Situational impairments to mobile interaction in cold environments

Abstract We evaluate the situational impairments caused by cold ambient temperature on fine-motor movement and vigilance during mobile interaction. For this purpose, we tested two mobile phone applications that measure fine motor skills and vigilance in controlled temperature settings. Our results show that cold adversely affected participants’ fine-motor skills performance, but not vigilance. Based on our results we highlight the importance of correcting measurements when investigating performance of cognitive tasks to take into account the physical element of the tasks. Finally, we identify a number of design recommendations from literature that can mitigate the adverse effect of cold ambiance on interaction with mobile devices

A descriptive quantitative study of 7-and 8-year-old children's outdoor recreation, cold exposure and symptoms in winter in Northern Finland

Abstract Background: In Finland, children spend a lot of time outdoors in winter. Outdoor recreation in winter has a wide variety of effects on children’s well-being. Although children are a subgroup that is vulnerable to cold exposure, remarkably little research has been done on the subject. Objective: The aim of this study was to describe children’s outdoor recreation, cold exposure and symptoms in winter in Northern Finland. Design: This was a descriptive quantitative study. The participants consisted of 30 children aged 7–8 years who were living in the provinces of Lapland and Northern Ostrobothnia in Finland. Data were collected by using electronic data-logging thermometers fixed on children’s outerwear for a month. The thermometers recorded the environmental temperature every five minutes and from that temperature data, we were able to discern the exact amount and duration of children’s outdoor recreation. In addition, information on the children’s cold symptoms was collected with structured daily entries. Results: Cold weather was not an obstacle to children’s outdoor activities in Finland. However, the duration of outdoor recreation shortened when the outdoor air temperature decreased. There were no significant differences between boys and girls in terms of time spent outdoors. Remarkably, every child reported symptoms associated with cold. Almost half of the children reported experiencing respiratory symptoms and some children also experienced cold pain and numbness. Conclusions: The results of this study illustrate the many and varied effects that cold exposure can have on children’s health and well-being. In order to prevent negative health effects of cold exposure on children, structured prevention strategies are needed: therefore, children’s exposure to cold should be studied more. Future research should also bring out more the positive health effects of outdoor recreation on children’s growth and development.​​​

Sensing cold-induced situational impairments in mobile interaction using battery temperature

Abstract Previous work has highlighted the detrimental effect of cold ambience on fine-motor skills during interaction with mobile devices. In this work, we develop a method to infer changes in finger temperature of smartphone users without the need for specialised hardware. Specifically, we demonstrate that smartphone battery temperature is a reliable gauge for determining changes to finger temperature. In addition, we show that the behaviour of smartphone battery temperature in cold settings is consistent across different smartphone models and battery configurations. Our method can be used to determine cold-induced situational impairments, and trigger interface adaptations during mobile interaction

The prevalence of heat-related cardiorespiratory symptoms:the vulnerable groups identified from the National FINRISK 2007 Study

Abstract The prevalence of heat-related cardiorespiratory symptoms among vulnerable groups is not well known. We therefore estimated the prevalence of heat-related cardiorespiratory symptoms among the Finnish population and their associations with social and individual vulnerability factors. The data came from the National FINRISK 2007 Study, in which 4007 men and women aged 25–74 answered questions on heat-related cardiorespiratory symptoms in the Oulu Cold and Heat Questionnaire 2007. Logistic regression was used to calculate odds ratios (ORs), their 95% confidence intervals (CIs), and model-predicted prevalence figures. The prevalence of heat-related cardiorespiratory symptoms was 12%. It increased with age, from 3% at the age of 25 years to 28% at the age of 75 years. The symptoms were associated with pre-existing lung (OR 3.93; CI 3.01–5.13) and cardiovascular diseases (OR 2.27; 1.78–2.89); being a pensioner (OR 2.91; 1.65–5.28), unemployed (OR 2.82; 1.47–5.48), or working in agriculture (OR 2.27; 1.14–4.46) compared with working in industry; having only basic vs academic education (OR 1.98; 1.31–3.05); being female (OR 1.94; 1.51–2.50); being heavy vs light alcohol consumer (OR 1.89; 1.02–3.32); undertaking hard vs light physical work (OR 1.48;1.06–2.07); and being inactive vs active in leisure time (OR 1.97; 1.39–2.81). The adjusted prevalence of symptoms showed a wide range of variation, from 3 to 61% depending on sex, age, professional field, education, and pre-existing lung and cardiovascular diseases. In conclusion, heat-related cardiorespiratory symptoms are commonly perceived among people with pre-existing lung or cardiovascular disease, agricultural workers, unemployed, pensioners, and people having only basic education. This information is needed for any planning and targeting measures to reduce the burden of summer heat

