This study aimed to develop minimum standards for physical capability assessments (vertical jump, sit and reach, push-ups, seven-stage sit-ups, heaves, agility, 20-m shuttle run, loaded 5-km pack march, and 400-m swim) that candidates must pass before they can commence Australian Army Special Forces (SF) selection courses. Soldiers (Part A: n = 104; Part B: n = 92) completed the physical capability assessments before commencing a SF selection course. At the beginning of these selection courses, participants attempted two barrier assessments (3.2-km battle run and 20-km march). Statistical analysis revealed several physical capability assessments were associated with performance on the barrier assessments and selection course outcome (Part A); however, these statistical models were unable to correctly classify all candidates as likely to pass or fail the selection course. Alternatively, manual analysis identified a combination of physical capability standards that correctly classified 14% to 18% of candidates likely to fail, without excluding any candidates able to pass (Part A). The standards were applied and refined through Part B and included completing the 5-km pack march in ≤45:45 minutes : seconds, achieving ≥level five on the sit-up test, or completing ≥66 push-ups. Implementation of these standards may reduce attrition rates and enhance the efficiency of the SF recruitment process.

Military activities in hot environments pose 2 competing demands: the requirement to perform realistic training to develop operational capability with the necessity to protect armed forces personnel against heat-related illness. To ascertain whether work duration limits for protection against heat-related illness restrict military activities, this study examined the heat strain and risks of heat-related illness when conducting a military activity above the prescribed work duration limits. Thirty-seven soldiers conducted a march (10 km; ∼5.5 km h−1) carrying 41.8 ± 3.6 kg of equipment in 23.1 ± 1.8°C wet-bulb globe temperature. Body core temperature was recorded throughout and upon completion, or withdrawal, participants rated their severity of heat-related symptoms. Twenty-three soldiers completed the march in 107 ± 6.4 min (Completers); 9 were symptomatic for heat exhaustion, withdrawing after 71.6 ± 10.1 min (Symptomatic); and five were removed for body core temperature above 39.0°C (Hyperthermic) after 58.4 ± 4.5 min. Body core temperature was significantly higher in the Hyperthermic (39.03 ± 0.26°C), than Symptomatic (38.34 ± 0.44°C; P = 0.007) and Completers (37.94 ± 0.37°C; P<0.001) after 50 min. Heat-related symptom severity was significantly higher among Symptomatic (28.4 ± 11.8) compared to Completers (15.0 ± 9.8, P = 0.006) and Hyperthermic (13.0 ± 9.6, P = 0.029). The force protection provided by work duration limits may be preventing the majority of personnel from conducting activities in hot environments, thereby constraining a commander's mandate to develop an optimised military force. The dissociation between heat-related symptoms and body core temperature elevation suggests that the physiological mechanisms underpinning exhaustion during exertional heat stress should be re-examined to determine the most appropriate physiological criteria for prescribing work duration limits.

Neurodegenerative diseases involve the progressive deterioration of structures within the central nervous system responsible for motor control, cognition, and autonomic function. Alzheimer's disease and Parkinson's disease are among the most common neurodegenerative disease and have an increasing prevalence over the age of 50. Central in the pathophysiology of these neurodegenerative diseases is the loss of protein homeostasis, resulting in misfolding and aggregation of damaged proteins. An element of the protein homeostasis network that prevents the dysregulation associated with neurodegeneration is the role of molecular chaperones. Heat shock proteins (HSPs) are chaperones that regulate the aggregation and disaggregation of proteins in intracellular and extracellular spaces, and evidence supports their protective effect against protein aggregation common to neurodegenerative diseases. Consequently, upregulation of HSPs, such as HSP70, may be a target for therapeutic intervention for protection against neurodegeneration. A novel therapeutic intervention to increase the expression of HSP may be found in heat therapy and/or heat acclimation. In healthy populations, these interventions have been shown to increase HSP expression. Elevated HSP may have central therapeutic effects, preventing or reducing the toxicity of protein aggregation, and/or peripherally by enhancing neuromuscular function. Broader physiological responses to heat therapy have also been identified and include improvements in muscle function, cerebral blood flow, and markers of metabolic health. These outcomes may also have a significant benefit for people with neurodegenerative disease. While there is limited research into body warming in patient populations, regular passive heating (sauna bathing) has been associated with a reduced risk of developing neurodegenerative disease. Therefore, the emerging evidence is compelling and warrants further investigation of the potential benefits of heat acclimation and passive heat therapy for sufferers of neurodegenerative diseases.

