Impact of a simulated multiday heatwave on nocturnal physiology, behavior, and sleep

ISRCTN ISRCTN67760213
DOI https://doi.org/10.1186/ISRCTN67760213
Secondary identifying numbers Horizon Grant No. 668786, Slovenian Research and Innovation Agency grant no. P2-0076
Submission date
17/05/2024
Registration date
27/05/2024
Last edited
16/07/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
This study looks at how a multiday heatwave affects nighttime physiology, behavior, and sleep under controlled conditions, with careful monitoring of the environment and participant activities. The study aims to enhance our knowledge regarding the impact of heatwaves on human physiology, cognition, behavior, and sleep. Currently, there are no physiological studies investigating the impact of this unique weather phenomenon in laboratory settings that enable comprehensive and precise assessment of multiple physiological and behavioral responses in humans.

Who can participate?
Healthy young men with no history of sleep disorders or medication use

What does the study involve?
Participants will be kept in a controlled environment for ten days. The temperature will be hot-to-warm (day: 35.4°C, night: 26.3°C) during nights 4-6 and moderate (day: 25.4°C, night: 22.3°C) before (nights 1-3) and after (nights 7-10) the heatwave. Measurements to be taken include core and skin temperatures, heart rate, balance between sympathetic and parasympathetic nervous systems, indicators of skin blood flow, urine samples, blanket usage, subjective sleep quality assessments, and partial sleep monitoring.

What are the possible benefits and risks of participating?
The benefits of this study for our participants are that (i) they will learn more about the physiology of their bodies and, most importantly, (ii) they will have the opportunity to contribute to a unique state-of-the-art physiological study that will expand current knowledge on the impact of heatwaves on humans.

Regarding the risks of participating, the present study simulates a frequent weather phenomenon that participants have already experienced many times in their lives. The safety of the laboratory settings ensures that there will be no negative impacts on the health of the participants, although they may feel more tired during the heatwave simulation.

Where is the study run from?
Jožef Stefan Institute

When is the study starting and how long is it expected to run for?
June 2020 to November 2020

Who is funding the study?
1. Horizon 2020
2. Slovenian Research and Innovation Agency

Who is the main contact?
Dr Leonidas Ioannou, ioannoulg@gmail.com

Contact information

Dr Leonidas Ioannou
Public, Scientific, Principal Investigator

Jamova Cesta 39
Ljubljana
1000
Slovenia

ORCiD logoORCID ID 0000-0001-5460-8167
Phone +306949963364
Email leonidas.ioannou@ijs.si

Study information

Study designInterventional study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Laboratory
Study typeQuality of life, Safety
Participant information sheet 45487_PIS_24Aug2020.pdf
Scientific titleImpact of a simulated multiday heatwave on nocturnal physiology, behavior, and sleep: A 10-day confinement study
Study acronymHEATWAVE
Study objectivesThis study hypothesizes that prolonged exposure to heatwave conditions will significantly alter nocturnal physiology, thermoregulatory behavior, and sleep, including changes in the thermoregulatory mechanisms of skin vasomotion and sweating rate (reflected in urine dehydration markers), as well as variations in blanket coverage and sleep quality indicators, compared to neutral conditions.
Ethics approval(s)

Approved 20/10/2020, National Committee for Medical Ethics of the Republic of Slovenia (Štefanova ulica 5, Ljubljana, 1000, Slovenia; +386 01 478 60 01; gp.mz@gov.si), ref: 0120-402/2020/4

Health condition(s) or problem(s) studiedImpact of a simulated heatwave on physiology, behavior, and sleep.
InterventionThis study will monitor physiological and behavioral responses to a 3-day heatwave throughout the day and over ten days. During this period, three days (days 5 to 7) are dedicated to a heatwave (day: 35.4 °C; night: 26.3 °C) simulation, while days 1 to 4 and 8 to 10 are thermally neutral (day: 25.4 °C; night: 22.3 °C).
Intervention typeBehavioural
Primary outcome measure1. Core body temperature measured using telemetric pills continuously
2. Skin temperature from four sites measured using iButtons continuously
3. Heart rate measured using heart rate monitors continuously
4. Sleep quality measured using a partial polysomnography device continuously
5. Sleep thermoregulatory behavior measured using photographs taken once per night, and with a questionnaire once per day
6. Dehydration measured using urine-specific gravity once per day
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date01/06/2020
Completion date01/11/2020

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
SexMale
Target number of participants7
Total final enrolment7
Key inclusion criteria1. Non-heat acclimatized
2. Healthy, young males
3. Without a history of sleep disorders or medication use
Key exclusion criteria1. Unhealthy
2. Non-adult
Date of first enrolment21/10/2020
Date of final enrolment22/10/2020

Locations

Countries of recruitment

  • Slovenia

Study participating centre

Institut "Jožef Stefan": IJS
Jamova Cesta 39
Ljubljana
1000
Slovenia

Sponsor information

Jožef Stefan Institute
Research organisation

Jamova cesta 39
Ljubljana
1000
Slovenia

Phone +386 1 477 3358
Email igor.mekjavic@ijs.si
Website https://www.ijs.si/ijsw
ROR logo "ROR" https://ror.org/05060sz93

Funders

Funder type

Government

Horizon 2020
Government organisation / National government
Alternative name(s)
EU Framework Programme for Research and Innovation, Horizon 2020 - Research and Innovation Framework Programme, European Union Framework Programme for Research and Innovation
Slovenian Research and Innovation Agency

No information available

Results and Publications

Intention to publish date01/07/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Dr Leonidas Ioannou, ioannoulg@gmail.com. The type of data that will be shared will be a spreadsheet file with physiological responses, which will be available five years after the data collection. Written informed consent was obtained from participants. Data are fully anonymized and stored in an encrypted format. No participant data that may affect the confidentiality (anonymity) of our participants will be shared.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 24/08/2020 22/05/2024 No Yes
Results article 25/06/2024 16/07/2024 Yes No

Additional files

45487_PIS_24Aug2020.pdf

Editorial Notes

16/07/2024: Publication reference added.
20/05/2024: Study's existence confirmed by the Republic of Slovenia Ministry of Health National Committee for Medical Ethics.