The DOI matches its Crossref record.
Superficial shell insulation in resting and exercising men in cold water
Open accessAbstract
From measurements of subcutaneous fat temperature (Tsf) at known depths below the surface, skin surface temperature (Tsk), and direct skin heat flux (H), the superficial shell isulation (Iss) of the thigh (fat + skin) was calculated as Iss (degrees C.m2.w-1) = (Tsf - Tsk)/H in nine male subjects immersed head out in a well-stirred water bath. Also, at critical water temperature (CWT = 28–33 degrees C), eight of the subjects rested for 3 h, enabling overall maximal tissue insulation (It,max) to be calculated as It,max (degrees C.m2.W-1) = (Tre - Tw)/(0.92 M +/- delta S), where Tre is rectal temperature, Tw is water temperature, M is metabolic rate, and s is loss or gain of body heat. Five subjects performed up to 2 h of mild leg cycling, preceded and followed by 60 min of rest, and both thigh Iss and overall It were measured during exercise. Iss increased from minimal values in Tw greater than 33 degrees C to maximal values (Iss,max) at CWT or below. Iss,max was linearly related to tissue thickness (d) in millimeters of fat plus skin, Iss,max (degrees C.m2.W-1) = 0.0048d-0.0052; r = 0.95, n = 37, and was not influenced by leg exercise up to a metabolic rate of 150 W.m-2 in CWT despite large increases in Tsf and H and large decreases in overall It. The slope of Iss,max vs. depth, 0.0048 degrees C.m2.W-1.mm-1, is almost identical to thermal resistivity of fat in vitro, suggesting that the superficial shell is unperfused in CWT at rest or during mild exercise. When maximal superficial shell insulation (It,ss,max) for the whole body was calculated with allowance for differing fat thicknesses and surface areas of body regions, it could account for only 10–15% of overall It,max at rest and 35–40% of overall It in mild exercise. We suggest that the poorly perfused muscle shell plays a more important role as a defense against cooling at CWT than does the superficial shell (fat + skin), particularly at rest.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“In addition, body composition leads to differences in body tissue insulation or subcutaneous fat and skin thickness [134,135].”
From Drivers of diversity in human thermal perception – A review for holistic comfort models (2018) · cites this paper as [134]
Citations
Cited by
Sorted by citations
Items 101–159 of 159
Blokker, T., Bucher, E., Steiner, T., et al. (2022) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2022.966203 · Cited by 8
Raiko, J. R. H., Saari, T., Orava, J., Savisto, N., Parkkola, R. K., Haaparanta‐Solin, M., Nuutila, P., & Virtanen, K. A. (2021) · Physiological Reports · doi:10.14814/phy2.14718 · Cited by 8
“In cold water immersion, insulation begins to increase when skin temperature is below 35°C and becomes maximal when skin temperature is 31°C or below (Veicsteinas et al., 1982).”
BackgroundRelationship between thermoregulatory parameters and DEXA-estimated regional fat
Glickman-Weiss, E. L., Hearon, C. M., Nelson, A. G., et al. (1996) · Wilderness and Environmental Medicine · doi:10.1580/1080-6032(1996)007[0019:rbtpad]2.3.co;2 · Cited by 8
“The all-possible regressions sel~ction procedure was used to determine the relationship between the dependent variables (i.e., T sb I, T re at SoC) and the independent variables (i.e., regional percent fat values for arm, leg, trunk, and abdomen).”
MethodThe role of shivering thermogenesis and total body insulation in core cooling rate.
Mekjavić, I. B., Mittleman, K. D., & Kakitsuba, N. (1987) · The Annals of physiological anthropology · doi:10.2114/ahs1983.6.61 · Cited by 8
Wakabayashi, H., Kaneda, K., Okura, M., et al. (2007) · Journal of PHYSIOLOGICAL ANTHROPOLOGY · doi:10.2114/jpa2.26.179 · Cited by 7
Drigny, J., Hingrand, C., Moysan, P., Collet, T., & Mauvieux, B. (2023) · International Journal of Sports Physiology and Performance · doi:10.1123/ijspp.2022-0192 · Cited by 6
Bardy, E. R., Mollendorf, J. C., & Pendergast, D. (2008) · Journal of Physics D Applied Physics · doi:10.1088/0022-3727/41/3/035501 · Cited by 6
“The inlet water temperature used was 30 ◦C, which was experimentally determined to provide the maximal body insulation as 32 ◦C is the threshold for maximal body thermal resistance due to vasoconstriction [6].”
