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Proper hydration is part of an overall safety strategy
With summer around the corner, it’s
time to start preparing for the hot days ahead and how they affect
employees. Difficult, strenuous work conditions can impact the
health and well-being of your employees anytime. When the ambient
temperature combines with humidity and work load, it drastically
affects the body’s ability to cool itself. This can cause physical
and mental fatigue, heat cramps, heat exhaustion and
life-threatening heat stroke.
Basic industrial hygiene calculation gives us excellent rules of
thumb for calculating the heat stress on an employee. These
calculations take into consideration environmental factors such as
temperature and humidity, ventilation and time. Radiant and
convection heat are also calculated into the equation. While these
formulas provide good parameters in which to keep your employees
safe from heat overload, the question remains: “How long can the
employee work safely in such conditions?”
There are numerous factors that play into a person’s tolerance for
heat stress, many of which are not part of the textbook formula for
employee exposure. Besides all the obvious factors mentioned above,
the employee’s health, current hydration levels, overall health and
acclimation all play important roles in assessing an employee’s
ability to safely work under heat stress conditions.
The right beverage
So while a broad approach is required to protect employees, one
important element of heat stress protection is picking the right
thirst quencher. Before doing that, however, there are some factors
to consider. The same drink supplied to one employee may be
detrimental to another. For example, an employee needing a drink
that will replenish his body’s salt levels might do well with a
high-sodium beverage, whereas an employee working in the same area
who has high blood pressure would not want to consume large amounts
of a high-salt drink. Similarly, a diabetic employee would not want
a drink with high levels of sugar.
The industrial hygiene calculation mentioned above must stand as
your baseline for making decisions concerning heat stress exposure.
The ACGIH® Threshold Limit Values (TLVs®) and Biological Exposure
Indices (BEIs®) handbook is an excellent reference for thermal
stress information and guidelines. Once you’ve done your homework,
you come back to a very fundamental focus of how best to keep
employees properly hydrated. The obvious answer may seem to be “just
have them drink more water.” But you have to dig a little deeper
into what’s happening in the body before making a snap judgment.
Keeping hydrated
The natural choice for hydration is water. It hydrates better than
any other liquid, both before and during exercise or work activity.
Water is obviously less expensive than thirst drinks. You need to
drink 12-16 ounces of water for every hour of work, and more in
extreme heat stress situations. That can add up to a lot of water!
Drinking that much water becomes burdensome, and the water becomes
bland. Many find it hard to continue aggressive hydration. This is
where thirst quenchers can help.
To maintain comfort and health when working in a hot environment,
people need to replace both the water and electrolytes they lose
through sweating. Electrolytes increase the efficiency of the body’s
cooling mechanisms. Both muscle tissue and neurons are considered
electric tissues of the body. Muscles and neurons are activated by
electrolyte activity.
For example, muscle contraction is dependent upon the presence of
calcium (Ca2+), sodium (Na+) and potassium (K+). Without sufficient
levels of these key electrolytes, muscle weakness or severe muscle
contractions or cramps may occur. Electrolytes are important because
they are what your cells (especially nerve, heart, muscle) use to
maintain proper electrical balances in the body. For example, when
you exercise heavily or work in a heat stress environment, you lose
electrolytes in your sweat, particularly sodium and potassium. These
electrolytes must be replaced to keep the electrolyte concentrations
of your body fluids constant. So, many thirst quenchers have sodium
chloride or potassium chloride added to them. They also have sugar
and flavorings to provide your body with extra energy and to make
the drink taste better.
Thirst quenchers
Sometimes called sports drinks, thirst quenchers don’t hydrate
better than water, but you are more likely to drink larger volumes,
which leads to better hydration. Thirst quenchers are designed to
maximize fluid absorption and enhance performance by delivering
carbohydrates and electrolytes, the most crucial of which is sodium.
Thirst quenchers typically contain more than one type of
carbohydrate. Check the ingredient list and you’ll find a
combination of simple carbohydrates (sucrose, glucose and fructose)
and complex carbohydrates, such as glucose polymers and
maltodextrins. The better-formulated (and tasting) drinks usually
contain both, with a higher percentage of complex than simple
carbohydrates. (Labels list ingredients by weight from most to
least.)
Numerous studies have found the optimum carbohydrate concentration
of well-absorbed and tolerated thirst quenchers to be 4-8%. Some
drinks that contain 0% complex carbohydrates use 100% sugars. So, if
complex carbohydrates are preferred, then why do the majority of
leading sports drinks use so much sugar? The answer is quite simple
— taste. Simple sugars are sweet and add flavor to the product.
Complex carbohydrates on the other hand tend to be bland tasting in
comparison. Sweeter drinks appeal to more people.
To choose the right thirst quenchers for your workers you must
evaluate the levels of heat stress, the condition of your employees,
and the actual amount of hydration you are going to be able to
achieve. Ultimately, your best hydration strategy is going to be a
well-planned mix between plenty of water and just the right amount
of a thirst quencher that meets your electrolyte and carbohydrate
needs.
Heat stress prevention
by Karen
Jenkins, CSP
Dan
O'Brien, CSP
May 7, 2007
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