Thermoregulatory Responses to Graded Exercise Differ among Sasang Types

We compared sweat rate and variables such as workload (W (e)), metabolic heat production (H (prod)), and temperature increment load (T (inc)) across Sasang types. 304 apparently healthy participants aged 20–49 years with their Sasang type determined were enrolled. Local sweat rates on the chest (LSR(chest)) and back (LSR(back)) were measured using a perspiration meter during a maximum treadmill exercise test. Oxygen uptake was measured continuously using a breath-by-breath mode indirect calorimeter. The TaeEum (TE) type had a larger body size, a higher percent body fat, and a lower body area surface area (BSA) to body mass compared with the other Sasang types, particularly the SoEum (SE) type. The TE type tended to have a shorter exercise time to exhaustion and lower maximal oxygen uptake (mL·kg(−1)·min(−1)) than the other types. LSR(chest) in TE types was greater than that of the SE and SoYang (SY) types in men, whereas LSR(back) was higher in the TE type than that of the other types in women. After normalizing LSR for W (e), H (prod), T (inc), and BSA, this tendency still remained. Our findings suggest that the thermoregulatory response to graded exercise may differ across Sasang types such that the TE type was the most susceptible to heat stress.