Foot immersion with and without neck cooling reduces self-reported environmental symptoms in older adults exposed to simulated indoor overheating

While foot immersion and neck cooling have been recommended for protecting heat-vulnerable groups, recent evidence does not support their efficacy for mitigating increases in physiological heat strain in older adults. However, their influence on self-reported environmental symptoms and mood-state remains unclear. Seventeen older adults (nine females, median [interquartile range] age: 72 [69-74]) completed three randomized heat exposures (6-h; 38°C, 35% relative humidity) with no cooling (control), foot immersion to mid-calf in 20°C water for the final 40-min of each hour (foot immersion), or foot immersion with a wet towel (20°C) around the neck (foot immersion with neck cooling). Core temperature, skin temperature, and heart rate areas under the curve (AUC) were assessed as indicators of cumulative physiological strain. Environmental symptom scores (68-item environmental symptoms questionnaire) and mood disturbance (40-item profile of mood states questionnaire) were evaluated at end-heating (adjusted for pre-exposure). Core temperature AUC was not different between conditions (