Healthy excursions outside the thermal comfort zone

van Marken Lichtenbelt, W; Hanssen, M; Pallubinsky, H; Kingma, B and Schellen, L (2017) Healthy excursions outside the thermal comfort zone. Building Research & Information, 45(7), pp. 819-827. ISSN 0961-3218

Abstract

The concepts of comfort and health may be related but are not synonyms. New knowledge has been gathered regarding metabolic health effects of temperature exposure outside the human thermal comfort zone. Mild cold and warm environments increase metabolism, thereby targeting obesity by counterbalancing excess energy intake. Furthermore, mild cold influences glucose metabolism. Ten days of intermittent mild cold exposure in type 2 diabetes patients increased insulin sensitivity, and thereby glucose handling by more than 40%. This is comparable with the best available pharmaceutical or physical activity therapies. Lastly, there are indications that cardiovascular parameters may be positively affected by regular exposure to heat and cold. Does this mean that we have to suffer from discomfort in order to become healthy? Probably not. Firstly, prolonged temporal excursions outside the thermal comfort zone result in acclimatization resulting in increased comfort ratings. Secondly, low or high temperatures in a dynamic thermal environment may be perceived as acceptable or even pleasant (evoking thermal alliesthesia). The study of dynamic thermal conditions is advocated: linking this to the adaptive comfort model, and monitoring these conditions in actual living conditions. This information is needed to support the design of healthy, comfortable and energy-friendly indoor environments.;The concepts of comfort and health may be related but are not synonyms. New knowledge has been gathered regarding metabolic health effects of temperature exposure outside the human thermal comfort zone. Mild cold and warm environments increase metabolism, thereby targeting obesity by counterbalancing excess energy intake. Furthermore, mild cold influences glucose metabolism. Ten days of intermittent mild cold exposure in type 2 diabetes patients increased insulin sensitivity, and thereby glucose handling by more than 40%. This is comparable with the best available pharmaceutical or physical activity therapies. Lastly, there are indications that cardiovascular parameters may be positively affected by regular exposure to heat and cold. Does this mean that we have to suffer from discomfort in order to become healthy? Probably not. Firstly, prolonged temporal excursions outside the thermal comfort zone result in acclimatization resulting in increased comfort ratings. Secondly, low or high temperatures in a dynamic thermal environment may be perceived as acceptable or even pleasant (evoking thermal alliesthesia). The study of dynamic thermal conditions is advocated: linking this to the adaptive comfort model, and monitoring these conditions in actual living conditions. This information is needed to support the design of healthy, comfortable and energy-friendly indoor environments.;The concepts of comfort and health may be related but are not synonyms. New knowledge has been gathered regarding metabolic health effects of temperature exposure outside the human thermal comfort zone. Mild cold and warm environments increase metabolism, thereby targeting obesity by counterbalancing excess energy intake. Furthermore, mild cold influences glucose metabolism. Ten days of intermittent mild cold exposure in type 2 diabetes patients increased insulin sensitivity, and thereby glucose handling by more than 40%. This is comparable with the best available pharmaceutical or physical activity therapies. Lastly, there are indications that cardiovascular parameters may be positively affected by regular exposure to heat and cold. Does this mean that we have to suffer from discomfort in order to become healthy? Probably not. Firstly, prolonged temporal excursions outside the thermal comfort zone result in acclimatization resulting in increased comfort ratings. Secondly, low or high temperatures in a dynamic thermal environment may be perceived as acceptable or even pleasant (evoking thermal alliesthesia). The study of dynamic thermal conditions is advocated: linking this to the adaptive comfort model, and monitoring these conditions in actual living conditions. This in ormation is needed to support the design of healthy, comfortable and energy-friendly indoor environments.;

Item Type: Article
Uncontrolled Keywords: metabolic syndrome; indoor temperature; non-shivering thermogenesis; acclimation; physiology; health; thermal comfort; diabetes; thermoregulation; obesity; mild cold; brown adipose-tissue; cold-acclimation; individual variation; insulin sensitivity; induced thermogenesis; putative contributors; energy-expenditure; construction & building technology; heat acclimation; type-2 diabetes-mellitus; energy intake; temperature; discomfort; physical activity; cold; diabetes mellitus; indoor environments; acclimatization; exposure; glucose; metabolism; insulin; glucose metabolism; living conditions; energy; temperature effects; environmental monitoring
Index terms: cold-acclimation, indoor temperature, putative contributor, building technology, temperature effect, acclimatization, obesity, living condition, exposure, energy intake, environmental monitoring, variation, physical activity, discomfort, indoor environment, metabolic syndrome, energy-expenditure, acclimation, high temperature, thermal environment, heat acclimation, mild cold, adaptive comfort, thermal comfort, comfort, diabetes, monitoring
Subjects: environmental health, environmental engineering, thermal systems, health conditions and diseases, sociology, organizational analysis, occupational health and safety management, contractual condition, public and environmental health, health risk and incident analysis, environmental science, energy systems, health behaviours and lifestyles, control systems, engineering systems, environmental impact, human factors
Topics: Urban Studies, Contract Administration, Organizational Design, Site Management, Health and Safety, Engineering Principles, Sustainability
Descriptive scope: 3 PCA

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