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Scand J Med Sci Sports 2010: 20 (Suppl.

3): 80–89 & 2010 John Wiley & Sons A/S


doi: 10.1111/j.1600-0838.2010.01212.x

Review

Different effects of heat exposure upon exercise performance in the


morning and afternoon
S. Racinais
Research and Education Centre, ASPETAR, Qatar Orthopaedic Sports Medicine Hospital, Doha, Qatar
Corresponding author: Se´bastien Racinais, Research and Education Centre, ASPETAR, Qatar Orthopaedic and Sports
Medicine Hospital, PO Box 29222, Doha, Qatar. Tel: 1974 4413 2570, Fax: 1974 4413 2034, E-mail: sebastien.racinais@
aspetar.com
Accepted for publication 22 July 2010

Independent of environmental conditions, rectal tempera- long-duration exercise is only slightly affected by the time-
ture follows a circadian rhythm with an acrophase in the late of-day in neutral environment. However, higher afternoon
afternoon. In neutral environment, this diurnal increase in body temperatures can reduce the heat storage capacity and
temperature is believed to have a passive warm-up effect result in a reduction in exercise capacity in hot environ-
improving muscle contractility, and in turn, muscle force, ments. In addition, in parallel to the circadian variations in
power and performance. However, a hot environment blunts muscle contractility and central temperature, exercise ca-
the diurnal variation in muscle function by only improving pacity in hot environment may also be affected by the
muscle contractility, and in turn, muscle force, power and diurnal variations in melatonin concentration and in the
performance in the morning, when body temperature is at its onset of peripheral vasodilatation and sweating.
lowest. Despite this diurnal variation in muscle function,

Research examining the effect of hot environments type, thus endogenous. A biological rhythm is stable
on physical abilities have generally focused on cen- under constant environmental factors (i.e., light,
tral temperature (e.g., rectal or esophageal) and the temperature, food intake) but can change its period
preservation of the homeostasis. However, even in a according to environmental synchronizers. In exer-
thermally comfortable and neutral environment, cise physiology, the most studied biological rhythms
body temperatures are not stable physiological are the circadian rhythms. Their endogenous period
parameters. As most of the biological variables in is around 25 h, but there are synchronized by the
both animal and vegetable species, rectal tempera- solar day on a period of 24 h (circa 5 around,
ture follows biological rhythms. The first part of diem 5 day). The most known circadian rhythm is
this review describes the circadian rhythm in rectal the sleep–wake cycle.
temperature and its effect on performance. Then, When studying the specificities of exercising in hot
the repercussions of the diurnal variation in environments, the circadian rhythms in body tem-
both temperature and performance are addressed peratures (e.g., rectal) have to be considered. In
when exercising in hot environments. The other neutral environment, rectal temperature follows a
biological rhythms potentially influencing exercise sinusoidal variation (Fig. 1) with an acrophase
capacity in hot environment are briefly presented in in the late afternoon, close to 18:00 hours (Water-
a third part. house et al., 1993). This circadian rhythm is mainly
endogenous and persists in free-living conditions,
without the influence of the zeitgebers (Colin et al.,
1968).
Circadian rhythms and time-of-day effect on
Statistical significance of some circadian rhythms
performance in neutral environment could be linked to extremely low values during night,
Generality on circadian rhythms and time-of-day whereas most of the physical activities (i.e., sport
Biological rhythms represent cyclic variations in events, leisure or work) are performed during the
biological functions. They can be described by their day. A functional approach for chronobiology in
mesor (i.e., average value), their period, their ampli- sports and physical abilities is to investigate the
tude or their accrophase (i.e., time of the peak value). existence of fluctuation during day-time rather than
Biological rhythms are part of our genetic pheno- the nocturnal nadir. Studies examining the whole

