Article and Comment:  Some like it cold


With the closure of pools and Recreation Centres last year during the pandemic, many people returned to trying to swim in the sea, ocean and lakes. Cold water swimming enthusiasts have claimed the benefits of having a dip in cold water, but is it true? Is there really a benefit?


What happens when you first immerse yourself in cold water?


When you first get into cold water the skin receptors to cold produce a “cold shock”. The strongest with temperatures between 10-15 degrees, below 8 degrees also produces a pain response from these sensors. This is an exaggerated fight and flight response, which results in a sudden:

  • 5 fold increased release of adrenaline.
  • A doubling in the release of dopamine, the reward hormone which helps you adapt to the change.
  • An involuntary gasp for breath, followed by hyperventilation to get more air in your lungs.
  • A slowing down of your heart rate and breathing rate, mediated by the trigeminal nerve. However, the slowing down from this response and in stimulus from adrenaline to increase your heart rate cause short term heart irregular beats.


This acute stress response seems to allow the body to habituate to this stress and build resilience to future stressor events (known an hormesis). This reduces the immune system response in chronic inflammatory disease such as rheumatoid arthritis. It also correlates with reducing levels of pro-inflammatory markers in the long term.


The second main benefit seems to an increased release of a brain protein RBM3. This mediates the protection of the synapse connections in the brain in animals during hibernation. The direct benefits of preventing neurodegeneration in mice brains has been observed directly. However, human trials have only monitored the change in RBM3. These have been shown to be higher the longer and more regularly in swimmers who have swum in cold water (4 to 14 degrees)


George, A (2021) Some like it cold.  New Scientist, 13th March 2021, No. 3320.  P46-49



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Author: Michael Dermansky

Michael has now been working in physiotherapy for over 20 years, since graduating from Melbourne University in 1998 and is even more passionate about getting the best outcomes for clients than he was then. Michael is always studying and looking for new and innovative ways to improve the service at MD Health, including and not limited to the ideas from the fitness industry and great customer service companies. In his spare moments, he loves spending time with his two children, Sebastian and Alexander and hopefully taking them skiing more and more often.

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