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Recovery science
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In one pass Training itself does not make you stronger. Not this — Sauna detoxes heavy metals via sweat — Sweat heavy-metal concentration is 100× lower than urine; total 'toxin' excretion <1% via sweat.
Educational content, not medical advice — consult a clinician.
Selye's general adaptation Any stressor triggers a three-phase response of alarm, resistance and exhaustion, and training should stay in the resistance phase so the body adapts and gets stronger in recovery.
Eccentric → Z-disc microtearing Eccentric contraction loads sarcomeres unevenly, and at peak load the Z-disc develops microscopic tears, a normal microdamage rather than an injury.
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Chapter 1
How the body rebuilds stronger
After being stressed once, the body repairs itself a little stronger than before, so it can handle the same stress next time. This dip-then-rise past the old baseline is called supercompensation, and it is a key to understanding recovery; it is a simplified teaching picture, not a precise clock. Training the same muscle again after a gap is meant to land on the part of the curve above the old baseline, not to keep stacking work in the trough before repair is done.
Recovery has an emergency of its own: if, during long exercise, you have drunk a lot of plain water and then develop a worsening headache, vomiting, or confusion, your blood sodium may have been diluted. Get medical care immediately.
Mechanism · The teaching sketch of supercompensation
A coarser three-step sketch is called the general adaptation syndrome: first alarm, then resistance, and collapse (exhaustion) only if the stress never lets up. Training, cold, and psychological pressure are all taught with those three steps. Draw the middle stretch in finer detail and you get the supercompensation curve.Training science draws that path in four phases. The hours below are a teaching aid, not a clock measured by the studies cited here:
From the session to +24h: fatigue piles up and performance dips for a while+24-72h: the trough. Repair starts and protein synthesis rises, but performance is still below normal+72-120h: the supercompensation peak. Performance is above where it was before training; this is the window of adaptationBeyond 120h with no new stimulus: that short-term high point slowly fades. Only this high point fades; the strength and muscle you have actually built do not vanish in days, and it takes several weeks without training before they clearly drop
Different tissues are also often drawn with windows of different lengths: nerves about a day or two, muscle fibers about two to three days, tendons about a week, and whole-body (central) fatigue can take longer. These windows are also teaching aids, not one clock measured in a single trial. Training the same muscle group 2-3 times a week, about 48-72 hours apart, makes it easier to land on the part of the curve above the old baseline. Train too rarely and you miss it; train too often and you stay in the trough.
In practice · Where you are on the curve
Without lab equipment, you can use the rules of thumb below to judge where you are on the curve. They are rough cutoffs that coaches commonly use, not standards set by research:Heart rate variability (, the small beat-to-beat changes in the gap between heartbeats, usually higher when you are well recovered): a sports watch can track it automatically. Staying within ±10% of your own baseline is normal; three days in a row clearly below it suggests you may still be in the trough, so train lighter that dayResting heart rate: 5 beats per minute above your own baseline for three days is the same signalHow recovered you feel (on a 1-10 scale): 8-10 means you are at the peak and can train hard; 5-7 is the middle, fine for moderate training; below 5 is the trough, so do active recovery or restStrength: if the same lift at the same weight is 5% or more below normal, you are in the trough, so do not force it
This also helps you tell functional overreaching from pathological overtraining (overtraining syndrome). The first is a short-term dip in performance after a few weeks of extra load that bounces back, even above the old level, after a week or two of lighter training; it is a planned training tool. The second is long-term overload with performance that keeps falling and HRV and resting heart rate that stay off for a long time. It takes several months to recover from; it is rare but serious, and it mostly affects elite athletes with very high training loads.
Chapter 2
Soreness is not lactic acid
What actually happens first is that eccentric contractions (a muscle producing force while being stretched) tear microscopic gaps in the plates that hold the muscle filaments in place. Inflammation then makes nearby pain nerves more sensitive. That sore, tight feeling is mostly sensitized nerves raising the alarm, so how sore you are does not tell you how much the muscle was damaged.
Soreness is not a bad thing in itself, but it is not a sign of a good workout either.
