Evaluating safety risks of whole-body cryotherapy/cryostimulation (WBC): a scoping review from an international consortium

Fabien Legrand, Benoit Dugue, Joseph Costello, C M Bleakley, Elzbieta Miller, James Broatch, Guillaume Polidori, Anna Lubkowska, Julien Louis, Giovanni Lombardi, François Bieuzen, Paolo Capodaglio

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)
31 Downloads (Pure)

Abstract

Over the two last decades, whole-body cryotherapy/cryostimulation (WBC) has emerged as an exciting non-pharmacological treatment influencing inflammatory events at a cellular and physiological level, which can result in improved sleep quality, faster neuromuscular recovery after high-intensity exercise, and chronic pain relief for patients suffering different types of diseases (fibromyalgia, rheumatism, arthritis). Some evidence even suggests that WBC has benefits on mental health (depression, anxiety disorders) and cognitive functions in both adults and older adults, due to increased circulating BDNF levels. Recently, some safety concerns have been expressed by influential public health authorities (e.g., FDA, INSERM) based on reports from patients who developed adverse events upon or following WBC treatment. However, part of the data used to support these claims involved individuals whose entire body (except head) was exposed to extreme cold vaporized liquid nitrogen while standing in a narrow bathtub. Such a procedure is known as partial-body cryotherapy (PBC), and is often erroneously mistaken to be whole-body cryotherapy. Although having similarities in terms of naming and pursued aims, these two approaches are fundamentally different. The present article reviews the available literature on the main safety concerns associated with the use of true whole-body cryotherapy. English- and French-language reports of empirical studies including case reports, case series, and randomized controlled trials (RCTs) were identified through searches of PubMed, Scopus, Cochrane, and Web of Science electronic databases. Five case reports and two RCTs were included for a total of 16 documented adverse events (AEs). A critical in-depth evaluation of these AEs (type, severity, context of onset, participant's medical background, follow-up) is proposed and used to illustrate that WBC-related safety risks are within acceptable limits and can be proactively prevented by adhering to existing recommendations, contraindications, and commonsense guidelines.

Original languageEnglish
Article number387
Pages (from-to)1-8
Number of pages9
JournalEuropean Journal of Medical Research
Volume28
Issue number1
Early online date28 Sept 2023
DOIs
Publication statusPublished online - 28 Sept 2023

Bibliographical note

Publisher Copyright:
© 2023, BioMed Central Ltd., part of Springer Nature.

Keywords

  • Whole-Body Cryotherapy/Cryostimulation (WBC)
  • Adverse events
  • Scoping review
  • International consortium

Fingerprint

Dive into the research topics of 'Evaluating safety risks of whole-body cryotherapy/cryostimulation (WBC): a scoping review from an international consortium'. Together they form a unique fingerprint.

Cite this