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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Psychol.</journal-id>
<journal-title>Frontiers in Psychology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Psychol.</abbrev-journal-title>
<issn pub-type="epub">1664-1078</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fpsyg.2017.01479</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Psychology</subject>
<subj-group>
<subject>Mini Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Perception, Action, and Cognition of Football Referees in Extreme Temperatures: Impact on Decision Performance</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Gaoua</surname> <given-names>Nadia</given-names></name>
<xref ref-type="author-notes" rid="fn001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/212341/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>de Oliveira</surname> <given-names>Rita F.</given-names></name>
<uri xlink:href="http://loop.frontiersin.org/people/116686/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Hunter</surname> <given-names>Steve</given-names></name>
<uri xlink:href="http://loop.frontiersin.org/people/469807/overview"/>
</contrib>
</contrib-group>
<aff><institution>School of Applied Sciences, London South Bank University</institution> <country>London, United Kingdom</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: <italic>Sergio Machado, Federal University of Rio de Janeiro, Brazil</italic></p></fn>
<fn fn-type="edited-by"><p>Reviewed by: <italic>Robert Hristovski, Saints Cyril and Methodius University of Skopje, Macedonia; Dominic Orth, VU University Amsterdam, Netherlands</italic></p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x002A;Correspondence: <italic>Nadia Gaoua, <email>gaouan@lsbu.ac.uk</email></italic></p></fn>
<fn fn-type="other" id="fn002"><p>This article was submitted to Movement Science and Sport Psychology, a section of the journal Frontiers in Psychology</p></fn></author-notes>
<pub-date pub-type="epub">
<day>29</day>
<month>08</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<volume>8</volume>
<elocation-id>1479</elocation-id>
<history>
<date date-type="received">
<day>05</day>
<month>05</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>16</day>
<month>08</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2017 Gaoua, de Oliveira and Hunter.</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>Gaoua, de Oliveira and Hunter</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Different professional domains require high levels of physical performance alongside fast and accurate decision-making. Construction workers, police officers, firefighters, elite sports men and women, the military and emergency medical professionals are often exposed to hostile environments with limited options for behavioral coping strategies. In this (mini) review we use football refereeing as an example to discuss the combined effect of intense physical activity and extreme temperatures on decision-making and suggest an explicative model. In professional football competitions can be played in temperatures ranging from -5&#x00B0;C in Norway to 30&#x00B0;C in Spain for example. Despite these conditions, the referee&#x2019;s responsibility is to consistently apply the laws fairly and uniformly, and to ensure the rules are followed without waning or adversely influencing the competitiveness of the play. However, strenuous exercise in extreme environments imposes increased physiological and psychological stress that can affect decision-making. Therefore, the physical exertion required to follow the game and the thermal strain from the extreme temperatures may hinder the ability of referees to make fast and accurate decisions. Here, we review literature on the physical and cognitive requirements of football refereeing and how extreme temperatures may affect referees&#x2019; decisions. Research suggests that both hot and cold environments have a negative impact on decision-making but data specific to decision-making is still lacking. A theoretical model of decision-making under the constraint of intense physical activity and thermal stress is suggested. Future naturalistic studies are needed to validate this model and provide clear recommendations for mitigating strategies.</p>
</abstract>
<kwd-group>
<kwd>hot</kwd>
