PT - JOURNAL ARTICLE AU - Polsinelli, Giovanni AU - Rodio, Angelo AU - Federico, Bruno TI - Estimation of cardiovascular drift through ear temperature during prolonged steady-state cycling: a study protocol AID - 10.1136/bmjsem-2020-000907 DP - 2021 Mar 01 TA - BMJ Open Sport & Exercise Medicine PG - e000907 VI - 7 IP - 1 4099 - http://bmjopensem.bmj.com/content/7/1/e000907.short 4100 - http://bmjopensem.bmj.com/content/7/1/e000907.full SO - BMJ OPEN SP EX MED2021 Mar 01; 7 AB - Introduction The measurement of heart rate is commonly used to estimate exercise intensity. However, during endurance performance, the relationship between heart rate and oxygen consumption may be compromised by cardiovascular drift. This physiological phenomenon mainly consists of a time-dependent increase in heart rate and decrease in systolic volume and may lead to overestimate absolute exercise intensity in prediction models based on heart rate. Previous research has established that cardiovascular drift is correlated to the increase in core body temperature during prolonged exercise. Therefore, monitoring body temperature during exercise may allow to quantify the increase in heart rate attributable to cardiovascular drift and to improve the estimate of absolute exercise intensity. Monitoring core body temperature during exercise may be invasive or inappropriate, but the external auditory canal is an easily accessible alternative site for temperature measurement.Methods and analysis This study aims to assess the degree of correlation between trends in heart rate and in ear temperature during 120 min of steady-state cycling with intensity of 59% of heart rate reserve in a thermally neutral indoor environment. Ear temperature will be monitored both at the external auditory canal level with a contact probe and at the tympanic level with a professional infrared thermometer.Ethics and dissemination The study protocol was approved by an independent ethics committee. The results will be submitted for publication in academic journals and disseminated to stakeholders through summary documents and information meetings.