Skip to main content
Log in

Influence of cold water face immersion on post-exercise parasympathetic reactivation

  • Original Article
  • Published:
European Journal of Applied Physiology Aims and scope Submit manuscript

Abstract

The aim of the present study was to investigate the effect of cold water face immersion on post-exercise parasympathetic reactivation, inferred from heart rate (HR) recovery (HRR) and HR variability (HRV) indices. Thirteen men performed, on two different occasions, an intermittent exercise (i.e., an all-out 30-s Wingate test followed by a 5-min run at 45% of the speed reached at the end of the 30–15 Intermittent Fitness test, interspersed with 5 min of seated recovery), randomly followed by 5 min of passive (seated) recovery with either cold water face immersion (CWFI) or control (CON). HR was recorded beat-to-beat and vagal-related HRV indices (i.e., natural logarithm of the high-frequency band, LnHF, and natural logarithm of the square root of the mean sum of squared differences between adjacent normal R–R intervals, Ln rMSSD) and HRR (e.g., heart beats recovered in the first minute after exercise cessation) were calculated for both recovery conditions. Parasympathetic reactivation was faster for the CWFI condition, as indicated by higher LnHF (P = 0.004), Ln rMSSD (P = 0.026) and HRR (P = 0.002) values for the CWFI compared with the CON condition. Cold water face immersion appears to be a simple and efficient means of immediately accelerating post-exercise parasympathetic reactivation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Batterham AM, Hopkins WG (2006) Making meaningful inferences about magnitudes. Int J Sports Physiol Perform 1:50–57

    PubMed  Google Scholar 

  • Billman GE (2002) Aerobic exercise conditioning: a nonpharmacological antiarrhythmic intervention. J Appl Physiol 92:446–454

    PubMed  Google Scholar 

  • Billman GE (2006) Heart rate response to onset of exercise: evidence for enhanced cardiac sympathetic activity in animals susceptible to ventricular fibrillation. Am J Physiol Heart Circ Physiol 291:H429–H435

    Article  CAS  PubMed  Google Scholar 

  • Blain G, Meste O, Bermon S (2005) Influences of breathing patterns on respiratory sinus arrhythmia in humans during exercise. Am J Physiol Heart Circ Physiol 288:H887–H895

    Article  CAS  PubMed  Google Scholar 

  • Buchheit M, Gindre C (2006) Cardiac parasympathetic regulation: respective associations with cardiorespiratory fitness and training load. Am J Physiol Heart Circ Physiol 291:H451–H458

    Article  CAS  PubMed  Google Scholar 

  • Buchheit M, Laursen PB (2009) Treatment of hyperthermia: is assessment of cooling efficiency enough? Exp Physiol 94:627–629

    Article  CAS  PubMed  Google Scholar 

  • Buchheit M, Papelier Y, Laursen PB, Ahmaidi S (2007a) Noninvasive assessment of cardiac parasympathetic function: post-exercise heart rate recovery or heart rate variability? Am J Physiol Heart Circ Physiol 23:H8–H10

    Article  Google Scholar 

  • Buchheit M, Laursen PB, Ahmaidi S (2007b) Parasympathetic reactivation after repeated sprint exercise. Am J Physiol Heart Circ Physiol 293:H133–H141

    Article  CAS  PubMed  Google Scholar 

  • Buchheit M, Al Haddad H, Millet GP, Lepretre PM, Newton M, Ahmaidi S (2009a) Cardiorespiratory and cardiac autonomic responses to 30–15 intermittent fitness test in team sport players. J Strength Cond Res 23:93–100

    PubMed  Google Scholar 

  • Buchheit M, Peiffer JJ, Abbiss CR, Laursen PB (2009b) Effect of cold water immersion on postexercise parasympathetic reactivation. Am J Physiol Heart Circ Physiol 296:H421–H427

    Article  CAS  PubMed  Google Scholar 

  • Buchheit M, Al Haddad H, Laursen PB, Ahmaidi S (2009c) Effect of body posture on postexercise parasympathetic reactivation in men. Exp Physiol 94:795–804

    Article  CAS  PubMed  Google Scholar 

  • Cohen J (1988) Statistical power analysis for the behavioral sciences. Lawrence Erlbaum, Hillsdale