<kwd>cold</kwd>
<kwd>football referee</kwd>
<kwd>decision-making</kwd>
<kwd>perception</kwd>
</kwd-group>
<counts>
<fig-count count="1"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="73"/>
<page-count count="7"/>
<word-count count="0"/>
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</article-meta>
</front>
<body>
<sec><title>Introduction</title>
<p>Research has recently advanced in respect to the psychophysiological responses and adaptations to hot environments. In real-world settings, heat and physical activity are often demands placed upon professional requirements which prevent some of the known coping strategies. This can be problematic during time-pressured decision-making (DM) in different domains such as construction work, police, firefighting, elite sport, the military, and emergency medicine. Based on the relationship between DM, environmental conditions and exercise intensities, we propose using football referees as an example, to discuss and develop a model of the additive effect of intense physical activity and thermal stress on DM.</p>
<p>Association football is governed by 17 laws that need to be upheld in every game regardless of the level of competition. It is the referee&#x2019;s responsibility to apply these laws uniformly and fairly, ensuring the rules are followed without influencing the competitiveness of the play. The referee must be competent in the application of all rules, be in the appropriate field position to see the players, and make fast and accurate decisions. In recent years, an increasing body of research has emerged examining the physiological demands and DM requirements of referees (<xref ref-type="bibr" rid="B45">Mascarenhas et al., 2006</xref>; <xref ref-type="bibr" rid="B70">Weston, 2015</xref>).</p>
<p>Within professional European competitions, matches can be played in extreme environmental temperatures ranging from -5&#x00B0;C in Norway to +30&#x00B0;C in Spain (<xref ref-type="bibr" rid="B65">Taylor et al., 2014</xref>). In addition, to facilitate the compact European league season, the World Cups are usually played in the summer months, when temperatures can exceed 35&#x00B0;C potentially with high levels of humidity. During games in extreme temperatures players modify their game in order to maintain performance and prevent fatigue (<xref ref-type="bibr" rid="B61">Racinais et al., 2012</xref>). Tactics and changing formations give players some flexibility in adjusting game intensity when they are &#x201C;off-the-ball.&#x201D; Referees, however, have to follow the rhythm of the match and maintain proximity to key incidents in order to make accurate decisions (<xref ref-type="bibr" rid="B11">Catteral et al., 1993</xref>). Therefore, although previous research indicated that the physiological demands of referees are similar to those of midfielders (<xref ref-type="bibr" rid="B73">Weston et al., 2011b</xref>) these demands may increase considerably under more extreme temperatures because referees are not allowed the same coping strategies. Strenuous exercise in extreme environments increases physiological and psychological stress (<xref ref-type="bibr" rid="B5">Bolmont et al., 2000</xref>, <xref ref-type="bibr" rid="B4">2001</xref>) that can affect cognitive performance (<xref ref-type="bibr" rid="B27">Gaoua et al., 2011b</xref>; <xref ref-type="bibr" rid="B60">Racinais et al., 2016</xref>). Therefore, the physical exertion and thermal strain could hinder the DM ability of referees.</p>
<p>Previous reviews focused on the physiological and/or cognitive demands of refereeing but not on the impact of environmental stress and fatigue on their decisions. Therefore, this review aims to: (1) summarize the current knowledge of the physical and cognitive demands of refereeing, (2) determine the effect of extreme temperatures on DM, and (3) discuss how extreme environmental conditions may affect DM. (4) Finally, a theoretical model of DM under the constraint of intense physical activity and thermal stress is suggested.</p>
<sec><title>Physical and Cognitive Requirements of Football Refereeing</title>
