Wearing lacrosse uniform during exercise-simulated match in heat increases physiological strain index

Japanese collegiate and club lacrosse games are often held under environmental conditions of extreme heat in the summer. Lacrosse players are also required to wear protective equipment, which is a risk factor for heat-related illness. Nevertheless, the thermoregulatory responses of lacrosse players under such conditions are poorly understood. The present study compared the thermoregulatory responses in subjects wearing the mens’ lacrosse uniform or general athletic clothes during an exercise-simulated lacrosse match played in the heat (high temperatures). Eight men performed two experimental trials of 4 × 15-min intermittent cycling exercise in the heat (35°C, 50% relative humidity). All participants performed two trials wearing a lacrosse uniform (WEAR) or general athletic clothes (CON). The physiological strain index was significantly higher (p < 0.05) in the WEAR condition than in CON, and exceeded the high risk level for heat-related illness in WEAR during the 3rd quarter. Additionally, rectal temperature, skin temperature, heart rate, and ratings for perceived exertion, thermal sensation, and thermal comfort were significantly higher (p < 0.05) in the WEAR condition than in CON. Rectal temperature continued to increase during half-time in the WEAR condition, but not in CON (p < 0.05). These findings indicate that lacrosse players are at a higher risk of heat-related illness compared to other team sport athletes during a match because of the protective equipment worn, especially after half-time. Although further studies are required to confirm the thermoregulatory responses during an actual lacrosse match, our data will be useful in developing strategies to minimize the risk of heat-related illness.