Study2018

Sex difference in cold perception and shivering onset upon gradual cold exposure

Kaikaew K, van den Beukel JC, Neggers SJCMM, Themmen APN, Visser JA, Grefhorst A

Journal of thermal biology · 44 citations

How it was studied

Design
Controlled clinical trial (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
University or hospital
Chulalongkorn University
University or hospital
Faculty of Medicine, Chulalongkorn University
University or hospital
Department of Internal Medicine, Erasmus MC, Rotterdam, the Netherlands
University or hospital
Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

Based on 4 listed funder(s).

Publication

Published
2018-08-23 · J Therm Biol · vol. 77 · pp. 137–144
Publisher
Elsevier BV
Cited
75 citations · more than 95% of similar papers · 4.0× the field average
Impact
Top 10% most cited in its field
References
42 works
Access
Open access (hybrid journal) · CC-BY-NC-ND
Research areas
Adipose Tissue and Metabolism · Thermoregulation and physiological responses · Exercise and Physiological Responses
Keywords
Shivering, Thermoregulation, Medicine, Significant difference, Anesthesia, Internal medicine
MeSH
humans, body temperature, body temperature regulation, shivering, skin temperature, sex characteristics, adolescent, adult, female, male, cold temperature, young adult, thermosensing

6 authors

From TH, NL

  • Kasiphak KaikaewChulalongkorn University; Erasmus MC
  • Johanna C. van den BeukelErasmus MC
  • Sebastian J.C.M.M. NeggersErasmus MC
  • Axel P. N. ThemmenErasmus MC
  • Jenny A. Visser · correspondingErasmus MC; Erasmus University Rotterdam
  • Aldo GrefhorstErasmus MC

Abstract

To maintain a thermal balance when experiencing cold, humans reduce heat loss and enhance heat production. A potent and rapid mechanism for heat generation is shivering. Research has shown that women prefer a warmer environment and feel less comfortable than men in the same thermal condition. Using the Blanketrol® III, a temperature management device commonly used to study brown adipose tissue activity, we tested whether the experimental temperature (TE) at which men and women start to shiver differs. Twenty male and 23 female volunteers underwent a cooling protocol, starting at 24 °C and gradually decreasing by 1-2 °C every 5 min until an electromyogram detected the shivering or the temperature reached 9 °C. Women started shivering at a higher TE than men (11.3 ± 1.8 °C for women vs 9.6 ± 1.8 °C for men, P = 0.003). In addition, women felt cool, scored by a visual analogue scale, at a higher TE than men (18.3 ± 3.0 °C for women vs 14.6 ± 2.6 °C for men, P < 0.001). This study demonstrates a sex difference in response to cold exposure: women require shivering as a source of heat production earlier than men. This difference could be important and sex should be considered when using cooling protocols in physiological studies.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-ND).

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