Int J Sports Med 2020; 41(02): 98-105
DOI: 10.1055/a-1044-2397
Training & Testing
© Georg Thieme Verlag KG Stuttgart · New York

Skeletal Muscle Microvascular Adaptations Following Regular Cold Water Immersion

Mohammed Ihsan
1   Athlete Health and Performance Research Centre, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
3   Centre for Exercise and Sport Science Research, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia
,
Greig Watson
2   School of Human Life Sciences, University of Tasmania, Launceston, Australia
,
Hui Cheng Choo
3   Centre for Exercise and Sport Science Research, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia
,
Andrew Govus
4   Department of Rehabilitation, Nutrition and Sport, School of Allied Health, La Trobe University, Melbourne, Australia
,
Scott Cocking
5   Department of Sports Science, ASPIRE Academy for Sports Excellence, Doha, Qatar
,
Jamie Stanley
6   Department of Sport Science, South Australian Sports Institute, Brooklyn Park, Australia
,
Chris Richard Abbiss
3   Centre for Exercise and Sport Science Research, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia
› Author Affiliations
Further Information

Publication History



accepted 18 October 2019

Publication Date:
16 December 2019 (online)

Abstract

This study investigated the effect of endurance training and regular post-exercise cold water immersion on changes in microvascular function. Nine males performed 3 sessions∙wk-1 of endurance training for 4 weeks. Following each session, participants immersed one leg in a cold water bath (10°C; COLD) for 15 min while the contra-lateral leg served as control (CON). Before and after training, microvascular function of the gastrocnemius was assessed using near-infrared spectroscopy, where 5 min of popliteal artery occlusion was applied and monitored for 3 min upon cuff release. Changes in Hbdiff (oxyhemoglobin – deoxyhemoglobin) amplitude (O-AMP), area under curve (O-AUC) and estimated muscle oxygen consumption (mVO2) were determined during occlusion, while the reperfusion rate (R-RATE), reperfusion amplitude (R-AMP) and hyperemic response (HYP) were determined following cuff release. Training increased O-AMP (p=0.010), O-AUC (p=0.011), mVO2 (p=0.013), R-AMP (p=0.004) and HYP (p=0.057). Significant time (p=0.024) and condition (p=0.026) effects were observed for R-RATE, where the increase in COLD was greater compared with CON (p=0.026). In conclusion, R-RATE following training was significantly higher in COLD compared with CON, providing some evidence for enhanced microvascular adaptations following regular cold water immersion.

