JSU Student Symposium 2022

How Does Heat Related Illnesses Affect High School and Collegiate Marching Band Members: A Critically Appraised Topic


How Does Heat Related Illnesses Affect High School and Collegiate Marching Band Members: A Critically Appraised Topic




Amanda Brunner

Faculty Mentor

Jennifer Savage, Kinesiology; Chris Clark, Kinesiology


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11:15-11:25am | Houston Cole Library, 11th Floor


Context: Marching band members are exposed to various types of weather and injury conditions that are not always favorable to their performance setting. One concern of weather and injury conditions include heat illnesses, which are one of the leading causes of death in pediatric populations. This leads us to investigate if marching band members are more at risk for heat illnesses in the high school and collegiate populations.

Methods: A computerized search was completed in September 2021. The search terms used were heat illness, marching band, and heat index. Electronic databases used were Jacksonville State University’s library database, SportDiscus, and EBSCO Host. Inclusion criteria: Articles were between 2010-2021, published in the English language, marching band population, and heat illnesses. Exclusion criteria: Articles that were not published in English and focused on the athletic or general population. Validity of the selected studies was determined using the Oxford Centre for Evidence Based Medicine Scale. One author independently reviewed the studies, scored each paper, and reviewed the completed appraisals to come to a consensus on study quality.

Results: The literature search retrieved 19 studies. Out of these studies, three met inclusion criteria and the level of evidence suggested by the Strength of Recommendation of Taxonomy was used to identify eligible studies. Both collegiate and high school marching band members experience various types of weather conditions due to the uncertainty of the weather. Emerson et al. found that during competitions and rehearsals, core body temperatures were within 1.1 °C and a majority of participants revealed dehydrated. Vepraskas’s study resulted in higher rates of water consumption, as well as an increase in education of heat-related illness symptoms in marching band members. Kilanowskis’ study found that of the 378 nurse clinics, high school band members complained of musculoskeletal injuries that were significantly correlated with heat distress.

Conclusion: As an athletic trainer, it has been shown that heat illnesses can arise in high school and collegiate marching band members. It is vital to use proper monitoring of weather conditions and hydration, along with the use of emergency action plans that are set in place for marching band members and athletes to prevent heat illnesses. In addition, proper training and education should be addressed to prepare marching band directors of various signs and symptoms of heat related illnesses. While there is limited research regarding this topic, additional research should be completed to determine future methods to improve patient-centered care and patient outcomes for marching band members exposed to heat illnesses.


student research, kinesiology


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How Does Heat Related Illnesses Affect High School and Collegiate Marching Band Members: A Critically Appraised Topic