Health effects of cold water immersion and swimming and its influence on the human body
DOI:
https://doi.org/10.12775/JEHS.2024.52.011Keywords
ice swimming, winter swimming, cold water immersion, cold water swimmingAbstract
Introduction
Immersing and swimming in cold water is an increasingly popular sport that has recently become a fashionable form of recreation in the winter months. People who regularly swim in cold water mention the many benefits associated with it.
Aim of the study
This review aims to present the current state of knowledge about immersion and swimming in cold water and to answer questions about the impact of this phenomenon on the human body and its health benefits.
Materials and methods
The PubMed database was used in this study.A literature review was conducted using the keywords “ice swimming,” “winter swimming,” “cold water swimming,” and “cold water immersion.”
Results
Much research has been done on the effects of cold water swimming, both positive and negative. Ice swimming affects many systems of our body, including the circulatory system, the immune system, and the endocrine system, and also affects metabolic and mental changes in our body, as shown in the work below.
Summary
A single immersion in cold water causes a stress reaction in the human body, while regular swimming in cold water causes the body to develop many positive physiological changes. Despite the benefits, it is still important to remember the risks involved, and more research should be done to minimize these dangers.
References
Knechtle B, Waśkiewicz Z, Sousa CV, Hill L, Nikolaidis PT. Cold Water Swimming-Benefits and Risks: A Narrative Review. Int J Environ Res Public Health. 2020;17(23):8984. Published 2020 Dec 2. doi:10.3390/ijerph17238984.
Zenner RJ, De Decker DE, Clement DL. Blood-pressure response to swimming in ice-cold water. Lancet. 1980;1(8160):120-121. doi:10.1016/s0140-6736(80)90605-4.
Esperland D, de Weerd L, Mercer JB. Health effects of voluntary exposure to cold water - a continuing subject of debate. Int J Circumpolar Health. 2022;81(1):2111789. doi:10.1080/22423982.2022.2111789.
Tipton MJ, Collier N, Massey H, Corbett J, Harper M. Cold water immersion: kill or cure?. Exp Physiol. 2017;102(11):1335-1355. doi:10.1113/EP086283.
Knechtle B, Christinger N, Kohler G, Knechtle P, Rosemann T. Swimming in ice cold water. Ir J Med Sci. 2009;178(4):507-511. doi:10.1007/s11845-009-0427-0.
Manolis AS, Manolis SA, Manolis AA, Manolis TA, Apostolaki N, Melita H. Winter Swimming: Body Hardening and Cardiorespiratory Protection Via Sustainable Acclimation. Curr Sports Med Rep. 2019;18(11):401-415. doi:10.1249/JSR.0000000000000653.
Davídkovová H, Kysely J, Kríz B, Vojtísek P, Bobák M. Trends in cardiovascular mortality and hospitalisations, and potential contribution of inhospital case-fatality rates to changes in national mortality in the Czech Republic 1994-2009. Heart. 2013;99(6):409-416. doi:10.1136/heartjnl-2012-303123.
Huttunen P, Lando NG, Meshtsheryakov VA, Lyutov VA. Effects of long-distance swimming in cold water on temperature, blood pressure and stress hormones in winter swim-mers. Journal of Thermal Biology. 2000;25(1-2):171-174. doi:https://doi.org/10.1016/s0306-4565(99)00059-5
Kralova Lesna I, Rychlikova J, Vavrova L, Vybiral S. Could human cold adaptation decrease the risk of cardiovascular disease?. J Therm Biol. 2015;52:192-198. doi:10.1016/j.jtherbio.2015.07.007.
Muza SR, Young AJ, Sawka MN, Bogart JE, Pandolf KB. Respiratory and cardiovas-cular responses to cold stress following repeated cold water immersion. Undersea Biomed Res. 1988;15(3):165-178.
Hirvonen J, Lindeman S, Matti J, Huttunen P. Plasma catecholamines, serotonin and their metabolites and beta-endorphin of winter swimmers during one winter. Possible correla-tions to psychological traits. Int J Circumpolar Health. 2002;61(4):363-372. doi:10.3402/ijch.v61i4.17494.
Shattock MJ, Tipton MJ. 'Autonomic conflict': a different way to die during cold wa-ter immersion?. J Physiol. 2012;590(14):3219-3230. doi:10.1113/jphysiol.2012.229864.
Siems WG, van Kuijk FJ, Maass R, Brenke R. Uric acid and glutathione levels during short-term whole body cold exposure. Free Radic Biol Med. 1994;16(3):299-305. doi:10.1016/0891-5849(94)90030-2.
Siems WG, Brenke R, Sommerburg O, Grune T. Improved antioxidative protection in winter swimmers. QJM. 1999;92(4):193-198. doi:10.1093/qjmed/92.4.193
Kovaničová Z, Kurdiová T, Baláž M, et al. Cold Exposure Distinctively Modulates Parathyroid and Thyroid Hormones in Cold-Acclimatized and Non-Acclimatized Humans. Endocrinology. 2020;161(7):bqaa051. doi:10.1210/endocr/bqaa051.