BackgroundMethodA temperature hypothesis of hypothalamus-driven obesity.
Horváth, T. L., Stachenfeld, N. S., & Diano, S. (2014) · Europe PMC (PubMed Central) · Cited by 8
Exercising divers' thermal protection as a function of water temperature.
Pendergast, D. R., & Mollendorf, J. C. (2011) · PubMed · Cited by 6
McDaniel, A., & Schneider, S. M. (2004) · Cited by 6
Effects of cold exposure and exercise intensity on metabolic and thermoregulatory responses
Followay, B. N., Seo, Y., Vaughan, J. A., Glickman, E. L., & Jajtner, A. R. (2020) · Translational Sports Medicine · doi:10.1002/tsm2.165 · Cited by 5
“007) or main effect of condition (F(1,10) = 1.”
BackgroundInfluentialEffects of Water Immersion on the Internal Power of Cycling
VINETTI, G., FERRETTI, G., & HOSTLER, D. (2021) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002808 · Cited by 5
Self-citationEffects of water immersion on the internal power of cycling
Vinetti, G., Ferretti, G., & Hostler, D. (2021) · Open Research (University of Surrey) · Cited by 5
Self-citationMild overcooling increases energy expenditure during endurance exercise
Sjödin, A. M., Forslund, A. H., Webb, P. W., et al. (1996) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/j.1600-0838.1996.tb00065.x · Cited by 5
Boggioni, M., Papini, A., Coletti, B., Profico, A., Vincenzo, F. D., & Manzi, G. (2025) · Evolutionary Anthropology Issues News and Reviews · doi:10.1002/evan.70013 · Cited by 4
“Veicsteinas et al. [188] demonstrated that at rest, muscle contributes to 88% of total body insulation, decreasing to 55% during intense exertion.”
Thermal Protection System for Underwater Use in Cold and Hot Water
Mollendorf, J., & Pendergast, D. (2010) · Journal of Thermal Science and Engineering Applications · doi:10.1115/1.4001986 · Cited by 3
McCourt, E. R., Meade, R. D., Richards, B. J., et al. (2024) · Applied Physiology Nutrition and Metabolism · doi:10.1139/apnm-2024-0126 · Cited by 4
Maintaining Thermogenesis in Cold Exposed Humans: Relying on Multiple Metabolic Pathways
Blondin, D. P., Tingelstad, H. C., Mantha, O. L., Gosselin, C., & Haman, F. (2014) · Comprehensive physiology · doi:10.1002/j.2040-4603.2014.tb00583.x · Cited by 4
Chudecka, M., Lubkowska, A., & Kempińska‐Podhorodecka, A. (2010) · Acta Bio-Optica et Informatica Medica. Inżynieria Biomedyczna · Cited by 4
The interaction of the thermal environment, clothing and auxiliary body cooling in the workplace
Caldwell, J. N. (2008) · Research Online (University of Wollongong) · Cited by 4
Reed, E. L., Uzoekwe, C., Atencio, J. K., Minson, C. T., & Halliwill, J. R. (2025) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00067.2025 · Cited by 4
Effect of Repeated Cold Water Swimming Exercise on Adaptive Changes in Body Weight in Older Rats
Bryczkowska, I., Baranowska‐Bosiacka, I., & Lubkowska, A. (2017) · Central European Journal of Sport Sciences and Medicine · doi:10.18276/cej.2017.2-08 · Cited by 3
Central thermosensitivity of metabolic heat production during cold water immersion
Mittleman, K. D. (1987) · Summit (Simon Fraser University) · Cited by 3
Glickman-Weiss, E. L., Hearon, C. M., & Nelson, A. G. (1997) · Wilderness and Environmental Medicine · doi:10.1580/1080-6032(1997)008[0003:dsteti]2.3.co;2 · Cited by 2
Wheelock, C. E., Stooks, J., Schwob, J., Hess, H. W., Pryor, R. R., & Hostler, D. P. (2024) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000004611 · Cited by 2
“At this temperature, skin blood flow is reduced and vasoconstriction is near maximal (5,33).”