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Chronobiology and environmental physiology
quantified by RMS activity) of the biceps brachialis
(Gauthier et al., 1996) or the vastus lateralis (Raci-
nais et al., 2005b). This suggests that the diurnal
improvement in muscle force is not due to a mod-
ification in neural drive but rather due to an im-
provement of the muscle contractile properties in the
afternoon. Better muscle contractile properties in the
afternoon than in the morning have been evidenced
by a higher mechanical response to an electrical
stimulation of the motor nerve (i.e., Pt) in the after-
noon than in the morning (Martin et al., 1999) as well
as a higher RMS/force ratio during voluntary con-
Fig. 1. Circadian rhythm in body temperature (F}F) and traction in the afternoon than in the morning (Gau-
muscle power (- -&- -). These two rhythms fluctuate in
phase, with an acrophase in the late afternoon. Redrawn thier et al., 1996; Racinais et al., 2005b).
with permission from the Data of Souissi et al. (2004).
What could explain the diurnal increase in force and
solar cycle (i.e., 24 h) generally use the terminology of
power output during short-duration exercise?
‘‘circadian rhythms,’’ whereas studies focusing on the
day-time refer to ‘‘time-of-day.’’ The diurnal increase in power output during cycling
This review considers the diurnal variation in sprints has been attributed to a higher force produc-
performance (i.e., time-of-day effect), the diurnal tion during the sprints performed in the afternoon
increase in rectal temperature, the effect of an ex- than the morning (Racinais et al., 2005a). As detailed
posure to a hot environment and their interaction above, this higher force production has been linked
effect on performance. to better muscle contractile properties in the after-
noon than the morning (Gauthier et al., 1996; Martin
et al., 1999; Racinais et al., 2005b). However, the
Diurnal variation in performance during physiological basis of this diurnal variation in muscle
short-duration exercise contractile properties remains unclear. Based on the
Performances of short duration (i.e., less than a fact that the circadian rhythm in short-duration
minute) present the common characteristic to be better performance is in phase with the circadian rhythm
in the afternoon (e.g., between 16:00 and 20:00 hours) in rectal (Reilly & Down, 1986, 1992) and oral
than in the morning (e.g., between 06:00 and 10:00 (Souissi et al., 2004) temperature (Fig. 1), it has
hours). Even if some studies did not observe any been suggested that the lower body temperatures in
differences in power output during a sprint on cycle the morning than the afternoon do not match the
ergometer in the morning and the afternoon (Falgair- optimal conditions for muscle contractility (Racinais
ette et al., 2003; Giacomoni et al., 2006), most of the et al., 2005b) and that diurnal increase in tempera-
studies consistently reported an improved performance ture could act as a passive warm-up improving
in the afternoon when compared with the morning. performance (Melhim, 1993; Bernard et al., 1998;
This diurnal increment has been observed for: vertical Racinais et al., 2004a, b, 2005b). However, the diur-
jump height (Bernard et al., 1998; Racinais et al., nal variation in muscle temperature has never been
2004a), outdoor sprint running velocity (Javierre investigated yet and the hypothesis of a passive
et al., 1996), maximal cycling power output (Bernard warm-up effect cannot be demonstrated.
et al., 1998; Racinais et al., 2005a, c), or total work
completed during 30 (Melhim, 1993) and 60 s (Hill
et al., 1992) of cycle exercise. All this studies reported Long duration exercise in neutral environment
statistically significant difference of small-to-moderate Whereas diurnal variations in short-duration perfor-
amplitude (generally less than 10%). mance have been widely described, such variations
seem to dissipate when exercise prolonged. In neutral
environments, the ability to perform in middle- and
Diurnal variation in muscle properties long-duration events is partly linked to the athlete’s
The maximal voluntary force produced by the arm maximal oxygen consumption (VO ·
2peak), ventilatory
flexors (Gauthier et al., 1996) or the knee extensors thresholds and running/cycling economy. However,
(Racinais et al., 2005b) has been observed to be there is no clear evidence that these parameters
higher in the afternoon than the morning. Interest- fluctuate during the day. Even though some studies
ingly, as displayed in Fig. 2, this higher muscle force have observed a diurnal variation in VO ·
2peak (Hill
was observed without modification of the electrical et al., 1988, 1989; Williams & Hill, 1995), others
activity (recorded by surface electromyography and ·
concluded that VO 2peak is not time-of-day dependent

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Racinais

Fig. 2. Muscle force and neural drive in neutral and hot environment. A hot environment improves muscle force in the
morning only, when body temperature is at its lowest. Hot environment and time-of-day can improve muscle force without
modification in neural drive by improving the contractile properties. Reproduced with permission from Racinais et al. (2005b).

