Trial reportPloS one2016
The Effect of Cold Showering on Health and Work: A Randomized Controlled Trial.
Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07120022 (Training Cold Showers), which is not on this map. Cited by 15 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Training Cold Showers: A Randomized Controlled Study
Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Cold-water exposure and psychological outcomes in adults: a systematic review and meta-analysis.Frontiers in physiology · 2026Pooled it
- Effects of cold-water immersion on health and wellbeing: A systematic review and meta-analysis.PloS one · 2025Pooled it
- Clinical effects of Kneipp hydrotherapy: a systematic review of randomised controlled trials.BMJ open · 2023Pooled it
- A semi-randomised control trial assessing psychophysiological effects of breathwork and cold immersion.Scientific reports · 2025Trial
- Factors influencing acute tympanic temperature changes during cold water exposure.International journal of circumpolar health · 2026Article
- Systematic review of clinical evidence for Kneipp medicine.Wiener klinische Wochenschrift · 2026Review
- A Healthy Lifestyle Can Slow Immune System Aging and Reduce Age-Related Chronic Inflammation: A Narrative Review.International journal of molecular sciences · 2026Review
- Impact of Adherence to a Plant-Based Residential Lifestyle Medicine Program on Cardiometabolic Disease Risk Factors.Nutrients · 2026Observational
- A Four-Day Cold Shower Protocol Does Not Increase Salivary Testosterone in a Small Cohort of Male Athletes: A Research Communication.Health science reports · 2026Article
- Inverted "u-shaped" association of cold-water immersion frequency with mental health and upper respiratory tract infection: a cross-sectional study.Brain, behavior, & immunity - health · 2025Article
- Combined cold-water immersion and breathwork may be associated with improved mental health and reduction in the duration of upper respiratory tract infection - a case-control study.International journal of circumpolar health · 2024Article
- Effects of a Job Crafting Intervention Program on Work Engagement Among Japanese Employees: A Randomized Controlled Trial.Frontiers in psychology · 2020Article
- Turning up the heat on COVID-19: heat as a therapeutic intervention.F1000Research · 2020Review
- Harnessing the Four Elements for Mental Health.Frontiers in psychiatry · 2019Review
- Correction: The Effect of Cold Showering on Health and Work: A Randomized Controlled Trial.PloS one · 2018Article
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to determine the cumulative effect of a routine (hot-to-) cold shower on sickness, quality of life and work productivity.
methodsBetween January and March 2015, 3018 participants between 18 and 65 years without severe comorbidity and no routine experience of cold showering were randomized (1:1:1:1) to a (hot-to-) cold shower for 30, 60, 90 seconds or a control group during 30 consecutive days followed by 60 days of showering cold at their own discretion for the intervention groups. The primary outcome was illness days and related sickness absence from work. Secondary outcomes were quality of life, work productivity, anxiety, thermal sensation and adverse reactions.
results79% of participants in the interventions groups completed the 30 consecutive days protocol. A negative binomial regression model showed a 29% reduction in sickness absence for (hot-to-) cold shower regimen compared to the control group (incident rate ratio: 0.71, P = 0.003). For illness days there was no significant group effect. No related serious advents events were reported.
conclusionA routine (hot-to-) cold shower resulted in a statistical reduction of self-reported sickness absence but not illness days in adults without severe comorbidity.
trial registrationNetherlands National Trial Register NTR5183.
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