Gibas-Dorna M, Chęcińska Z, Korek E, Kupsz J, Sowińska A, Krauss H. Cold Water Swimming Beneficially Modulates Insulin Sensitivity in Middle-Aged Individuals. J Aging Phys Act. 2016;24(4):547-554. doi:10.1123/japa.2015-0222.
Gibas-Dorna M, Checinska Z, Korek E, et al. Variations in leptin and insulin levels within one swimming season in non-obese female cold water swimmers. Scand J Clin Lab Invest. 2016;76(6):486-491. doi:10.1080/00365513.2016.1201851.
Hermanussen M, Jensen F, Hirsch N, et al. Acute and chronic effects of winter swim-ming on LH, FSH, prolactin, growth hormone, TSH, cortisol, serum glucose and insulin. Arc-tic Med Res. 1995;54(1):45-51.
Huttunen P, Rintamäki H, Hirvonen J. Effect of regular winter swimming on the activ-ity of the sympathoadrenal system before and after a single cold water immersion. Int J Cir-cumpolar Health. 2001;60(3):400-406. doi: 10.1080/22423982.2001.12113043.
Leppäluoto J, Westerlund T, Huttunen P, et al. Effects of long-term whole-body cold exposures on plasma concentrations of ACTH, beta-endorphin, cortisol, catecholamines and cytokines in healthy females. Scand J Clin Lab Invest. 2008;68(2):145-153. doi:10.1080/00365510701516350.
Gundle L, Atkinson A. Pregnancy, cold water swimming and cortisol: The effect of cold water swimming on obstetric outcomes. Med Hypotheses. 2020;144:109977. doi:10.1016/j.mehy.2020.109977.
Podstawski R, Borysławski K, Pomianowski A, et al. The Effects of Repeated Ther-mal Stress on the Physiological Parameters of Young Physically Active Men Who Regularly Use the Sauna: A Multifactorial Assessment. Int J Environ Res Public Health. 2021;18(21):11503. Published 2021 Nov 1. doi:10.3390/ijerph182111503.
Smolander J, Leppäluoto J, Westerlund T, et al. Effects of repeated whole-body cold exposures on serum concentrations of growth hormone, thyrotropin, prolactin and thyroid hormones in healthy women. Cryobiology. 2009;58(3):275-278. doi:10.1016/j.cryobiol.2009.02.001.
Vescovi PP, Casti A, Michelini M, Maninetti L, Pedrazzoni M, Passeri M. Plasma ACTH, beta-endorphin, prolactin, growth hormone and luteinizing hormone levels after ther-mal stress, heat and cold. Stress Medicine. 1992;8(3):187-191. doi:https://doi.org/10.1002/smi.2460080310.
Huttunen P, Kokko L, Ylijukuri V. Winter swimming improves general well-being. Int J Circumpolar Health. 2004;63(2):140-144. doi:10.3402/ijch.v63i2.17700
Yankouskaya A, Williamson R, Stacey C, Totman JJ, Massey H. Short-Term Head-Out Whole-Body Cold-Water Immersion Facilitates Positive Affect and Increases Interaction between Large-Scale Brain Networks. Biology (Basel). 2023;12(2):211. Published 2023 Jan 29. doi:10.3390/biology12020211.
Massey H, Kandala N, Davis C, Harper M, Gorczynski P, Denton H. Mood and well‐being of novice open water swimmers and controls during an introductory outdoor swimming programme: A feasibility study. Lifestyle Medicine. 2020;1(2). doi:https://doi.org/10.1002/lim2.12
Kelly JS, Bird E. Improved mood following a single immersion in cold water. Lifestyle Medicine. 2021;3(1). doi:https://doi.org/10.1002/lim2.53
van Tulleken C, Tipton M, Massey H, Harper CM. Open water swimming as a treat-ment for major depressive disorder. BMJ Case Rep. 2018;2018:bcr2018225007. Published 2018 Aug 21. doi:10.1136/bcr-2018-225007.
Shevchuk NA. Adapted cold shower as a potential treatment for depression. Med Hy-potheses. 2008;70(5):995-1001. doi:10.1016/j.mehy.2007.04.052.
Janský L, Srámek P, Savĺiková J, Ulicný B, Janáková H, Horký K. Change in sympa-thetic activity, cardiovascular functions and plasma hormone concentrations due to cold water immersion in men. Eur J Appl Physiol Occup Physiol. 1996;74(1-2):148-152. doi:10.1007/BF00376507.
Keatinge WR, Evans M. The respiratory and cardiovascular response to immersion in cold and warm water. Q J Exp Physiol Cogn Med Sci. 1961;46:83-94. doi:10.1113/expphysiol.1961.sp001519.
Tipton M, Bradford C. Moving in extreme environments: open water swimming in cold and warm water. Extrem Physiol Med. 2014;3:12. Published 2014 Jun 11. doi:10.1186/2046-7648-3-12.
Batra AS, Silka MJ. Mechanism of sudden cardiac arrest while swimming in a child with the prolonged QT syndrome. J Pediatr. 2002;141(2):283-284. doi:10.1067/mpd.2002.126924.
Knechtle B, Rosemann T, Rüst CA. Ice swimming and changes in body core tempera-ture: a case study. SpringerPlus. 2015;4(1). doi:https://doi.org/10.1186/s40064-015-1197-y.
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