Prolonged exercise at high intensities leads to a quantitative redistribution of blood flow to the exercising muscle (exercise hyperthermia) in proportion to its energy demands of oxygen and

substrates. Sympathoadrenal activity, however, see more reduces water and sodium loss during exercise by decreasing renal blood flow and changing its distribution by direct tubular effects. Moreover, it decreases Foretinib potassium loss by facilitating its muscular uptake [22]. Blood flow to the skin is increased to facilitate heat dissipation, and sweating implies loss of water and electrolytes from the body. Dehydration of approximately 2-3% of body mass routinely occurs during intermittent high-intensity exercise, especially when the ambient temperature is high. Usually, thirst is triggered when the individual is already 5% dehydrated [23]. The dehydrated state can buy Selumetinib be worsened by catecholamine-induced thirst suppression [24]. Fluid loss results in decreasing circulatory blood volume, blood pressure,

sweat production and stroke volume, as result, vascular resistance increase leading to a skin blood flow decreased, all of which impair heat dissipation. Heart rate rises to some additional 3-5 beats/minute for every 1% body weight loss due to dehydration [25]. Dehydration has a negative effect on endurance performance by increasing muscular glycogen degradation and plasma lactate levels and by causing cardiovascular drift and reduced ability to transport heat to the periphery for dissipation, thus resulting in increased core temperature

[26]. 3.1 Exercise-dependent, dehydration-induced hyperthermia Heat production during exercise is 15-20 times greater than at rest, and it is sufficient to raise core body temperature by 1°C every 5 minutes if there are no thermoregulatory adjustments [25]. The body’s multiple mechanisms for heat dissipation to prevent significant hyperthermia include conduction, convection, evaporation and radiation. As ambient temperature rises above 20°C, the contributions of conduction, convection this website and particularly radiation, become increasingly insignificant with the bulk of the heat dissipation during exercise resulting from evaporation as sweat. In hot, dry conditions, evaporation may account for as much as 98% of dissipated heat. Sweat evaporation leads to dehydration, which increases body temperature [25]. Any factor that limits evaporation, such as high humidity or dehydration will have profound effects on physiological function, athletic performance, and risk for heat illness [27]. There are five common types of heat illness, the milder forms including heat edema, heat cramps, heat syncope, and heat exhaustion. The most severe form of heat illness is heat stroke [28]. The milder forms of heat illness are widely underreported and underdiagnosed [25].