Exercising in the heat often results in an excessive increase in body core temperature, which can be detrimental to health and endurance performance. Research in recent years has shifted toward the optimum temperature at which drinks should be ingested. The ingestion of cold drinks can reduce body core temperature before exercise but less so during exercise. Temperature of drinks does not seem to have an effect on the rate of gastric emptying and intestinal absorption. Manipulating the specific heat capacity of a solution can further induce a greater heat sink. Ingestion of ice slurry exploits the additional energy required to convert the solution from ice to water (enthalpy of fusion). Body core temperature is occasionally observed to be higher at the point of exhaustion with the ingestion of ice slurry. There is growing evidence to suggest that ingesting ice slurry is an effective and practical strategy to prevent excessive rise of body core temperature and improve endurance performance. This information is especially important when only a fixed amount of fluid is allowed to be carried, often seen in some ultra-endurance events and military operations. Future studies should evaluate the efficacy of ice slurry in various exercise and environmental conditions.The rise in body core temperature to a high level, known as hyperthermia, is related to the body heat storage that occurs from either an increase in metabolic heat production or a decrease in heat loss. The classic paper by Nielsen (1938) showed that this elevation in body core temperature during steady-state exercise was proportional to metabolic rate and independent of ambient temperature from 5 to 30°C, later known as the prescriptive zone -a range of conditions in which the increase of body core temperature during exercise is independent of the environment (Lind, 1963).The debilitating effects of heat stress are well known and history has provided many examples of heat illness and death caused by heat stress (see Leithead & Lind, 1964;Parsons, 2003 for a review of some cases). The negative effects of heat stress on endurance capacity are also well documented in several well-controlled laboratory investigations (Febbraio et al., 1994; Galloway & Maughan, 1997;Parkin et al., 1999). The combination of exercise and heat strain results in competition between the skeletal muscle and skin for a limited blood flow (Rowell, 1974), i.e., blood required to provide oxygen and to remove metabolic waste products and blood required to promote heat loss at the skin. Extensive literature has affirmed that heat stress combined with exercise imposes severe strain on thermoregulatory and cardiovascular systems, as indicated by hyperthermia, dehydration, reduced work capacity, and occasionally, circulatory collapse (Brengelmann, 1983; GonzalezAlonso, 1998; Kay & Marino, 2000;Burke, 2001;Coris et al., 2004;Maughan & Shirreffs, 2004).To date, several interventions such as heat acclimation/acclimatization (Nielsen et al., 1993;Moran et al., 1996;Nielsen, 1998;Shapiro et al.,...