(Faria & Drummond, 1982; Reilly & Brooks, 1982, this positive relation stops and performance becomes
1990; Jones & Hill, 1995). What is interesting to note impaired due to central and peripheral failures alter-
is that a diurnal fluctuation in maximal oxygen ing neural drive (Racinais et al., 2008).
consumption does not translate to any variation in When exercise prolonged, the increase in central
performance itself (e.g., time to exhaustion) (Hill temperature is controlled by different thermoregula-
et al., 1988). A time-of-day effect has been observed tory systems in an attempt to preserve homeostasis.
previously for VO ·
2 kinetics during moderate- The majority of heat dissipation is facilitated by
intensity cycling exercise (Brisswalter et al., 2007), evaporation, while convection, conduction and ra-
but not during high-intensity running (Carter et al., diation play smaller roles. A part of the heat is also
2002) or cycling (Bessot et al., 2006) exercise. Venti- stored in the body, but the storage possibilities are
latory threshold (Hill et al., 1989) and VO ·
2 during limited, and central – and may be cerebral – tem-
high-intensity exercise (Dalton et al., 1997; Deschenes perature can be a limiting factor to exercising in
et al., 1998) also do not depend of time-of-day. There- warm environment (Caputa et al., 1986; Brück &
fore, prolonged exercise capacity does not appear to Olschewski, 1987; Nielsen et al., 1993; Gonzalez-
depend on time-of-day or to follow circadian varia- Alonso et al., 1999). There is no unique threshold
tions in a neutral environment (Table 1). (Ely et al., 2009) but cessation of activity in hot
environment seems to occur at a critical central
temperature whatever the exercise intensity, the
Hot environments differently affect exercise capacity heat storage capacity, the acclimatized state, the rate
in the morning and the afternoon of heat storage, the initial temperature or the skin
Effect of hot environments on exercise capacity temperature (Fig. 5, Brück & Olschewski, 1987;
Nielsen et al., 1993; Gonzalez-Alonso et al., 1999).
Hot environment exposure affects exercise capacity
Similarly, rats stop exercising in hot environment at
in a different way in the function of exercise duration
the same abdominal and cerebral temperature what-
and heat stress intensity. Briefly, during short-dura-
ever the modification made to their initial tempera-
tion exercise, increasing muscle temperature im-
ture (Fuller et al., 1998; Walters et al., 2000).
proves muscle function and there is a positive
relationship between performance and muscle tem-
perature with a 2–5% modification by 1 1C of change Hot environment vs diurnal increase in central
in muscle temperature (for a review, see Racinais & temperature as passive warm-ups
Oksa, 2010 in this supplement). However, if the Power output during a cycling sprint (Falk et al.,
central temperature increases (i.e., hyperthermia), 1998) and jump height (Hue et al., 2003) have been

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Chronobiology and environmental physiology
Table 1. Effect of time-of-day on exercise capacity in neutral and hot environment

Neutral environment Hot environment

(A) Short duration exercise (generally less than 1 min – e.g., muscle force, power)
Effect of time-of-day on MorningoAfternoon Morning 5 Afternoon
performance
Possible physiological The diurnal increase in body temperature could A hot environment can act as a passive warm-up
explanation act as a passive warm-up improving muscle and improve muscle contractility and performance
contractility. in the morning only, when body temperature is at
its lowest.
References Bernard et al. (1998), Gauthier et al. (1996), Hill Racinais et al. (2004b, 2005b)
et al. (1992), Javierre et al. (1996), Melhim
(1993), Racinais et al. (2004b, 2005a, b, c)
(B) Long duration exercise (generally more than 10 min – e.g., cycling, running)
Effect of time-of-day on Morning 5 Afternoon Morning4Afternoon
performance
Possible physiological There is no evidence for diurnal variation in The diurnal increase in central temperature can
explanation maximal oxygen consumption, ventilatory reduce heat storage capacity.
threshold or running/cycling economy.
References Faria and Drummond (1982), Hill et al. (1988), Hobson et al. (2009)
Jones and Hill (1995), Reilly and Brooks
(1982, 1990)

See text for more details.

