{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T05:46:34Z","timestamp":1788068794430,"version":"build-2784847793"},"reference-count":46,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T00:00:00Z","timestamp":1738886400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Physiological and psychological recovery, i.e., the balance between fatigue\/stress and recovery and evaluated through heart rate variability (HRV), is essential for the good performance of athletes in all their activities. Cold water immersion (CWI) has been shown to reduce the negative effects of fatigue\/stress by inducing physiological and biochemical changes that promote faster recovery. This study aims to analyze the scientific literature on the effects of CWI on post\u2010exercise recovery, as measured by HRV in athletes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review of randomized clinical trials (RCTs) was conducted following PRISMA guidelines. Databases such as Scopus, Web of Science, and MEDLINE were included it. The risk of bias of each study selected was assessed using Cochrane's guidelines for RCT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twelve articles were included. All studies reported parasympathetic reactivation with CWI after physical exertion. Six studies demonstrated statistically significant results (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05) compared to a passive recovery, while eight studies reported moderate to large effect sizes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The results of this study indicate that CWI after exercise may have a positive acute effect on parasympathetic reactivation, as measured by HRV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pri.70033","type":"journal-article","created":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T07:26:06Z","timestamp":1738913166000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Cold Water Immersion, Heart Rate Variability and Post\u2010Exercise Recovery: A Systematic Review"],"prefix":"10.1002","volume":"30","author":[{"given":"Cristian","family":"Galvez\u2010Rodriguez","sequence":"first","affiliation":[{"name":"Mag\u00edster en Ciencias de la actividad f\u00edsica y del deporte aplicadas al entrenamiento, rehabilitaci\u00f3n y reintegro Deportivo Universidad Santo Tom\u00e1s  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro","family":"Valenzuela\u2010Reyes","sequence":"additional","affiliation":[{"name":"Mag\u00edster en Ciencias de la actividad f\u00edsica y del deporte aplicadas al entrenamiento, rehabilitaci\u00f3n y reintegro Deportivo Universidad Santo Tom\u00e1s  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soledad","family":"Fuentealba\u2010Sep\u00falveda","sequence":"additional","affiliation":[{"name":"Escuela de Kinesiolog\u00eda Universidad Santo Tomas  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Farias\u2010Valenzuela","sequence":"additional","affiliation":[{"name":"Escuela de Ciencias de la Actividad F\u00edsica el Deporte y la Salud Universidad de Santiago de Chile (USACH)  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9709-2850","authenticated-orcid":false,"given":"Alexis Espinoza","family":"Salinas","sequence":"additional","affiliation":[{"name":"Escuela de Kinesiolog\u00eda Universidad Santo Tomas  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,7]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1123\/ijspp.7.1.33"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2015.10.003"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.2165\/00007256\u2010200333120\u201000003"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2014.0104"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.2165\/00007256\u2010200636090\u201000005"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100032\u20101301905"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2013.00026"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/19417381211044739"},{"key":"e_1_2_13_10_1","first-page":"67","article-title":"Effect of Water Immersion Temperature on Heart Rate Variability Following Exercise in the Heat","volume":"50","author":"Choo H. 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