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Cooling during exercise enhances performances, but the cooled body areas matter: A systematic review with meta‐analyses
Author(s) -
Douzi Wafa,
Dugué Benoit,
Vinches Ludwig,
Al Sayed Chady,
Hallé Stéphane,
Bosquet Laurent,
Dupuy Olivier
Publication year - 2019
Publication title -
scandinavian journal of medicine and science in sports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.575
H-Index - 115
eISSN - 1600-0838
pISSN - 0905-7188
DOI - 10.1111/sms.13521
Subject(s) - anaerobic exercise , aerobic exercise , medicine , physical therapy , time trial , aerobic capacity , physical medicine and rehabilitation , heart rate , blood pressure
Hyperthermia during exercise induces central and peripheral fatigue and impairs physical performance. To facilitate heat loss and optimize performance, athletes can hasten body cooling prior (pre‐cooling) or during (per‐cooling) exercise. However, it is unclear whether per‐cooling effect is the same on ‘aerobic’ and ‘anaerobic’ types of exercise (duration <75 and >76 seconds, respectively, according to Gastin [Sports Med 2001;31:725‐741]) and whether the body area that is cooled makes a difference. Methods A literature search led to the identification of 1582 potential studies. Included studies had to include physical exercise with sufficient details on the type, duration, intensity, and provide valid performance measures and a cooling intervention administered during exercise with sufficient details on the type and site of application. Results Forty‐five studies were included. Per‐cooling provides a performance benefit during ‘aerobic’ (standardized mean difference (SMD) of 0.60, P < .001) and ‘anaerobic’ exercises (SMD = 0.27, P < .02). The effects were greater during aerobic compared to anaerobic exercises ( P < .01). Internal cooling (cold fluid ingestion such as cold water and ice slurry/menthol beverage) and external cooling (face, neck, and torso) provide the greatest performance benefit for ‘aerobic’ performance with a moderate to large effect (0.46 < SMD < 1.24). For ‘anaerobic’ exercises, wearing a whole‐body cooling garment is the best way to enhance exercise performance (SMD = 0.39, P < .01). Conclusion Per‐cooling improves ‘aerobic’ and ‘anaerobic’ exercise performance with a greater benefit for ‘aerobic’ exercise. The magnitude of the effect depends on the type and site of the cooling application.