This paper has attempted to address the characteristics of heat loss responses in children and the elderly (relative to young adults) based on our data, and to propose a recommendation for preventing their heat illness. Prepubertal children have the characteristics of heat loss responses that greater cutaneous vasodilation on their head and trunk compensates for an underdeveloped sweating function relative to young adults. Therefore, when air temperature is lower than skin temperature, children are able to thermoregulate as efficiently as young adults, as a consequence of the heat loss characteristics and a greater surface area-to-mass ratio. However, when air temperature is higher than skin temperature, their core temperature becomes higher than in young adults due to the underdeveloped sweating function and a higher rate of heat absorption with the greater surface area-to-mass ratio. In the elderly, heat loss effector function decreases with aging. The decrease may first involve cutaneous vasodilation, then sweat output per gland, and finally active sweat gland density; and it may proceed from the lower limbs to the back of the upper body, the front of the upper body, then the upper limbs and finally to the head. Exercise training and heat acclimation improve heat loss responses in children and the elderly, although the degree of improvement seems to be inferior in children and the elderly compared to young adults. Recommendations (with respect to periodic drinking, frequent rest period, proper sports-wear etc.) for preventing heat illness were proposed in consideration of age, based on the physiological responses to heat and exercise reviewed in this paper and the “The Guidebook for the Prevention of Heat Illness during Sports Activity” (Japan Amateur Sports Association, Task Group, 1993).
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