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Kunutsor SK, Lehoczki A, Laukkanen JA. The untapped potential of cold water therapy as part of a lifestyle intervention for promoting healthy aging. GeroScience 2024:10.1007/s11357-024-01295-w. [PMID: 39078461 DOI: 10.1007/s11357-024-01295-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2024] [Accepted: 07/19/2024] [Indexed: 07/31/2024] Open
Abstract
Healthy aging is a crucial goal in aging societies of the western world, with various lifestyle strategies being employed to achieve it. Among these strategies, hydrotherapy stands out for its potential to promote cardiovascular and mental health. Cold water therapy, a hydrotherapy technique, has emerged as a lifestyle strategy with the potential capacity to evoke a wide array of health benefits. This review aims to synthesize the extensive body of research surrounding cold water therapy and its beneficial effects on various health systems as well as the underlying biological mechanisms driving these benefits. We conducted a search for interventional and observational cohort studies from MEDLINE and EMBASE up to July 2024. Deliberate exposure of the body to cold water results in distinct physiological responses that may be linked to several health benefits. Evidence, primarily from small interventional studies, suggests that cold water therapy positively impacts cardiometabolic risk factors, stimulates brown adipose tissue and promotes energy expenditure-potentially reducing the risk of cardiometabolic diseases. It also triggers the release of stress hormones, catecholamines and endorphins, enhancing alertness and elevating mood, which may alleviate mental health conditions. Cold water therapy also reduces inflammation, boosts the immune system, promotes sleep and enhances recovery following exercise. The optimal duration and temperature needed to derive maximal benefits is uncertain but current evidence suggests that short-term exposure and lower temperatures may be more beneficial. Overall, cold water therapy presents a potential lifestyle strategy to enhancing physical and mental well-being, promoting healthy aging and extending the healthspan, but definitive interventional evidence is warranted.
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Affiliation(s)
- Setor K Kunutsor
- Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, R2H 2A6, Canada.
- Leicester Real World Evidence Unit, Diabetes Research Centre, University of Leicester, Leicester General Hospital, Gwendolen Road, Leicester, LE5 4WP, UK.
| | - Andrea Lehoczki
- Department of Preventive Medicine and Public Health, Semmelweis University, Budapest, Hungary
| | - Jari A Laukkanen
- Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland
- Institute of Clinical Medicine, Department of Medicine, University of Eastern Finland, Kuopio, Finland
- Wellbeing Services County of Central Finland, Department of Medicine, Finland District, Jyväskylä, Finland
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Dornowski M, Wilczyńska D, Lachowicz M, Sokolowska I, Szot T, Urbański R, Maznychenko A, Szwarc A, Gotner K, Duda D, Sawicki P, Hinca J. The effect of EEG neurofeedback on lowering the stress reaction level depending on various stressors on the biochemical, muscular and psychomotor sphere: A preliminary randomized study. Medicine (Baltimore) 2024; 103:e37042. [PMID: 38306574 PMCID: PMC10843594 DOI: 10.1097/md.0000000000037042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Accepted: 01/03/2024] [Indexed: 02/04/2024] Open
Abstract
BACKGROUND The human body is exposed to stressors on a daily basis. Short-term exposure to a particular stressor can cause the release of inflammatory markers - including c-reactive protein (CRP). EEG neurofeedback is a noninvasive form of therapy that aims to improve brain function. Neurofeedback is a type of feedback based on brain activity. METHODS The research process was performed by a group of 80 men who were divided into 2 research groups and 2 control groups. In the first research group and the first control group, the stressor of high temperature was applied, while in the second research group and the second control group, the stressor was physical exertion to refusal. Meanwhile, blood samples were taken to visualize inflammatory markers. These were taken before and after the stressor, as well as before and after the application of EEG neurofeedback. RESULTS In research group after EEG neurofeedback intervention, the level of CRP significantly dropped in the measurement after stressor implementation. Analysis of the SMK test revealed a significant influence of both factors (time F = 13.525, P = .035; state F = 10.658, P = .047) and their interaction (F = 16.709, P = .026). Same statically significant decrease was observed in the level of rect. abdom. EMG was after physical work after neurofeedback. In all tests, a decrease in the EMG amplitude of upper trap. was observed after physical work before neurofeedback with its further increase after neurofeedback. After neurofeedback training, the results of the 3 tested parameters of the sensorimotor coordination test performed after the second heat stressor improved statistically insignificantly compared to the values obtained before. CONCLUSION This article shows the effect of EGG neurofeedback on reducing the negative effects of stress exposure in humans. The study showed that the level and a pattern of EEG neurofeedback influence and significance is different depending on the applied stressor. Furthermore, the level of EEG neurofeedback influence and significance in decreasing the stressor effect is different depending on the examined sphere.