    Google Scholar 

  • Cole CR, Blackstone EH, Pashkow FJ, Snader CE, Lauer MS (1999) Heart-rate recovery immediately after exercise as a predictor of mortality. N Engl J Med 341:1351–1357

    Article  CAS  PubMed  Google Scholar 

  • Dewland TA, Androne AS, Lee FA, Lampert RJ, Katz SD (2007) Effect of acetylcholinesterase inhibition with pyridostigmine on cardiac parasympathetic function in sedentary adults and trained athletes. Am J Physiol Heart Circ Physiol 293:H86–H92

    Article  CAS  PubMed  Google Scholar 

  • Eckberg DL (2003) The human respiratory gate. J Physiol 548:339–352

    CAS  PubMed  Google Scholar 

  • Eckberg DL, Mohanty SK, Raczkowska M (1984) Trigeminal-baroreceptor reflex interactions modulate human cardiac vagal efferent activity. J Physiol 347:75–83

    CAS  PubMed  Google Scholar 

  • Finley JP, Bonet JF, Waxman MB (1979) Autonomic pathways responsible for bradycardia on facial immersion. J Appl Physiol 47:1218–1222

    CAS  PubMed  Google Scholar 

  • Goldberger JJ, Challapalli S, Tung R, Parker MA, Kadish AH (2001) Relationship of heart rate variability to parasympathetic effect. Circulation 103:1977–1983

    CAS  PubMed  Google Scholar 

  • Goldberger JJ, Le FK, Lahiri M, Kannankeril PJ, Ng J, Kadish AH (2006) Assessment of parasympathetic reactivation after exercise. Am J Physiol Heart Circ Physiol 290:H2446–H2452

    Article  CAS  PubMed  Google Scholar 

  • Gorman AJ, Proppe DW (1982) Influence of heat stress on arterial baroreflex control of heart rate in the baboon. Circ Res 51:73–82

    CAS  PubMed  Google Scholar 

  • Goulopoulou S, Heffernan KS, Fernhall B, Yates G, Baxter-Jones AD, Unnithan VB (2006) Heart rate variability during recovery from a Wingate test in adolescent males. Med Sci Sports Exerc 38:875–881

    Article  PubMed  Google Scholar 

  • Hayashi N, Ishihara M, Tanaka A, Osumi T, Yoshida T (1997) Face immersion increases vagal activity as assessed by heart rate variability. Eur J Appl Physiol Occup Physiol 76:394–399

    Article  CAS  PubMed  Google Scholar 

  • Hedman AE, Hartikainen JE, Tahvanainen KU, Hakumaki MO (1995) The high frequency component of heart rate variability reflects cardiac parasympathetic modulation rather than parasympathetic ‘tone’. Acta Physiol Scand 155:267–273

    Article  CAS  PubMed  Google Scholar 

  • Hopkins WG (2007) A spreadsheet for deriving a confidence interval, mechanistic inference and clinical inference from a p value. Sportscience 11:16–20

    Google Scholar 

  • Hopkins WG, Marshall SW, Batterham AM, Hanin J (2009) Progressive statistics for studies in sports medicine and exercise science. Med Sci Sports Exerc 41:3–13

    PubMed  Google Scholar 

  • Imai K, Sato H, Hori M, Kusuoka H, Ozaki H, Yokoyama H, Takeda H, Inoue M, Kamada T (1994) Vagally mediated heart rate recovery after exercise is accelerated in athletes but blunted in patients with chronic heart failure. J Am Coll Cardiol 24:1529–1535

    Article  CAS  PubMed  Google Scholar 

  • Inbar O, Bar-Or O, Skinner JS (1996) The Wingate anaerobic test. Human Kinetics, Champaign, IL

    Google Scholar 

  • Khurana RK (2007) Cold face test: adrenergic phase. Clin Auton Res 17:211–216

    Article  PubMed  Google Scholar 

  • Khurana RK, Wu R (2006) The cold face test: a non-baroreflex mediated test of cardiac vagal function. Clin Auton Res 16:202–207

    Article  PubMed  Google Scholar 

  • Kinoshita T, Nagata S, Baba R, Kohmoto T, Iwagaki S (2006) Cold-water face immersion per se elicits cardiac parasympathetic activity. Circ J 70:773–776