reported to be higher in hot than in neutral environ- These findings suggest that adding a hot exposure
ment, probably due to the passive warm-up effect of to the diurnal increase in body temperature had no
a hot exposure. Similarly, as detailed above, the cumulative effect on the improvement in muscle
diurnal increase in body temperature has been con- power. The existence of a threshold above which
sidered as a passive warm-up improving the power additional sources of passive warm-up have no
output also during a cycling sprint or jump height additional effect is supported by the fact that, in
(Melhim, 1993; Bernard et al., 1998; Racinais et al., moderately warm and humid environment, neither
2004a). Therefore, time-of-day (i.e., the diurnal in- the diurnal increase in body temperature and/or
crease in body temperature) and a hot environment 30 min of exposure at a temperature of 76 1C (sauna)
seem to represent two factors that increase short- improve power output during cycling sprint, jump
duration muscle performance through a passive height nor muscle force (Racinais et al., 2006).
warm-up effect. Hence, the question is to know Lastly, it is practically relevant to note that athletes
whether an external passive warm-up as a hot en- and coaches can also improve maximal power output
vironment possibly overrides the passive warm-up in the morning and blunt its diurnal variation by
effect of the time-of-day, and reciprocally. immersing the leg for 30 min in a hot (38 1C) water
As displayed in Fig. 3, recent data showed that baths (Racinais et al., 2009). Conversely, an active
maximal power output during a cycling sprint (Ra- warm-up improves the maximal power output during
cinais et al., 2004a), jump height (Racinais et al., a cycling sprint both in the morning and afternoon
2004a) and maximal voluntary muscle force (Raci- (Racinais et al., 2005a).
nais et al., 2005b) are significantly better in hot
environment than in neutral environment if the tests
are performed in the morning (e.g., 07:00–09:00 Physiological basis and limitations to consider the
hours) but not in the afternoon (e.g., 17:00–19:00 diurnal increase in central temperature as a
hours). Consequently, whereas these parameters dis- passive warm-up
played a diurnal increase in neutral environment, the Low muscle temperatures have been shown to in-
values recorded in a hot environment are the same in crease Ca21 retention by the sarcoplasmic reticulum
the morning and the afternoon (Racinais et al., (Stein et al., 1982; Segal et al., 1986). This could
2004a, 2005b) and even during the night (Racinais potentially explain the lower muscle contractility
et al., 2004b). As for the effect of time-of-day, a hot observed in the morning in neutral environment
environment seems to improve muscle contractility than in hot environment or in the afternoon. In
(Racinais et al., 2005b), which in turn, improved addition, Ca21 concentration and temperature influ-
muscle force (Racinais et al., 2005b) and ultimately enced muscle force at low temperature but less when
power production (Racinais et al., 2004a), but in the muscle temperature increased (Stephenson & Wil-
morning only, when body temperature is at its lowest liams, 1981), therefore potentially explaining the no-
(Fig. 3, Table 1). cumulative effect of different passive warm-up.

83
Racinais
considering the diurnal increase in rectal temperature
as a passive warm-up for the muscle. Actual data on
muscle temperature in the morning and the after-
noon are mandatory to better understand the effect
of time-of-day.
Lastly, if a hot exposure can act as a passive warm-
up and improve muscle contractile properties, neu-
romuscular function becomes impaired when tem-
peratures reach hyperthermia (for a review, see
Racinais & Oksa, 2010 in this issue) but the effect
of time-of-day on these alterations is unknown.

Diurnal increase in central temperature limits long-


duration exercise capacity in hot environment
Although some studies have observed a reduction in
the amplitude of the diurnal variation in central
temperature in response to heat exposure (Little &
Rummel, 1971; Torii et al., 1995) or 30–60 min of
exercise (Reilly & Garrett, 1995; Aldemir et al.,
2000), the absolute increase in core temperature
during exercise seems mainly independent of time-
of-day (Reilly & Brooks, 1982; Stephenson et al.,
1984; Reilly & Garrett, 1995; Deschenes et al., 1998;
Bessot et al., 2006) and the circadian rhythm in rectal
temperature is still present in hot environment
(Fig. 4, Racinais et al., 2004b). In addition, an
increase in body temperature before long-duration
exercise can decrease performance by altering the
heat storage capacity (Nadel, 1987; Gonzalez-Alonso
et al., 1999); whereas pre-cooling can increase the
heat storage capacity and increase the time to ex-
haustion (Lee & Haymes, 1995; Gonzalez-Alonso
et al., 1999). From this perspective, the diurnal
Fig. 3. The effect of hot environment on muscle function is
different in the morning and the afternoon. Muscle contrac- increase in body temperature will modify the heat
tility (top graph), force (middle graph) and performance storage capacity and thus the ability to exercise.
(bottom graph) are better in hot (black bars) than in neutral This is valid only if central temperature is the
(white bars) environment, in the morning only (*Po0.05). limiting factor, i.e. when exercising in a hot environ-
Heat does not improve muscle function in the afternoon ment. Some limitation to this hypothesis comes from
(NS, no significant). There is a diurnal increase in muscle
function in neutral environment only (Po0.05). Redrawn
with permission from the data of Racinais et al. (2004a,
2005b).

