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Reviewed by Helga Maria Freitag – medical foot care / podiatrist, sector-restricted naturopath for podiatry and specialist in cryotherapy / cold therapy
Published: · last reviewed:
A Chill in the Air and a Question in Mind
Imagine stepping out on a crisp winter morning here in Memmingen. The air is sharp, your breath forms a cloud, and you feel an immediate, bracing chill. You might pull your coat tighter or quicken your pace to generate warmth. This simple, everyday experience is a powerful demonstration of your body's remarkable ability to maintain its core temperature, a process that is anything but simple. It is a constant, energy-intensive task called thermoregulation. For many people, the journey towards better metabolic health and a balanced weight involves navigating a complex landscape of nutrition and exercise. Yet, you may find that despite your best efforts, progress feels slow. This can lead to questions about the very engine of your body: your metabolism. It is within this context of metabolic function and energy expenditure that the deliberate application of cold, such as whole-body cold therapy, is generating considered scientific interest.
Beyond Calories: The Complex Picture of Weight Management
For decades, the conversation around weight management has been dominated by a seemingly simple equation: calories in versus calories out. While this principle of energy balance is fundamentally true, it fails to capture the intricate and highly individual nature of human metabolism. It is not just about what you eat and how much you move; it is about how your body processes that energy, a function influenced by a host of factors.
These factors include:
- Your genetic predispositions.
- The complex interplay of hormones like insulin, leptin, and thyroid hormones.
- Your age and sex.
- Your body composition, specifically the ratio of muscle to fat.
- The health of your gut microbiome.
- The presence of low-grade systemic inflammation.
Chronic, low-grade inflammation, for example, is increasingly recognised as a contributor to metabolic dysfunction. When the body is in a constant state of low-level alert, it can interfere with hormonal signalling and the way cells use energy. This is why a holistic approach, one that considers diet, exercise, stress management, and sleep, is essential for sustainable metabolic health. It is also why supportive modalities that can influence these underlying physiological processes are being explored.
How Your Body Creates Heat
Your body's ability to produce heat, known as thermogenesis, is a vital survival mechanism. It is how you maintain a stable internal temperature of around 37°C, even when the external environment is much colder. This process is metabolically demanding and can be broadly divided into two categories.
The first is shivering thermogenesis. This is the involuntary, rapid contraction and relaxation of skeletal muscles that you experience when you get very cold. It is an emergency response designed to generate heat quickly, but it is inefficient and cannot be sustained for long periods.
The second, and for this discussion more relevant, category is non-shivering thermogenesis (NST). This is a more subtle and efficient process of heat production that does not involve muscle contraction. Instead, it relies on metabolic processes within specific types of cells and tissues to generate warmth. A key player in non-shivering thermogenesis is a special type of fat tissue, which acts as the body's internal furnace.
Brown Fat: The Body's Metabolic Furnace
You are likely familiar with white adipose tissue, or white fat, which is the body's primary method of storing excess energy. Brown adipose tissue (BAT), or brown fat, is different. Its main function is not to store energy but to burn it to produce heat. Brown fat cells are packed with mitochondria, the tiny powerhouses within our cells. These mitochondria contain a special protein that allows them to uncouple the process of burning fuel (like fatty acids and glucose) from producing cellular energy (ATP), releasing that energy directly as heat instead.
Infants are born with significant stores of brown fat to help them stay warm. It was once thought that these stores largely disappeared in adulthood. However, modern imaging techniques have shown that adults do retain active deposits of brown fat, typically located in the neck, shoulder, and upper back regions. More importantly, research shows that this brown fat can be activated by stimuli such as cold exposure. Regular exposure to cold may not only activate existing brown fat but also encourage the "browning" of some white fat cells, turning them into more metabolically active "beige" fat cells. Activating this tissue effectively turns up your internal thermostat, increasing your overall energy expenditure.
Supporting Metabolic Health with Whole-Body Cold Therapy
This is where brief, intense cold exposure like whole-body cold therapy comes into the picture. A session in a cryotherapy chamber, where you are enveloped in dry air cooled to -110°C for approximately three minutes, is a profound physiological stimulus. The extreme cold on the surface of your skin triggers a powerful thermoregulatory response. Your body works vigorously to protect its core temperature by constricting superficial blood vessels and activating heat production mechanisms.
