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Time to redefine normal body temperature? (2020)

health.harvard.edu

61–70 of 148 posts

Re: Time to redefine normal body temperature? (2020)

#61
post #37

Earlier quoted context omitted.

To add, < 38°C (100.4°F) is not considered a fever but subfebrile.

Sometimes I feel more sick having 37.5° than 38°, I don't know why.

Possibly because your 37.5 is from your body trying to reach 38 but not getting there yet. I'm just recovering from influenza right now and over the past two weeks I've noticed that pattern very clearly -- I feel worse when my temperature is 37.5 and rising than I do when my temperature is 39 and steady.

Re: Time to redefine normal body temperature? (2020)

#62
post #59
post #52

The whole enterprise of trying to find "a normal" temperature seems silly to me, increasingly after getting two kids with fevers every now and then. We use both high-quality ear canal and anal thermometers, and while we have enough statistical grounds to unbias their results compared to each other, there remains significant variance. I.e. if we use an anal or ear canal thermometer makes temperature vary ±0.4 °C. Then…

> if we use an anal or ear canal thermometer makes temperature vary ±0.4 °C. This part is just known, though: the usual "close enough" standard for core temperature is an anal temperature and everything else you have to adjust. (Everything else you say I agree with, though.)

I know that's common wisdom, but I also have started to doubt it -- when variation is so large, does it really matter whether you measure in the ear or the butt?

(For what it's worth, my local hospitals use ear canal temperatures for diagnostic purposes.)

Re: Time to redefine normal body temperature? (2020)

#63
post #62
post #59

Earlier quoted context omitted.

> if we use an anal or ear canal thermometer makes temperature vary ±0.4 °C. This part is just known, though: the usual "close enough" standard for core temperature is an anal temperature and everything else you have to adjust. (Everything else you say I agree with, though.)

I know that's common wisdom, but I also have started to doubt it -- when variation is so large, does it really matter whether you measure in the ear or the butt? (For what it's worth, my local hospitals use ear canal temperatures for diagnostic purposes.)

Of course it does matter, look up systematic error and random error.

Re: Time to redefine normal body temperature? (2020)

#64
post #52

The whole enterprise of trying to find "a normal" temperature seems silly to me, increasingly after getting two kids with fevers every now and then. We use both high-quality ear canal and anal thermometers, and while we have enough statistical grounds to unbias their results compared to each other, there remains significant variance. I.e. if we use an anal or ear canal thermometer makes temperature vary ±0.4 °C. Then…

I applaud your accuracy when measuring your kids' temperature. My approach when figuring out if my kids are sick is if their temperature is "high" and their general appearance and conditition is out of the ordinary. The exact decimal of the temperature doesn't matter too much by itself.

Re: Time to redefine normal body temperature? (2020)

#66
post #38

> [One key possibility] ... Lower metabolic rate: One of the biggest determinants of body temperature is your metabolic rate. Like a car engine that’s idling, your body expends energy just keeping things going, and that generates heat. A lower metabolic rate in modern times could be due to higher body mass (some studies link this with lower metabolic rate), or better medical treatments, preventive measures, and overa…

This is what I came to say. When I was a teen my body ran hot, so hot people used to even comment at times it felt like I had heat coming off me. My normal temps were in the low 99.

Now, as an adult, my metabolism nosedived. I barely feel like eating once a day. It's not abnormal to get temps in the 96s, though that could just be the cheap covid thermometers.

Re: Time to redefine normal body temperature? (2020)

#67
post #38

> [One key possibility] ... Lower metabolic rate: One of the biggest determinants of body temperature is your metabolic rate. Like a car engine that’s idling, your body expends energy just keeping things going, and that generates heat. A lower metabolic rate in modern times could be due to higher body mass (some studies link this with lower metabolic rate), or better medical treatments, preventive measures, and overa…

It seems very likely to be metabolic rate. Most people are way more sedentary than in the past. I'm curious how direct it is. If someone starts exercising from being sedentary for years does their body temperature raise appreciably?

I wouldn’t be that surprised to hear that they were always running slight fevers, though. The past was disgusting.

Re: Time to redefine normal body temperature? (2020)

#68
post #26

Earlier quoted context omitted.

I have always been taught that 37C is the upper limit, actually bordering on fever. So 36.5C or even a bit lower was always considered healthy and fine.

Same here, 36-37 normal, over 37 fever.

Same here, but I've since readjusted :)

Currently the top comment says "Basically, in our experience, anything below 38.4 °C could just as well be caused by any of a number of non-fever conditions at something like a 90 % confidence level" ... which is panicky territory for me. But anything under 38 is fine.

Re: Time to redefine normal body temperature? (2020)

#69
post #26
post #3

As the article says, Wunderlich reached a conclusion of 37C in the 1800s, and that’s what we’ve used since then. The real problem appears to be that converting to Fahrenheit and reporting this as “98.6F” suggests an order of magnitude more precision than “37C”. 36.5C would still round to 37 but corresponds to 97.7F.

I have always been taught that 37C is the upper limit, actually bordering on fever. So 36.5C or even a bit lower was always considered healthy and fine.

I was brought up with everything under 38 being subfebrile (Dutch "verhoging") which means to watch out, but no need to call the doctor yet.

Re: Time to redefine normal body temperature? (2020)

#70
post #63
post #62

Earlier quoted context omitted.

I know that's common wisdom, but I also have started to doubt it -- when variation is so large, does it really matter whether you measure in the ear or the butt? (For what it's worth, my local hospitals use ear canal temperatures for diagnostic purposes.)

Of course it does matter, look up systematic error and random error.

Before being very dismissive, please consider the alternative that I do know about the things you mention, and that there are other ways of looking at the situation.

1. If the ear temperature are consistently wrong (systematic error) it is very easy to debias them and they become equivalent (modulo random error) to anal temperatures.

2. Perhaps cephalic temperature is a better diagnostic tool than gut temperature to evaluate the effects of fever? After all, the brain is a more sensitive organ than the butt.

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