Moreover, Ca21 concentration is not likely to influ-


ence muscle contractility during submaximal con-
tractions, when the needs are lower. This would also
explain why muscle contractility is significantly
higher in the afternoon than in the morning during
high-intensity contractions (i.e., from 75% to 100%
of max), but not during contractions at 25% or 50%
of max (Racinais et al., 2005b). However, all the
studies on the effect of Ca21 concentration and
temperature were comparing muscle temperature Fig. 4. Circadian rhythm in body temperature in hot envir-
onment. Central (i.e., rectal) temperature follow a circadian
over a range of 10 1C, whereas the diurnal variation rhythm in hot environment also (average 37.11C, acrophase
in muscle temperature in vivo has never been inves- at 16:02 hours). Redrawn with permission from the Data of
tigated yet. There is a very strong limitation in Racinais et al. (2004b).

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Chronobiology and environmental physiology
McLellan et al. (1999), who found that the diurnal
increase in central temperature remained during
exercising in the heat, thus leading to a significantly
higher final temperature in the afternoon than in the
morning. Given that the temperature threshold for
the onset of sweating and skin vasodilatation have
been shown to occur at a higher temperature in the
afternoon than the morning (Stephenson et al.,
1984), the authors suggested that the central tem-
perature tolerated at exhaustion could also be regu-
lated at a higher temperature in the afternoon
(McLellan et al., 1999). However, the data of this
experiment have to be interpreted with caution as the
participants were not exercising up to volitional
exhaustion but doing an intermittent walk with
nuclear, biological and chemical protective clothing,
which imposed an uncompensable heat stress
(McLellan et al., 1999). In addition, the trials were
conducted only 4 h apart, in the morning and the
early afternoon, which are times that do not max-
imize the amplitude of the diurnal variation in
central temperature.
Given that there is no other evidence to suggest
that the temperature tolerated at exhaustion varies
during the day, it has been widely hypothesized that Fig. 5. Exercise duration in hot environment is partly de-
the diurnal increase in resting central temperature pendant of the initial temperature. A decrease or an increase
would reduce the exercise capacity in hot environ- in initial temperature by pre-cooling or pre-warming can,
ments before reaching a critical temperature (Atkin- respectively, increase or decrease the capacity to exercise in
hot environment (top graph, redrawn with permission from
son & Reilly, 1995; Reilly & Garrett, 1995; Reilly & Gonzalez-Alonso et al., 1999). Following the same model,
Garret, 1998; McLellan et al., 1999; Atkinson et al., the diurnal increase in resting temperature will reduce the
2005; Racinais, 2008; Hobson et al., 2009). Reilly and capacity to exercise in hot environment (bottom graph,
Garret (1998) were the first to experiment the hy- redrawn with permission from Hobson et al., 2009).
pothesis of an improved exercise capacity due to a
lower basal central temperature in the morning than
in the afternoon. No diurnal differences in exercise the afternoon, but not different at exhaustion due to
capacity were observed in seven football players the longer exercise duration (Fig. 5) and may be also
tested during identical sessions performed in the a tendency to a higher rate of temperature increase.
morning and the afternoon (Reilly & Garret, 1998). These data confirm that, even of relatively small
The absence of diurnal variation can be explained by amplitude, the diurnal variation in central tempera-
the cool environmental conditions used in this ex- ture affect the capacity to exercise in hot environment
periment (17.6 1C and 51% RH). As stated above, a (Table 1).
modification in heat storage capacity due to the
circadian rhythm in rectal temperature is only likely
to affect exercise capacity in hot environment, when
Other biological variations potentially affecting
heat dissipation fails to maintain homeostasis and
thus the heat storage capacity becomes a limiting exercise capacity in hot environment
factor. Circadian variation in sweating and thermoregulatory
Morning vs afternoon exercise capacities were abilities
recently compared during a cycling exercise (65% An interaction between the circadian rhythm of
VO2max) performed to volitional exhaustion in a hot central temperature and changes in temperature
environment (35 1C and 60% RH) (Hobson et al., produced by activity has been observed in rodent
2009). The authors aimed to verify if the lower initial (Weinert & Waterhouse, 1998) and human studies
morning central temperature allowed subjects to (Waterhouse et al., 1999). Aldemir et al. (2000)
cycle for longer before volitional cessation. In line suggested that, in neutral environments, skin vaso-
with this hypothesis, time to exhaustion was 13.8% dilatation for heat dissipation could be faster in the
higher in the morning than in the evening. Rectal late afternoon than the early morning. The thresh-
temperature was lower at rest in the morning than olds for the onset of peripheral vasodilatation and

