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Topic:Fatigue

Fatigue in horses refers to the physiological state where a horse experiences a temporary reduction in performance capacity due to prolonged or intense physical activity. This condition can affect various systems within the horse's body, including muscular, cardiovascular, and metabolic functions. Fatigue is characterized by a decline in muscle strength, endurance, and overall athletic performance. Factors contributing to fatigue can include exercise intensity, duration, environmental conditions, and the horse's nutritional status. Understanding fatigue is important for optimizing training regimens and preventing injury. This page compiles peer-reviewed research studies and scholarly articles that explore the mechanisms, assessment, and management of fatigue in equine athletes.
Identification of mulberry leaf flavonoids and evaluating their protective effects on H2O2-induced oxidative damage in equine skeletal muscle satellite cells.
Frontiers in molecular biosciences    April 8, 2024   Volume 11 1353387 doi: 10.3389/fmolb.2024.1353387
Zhang X, Geng A, Cao D, Dugarjaviin M. Horses are susceptible to oxidative stress during strenuous endurance exercise, leading to muscle fatigue and damage. Mulberry leaf flavonoids (MLFs) possess significant antioxidant properties. However, the antioxidant efficacy of MLFs can be influenced by the extraction process, and their impact on HO-induced oxidative stress in equine skeletal muscle satellite cells (ESMCs) remains unexplored. Our study employed three extraction methods to obtain MLFs: ultrasound-assisted extraction (CEP), purification with AB-8 macroporous resin (RP), and n-butanol extraction (NB-EP). We assessed the prot...
Comparison of the fecal microbiota with high- and low performance race horses.
Journal of animal science and technology    March 31, 2024   Volume 66, Issue 2 425-437 doi: 10.5187/jast.2023.e45
Park T, Yoon J, Yun Y, Unno T.Exercise plays an important role in regulating energy homeostasis, which affects the diversity of the intestinal microbial community in humans and animals. To the best of the authors' knowledge, few studies have reported the associations between horse gut microbiota along with their predicted metabolic activities and the athletic ability of Jeju horses and Thoroughbreds living in Korea. This study was conducted to investigate the association between the gut microbiota and athletic performance in horses. This study sequenced the V3 and V4 hypervariable regions of the partial 16S rRNA genes obta...
Influence of microarchitecture on stressed volume and mechanical fatigue behaviour of equine subchondral bone.
Bone    February 21, 2024   117054 doi: 10.1016/j.bone.2024.117054
Koshyk A, Pohl AJ, Takahashi Y, Scott WM, Sparks HD, Edwards WB.Fractures of the equine metacarpophalangeal (MCP) joint are among the most common and fatal injuries experienced by racehorses. These bone injuries are a direct result of repetitive, high intensity loading of the skeleton during racing and training and there is consensus that they represent a mechanical fatigue phenomenon. Existing work has found the fatigue life of bone to be strongly determined by bone microarchitecture and the resulting stressed volume (i.e., the volume of bone stressed above assumed yield). The purpose of this study was to quantify the influence of bone microarchitecture o...
Standing left recurrent laryngeal neurectomy for prospective evaluation of laryngeal hemiplegia evaluated by a high-speed treadmill test.
American journal of veterinary research    December 16, 2023   1-6 doi: 10.2460/ajvr.23.08.0185
Lean NE, Franklin SH, Ahern BJ.To describe left recurrent laryngeal neurectomy (LRLn) performed under standing sedation and evaluate the effect of LRLn on upper respiratory tract function using a high-speed treadmill test (HST). We hypothesized that (1) unilateral LRLn could be performed in standing horses, resulting in ipsilateral arytenoid cartilage collapse (ACC); and (2) HST after LRLn would be associated with alterations in upper respiratory function consistent with dynamic ACC. Methods: 6 Thoroughbred horses. Methods: The horses were trained and underwent a baseline HST up to 14 m/s at 5% incline until fatigue. Evalua...
Three-Dimensional Imaging and Histopathological Features of Third Metacarpal/Tarsal Parasagittal Groove and Proximal Phalanx Sagittal Groove Fissures in Thoroughbred Horses.
