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Table 1 Health and environmental outcomes

From: Heat Adaptation Benefits for Vulnerable groups In Africa (HABVIA): a study protocol for a controlled clinical heat adaptation trial

Outcome

Definition

Functional form

Device/tool

Timing of collection

Clinical measures

 Anthropometrics

Weight (kg), height (m), waist circumference (cm)

Continuous

Seca 813 digital scale; stadiometer; measuring tape

Start of measurement week

 Body composition

Body fat mass, body fat %, and fat free mass measured using BIA

Continuous

Quantum Legacy BIA Analyzer

Once per hot season

 Blood pressure

Systolic and diastolic resting blood pressure (mmHg) measured in triplicate on two occasions

Continuous

Omron Automatic Digital Blood Pressure Monitor

Start of measurement week

 Core body temperature

Internal body temperature (°C) estimated using thermal energy transfer

Continuous

CORE sensor

Continuous over 7-day period

 Glucose

Fasting capillary blood glucose (mmol/L)

Continuous

AccuChek Instant Device

Start of measurement week

 Physical activity

Acceleration counts per minute

Continuous

Actical accelerometer

Continuous over 7-day period

 Sleep behaviour

Actigraphy-derived sleep behaviour (various parameters)

Continuous

Actiwatch Spectrum Plus

Continuous over 7-day period

 Hydration status

Urine specific gravity, measure of number of solutes dissolved in urine as compared to water (1.000)

Continuous

Siemens Clinitek Status Analyzer

Start of measurement week

 Kidney function

Albumin-to-creatinine ratios (mg/mmol categories)

Categorical

Siemens Clinitek Status Analyzer

Start of measurement week

Questionnaires

 Depression

Responses to 20-item questionnaire rating depression symptom (0 to 3 for each item); scores ranging 0–60, higher scores indicate greater depressive symptoms

Categorical

Center for Epidemiologic Studies Depression Scale (CES-D)

Once per hot season

 Drinking behaviour

Self-reported average amount and frequency of liquid consumption

Count

Adapted food frequency questionnaire

Start of measurement week

 Mood

Self-reported questionnaire containing 2 10-item scales (positive and negative affect scores between 10–50).

Categorical

Positive and Negative Affect Scale (PANAS)

End of measurement week

 Physical activity

Self-reported physical

activity participation in three settings and sedentary behaviour in the past week (MET-minutes)

Categorical

Global Physical Activity Questionnaire (GPAQ)

Once per hot season

 Sleep quality

Self-reported sleep quality during the past month. Global PSQI score ranging from 0 to 21. Higher scores indicate poorer sleep quality

Categorical

Pittsburgh Sleep Quality Index (PSQI)

End of measurement week

 Excess daytime sleepiness

Responses to 8 items rated on 4-point Likert scale, total score 0–24 with higher number indicating a higher daytime sleepiness

Categorical

Epworth Sleepiness Scale (ESS)

End of measurement week

 Thermal comfort

Rating of nocturnal thermal comfort on a 7–point Likert scale

Categorical

ASHRAE 7-point thermal sensation scale

During each night of the measurement week

Indoor thermal conditions

 Air temperature

Ambient indoor air temperature (°C)

Continuous

DS1923 iButton Hygrochron heat and humidity measurement device

Continuous during the study period

 Relative humidity

Water vapor present in the air compared with the total that can be held at a given temperature (%)

Continuous

DS1923 iButton Hygrochron heat and humidity measurement device

Continuous during the study period

External meteorological conditions

 Air temperature

Ambient outdoor air temperature (°C)

Continuous

Automatic Weather Station

Continuous during the study period

 Relative humidity

Water vapor present in the air compared with the total that can be held at a given temperature (%)

Continuous

Automatic Weather Station

Continuous during the study period

 Wind speed

Hourly average air speed (m/s)

Continuous

Automatic Weather Station

Continuous during the study period

 Sunshine

Hourly and total sunshine hours per day

Continuous

Automatic Weather Station

Continuous during the study period

 Rainfall

Hourly amount of rainfall (mm)

Continuous

Automatic Weather Station

Continuous during the study period

 Cloud cover

Portion of the sky (octas) covered by all types of cloud at the time of observation

Count

Observation

Daily during the study period