Mechanism · The three phases of soreness
is taught as three phases. The hours are still a sketch to line up the timeline, not a claim that soreness measures damage:From the session to +24h, the muscle first gets tiny tears. When a muscle is still producing force while being lengthened (the lowering part of a squat, easing a barbell down), the force lands unevenly on individual filaments and tears microscopic gaps in the plates between them (the Z-discs). Substances leaking out of muscle (, CK, and myoglobin) can already be detected in the blood, showing that some damage really happenedFrom +24h to +72h, inflammation comes to clean up and makes the nerves very sensitive. The body treats those tiny tears as wounds and sends inflammatory messengers (, , prostaglandins and others). They call in repair and, along the way, turn nearby pain-sensing nerve endings (C fibers) up to a very sensitive state, so a light touch hurts. That sore, tight ache is not really the muscle crying out; it is sensitized nerves raising the alarmFrom +72h to +5 days, the repair is finished. Reserve cells next to the muscle (satellite cells) wake up and fuse into the injured fibers, and protein synthesis speeds up. Once repaired, the same exercise causes much less soreness and damage the next time (the repeated bout effect). That said, muscle growth is driven mainly by mechanical tension; repairing damage is not the main source of new muscle
Nosaka, Newton, and Sacco measured this directly in 2002: how sore people felt did not track the size of the eccentric damage, and nerve sensitization explains DOMS better than more damage, more soreness. Creatine kinase only shows that something leaked into the blood; it cannot be used to score soreness. So DOMS is not a bad thing, but there is no need to chase soreness for its own sake.
In practice · What helps soreness and what does not
Helpful (moderate evidence): light activity or easy aerobic exercise increases blood flow and makes you feel more comfortable; foam rolling lowers how sore you feel by 5-10% for a short time (Wiewelhove 2019); massage has a similar effect; and training the sore muscle again usually does not make the soreness worse. The more often you repeat the same exercise, the less sore it makes you (the repeated bout effect).Useless or counterproductive: an ice bath is fine for short-term pain relief, but icing after every session weakens training adaptation (Roberts 2015: after 12 weeks, the ice-bath group added only a third as much quadriceps muscle as a control group that recovered with light activity, and its gain in leg-press maximum was about a third smaller). High-dose ibuprofen reduced muscle protein synthesis after a single workout (Trappe 2002, a short-term study after one session; results on long-term use are mixed). Across the 12 randomized trials pooled by Cochrane, stretching had no clinically meaningful effect on soreness (Herbert 2011). And lactic-acid detox massage is marketing talk.
A commonly misread idea: the sorer you are, the better you trained is wrong. Soreness depends mainly on how new the movement is and how much lowering (eccentric) work it involves, not on training volume or intensity. Experienced lifters who pile up volume with familiar exercises are hardly sore at all, yet their muscle and strength keep growing. Judge progress by strength, measurements, and how you feel, not by soreness. One more important distinction: you can be sore and still train (the soreness is local and eases after a warm-up), but you should not push through real fatigue (true fatigue is whole-body, with a clear drop in strength and a raised resting heart rate, and it calls for rest).
Chapter 3
Why plan a lighter week
Training fatigue builds up quietly: you may feel fine while your body is already sliding downhill. Choosing to train lighter for a week is far better than being forced to stop after an injury. And the early warning signs often show up in mood and behavior before they show up in your strength numbers.
In practice · When and how to deload
Why plan it rather than cut back on the fly: training fatigue builds up quietly. You may feel fine while your and strength are already slowly dropping. Two weeks off forced by an injury costs far more than a planned week of lighter training. And supercompensation needs the fatigue cleared first; the deload week is that reset.In the Bell 2020 review, the typical rhythm is that after about 4-8 weeks of steady training, you deliberately lower the volume (fewer sets or reps) or the intensity (lighter loads), and that is one reset. Three approaches are all common: cut volume (same loads, half the sets or half the weekly sessions); cut intensity (same sets and reps, with loads or pace dropped to 60-70%); or switch activities (change sports entirely, so lifters walk, cycle, or swim and runners lift, which gives a big mental break). The intervals below are common coaching practice, not set by trials: beginners and intermediates take one lighter-intensity week every 6-8 weeks, advanced lifters combine lower volume and lower intensity every 4-6 weeks, and for competition the taper comes 1-2 weeks before the event (a big cut in volume while keeping intensity).