<p>While player fatigue in football is well-documented (<xref ref-type="bibr" rid="B48">Mohr et al., 2005</xref>; <xref ref-type="bibr" rid="B2">Bangsbo et al., 2006</xref>), little is known about the effect of fatigue on referees&#x2019; performance. It was previously suggested that the physiological demands of refereeing are similar to a midfielder, as each covers a comparable total distance with equivalent durations of high-speed running (<xref ref-type="bibr" rid="B73">Weston et al., 2011b</xref>). Like players, referees cover 7.5 to 11.5 km per game (<xref ref-type="bibr" rid="B73">Weston et al., 2011b</xref>; <xref ref-type="bibr" rid="B13">Costa et al., 2013</xref>). Although many studies report total distance covered (<xref ref-type="bibr" rid="B8">Castagna et al., 2007</xref>; <xref ref-type="bibr" rid="B42">Mallo et al., 2007</xref>; <xref ref-type="bibr" rid="B73">Weston et al., 2011b</xref>), this may not be a reliable measure of physical stress given that standing, jogging and walking account for more than 75% of refereeing activity (<xref ref-type="bibr" rid="B71">Weston et al., 2007</xref>). Instead, high intensity running (HIR) is a more reliable measure of the physical demands and therefore a better indication of fatigue (<xref ref-type="bibr" rid="B37">Krustrup et al., 2002</xref>; <xref ref-type="bibr" rid="B43">Mallo et al., 2009</xref>). A high-level football referee spends 42% of the match running at high intensity (18.1&#x2013;24 km.h<sup>-1</sup>), with approximately 89% of maximal heart rate throughout the match (<xref ref-type="bibr" rid="B37">Krustrup et al., 2002</xref>; <xref ref-type="bibr" rid="B8">Castagna et al., 2007</xref>).</p>
<p>Other authors suggested that comparing the distance covered in each half of a match could reflect the level of fatigue of referees (<xref ref-type="bibr" rid="B71">Weston et al., 2007</xref>). While some studies reported a decreased distance covered in the second half (<xref ref-type="bibr" rid="B11">Catteral et al., 1993</xref>; <xref ref-type="bibr" rid="B15">D&#x2019;Ottavio and Castagna, 2001</xref>) others showed no significant differences (<xref ref-type="bibr" rid="B37">Krustrup et al., 2002</xref>). Similar results were observed when comparing HIR distance between first and second half of a match (<xref ref-type="bibr" rid="B15">D&#x2019;Ottavio and Castagna, 2001</xref>; <xref ref-type="bibr" rid="B37">Krustrup et al., 2002</xref>). The variation in the observed results can be related to several external factors such as player tactical roles, players&#x2019; physical condition, referees&#x2019; stress levels, and environmental conditions (<xref ref-type="bibr" rid="B72">Weston et al., 2011a</xref>; <xref ref-type="bibr" rid="B13">Costa et al., 2013</xref>). Because of this, it was suggested that the subjective evaluation of fatigue is worth considering for example by using the rating of perceived exertion (RPE; <xref ref-type="bibr" rid="B33">Impellizzeri et al., 2004</xref>, <xref ref-type="bibr" rid="B34">2005</xref>). It is difficult to generalize the physical demands of refereeing during matches but findings suggest the importance of individualizing the evaluation of fatigue in referees (<xref ref-type="bibr" rid="B72">Weston et al., 2011a</xref>; <xref ref-type="bibr" rid="B13">Costa et al., 2013</xref>).</p>
<p>In addition to the physical demands, a top referee faces high psychological demands, making around 137 observable decisions per match (<xref ref-type="bibr" rid="B31">Helsen and Bultynck, 2004</xref>). If we also add non-observable decisions and take into account an average effective playing time of 51 min (<xref ref-type="bibr" rid="B47">Miyamura et al., 1997</xref>) it is suggested that a top-class referee makes 3&#x2013;4 decisions per minute (<xref ref-type="bibr" rid="B31">Helsen and Bultynck, 2004</xref>). Among these decisions 28% are about fouls and misconduct which can impact match result or players&#x2019; health (<xref ref-type="bibr" rid="B24">Fuller et al., 2004</xref>). <xref ref-type="bibr" rid="B67">Van Meerbeek et al. (1987)</xref> counted the number of correct and incorrect decisions related to specific laws of the game during the 1986 World Cup in Mexico. They found that of all the decisions made in 16 games, 17% were incorrect (range: 11&#x2013;35%). Similarly, other studies have looked at decisions made during football games in comparison to expert panel decisions via post-match analysis and found disagreement in 21&#x2013;40% of the decisions (<xref ref-type="bibr" rid="B24">Fuller et al., 2004</xref>; <xref ref-type="bibr" rid="B46">Mascarenhas et al., 2009</xref>). This difference could be related to several factors that influence the referee&#x2019;s decisions in real environments, for example: prior decisions; team reputation; crowd noise; home advantage and; players&#x2019; physical stature (<xref ref-type="bibr" rid="B58">Plessner and Betsch, 2001</xref>; <xref ref-type="bibr" rid="B35">Jones et al., 2002</xref>; <xref ref-type="bibr" rid="B50">Nevill et al., 2002</xref>; <xref ref-type="bibr" rid="B68">Van Quaquebeke and Giessner, 2010</xref>).</p>