BackgroundExercise Does Not Prevent Thermoregulatory Adaptation to Cold Stress During the Winter Season
Kim, D.-H., Jang, M.-H., Han, J.-H., et al. (2024) · Exercise Science · doi:10.15857/ksep.2024.00458 · Cited by 1
“In contrast, others have suggested that the increased heat loss from sweat evap-oration and convection of perfused muscle shells during exercise could lead to greater cold stress and, consequently, greater cold adaptation [9].”
Glitz, K. J., Freitag, S., Seibel, U., Rohde, U., Witzki, A. H., Piekarski, C., & Hoffmann, M. A. (2025) · Journal of Occupational Medicine and Toxicology · doi:10.1186/s12995-025-00473-6 · Cited by 1
“However, minimum skin temperatures in this evaporative interval study did not fall below 33 °C, minimizing the occurrence of vasoconstriction, which is usually expected below 32–33 °C [42, 43].”
Active Heating/Cooling Requirements for Divers in Water at Varying Temperatures
Bardy, E. R., Mollendorf, J. C., & Pendergast, D. R. (2007) · doi:10.1115/ht2007-32226 · Cited by 1
Glickman-Weiss, E. L., Nelson, A. G., & Hearon, C. M. (1995) · Wilderness and Environmental Medicine · doi:10.1580/1080-6032(1995)006[0173:eobcom]2.3.co;2 · Cited by 1
“[11] using”
Dark matter before the LHC in a natural supersymmetric standard model
Ryuichiro Kitano, A., & Yasunori Nomura, A. (2005) · Physics Letters B · doi:10.1016/j.physletb.2005.10.069 · Cited by 9
Yoshimura, M., Nakamura, M., Hojo, T., et al. (2023) · Journal of Exercise Science & Fitness · doi:10.1016/j.jesf.2023.05.001 · Cited by 1
BODY FAT AFFECTS CALORIMETRICALLY MEASURED BODY HEAT STORAGE ONLY DURING COLD STRESS
Snellenl, J. W., Ducharme, M. B., & Frim, J. (1994) · Cited by 1
Rao, N. M. (2016) · OhioLink ETD Center (Ohio Library and Information Network) · Cited by 1
Cardiovascular and Pulmonary Responses to Exercise
Sylvies, F. R., & Ellestad, M. (2018) · Oxford University Press eBooks · doi:10.1093/med/9780190225483.003.0020 · Cited by 2
Factors affecting an increase in core body temperature and heat tolerance during hot water immersion
Masuda, Y., Kato, I., & Nagashima, K. (2021) · The Journal of Physical Fitness and Sports Medicine · doi:10.7600/jpfsm.10.243 · Cited by 1
Physiological and pathological cardiac adaptations to physical exercise
D’Andrea, A., Gambardella, F., & Picano, E. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-95221-7.00001-x · Cited by 1
Mahar, H. (2001) · Patty's Toxicology · doi:10.1002/0471435139.tox097 · Cited by 1
Groeller, H. (1990) · Research Online (University of Wollongong) · Cited by 1
Hypoxic responses in resting hyperthermic humans
Curtis, A. N. (2005) · Summit (Simon Fraser University) · Cited by 1
Bird, F. (2011) · UPT. Syiah Kuala University Library (Syiah Kuala University)
Effect of Cold Acclimatization Training on Body Composition
Park, J.-H., & Choi, J. (2011) · Journal of the Korean Society of Clothing and Textiles · doi:10.5850/jksct.2011.35.7.713
immersion at knee, hip, and shoulder levels Thermal and metabolic responses to cold-water
Toner, M. M., McArdle, W. D., Vrabas, I. S., et al. (2015)
Kaufman, J. W., Dejneka, K. Y., Morrissey, S., et al. (1988) · NASA Technical Reports Server (NASA)
Kean, D. J. (2012) · OhioLink ETD Center (Ohio Library and Information Network)
Brearley, M. B. (2006) · Charles Darwin University · doi:10.25913/5ea284be5d019
Whole-Body Cooling Following Exercise-Induced Hyperthermia: Biophysical Considerations
Friesen, B. J. (2014) · uO Research (University of Ottawa) · doi:10.20381/ruor-3521
Active Recovery vs. Cold Water Immersion with Neoprene for Exercise Recovery
Mussi, E. (2018) · Digital Collections - Ithaca College Library (Ithaca College)
The Stress and Strain of Triathlon Racing in Different Thermal Environments
Creasy, R. H. (2019) · Otago University Research Archive (University of Otago) · Cited by 1
Environmental Conditions: Cold
Tipton, M. (2019) · Springer eBooks · doi:10.1007/978-3-030-22357-1_5
Cold Stress Induced a Higher Level of Fat Oxidation in Women
Niu, X., Han, P., Tang, Z., Huang, J., Li, L., He, H., Zhang, W., Zhao, L., & Zhao, L. (2021) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000004160
“Vasoconstriction begins when skin temperature falls below 35° C (43).”