It is crucial to understand that a single three-minute session is not a direct "calorie burning" workout. The energy expenditure during the session itself is modest. The potential lies in adaptation. By repeatedly exposing the body to this intense, non-invasive cold stimulus, you may be encouraging the very adaptive mechanisms associated with improved metabolic function.
The goal of this type of cold application is not to make you shiver uncontrollably. In fact, the very short duration and dry nature of the cold are designed to create a strong thermal shock to the skin while avoiding a significant drop in core body temperature. This shock is thought to be the key trigger for activating brown fat and initiating the cascade of hormonal and metabolic responses associated with non-shivering thermogenesis. It can be viewed as a form of training for your circulatory and metabolic systems, a way to support their efficiency and responsiveness. Incorporating this into a wider lifestyle plan, perhaps after a workout or on a recovery day, is how many of our guests in Memmingen choose to use it.
What the research shows
The scientific exploration of whole-body cold therapy is a growing field, with researchers investigating its effects on various aspects of human physiology. The findings, while promising, must be interpreted with caution, recognising the current limitations of the research. Many studies involve small groups of participants, are conducted over short periods, and focus on specific populations like athletes, which may not be representative of everyone.
A review of the literature on whole-body cryotherapy in athletes highlighted that the primary effects seem to be related to reducing inflammatory responses and perceptions of muscle soreness after exercise [2]. However, the same review also notes that cold exposure triggers metabolic responses, suggesting that the modality acts as a form of stimulation for the body [2]. This aligns with the idea of cryotherapy being a trigger for adaptation rather than a direct therapy.
One area of interest is how the body's composition influences its response to cold. A study found that anthropometric characteristics, such as body fat percentage, and sex can influence how much the skin cools during a session [6]. This underscores the highly individual nature of the response to cold therapy. Another study used thermal imaging to map the skin's temperature changes during and after a session, visually demonstrating the powerful and rapid vascular reaction the body undergoes to conserve heat [7]. This provides objective evidence of the strong physiological stimulus that a brief, extreme cold exposure represents.
Research has also looked at how a series of cold exposures might affect the body over time. For instance, one investigation into body composition and metabolic parameters after twenty sessions of whole-body cryostimulation made a number of observations [4]. While the specific outcomes must be viewed within the context of the study's design and small participant group, it points towards the potential for repeated sessions to influence metabolic markers. The researchers themselves called for more extensive studies to confirm and expand upon these initial findings [4]. Similarly, another study examining the impact of ten cryostimulation sessions found influences on factors related to physical capacity, suggesting that repeated cold exposure can trigger adaptive processes within the body [1]. It is this potential for stimulating long-term adaptation, rather than immediate, dramatic effects, that forms the basis of the current scientific interest in the metabolic aspects of cold therapy.
Important Safety Considerations for Cold Therapy
While generally well-tolerated, whole-body cold therapy is not suitable for everyone. The powerful stimulus it provides places specific demands on your cardiovascular system. Therefore, a thorough health check and, where necessary, consultation with your doctor are prerequisites.
This wellness application should be avoided by individuals with certain conditions. These contraindications include:
- Uncontrolled high blood pressure
- Serious heart or circulatory conditions (e.g., recent heart attack, stroke, peripheral arterial occlusive disease)
- Deep vein thrombosis
- Cold-activated urticaria (an allergy to cold)
- Severe anaemia
- Raynaud's syndrome
- Pregnancy
- Open wounds or sores
At our studio, your safety is our highest priority. Before your first session, we conduct a detailed screening to ensure it is appropriate for you. Our trained staff monitor you throughout the entire process. Remember, this is a wellness and recovery service designed to support your overall health plan, not a medical treatment.
Frequently asked questions
Can cold therapy replace diet and exercise for weight loss?
No. Whole-body cold therapy should be seen as a supportive modality, not a replacement for the fundamental pillars of health. A balanced diet, regular physical activity, and adequate sleep remain the cornerstones of effective and sustainable weight management and metabolic health.