<p><xref ref-type="bibr" rid="B67">Van Meerbeek et al. (1987)</xref> concluded that the number of observed decisions is uniformly distributed throughout a match. This means that referees are equally focused from the beginning of a match to its end independently of their level of fatigue. In a naturalistic study, <xref ref-type="bibr" rid="B46">Mascarenhas et al. (2009)</xref> investigated the combined effect of exercise and physiological factors on DM. They concluded that referees make on average 64% accurate decisions, and accuracy levels were not related to movement speed, heart rate, or cumulative distance covered. The authors concluded that none of these variables individually predicts decision accuracy but rather a more complex, multivariate relationship between them (<xref ref-type="bibr" rid="B46">Mascarenhas et al., 2009</xref>). Therefore, on the field, DM might be influenced by the specific context of the match and the access to the most accurate information. Throughout their own training and development, referees become experts in using this perceptual information (<xref ref-type="bibr" rid="B17">de Oliveira et al., 2014</xref>). Importantly, referees need to move with the game play in order to make that information available. Several authors argue for a bidirectional link between actions and perception as a base for accurate DM in different contexts (e.g., <xref ref-type="bibr" rid="B51">Newell, 1986</xref>; <xref ref-type="bibr" rid="B16">de Oliveira et al., 2009</xref>, <xref ref-type="bibr" rid="B17">2014</xref>). This is important because under strenuous physical and physiological conditions referees are less able to position themselves in the play situation which may result in visual perception and hence DM being negatively affected. Indeed, <xref ref-type="bibr" rid="B41">Mallo et al. (2012)</xref> investigated the accuracy of referees&#x2019; decisions during the FIFA Confederation Cup 2009 and found that incorrect decisions occurred twice as often in the second half of the match than in the first half suggesting the influence of fatigue.</p>
<p>It is also known that the timing of visual perception is crucial in expert anticipation, actions and decisions (<xref ref-type="bibr" rid="B53">Oudejans et al., 2000</xref>; <xref ref-type="bibr" rid="B18">de Oliveira et al., 2008</xref>), but only three studies have investigated gaze behaviors in referees (<xref ref-type="bibr" rid="B3">Bard et al., 1980</xref>; <xref ref-type="bibr" rid="B10">Catteeuw et al., 2009</xref>; <xref ref-type="bibr" rid="B28">Hancock and Ste-Marie, 2013</xref>). Investigating the gaze behavior of referees would help to understand what information sources referees attend to, the timing for using information, and the potential role of distractions. In a game situation, referees have plenty of distractions (e.g., <xref ref-type="bibr" rid="B38">Lex et al., 2014</xref>) and have to attend and react to new information appearing while maintaining concentration over 90 min (<xref ref-type="bibr" rid="B56">Pietraszewski et al., 2014</xref>).</p>
<p><xref ref-type="bibr" rid="B3">Bard et al. (1980)</xref> found significant differences between elite and novice gymnastic referees when they measured gaze behavior and accuracy. In ice hockey, expert referees were better than lower-level referees in DM, but did not differ in gaze behavior (<xref ref-type="bibr" rid="B28">Hancock and Ste-Marie, 2013</xref>). In football, players&#x2019; gaze behaviors toward relevant open spaces; more fixations of shorter duration have been associated with better decisions (<xref ref-type="bibr" rid="B44">Mann et al., 2009</xref>). The only study investigating gaze behavior in football referees, however, found no differences in scan patterns between international and national assistant referees during match play (<xref ref-type="bibr" rid="B10">Catteeuw et al., 2009</xref>). The contrasting results of these studies regarding visual search patterns and their relationship with accurate DM suggest that further research is required to understand referees&#x2019; visual perception in relation to DM. Such research should focus on the interactions between environment, movement patterns, performance level, gaze behavior and DM.</p>