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Affiliation(s)
- Marcin Dornowski
- Gdansk University of Physical Education and Sport, Gdansk, Poland
| | | | - Milena Lachowicz
- Gdansk University of Physical Education and Sport, Gdansk, Poland
| | - Inna Sokolowska
- Gdansk University of Physical Education and Sport, Gdansk, Poland
| | - Tomasz Szot
- Gdansk University of Physical Education and Sport, Gdansk, Poland
| | - Robert Urbański
- Gdansk University of Physical Education and Sport, Gdansk, Poland
| | | | - Andrzej Szwarc
- Gdansk University of Physical Education and Sport, Gdansk, Poland
| | - Kacper Gotner
- Gdansk University of Physical Education and Sport, Gdansk, Poland
| | - Dominik Duda
- Gdansk University of Physical Education and Sport, Gdansk, Poland
| | - Piotr Sawicki
- Gdansk University of Physical Education and Sport, Gdansk, Poland
| | - Jakub Hinca
- Gdansk University of Physical Education and Sport, Gdansk, Poland
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Yamasaki S, Tokunou T, Maeda T, Horiuchi T. Night-Time Hot Spring Bathing Is Associated with a Lower Systolic Blood Pressure among Japanese Older Adults: A Single-Institution Retrospective Cohort Study. Geriatrics (Basel) 2023; 9:2. [PMID: 38392101 PMCID: PMC10888263 DOI: 10.3390/geriatrics9010002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 11/28/2023] [Accepted: 12/19/2023] [Indexed: 02/24/2024] Open
Abstract
Hot spring bathing is practiced to help manage hypertension. We retrospectively investigated the effects of hot spring bathing on hypertension with the aim of identifying a novel approach to prevent and manage hypertension. The study cohort comprised 99 patients aged ≥65 years admitted to Kyushu University Beppu Hospital between 1 December 2021 and 30 November 2022 who could walk by themselves and who used hot springs for ≥3 days during their hospital stay. The changes in both systolic and diastolic blood pressure were significantly decreased in the night-time bathing group (n = 21) compared with the noontime (n = 26) and afternoon (n = 52) groups. Night-time hot spring bathing was significantly associated with reduced systolic blood pressure the next morning in older adults. Although prospective randomized controlled trials on night-time hot spring bathing as a hypertension treatment are warranted to investigate whether the practice can prevent hypertension among adults aged ≥65 years, we have initiated a single-center, phase II study on the relationship between sleep quality and quality of life in hypertensive patients after night-time hot spring bathing.
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Affiliation(s)
- Satoshi Yamasaki
- Department of Internal Medicine, Kyushu University Beppu Hospital, Beppu 874-0838, Japan
- Department of Hematology and Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka 810-0065, Japan
| | - Tomotake Tokunou
- Department of Internal Medicine, Kyushu University Beppu Hospital, Beppu 874-0838, Japan
- Division of Basic Medical Science and Fundamental Nursing, Department of Nursing, Fukuoka Nursing College, Fukuoka 814-0193, Japan
| | - Toyoki Maeda
- Department of Internal Medicine, Kyushu University Beppu Hospital, Beppu 874-0838, Japan
| | - Takahiko Horiuchi
- Department of Internal Medicine, Kyushu University Beppu Hospital, Beppu 874-0838, Japan
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Hot spring bathing is associated with a lower prevalence of hypertension among Japanese older adults: a cross-sectional study in Beppu. Sci Rep 2022; 12:19462. [PMID: 36376349 PMCID: PMC9661464 DOI: 10.1038/s41598-022-24062-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 11/09/2022] [Indexed: 11/16/2022] Open
Abstract
Hot spring bathing is practiced to help manage various diseases, including hypertension. We investigated the preventive effects on hypertension of hot spring bathing among older adults in a data analysis using responses to a previous questionnaire with the aim to identify a novel approach in the prevention and management of hypertension. Among 10,428 adults aged ≥ 65 years, we assessed the hot spring bathing habits of 4001 individuals with a history of hypertension. We calculated odds ratios (OR) with 95% confidence intervals using a multivariable logistic regression model for history of hypertension. In multivariable logistic regression, age (≥ 85 years: OR, 1.410); history of arrythmia (OR, 1.580), stroke (OR, 1.590), gout (OR, 1.880), diabetes mellitus (OR, 1.470), hyperlipidemia (OR, 1.680), renal disease (OR, 1.520), chronic hepatitis (OR, 0.648); and hot spring bathing at 19:00 or later (OR, 0.850) were independently and significantly associated with hypertension during the lifetime. We found an inverse relationship between habitual nighttime hot spring bathing and a history of depression. Prospective randomized controlled trials on nighttime hot spring bathing as a treatment for hypertension are warranted to investigate whether nighttime hot spring bathing can help in preventing hypertension among adults aged ≥ 65 years.
