It is known to all that human is
endotherm. which means that human can control the body temperature at a steady
level. But what is the normal body temperature of human? Sometimes we will have
a fever. But what is the definition of it? In this post we will introduce
these. (PS: The main unit in this post is °C, and with K as comment. So u can
see how to use SI temperature units correctly.)
Normal human body temperature,
also known as normothermia or euthermia, depends upon the place in the body at
which the measurement is made, the time of day, as well as the activity level
of the person. Nevertheless, commonly mentioned typical values are:
Oral (under the tongue): 36.8 ±
0.4 °C (309.95 ± 0.4 K)
Internal (rectal, vaginal): 37.0
°C (310.15 K)
Different parts of the body have
different temperatures. Rectal and vaginal measurements taken directly inside
the body cavity are typically slightly higher than oral measurements, and oral
measurements are somewhat higher than skin measurements. Other places, such as
under the arm or in the ear, produce different typical temperatures. Although
some people think of these averages as representing the normal or ideal
temperature, a wide range of temperatures has been found in healthy people.
The body temperature of a healthy
person varies during the day by about 0.5 °C (0.5 K) with lower temperatures in
the morning and higher temperatures in the late afternoon and evening, as the
body's needs and activities change. Other circumstances also affect the body's
temperature. The core body temperature of an individual tends to have the
lowest value in the second half of the sleep cycle; the lowest point, called
the nadir, is one of the primary markers for circadian rhythms. The body
temperature also changes when a person is hungry, sleepy, or cold.
Methods of measurement
Taking a person's temperature is
an initial part of a full clinical examination. There are various types of
medical thermometers, as well as sites used for measurement, including:
- In the anus (rectal temperature)
- In the mouth (oral temperature)
- Under the arm (axillary temperature)
- In the ear (tympanic temperature)
- In the vagina (vaginal temperature)
- In the bladder
- On the skin of the forehead over the temporal artery
Variations
Temperature control
(thermoregulation) is part of a homeostatic mechanism that keeps the organism
at optimum operating temperature, as it affects the rate of chemical reactions.
In humans, the average internal temperature is 37.0 °C (310.15 K), though it
varies among individuals. However, no person always has exactly the same
temperature at every moment of the day. Temperatures cycle regularly up and
down through the day, as controlled by the person's circadian rhythm. The
lowest temperature occurs about two hours before the person normally wakes up.
Additionally, temperatures change according to activities and external factors.
In addition to varying throughout
the day, normal body temperature may also differ as much as 0.5 °C (0.5 K) from
one day to the next, so that the highest or lowest temperatures on one day will
not always exactly match the highest or lowest temperatures on the next day.
Normal human body temperature
varies slightly from person to person and by the time of day. Consequently,
each type of measurement has a range of normal temperatures. The range for
normal human body temperatures, taken orally, is 36.8±0.5 °C (309.95±0.5 K).
This means that any oral temperature between 36.3 and 37.3 °C (309.45 and
310.45 K) is likely to be normal. The normal human body temperature is often
stated as 36.5~37.5 °C (309.65~310.65 K).
Natural rhythms
Body temperature normally
fluctuates over the day, with the lowest levels around 04:00. and the highest
in the late afternoon, between 16:00 and 18:00 (assuming the person sleeps at
night and stays awake during the day). Therefore, an oral temperature of 37.3
°C (310.45 K) would, strictly speaking, be a normal, healthy temperature in the
afternoon but not in the early morning. An individual's body temperature
typically changes by about 0.5 °C (0.5 K) between its highest and lowest points
each day.
Body temperature is sensitive to
many hormones, so women have a temperature rhythm that varies with the
menstrual cycle, called a circamensal rhythm. A woman's basal body temperature
rises sharply after ovulation, as estrogen production decreases and
progesterone increases. Fertility awareness programs use this predictable
change to identify when a woman can become pregnant. During the luteal phase of
the menstrual cycle, both the lowest and the average temperatures are slightly
higher than during other parts of the cycle. However, the amount that the
temperature rises during each day is slightly lower than typical, so the
highest temperature of the day is not very much higher than usual. Hormonal
contraceptives both suppress the circamensal rhythm and raise the typical body
temperature by about 0.6 °C (0.6 K).
Temperature also varies with the
change of seasons during each year. This pattern is called a circannual rhythm.
Studies of seasonal variations have produced inconsistent results. People
living in different climates may have different seasonal patterns.
Increased physical fitness
increases the amount of daily variation in temperature.
With increased age, both average
body temperature and the amount of daily variability in the body temperature
tend to decrease. Elderly patients may have a decreased ability to generate
body heat during a fever, so even a somewhat elevated temperature can indicate
a serious underlying cause in geriatrics.
