Cold showers and cold water immersion improve exercise recovery

The claim is that cold water immersion (CWI) or cold showers after exercise reduce muscle soreness (DOMS), decrease inflammation, and speed up recovery between training sessions.

cold exposurerecoverycold showersCWI
3 studies weighed Updated

Evidence Breakdown

2 PRO
1 AGAINST

Based on 3 studies

Evidence map

For & against, at a glance

Pro Con Neutral
70.4% confidence
Claim
2 1 0
Meta-Analysis Pro
Leeder J et al. · 2012
British Journal of Sports Medicine

Meta-analysis of 14 studies found CWI was effective at reducing DOMS at 24h, 48h, and 96h post-exercise compared to passive recovery.

0.85

Meta-analysis of 14 studies found CWI was effective at reducing DOMS at 24h, 48h, and 96h post-exercise compared to passive recovery.

Design Meta-Analysis (1.0) × quality 0.85 = impact 0.85

View source
Systematic Review Pro
Malta ES et al. · 2021
Sports Medicine

Systematic review found CWI effective for reducing perceived muscle soreness and some markers of muscle damage, but noted that benefits for performance recovery were inconsistent across studies.

0.68

Systematic review found CWI effective for reducing perceived muscle soreness and some markers of muscle damage, but noted that benefits for performance recovery were inconsistent across studies.

Design Systematic Review (0.9) × quality 0.75 = impact 0.68

View source
RCT Con
Roberts LA et al. · 2015
Journal of Physiology

RCT found that regular cold water immersion after strength training attenuated long-term gains in muscle mass and strength. CWI blunted the activation of satellite cells and mTOR signaling pathway, suggesting it may impair adaptation when used chronically.

0.64

RCT found that regular cold water immersion after strength training attenuated long-term gains in muscle mass and strength. CWI blunted the activation of satellite cells and mTOR signaling pathway, suggesting it may impair adaptation when used chronically.

Design RCT (0.8) × quality 0.80 = impact 0.64

View source

Tap any node to expand its detail.

Evidence

PRO (2)

PRO Meta-Analysis 0.85 Leeder J, Gissane C et al. (2012)

Meta-analysis of 14 studies found CWI was effective at reducing DOMS at 24h, 48h, and 96h post-exercise compared to passive recovery.

British Journal of Sports Medicine

DOI: 10.1136/bjsports-2011-090061

PRO Systematic Review 0.75 Malta ES, Dutra YM et al. (2021)

Systematic review found CWI effective for reducing perceived muscle soreness and some markers of muscle damage, but noted that benefits for performance recovery were inconsistent across studies.

Sports Medicine

DOI: 10.1007/s40279-021-01501-3

AGAINST (1)

AGAINST RCT 0.80 Roberts LA, Raastad T et al. (2015)

RCT found that regular cold water immersion after strength training attenuated long-term gains in muscle mass and strength. CWI blunted the activation of satellite cells and mTOR signaling pathway, suggesting it may impair adaptation when used chronically.

Journal of Physiology

DOI: 10.1113/JP270570