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Bezuglov E, Lazarev A, Khaitin V, Chegin S, Tikhonova A, Talibov O, Gerasimuk D, Waśkiewicz Z. The Prevalence of Use of Various Post-Exercise Recovery Methods after Training among Elite Endurance Athletes. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182111698. [PMID: 34770213 PMCID: PMC8583677 DOI: 10.3390/ijerph182111698] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 11/01/2021] [Accepted: 11/01/2021] [Indexed: 11/22/2022]
Abstract
There is now compelling evidence of the effectiveness of a range of post-exercise recovery techniques, including extended nights of sleep, cold water immersion, massage, and compression garments. Currently, limited information is available on post-exercise recovery methods used by elite endurance athletes. Therefore, this study investigated the actual methods of recovery used in this group of athletes. Google Forms were used to collect information on the recovery methods used by elite endurance track and field athletes (n = 153, 61.4% men, 38.6% women; average age: 22.7 ± 4.6 years). The most used methods of recovery were sauna bathing (96.7%), massage (86.9%), daytime nap (81.0%), and long night sleep (at least 9h) (61.4%). Recovery methods with proven effectiveness such as cold water immersion and compression garments were rarely used (15.0% and 7.8%, respectively). Overall, recovery methods were used more often when the tiers of the track and field athletes were higher. Massage and sauna bathing were the most used methods of post-exercise recovery among Russian endurance track and field athletes. In most cases, they were used in conjunction with short daytime nap and long night sleep. Higher tier athletes were more likely to use sauna bathing, massage, long night sleep, and daytime nap but not cold water immersion and compression garments as recovery methods; however, all these methods except for cold water immersion were widely used among elite-tier athletes.
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Affiliation(s)
- Eduard Bezuglov
- Department of Sports Medicine and Medical Rehabilitation, Sechenov First Moscow State Medical University (Sechenov University), 119435 Moscow, Russia;
- High Performance Sport Laboratory, Moscow Witte University, 115432 Moscow, Russia; (A.L.); (A.T.)
- Sirius University of Science and Technology, 354349 Sochi, Russia
- Federal Research and Clinical Center of Sports Medicine and Rehabilitation of Federal Medical Biological Agency, 121059 Moscow, Russia
| | - Artemii Lazarev
- High Performance Sport Laboratory, Moscow Witte University, 115432 Moscow, Russia; (A.L.); (A.T.)
| | - Vladimir Khaitin
- Department of Sports Medicine and Medical Rehabilitation, Pavlov First State Medical University, 197022 Saint-Petersburg, Russia;
- Football Club Zenit, 197341 Saint-Petersburg, Russia
| | - Sergey Chegin
- Olympic Reserve Sport School, 430032 Saransk, Russia;
| | - Aleksandra Tikhonova
- High Performance Sport Laboratory, Moscow Witte University, 115432 Moscow, Russia; (A.L.); (A.T.)
| | - Oleg Talibov
- Department of Internal Medicine, Clinical Pharmacology and Emergency Medicine, Moscow State University of Medicine and Dentistry, 127006 Moscow, Russia;
| | - Dagmara Gerasimuk
- Institute of Sport Science, Jerzy Kukuczka Academy of Physical Education, 40-065 Katowice, Poland;
| | - Zbigniew Waśkiewicz
- Department of Sports Medicine and Medical Rehabilitation, Sechenov First Moscow State Medical University (Sechenov University), 119435 Moscow, Russia;
- Institute of Sport Science, Jerzy Kukuczka Academy of Physical Education, 40-065 Katowice, Poland;
- Correspondence:
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The Effects of Repeated Thermal Stress on the Physiological Parameters of Young Physically Active Men Who Regularly Use the Sauna: A Multifactorial Assessment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182111503. [PMID: 34770018 PMCID: PMC8583525 DOI: 10.3390/ijerph182111503] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Revised: 10/27/2021] [Accepted: 10/29/2021] [Indexed: 11/20/2022]
Abstract
The aim of this study was to determine the effects of thermal stress (TS) on changes in blood biochemical parameters and fluid electrolyte levels in young adult men with moderate and high levels of physical activity. Thirty men (22.67 ± 2.02 years) were exposed to four 12-min sauna sessions (temperature: 90–91 °C; relative humidity: 14–16%) with four 6-min cool-down breaks. The evaluated variables were anthropometric, physiological, and hematological characteristics. The mean values of HRavg (102.5 bpm) were within the easy effort range, whereas HRpeak (143.3 bpm) values were within the very difficult effort range. A significant increase was noted in pO2 (p < 0.001), total cholesterol (p < 0.008), HDL (p < 0.006) and LDL cholesterol (p < 0.007). Significant decreases were observed in the SBP (by 9.7 mmHg), DBP (by 6.9 mmHg) (p < 0.001), pH (p < 0.001), aHCO3- (p < 0.005), sHCO3- (p < 0.003), BE (ecf) (p < 0.022), BE (B), ctCO2 (for both p < 0.005), glucose (p < 0.001), and LA (p < 0.036). High 72-min TS did not induce significant changes in the physiological parameters of young and physically active men who regularly use the sauna, excluding significant loss of body mass. We can assume that relatively long sauna sessions do not disturb homeostasis and are safe for the health of properly prepared males.
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