{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T03:04:00Z","timestamp":1785899040725,"version":"3.56.0"},"reference-count":32,"publisher":"National Athletic Trainers' Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec>\n          <jats:title>Context<\/jats:title>\n          <jats:p>Cold-water immersion (CWI) has been reported to reduce tissue metabolism postimmersion, but physiological data are lacking regarding the muscle metabolic response to its application. Near-infrared spectroscopy (NIRS) is a noninvasive optical technique that can inform muscle hemodynamics and tissue metabolism.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Objective<\/jats:title>\n          <jats:p>To investigate the effects of CWI at 2 water temperatures (10\u00b0C and 15\u00b0C) on NIRS-calculated measurements of muscle oxygen consumption (mVO<jats:sub>2<\/jats:sub>).<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Design<\/jats:title>\n          <jats:p>Crossover study.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Setting<\/jats:title>\n          <jats:p>University sports rehabilitation center.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Patients or Other Participants<\/jats:title>\n          <jats:p>A total of 11 male National Collegiate Athletic Association Division II long-distance runners (age = 23.4 \u00b1 3.4 years, height = 1.8 \u00b1 0.1 m, mass = 68.8 \u00b1 10.7 kg, mean adipose tissue thickness = 6.7 \u00b1 2.7 mm).<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Intervention(s)<\/jats:title>\n          <jats:p>Cold-water immersion at 10\u00b0C and 15\u00b0C for 20 minutes.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Main Outcome Measure(s)<\/jats:title>\n          <jats:p>We calculated mVO<jats:sub>2<\/jats:sub> preimmersion and postimmersion at water temperatures of 10\u00b0C and 15\u00b0C. Changes in tissue oxyhemoglobin (O<jats:sub>2<\/jats:sub>Hb), deoxyhemoglobin (HHb), total hemoglobin (tHb), hemoglobin difference (Hb<jats:sub>diff<\/jats:sub>), and tissue saturation index (TSI %) were measured during the 20-minute immersion at both temperatures.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Results<\/jats:title>\n          <jats:p>We observed a decrease in mVO<jats:sub>2<\/jats:sub> after immersion at both 10\u00b0C and 15\u00b0C (<jats:italic>F<\/jats:italic><jats:sub>1,9<\/jats:sub> = 27.7801, <jats:italic>P<\/jats:italic> = .001). During the 20-minute immersion at both temperatures, we noted a main effect of time for O<jats:sub>2<\/jats:sub>Hb (<jats:italic>F<\/jats:italic><jats:sub>3,27<\/jats:sub> = 14.227, <jats:italic>P<\/jats:italic> = .001), HHb (<jats:italic>F<\/jats:italic><jats:sub>3,27<\/jats:sub> = 5.749, <jats:italic>P<\/jats:italic> = .009), tHb (<jats:italic>F<\/jats:italic><jats:sub>3,27<\/jats:sub> = 24.786, <jats:italic>P<\/jats:italic> = .001), and Hb<jats:sub>diff<\/jats:sub> (<jats:italic>F<\/jats:italic><jats:sub>3,27<\/jats:sub> = 3.894, <jats:italic>P<\/jats:italic> = .020), in which values decreased over the course of immersion. Post hoc pairwise comparisons showed that these changes occurred within the final 5 minutes of immersion for tHb and O<jats:sub>2<\/jats:sub>Hb.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Conclusions<\/jats:title>\n          <jats:p>A 20-minute CWI at 10\u00b0C and 15\u00b0C led to a reduction in mVO<jats:sub>2<\/jats:sub>. This was greater after immersion at 10\u00b0C. The reduction in mVO<jats:sub>2<\/jats:sub> suggests a decrease in muscle metabolic activity (ie, O<jats:sub>2<\/jats:sub> use after CWI). Calculating mVO<jats:sub>2<\/jats:sub> via the NIRS-occlusion technique may offer further insight into muscle metabolic responses beyond what is attainable from observing the NIRS primary signals.