Animals : an open access journal from MDPI    September 14, 2023   Volume 13, Issue 18 2912 doi: 10.3390/ani13182912
Lin ST, Foote AK, Bolas NM, Peter VG, Pokora R, Patrick H, Sargan DR, Murray RC.Fissure in the third metacarpal/tarsal parasagittal groove and proximal phalanx sagittal groove is a potential prodromal pathology of fracture; therefore, early identification and characterisation of fissures using non-invasive imaging could be of clinical value. Thirty-three equine cadaver limbs underwent standing cone-beam (CB) computed tomography (CT), fan-beam (FB) CT, low-field magnetic resonance imaging (MRI), and macro/histo-pathological examination. Imaging diagnoses of fissures were compared to microscopic examination. Imaging features of fissures were described. Histopathological fin...
High-level competition exercise and related fatigue are associated with stride and jumping characteristics in eventing horses.
Equine veterinary journal    September 11, 2023   doi: 10.1111/evj.13999
Burger D, Vidondo B, Gerber V, Deillon D, Müller A, Scheidegger M, Käser R, Ramseyer A.Fatigue and related injuries to the musculoskeletal system are among the most frequent reasons for the withdrawal of high-level eventing horses from the sport. The safety of both horse and rider is very important, and early detection of fatigue is crucial. Objective: To investigate elite eventing horses in competitive events focusing on biomechanical, cardiovascular and metabolic variables across the cross-country test and to identify their potential associations with fatigue. Methods: Prospective observational exploratory field study. Methods: Observations on 54 cross-country tests of 33 hors...
Relationship between CT-Derived Bone Mineral Density and UTE-MR-Derived Porosity Index in Equine Third Metacarpal and Metatarsal Bones.
Animals : an open access journal from MDPI    August 31, 2023   Volume 13, Issue 17 2780 doi: 10.3390/ani13172780
Daniel CR, Taylor SE, McPhee S, Wolfram U, Schwarz T, Sommer S, Kershaw LE.Fatigue-related subchondral bone injuries of the third metacarpal/metatarsal (McIII/MtIII) bones are common causes of wastage, and they are welfare concerns in racehorses. A better understanding of bone health and strength would improve animal welfare and be of benefit for the racing industry. The porosity index (PI) is an indirect measure of osseous pore size and number in bones, and it is therefore an interesting indicator of bone strength. MRI of compact bone using traditional methods, even with short echo times, fail to generate enough signal to assess bone architecture as water protons ar...
Detecting fatigue of sport horses with biomechanical gait features using inertial sensors.
PloS one    April 14, 2023   Volume 18, Issue 4 e0284554 doi: 10.1371/journal.pone.0284554
Darbandi H, Munsters C, Parmentier J, Havinga P.Detection of fatigue helps prevent injuries and optimize the performance of horses. Previous studies tried to determine fatigue using physiological parameters. However, measuring the physiological parameters, e.g., plasma lactate, is invasive and can be affected by different factors. In addition, the measurement cannot be done automatically and requires a veterinarian for sample collection. This study investigated the possibility of detecting fatigue non-invasively using a minimum number of body-mounted inertial sensors. Using the inertial sensors, sixty sport horses were measured during walk ...
Breast Cancer: How Hippotherapy Bridges the Gap between Healing and Recovery-A Randomized Controlled Clinical Trial.
Cancers    February 19, 2023   Volume 15, Issue 4 1317 doi: 10.3390/cancers15041317
Viruega H, Galy C, Loriette C, Jacquot S, Houpeau JL, Gaviria M.Breast cancer is the most diagnosed women's cancer, and has a high survival rate. Despite great progress in detection and treatment, life reconstruction requires comprehensive cross-sectoral approaches between different disciplines and deeper consideration of the patient's challenges. Hippotherapy is an emerging specialized rehabilitation approach, performed by accredited health professionals and equine specialists, on specially trained horses via their movement, activating major paths for physical, mental, psychic and social reinforcement, and is synergistic to rehabilitative and supportive c...
Detection of Horse Locomotion Modifications Due to Training with Inertial Measurement Units: A Proof-of-Concept.
Sensors (Basel, Switzerland)    July 1, 2022   Volume 22, Issue 13 4981 doi: 10.3390/s22134981
Pasquiet B, Biau S, Trébot Q, Debril JF, Durand F, Fradet L.Detecting fatigue during training sessions would help riders and trainers to optimize their training. It has been shown that fatigue could affect movement patterns. Inertial measurement units (IMUs) are wearable sensors that measure linear accelerations and angular velocities, and can also provide orientation estimates. These sensors offer the possibility of a non-invasive and continuous monitoring of locomotion during training sessions. However, the indicators extracted from IMUs and their ability to show these locomotion changes are not known. The present study aims at defining which kinemat...