85
Racinais
sweating have been reported to be lower in the effect has been observed at rest in neutral but not hot
evening, facilitating heat dissipation (Stephenson environment (McLellan et al., 2000), at rest but
et al., 1984; Torii et al., 1995; Waterhouse et al., disappearing during exercise (McLellan et al.,
2007). This could explain the tendency for a lower 2000), or on the contrary, not present at rest but
rate of central temperature increment during an appearing after 20–25 min of exercise (Atkinson
exercise performed in the late afternoon as compared et al., 2005). Although still not fully understood,
with the same exercise in the morning (Aldemir et al., the hypothermic effect of melatonin may be partly
2000; Hobson et al., 2009). However, despite the due to an increased convective heat loss as suggested
tendency for a lower rate of increment in central by the increase in temperature of the feet (Kräuchi &
temperature in the afternoon, the actual values stay Wirz-Justice, 1994) and hands (Van den Heuvel et
higher in the afternoon than in the morning at a al., 1999) in humans or of the metatarsals in chickens
given exercise duration and this difference only dis- (Rozenboim et al., 1998). However, this increase in
appeared due to the longer duration of the morning peripheral cutaneous vasodilatation to promote heat
session (Fig. 5, Hobson et al., 2009). In addition, loss appears to be negated by the orthostatic chal-
another study failed to observe diurnal differences in lenge and the increase in vasoconstrictor tone when
the rate of heat storage (McLellan et al., 1999) and changing from a supine to upright position (Kräuchi
the circadian rhythm in sweat rate observed during et al., 1997), or by the vasodilation in response to a
low-intensity exercise disappeared at higher work- hot environment exposure that also blunts the hy-
load (Torii et al., 1995). Taken together, these studies pothermic effect of melatonin observed in neutral
suggest that the diurnal variation in sweating should temperature (McLellan et al., 2000). Consequently,
not have an impact on performance. whereas melatonin ingestion has been observed to
moderate the rise in central temperature when ex-
ercising at 27 1C (Atkinson et al., 2005), it failed to
The melatonin circadian variation influence the rate of sweat production, the rate of
The circadian variation in melatonin secretion is lead heat storage or the central temperature at 40 1C,
by the light–dark cycle (Geoffriau et al., 1998) with during rest or exercise (McLellan et al., 1999, 2000).
secretion starting generally when luminosity is below Therefore, there is no evidence that melatonin is an
2500 lux (i.e., around 20:00–21:00 hours), peaking in ergogenic aid for endurance performance in hot
the early morning around 03:00–04:00 hours and environments (Atkinson et al., 2005).
then decreasing to reach baseline daylight values at
around 08:00 hours (Cagnacci et al., 1992, 1996,
1997; Dawson & Van den Heuvel, 1998). Melatonin Menstrual cycle
is considered as a strong pacemaker of circadian There is a consensus that the menstrual phase does
rhythms and the nocturnal fall in central temperature not affect physical performance (Galliven et al., 1997;
seems inversely related to the melatonin rise (Cag- Shephard, 2000) nor its diurnal variation (Galliven
nacci et al., 1992). In addition, oral ingestion of et al., 1997) over the course of a normal menstrual
melatonin can induce a decrease in central tempera- cycle in neutral environment. For example, the
ture (Dawson et al., 1996; McLellan et al., 2000). menstrual cycle phase does not modify the muscle
Melatonin has been widely considered to have a power production during neither jump nor cycling
hypothermic effect (Strassman et al., 1991; Cagnacci tests (Giacomoni et al., 2000). Moreover, it is im-
et al., 1992, 1994, 1996; Dollins et al., 1994; Deacon portant to note that body temperature is higher in
& Arendt, 1995; Dawson et al., 1996; Reid et al., the luteal phase and lower in the preovulatory phase
1996; McLellan et al., 2000). This effect seems to compared with the follicular phase (Coyne et al.,
occur in response to a threshold concentration rather 2000). Following the same model than presented
than represent a dose response (Cagnacci et al., 1996; above for the effect of the diurnal increase in central
Dawson et al., 1996), and given the sleep-inducing temperature, this menstrual increase may reduce the
effect of melatonin (Dollins et al., 1994; Reid et al., safe margin for heat storage when exercising in hot
1996), doses higher than 5 mg should be avoided if environment (Shephard, 2000). However, the impact
used to improve performance (McLellan et al., 2000). on physiological responses to submaximal exercise
The hypothermic effect of melatonin ingestion has seems minimal, even when such activity is performed
been reported for doses of 1–10 mg (Strassman et al., in the heat (Horvath & Drinkwater, 1982). This
1991; Cagnacci et al., 1992, 1994, 1996; Dollins et al., could partly be explained by the fact that the
1994; Deacon & Arendt, 1995; Dawson et al., 1996; amplitude of the diurnal increase in central tempera-
Reid et al., 1996; McLellan et al., 2000) but seems ture is reduced during the luteal phase (Coyne et al.,
variable between individuals (Dawson et al., 1996; 2000), potentially reducing the negative effect of the
Reid et al., 1996) and environmental condition menstrual increase in central temperature during this
(McLellan et al., 2000). For example, a hypothermic phase. It is also important to note that neither

