Evaluating How Alcohol Impacts Physiological Responses and Perception During Heat Exposure
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Lakehead University
- Enrollment
- 28
- Locations
- 2
- Primary Endpoint
- Skin Temperature
Study Overview
Brief Summary
Climate change has significantly increased the earth's average surface temperature and heat waves have been predicted to increase in frequency, intensity and duration. Extreme heat events have increased the susceptibility to heat-related illnesses, such as heat exhaustion, heat stroke or death. Heat health action plans have been designed to advertise cooling behaviours to mitigate physiological strain. Heat health action plans suggest avoiding alcohol consumption during extreme heat as it may increase dehydration and impair behavioural or physiological temperature regulation and thermal perception. Regardless of these messages, alcohol sales continue to remain high during the summer months year after year, and 1/5 of adults identify alcohol as a hydration strategy during extreme heat events. A recent scoping review investigating the effects of alcohol and heat has demonstrated that acute alcohol consumption does not negatively influence thermoregulation, hydration, or hormone markers of fluid balance in the heat compared to a control fluid (https://doi.org/10.1186/s12940-024-01113-y). Further, alcohol consumption may elicit sex- and age-specific alterations in physiological and perceptual responses, neither of which have been explored.
Therefore, this study aims to comprehensively evaluate how alcohol consumption systematically alters physiological responses and perceptions during conditions similar to those experienced indoors during extreme heat events in younger and older adults.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Crossover
- Primary Purpose
- Basic Science
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 19 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Male or Female above the age of 19
- •Able to provide informed consent
Exclusion Criteria
- •History of cardiovascular disease, cancer, type 1 or 2 diabetes, chronic obstructive pulmonary disorder, cystic fibrosis, or alcohol addiction or dependence
- •Been hospitalized due to COVID-19
- •Pregnant/Breastfeeding
- •Scoring an eight or above on the Alcohol Use Disorders Identification Test (AUDIT)
Arms & Interventions
Alcohol
Consumption of alcohol beverages: females 0.75 ± 0.1 grams of ethanol/kilogram body mass; males 1.0 ± 0.1 grams of ethanol/kilogram body mass
Intervention: Alcohol (Ethanol) (Drug)
Placebo
Placebo (non-alcoholic beverage)
Intervention: Placebo Beverage (Drug)
Outcomes
Primary Outcomes
Skin Temperature
Time Frame: measured at baseline (pre drink), and every 30 minutes following consumption (up to 120 minutes).
Mean skin (4 sites)
Core Temperature
Time Frame: measured at baseline (pre drink), and every 30 minutes following consumption (up to 120 minutes).
measured rectally
Blood Pressure
Time Frame: measured at baseline (pre drink), and every 30 minutes following consumption (up to 120 minutes).
ECG-gated blood pressure cuff
Heart Rate
Time Frame: measured at baseline (pre drink), and every 30 minutes following consumption (up to 120 minutes).
3-lead electrocardiogram
Heart Rate Variability
Time Frame: measured at baseline (pre drink), and every 30 minutes following consumption (up to 120 minutes).
Arrythmia presence
Time Frame: measured at baseline (pre drink), and every 30 minutes following consumption (up to 120 minutes).
Whole-body Sweat Loss
Time Frame: mass measured at baseline and end heat stress.
Difference in mass from baseline to end heat stress
Postural Sway via the Romberg Test
Time Frame: measured at baseline (pre drink), and every 30 minutes following consumption (up to 120 minutes).
The total movement of the body around the center of mass with feet together
Skin Blood Flow
Time Frame: measured at baseline (pre drink), and every 30 minutes following consumption (up to 120 minutes).
Urine Output
Time Frame: Total urine output (e.g. volume) from baseline to immediately following 120 minutes of heat stress
ASHRAE seven-point thermal sensation scale
Time Frame: measured at baseline (pre drink), and every 30 minutes following consumption (up to 120 minutes).
5-Point Thermal Comfort Scale
Time Frame: measured at baseline (pre drink), and every 30 minutes following consumption (up to 120 minutes).
Thermal comfort scale with 1- comfortable and 5 - very uncomfortable
Secondary Outcomes
- Subjective Blood Alcohol Concentration (visual analog scale 0.0 - 0.20)(measured at baseline (pre drink), and every 30 minutes following consumption (up to 120 minutes).)
- Blood Alcohol Concentration(measured at baseline (pre drink), and every 30 minutes following consumption (up to 120 minutes).)
Investigators
Nicholas Ravanelli
Assistant Professor
Lakehead University
