Measurement of core temperature at the gastrointestinal level with an ingestible telemetric pill (ITP) is increasingly used in research. But, unlike core temperature measured at the rectum via a rectal probe (RP), data contamination due to water or food ingestion remains a limitation of ITP. Rapid creation of a heat sink at the stomach and upper-intestinal level (duodenum to ileum), as can be obtained, for example, following shaved-ice ingestion, could potentially differently impact ITP and RP temperature measurements. In fact, the closer proximity of ITP to the heat sink than RP could result in a more important and faster rate of energy loss for ITP than RP. PURPOSE: To examine the impact of shaved-ice ingestion following exercise-induced increase in core body temperature on the degree of agreement between ITP and RP temperature measurements. METHODS: 8 healthy young men (33 ± 8 yrs, 75 ± 6 kg, 176 ± 5 cm) underwent a passive sitting period of 20 min at 20°C, after which they completed 2 exercise periods (cycling or running) at 75% of estimated maximal heart rate in a hot-dry environment (31.1 ± 1.1°C, 32% RH) with the goal of increasing rectal temperature by 1°C over baseline level. Following each exercise period, subjects passively seated in a 20°C ambient temperature for 45 min while ingesting, over the first 30 min, either 7.5 g of water provided at rectal temperature/kg body mass (after the first exercise) or 7.5 g of shaved-ice provided at -1°C/kg body mass (after the second exercise). Rectal (YSI 401) and gastrointestinal temperatures (HQ Inc.) were measured continuously during the experiments. ITPs were ingested 10 h prior to arrival time at the laboratory. RESULTS: The rate of decrease in RP and ITP temperatures during water ingestion was respectively of 0.017 ± 0.004°C/min and 0.018 ± 0.008°C/min, compared to 0.025 ± 0.006°C/min and 0.026 ± 0.006°C/min for shaved-ice ingestion. Mean biases (RP - ITP) and 95% limits of agreement during the passive sitting period, first exercise period, water ingestion period, second exercise period and shaved-ice ingestion period were respectively of 0.10°C/± 0.35°C, 0.09°C/± 0.31°C, 0.17°C/± 0.66°C, 0.12°C/± 0.38°C and 0.16°C/± 0.64°C. CONCLUSION: The present results indicate that the creation of a heat sink at the stomach and upper-intestinal level does not alter the degree of agreement between RP and ITP.
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