Cold air and water exposure can potentially have deleterious effects on aerobic and strength performance (157–163). Interested readers are referred to previous critiques of the impact of cold exposure on workout functionality and the physiological mechanisms accountable for cold-related adjustments in overall performance (122,164,165). NFCI prevention should focus on keeping the body warm by remaining active feeling commonly cold and becoming static are NFCI danger aspects (82). It also is critical that danger be assessed in the manner recommended for frostbite and, likewise, that tissues are protected from heat loss via conduction, convection, radiation, and evaporation (see above). Of unique note is that wet or damp circumstances greatly raise threat, since of the enhanced capability of water to conduct heat, and to drive cooling via evaporation. Appropriate clothing (waterproof, windproof, breathable, and capable to retain its insulation even in wet windy situations) is critical, as is protection of the hands and feet. Waterproof boots and gloves with breathable membranes to prevent sweat accumulation for the duration of periods of higher activity and subsequent cooling by way of evaporation and conduction through periods of rest are expected (31). In cold-wet circumstances, socks and gloves must be changed regularly to make sure the feet and hands stay dry.

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