scholarly journals ACUTE EFFECTS OF COLD WATER IMMERSION ON CARDIOVASCULAR AND AUTONOMIC RESPONSES

2019 ◽  
Vol 3 (5) ◽  
pp. 8-13
Author(s):  
Gabriel Costa e Silva ◽  
Rodrigo Rodrigues da Conceição ◽  
Carlos Vinicius Herdy ◽  
Anderson Silveira ◽  
Fabrízio Di Masi

Background: Immersion has been used for many years for therapeutic purposes, but more recently the cardiovascular and authonomic effects appear as an important change in the organism during immersion in the aquatic environment.Objectives: The aim of this study was to investigate the acute effect of water immersion (22.6 °C) on heart rate, heart rate variability, body temperature, oxygen saturation, diastolic blood pressure and systolic blood pressure in young apparently healthy men.Method: Nine apparently healthy males were randomly allocated to an experimental situation (SE) and one control (SC). The SE subjects had the variables measured after the 10 minutes immersion. The subject of the SC remained 10 minutes at rest in the terrestrial environment. After 48h, the procedures were performed the reverse manner to perform balanced input.Results: After 10 minutes of immersion in water was observed reduction in the values of heart rate, significant increases on the RR intervals. The values of RMSSD (ms) increased after immersion, as shown pNN50 (%) and HF index increased (p = 0.009). The ratio (LF / HF) decreased after immersion. Significant differences when comparing the SBP were observed.Conclusions: Thus, is concluded that the immersion in water (22.6º C) increases vagal activity and reduces modulation of the sympathetic branch of the autonomic nervous system.

2019 ◽  
Vol 3 (5) ◽  
pp. 8-13
Author(s):  
Gabriel Costa e Silva ◽  
Rodrigo Rodrigues da Conceição ◽  
Carlos Vinicius Herdy ◽  
Anderson Silveira ◽  
Fabrízio Di Masi

Background: Immersion has been used for many years for therapeutic purposes, but more recently the cardiovascular and authonomic effects appear as an important change in the organism during immersion in the aquatic environment.Objectives: The aim of this study was to investigate the acute effect of water immersion (22.6 °C) on heart rate, heart rate variability, body temperature, oxygen saturation, diastolic blood pressure and systolic blood pressure in young apparently healthy men.Method: Nine apparently healthy males were randomly allocated to an experimental situation (SE) and one control (SC). The SE subjects had the variables measured after the 10 minutes immersion. The subject of the SC remained 10 minutes at rest in the terrestrial environment. After 48h, the procedures were performed the reverse manner to perform balanced input.Results: After 10 minutes of immersion in water was observed reduction in the values of heart rate, significant increases on the RR intervals. The values of RMSSD (ms) increased after immersion, as shown pNN50 (%) and HF index increased (p = 0.009). The ratio (LF / HF) decreased after immersion. Significant differences when comparing the SBP were observed.Conclusions: Thus, is concluded that the immersion in water (22.6º C) increases vagal activity and reduces modulation of the sympathetic branch of the autonomic nervous system.


2016 ◽  
Vol 51 (3) ◽  
pp. 252-257 ◽  
Author(s):  
Cory L. Butts ◽  
Brendon P. McDermott ◽  
Brian J. Buening ◽  
Jeffrey A. Bonacci ◽  
Matthew S. Ganio ◽  
...  

Exercise conducted in hot, humid environments increases the risk for exertional heat stroke (EHS). The current recommended treatment of EHS is cold-water immersion; however, limitations may require the use of alternative resources such as a cold shower (CS) or dousing with a hose to cool EHS patients.Context: To investigate the cooling effectiveness of a CS after exercise-induced hyperthermia.Objective: Randomized, crossover controlled study.Design: Environmental chamber (temperature = 33.4°C ± 2.1°C; relative humidity = 27.1% ± 1.4%).Setting: Seventeen participants (10 male, 7 female; height = 1.75 ± 0.07 m, body mass = 70.4 ± 8.7 kg, body surface area = 1.85 ± 0.13 m2, age range = 19–35 years) volunteered.Patients or Other Participants: On 2 occasions, participants completed matched-intensity volitional exercise on an ergometer or treadmill to elevate rectal temperature to ≥39°C or until participant fatigue prevented continuation (reaching at least 38.5°C). They were then either treated with a CS (20.8°C ± 0.80°C) or seated in the chamber (control [CON] condition) for 15 minutes.Intervention(s): Rectal temperature, calculated cooling rate, heart rate, and perceptual measures (thermal sensation and perceived muscle pain).Main Outcome Measure(s): The rectal temperature (P = .98), heart rate (P = .85), thermal sensation (P = .69), and muscle pain (P = .31) were not different during exercise for the CS and CON trials (P > .05). Overall, the cooling rate was faster during CS (0.07°C/min ± 0.03°C/min) than during CON (0.04°C/min ± 0.03°C/min; t16 = 2.77, P = .01). Heart-rate changes were greater during CS (45 ± 20 beats per minute) compared with CON (27 ± 10 beats per minute; t16 = 3.32, P = .004). Thermal sensation was reduced to a greater extent with CS than with CON (F3,45 = 41.12, P < .001).Results: Although the CS facilitated cooling rates faster than no treatment, clinicians should continue to advocate for accepted cooling modalities and use CS only if no other validated means of cooling are available.Conclusions:


2014 ◽  
Vol 15 (2) ◽  
pp. e3
Author(s):  
Aline Castilho de Almeida ◽  
Aryane Flauzino Machado ◽  
Lara Madeiral Netto ◽  
Luiz Carlos Marques Vanderlei ◽  
Jayme Netto ◽  
...  