How many calories are burned during a cryotherapy session?
The direct calorie burn during a three-minute session is not substantial. The potential metabolic benefit is not from the session itself but from the adaptive responses your body may develop over a series of sessions, such as the potential activation of brown adipose tissue.
How often should I use cold therapy for metabolic support?
There is no single answer, as consistency seems to be more important than frequency. Many protocols studied involve a series of sessions, for example, ten to twenty sessions over a period of a few weeks. Our staff can discuss options based on the available research and your personal wellness goals.
Is whole-body cold therapy uncomfortable?
The sensation is one of intense, dry cold on your skin, but most people find it surprisingly manageable for the short duration of two to three minutes. It is very different from plunging into cold water. Our staff are present throughout to guide and support you.
Who should not use whole-body cold therapy?
Individuals with certain cardiovascular issues, circulatory disorders like Raynaud's syndrome, cold allergies, or those who are pregnant should not use cryotherapy. It is essential to undergo a health screening and consult a doctor if you have any pre-existing conditions.
Does the effect differ between men and women?
Research suggests that factors like body composition, fat distribution, and sex can influence the degree of skin cooling and potentially the physiological response to a session [6]. The experience and response can be highly individual for every person.
Cold therapy in Memmingen
Whole-body cold therapy at Cryotherapy (Cryo) Memmingen is a short, dry cold application at down to –110 °C, lasting about three minutes. Anyone considering cold therapy alongside calorie burn through cold should have their suitability assessed by a doctor first. Our session does not replace treatment, it may complement everyday routines.
See the cold therapy procedure, the possible effects and the contraindications.
Regular cold therapy is easy to plan: single sessions, packages and a flat rate are listed under prices, and we are happy to answer questions in person.
Studies and sources
These peer-reviewed publications form the basis of the research described above. They show possible effects, not proven cures. Each title links to the record in the medical database PubMed.
- [1] Influence of the ten sessions of the whole body cryostimulation on aerobic and anaerobic capacity
Klimek AT, Lubkowska A, Szygula Z, Chudecka M, Fraczek B (2010), International Journal of Occupational Medicine and Environmental Health. A series of ten cold exposures and its effect on physical capacity.
- [2] Whole-Body Cryotherapy in Athletes: From Therapy to Stimulation. An Updated Review of the Literature
Lombardi G, Ziemann E, Banfi G (2017), Frontiers in Physiology. Review of effects on inflammatory, muscular and metabolic markers in athletes.
- [3] Whole-body cryostimulation as an effective method of reducing oxidative stress in healthy men
Stanek A, Cholewka A, Wielkoszynski T, Romuk E, Sieron K, Sieron A (2016), Advances in Clinical and Experimental Medicine. Investigation of oxidative stress markers after a series of cold exposures.
- [4] Related Actions of Whole-Body Cryostimulation on Body Composition, Metabolic and Cardiovascular Parameters
Legrand F, Dugue B, Costello J, et al. (2021), Frontiers in Physiology. Observations on body composition and metabolic and cardiovascular parameters.
- [5] Do sessions of cryostimulation have influence on white blood cell count, level of IL6 and total oxidative and antioxidative status in healthy men?
Lubkowska A, Szygula Z, Klimek AJ, Torii M (2010), European Journal of Applied Physiology. Measurement of leucocytes, interleukin-6 and antioxidant status in healthy men.
- [6] Anthropometric characteristics and sex influence magnitude of skin cooling following exposure to whole body cryotherapy
Hammond LE, Cuttell S, Nunley P, Meyler J (2014), BioMed Research International. Skin cooling depending on body composition and sex.
- [7] Thermography study of skin response due to whole-body cryotherapy
Cholewka A, Stanek A, Sieron A, Drzazga Z (2012), Skin Research and Technology. Thermographic observation of the skin response to whole-body cold.
- [8] Whole- and partial-body cryostimulation/cryotherapy: Current technologies and practical applications
Bouzigon R, Grappe F, Ravier G, Dugue B (2016), Journal of Thermal Biology. Overview of technology, protocols and fields of application of whole-body cold.