Evidence map›Paper›PMID 42762318›Full record

ArticleEuropean journal of applied physiology2026

Changes in cardiac function before and after hot water immersion and endurance exercise in middle-aged individuals with overweight or obesity.

João Carlos Locatelli, Juliene G Costa, Kristanti W Wigati, Julie J Collis, Louise H Naylor, Helen Jones, Keith George, Daniel J Green

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Article in European journal of applied physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

João Carlos LocatelliSchool of Human Sciences, The University of Western Australia, Crawley, WA, 6009, Australia.
Juliene G CostaSchool of Human Sciences, The University of Western Australia, Crawley, WA, 6009, Australia.
Kristanti W WigatiSchool of Human Sciences, The University of Western Australia, Crawley, WA, 6009, Australia.
Julie J CollisSchool of Human Sciences, The University of Western Australia, Crawley, WA, 6009, Australia.
Louise H NaylorSchool of Human Sciences, The University of Western Australia, Crawley, WA, 6009, Australia.
Helen JonesResearch Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK.
Keith GeorgeResearch Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK.
Daniel J GreenSchool of Human Sciences, The University of Western Australia, Crawley, WA, 6009, Australia. danny.green@uwa.edu.au.ORCID http://orcid.org/0000-0003-3226-2921

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe investigated the acute effects of ecologically valid hot water immersion (HWI) and endurance exercise (END) interventions on indices of left (LV) and right ventricular (RV) function in middle-aged individuals with overweight or obesity.

methodsTwenty-five (15♀, 10♂) individuals were recruited. A single session of HWI (40 °C for 30 min with the water level at the sternum) and END (cycling 30 min at 60-70% of max heart rate [HR]) were carried out in randomised order, separated by at least 72 h. Core body temperature (Tc) and HR were monitored throughout each session. Blood pressure and ventricular parameters, including LV global longitudinal strain (LV GLS) and tricuspid annular plane systolic excursion (TAPSE), were assessed before and after each session.

resultsA significant increase in Tc was greater after HWI (Δ0.91 ± 0.32 °C) than END (Δ0.72 ± 0.29 °C; interaction: p = 0.004). Similarly, HR increased more after HWI than END (Δ33 ± 14 vs. Δ25 ± 12 bpm; p = 0.042) and HWI induced greater reductions in post-intervention SBP (Δ-5.7 ± 10.0 vs. Δ0.6 ± 6.6 mmHg; p = 0.019) and DBP (Δ-9.2 ± 9.2 vs. Δ-1.5 ± 5.1 mmHg; p = 0.001). There was a greater increase in LV GLS following HWI (Δ-2.5 ± 2.3%) compared to END (Δ-0.76 ± 2.09%; p = 0.008) and a significant increase in TAPSE after HWI (Δ3.95 ± 4.32 mm; p < 0.001).

conclusionWe observed greater increases in Tc, HR, and post-exercise LV and RV function following a HWI intervention compared to acute END. The physiological and practical importance of these differences should be explored further in long-term chronic programs in populations that could benefit from an alternative to the traditional END for cardiovascular benefits.

Indexed as

Aerobic exerciseGlobal longitudinal strainHeat stressLeft ventricleRight ventricle

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.