Benefits of Equine-Assisted Therapies in People with Multiple Sclerosis: A Systematic Review.
Evidence-based complementary and alternative medicine : eCAM    April 27, 2022   Volume 2022 9656503 doi: 10.1155/2022/9656503
Lavín-Pérez AM, Collado-Mateo D, Caña-Pino A, Villafaina S, Parraca JA, Apolo-Arenas MD.This systematic review aimed to provide an up-to-date analysis of the effects of equine-assisted therapies (EAT) in people with multiple sclerosis (PwMS). The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed to conduct this systematic review. PubMed and Web of Science databases were employed in the search, which ended in February 2022. The risk of bias analysis was performed using the Evidence Project tool. After removing duplicates, thirty-nine studies were identified. However, only ten fulfilled the inclusion criteria and were included in t...
Effectiveness of equine-assisted therapies for improving health outcomes in people with multiple sclerosis: A systematic review and meta-analysis.
Multiple sclerosis and related disorders    July 23, 2021   Volume 55 103161 doi: 10.1016/j.msard.2021.103161
Suárez-Iglesias D, Bidaurrazaga-Letona I, Sanchez-Lastra MA, Gil SM, Ayán C.Scientific evidence has shown that equine-assisted therapies (EAT) lead to improvements in the physical function and the quality of life (QoL) of people with disabilities through the practice of hippotherapy or therapeutic riding (TR). There is a need to confirm whether people with multiple sclerosis (PwMS) can also benefit from its practice. This review aimed to systematically evaluate and meta-analyze the available data on the potential health benefits of EAT in PwMS. Methods: Four electronic databases (MEDLINE/PubMed, Web of Science, SPORTDiscus, and Scopus) were searched systematically fro...
Effects of Fatigue on Stride Parameters in Thoroughbred Racehorses During Races.
Journal of equine veterinary science    March 16, 2021   Volume 101 103447 doi: 10.1016/j.jevs.2021.103447
Takahashi Y, Takahashi T, Mukai K, Ohmura H.Exercise intensity during races is considerably high. To understand how Thoroughbreds adapt to fatigue conditions, stride parameters for the first and second lap of the race (2400-m, turf) were compared. A high-speed video system was set in a right lateral position about 20 m before the finishing post, with a field view width of about 16 m. The stride frequency, the length between each limb (hind step, diagonal step, fore step, and airborne step), and stride length were measured and analyzed using a generalized linear mixed model. Compared with the first lap, the mean ± standard deviation val...
Equine-Assisted Intervention to Improve Perceived Value of Everyday Occupations and Quality of Life in People with Lifelong Neurological Disorders: A Prospective Controlled Study.
International journal of environmental research and public health    April 3, 2020   Volume 17, Issue 7 2431 doi: 10.3390/ijerph17072431
Pálsdóttir AM, Gudmundsson M, Grahn P.People with neurological disorders suffer from poor mobility, poor balance, fatigue, isolation and monotonous everyday activities. Studies show that equine-assisted interventions can improve their mobility and balance, but could these kinds of interventions also increase participants' activity repertoire and self-assessed health, and reduce their fatigue? The study was conducted as a prospective, controlled study with three cohorts followed for one year: intervention group ( = 14), control group Passive ( = 29), and control group Active ( = 147). Participants in the study were affected by neur...
Effect of Fatigue on Equine Metacarpophalangeal Joint Kinematics-A Single Horse Pilot Study.
Journal of equine veterinary science    November 22, 2019   Volume 86 102849 doi: 10.1016/j.jevs.2019.102849
Pugliese BR, Carballo CT, Connolly KM, Mazan MR, Kirker-Head CA.The objective was to validate a scientific method for characterizing equine metacarpophalangeal joint (MCPJ) motion in the nonfatigued and fatigued states using a single horse at trot, slow canter, and fast canter. One healthy Thoroughbred gelding exercised on a treadmill to exhaustion (fatigued state) (heart rate >190 BPM and blood lactate >10 mmol/L) while bilateral MCPJ angular data were acquired using electrogoniometry. Blood lactate and heart rate reflected transition from nonfatigued to fatigued states with increasing exercise duration and treadmill speed. Electrogoniometry consis...
