Cold-water immersion blunts and delays increases in circulating testosterone and cytokines post-resistance exercise
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Introduction Cold-water immersion (CWI) is often used to promote recovery by reducing exercise-induced muscle damage, soreness, and inflammation. However, recent reports have cautioned that CWI may attenuate the adaptive response to resistance training. Purpose To determine the effect of post resistance-exercise CWI on circulating free testosterone (T) and cytokine (IL-6 and TNF-α) response. Methods Using a randomized and counterbalanced repeated-measures design, 11 resistance-trained men completed two workouts (6 sets of 10 repetitions of back squats at 80% of maximum load) a week apart after which they took part in either 15 min of CWI (15 °C) or passive recovery. T, IL-6, and TNFα were measured in blood samples taken before (PRE) and 5 (5POST), 15 (15POST), 30 (30POST), and 60 (60POST) min post-exercise and compared between treatments and over time. Results For T, a significant interaction effect of condition over time (p = 0.030) as well as greater relative concentrations of T in CON (Δ9.2%) than CWI (Δ-0.5%, p = 0.049) at 30POST were observed. In addition, at 60POST, T dropped below PRE values in CWI (Δ-10.4%, p = 0.028) but not in CON (Δ-1.6%, p = 0.850). A suppressed cytokine response was observed after CWI in IL-6 at 30POST (CWI: Δ4.9%, CON: Δ47.5%, p = 0.041) and TNFα at 15POST (CWI: Δ5.3%, CON: Δ17.0%, p = 0.022). Conclusions CWI blunted the T and cytokine response after a bout of resistance exercise. These results indicate that CWI results in an altered anabolic re…
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Several studies reported improved subjective recovery markers with CWI.
“Nevertheless, several studies reported improved subjective recovery markers.23,24,26”
From A systematic appraisal of emerging alternative therapies in men’s health and wellness (2025) · cites this paper as [26]
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Recovery responses of testosterone, growth hormone, and IGF-1 after resistance exercise
Kraemer, W. J., Ratamess, N. A., & Nindl, B. C. (2017) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00599.2016 · Cited by 181 · see citing works
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A systematic appraisal of emerging alternative therapies in men’s health and wellness
Qaoud, Y., Morcos, M., Macdonald, M., Shoeib, A., Qureshi, Y., Mak, M., Ross, A., Vigil, H., & Witherspoon, L. (2025) · Canadian Urological Association Journal · doi:10.5489/cuaj.9368 · Cited by 1 · see citing works
- Authors
- Earp, J. E., Hatfield, D. L., Sherman, A., Lee, E. C., & Kraemer, W. J.
- Affiliations
- University of Rhode Island (US)
- University of Connecticut (US)
- The Ohio State University (US)
- Corresponding author
- Earp, Jacob E.
- Venue
- European Journal of Applied Physiology
- Published
- 2019-06-20
- Volume
- 119
- Issue
- 8
- Pages
- 1901-1907
- ISSN
- 0020-9376 (ISSN-L)
- 1439-6319
- 1439-6327
- OpenAlex
- W2950818808
- Cited by
- 36
- References
- 1
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 6 · 2023: 2 · 2022: 7 · 2021: 7 · 2020: 3 · 2019: 1
- FWCI
- 3.15
- Type
- journal article
- Language
- en
- Open access
- Locations
- European Journal of Applied Physiology (publishedVersion)
- PubMed (publishedVersion)
- Journal of Media Literacy Education (submittedVersion, cc-by)
- Funders
- University of Rhode Island (Enhancement of Graduate Research Awards)
- Topics
- Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- cold water immersion, resistance training, free testosterone, interleukin-6, TNF-α, cytokines, post-exercise recovery, muscle hypertrophy, anabolic response, passive recovery, back squat
- MeSH terms
- Cold Temperature, Humans, Hypothermia, Induced, Immersion, Male, Testosterone, Water, Cytokines, Resistance Training, Young Adult, Myalgia
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