Evidence · Why mood often raises the alarm first
The Bell 2020 review argues that in the usual 4-8 week training cycle, the biggest value of a deload week is actually psychological recovery rather than physical supercompensation. The early signs of overtraining often show up first in mood and behavior (irritability, not wanting to train, worse sleep, loss of appetite), not in strength numbers.So do not treat a deload as a lost week; it is the price of being able to keep training for five years. And do not use it to catch up on sessions you missed or to test your one-rep max. That is your competitive streak talking, not a real deload.
Chapter 4
Easy movement or full rest
Between sets: an easy walk or light pedaling keeps blood flowing through the muscle, so lactate is carried off faster to other tissues that keep using it as fuel. Between sessions: lactate was cleared within an hour of the last workout, so easy activity now helps circulation and how you feel the next day. A walk or an easy ride usually feels better than lying flat all day.
The test is simple: easy activity should leave you feeling better than when you started. If you end up more tired, it was not recovery; it was another workout.
Mechanism · What active rest between sets does
Between sets, active or passive rest? Active recovery (walking slowly, pedaling lightly, shaking out the limbs) clears lactate noticeably faster than sitting still, because blood keeps flowing through the muscle and lactate is shuttled to other tissues that keep using it (lactate is a fuel, not waste). The effect on the next set is small, and more noticeable with short rests (the 60-90 seconds typical of muscle-building training). With the long rests of strength training (3-5 minutes), sitting is fine; the lactate has mostly cleared on its own. Between high-intensity intervals, walking or easy pedaling is the usual choice.In practice · What counts as active recovery
Between sessions (24-48 hours), light activity is usually better than staying in bed all day. Walking, easy cycling, yoga, or swimming makes soreness feel a bit lighter and makes it easier to stay motivated; people who stay in bed all day often feel stiffer, and their mood tends to sink.But be clear about what counts as active recovery (heart rate below 60% of maximum): walking, cycling easily enough to chat, slow swimming, yoga and tai chi, and light weights kept far from failure all count. Many recreational athletes' easy runs are actually on the hard side; any interval work or high-sweat group class does not count, because that is another workout. The practical rule: active recovery should leave you feeling better than when you started; if you are more tired, it was not recovery. Still keep 1-2 days a week with no training at all.
Chapter 5
Why sleep matters most for recovery
Deep sleep in the first half of the night is when the body releases the most growth hormone of the day, while sleep in the second half of the night is tied to locking in newly learned movements. Staying up late mainly cuts the first half; waking at 4 or 5 in the morning cuts the second half. Either way you lose something.
Evidence · How short sleep drags down strength
Sleep enough and muscle can repair; sleep too little and your body cannot finish building what you trained for. In Reilly 1994, people slept only about 3 hours a night for three nights, and their maximal strength on the bench press, leg press, and deadlift fell by about 5-7%, with sets taken to exhaustion at lighter weights falling even more. On the other side, a small study of the Stanford basketball team (about a dozen players, no control group) had players aim for 10 hours of sleep a night for several weeks, and their shooting accuracy and sprint speed improved. Without a control group, this is only a lead.Among people who sleep under 7 hours a night over the long term, observational studies and short experiments have seen a string of costs: poorer training adaptation, higher injury risk, disrupted appetite control (the hunger hormone ghrelin goes up and the fullness hormone leptin goes down), and weaker immunity. Most of this comes from associations or short experiments, so the sizes should not be treated as fixed.
So on 5-6 hours of sleep, the adaptation a session buys is often discounted. Sleep on the night after training matters most, because it shapes how you feel in the next session.
Mechanism · What the early and late night each do
What the body does during sleep:Deep sleep (about 15-20% of the night, mostly in the first half): the bulk of the day's growth hormone is released in this stage, and it takes part in muscle repair and bone renewal. In mice, the system that clears waste from the brain becomes much more active during sleep (Xie 2013); whether the same is true in people, and how much it matters, has not been shown directlyRapid eye movement sleep (, about 20-25% of the night, mostly in the second half): tied to processing emotions and memories. As for newly learned movements, small laboratory studies have linked their consolidation to sleep in the second half of the night, including lighter sleep stages, not REM alone
So staying up late mainly sacrifices deep sleep and growth hormone in the first half of the night, while waking at 4 or 5 in the morning sacrifices the second half. The minimum is 7-9 hours; put duration and regularity first (going to bed and getting up at about the same time every day). Catching up on weekends has limited benefit.