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Chronobiology and environmental physiology
menstrual cycle nor the use of oral contraceptives Conclusion
modifies post-exercise heat loss responses (Kenny et
al., 2008). However, if the effect of physical training In neutral environment, muscle contractility in-
on heat acclimation is not affected by using contra- creases from the morning to the afternoon (Table
ceptive hormones (Armstrong et al., 2005), the in- 1A). Consequently, muscle force and even short-
crease in sweating with training may be affected by duration performance are better in the afternoon
the phase of the menstrual cycle during which the than the morning. However, hot environments blunt
training was performed (Ichinose et al., 2009). this diurnal variation by improving muscle contrac-
tility (and in turn muscle force, power and perfor-
mance) in the morning only, when body temperature
Jetlag is at its lowest.
Even if it is not the topic of this review, it should be The capacity to perform prolonged exercise (Table
acknowledged that many athletes living in temperate 1B) is the same in the morning and afternoon in
countries are exposed to hot environments when neutral environment. However, when exercising in a
competing in hot countries and, if more than four hot environment, the diurnal increase in central
time zones are flown through, the athlete will also temperature can reduce the heat storage capacity
suffer from jet lag. Symptoms are due to an internal and therefore exercise capacity.
desynchronization between different circadian There is an interaction between the time-of-day
rhythms adapting to the local time zone at a different and the effect of a hot environment making
rate. Adaptation required is around 1 day by the time it essential to take into account the time-of-day
zone crossed and is easier when flying westwards when investigating the effect of the environmental
than eastwards. The reason for this is that endogen- conditions.
ous circadian rhythms have a period of 25 h making
it easier to adapt to a phase delay than a phase Key words: time-of-day, circadian rhythms, thermo-
advance. When considering athletes traveling west to regulation, muscle, temperature.
east, phase advance can be achieved by exercising
and light exposure in the morning. When considering
athletes traveling east to west, phase delay is facili-
tated by light exposure in the evening. It is also Acknowledgements
important to facilitate nocturnal sleep by avoiding Conflicts of interest: The author has no potential conflicts of
naps and providing darkness. interest.

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