High home blood pressure variability associates with exaggerated blood pressure response to cold stress

Abstract Background: Exaggerated sympathetic cardiovascular (CV) reactivity to stress associates with elevated risk for clinical and preclinical end points of CV disease. It would be useful to identify these individuals, preferably from feasible measurements commonly used in health care. Our study examined the association between home blood pressure (BP) variability and cardiac workload response to whole-body cold exposure. Methods: Seventy-five men (55–65 years, 46 hypertensive) measured BP at home twice in the morning and evening for a week. We computed systolic home BP variability as SD of daily means and divided the subjects into groups demonstrating either high or low BP variability. They were exposed to whole-body cold exposure (−10 °C, wind 3 m/second, 15 minutes, winter clothes, standing). BP and heart rate were measured at 3-minute intervals during, and 15 minutes before and after the exposure. Rate-pressure product (RPP) was calculated to represent cardiac workload. Results: Subjects with high systolic home BP variability demonstrated a greater RPP increase in cold conditions compared to those with low BP variability [mean change from baseline (95% CI): 1,850 (1,450 to 2,250) bpm × mm Hg vs. 930 (610, 1,250) bpm × mm Hg, P < 0.01]. This was related to the augmented systolic BP change [31(28, 35) mm Hg vs. 23(20, 26) mm Hg, P < 0.01]. Home BP variability correlated with cold-related RPP (rS = 0.34, P = 0.003) and systolic BP (rS = 0.38, P < 0.001) responses. Conclusions: Moderate whole-body cold exposure increased BP and cardiac workload more among those with higher systolic home BP variability, independently of home BP level. Elevated home BP variability may indicate augmented sympathetically mediated vascular reactivity for environmental stressors. Public trials registry number: Trial Number NCT02007031

Cardiovascular responses to cold and submaximal exercise in patients with coronary artery disease

Abstract Regular year-round exercise is recommended for patients with coronary artery disease (CAD). However, the combined effects of cold and moderate sustained exercise, both known to increase cardiac workload, on cardiovascular responses are not known. We tested the hypothesis that cardiac workload is increased, and evidence of ischemia would be observed during exercise in the cold in patients with CAD. Sixteen men (59.3 ± 7.0 yr, means ± SD) with stable CAD each underwent 4, 30 min exposures in a randomized order: seated rest and moderate-intensity exercise [walking, 60%–70% of max heart rate (HR)] performed at +22°C and −15°C. Systolic brachial blood pressure (SBP), HR, electrocardiogram (ECG), and skin temperatures were recorded throughout the intervention. Rate pressure product (RPP) and ECG parameters were obtained. The combined effects of cold and submaximal exercise were additive for SBP and RPP and synergistic for HR when compared with rest in a neutral environment. RPP (mmHg·beats/min) was 17% higher during exercise in the cold (18,080 ± 3540) compared with neutral (15,490 ± 2,940) conditions (P = 0.001). Only a few ST depressions were detected during exercise but without an effect of ambient temperature. The corrected QT interval increased while exercising in the cold compared with neutral temperature (P = 0.023). Recovery of postexercise blood pressure was similar regardless of temperature. Whole body exposure to cold during submaximal exercise results in higher cardiac workload compared with a neutral environment. Despite the higher RPP, no signs of myocardial ischemia or abnormal ECG responses were observed. The results of this study are useful for planning year-round exercise-based rehabilitation programs for stable CAD patients