2016 ◽  
Vol 51 (11) ◽  
pp. 946-951 ◽  
Author(s):  
Katherine E. Luhring ◽  
Cory L. Butts ◽  
Cody R. Smith ◽  
Jeffrey A. Bonacci ◽  
Ramon C. Ylanan ◽  
...  

Context: Recommended treatment for exertional heat stroke includes whole-body cold-water immersion (CWI). However, remote locations or monetary or spatial restrictions can challenge the feasibility of CWI. Thus, the development of a modified, portable CWI method would allow for optimal treatment of exertional heat stroke in the presence of these challenges. Objective: To determine the cooling rate of modified CWI (tarp-assisted cooling with oscillation [TACO]) after exertional hyperthermia. Design: Randomized, crossover controlled trial. Setting: Environmental chamber (temperature = 33.4°C ± 0.8°C, relative humidity = 55.7% ± 1.9%). Patients or Other Participants: Sixteen volunteers (9 men, 7 women; age = 26 ± 4.7 years, height = 1.76 ± 0.09 m, mass = 72.5 ± 9.0 kg, body fat = 20.7% ± 7.1%) with no history of compromised thermoregulation. Intervention(s): Participants completed volitional exercise (cycling or treadmill) until they demonstrated a rectal temperature (Tre) ≥39.0°C. After exercise, participants transitioned to a semirecumbent position on a tarp until either Tre reached 38.1°C or 15 minutes had elapsed during the control (no immersion [CON]) or TACO (immersion in 151 L of 2.1°C ± 0.8°C water) treatment. Main Outcome Measure(s): The Tre, heart rate, and blood pressure (reported as mean arterial pressure) were assessed precooling and postcooling. Statistical analyses included repeated-measures analysis of variance with appropriate post hoc t tests and Bonferroni correction. Results: Before cooling, the Tre was not different between conditions (CON: 39.27°C ± 0.26°C, TACO: 39.30°C ± 0.39°C; P = .62; effect size = −0.09; 95% confidence interval [CI] = −0.2, 0.1). At postcooling, the Tre was decreased in the TACO (38.10°C ± 0.16°C) compared with the CON condition (38.74°C ± 0.38°C; P < .001; effect size = 2.27; 95% CI = 0.4, 0.9). The rate of cooling was greater during the TACO (0.14 ± 0.06°C/min) than the CON treatment (0.04°C/min ± 0.02°C/min; t15 = −8.84; P < .001; effect size = 2.21; 95% CI = −0.13, −0.08). These differences occurred despite an insignificant increase in fluid consumption during exercise preceding CON (0.26 ± 0.29 L) versus TACO (0.19 ± 0.26 L; t12 = 1.73; P = .11; effect size = 0.48; 95% CI = −0.02, 0.14) treatment. Decreases in heart rate did not differ between the TACO and CON conditions (t15 = −1.81; P = .09; effect size = 0.45; 95% CI = −22, 2). Mean arterial pressure was greater at postcooling with TACO (84.2 ± 6.6 mm Hg) than with CON (67.0 ± 9.0 mm Hg; P < .001; effect size = 2.25; 95% CI = 13, 21). Conclusions: The TACO treatment provided faster cooling than did the CON treatment. When location, monetary, or spatial restrictions are present, TACO represents an effective alternative to traditional CWI in the emergency treatment of patients with exertional hyperthermia.


2016 ◽  
Vol 41 (11) ◽  
pp. 1163-1170 ◽  
Author(s):  
Avina McCarthy ◽  
James Mulligan ◽  
Mikel Egaña

A brief cold water immersion between 2 continuous high-intensity exercise bouts improves the performance of the latter compared with passive recovery in the heat. We investigated if this effect is apparent in normothermic conditions (∼19 °C), employing an intermittent high-intensity exercise designed to reflect the work performed at the high-intensity domain in team sports. Fifteen young active men completed 2 exhaustive cycling protocols (Ex1 and Ex2: 12 min at 85% ventilatory threshold (VT) and then an intermittent exercise alternating 30-s at 40% peak power (Ppeak) and 30 s at 90% Ppeak to exhaustion) separated by 15 min of (i) passive rest, (ii) 5-min cold-water immersion at 8 °C, and (iii) 10-min cold-water immersion at 8 °C. Core temperature, heart rate, rates of perceived exertion, and oxygen uptake kinetics were not different during Ex1 among conditions. Time to failure during the intermittent exercise was significantly (P < 0.05) longer during Ex2 following the 5- and 10-min cold-water immersions (7.2 ± 3.5 min and 7.3 ± 3.3 min, respectively) compared with passive rest (5.8 ± 3.1 min). Core temperature, heart rate, and rates of perceived exertion were significantly (P < 0.05) lower during most periods of Ex2 after both cold-water immersions compared with passive rest. The time constant of phase II oxygen uptake response during the 85% VT bout of Ex2 was not different among the 3 conditions. A postexercise, 5- to 10-min cold-water immersion increases subsequent intermittent high-intensity exercise compared with passive rest in normothermia due, at least in part, to reductions in core temperature, circulatory strain, and effort perception.