A method for fatigue testing of equine McIII subchondral bone under a simulated fast workout training programme.
Equine veterinary journal    September 11, 2019   Volume 52, Issue 2 332-335 doi: 10.1111/evj.13163
Shaktivesh , Malekipour F, Whitton C, Lee PVS.Standard fatigue testing of bone uses a single load and frequency applied until failure. However, in situ, the subchondral bone of Thoroughbred racehorses is subjected to a combination (or a spectrum) of loads and frequencies during training and racing. Objective: To investigate the use of a fatigue testing method for equine third metacarpal (McIII) subchondral bone under a spectrum of loading conditions which a racehorse is likely to experience during a fast workout. Methods: In vitro biomechanical experimental study. Methods: McIII subchondral bone specimens (n = 12) of racehorses were ha...
A rapid and eco-friendly method for determination of the main components of gamma-oryzanol in equestrian dietary and nutritional supplements by liquid chromatography-Tandem mass spectrometry.
Journal of pharmaceutical and biomedical analysis    April 28, 2019   Volume 172 339-348 doi: 10.1016/j.jpba.2019.04.029
Waraksa E, Kowalski K, Kłodzińska E, Rola R, Ciekot J, Filipiak W, Bieńkowski T, Namieśnik J.Gamma-oryzanol (GO) has gained special attention in the equine sports industry in recent years due to its touted properties, including the fact that it may cause anabolic effects on muscle growth and reduce fatigue. Many manufactures offer supplements containing GO as a naturally occurring anabolic substance; however, some producers do not declare its presence in product compositions. Taking into consideration the touted properties of GO, its ambiguous effectiveness and the open character of the Prohibited Substances List established by the Fédération Equestre Internationale, there is an urg...
Evaluation of Biological Indicators of Fatigue and Muscle Damage in Arabian Horses After Race.
Journal of equine veterinary science    April 25, 2019   Volume 78 74-78 doi: 10.1016/j.jevs.2019.04.007
Mami S, Khaje G, Shahriari A, Gooraninejad S.The aim of this study was to assay changes in blood biochemical parameters that resulted from exercise-induced muscle fatigue in horses participating in the two races (1,250 and 1,400 meters). Six male Arabian horses (3 to 6 years old) were used in this study. Blood samples were collected at time intervals including 1 hour before the race, immediately after the race, 1 and 24 hours after the end of race. Catalase (CAT), superoxide dismutase, glutathione peroxidase (GPX) activities, the blood level of malondialdehyde, protein carbonyl, and total antioxidant capacity (TAC) were measured, as w...
Electromyographic changes in hind limbs of Thoroughbreds with fatigue induced by treadmill exercise.
American journal of veterinary research    July 31, 2018   Volume 79, Issue 8 828-835 doi: 10.2460/ajvr.79.8.828
Takahashi Y, Mukai K, Matsui A, Ohmura H, Takahashi T.OBJECTIVE To quantify fatigue-induced electromyographic changes in hind limb muscles in horses. ANIMALS 8 Thoroughbreds. PROCEDURES The left and right hind limb longissimus dorsi, tensor fasciae latae, gluteus medius, and biceps femoris muscles were instrumented for surface electromyography. Hoof strain gauges were attached to confirm stride cycle. Each horse was galloped on a treadmill (grade, 3%) at a constant speed (12.6 to 14.7 m/s) to achieve fatigue after approximately 360 seconds. Before and after this exercise, the horses were trotted at 3.5 m/s. At 30-second intervals during galloping...
Physiological responses in horses, donkeys and mules sold at livestock markets.
International journal of veterinary science and medicine    March 13, 2018   Volume 6, Issue 1 97-102 doi: 10.1016/j.ijvsm.2018.03.002
Corrales-Hernández A, Mota-Rojas D, Guerrero-Legarreta I, Roldan-Santiago P, Rodríguez-Salinas S, Yáñez-Pizaña A, de la Cruz L....The horse welfare at markets includes fatigue, fear, fasting, dehydration and injuries. However, the scientific literature contains no readily-available information on the physiology responses of equids sold in livestock markets. The objective of the present study was to evaluate the effect of holding in livestock markets on gas exchange, the acid-base balance, energy metabolism, and the mineral and water balance in 4 types of horses (), donkeys () and mules (( × ). To this end, a total of 1,438 equine were utilized, after classification into six groups, as follows: mules, donkeys, culled...
