Training and competition in hot environments impose significant physiological and psychological burdens on athletes, thereby adversely affecting sports performance and increasing the risk of heat-related illnesses (e.g., heatstroke, exertional heatstroke, and sudden death). To mitigate physiological and psychological stress for university students during summer physical activities, ensure optimal performance, and prevent heat-related pathologies, effective physical cooling measures must be implemented during exercise. Given the diversity of cooling methods and their varying efficacy, neck cooling emerges as a practical and flexible intervention from a pragmatic standpoint. This approach reduces the psychological strain induced by high temperature conditions, extends time to exhaustion, and enhances athletic performance. Consequently, accessible neck cooling strategies can significantly benefit university students engaging in physical activities under routine high-temperature conditions. The present study aims to investigate the impact of neck cooling on thermal perception and exercise capacity in university students exposed to elevated ambient temperatures.
Cite this paper
Wang, J. (2025). Effect of Neck Cooling on Thermal Sensation and Exercise Capacity in University Students under Heat Stress Environment. Open Access Library Journal, 12, e3816. doi: http://dx.doi.org/10.4236/oalib.1113816.
Cao, Y., Lei, T., Wang, F., Yang, B. and Mündel, T. (2022) Head, Face and Neck Cooling as Per-Cooling (Cooling during Exercise) Modalities to Improve Exercise Performance in the Heat: A Narrative Review and Practical Applications. Sports Medicine—Open, 8, Article No. 16. https://doi.org/10.1186/s40798-022-00411-4
Cotter, J.D. and Taylor, N.A.S. (2005) The Distribution of Cutaneous Sudomotor and Alliesthesial Thermosensitivity in Mildly Heat-Stressed Humans: An Open-Loop Approach. The Journal of Physiology, 565, 335-345. https://doi.org/10.1113/jphysiol.2004.081562
Shvartz, E. (1976) Effect of Neck versus Chest Cooling on Responses to Work in Heat. Journal of Applied Physiology, 40, 668-672. https://doi.org/10.1152/jappl.1976.40.5.668
Hasegawa, H., Takatori, T., Komura, T. and Yamasaki, M. (2005) Wearing a Cooling Jacket during Exercise Reduces Thermal Strain and Improves Endurance Exercise Performance in a Warm Environment. The Journal of Strength and Conditioning Research, 19, 122-128. https://doi.org/10.1519/14503.1
Duffield, R. (2008) Cooling Interventions for the Protection and Recovery of Exercise Performance from Exercise-Induced Heat Stress. Medicine and Sport Science, 53, 89-103. https://doi.org/10.1159/000151552
Cuttell, S.A., Kiri, V. and Tyler, C. (2016) A Comparison of 2 Practical Cooling Methods on Cycling Capacity in the Heat. Journal of Athletic Training, 51, 525-532. https://doi.org/10.4085/1062-6050-51.8.07
Minniti, A., Tyler, C.J. and Sunderland, C. (2011) Effects of a Cooling Collar on Affect, Ratings of Perceived Exertion, and Running Performance in the Heat. European Journal of Sport Science, 11, 419-429. https://doi.org/10.1080/17461391.2010.536577
Sunderland, C., Ste-vens, R., Everson, B. and Tyler, C.J. (2015) Neck-Cooling Improves Repeated Sprint Performance in the Heat. Frontiers in Physiology, 6, Article 314. https://doi.org/10.3389/fphys.2015.00314
Huang, J., Lin, C., Liao, C., Hsieh, M., Lin, H. and Chang, C. (2022) Intermittent Cooling Reduces Perceived Exertion but Has No Effect on Baseball Hitting or Defense Performance in a Hot Environment. Journal of Sports Science and Medicine, 21, 137-144. https://doi.org/10.52082/jssm.2022.137
Shvartz, E. (1970) Effect of a Cooling Hood on Physiological Responses to Work in a Hot Environment. Journal of Applied Physiology, 29, 36-39. https://doi.org/10.1152/jappl.1970.29.1.36
Tyler, C.J. and Sunderland, C. (2011) Cooling the Neck Region during Exercise in the Heat. Journal of Ath-letic Training, 46, 61-68. https://doi.org/10.4085/1062-6050-46.1.61
Cheung, S.S. (2010) In-terconnections between Thermal Perception and Exercise Capacity in the Heat. Scandinavian Journal of Medicine & Science in Sports, 20, 53-59. https://doi.org/10.1111/j.1600-0838.2010.01209.x
Chan, A.P.C., Song, W. and Yang, Y. (2015) Meta-Analysis of the Effects of Microclimate Cooling Systems on Human Performance under Thermal Stressful Environments: Po-tential Applications to Occupational Workers. Journal of Thermal Biology, 49-50, 16-32. https://doi.org/10.1016/j.jtherbio.2015.01.007
Flouris, A.D. and Schlader, Z.J. (2015) Human Behavioral Thermoregulation during Exercise in the Heat. Scandinavian Journal of Medicine & Science in Sports, 25, 52-64. https://doi.org/10.1111/sms.12349
Tran Trong, T., Riera, F., Rinaldi, K., Briki, W. and Hue, O. (2015) Ingestion of a Cold Temperature/Menthol Bever-age Increases Outdoor Exercise Performance in a Hot, Humid Environment. PLOS ONE, 10, e0123815. https://doi.org/10.1371/journal.pone.0123815
Zhao, C.C., Qin, F., Xu, M.X., et al. (2021) Strategies and Risks for Improving Endurance Exercise Per-formance under High Temperature Conditions. China Sports Coaches, 29, 10-12.
Siegel, R., Maté, J., Brearley, M.B., Watson, G., Nosaka, K. and Laursen, P.B. (2010) Ice Slurry Ingestion Increases Core Temperature Capacity and Running Time in the Heat. Medicine & Science in Sports & Exercise, 42, 717-725. https://doi.org/10.1249/mss.0b013e3181bf257a
Zhao, J.X. (2008) Effect of Face Cooling Methods on Human Exercise Capacity in High Temperature Environments. Journal of Sports Science, No. 1, 97-104.
Guo, Z.X., Zhou, K.X., Li, Y.Z., et al. (2023) Effects of Cooling Tim-ing and Cooling Site on Exercise Performance in Hot Environments: A Systemat-ic Review and Meta-Analysis. Sports Science Research, 44, 94-104.
Ganio, M.S., Brown, C.M., Casa, D.J., Becker, S.M., Yeargin, S.W., McDermott, B.P., et al. (2009) Validity and Reliability of Devices That Assess Body Temperature during Indoor Exercise in the Heat. Journal of Athletic Training, 44, 124-135. https://doi.org/10.4085/1062-6050-44.2.124
Bright, F.M., Chaseling, G.K., Jay, O. and Morris, N.B. (2019) Self-Paced Exercise Performance in the Heat with Neck Cooling, Menthol Application, and Abdominal Cooling. Journal of Science and Medicine in Sport, 22, 371-377. https://doi.org/10.1016/j.jsams.2018.09.225