Soaring daytime temperatures have brought an early start to the UAE summer – and with it comes a warning about exercising safely in the heat.
Average temperatures for May are about 31°C, but desert winds from the south pushed the mercury closer to 40°C for much of the month.
Temperatures were above 49°C in one area of Dubai on Sunday.
Such temperatures can lead to heatstroke, say doctors.
The higher the humidity, the harder it is for the body to lose heat
But despite sweltering days, health professionals said exercise programmes could continue safely and offered advice to those working and playing outside.
“Heat fatigue, exhaustion or stroke are issues that can arise, particularly in anyone not used to these really high temperatures,” said Dr Mohamed Muthiullah, a consultant cardiologist at Burjeel Hospital for advanced surgery in Dubai.
“It can increase the load placed in the heart as the body tries to cool down in the heat, and this can cause potential problems, so we need to be careful.”
When the human body reacts to heat stress, it works significantly harder to retain a core temperature of about 37°C.
The nervous system responds to high temperatures, with internal sensors asking the brain to dilate blood vessels, causing more blood to circulate and lose heat.
If external air is warmer than body temperature, sweat glands aid the process.
An active person can easily sweat out two litres of water an hour, with hands and torso the most concentrated areas.
If the body temperature rises to 44°C, the brain falters, causing confusion, agitation, slurred speech and, in extreme cases, coma.
“Heat-related illnesses are largely preventable, so exercise routines don’t have to be sidelined when the heat is on,” said Dr Muthiullah.
“We should keep in mind rising temperatures, get acclimatised and keep an eye on any weather alerts.
“A golden rule is if you are used to exercising indoors or in cooler climates, then take it easy.
“It will usually take 10 days to two weeks to acclimatise to the hotter weather, and then gradually we can slowly increase intensity at cooler times of the day.”
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A decade-long study in 2010 by the US Centres for Disease Control and Prevention recorded 8,081 heat related deaths across America, with a third of victims aged 65 and above.
A heatwave in France in 2003 resulted in 15,000 deaths in little more than a fortnight. Most victims were elderly or overweight.
In March, a young Australian soldier died days after collapsing during a training exercise in Darwin, one of the country’s hottest cities.
Dehydration adds to heat stress and risk of serious injury, so staying hydrated offers some protection but cannot guard against overheating.
Doctors said cooling the body with ice packs or cold water was an effective way to reduce core temperature during and after a workout.
“During exercise, a temperature increase of 1-1.8 degrees Celsius occurs every five minutes,” said Dr Mehmet Urumdas, a cardiologist at NMC Royal Hospital, Dubai.
“If this heat cannot be lost through sweating and the respiratory system, problems arise.”
Drinking cold water can contribute to temperature regulation.
Dr Urumdas said anyone exercising in the heat should drink 400-600 millilitres of water 30 minutes before exercise, and 100-200ml of water every 10 to 15 minutes during activity.
“The efficiency of sweating to regulate temperature during exercise in an environment with high humidity is low,” he said.
“The higher the humidity, the harder it is for the body to lose heat.”
Outdoor workers are most at risk from heat exhaustion in the UAE, with restriction on labour hours due to begin this month to protect the most vulnerable during the hottest part of the day.
In the US, construction workers are 13 times more likely to die from heat than other workers in extreme weather.
Anyone exercising in the heat should drink 400-600ml of water 30 minutes before exercise, and 100-200ml of water every 10-15 minutes during activity
The number of unsafe outdoor working days are expected to double by 2050 in the US, according to environmental research.
The International Labour Organisation predicts heat exposure will threaten the health of an estimated 4 billion workers by 2100, causing a 2.2 per cent dent in productive working hours.
With much of the global population ageing and getting heavier, doctors are predicting more heat-related illness in the future.
“If the body temperature does not have time to acclimatise to an increase in environmental heat there can be serious health consequences, particularly during physical exertion,” said Dr Gaurav Prakash Singh, an expert in sports injuries at International Modern Hospital, Dubai.
“Moderate exercise in the heat can improve blood flow, which improves body cooling and help us to adapt to the hotter weather we are seeing now.
“But older people and those who are overweight or obese must take extra care in the heat, as they are more vulnerable to heat related health problems."
Who's who in Yemen conflict
Houthis: Iran-backed rebels who occupy Sanaa and run unrecognised government
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Southern Transitional Council: Faction in Yemeni government that seeks autonomy for the south
Habrish 'rebels': Tribal-backed forces feuding with STC over control of oil in government territory
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Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.
Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.
“Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.
Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.
“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.
Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.
From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.
Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.
BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.
Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.
Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.
“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.
Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.
“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.
“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”
The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”
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