Exercising in hot and humid weather is tough on all athletes, but kids face an elevated risk of heat illness due to inexperience.

Kids are more likely to continue exercising past the onset of mild heat illness either because they don’t recognize the symptoms or because they feel pressure to continue practicing or playing. As a result, it is crucial for parents and coaches to learn the signs and symptoms of heat illness, to be proactive in preventing it, and to have an action plan in case an athlete does develop heat exhaustion or heat stroke.

Signs and Symptoms of Heat Illness

Heat illness begins with dehydration and progresses to heat exhaustion and then to heat stroke. Here’s what to look for:

Dehydration:

• Increased thirst
• Dry mouth
• Tiredness, lack of energy
• Reduced urine output
• Darker urine color
• Headache

Heat Exhaustion:

Heat exhaustion is a mild to moderate form of heat illness that can rapidly progress to heat stroke if appropriate action is not taken. Symptoms of heat exhaustion include:

• Dehydration
• Headache
• Profuse sweating or pale skin
• Loss of coordination, dizziness, fainting
• Nausea, vomiting, diarrhea
• Persistent muscle cramps
• Stomach cramps

Heat Stroke:

Heat stroke is a severe and potentially life-threatening form of heat illness that requires rapid intervention and immediate medical attention. Symptoms include:

• Potential loss of consciousness
• Central nervous system dysfunction, such as seizures, confusion, emotional instability, combativeness, or irrational behavior
• Headache, dizziness, and weakness
• Hot skin – with or without sweating
• Increased heart rate and rapid breathing
• Nausea, vomiting, or diarrhea

Some of the symptoms of heat exhaustion are similar to that of heat stroke, like headache, dizziness, nausea, and vomiting. Some of the key differentiators are hot skin and central nervous system dysfunction. Kids with heat exhaustion feel awful, but are typically cognizant enough to complain. In contrast, a child with heat stroke may not complain but instead be increasingly disoriented and irrational.

Factors that elevate heat illness risk

Some athletes are at greater risk than others of developing heat illness. The following factors make a person more vulnerable:

• Hot and humid environment
• Insufficient heat acclimatization
• Overweight/obesity
• Low cardiovascular fitness
• Poor hydration status
• Successive bouts of exercise with insufficient rest and rehydration
• Wearing excessive clothing/equipment
• Excessive duration or intensity of physical exertion
• Certain medications (consult child’s physician)

Strategies for Preventing Heat Illness

The best remedy for heat illness is to avoid it altogether. Because kids and teens are more naïve about recognizing the signs and symptoms of heat illness, it is up to parents and coaches to create a youth sports environment that minimizes these risk factors and adequately monitors kids to detect signs of heat illness.

Heat illness is almost entirely preventable by modifying controllable factors, including those below: