In extreme heat, electric fans inadvisable unless it’s humid

In extreme heat, electric fans may offer some relief when it’s very humid, but when temps are dangerously high and humidity is low, fans can actually make a person feel hotter, increasing strain on the heart and raising core temperature, a new report warns.

The authors point out that current guidelines for fan use are based on the “heat index” rather than the actual temperature, but “a combined value such as heat index (HI) is not appropriate for advising whether fans should be used or not,” said the study’s senior author, Ollie Jay, associate professor in the faculty of health sciences and director of the Thermal Ergonomics Laboratory at the University of Sydney, Australia.

Jay added, “In very-hot dry conditions the HI was relatively lower, yet fans were detrimental; but in hot-humid conditions the HI was relatively higher and fans were beneficial.”

In their study, published in the Annals of Internal Medicine, Jay and colleagues found that in the very hot-arid condition, fans could increase body temperature and also cardiovascular strain. That “means that the heart has to do extra work to maintain blood pressure because as one gets hot, blood is diverted to the skin to facilitate cooling and the heart must beat more times per minute,” Jay said in an email. “Another form of strain (on the body) is dehydration, which also contributes to increases in body temperature and cardiovascular strain.”

To take a closer look at the conditions under which fans can cool, the researchers recruited 12 men who were not taking any medication and had no medical conditions that would alter their ability to thermoregulate. All of the men completed four two-hour sessions, each of which occurred on a different day.

The men were asked to sit in a climatic chamber that simulated either very hot, dry conditions or hot, humid conditions. The heat index for the humid runs was higher than for the arid runs even though the temperature was lower in the humid condition.

The men’s temperature was measured rectally and heart strain was assessed using three-lead electrocardiography and blood pressure. The researchers measured dehydration by keeping track of sweat.

Fan use in the humid conditions (temperature at 104 F, humidity at 50% and HI at 132.8) reduced core temperature and cardiovascular strain while improving comfort. In the arid conditions (temperature at 116.6 F, humidity at 10% and HI at 114.8) fan use raised core temperatures and cardiovascular strain and made the men feel hotter, even though the heat index was lower than it was in the humid condition.

While the researchers used pedestal fans for their study, “the principles are the same for a ceiling fan,” Jay said.

The new study “is very interesting,” said Dr. Matthew Levy, an associate professor of emergency medicine at the Johns Hopkins School of Medicine. “There are some significant takeaways: people in hot, humid conditions tend to do better with a fan. In situations where air conditioning is not possible, this means people would do better with a fan than nothing at all.”

That’s because the fans can help with heat loss through evaporation of sweat, Levy said. “But in a dry environment, the fans just push more warm air toward you,” he added.

SOURCE: Annals of Internal Medicine, online August 5, 2019.