December 2, 2021/Primary Care

Do You Really Lose Most of Your Body’s Heat Through Your Head?

Some heat escapes if you don’t wear a hat, but it’s not as much as you might think

A child wearing a coat, gloves, scarf and hat sweeps snow off of a car with a broom.

Q: Mom always said to wear a hat when it’s cold because you lose half of your body heat through your head. Was she right?

A: Nobody wants to question their mother. With that in mind, let’s start with this: Mom is right about wearing a hat when it’s cold outside. Her math on heat loss, however, is a bit off.

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The truth is, you won’t squander anywhere close to 50% of your body heat through an uncapped noggin. Will you lose some heat? Absolutely…but a 2008 study shows that it’s more in the 10% range for adults.

That figure makes sense, as it roughly matches the head’s percentage of your body’s total surface area. Or to put it another way, you’re losing heat in direct proportion to the amount of exposed skin.

Going without a hat when the temperature takes a polar plummet essentially brings the same result as wearing a pair of shorts (bare legs) or a tank top (bare arms). Basically, you’re getting cold if you’re not covered.

The lesson here is that you can shed heat from any part of the body that’s facing the elements “au naturel.” No one area sheds significantly more heat than another.

So where did the myth about heat pouring out of your head originate? Most point to an old U.S. Army Field Manual that estimated soldiers could lose 40% to 45% of their body heat through an unprotected head.

But using that logic means that you could be naked except for a hat and lose about the same amount of body heat as a fully clothed person with a bare head. Not likely, right?

That’s why this cold weather myth melts under the heat of a more scientific examination.

But let’s get one thing straight: It’s best to wear a hat when it gets cold. Frigid weather isn’t exactly skin-friendly. Frostbite symptoms can start to develop quickly on any exposed skin — especially ears and noses — when temperatures dip into the single digits Fahrenheit.

Plus, you do lose some body heat through your head — which can eventually lead down the road toward hypothermia.

One more bit of information, too: Children tend to lose a higher percentage of body heat through their heads. The reason? Compared to adults, their heads are bigger in comparison to their bodies.

So maybe Mom was onto something, after all.

Emergency physician Thomas Waters, MD

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