Int J Sports Med 2021; 42(11): 979-984
DOI: 10.1055/a-1312-6914
Originalarbeit

Post-exercise Heart Rate Variability: Whole-body Cryotherapy vs. Contrast Water Therapy

Benoît Sautillet
1   Université de Picardie Jules Verne, Faculty of Sport Sciences, Amiens, France
,
Pierre Marie Leprêtre
2   Université de Picardie Jules Verne, Faculty of Sport Sciences/APERE laboratory, Amiens, France
,
Laurent Schmitt
3   National Centre of Nordic-Ski, Research and Performance, Premanon, France
,
Said Ahmaidi
2   Université de Picardie Jules Verne, Faculty of Sport Sciences/APERE laboratory, Amiens, France
,
Guillaume Costalat
2   Université de Picardie Jules Verne, Faculty of Sport Sciences/APERE laboratory, Amiens, France
› Author Affiliations

Abstract

High-intensity training sessions are known to alter cardiac autonomic modulation. The purpose of this study was to compare the effects of whole-body cryotherapy, contrast water therapy and passive recovery on the time course of cardiac autonomic markers following a standardized HIT session. Eleven runners completed a high intensity session followed by one of the following recovery interventions: whole-body cryotherapy, contrast water therapy or passive recovery. Changes in cardiac autonomic modulation were assessed in supine and standing positions during an active tilt test at pre-, post-14 h and post-38 h. In supine, high-frequency power increased from pre- to post-14 h following whole-body cryotherapy (1661.1±914.5 vs. 2799.0±948.4 ms2, respectively; p=0.023) and contrast water therapy (1906.1±1327.9 vs. 4174.3±2762.9 ms2, respectively; p=0.004) whereas high frequency power decreased in response to passive recovery (p=0.009). In standing, low-frequency power increased from pre-to post-38 h (1784.3 ± 953.7 vs. 3339.8±1862.7 ms2, respectively; p=0.017) leading to an increase in total power from pre- to post-38 h (1990.8 ± 1089.4 vs. 3606.1±1992.0 ms2, respectively; p=0.017). Spectral analysis revealed that contrast water therapy appears to be a more efficient recovery strategy than whole-body cryotherapy in restoring cardiac autonomic homeostasis.



