Cold-water immersion
What a 2025 research review included.
The review evaluated randomized studies of healthy adults using cold showers, ice baths, or plunges. Its numbers show the scope and variation of the evidence base.
11
Studies in a 2025 cold-water review
The review included 11 studies of cold-water immersion in healthy adults. It assessed what the published research measured, rather than establishing a universal use plan.
Source: Cain et al., PLOS ONE, January 2025 ↗3,177
Total participants in that review
Those 11 studies represented 3,177 participants. The authors noted that the available evidence is still limited by study size and participant diversity.
Source: Cain et al., PLOS ONE, January 2025 ↗7-15 C
Water-temperature range studied
The reviewed cold-water interventions ranged from 7 to 15 degrees Celsius, or about 45 to 59 degrees Fahrenheit. This describes the studies, not a ColdCraft recommendation.
Source: Cain et al., PLOS ONE, January 2025 ↗30 sec-2 hr
Exposure-duration range studied
The reported sessions ranged from 30 seconds to 2 hours. That wide spread is one reason a study result should not be treated as a single protocol for every person or setting.
Source: Cain et al., PLOS ONE, January 2025 ↗10:1
Bath-to-shower split
Ten of the included studies used baths and one used a shower. That matters when comparing a cold-plunge setup with other forms of cold exposure.
Source: Cain et al., PLOS ONE, January 2025 ↗7 / 4
Moderate- and high-quality studies
The review rated seven included studies as moderate quality and four as high quality using the PEDro scale. That rating describes study methods, not a guarantee that every outcome is settled.
Source: Cain et al., PLOS ONE, January 2025 ↗55.4%
Female participants in the included studies
Across the 3,177 participants, 55.4% were female. One study supplied the female-participant data, while the other included studies enrolled only men, an important limit on how broadly the findings can be applied.
Source: Cain et al., PLOS ONE, January 2025 ↗10
Research databases searched
The authors searched 10 research databases through January 17, 2024 before selecting eligible trials. This shows the review’s search scope, not the number of studies that ultimately met its criteria.
Source: Cain et al., PLOS ONE, January 2025 ↗6 / 5
Crossover- and parallel-design trials
Six included studies used randomized crossover designs and five used randomized parallel designs. The different designs are another reason individual study results need to be read in their original context.
Source: Cain et al., PLOS ONE, January 2025 ↗