Mathematical modelling of bone adaptation of the metacarpal subchondral bone in racehorses.
Biomechanics and modeling in mechanobiology    January 17, 2018   Volume 17, Issue 3 877-890 doi: 10.1007/s10237-017-0998-z
Hitchens PL, Pivonka P, Malekipour F, Whitton RC.In Thoroughbred racehorses, fractures of the distal limb are commonly catastrophic. Most of these fractures occur due to the accumulation of fatigue damage from repetitive loading, as evidenced by microdamage at the predilection sites for fracture. Adaptation of the bone in response to training loads is important for fatigue resistance. In order to better understand the mechanism of subchondral bone adaptation to its loading environment, we utilised a square root function defining the relationship between bone volume fraction [Formula: see text] and specific surface [Formula: see text] of the ...
Hippotherapy for patients with multiple sclerosis: A multicenter randomized controlled trial (MS-HIPPO).
Multiple sclerosis (Houndmills, Basingstoke, England)    August 3, 2017   Volume 24, Issue 10 1375-1382 doi: 10.1177/1352458517721354
Vermöhlen V, Schiller P, Schickendantz S, Drache M, Hussack S, Gerber-Grote A, Pöhlau D.Evidence-based complementary treatment options for multiple sclerosis (MS) are limited. To investigate the effect of hippotherapy plus standard care versus standard care alone in MS patients. A total of 70 adults with MS were recruited in five German centers and randomly allocated to the intervention group (12 weeks of hippotherapy) or the control group. Primary outcome was the change in the Berg Balance Scale (BBS) after 12 weeks, and further outcome measures included fatigue, pain, quality of life, and spasticity. Covariance analysis of the primary endpoint resulted in a mean difference ...
Fascicles and the interfascicular matrix show adaptation for fatigue resistance in energy storing tendons.
Acta biomaterialia    June 7, 2016   Volume 42 308-315 doi: 10.1016/j.actbio.2016.06.012
Thorpe CT, Riley GP, Birch HL, Clegg PD, Screen HRC.Tendon is composed of rope-like fascicles, bound together by interfascicular matrix (IFM). Our previous work shows that the IFM is critical for tendon function, facilitating sliding between fascicles to allow tendons to stretch. This function is particularly important in energy storing tendons, which experience extremely high strains during exercise, and therefore require the capacity for considerable inter-fascicular sliding and recoil. This capacity is not required in positional tendons. Whilst we have previously described the quasi-static properties of the IFM, the fatigue resistance of the...
Patterns and durations of journeys by horses transported from the USA to Canada for slaughter.
The Canadian veterinary journal = La revue veterinaire canadienne    June 2, 2015   Volume 56, Issue 6 581-586 
Roy RC, Cockram MS.Concern has been expressed over the welfare of horses transported from the USA for slaughter in Canada. United States Department of Agriculture owner/shipper certificates for the year 2009 were analyzed to provide quantitative information on the patterns and durations of these journeys. In 2009, horses from 16 states in the northern USA were transported to 6 equine slaughter plants in Canada. Thirty-two percent of loads were from auction centers, 33% from feedlots, and 35% from horse collection centers. The median duration of the journey was 19 h. Thirty-six percent of horses were transported ...
Effects of warm-up intensity on oxygen transport during supramaximal exercise in horses.
American journal of veterinary research    May 2, 2008   Volume 69, Issue 5 690-696 doi: 10.2460/ajvr.69.5.690
Mukai K, Hiraga A, Eto D, Takahashi T, Hada T, Tsubone H, Jones JH.To determine whether warm-up exercise at different intensities alters kinetics and total contribution of aerobic power to total metabolic power in subsequent supramaximal exercise in horses. Methods: 11 horses. Methods: Horses ran at a sprint until fatigued at 115% of maximal oxygen consumption rate (VO(2max)), beginning at 10 minutes following each of 3 warm-up protocols: no warmup (NoWU), 1 minute at 70% VO(2max) (moderate-intensity warm-up [MoWU]), or 1 minute at 115% VO(2max) (high-intensity warm-up [HiWU]). Cardiopulmonary and blood gas variables were measured during exercise. Results: Th...
Stride parameters and hindlimb length in horses fatigued on a treadmill and at an endurance ride.