Publication History

Received: 23 July 2020

Accepted: 12 November 2020

Article published online:
18 March 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 White GE, Wells GD. Cold-water immersion and other forms of cryotherapy: physiological changes potentially affecting recovery from high-intensity exercise. Extrem Physiol Med 2013; 2: 26
  • 2 Hausswirth C, Louis J, Bieuzen F. et al. Effects of whole-body cryotherapy vs. far-infrared vs. passive modalities on recovery from exercise-induced muscle damage in highly-trained runners. PLoS One 2011; 6: e27749
  • 3 Machado AF, Ferreira PH, Micheletti JK. et al. Can water temperature and immersion time influence the effect of cold water immersion on muscle soreness? A systematic review and meta-analysis. Sports Med 2016; 46: 503-514
  • 4 Ihsan M, Watson G, Abbiss CR. What are the physiological mechanisms for post-exercise cold water immersion in the recovery from prolonged endurance and intermittent exercise?. Sports Med 2016; 46: 1095-1109
  • 5 Alba BK, Castellani JW, Charkoudian N. Cold-induced cutaneous vasoconstriction in humans: Function, dysfunction, and the distinctly counterproductive. Exp Physiol 2019; 104: 1202-1214
  • 6 Mawhinney C, Low DA, Jones H. et al. Cold-water mediates greater reductions in limb blood flow than whole body cryotherapy. Med Sci Sports Exerc 2017; 49: 1252-1260
  • 7 Mourot L, Bouhaddi M, Gandelin E. et al. Cardiovascular autonomic control during short-term thermoneutral and cool head-out immersion. Aviat Space Environ Med 2008; 79: 14-20
  • 8 Pump B, Shiraishi M, Gabrielsen A. et al. Cardiovascular effects of static carotid baroreceptor stimulation during water immersion in humans. Am J Physiol Heart Circ Physiol 2001; 280: H2607-H2615
  • 9 de Oliveira Ottone V, de Castro Magalhães F, de Paula F. et al. The effect of different water immersion temperatures on post-exercise parasympathetic reactivation. PLoS One 2014; 9: e113730
  • 10 Stanley J, Buchheit M, Peake JM. The effect of post-exercise hydrotherapy on subsequent exercise performance and heart rate variability. Eur J Appl Physiol 2012; 112: 951-961
  • 11 Goldberger JJ, Le FK, Lahiri M. et al. Assessment of parasympathetic reactivation after exercise. Am J Physiol Heart Circ Physiol 2006; 290: H2446-H2452
  • 12 Schaal K, Le Meur Y, Bieuzen F. et al. Effect of recovery mode on postexercise vagal reactivation in elite synchronized swimmers. Appl Physiol Nutr Metab 2012; 38: 126-133
  • 13 Holmes M, Willoughby DS. The effectiveness of whole body cryotherapy compared to cold water immersion: implications for sport and exercise recovery. International Journal of Kinesiology and Sports Science 2016; 4: 32-39
  • 14 Higgins TR, Greene DA, Baker MK. Effects of cold water immersion and contrast water therapy for recovery from team sport: A systematic review and meta-analysis. J Strength Cond Res 2017; 31: 1443-1460
  • 15 Versey NG, Halson SL, Dawson BT. Water immersion recovery for athletes: effect on exercise performance and practical recommendations. Sports Med 2013; 43: 1101-1130
  • 16 Cochrane DJ. Alternating hot and cold water immersion for athlete recovery: A review. Phys Ther Sport 2004; 5: 26-32
  • 17 Ménétrier A, Mourot L, Degano B. et al. Effects of three postexercice recovery treatments on femoral artery blood flow kinetics. J Sports Med Phys Fitness 2015; 55: 258-266
  • 18 Schmitt L, Regnard J, Desmarets M. et al. Fatigue shifts and scatters heart rate variability in elite endurance athletes. PLoS One 2013; 8: e71588
  • 19 Schmitt L, Regnard J, Millet GP. Monitoring fatigue status with HRV measures in elite athletes: an avenue beyond RMSSD?. Front Physiol 2015; 6: 343
  • 20 Harriss DJ, MacSween A, Atkinson G. Ethical standards in sport and exercise science research: 2020 update. Int J Sports Med 2019; 40: 813-817
  • 21 Foster C. Monitoring training in athletes with reference to overtraining syndrome. Med Sci Sports Exerc 1998; 30: 1164-1168
  • 22 Singh N, Moneghetti KJ, Christle JW. et al. Heart rate variability: An old metric with new meaning in the era of using mHealth technologies for health and exercise training guidance. Part one: Physiology and methods. Arrhythm Electrophysiol Rev 2018; 7: 193-198
  • 23 Douzi W, Dupuy O, Tanneau M. et al. 3-min whole body cryotherapy/cryostimulation after training in the evening improves sleep quality in physically active men. Eur J Sport Sci 2019; 19: 860-867
  • 24 Pichot V, Busso T, Roche F. et al. Autonomic adaptations to intensive and overload training periods: A laboratory study. Med Sci Sports Exerc 2002; 34: 1660-1666
  • 25 Stanley J, Peake JM, Buchheit M. Cardiac parasympathetic reactivation following exercise: implications for training prescription. Sports Med 2013; 43: 1259-1277
  • 26 Schuitema K, Holm B. The role of different facial areas in eliciting human diving bradycardia. Acta Physiol Scand 1988; 132: 119-120
  • 27 Kinoshita T, Nagata S, Baba R. et al. Cold-water face immersion per se elicits cardiac parasympathetic activity. Circ J 2006; 70: 773-776
  • 28 Buchheit M. Monitoring training status with HR measures: do all roads lead to Rome?. Front Physiol 2014; 5: 73
  • 29 Schmitt L, Regnard J, Parmentier AL. et al. Typology of “fatigue” by heart rate variability analysis in elite nordic-skiers. Int J Sports Med 2015; 36: 999-1007
  • 30 Ravé G, Fortrat J-O. Heart rate variability in the standing position reflects training adaptation in professional soccer players. Eur J Appl Physiol 2016; 116: 1575-1582
  • 31 Bompa TO, Buzzichelli C. Human Kinetics. Sixth Edition. 2018
  • 32 Mann TN, Lamberts RP, Lambert MI. High responders and low responders: factors associated with individual variation in response to standardized training. Sports Med 2014; 44: 1113-1124