 
  • References

  • 1 Stanley J, Peake JM, Buchheit M. Consecutive days of cold water immersion: Effects on cycling performance and heart rate variability. Eur J Appl Physiol 2013; 113: 371-384 doi:10.1007/s00421-012-2445-2
  • 2 Montgomery PG, Pyne DB, Hopkins WG. et al. The effect of recovery strategies on physical performance and cumulative fatigue in competitive basketball. J Sports Sci 2008; 26: 1135-1145 794702104 [pii]. doi:10.1080/02640410802104912
  • 3 Rowsell GJ, Coutts AJ, Reaburn P. et al. Effect of post-match cold-water immersion on subsequent match running performance in junior soccer players during tournament play. J Sports Sci 2011; 29: 1-6
  • 4 Tabben M, Ihsan M, Ghoul N. et al. Cold water immersion enhanced athletes’wellness and 10-m short sprint performance 24-h after a simulated mixed martial arts combat. Front Physiol 2018; 9: 1542
  • 5 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
  • 6 Ihsan M, Watson G, Abbiss C. PGC-1α mediated muscle aerobic adaptations to exercise, heat and cold exposure. Cell Mol Exerc Physiol 2014; 3: e7
  • 7 Ihsan M, Markworth JF, Watson G. et al. Regular post-exercise cooling enhances mitochondrial biogenesis through AMPK and p38 MAPK in human skeletal muscle. Am J Physiol Regul Integr Comp Physiol 2015; 309: R286-R294 doi:10.1152/ajpregu.00031.2015
  • 8 Ihsan M, Watson G, Choo HC. et al. Postexercise muscle cooling enhances gene expression of PGC-1alpha. Med Sci Sports Exerc 2014; 46: 1900-1907 doi:10.1249/MSS.0000000000000308
  • 9 Joo CH, Allan R, Drust B. et al. Passive and post-exercise cold-water immersion augments PGC-1alpha and VEGF expression in human skeletal muscle. Eur J Appl Physiol 2016; 116: 2315-2326 doi:10.1007/s00421-016-3480-1
  • 10 Allan R, Sharples AP, Close GL. et al. Postexercise cold water immersion modulates skeletal muscle PGC-1alpha mRNA expression in immersed and nonimmersed limbs: Evidence of systemic regulation. J Appl Physiol (1985) 2017; 123: 451-459 doi:10.1152/japplphysiol.00096.2017
  • 11 Chinsomboon J, Ruas J, Gupta RK. et al. The transcriptional coactivator PGC-1alpha mediates exercise-induced angiogenesis in skeletal muscle. Proc Natl Acad Sci USA 2009; 106: 21401-21406 0909131106 [pii]. doi:10.1073/pnas.0909131106
  • 12 D’Souza RF, Zeng N, Markworth JF. et al. Divergent effects of cold water immersion versus active recovery on skeletal muscle fiber type and angiogenesis in young men. Am J Physiol Regul Integr Comp Physiol 2018; 314: R824-R833
  • 13 Ferrari M, Mottola L, Quaresima V. Principles, techniques, and limitations of near infrared spectroscopy. Can J Appl Physiol 2004; 29: 463-487
  • 14 McCully KK, Hamaoka T. Near-infrared spectroscopy: What can it tell us about oxygen saturation in skeletal muscle?. Exerc Sport Sci Rev 2000; 28: 123-127
  • 15 Minett GM, Duffield R, Billaut F. et al. Cold-water immersion decreases cerebral oxygenation but improves recovery after intermittent-sprint exercise in the heat. Scand J Med Sci Sports 2013; 24: 656-666 doi:10.1111/sms.12060. doi:10.1111/sms.12060
  • 16 Roberts LA, Muthalib M, Stanley J. et al. Effects of cold water immersion and active recovery on hemodynamics and recovery of muscle strength following resistance exercise. Am J Physiol Regul Integr Comp Physiol 2015; 309: R389-R398
  • 17 Ihsan M, Watson G, Lipski M. et al. Influence of postexercise cooling on muscle oxygenation and blood volume changes. Med Sci Sports Exerc 2013; 45: 876-882 doi:10.1249/MSS.0b013e31827e13a2
  • 18 Choo HC, Nosaka K, Peiffer JJ. et al. Peripheral blood flow changes in response to postexercise cold water immersion. Clin Physiol Funct Imaging 2018; 38: 46-55 doi:10.1111/cpf.12380
  • 19 McLay KM, Fontana FY, Nederveen JP. et al. Vascular responsiveness determined by near-infrared spectroscopy measures of oxygen saturation. Exp Physiol 2016; 101: 34-40 doi:10.1113/EP085406
  • 20 McLay KM, Gilbertson JE, Pogliaghi S. et al. Vascular responsiveness measured by tissue oxygen saturation reperfusion slope is sensitive to different occlusion durations and training status. Exp Physiol 2016; 101: 1309-1318 doi:10.1113/EP085843
  • 21 McLay KM, Nederveen JP, Pogliaghi S. et al. Repeatability of vascular responsiveness measures derived from near-infrared spectroscopy. Physiol Rep 2016; 4. doi:10.14814/phy2.12772