</sec>
<sec><title>Effect of Extreme Temperatures</title>
<p>Heat exposure negatively impacts both physiological and cognitive performance (<xref ref-type="bibr" rid="B59">Racinais et al., 2008</xref>). During passive hyperthermia, decrements in memory and sustained attention were observed with an increase in core temperature (<xref ref-type="bibr" rid="B27">Gaoua et al., 2011b</xref>). The variation in skin temperature also produced decrements in complex cognitive tasks (<xref ref-type="bibr" rid="B26">Gaoua et al., 2011a</xref>, <xref ref-type="bibr" rid="B25">2012</xref>). Performance of a rapid visual processing task showed an increase in rapid inaccurate responses in a hot environment compared to a thermo-neutral environment, suggesting an increase in impulsivity (<xref ref-type="bibr" rid="B27">Gaoua et al., 2011b</xref>). <xref ref-type="bibr" rid="B19">Dickman and Meyer (1988)</xref> proposed that increases in impulsivity alter cognitive performance at the decision stage (<xref ref-type="bibr" rid="B22">Exposito and Pueyo, 1997</xref>, but see <xref ref-type="bibr" rid="B12">Cisek and Kalaska, 2010</xref>). DM can also be adversely affected during exercise in a hot environment (<xref ref-type="bibr" rid="B21">Ernwein and Keller, 1998</xref>) and reductions in both working memory capacity and in the ability to analyze and retain visual information have been observed when core temperature is increased to 38.5&#x00B0;C through exercise (<xref ref-type="bibr" rid="B32">Hocking et al., 2001</xref>).</p>
<p>In the other extreme, cold environmental temperatures can also significantly affect cognitive performance (<xref ref-type="bibr" rid="B54">Palinkas, 2001</xref>; <xref ref-type="bibr" rid="B57">Pilcher et al., 2002</xref>) and particularly concentration, vigilance, memory, and reasoning (<xref ref-type="bibr" rid="B66">Taylor et al., 2016</xref>). Specifically, moderate cooling leads to decreases in simple cognitive tasks (<xref ref-type="bibr" rid="B54">Palinkas, 2001</xref>) while more severe cold exposure (-20 to 10&#x00B0;C) decreases memory performance (<xref ref-type="bibr" rid="B55">Patil et al., 1995</xref>), vigilance (<xref ref-type="bibr" rid="B23">Flouris et al., 2007</xref>), and DM (<xref ref-type="bibr" rid="B69">Watkins et al., 2014</xref>). Cold also decreases the intensity of perceptual responses (<xref ref-type="bibr" rid="B1">Acevedo and Ekkekakis, 2001</xref>) possibly compromising DM performance. Most of the research investigating the effect of cold comes from work settings where, as temperatures decrease, the frequency of errors increases. Researchers demonstrated that the number of errors significantly increased in ambient temperatures of 5&#x00B0;C compared to 22.5&#x00B0;C (<xref ref-type="bibr" rid="B57">Pilcher et al., 2002</xref>). More recently, responses to cold were investigated and showed a decrease in cognitive performance in cold in a control population but not in elite alpine skiers. Authors suggested that the usual training in cold environments of the skiers made it possible for them to maintain attention on the task. This occurred at the expense of a longer duration to find the correct answer (<xref ref-type="bibr" rid="B60">Racinais et al., 2016</xref>). However, referees are not always habituated to cold and are required to make fast and accurate decisions.</p>
