Regulation of body temperature and blood pressure in women: Mechanisms and implications for heat illness risk

Abstract Increasing global temperatures due to ongoing climate change phenomena have resulted in increased risk of exertional heat illness in otherwise healthy, young individuals who work or play in the heat. With increasing participation of women in athletic, military and industrial activities that...

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Main Authors: Gabrielle E. W. Giersch, Nisha Charkoudian
Format: Article
Language:English
Published: Wiley 2025-02-01
Series:Experimental Physiology
Subjects:
Online Access:https://doi.org/10.1113/EP091455
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author Gabrielle E. W. Giersch
Nisha Charkoudian
author_facet Gabrielle E. W. Giersch
Nisha Charkoudian
author_sort Gabrielle E. W. Giersch
collection DOAJ
description Abstract Increasing global temperatures due to ongoing climate change phenomena have resulted in increased risk of exertional heat illness in otherwise healthy, young individuals who work or play in the heat. With increasing participation of women in athletic, military and industrial activities that involve exertion in the heat, there is a growing need to study female physiology in this context. Mechanisms controlling blood pressure and body temperature have substantial overlap in humans, largely due to autonomic mechanisms which contribute to both. Similarly, illnesses that result from excessive heat exposure can often be traced back to imbalances in one or more of these autonomic mechanisms. In recent years, there has been increased recognition of the importance of sex as a biological variable for basic and applied research in these areas. The goal of this paper is to present an update on the integrative physiology and pathophysiology of responses to heat stress in women (thermoregulation and blood pressure regulation). In this context, it is often the case that differences between sexes are presented as ‘advantages’ and ‘disadvantages’ of one sex over the other. In our opinion, this is an over‐simplification of the physiology which ignores the nuances and complexities of the integrative physiology of responses to heat exposure and exercise, and their relevance for practical outcomes.
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spelling doaj-art-be2d5226a1d64f26923cdfc8015df93e2025-01-31T06:19:50ZengWileyExperimental Physiology0958-06701469-445X2025-02-01110219619910.1113/EP091455Regulation of body temperature and blood pressure in women: Mechanisms and implications for heat illness riskGabrielle E. W. Giersch0Nisha Charkoudian1US Army Research Institute of Environmental Medicine Natick Massachusetts USAUS Army Research Institute of Environmental Medicine Natick Massachusetts USAAbstract Increasing global temperatures due to ongoing climate change phenomena have resulted in increased risk of exertional heat illness in otherwise healthy, young individuals who work or play in the heat. With increasing participation of women in athletic, military and industrial activities that involve exertion in the heat, there is a growing need to study female physiology in this context. Mechanisms controlling blood pressure and body temperature have substantial overlap in humans, largely due to autonomic mechanisms which contribute to both. Similarly, illnesses that result from excessive heat exposure can often be traced back to imbalances in one or more of these autonomic mechanisms. In recent years, there has been increased recognition of the importance of sex as a biological variable for basic and applied research in these areas. The goal of this paper is to present an update on the integrative physiology and pathophysiology of responses to heat stress in women (thermoregulation and blood pressure regulation). In this context, it is often the case that differences between sexes are presented as ‘advantages’ and ‘disadvantages’ of one sex over the other. In our opinion, this is an over‐simplification of the physiology which ignores the nuances and complexities of the integrative physiology of responses to heat exposure and exercise, and their relevance for practical outcomes.https://doi.org/10.1113/EP091455exerciseexertional heat strokeintegrative physiologysex differencesthermoregulation
spellingShingle Gabrielle E. W. Giersch
Nisha Charkoudian
Regulation of body temperature and blood pressure in women: Mechanisms and implications for heat illness risk
Experimental Physiology
exercise
exertional heat stroke
integrative physiology
sex differences
thermoregulation
title Regulation of body temperature and blood pressure in women: Mechanisms and implications for heat illness risk
title_full Regulation of body temperature and blood pressure in women: Mechanisms and implications for heat illness risk
title_fullStr Regulation of body temperature and blood pressure in women: Mechanisms and implications for heat illness risk
title_full_unstemmed Regulation of body temperature and blood pressure in women: Mechanisms and implications for heat illness risk
title_short Regulation of body temperature and blood pressure in women: Mechanisms and implications for heat illness risk
title_sort regulation of body temperature and blood pressure in women mechanisms and implications for heat illness risk
topic exercise
exertional heat stroke
integrative physiology
sex differences
thermoregulation
url https://doi.org/10.1113/EP091455
work_keys_str_mv AT gabrielleewgiersch regulationofbodytemperatureandbloodpressureinwomenmechanismsandimplicationsforheatillnessrisk
AT nishacharkoudian regulationofbodytemperatureandbloodpressureinwomenmechanismsandimplicationsforheatillnessrisk