    Article  PubMed  Google Scholar 

  • LeBlanc J, Blais B, Barabe B, Cote J (1976) Effects of temperature and wind on facial temperature, heart rate, and sensation. J Appl Physiol 40:127–131

    CAS  PubMed  Google Scholar 

  • Levy MN (1971) Sympathetic–parasympathetic interactions in the heart. Circ Res 29:437–445

    CAS  PubMed  Google Scholar 

  • Miyamoto T, Kawada T, Takaki H, Inagaki M, Yanagiya Y, Jin Y, Sugimachi M, Sunagawa K (2003) High plasma norepinephrine attenuates the dynamic heart rate response to vagal stimulation. Am J Physiol Heart Circ Physiol 284:H2412–H2418

    CAS  PubMed  Google Scholar 

  • Miyamoto T, Oshima Y, Ikuta K, Kinoshita H (2006) The heart rate increase at the onset of high-work intensity exercise is accelerated by central blood volume loading. Eur J Appl Physiol 96:86–96

    Article  PubMed  Google Scholar 

  • Mourot L, Bouhaddi M, Gandelin E, Cappelle S, Dumoulin G, Wolf JP, Rouillon JD, Regnard J (2008) Cardiovascular autonomic control during short-term thermoneutral and cool head-out immersion. Aviat Space Environ Med 79:14–20

    Article  PubMed  Google Scholar 

  • Nunan D, Donovan G, Jakovljevic DG, Hodges LD, Sandercock GR, Brodie DA (2009) Validity and reliability of short-term heart-rate variability from the Polar S810. Med Sci Sports Exerc 41:243–250

    PubMed  Google Scholar 

  • Paulev PE, Pokorski M, Honda Y, Ahn B, Masuda A, Kobayashi T, Nishibayashi Y, Sakakibara Y, Tanaka M, Nakamura W (1990) Facial cold receptors and the survival reflex “diving bradycardia” in man. Jpn J Physiol 40:701–712

    Article  CAS  PubMed  Google Scholar 

  • Popadic Gacesa JZ, Barak OF, Grujic NG (2009) Maximal anaerobic power test in athletes of different sport disciplines. J Strength Cond Res 23:751–755

    PubMed  Google Scholar 

  • Pretorius T, Bristow GK, Steinman AM, Giesbrecht GG (2006) Thermal effects of whole head submersion in cold water on nonshivering humans. J Appl Physiol 101:669–675

    Article  PubMed  Google Scholar 

  • Savin WM, Davidson DM, Haskell WL (1982) Autonomic contribution to heart rate recovery from exercise in humans. J Appl Physiol 53:1572–1575

    CAS  PubMed  Google Scholar 

  • Smith JC, Stephens DP, Winchester PK, Williamson JW (1997) Facial cooling-induced bradycardia: attenuating effect of central command at exercise onset. Med Sci Sports Exerc 29:320–325

    CAS  PubMed  Google Scholar 

  • Smith LL, Kukielka M, Billman GE (2005) Heart rate recovery after exercise: a predictor of ventricular fibrillation susceptibility after myocardial infarction. Am J Physiol Heart Circ Physiol 288:H1763–H1769

    Article  CAS  PubMed  Google Scholar 

  • Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology (1996) Heart rate variability, standards of measurement, physiological interpretation, and clinical use. Circulation 93:1043–1065

    Google Scholar 

  • Tipton MJ (1989) The initial responses to cold-water immersion in man. Clin Sci (Lond) 77:581–588

    CAS  Google Scholar 

  • Tulppo MP, Makikallio TH, Seppanen T, Airaksinen JK, Huikuri HV (1998) Heart rate dynamics during accentuated sympathovagal interaction. Am J Physiol 274:H810–H816

    CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors thank Bachar Haidar for his helpful assistance with data collection and the participants for their enthusiastic collaboration.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hani Al Haddad.

Additional information

Communicated by Dag Linnarsson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Al Haddad, H., Laursen, P.B., Ahmaidi, S. et al. Influence of cold water face immersion on post-exercise parasympathetic reactivation. Eur J Appl Physiol 108, 599–606 (2010). https://doi.org/10.1007/s00421-009-1253-9

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00421-009-1253-9

Keywords

Navigation