperature relationships are genotype dependent.

Aging↗
PubMed1995

Feeling the heat: body temperature and the rate of subjective time, revisited.

Experiments investigating timing behaviour in humans under conditions where body temperature was raised or (much more rarely) lowered, dating from 1927 to 1993, were reviewed. These tested the hypothesis that humans possess a temperature-sensitive chemical or biological internal clock. Most studies used conditions in which subjects produced or estimated durations less than 100 sec long, probably using chronometric counting, but other experimental paradigms were sometimes employed. Data from each study were expressed in a uniform fashion, as plots of changes in the rate of subjective time (estimated from changes in timing behaviour) against changes in body temperature. In almost all cases, rate of subjective time increased when body temperature increased above normal, and decreased when body temperature was lowered below normal, although observations of the latter type were rare. The data also suggested a parametric effect of body temperature, with higher temperatures generally producing faster subjective time. Some possible mechanisms for the effects obtained were discussed, with the most promising explanation probably being that the temperature manipulation produces changes in arousal.

Arousal↗
PubMedDate not supplied

The impact of ADL status, dementia and body mass index on normal body temperature in elderly nursing home residents.

A subset of seniors might demonstrate a lower body temperature compared with younger subjects. However, data on normal body temperature in seniors are sparse. The aim of the study was to study normal body temperature with a view of predicting factors of low body temperature in non-febrile seniors. Elderly women (n=159) and 78 men, aged > or =65 years, living in community resident homes were included in the study. Data on chronic diseases and medication were collected from medical records. Tympanic and rectal temperature was measured twice daily; once at 7-9 AM and then at 6-8 PM. In addition, body mass index (BMI), activities of daily living (ADL) status, as well as details regarding dementia and malnutrition were recorded. The variation in tympanic and rectal temperatures ranged from 33.8 to 38.4 degrees C and 35.6 to 38.0 degrees C, respectively. ADL status, dementia and BMI were significantly related to lower and analgesic to higher tympanic temperature. Dementia was significantly related to lower rectal temperature. Therefore, dementia, BMI, ADL status and analgesic shall not be overlooked when assessing temperature in seniors. More research is needed to further clarify the influence of these predictive factors, as well as the impact of BMI and malnutrition.

Journal Article↗
PubMed1996

Effects of anatomic site, oral stimulation, and body position on estimates of body temperature.

BACKGROUND: A prior investigation characterized the range of body temperature in healthy young adults and established the importance of diurnal variations in defining the febrile state. METHODS: Sequential rectal, oral, and tympanic membrane temperature measurements were performed on 22 healthy subjects to determine the quantitative effects of anatomic site, oral stimulation, and body position on estimates of body temperature. RESULTS: Mean rectal temperatures exceeded concurrent oral readings by 0.4 degrees C +/- 0.4 degrees C (0.8 degrees F +/- 0.7 degrees F), which, in turn, exceeded concurrent tympanic membrane readings (obtained with a digital thermometer [IVAC Corp, San Diego, Calif]) by 0.4 degrees C +/- 1.1 degrees C (0.7 degrees F +/- 2.0 degrees F). Tympanic membrane readings were significantly more variable (both intrasubject and intersubject) than rectal or oral readings, especially when cerumen was present in the external ear canal being examined (P<.05). Mastication and smoking both caused significant increases in oral temperature that persisted for greater than 20 minutes. Drinking ice water caused a significant but more transient decrease in oral temperature. Of these activities, only mastication appeared to influence tympanic membrane readings. Body position exerted a modest effect on rectal temperature readings, but did not significantly affect oral or tympanic membrane readings. CONCLUSIONS: These findings indicate that, in addition to diurnal fluctuations in body temperature, the effects of anatomic site, oral stimulation, and body position should be considered in establishing criteria for the febrile state.

Adult↗