AustrAliAn triAthlete | 73
benefits in different climates. Any specific
questions, please shout at my handle (@
drmitcha) or email me (Mitch@
shinbonemedical.com).
There are physiological and psychological
adaptations to heat. The physiological are
well documented (see summary).
The psychological benefits have been less
extensively investigated, but still, point to
a reduction in perceived exertion and
improved thermal comfort (Maxwell et al.
2016). This adaptation should confer critical
benefits on race day, allowing athletes to
better make rational and optimal decisions
about pacing and nutrition, in the absence
of overwhelming heat stress.
• Physiological Adaptations Summary:
• Increased plasma volume
(water in blood)
• Reduced heart rate/core temperature/
skin temperature
• Reduced core temperature at onset
of sweating
• Altered fuel utilisation
• Increased oxygen consumption/
heat loss by radiation and
convection
• Improved exercise economy in hot
and cool environment
• (Armstrong LE, 1998).
A STHA protocol is considered
seven days or less, while MTHA as
eight to 14 days. Time spent
exercising in the heat (35-40C) varies