【Research Review】Heat Acclimation Training and Its Effects on Plasma Volume Expansion and Core Temperature Adaptation in Marathon Runners: Advances in Exercise Physiology Research (Article 1381)

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

This article explores the physiological mechanisms by which heat acclimation training affects 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 improves 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 substantially alleviated.

The Adaptation Process of Core Temperature Regulation

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

• The core temperature threshold for sweat initiation decreases (sweating begins earlier, and the 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 temperature is smaller, and resting heart rate decreases

Heat Adaptation Days and Changes in Physiological Indicators (Illustrative)

Key Scientific Conclusions and Practical Recommendations

• Exposure Methods: Adaptation can be accelerated through training in actual hot environments, or by scheduling additional hot baths/sauna passive heat exposure after training in mild environments
• Electrolyte Supplementation: Sweat rate increases substantially during the adaptation period; sodium and fluid intake frequency should be increased to avoid the risk of hyponatremia
• Progressive Approach: Exercise intensity should be reduced during the initial phase of heat adaptation training to avoid the risk of heat stroke from a simultaneous spike in core temperature and cardiovascular load
• Adaptation Decays: The effects of heat adaptation gradually diminish approximately 1-3 weeks after cessation of exposure; the pre-race heat adaptation schedule should place the main adaptation period 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 expected to compete in hot, humid environments. If the race location has a cool climate, the marginal benefit of heat adaptation decreases, but plasma volume expansion itself still has positive effects on general endurance performance.

Q: Can a sauna replace actual heat 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 combine both approaches.

References and Academic Citations

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

Further Reading

• 【Research Review】Heat Acclimation Training and Its Effects on Plasma Volume Expansion and Core Temperature Adaptation in Marathon Runners: Advances in Exercise Physiology Research (Article 457)
• 【Research Review】Heat Acclimation Training and Its Effects on Plasma Volume Expansion and Core Temperature Adaptation in Marathon Runners: Advances in Exercise Physiology Research (Article 274)
• 【Research Review】Heat Acclimation Training and Its Effects on Plasma Volume Expansion and Core Temperature Adaptation in Marathon Runners: Advances in Exercise Physiology Research (Article 625)
• 【Research Review】Heat Acclimation Training and Its Effects on Plasma Volume Expansion and Core Temperature Adaptation in Marathon Runners: Advances in Exercise Physiology Research (Article 712)