Once- and twice-daily heat acclimation confer similar heat adaptations, inflammatory responses and exercise tolerance improvements

This experiment aimed to investigate the efficacy of twice-daily, nonconsecutive heat acclimation (TDHA) in comparison to once-daily heat acclimation (ODHA) and work matched once- or twice-daily temperate exercise (ODTEMP, TDTEMP) for inducing heat adaptations, improved exercise tolerance, and crokine (immune) responses. Forty males, matched biophysically and for aerobic capacity, were assigned to ODHA, TDHA, ODTEMP, or TDTEMP. Participants completed a cycling-graded exercise test, heat acclimation state test, and a time to task failure (TTTF) at 80% peak power output in temperate (TTTFTEMP: 22 degrees C/40% RH) and hot conditions (TTTFHOT: 38 degrees C/20% RH), before and after 10-sessions (60 min of cycling at similar to 2 W.kg(-1)) in 45 degrees C/20% RH (ODHA and TDHA) or 22 degrees C/40% RH (ODTEMP or TDTEMP). Plasma IL-6, TNF-alpha, and cortisol were measured pre- and postsessions 1, 5, and 10. ODHA and TDHA induced equivalent heat adaptations (P < 0.05) (resting rectal temperature[(-0.28 +/- 0.22, -0.28 +/- 0.19 degrees C], heart rate [-10 +/- 3, -10 +/- 4 b.min(-1)], and plasma volume expansion [+10.1 +/- 5.6, +8.5 +/- 3.1%]) and improved heat acclimation state (sweat set point [-0.22 +/- 0.18, -0.22 +/- 0.14 degrees C] and gain [+0.14 +/- 0.10, +0.15 +/- 0.07 g.sec(-1).degrees C-1]). TTTFHOT increased (P < 0.001) following ODRA (+25 +/- 4%) and TDHA (+24 +/- 10%), but not ODTEMP (+5 +/- 14%) or TDTEMP (+5 +/- 17%). TTTFTEMP did not improve (P > 0.05) following ODHA (+14 +/- 4%), TDHA (14 +/- 8%), ODTEMP (9 +/- 10%) or TDTEMP (8 +/- 13%). Acute (P < 0.05) but no chronic (P > 0.05) increases were observed in IL-6, TNF-alpha, or cortisol during ODHA and TDHA, or ODTEMP and TDTEMP. Once- and twice-daily heat acclimation conferred similar magnitudes of heat adaptation and exercise tolerance improvements, without differentially altering immune function, thus nonconsecutive TDHA provides an effective, logistically flexible method of HA, benefitting individuals preparing for exercise-heat stress.