Bomb technicians perform their work while encapsulated in explosive ordnance disposal suits. Designed primarily for safety, these suits have an unintended consequence of impairing the body's natural mechanisms for heat dissipation. Consequently, bomb technicians are known to experience symptoms of heat illness while performing their work. This research provides the first field based analysis of heat strain in bomb technicians. Six participants undertook simulated operational tasks across 2 days of variable climate. All subjects demonstrated high levels of heat strain as evidenced by elevated heart rate, core body temperature, and physiological strain index. Participants also reported signs and symptoms associated with heat illness. These results were exacerbated by more intense physical activity despite being undertaken in a cooler environment. The universal experience of heat strain in this sample has significant implications for the health of bomb technicians and additional research examining methods to improve temperature regulation and performance is warranted.

Current military operations require soldiers to carry heavy external loads that are widely acknowledged to impair the ability to move tactically on the battlefield. However, to date, the effect of load on susceptibility to enemy fire (the probability of being hit) has not been examined. Nineteen soldiers completed a break contact simulation (five 30-m sprints commencing every 44 seconds) and a fire and movement simulation (sixteen 6-m bounds commencing every 20 seconds) in each of the 5 load conditions (ranging from 9.8 to 30.1 kg). For each simulation, the impact of load on exposure time and peak movement velocity was examined. In addition, the 6 fastest and 6 slowest soldiers (determined by exposure time in the heaviest condition) were parsed into subgroups to examine interindividual differences in response to load. Susceptibility for the 2 subgroups was modeled using exposure time for the 2 simulations and the assumed reaction time, shooting cadence, and shooting accuracy of the enemy. Susceptibility increased as a function of load for both the break contact and fire and movement simulations and became more pronounced when the participant population was parsed into fast and slow groups. When the impact of personal protection systems was isolated and analyzed, it was found that not only were the slower participants more vulnerable (as a result of not wearing the personal protection system) but also more susceptible than the faster participants who carried 11.2 kg more load. Large interindividual differences in response to external load have meaningful consequences for battlefield susceptibility, and it is therefore critical that personnel are afforded tailored training such that they maximize their proficiency in the execution of tactical combat movements.

An ingestible telemetric sensor for measuring core body temperature is increasingly being utilized in occupational and athletic studies of heat strain. There is a need for a uniform method of calibrating these sensors in the scientific community in order to effectively compare the results of different researchers. The purpose of the present investigation was to determine and present such a calibration procedure. Sensors were placed in a water bath heated to nine discrete temperatures, and the recorded values were compared to that of a traceable thermometer. It was observed that sensor 2 recorded temperatures higher than sensors 1 and 3, and that all sensors were higher than the traceable thermometer, highlighting the need for a calibration procedure. The findings of this study suggest a number of recommendations for a calibration procedure including: (1) four water bath temperatures in the range of 33-41 degrees C should be utilized; (2) sensors should be immersed for a minimum of 4 min prior to taking a measurement; (3) a linear regression relating sensor temperature to a traceable thermometer is an appropriate method to adjust raw data. Switching the sensor off after calibration and reactivating it prior to ingestion will not influence the accuracy of temperature measurement.

This project was based on the premise that decisions concerning the ballistic protection provided to defence personnel should derive from an evaluation of the balance between protection level and its impact on physiological function, mobility, and operational capability. Civilians and soldiers participated in laboratory- and field-based studies in which ensembles providing five levels of ballistic protection were evaluated, each with progressive increases in protection, mass (3.4–11.0 kg), and surface-area coverage (0.25–0.52 m2). Physiological trials were conducted on volunteers (N = 8) in a laboratory, under hot-dry conditions simulating an urban patrol: walking at 4 km·h−1 (90 min) and 6 km·h−1 (30 min or to fatigue). Field-based trials were used to evaluate tactical battlefield movements (mobility) of soldiers (N = 31) under tropical conditions, and across functional tests of power, speed, agility, endurance, and balance. Finally, trials were conducted at a jungle training centre, with soldiers (N = 32) patrolling under tropical conditions (averaging 5 h). In the laboratory, work tolerance was reduced as protection increased, with deep-body temperature climbing relentlessly. However, the protective ensembles could be grouped into two equally stressful categories, each providing a different level of ballistic protection. This outcome was supported during the mobility trials, with the greatest performance decrement evident during fire and movement simulations, as the ensemble mass was increased (–2.12%·kg−1). The jungle patrol trials similarly supported this outcome. Therefore, although ballistic protection does increase physiological strain, this research has provided a basis on which to determine how that strain can be balanced against the mission-specific level of required personal protection.

Core body temperature remained within the recommended limits; however, more than 80% of workers were dehydrated before commencing the shift, and tended to remain so for the duration.