Chapter 6
Hot & cold — ice baths and sauna
Jumping into cold water right after a session makes you feel better for an hour or two. But if you do it after every strength session, what you are dampening is exactly the adaptation you trained to set off. Sauna pushes your heart rate up without the mechanical load of a workout, and the evidence for its heart benefits so far comes only from observational studies.
Evidence · The real trade-offs of ice and sauna
The real trade-off of ice baths (10-15 minutes in water at 10-15°C): they do help in the short term. In a Cochrane review, people who used cold-water immersion had less muscle soreness over the next 24 to 96 hours, and right after the bath mainly felt less fatigued; during several days of competition they help people feel recovered sooner. But icing after every session has a cost in training adaptation. In the controlled trial by Roberts 2015, over 12 weeks of strength training, the group that took a cold-water bath after every session added only a third as much quadriceps muscle as a control group that recovered with light activity (measured in one leg, about 103 g versus 309 g), and its gain in leg-press maximum was about a third smaller. One explanation is that cold water dampens the chain of signals that starts adaptation after training (including inflammatory and muscle-building signals), so adaptation is discounted too. So during a phase of building muscle or strength, do not jump into cold water right after training; wait at least a few hours. When competition requires you to perform again within 24 hours, ice baths are fine, and you accept that small cost in adaptation.The sauna data come from observational research. A Finnish cohort studied by Laukkanen's group (2,315 middle-aged men, followed for a median of about 20 years) saw a dose-response pattern: men who took a sauna 4-7 times a week had clearly lower death rates from heart disease and from any cause. By the paper's own numbers, about three in ten of the men who took a sauna 4-7 times a week died during follow-up, compared with about half of those who went once a week. But this is an association seen in one cohort of Finnish men. People who take saunas often may simply be healthier to begin with, so it cannot show that the sauna caused the difference. Possible mechanisms include a rise in heat-shock proteins (a cellular adaptation similar to what exercise brings), nitric oxide release that improves the function of the blood-vessel lining, and a heart rate that climbs close to the level of moderate aerobic exercise without mechanical damage. Unlike ice baths, there is currently no evidence that a sauna after training weakens muscle growth; whether heat-shock proteins actually boost adaptation is still speculation.
Mechanism · Why mild stress can make you stronger
Sauna, cold exposure, exercise, and fasting are often understood under one idea: hormesis. It describes the shape of the dose-response relationship. Mild, brief stress makes the body adapt and grow stronger, while excessive, long-lasting stress causes damage. The benefit rises with the dose up to a point and then falls again, so there is both a best amount and a risk of overdoing it. Note that this is a concept describing a shape; it does not mean these activities share one underlying molecular mechanism.This curve explains some seemingly contradictory findings. A single workout brings oxidative stress and small muscle injuries, yet long-term training brings more mitochondria and a stronger antioxidant system. Trials have also found that taking high doses of vitamins C and E after exercise weakened signals tied to mitochondrial adaptation, because reactive oxygen species () are themselves one of the signals that tell the body to adapt. Likewise, short bouts of heat or cold lead to adaptation, whereas long-term sleep loss is chronic stress on the damage side, not this kind of helpful stimulus.
The practical rule: regular, controlled, mild stress (exercise, sauna, cold showers, intermittent fasting) leans toward health; extreme, uncontrolled, long-lasting stress (life stress, sleep deprivation, chronic fatigue) leans toward harm. More is better is a wrong simplification.
A few influencer claims to flag along the way: cold exposure has only a weak effect on weight and is not a real path to freezing the fat off. Infrared detox is marketing; sweat mainly removes water and electrolytes, not meaningful amounts of chemicals. Practicing Wim Hof breathing in water carries a real risk of death from shallow-water blackout and drowning, so do not do it. Trying cold exposure gently is fine (for most healthy people a 30-60 second cold shower is no problem; people with heart disease should ask a doctor first), but do not treat it as a core health measure. Sauna has more heart-health data, but that too is an association from an observational cohort, not a trial result.