2021 ◽  
Vol 3 ◽  
Author(s):  
Maxime Chauvineau ◽  
Florane Pasquier ◽  
Vincent Guyot ◽  
Anis Aloulou ◽  
Mathieu Nedelec

Introduction: The aim of the present study was to investigate the effect of the depth of cold water immersion (CWI) (whole-body with head immersed and partial-body CWI) after high-intensity, intermittent running exercise on sleep architecture and recovery kinetics among well-trained runners.Methods: In a randomized, counterbalanced order, 12 well-trained male endurance runners (V.O2max = 66.0 ± 3.9 ml·min−1·kg−1) performed a simulated trail (≈18:00) on a motorized treadmill followed by CWI (13.3 ± 0.2°C) for 10 min: whole-body immersion including the head (WHOLE; n = 12), partial-body immersion up to the iliac crest (PARTIAL; n = 12), and, finally, an out-of-water control condition (CONT; n = 10). Markers of fatigue and muscle damage—maximal voluntary isometric contraction (MVIC), countermovement jump (CMJ), plasma creatine kinase [CK], and subjective ratings—were recorded until 48 h after the simulated trail. After each condition, nocturnal core body temperature (Tcore) was measured, whereas sleep and heart rate variability were assessed using polysomnography.Results: There was a lower Tcore induced by WHOLE than CONT from the end of immersion to 80 min after the start of immersion (p &lt; 0.05). Slow-wave sleep (SWS) proportion was higher (p &lt; 0.05) during the first 180 min of the night in WHOLE compared with PARTIAL. WHOLE and PARTIAL induced a significant (p &lt; 0.05) decrease in arousal for the duration of the night compared with CONT, while only WHOLE decreased limb movements compared with CONT (p &lt; 0.01) for the duration of the night. Heart rate variability analysis showed a significant reduction (p &lt; 0.05) in RMSSD, low frequency (LF), and high frequency (HF) in WHOLE compared with both PARTIAL and CONT during the first sequence of SWS. No differences between conditions were observed for any markers of fatigue and muscle damage (p &gt; 0.05) throughout the 48-h recovery period.Conclusion: WHOLE reduced arousal and limb movement and enhanced SWS proportion during the first part of the night, which may be particularly useful in the athlete's recovery process after exercise. Future studies are, however, required to assess whether such positive sleep outcomes may result in overall recovery optimization.


2008 ◽  
Vol 3 (3) ◽  
pp. 331-346 ◽  
Author(s):  
Shona L. Halson ◽  
Marc J. Quod ◽  
David T. Martin ◽  
Andrew S. Gardner ◽  
Tammie R. Ebert ◽  
...  

Cold water immersion (CWI) has become a popular means of enhancing recovery from various forms of exercise. However, there is minimal scientific information on the physiological effects of CWI following cycling in the heat.Purpose:To examine the safety and acute thermoregulatory, cardiovascular, metabolic, endocrine, and inflammatory responses to CWI following cycling in the heat.Methods:Eleven male endurance trained cyclists completed two simulated ~40-min time trials at 34.3 ± 1.1°C. All subjects completed both a CWI trial (11.5°C for 60 s repeated three times) and a control condition (CONT; passive recovery in 24.2 ± 1.8°C) in a randomized cross-over design. Capillary blood samples were assayed for lactate, glucose, pH, and blood gases. Venous blood samples were assayed for catecholamines, cortisol, testosterone, creatine kinase, C-reactive protein, IL-6, and IGF-1 on 7 of the 11 subjects. Heart rate (HR), rectal (Tre), and skin temperatures (Tsk) were measured throughout recovery.Results:CWI elicited a significantly lower HR (CWI: Δ116 ± 9 bpm vs. CONT: Δ106 ± 4 bpm; P = .02), Tre (CWI: Δ1.99 ± 0.50°C vs. CONT: Δ1.49 ± 0.50°C; P = .01) and Tsk. However, all other measures were not significantly different between conditions. All participants subjectively reported enhanced sensations of recovery following CWI.Conclusion:CWI did not result in hypothermia and can be considered safe following high intensity cycling in the heat, using the above protocol. CWI significantly reduced heart rate and core temperature; however, all other metabolic and endocrine markers were not affected by CWI.


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