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[Research Review] Study on Heat Tolerance Training for Marathon Runners: Plasma Volume Expansion and Core Temperature Adaptation — International Scientific Literature Compilation and Review Report (No. 598)

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【Research Review】Study on Heat Acclimation Training for Marathon Runners’ Plasma Volume Expansion and Core Temperature Adaptation: International Scientific Literature Translation and Review Report (No. 598)

Reference Journal Source: Journal of Applied Physiology • International Scientific Research Findings Review Series

This article explores the physiological mechanisms of heat acclimation training on plasma volume expansion and core temperature regulation adaptation in marathon runners.

Physiological Mechanisms of Plasma Volume Expansion

Repeated heat exposure stimulates the kidneys and endocrine system to release antidiuretic hormone and aldosterone, prompting the body to retain more water and sodium ions, thereby expanding plasma volume. With increased plasma volume, under the same cardiac output, skin blood flow and muscle blood flow can both receive more adequate supply simultaneously—this is precisely the key to how heat adaptation can improve both “heat dissipation capacity” and “athletic performance”: before plasma volume expansion, the body must compete between “muscle blood supply” and “skin heat dissipation blood supply”; after adaptation, this competition is greatly alleviated.

Adaptation Process of Core Temperature Regulation

The complete heat adaptation process typically requires 10-14 days of repeated exposure. During the adaptation process, the following can be observed:

  • The body temperature threshold for sweat onset decreases (sweating begins earlier, heat dissipation response becomes more sensitive)
  • Sweat rate per unit time increases, but sodium ion concentration in sweat decreases (reducing electrolyte loss)
  • At the same exercise intensity, the rise in core body temperature becomes smaller, and resting heart rate decreases

Heat Adaptation Days and Physiological Indicator Changes (Schematic)

Adaptation Days Plasma Volume Changes Core Temperature Response Subjective Feelings
Days 1-3 Begins to rise Still noticeably elevated Noticeable discomfort, elevated heart rate
Days 4-7 Continues to expand Rate of rise slows Gradually adapting, still some strain
Days 8-14 Plateau phase, becoming stable Relatively stable Subjective strain significantly reduced

Core Scientific Conclusions and Practical Recommendations

  • Exposure Methods: Adaptation can be accelerated through actual hot-environment training, or by arranging additional hot baths/sauna passive heat exposure after training in a mild environment
  • Electrolyte Supplementation: Sweat rate increases significantly during the adaptation period; the frequency of sodium and water supplementation should be increased to avoid the risk of hyponatremia
  • Progressive Approach: Exercise intensity should be reduced during the initial heat adaptation training to avoid the risk of heat stroke caused by simultaneous spikes in core temperature and cardiovascular load
  • Adaptation Fades: The effects of heat adaptation gradually diminish approximately 1-3 weeks after cessation of exposure; the main adaptation period for pre-race heat acclimation should be scheduled within 2 weeks before the competition

Common Scientific Q&A (FAQ)

Q: Is heat acclimation training suitable for all marathon runners?

A: The benefits are most pronounced for runners planning to compete in hot and humid environments. If the race location has a cool climate, the marginal benefits of heat adaptation decrease, but plasma volume expansion itself still provides positive assistance to general endurance performance.

Q: Can sauna use replace actual hot-environment training?

A: It can serve as a supplementary method; passive heat exposure can indeed induce some adaptive responses, but it cannot fully replace the training-specific adaptations that occur when “exercise + heat” happen simultaneously. It is recommended to use both in combination.

References and Academic Citations

  1. Journal of Applied Physiology — Research directions related to heat adaptation and plasma volume regulation mechanisms.
  2. Scandinavian Journal of Medicine & Science in Sports — Literature related to the effects of heat acclimation training interventions in endurance athletes.
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