Chapter 7
Training hydration
Sweat is almost all water. For a session under an hour, the sodium lost is usually negligible, and a glass of plain water is enough. Electrolytes really matter for very long sessions, heat, or sweat salty enough to leave white marks on your clothes, not as a packet stirred into your everyday water bottle.
During long exercise, drink to thirst. If during or after exercise you get a worsening headache, nausea and vomiting, or confusion, especially after drinking a lot of water, it may be low blood sodium (hyponatremia). Get medical care immediately.
Numbers · When dehydration starts to cost you
If you sweat heavily and drink nothing, performance drops: endurance first, with heart rate and core body temperature creeping up as well. According to the American College of Sports Medicine (ACSM) position stand (Sawka 2007) and a related review (Cheuvront 2014), once water loss goes beyond 2% of body weight, endurance performance starts to suffer clearly, and concentration is affected too. In numbers, 2% for a 70 kg person is about 1.4 L of water. Sweat rate during moderate training is roughly 0.8-1.5 L an hour, but it varies a lot between people (weigh yourself before and after training to work out your own), so an hour of moderate training with no fluid at all can bring you close to 2% dehydration.On the other hand, most recreational athletes' problem is drinking too much, not too little. Sweat is more than 99% water, with generally about 700-1500 mg of sodium per liter, so 1 L of sweat costs about 1 g of sodium, and everyday food usually supplies far more than that. For a session under an hour, that sodium loss is nearly negligible, and a glass of plain water is enough. The situations that genuinely call for electrolytes are exercise longer than 90 minutes with heavy sweating (especially marathons and triathlons), long exercise in the heat, and very salty sweaters (people who find white salt marks on their clothes after training). The idea that everyday drinking water needs added electrolytes is basically a marketing trap.
Safety · Over-drinking, and what matters most
Drinking too much carries a real risk: exercise-associated hyponatremia (blood sodium ≤ 135 mmol/L). It happens when people drink heavily before they are thirsty and keep drinking large amounts over a long event, diluting the sodium in their blood. Almond 2005 studied 488 runners in the Boston Marathon: 13% had hyponatremia and 0.6% had a critical case. Neurological symptoms can progress from headache and nausea all the way to coma and even death (swelling of the brain). In that study, low sodium was linked to gaining weight during the race and to finishing times over 4 hours, while drinking sports drinks rather than water made no difference. The key is not to overdrink; switching to a sports drink does not protect you. So the current consensus is to drink to thirst rather than on a fixed schedule, and if you finish heavier than you started, you drank too much. If you develop a worsening headache, vomiting, or confusion during or after long exercise, get medical care immediately.Hydration comes last, which makes it a good place to rank the whole of recovery. First, and with by far the biggest return, is always sleep (the master switch of recovery described in the chapter on sleep). Next is planning deload weeks and rest days, then active recovery and eating enough. Cold and heat treatments (ice baths, sauna) and hydration are the finishing touches at the end. Do not flip the order: perfecting your ice baths or electrolyte drinks while sleeping only five or six hours a night is pushing on the smallest lever and ignoring the biggest one.
