RT Journal Article
SR Electronic
T1 Ethical dilemmas and validity issues related to the use of new cooling technologies and early recognition of exertional heat illness in sport
JF BMJ Open Sport & Exercise Medicine
JO BMJ OPEN SP EX MED
FD BMJ Publishing Group Ltd
SP e001041
DO 10.1136/bmjsem-2021-001041
VO 7
IS 2
A1 Borja Muniz-Pardos
A1 Konstantinos Angeloudis
A1 Fergus M Guppy
A1 Kumpei Tanisawa
A1 Yuri Hosokawa
A1 Garrett I Ash
A1 Wolfgang Schobersberger
A1 Andrew J Grundstein
A1 Fumihiro Yamasawa
A1 Sebastien Racinais
A1 Douglas J Casa
A1 Yannis P Pitsiladis
YR 2021
UL http://bmjopensem.bmj.com/content/7/2/e001041.abstract
AB The Tokyo 2020 Olympic Games is expected to be among the hottest Games in modern history, increasing the chances for exertional heat stroke (EHS) incidence, especially in non-acclimatised athletes/workers/spectators. The urgent need to recognise EHS symptoms to protect all attendees’ health has considerably accelerated research examining the most effective cooling strategies and the development of wearable cooling technology and real-time temperature monitoring. While these technological advances will aid the early identification of EHS cases, there are several potential ethical considerations for governing bodies and sports organisers. For example, the impact of recently developed cooling wearables on health and performance is unknown. Concerning improving athletic performance in a hot environment, there is uncertainty about this technology’s availability to all athletes. Furthermore, the real potential to obtain real-time core temperature data will oblige medical teams to make crucial decisions around their athletes continuing their competitions or withdraw. Therefore, the aim of this review is (1) to summarise the practical applications of the most novel cooling strategies/technologies for both safety (of athletes, spectators and workers) and performance purposes, and (2) to inform of the opportunities offered by recent technological developments for the early recognition and diagnosis of EHS. These opportunities are presented alongside several ethical dilemmas that require sports governing bodies to react by regulating the validity of recent technologies and their availability to all.