Evidence map›Paper›PMID 42803957›Full record

ArticleEuropean journal of applied physiology2026

Comparison between exercise and hot water immersion on skin microvascular responses in older adults with overweight and obesity.

Kristanti W Wigati, Joao C Locatelli, Juliene G Costa, Xingwei Xu, Robert A McLaughlin, Louise H Naylor, 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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0citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kristanti W WigatiSchool of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, Australia, WA, 6009, 35 Stirling Highway.ORCID http://orcid.org/0000-0002-8542-5934
Joao C LocatelliSchool of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, Australia, WA, 6009, 35 Stirling Highway.ORCID http://orcid.org/0000-0002-6843-4150
Juliene G CostaSchool of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, Australia, WA, 6009, 35 Stirling Highway.ORCID http://orcid.org/0000-0002-4452-3255
Xingwei XuSchool of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, Australia, WA, 6009, 35 Stirling Highway.
Robert A McLaughlinSchool of Biomedicine, Faculty of Health and Medical Sciences, Adelaide University, Adelaide, Australia.ORCID http://orcid.org/0000-0001-6947-5061
Louise H NaylorSchool of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, Australia, WA, 6009, 35 Stirling Highway.ORCID http://orcid.org/0000-0002-6210-912X
Daniel J GreenSchool of Human Sciences (Exercise and Sport Science), The University of Western Australia, Perth, Australia, WA, 6009, 35 Stirling Highway. 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

purposeSkin microvascular function plays a critical role in thermoregulation and vascular health, but due to technical limitations, responses to passive heat stress remain poorly quantified, particularly in overweight and obese older adults. This study aimed to compare the acute effects of hot water immersion (HWI) and moderate-intensity exercise (EXE) on skin microvascular function using optical coherence tomography (OCT), and to explore potential sex differences.

methodsTwenty-five overweight older adults (10♂ and 15♀; age 59 ± 7, BMI 29.4 ± 3.4 kg/m

resultsHWI elicited significantly greater increases in all OCT metrics than EXE (all P < 0.001): diameter (+ 5.2 ± 4.3 vs. - 1.1 ± 3.7 μm), velocity (+ 22.8 ± 11.7 vs. - 1.2 ± 4.5 μm·s⁻¹), flow (+ 68.9 ± 29.8 vs. - 8.3 ± 13.8 pL·s⁻¹), and vessel density (14.1 ± 7.8 vs. - 3.1 ± 4.8%). These vascular changes were accompanied by a higher Tc increase (+ 0.9 ± 0.3 °C vs. +0.7 ± 0.3 °C) and larger reductions in systolic and diastolic BP following HWI (P < 0.01). Qualitatively, laser Doppler flowmetry paralleled the OCT findings, showing enhanced skin blood flow after HWI (P < 0.01).

conclusionsWhen time-matched, an acute bout of HWI induces changes in skin microvascular perfusion that exceed those observed in response to EXE, likely reflecting the combined influence of direct local skin heating and greater systemic thermal strain, supporting its potential as a passive vascular stimulus in populations with limited exercise tolerance.

Indexed as

ExerciseHot water immersionOptical coherence tomographyPassive heat therapySkin microcirculation

Identifiers

PMID42803957

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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.