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Effect of Exercise Intensity on Active Rewarming From Outdoor Cold-Water Immersion.

Matthew N Peterson1, Tony C Duong1,2, Rebecca S Weller1,2

  • 1Department of Warfighter Performance, Naval Health Research Center, San Diego, CA 92152, United States.

Military Medicine
|September 24, 2025
PubMed
Summary
This summary is machine-generated.

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Rewarming from cold-water immersion (CWI) using low-intensity or moderate-intensity exercise showed similar core, hand, and foot temperature recovery. Moderate-intensity exercise did not worsen the afterdrop effect, allowing warfighters flexibility in rewarming intensity.

Area of Science:

  • Environmental Physiology
  • Exercise Physiology

Background:

  • Cold-water immersion (CWI) poses a significant risk to warfighters in cold environments.
  • The afterdrop effect causes core temperature to continue decreasing even after removal from cold exposure.

Purpose of the Study:

  • To investigate the impact of exercise intensity on rewarming effectiveness following CWI.
  • To determine if moderate-intensity exercise exacerbates the afterdrop effect.

Main Methods:

  • 28 military personnel underwent 10-minute CWI in 1.3°C water.
  • Participants then engaged in 40 minutes of either low-intensity (30% VO2R) or moderate-intensity (45% VO2R) exercise.
  • Core, hand, and foot temperatures, along with heart rate, were continuously monitored.

Main Results:

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  • Heart rate was significantly higher in the moderate-intensity group after 20 minutes.
  • Core, hand, and foot temperatures showed significant changes over time but were similar between exercise groups.
  • No significant group-by-time interaction effects were observed for temperature recovery.

Conclusions:

  • Rewarming rates for core, hands, and feet were comparable between low- and moderate-intensity exercise protocols.
  • Moderate-intensity exercise does not worsen the afterdrop effect post-CWI.
  • Warfighters can choose rewarming exercise intensity based on comfort and operational needs.