<p><xref ref-type="bibr" rid="B7">Carling et al. (2011)</xref> investigated the physical activity profiles of professional soccer players in official matches played in a cold environment and demonstrated that physical performance did not decrease in cold environment, although HIR only reached its optimum toward the end of the first half. In hot environments players seemed to modify their game by reducing the distances covered during matches (<xref ref-type="bibr" rid="B61">Racinais et al., 2012</xref>). In another study <xref ref-type="bibr" rid="B49">Mohr et al. (2010)</xref> examined fatigue in elite soccer played in hot conditions and concluded that heat reduces HIR toward the end of the match. Given that the referee has to stay close to the game play, these results suggest that extreme conditions may compromise referees&#x2019; ability to maintain proximity with key events during the match, therefore possibly impacting on the information available for the referee to perceive and act/judge accurately (<xref ref-type="bibr" rid="B20">Dicks et al., 2010</xref>; <xref ref-type="bibr" rid="B52">Orth et al., 2014</xref>). Despite evidence that heat compromises both physical performance and DM (<xref ref-type="bibr" rid="B49">Mohr et al., 2010</xref>; <xref ref-type="bibr" rid="B27">Gaoua et al., 2011b</xref>; <xref ref-type="bibr" rid="B61">Racinais et al., 2012</xref>) only a few studies investigated its specific effect on referees&#x2019; DM.</p>
<p>In their recent study, <xref ref-type="bibr" rid="B65">Taylor et al. (2014)</xref> investigated the effect of hot and cold exposure on DM after a 90-min intermittent treadmill protocol simulating match-play. In this experiment exposure to hot or cold environments did not affect the DM ability of football referees. However, these results may be limited because there was no significant difference in referees&#x2019; core temperatures between the cold and hot conditions (8 and 30&#x00B0;C, respectively). This means that, in the hot condition, the recorded core temperatures (&#x003C;38.5&#x00B0;C) were substantially below those observed in players during football matches in the heat (&#x2248;40&#x00B0;C, <xref ref-type="bibr" rid="B61">Racinais et al., 2012</xref>). The authors acknowledged that their protocol may not have elicited the strain experienced by referees during a real football match in the heat. In another study, goal line officials&#x2019; performance only decreased when exposed to a cold environment. Using a simple regression analysis, the authors suggested that cognitive performances improved at computerized tasks with the increase in skin temperature and decreased with the decrease in skin temperature (<xref ref-type="bibr" rid="B69">Watkins et al., 2014</xref>). These results contradict previous findings that suggest decrements in cognitive performance with the increase in skin temperature in hot environments (<xref ref-type="bibr" rid="B25">Gaoua et al., 2012</xref>). In addition, a recent study showed that a decrease in skin temperature during passive cold exposure had no impact on cognitive performance in elite skiers but compromised a control group&#x2019;s performance (<xref ref-type="bibr" rid="B60">Racinais et al., 2016</xref>) possibly because skiers were habituated to cold. These studies clearly highlight the need of further research to identify the effect of both cold and hot environments on referees&#x2019; decisions in natural match environments.</p>
</sec>
</sec>
<sec><title>Model of Decision-Making (DM) in Extreme Temperatures</title>
<p>Performing cognitive tasks in extreme environments is thought to deteriorate when the cognitive resources are insufficient to cope with both the task and the thermal stress (<xref ref-type="bibr" rid="B32">Hocking et al., 2001</xref>; <xref ref-type="bibr" rid="B27">Gaoua et al., 2011b</xref>; <xref ref-type="bibr" rid="B9">Castellani and Tipton, 2016</xref>). Decrements could be attributed to compensatory physiological processes taking place during adaptation to extreme environments and to the negative valence they may illicit both in hot and cold environments (i.e., alliesthesial response; <xref ref-type="bibr" rid="B6">Cabanac, 1971</xref>; <xref ref-type="bibr" rid="B14">Davis et al., 1975</xref>; <xref ref-type="bibr" rid="B25">Gaoua et al., 2012</xref>). In fact, both <xref ref-type="bibr" rid="B1">Acevedo and Ekkekakis (2001)</xref> for cold and <xref ref-type="bibr" rid="B25">Gaoua et al. (2012)</xref> for hot have suggested that in extreme environments discomfort plays an important role in performance decrements. With the addition of fatiguing exercise, the prefrontal cortex, in response to muscular fatigue, would be down-regulated to favor the allocation of resources to motor areas, which in turn would further compromise cognitive performance and DM (<xref ref-type="bibr" rid="B63">Schmit et al., 2016</xref>; <bold>Figure <xref