Age alters the thermoregulatory responses to extreme heat exposure with accompanying activities of daily living

Older adults are at greater risk for heat-related morbidity and mortality, due in part to age related reductions in heat dissipating capabilities. Previous studies investigating the impact of age on responses to heat stress used approaches that lack activities of daily living and therefore may not accurately depict the thermal/physiological strain that would occur during actual heatwaves. We sought to compare the responses of young (18-39 years) and older (>= 65 years) adults exposed to two extreme heat simulations. Healthy young (n=20) and older (n=20) participants underwent two 3-hour extreme heat exposures on different days: 1) DRY (47 degrees C and 15% humidity) and 2) HUMID (41 degrees C and 40% humidity). To mimic heat generation comparable to activities of daily living, participants performed 5-minute bouts of light physical activity dispersed throughout the heat exposure. Measurements included core and skin temperatures, heart rate, blood pressure, local and whole-body sweat rate, forearm blood flow, and perceptual responses. Delta core temperature (Young: 0.68 +/- 0.27 vs Older: 1.37 +/- 0.42 degrees C; p<0.001) and ending core temperature (Young: 37.81 +/- 0.26 vs Older: 38.15 +/- 0.43 degrees C; p=0.005) were greater in the older cohort during the DRY condition. Delta core temperature (Young: 0.58 +/- 0.25 vs Older: 1.02 +/- 0.32 degrees C; p<0.001), but not ending core temperature (Young: 37.67 +/- 0.34 vs Older: 37.83 +/- 0.35 degrees C; p=0.151), was higher in the older cohort during the HUMID condition. We demonstrated that older adults have diminished thermoregulatory responses to heat stress with accompanying activities of daily living. These findings corroborate previous reports and confirm epidemiological data showing that older adults are at a greater risk for hyperthermia.