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The Peter Attia Drive

#254 - AMA #47: Cold therapy: pros, cons, and its impact on longevity

The Peter Attia Drive

Peter Attia, MD

Health & Fitness, Medicine, Fitness

4.77.3K Ratings

🗓️ 15 May 2023

⏱️ 14 minutes

🧾️ Download transcript

Summary

View the Show Notes Page for This Episode

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In this “Ask Me Anything” (AMA) episode, Peter delves deep into the data surrounding different forms of cold therapy, including cold water immersion, cryotherapy, and cold showers, aiming to unveil the potential benefits and drawbacks associated with cold therapy. He dissects the studies examining the effects of cold therapy on delayed onset muscle soreness (DOMS), activation of brown adipose tissue, and its potential impact on mood and as a therapeutic approach for depression. Furthermore, Peter discusses the potential negative impact cold therapy may have on muscular hypertrophy and offers his perspective on the extent to which the data support the notion of cold therapy providing longevity benefits. Finally, he also discusses the existing consensus, or lack thereof, regarding the optimal structure of an effective cold therapy protocol.

If you’re not a subscriber and are listening on a podcast player, you’ll only be able to hear a preview of the AMA. If you’re a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #47 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

We discuss:

  • Overview of discussion on cold therapy (and a Formula 1 tangent) [1:45];
  • The most common cold exposure therapies [5:45];
  • Potential benefits of cold water immersion: a look at the data [9:30];
  • Comparing the effects of cold water immersion with whole-body cryotherapy [18:30];
  • The potential impact of cold exposure on mood and as a treatment for depression [20:45];
  • How do cold showers compare to cold water immersion? [28:15];
  • Cold exposure and the activation of brown adipose tissue (BAT) [34:15];
  • Things that clearly impact brain health: smoking, alcohol, sleep, head injuries, blood pressure, and more [34:15];
  • Exercising in cold temperatures: impact on exercise performance [38:30];
  • Potential downsides of cold therapy and its impact on hypertrophy, strength, and recovery [44:45];
  • Are the blunting effects of cold on hypertrophy due to the effects on inflammation? [50:45];
  • Does cold exposure offer any potential geroprotective benefits? [53:15];
  • Cold therapy protocols for delayed onset muscle soreness (DOMS) [56:30];
  • Summarizing the data and takeaways from Peter [1:01:00]; and
  • More.

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Transcript

Click on a timestamp to play from that location

0:00.0

Hey everyone, welcome to a sneak peek, ask me anything, or AMA episode of the Drive Podcast.

0:16.5

I'm your host, Peter Atia.

0:18.3

At the end of this short episode, I'll explain how you can access the AMA episodes in full,

0:22.9

along with a ton of other membership benefits we've created.

0:26.0

Before you can learn more now by going to peteratia-md.com forward slash subscribe.

0:31.5

So without further delay, here's today's sneak peek of the Ask Me Anything episode.

0:36.6

Welcome to Ask Me Anything episode 47.

0:42.7

I'm once again joined by Nick Stenson.

0:44.6

In today's episode, we dive into all things related to cold therapy.

0:50.7

For those of you who are regular listeners of the podcast or maybe follow me on social

0:54.2

media, you probably notice I spend quite a bit of time talking about the benefits of heat

0:57.4

exposure, in particular around saunas.

1:00.1

But we do receive just as many questions about cold exposure and the benefits thereof.

1:04.9

So we decided to do a dedicated AMA around the topic where we incorporated all of those

1:09.6

questions.

1:10.6

For the same, folks on what we do and don't know around cold therapy, including the different

1:15.5

types of cold therapies.

1:17.0

This would be showers, cold plunges, and cryotherapy is the three main types.

1:21.2

I can cold therapy effect mood or even be a treatment for depression.

1:24.4

Talk about claims that cold therapy can help activate brown adipose tissue or bat

1:28.8

for metabolic health.

1:30.2

Talk about what happens if you exercise in the cold.

...

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