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Introduction: There are contradictory opinions regarding the contribution of local hand thermal insulation to support local and total comfort during extravehicular activity (EVA). Instead of a local correction by means of thermal insulation on the periphery of the body to prevent heat dissipation, it may be optimal to prevent heat dissipation from the body core. To examine such a concept, the effects of different insulation levels on the left and right hands on the heat flux and temperature mosaic on the hands was measured. These variables were assessed in relation to the level of heat deficit forming in the core organs and tissues. Methods: Six subjects (4 males, 2 females) were donned in a liquid cooling/warming garment (LCWG) that totally covered the body surface except for the face. Participants wore the Phase VI space gloves including the entire micrometeoroid garment (TMG) on the left hand, and the glove without the TMG on the right hand.

The maximal capability of several body areas to absorb/release heat by varying the circulating water temperature in different zones of a multi-compartment liquid cooling/warming garment (LCWG) was explored. The goal was to identify the areas that are highly effective to stabilize body comfort, and to use this information for developing a more physiologically-based design of the space suit. The results showed a high capability of the upper compared to the lower body in the conductive heat exchange process. The involvement of the head in this process is still problematic, because there was not a high level of direct heat absorption/release through the cooling/warming hood in the LCWG. Exclusion of the legs but with involvement of the feet in heat exchange had no effect on comfort of the distal parts of the extremities and core body status.