References · 18
- Schoenfeld, B. J., Grgic, J., Ogborn, D., & Krieger, J. W. (2017). Strength and hypertrophy adaptations between low- vs. high-load resistance training: A systematic review and meta-analysis. Journal of Strength and Conditioning Research, 31(12), 3508-3523. Despite the id, this is a low- vs high-load meta-analysis, not a training-frequency one (the frequency meta is schoenfeld-2016-frequency-meta): 21 studies comparing low loads (≤ 60% 1RM) with high loads (> 60% 1RM), all sets to momentary failure, at least 6 weeks. Hypertrophy was similar between conditions; 1RM strength gains were greater with heavy loads; isometric strength did not differ (abstract, PMID 28834797). 10.1519/JSC.0000000000002200
- Nosaka, K., Newton, M., & Sacco, P. (2002). Delayed-onset muscle soreness does not reflect the magnitude of eccentric exercise-induced muscle damage. Scandinavian Journal of Medicine & Science in Sports, 12(6), 337-346. 110 male students did 12, 24 or 60 maximal eccentric actions of the elbow flexors. The 24- and 60-action bouts caused larger changes in force, joint angles, arm circumference and plasma CK, yet soreness on palpation and flexion did not differ from the 12-action group, and soreness correlated weakly or not at all with the damage markers. Conclusion: DOMS is a poor reflector of eccentric exercise-induced muscle damage and inflammation. The abstract proposes no neural mechanism (abstract, PMID 12453160). 10.1034/j.1600-0838.2002.10178.x
- Cheung, K., Hume, P. A., & Maxwell, L. (2003). Delayed onset muscle soreness: treatment strategies and performance factors. Sports Medicine, 33(2), 145-164. 10.2165/00007256-200333020-00005
- Wiewelhove, T., Döweling, A., Schneider, C., Hottenrott, L., Meyer, T., Kellmann, M., Pfeiffer, M., & Ferrauti, A. (2019). A meta-analysis of the effects of foam rolling on performance and recovery. Frontiers in Physiology, 10, 376. Foam rolling produces small acute ROM and recovery-perception benefits; the 'fascial release' mechanism is implausible — effects are neural. 10.3389/fphys.2019.00376
- Bell, L., Ruddock, A., Maden-Wilkinson, T., & Rogerson, D. (2020). Overreaching and overtraining in strength sports and resistance training: A scoping review. Journal of Sports Sciences, 38(16), 1897-1912. Synthesises the evidence base for planned deload weeks: psychological recovery dominates over physiological supercompensation in the typical 4-8 week cycle. 10.1080/02640414.2020.1763077
- Schoenfeld, B. J., Ogborn, D., & Krieger, J. W. (2017). Dose-response relationship between weekly resistance training volume and increases in muscle mass: A systematic review and meta-analysis. Journal of Sports Sciences, 35(11), 1073-1082. Meta-regression of 34 treatment groups from 15 studies: each additional weekly set was associated with a 0.37% larger gain in muscle size, and higher- vs lower-volume groups differed by 3.9%; as a three-level variable (< 5, 5-9 and 10+ sets per muscle per week) the effect was only a trend (P = 0.074). The authors conclude a graded dose-response; the abstract reports no plateau or upper limit (abstract, PMID 27433992). 10.1080/02640414.2016.1210197
- Brooks, G. A. (2018). The science and translation of lactate shuttle theory. Cell Metabolism, 27(4), 757-785. Definitive modern review establishing lactate as fuel rather than waste; the 'lactic acid burn' framing is anatomically and biochemically incorrect. 10.1016/j.cmet.2018.03.008
- Brooks, G. A. (1986). The lactate shuttle during exercise and recovery. Medicine & Science in Sports & Exercise, 18(3), 360-368. Foundational paper proposing that lactate produced in fast-glycolytic fibers is transported and consumed as fuel by oxidative tissues — directly overturned the 'lactate = waste' textbook model. 10.1249/00005768-198606000-00019
- Reilly, T., & Piercy, M. (1994). The effect of partial sleep deprivation on weight-lifting performance. Ergonomics, 37(1), 107-115. Three nights of 3-hour sleep restriction → maximal bench press, leg press, and deadlift declined ~5-7%, with submaximal lifts (sets to fatigue) more impaired than 1RM. 10.1080/00140139408963628
- Walker, M. (2017). Why We Sleep: Unlocking the Power of Sleep and Dreams. Scribner. Popular synthesis of sleep science; widely cited for the deep-sleep / growth-hormone / athletic-performance linkage (some specific claims have been challenged — treat as expert overview, not primary data).
