What the studies found

Cold plunge benefits and risks, from the research

Six studies, who they studied, what they measured and what they found, with a link to each, then who should talk to a doctor before a first plunge. When you want one at home, send us one message: we reply within 5 minutes with offers. Free.

By Stefan Dahl, ColdPlunges.ae research · Updated

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The evidence

Ice bath benefits and risks, study by study

The best-studied ice bath benefits are small: slightly less muscle soreness after exercise, in trials of modest quality, while one trial found that regular cold water after strength training reduced muscle gains. Claims about immunity, weight or long life travel a long way from the studies behind them, so below are six of those studies as they were run: who took part, how many, what was measured and what was found. We claim nothing medical on their behalf, and the safety guidance comes from named health sources. What we do is practical: when you want a plunge at home, we get you offers from UAE suppliers who compete for your job, as our cold plunges page explains.

What are the benefits of an ice bath?

The best-studied benefit is slightly less muscle soreness after exercise. A 2016 meta-analysis of nine trials found cold water immersion "can be slightly better than passive recovery", with the best results at 11 to 15°C for 11 to 15 minutes. A 2012 Cochrane review of 17 small trials called the evidence low quality. And a 2015 trial found that regular cold water after strength training reduced the gains in muscle. Other effects rest on small or self-reported studies.

What does the research say about ice bath benefits?

Six studies on cold water immersion and cold exposure: who was studied, what was measured, what was found
StudyWho and how manyWhat it measuredWhat it found
Machado et al., Sports Medicine, 20169 randomised trials, cold water vs passive recoveryMuscle soreness after exerciseSlightly better than passive recovery; best at 11 to 15°C for 11 to 15 min
Bleakley et al., Cochrane review, 201217 small trials, 366 people; study quality lowDelayed-onset muscle sorenessSome evidence of less soreness than rest or no treatment
Roberts et al., Journal of Physiology, 201521 active men, 12 weeks, 10 min at about 10°C after trainingStrength and muscle gainGains were larger with active recovery than with cold water
Søberg et al., Cell Reports Medicine, 20218 winter-swimming men and 8 matched controlsHeat production in response to coldSwimmers produced more heat in the cold; weekly habits were reported, not tested
Buijze et al., PLoS One, 20163,018 adults, showers ending in 30 to 90 s of cold, 30 daysSelf-reported sickness absence29% less sickness absence; no difference in days of illness
Tipton et al., Experimental Physiology, 2017Narrative reviewRisks and claimed benefitsCovers drowning, cardiac arrest and hypothermia; some claims rest on anecdote
Six studies on cold water immersion and cold exposure: who was studied, what was measured, what was found

Read the papers themselves: Machado 2016, Bleakley 2012, Roberts 2015, Søberg 2021, Buijze 2016 and Tipton 2017. Each link goes to the PubMed record.

Does an ice bath help with muscle soreness?

A little, in the trials so far. Machado and colleagues pooled nine randomised trials comparing cold water immersion with passive recovery and concluded it "can be slightly better than passive recovery in the management of muscle soreness". Their abstract puts the best results at 11 to 15°C for 11 to 15 minutes; the results section gives 10 to 15°C. The Cochrane review by Bleakley and colleagues pooled 17 small trials with 366 participants, found "some evidence that cold-water immersion reduces delayed onset muscle soreness" against rest or no intervention, and rated study quality as low. The findings quoted here compare cold water with rest or no treatment; they say nothing about cold water against other kinds of recovery.

Can ice baths reduce gains from strength training?

In one well-known trial, yes. Roberts and colleagues followed 21 physically active men through 12 weeks of strength training, twice a week. After each session, one group sat in water held at about 10°C for 10 minutes and the other did active recovery. "Strength and muscle mass increased more in the ACT group than in the CWI group", and the area of type II muscle fibres rose 17% with active recovery but not with cold water. The authors wrote that using cold water as a regular post-exercise strategy "should be reconsidered". It was 21 men, so it is one study, not a rule; it is still the one to read if you lift.