  • 22 Gerovasili V, Dimopoulos S, Tzanis G. et al. Utilizing the vascular occlusion technique with NIRS technology. Int J Indust Ergon 2010; 40: 218-222
  • 23 Lacroix S, Gayda M, Gremeaux V. et al. Reproducibility of near-infrared spectroscopy parameters measured during brachial artery occlusion and reactive hyperemia in healthy men. J Biomed Opt 2012; 17: 077010. doi:10.1117/1.JBO.17.7.077010
  • 24 Doerschug KC, Delsing AS, Schmidt GA. et al. Impairments in microvascular reactivity are related to organ failure in human sepsis. Am J Physiol Heart Circ Physiol 2007; 293: H1065-H1071 doi:10.1152/ajpheart.01237.2006
  • 25 Harriss DJ, MacSween A, Atkinson G. Standards for ethics in sport and exercise science research: 2020 update. Int J Sports Med 2019; 40: 813-817
  • 26 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
  • 27 Kuipers H, Verstappen FT, Keizer HA. et al. Variability of aerobic performance in the laboratory and its physiologic correlates. Int J Sports Med 1985; 6: 197-201 doi:10.1055/s-2008-1025839
  • 28 Tonkonogi M, Walsh B, Svensson M. et al. Mitochondrial function and antioxidative defence in human muscle: Effects of endurance training and oxidative stress. J Physiol 2000; 528: 379-388 doi:10.1111/j.1469-7793.2000.00379.x
  • 29 Slivka D, Heesch M, Dumke C. et al. Effects of post-exercise recovery in a cold environment on muscle glycogen, PGC-1alpha, and downstream transcription factors. Cryobiology 2013; 66: 250-255 doi:10.1016/j.cryobiol.2013.02.005 doi:S0011-2240(13)00030-8 [pii],
  • 30 Ryan TE, Brizendine JT, McCully KK. A comparison of exercise type and intensity on the noninvasive assessment of skeletal muscle mitochondrial function using near-infrared spectroscopy. J Appl Physiol (1985) 2013; 114: 230-237
  • 31 Southern WM, Ryan TE, Reynolds MA. et al. Reproducibility of near-infrared spectroscopy measurements of oxidative function and postexercise recovery kinetics in the medial gastrocnemius muscle. Appl Physiol Nutr Metab 2014; 39: 521-529 doi:10.1139/apnm-2013-0347
  • 32 Van Beekvelt MCP, Van Engelen BGM, Wevers RA. et al. In vivo quantitative near-infrared spectroscopy in skeletal muscle during incremental isometric handgrip exercise. Clin Physiol Funct Imaging 2002; 22: 210-217 doi:10.1046/j.1475-097X.2002.00420.x
  • 33 Van Beekvelt MCP, Colier WNJM, Wevers RA. et al. Performance of near-infrared spectroscopy in measuring local O2 consumption and blood flow in skeletal muscle. J Appl Physiol (1985) 2001; 90: 511-519
  • 34 Ihsan M, Abbiss CR, Lipski M. et al. Muscle oxygenation and blood volume reliability during continuous and intermittent running. Int J Sports Med 2013; 34: 637-645 doi:10.1055/s-0032-1331771
  • 35 Martin DS, Levett DZ, Bezemer R. et al. The use of skeletal muscle near infrared spectroscopy and a vascular occlusion test at high altitude. High Alt Med Biol 2013; 14: 256-262 doi:10.1089/ham.2012.1109
  • 36 Groen BB, Hamer HM, Snijders T. et al. Skeletal muscle capillary density and microvascular function are compromised with aging and type 2 diabetes. J Appl Physiol (1985) 2014; 116: 998-1005
  • 37 Kikuchi-Utsumi K, Gao B, Ohinata H. et al. Enhanced gene expression of endothelial nitric oxide synthase in brown adipose tissue during cold exposure. Am J Physiol Regul Integr Comp Physiol 2002; 282: R623-R626 doi:10.1152/ajpregu.00310.2001
  • 38 Sillau A, Aquin L, Lechner AJ. et al. Increased capillary supply in skeletal muscle of guinea pigs acclimated to cold. Respir Physiol 1980; 42: 233-245
  • 39 Suzuki J, Gao M, Ohinata H. et al. Chronic cold exposure stimulates microvascular remodeling preferentially in oxidative muscles in rats. Jpn J Physiol 1997; 47: 513-520
  • 40 Kim JC, Yi HK, Hwang PH. et al. Effects of cold-water immersion on VEGF mRNA and protein expression in heart and skeletal muscles of rats. Acta Physiol Scand 2005; 183: 389-397
  • 41 Bae K, An N, Kwon Y. et al. Muscle fibre size and capillarity in Korean diving women. Acta Physiol Scand 2003; 179: 167-172
  • 42 Kragelj R, Jarm T, Erjavec T. et al. Parameters of postocclusive reactive hyperemia measured by near infrared spectroscopy in patients with peripheral vascular disease and in healthy volunteers. Ann Biomed Eng 2001; 29: 311-320
  • 43 Skarda DE, Mulier KE, Myers DE. et al. Dynamic near-infrared spectroscopy measurements in patients with severe sepsis. Shock 2007; 27: 348-353