Measurement methods
Different methods used for
measuring temperature produce different results. The temperature reading
depends on which part of the body is being measured. The typical daytime
temperatures among healthy adults are as follows:
·
Temperature in the anus (rectum/rectal), vagina,
or in the ear (otic) is about 37.5 °C (310.65 K)
·
Temperature in the mouth (oral) is about 36.8 °C
(309.95 K)
·
Temperature under the arm (axillary) is about
36.5 °C (309.65 K)
Generally, oral, rectal, gut, and
core body temperatures, although slightly different, are well-correlated, with
oral temperature being the lowest of the four. Oral temperatures are generally
about 0.4 °C (0.4 K) lower than rectal temperatures.
Oral temperatures are influenced
by drinking, chewing, smoking, and breathing with the mouth open. Cold drinks
or food reduce oral temperatures; hot drinks, hot food, chewing, and smoking
raise oral temperatures.
Axillary (armpit), tympanic
(ear), and other skin-based temperatures correlate relatively poorly with core
body temperature. Tympanic measurements run higher than rectal and core body
measurements, and axillary temperatures run lower. The body uses the skin as a
tool to increase or decrease core body temperature, which affects the temperature
of the skin. Skin-based temperatures are more variable than other measurement
sites. The peak daily temperature for axillary measurements lags about three
hours behind the rest of the body. Skin temperatures are also more influenced
by outside factors, such as clothing and air temperature.
Specific temperature concepts
There are some specific
temperature concepts when the body temperature is abnormal: fever, hyperpyrexia,
hyperthermia, and hypothermia.
Fever:
A temperature setpoint is the
level at which the body attempts to maintain its temperature. When the setpoint
is raised, the result is a fever. Most fevers are caused by infectious disease
and can be lowered, if desired, with antipyretic medications.
An early morning temperature
higher than 37.2 °C (> 310.35 K) or a late afternoon temperature higher than
37.7 °C (>310.85 K) is normally considered a fever, assuming that the
temperature is elevated due to a change in the hypothalamus's setpoint. Lower
thresholds are sometimes appropriate for elderly people. The normal daily
temperature variation is typically 0.5 °C (0.5 K), but can be greater among people
recovering from a fever.
An organism at optimum
temperature is considered afebrile or apyrexic, meaning "without
fever". If temperature is raised, but the setpoint is not raised, then the
result is hyperthermia.
Hyperpyrexia:
Hyperpyrexia is a fever with an
extreme elevation of body temperature greater than or equal to 41.5 °C (314.65
K). Such a high temperature is considered a medical emergency as it may
indicate a serious underlying condition or lead to significant side effects.
The most common cause is an intracranial hemorrhage. Other possible causes
include sepsis, Kawasaki syndrome, neuroleptic malignant syndrome, drug
effects, serotonin syndrome, and thyroid storm. Infections are the most common
cause of fevers, however as the temperature rises other causes become more
common. Infections commonly associated with hyperpyrexia include roseola,
rubeola and enteroviral infections. Immediate aggressive cooling to less than
38.9 °C (312.05 K) has been found to improve survival. Hyperpyrexia differs
from hyperthermia in that in hyperpyrexia the body's temperature regulation
mechanism sets the body temperature above the normal temperature, then
generates heat to achieve this temperature, while in hyperthermia the body
temperature rises above its set point due to an outside source.
Hyperthermia:
Hyperthermia is an example of a
high temperature that is not a fever. It occurs from a number of causes
including heatstroke, neuroleptic malignant syndrome, malignant hyperthermia,
stimulants such as amphetamines and cocaine, idiosyncratic drug reactions, and
serotonin syndrome.
Hypothermia:
In hypothermia, body temperature
drops below that required for normal metabolism and bodily functions. In
humans, this is usually due to excessive exposure to cold air or water, but it
can be deliberately induced as a medical treatment. Symptoms usually appear
when the body's core temperature drops by 1~2 °C (1~2 K) below normal
temperature.
Here is the temperature
classification of human
- Hypothermia: <35.0 °C (308.15 K)
- Normal: 36.5~37.5 °C (309.65~310.65 K)
- Fever: >37.5 or 38.3 °C (310.65 or 311.45 K)
- Hyperthermia: >37.5 or 38.3 °C (310.65 or 311.45 K)
- Hyperpyrexia: >40.0 or 41.5 °C (313.15 or 314.65 K)
Note: The difference between
fever and hyperthermia is the underlying mechanism.
Different sources have different cuts offs for fever, hyperthermia and hyperpyrexia.
Different sources have different cuts offs for fever, hyperthermia and hyperpyrexia.
In this post we learned a lot.
not only do we knew about the human body temperature, but also we learned about
how can we use SI temperature units - K and °C correctly. After reading the
post, comment your highest fever temperature in °C and K please. Thank you!