Equine veterinary journal. Supplement    April 4, 2007   Issue 36 60-64 doi: 10.1111/j.2042-3306.2006.tb05514.x
Wickler SJ, Greene HM, Egan K, Astudillo A, Dutto DJ, Hoyt DF.The relationship between fatigue and stride and/or muscle stiffness requires further study. Objective: To measure stride parameters in horses undergoing fatigue associated with running at submaximal speeds both on a treadmill and in an endurance ride. Objective: Stride frequencies and estimates of hindlimb stiffness would be decreased in fatigued horses. Methods: Horses were fatigued using 2 paradigms: run to exhaustion at a treadmill (4.5 m/sec, 6% incline) and finishing an 80 km endurance ride. Videos were digitised before and after fatigue and analysed for stride parameters: hind limb lengt...
Effect of exercise on blood oxidant/antioxidant markers in standardbred horses: comparison between treadmill and race track tests.
Equine veterinary journal. Supplement    April 4, 2007   Issue 36 254-257 doi: 10.1111/j.2042-3306.2006.tb05548.x
de Moffarts B, Kirschvink N, Art T, Pincemail J, Lekeux P.Interest in establishing oxidant/ antioxidant profiles in competition horses is increasing. Earlier studies performed in horses have mainly been performed under laboratory conditions using a treadmill and it is not known to what extent laboratory results of oxidant/antioxidant studies might be transposed to field conditions. Objective: To compare the impact on the blood oxidant/ antioxidant status of a standardised exercise test including a run up to fatigue performed on a treadmill (TM) and on a racetrack (RT) in healthy and trained Standardbred horses. Methods: During TM and RT tests the fol...
Effects of prolonged exercise on oxidative stress and antioxidant defense in endurance horse.
Journal of sports science & medicine    December 1, 2005   Volume 4, Issue 4 415-421 
Kinnunen S, Atalay M, Hyyppä S, Lehmuskero A, Hänninen O, Oksala N.Increased oxidative stress during prolonged endurance exercise may end up with muscle damage, fatigue and decreased physical performance. We have recently shown that acute exercise at moderate intensity induced lipid peroxidation, protein oxidation and oxygen radical absorbance capacity (ORAC) in trained trotters. The aim of this study was to measure the changes in oxidative stress and antioxidant defense following an 80-km ride in the blood of endurance horses. Blood samples were collected before and immediately after the ride. Unlike to our previous studies performed on trotters, in enduranc...
Exercise- and metabolism-associated blood variables in Standardbreds fed either a low- or a high-fat diet.
Equine veterinary journal. Supplement    October 31, 2002   Issue 34 29-32 doi: 10.1111/j.2042-3306.2002.tb05387.x
Sloet van Oldruitenborgh-Oosterbaan MM, Annee MP, Verdegaal EJ, Lemmens AG, Beynen AC.Feeding a high-fat diet increases fat utilisation and may decrease glycogen utilisation resulting in a lower lactate production during moderate exercise. The effects of fat feeding on exercise- and lipid metabolism-associated blood variables were evaluated in 6 Standardbred horses during submaximal exercise. The horses were fed a high- (11.8% fat in total dietary dry matter) or a low-fat diet (1.5% fat) in a cross-over experiment with feeding periods of 4 weeks. At the end of each feeding period, the horses were subjected to a submaximal standardised stepwise exercise test on a treadmill. Bloo...
Thermoregulatory-induced compromise of muscle blood flow in ponies during intense exercise in the heat: a contributor to the onset of fatigue?
Equine veterinary journal. Supplement    October 31, 2002   Issue 34 491-495 doi: 10.1111/j.2042-3306.2002.tb05471.x
McConaghy FF, Hodgson DR, Hales JR, Rose RJ.Cardiac output (Q) and tissue blood flows (BF) were measured in four ponies at rest, after 30 min of moderate exercise (ME) (approximately 30% VO2max) and following moderately intense exercise (M-IE) (approximately 65%) until fatigue, in a mildly hot (MH) environment (dry bulb temperature = 41 degrees C, wet bulb temperature = 27.5 degrees C). Exercise at both intensities resulted in increases in Q (15.6 +/- 1.7 [rest] vs. 35.8 +/- 2.6 [ME] vs. 48.6 +/- 3.9 [M-IE] l/min) and VO2 (4.7 +/- 0.9 vs. 24.5 +/- 1.2 vs. 55.8 +/- 5.8 ml/kg/min). When compared to ME, M-IE resulted in decreases in BF to ...