- Kredlow, M. A., Capozzoli, M. C., Hearon, B. A., Calkins, A. W., & Otto, M. W. (2015). The effects of physical activity on sleep: A meta-analytic review. Journal of Behavioral Medicine, 38(3), 427-449. Acute exercise → small improvements in sleep onset latency and total sleep time; chronic regular exercise → larger effects (latency ↓ ~13 min). Late-evening high-intensity work disrupts sleep. 10.1007/s10865-015-9617-6
- Knowles, O. E., Drinkwater, E. J., Urwin, C. S., Lamon, S., & Aisbett, B. (2018). Inadequate sleep and muscle strength: implications for resistance training. Journal of Science and Medicine in Sport, 21(9), 959–968. 10.1016/j.jsams.2018.01.012
- Roberts, L. A., Raastad, T., Markworth, J. F., Figueiredo, V. C., Egner, I. M., Shield, A., Cameron-Smith, D., Coombes, J. S., & Peake, J. M. (2015). Post-exercise cold water immersion attenuates acute anabolic signalling and long-term adaptations in muscle to strength training. The Journal of Physiology, 593(18), 4285-4301. Controlled trial (21 men, 12 weeks, 10 min cold water immersion vs 10 min low-intensity cycling after each session): quadriceps muscle mass (MRI, dominant leg) rose 103 +/- 71 g vs 309 +/- 73 g; leg press 1RM rose 133 +/- 43 kg vs 201 +/- 65 kg; knee extension 1RM 17.8 vs 33.8 kg. Abstract: cold water immersion attenuated long term gains in muscle mass and strength. 10.1113/JP270570
- Laukkanen, T., Khan, H., Zaccardi, F., & Laukkanen, J. A. (2015). Association between sauna bathing and fatal cardiovascular and all-cause mortality events. JAMA Internal Medicine, 175(4), 542-548. KIHD cohort: 2,315 Finnish men aged 42-60, median follow-up 20.7 years. By sauna frequency (1, 2-3, 4-7 times a week): sudden cardiac death 10.1%, 7.8%, 5.0%; fatal CHD 14.9%, 11.5%, 8.5%; fatal CVD 22.3%, 16.4%, 12.0%; all-cause death 49.1%, 37.8%, 30.8%. Adjusted SCD HR 0.78 (2-3/week) and 0.37 (4-7/week) vs once a week. Observational (abstract, PMID 25705824). 10.1001/jamainternmed.2014.8187
- Bleakley, C., McDonough, S., Gardner, E., Baxter, G. D., Hopkins, J. T., & Davison, G. W. (2012). Cold-water immersion (cryotherapy) for preventing and treating muscle soreness after exercise. Cochrane Database of Systematic Reviews, 2012(2), CD008262. 17 small trials (366 participants), water mostly below 15 °C, with varied protocols. Against passive rest or no intervention, cold-water immersion lowered muscle soreness at 24 h (SMD -0.55, -0.84 to -0.27), 48 h, 72 h and 96 h (heterogeneous results), and two studies found lower fatigue ratings immediately afterwards; against contrast or warm-water immersion there was no difference. Most trials did not actively monitor adverse events. Conclusion: some evidence that it reduces delayed-onset muscle soreness compared with passive interventions (abstract, PMID 22336838). 10.1002/14651858.CD008262.pub2
- Sawka, M. N., Burke, L. M., Eichner, E. R., Maughan, R. J., Montain, S. J., & Stachenfeld, N. S. (2007). American College of Sports Medicine position stand: Exercise and fluid replacement. Medicine & Science in Sports & Exercise, 39(2), 377-390. Abstract content: drink to prevent excessive dehydration (more than 2% body-weight loss from water deficit) and excessive electrolyte change; sweat rates and sweat electrolyte content vary considerably between individuals, so programmes should be customised, e.g. by weighing before and after exercise. The abstract gives no sweat sodium or potassium figures (abstract, PMID 17277604). 10.1249/mss.0b013e31802ca597
- Cheuvront, S. N., & Kenefick, R. W. (2014). Dehydration: physiology, assessment, and performance effects. Comprehensive Physiology, 4(1), 257-285. 2% body-mass loss begins impairing endurance performance; cognitive impairment appears at similar thresholds. Individual sweat-rate measurement beats generic intake rules. 10.1002/cphy.c130017
- Almond, C. S., et al. (2005). Hyponatremia among runners in the Boston Marathon. The New England Journal of Medicine, 352(15), 1550–1556. 2002 Boston Marathon: 766 enrolled, 488 gave a usable finish-line sample. Hyponatraemia (serum sodium <= 135 mmol/L) in 13%, critical (<= 120 mmol/L) in 0.6%. On multivariate analysis it was associated with weight gain (OR 4.2), racing time > 4:00 h (OR 7.4) and BMI extremes; female sex, the composition of fluids ingested (sports drink vs water) and NSAID use were not (abstract, PMID 15829535). 10.1056/NEJMoa043901