ref-type="fig" rid="F1">1</xref></bold>, bars 1 and 5). Based on previous studies we suggest that the thermal stress and fatigue experienced by referees in extreme environments interferes with their cognitive resources such that overload may occur during hyper/hypothermia, resulting in decreased DM performance (<bold>Figure <xref ref-type="fig" rid="F1">1</xref></bold>, bars 1 and 5). This is in line with <xref ref-type="bibr" rid="B36">Kahneman&#x2019;s (1973)</xref> idea of a single pool of resources to draw from resulting in impaired performance when the task is combined with environmental stress; this would explain why simple tasks are not compromised in extreme environments and why the use of cooling strategies, to reduce the physiological load, would enable an improvement of both physical (<xref ref-type="bibr" rid="B62">Ruddock et al., 2017</xref>) and cognitive (<xref ref-type="bibr" rid="B27">Gaoua et al., 2011b</xref>) performances.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Model of the individual zone of optimal comfort (IZOC) for decision-making. The zone of thermal comfort leading to individual optimal functioning is represented by the middle bar. Bars 2 and 3 represent a decrease in decision-making performance due to passive hypo or hyperthermia. Bars 1 and 5 represent a further decrease in decision-making performance due to fatiguing physical activity in hypo or hyperthermia. See details in the text.</p></caption>
<graphic xlink:href="fpsyg-08-01479-g001.tif"/>
</fig>
<p>Authors have previously suggested and inverted-U relationship between environmental temperatures and attentional resources at rest (maximum adaptability model of attention, <xref ref-type="bibr" rid="B29">Hancock and Warm, 1989</xref>) between core temperature and cognitive performance (<xref ref-type="bibr" rid="B63">Schmit et al., 2016</xref>) and between exercise intensity and cognitive performance (<xref ref-type="bibr" rid="B40">Ludyga et al., 2016</xref>). Although the exact pattern of the combined effect of intense physical performance and thermal stress is yet to be clarified, it is suggested here that it might also follow an inverted-U relationship. However, given that preferred temperature rather than the objective measure of either environmental or core temperatures seem to predict working memory depletion (<xref ref-type="bibr" rid="B64">Sellaro et al., 2015</xref>) and that exercise tolerance is ultimately limited by perception of effort (RPE), it is suggested that, based on individual differences, there is an Individual Zone of Optimal Functioning (IZOF; <xref ref-type="bibr" rid="B30">Hanin, 1994</xref>, <bold>Figure <xref ref-type="fig" rid="F1">1</xref></bold>, bar 3) in DM for different environments that is specific to each person. <xref ref-type="bibr" rid="B39">Liu et al. (2013)</xref> suggest that before cognitive decrements there is a plateau at which performance is maintained and could relate to compensating activities of brain areas other than the ones involved in the task. The duration of this plateau could represent the IZOF of each individual. Further research should empirically test and expand this model.</p>
</sec>
<sec><title>Conclusion</title>
<p>Results of studies investigating fatigue during football games and the effect of environmental stress suggest that football referees&#x2019; DM would be compromised in extreme environments. However, it is also important to consider the interaction between movement patterns (spatial) and modes of ambulation (temporal) in different temperature extremes in the context of DM. Further research is warranted to verify the theoretical model proposed in this review and to provide clear recommendations. These recommendations should focus on strategies that can easily be used in the specific context and requirements of different domains and aim to reduce the psychological and/or physiological load associated with intense exercise in extreme temperatures.</p>
</sec>
<sec><title>Author Contributions</title>
<p>All authors have contributed to the manuscript. NG developed the draft and model. RdO and SH critically reviewed and revised the manuscript. All authors gave final approval of the version to be published.</p>
</sec>
<sec><title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
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