Background(2014) · Wiley eBooks · doi:10.1002/9781118590836.refs
Mahar, H. (2001) · Patty's Toxicology · doi:10.1002/9780471125471.tox097
Ferretti, G. (2023) · Perspectives in physiology · doi:10.1007/978-3-031-19197-8_12
Self-citationSignificance of thermoregulatory homeostasis in sustaining human physiological equilibrium
Dubey, S. (2025) · Indian Journal of Clinical Anatomy and Physiology · doi:10.18231/j.ijcap.2024.043
Human Thermoregulatory Responses to Acute Cold Stress with Special Reference to Water Immersion
Toner, M. M., & McArdle, W. D. (1994) · Comprehensive physiology · doi:10.1002/j.2040-4603.1994.tb01163.x
Xu, X., Gutierrez, S. A., Rioux, T. P., et al. (2025) · Physiological Reports · doi:10.14814/phy2.70688
“Moreover, studies have revealed that regional fat insulation affects total body insulation (Veicsteinas et al., 1982) and Tc cooling rates are correlated with the fat thickness on both trunk and limbs while swimming in cold water (Sloan & Keatinge, 1973).”
Safe cold-water thresholds while wearing wetsuits approved for open water swimming competitions
Skutnik, B. C., Owen, M. G., Hite, M. J., et al. (2026) · Journal of Applied Physiology · doi:10.1152/japplphysiol.01102.2025
Metadata
- Authors
- Veicsteinas, A., Ferretti, G., & Rennie, D. W.
- Affiliations
- Don Carlo Gnocchi Foundation (IT)
- University at Buffalo, State University of New York (US)
- ORCID
- Ferretti, G.
- Venue
- Journal of Applied Physiology
- Publisher
- American Physiological Society
- Published
- 1982-06-01
- Volume
- 52
- Issue
- 6
- Pages
- 1557-1564
- ISSN
- 0161-7567 (ISSN-L)
- 8750-7587
- 1522-1601
- OpenAlex
- W1919698343
- Cited by
- 161
- References
- 0
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 6 · 2023: 9 · 2022: 3 · 2021: 8 · 2020: 2 · 2019: 2 · 2018: 7 · 2017: 3 · 2016: 5 · 2015: 7 · 2014: 11 · 2013: 4 · 2012: 5
- FWCI
- 0.90
- Type
- journal article
- Language
- en
- Open access
- Licence
- cc-by
- Locations
- Journal of Applied Physiology (publishedVersion)
- PubMed (publishedVersion)
- Institutional Research Information System (Università degli Studi di Brescia) (submittedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Thermoregulation and physiological responses
- Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Thermal Regulation in Medicine
- Keywords
- cold water immersion, thermal insulation, tissue thickness, exercise thermoregulation, rectal temperature, skin surface temperature
- MeSH terms
- Adipose Tissue, Adult, Body Temperature Regulation, Cold Temperature, Physical Exertion, Humans, Immersion, Male, Regression Analysis, Rest, Skin Physiological Phenomena, Time Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review