<\/jats:p>\n        <\/jats:sec>","DOI":"10.4085\/1062-6050-0532.22","type":"journal-article","created":{"date-parts":[[2023,6,23]],"date-time":"2023-06-23T16:56:30Z","timestamp":1687539390000},"page":"317-324","source":"Crossref","is-referenced-by-count":5,"title":["Cold-Water Immersion and Lower Limb Muscle Oxygen Consumption as Measured by Near-Infrared Spectroscopy in Trained Endurance Athletes"],"prefix":"10.4085","volume":"59","author":[{"given":"Ben","family":"Jones","sequence":"first","affiliation":[{"name":"School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Waterworth","sequence":"additional","affiliation":[{"name":"School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie","family":"Tallent","sequence":"additional","affiliation":[{"name":"School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mike","family":"Rogerson","sequence":"additional","affiliation":[{"name":"School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Morton","sequence":"additional","affiliation":[{"name":"School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Moran","sequence":"additional","affiliation":[{"name":"School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rob","family":"Southall-Edwards","sequence":"additional","affiliation":[{"name":"Essex County Council, Chelmsford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris E.","family":"Cooper","sequence":"additional","affiliation":[{"name":"School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"McManus","sequence":"additional","affiliation":[{"name":"School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2557","reference":[{"key":"i1062-6050-59-3-317-b01","series-title":"BMC Sports Sci Med Rehabil","first-page":"6","article-title":"Team sport athletes\u2019 perceptions and use of recovery strategies: a mixed-methods survey study","volume":"9","author":"Crowther","year":"2017","unstructured":"Crowther\n              F,\n            \n            \n              Sealey\n              R,\n            \n            \n              Crowe\n              M,\n            \n            \n              Edwards\n              A,\n            \n            \n              Halson\n              S.\n            \n          \n          Team sport athletes\u2019 perceptions and use of recovery strategies: a mixed-methods survey study. 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Am J Physiol Regul Integr Comp Physiol. 2015;309(4):R389\u2013R398. doi:10.1152\/ajpregu.00151.2015"},{"issue":"6","key":"i1062-6050-59-3-317-b30","series-title":"Med Sci Sports Exerc","first-page":"1252","article-title":"Cold-water mediates greater reductions in limb blood flow than whole body cryotherapy","volume":"49","author":"Mawhinney","year":"2017","unstructured":"Mawhinney\n              C,\n            \n            \n              Low\n              DA,\n            \n            \n              Jones\n              H,\n            \n            \n              Green\n              DJ,\n            \n            \n              Costello\n              JT,\n            \n            \n              Gregson\n              W.\n            \n          \n          Cold-water mediates greater reductions in limb blood flow than whole body cryotherapy. Med Sci Sports Exerc. 2017;49(6):1252\u20131260. doi:10.1249\/MSS.0000000000001223"},{"issue":"1","key":"i1062-6050-59-3-317-b31","series-title":"J Physiol Sci","first-page":"13","article-title":"Males benefit more from cold water immersion during repeated handgrip contractions than females despite similar oxygen kinetics","volume":"70","author":"Bal\u00e1\u0161","year":"2020","unstructured":"Bal\u00e1\u0161\n              J,\n            \n            \n              Kodej\u0161ka\n              J,\n            \n            \n              Krupkov\u00e1\n              D,\n            \n            \n              Giles\n              D.\n            \n          \n          Males benefit more from cold water immersion during repeated handgrip contractions than females despite similar oxygen kinetics. J Physiol Sci. 2020;70(1):13. doi:10.1186\/s12576-020-00742-5"},{"issue":"5","key":"i1062-6050-59-3-317-b32","series-title":"Med Sci Sports Exerc","first-page":"860","article-title":"Dynamic heterogeneity of exercising muscle blood flow and O2 utilization","volume":"46","author":"Koga","year":"2014","unstructured":"Koga\n              S,\n            \n            \n              Rossiter\n              HB,\n            \n            \n              Heinonen\n              I,\n            \n            \n              Musch\n              TI,\n            \n            \n              Poole\n              DC.\n            \n          \n          Dynamic heterogeneity of exercising muscle blood flow and O2 utilization. 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