What did studies on winter swimmers and cold showers find?

Søberg and colleagues compared 8 young men who swim in winter with 8 matched controls and found "greater increases in cold-induced thermogenesis" in the swimmers, meaning their bodies produced more heat in response to cold. The often-quoted "11 minutes of cold and 57 minutes of heat a week" comes from the swimmers' own habits in the study's first table. It describes what eight men did, not a dose anyone tested.

Buijze and colleagues asked 3,018 adults to end their daily shower with 30, 60 or 90 seconds of cold water for 30 days. The cold-shower groups reported 29% less sickness absence from work than the control group, but "for illness days there was no significant group effect", and both measures were self-reported. A cold shower is also a long way from a plunge.

Who should avoid cold plunges?

Cleveland Clinic's guidance lists heart disease, high blood pressure, diabetes, pregnancy, peripheral neuropathy, poor circulation, venous stasis and cold agglutinin disease as reasons to talk to a provider before plunging, and warns that cold immersion "can be dangerous for people with heart conditions, hypertension or elevated stroke risk". The NHS advice for Raynaud's is to "try to avoid sudden changes in temperature". Harvard Health's sauna guidance says to avoid alcohol before and after, which matters if a plunge follows a sauna. Tipton's review covers the risks of cold water itself, including drowning, cardiac arrest and hypothermia.

Our time and temperature page sets the published limits side by side, and the sauna then plunge page covers the order of hot and cold.

Ice bath benefits the studies do not show

Marketing claims about immunity, weight or long life go beyond what these studies measured. The cold-shower trial measured days off work, not immune function. The winter-swimmer study measured heat production in 16 young men. The soreness trials compared cold water with doing nothing. Tipton's review put it plainly: "in some instances the supporting data remain at the level of anecdotal speculation." None of that makes a plunge pointless. It means the reason to own an ice bath tub is that you like how you feel after one, which a few studio sessions will tell you before you spend anything.

Want one at home once you know you like it? Send us the spot and your budget. We reply within 5 minutes and get you offers from UAE suppliers who compete for your job, from tubs you cool with ice to all-in-one plunges. Free for you, no obligation.

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Questions

What people ask about the evidence

Can you get me a plunge for home?
Yes. Send us the spot and your budget on WhatsApp and we reply within 5 minutes with offers from UAE suppliers who compete for your job. It is free for you: the supplier pays us when you buy. We get you equipment offers, not treatment, and make no health claims.
Is an ice bath good for recovery after a workout?
For soreness, the trials show a small benefit over doing nothing: Machado 2016 pooled nine trials, Bleakley 2012 seventeen, and the Cochrane authors rated study quality as low. For building strength and muscle, Roberts 2015 found smaller gains when cold water followed every session.
Should I take an ice bath right after lifting weights?
Roberts 2015 is the study to weigh. Twenty-one men who sat in water at about 10°C for 10 minutes after each strength session for 12 weeks gained less strength and muscle than men who did active recovery. The authors suggested regular use after training "should be reconsidered".
How long should an ice bath last?
Cleveland Clinic says a session should never go longer than five minutes. Machado 2016 found the best soreness results at 11 to 15 minutes in water of 11 to 15°C. Our time and temperature page compares the two.
Is it safe to plunge with high blood pressure?
Cleveland Clinic lists high blood pressure among the conditions to discuss with a provider before plunging, and warns cold immersion can be dangerous for people with heart conditions, hypertension or elevated stroke risk. Talk to your doctor first.
Can I plunge while pregnant?
Cleveland Clinic lists pregnancy among the reasons to talk to a provider before a cold plunge. Ask your doctor before trying one.
Where does "11 minutes a week" come from?
From Søberg 2021, a study of 8 winter-swimming men and 8 controls. Eleven minutes of cold and 57 of heat were the swimmers' reported weekly habits in the study's first table. Nobody tested them as a dose.

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