Evidence map›Paper›PMID 40663144›Full record

Trial reportEuropean journal of applied physiology2026

Training in hot water immersion improved exercise performance in hot and humid conditions in recreational athletes - a randomized controlled trial.

G Helmer, M Laurent, J Rubio, C Duflos, M Hayot, J Myzia, C Hedon, F Gouzi, R Candau, S Racinais and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report 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. It is linked to trial NCT05727774 (Effect of Hot Versus Neutral Water for Heat Acclimatation and Sport Performance During a Water Biking Training Protocol), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05727774 nacompletednot on this map

Effect of Hot Versus Neutral Water for Heat Acclimatation and Sport Performance During a Water Biking Training Protocol : Controlled Randomised Study

TypeinterventionalSponsorUniversity Hospital, MontpellierRan2023 to 2023Enrolled24ConditionsHealthy, Heat ExposureArmsWater Biking in hot water condition, Water Biking in neutral water condition
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

11 authors.

G HelmerPhyMedExp, INSERM, CNRS, CHRU Montpellier, Montpellier University, Montpellier, France. g-helmer@chu-montpellier.fr.ORCID http://orcid.org/0009-0001-9587-2009
M LaurentDMEM. Montpellier University, INRAE, Montpellier, France.
J RubioDMEM. Montpellier University, INRAE, Montpellier, France.
C DuflosClinical Research and Epidemiology Unit, Montpellier University Hospital, Univ Montpellier, Montpellier, France.
M HayotPhyMedExp, INSERM, CNRS, CHRU Montpellier, Montpellier University, Montpellier, France.
J MyziaPhyMedExp, INSERM, CNRS, CHRU Montpellier, Montpellier University, Montpellier, France.
C HedonPhyMedExp, INSERM, CNRS, CHRU Montpellier, Montpellier University, Montpellier, France.
F GouziPhyMedExp, INSERM, CNRS, CHRU Montpellier, Montpellier University, Montpellier, France.
R CandauDMEM. Montpellier University, INRAE, Montpellier, France.
S RacinaisDMEM. Montpellier University, INRAE, Montpellier, France.
M JuliaCREPS Montpellier Font-Romeu, Montpellier, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveHeat acclimation is a common strategy for athlete preparing to compete in the heat. It is generally obtained by exercising in a hot environment, (e.g. environmental chambers) but passive exposure to hot water has also been shown to induce acclimation. Thus, combining exercise in hot water could be an innovative method to enhance performance in hot environments.

methodsIn this prospective randomized controlled trial, two groups of 12 participants (22 males/2 females) underwent 10 aerobic training sessions on an underwater bike in either hot (35 °C-hot water acclimation, HWA) or temperate (25 °C, control, CON) water. Two to three days before and after intervention participants performed a 30-min time trial, in a hot and humid environment (T°: 38.4 ± 1.4 °C, Relative Humidity: 45.3 ± 6.9%), as well as a cardiac echography, a blood analysis and a cardiopulmonary exercise test (V̇O

resultsThe distance covered during the time trial in the heat increased depending on group (p = 0.024) with an increase of 1.1[+ 0.7, + 1.4]km in HWA (p < .001) and 0.5[+ 0.1, + 0.8]km in CON (p = 0.009). As well as power output (p = 0.096) improved more in the HWA vs. CON group (+ 27W in HWA and + 13W in CON). However, no difference between groups was observed regarding changes in physiological parameters during the time trial in the heat (core and skin temperature, sweat rate) or across the tests and measures in temperate environments (plasma volume, heart rate, V̇O

conclusionExercise on a bike in hot water improves performance in hot and humid conditions but does not induce change physiological parameters in ambient conditions. CLINICALTRIALS: gov Identifier: NCT05727774.

Indexed as

AcclimatizationAthletic PerformanceExerciseHot TemperatureImmersionAdultAthletesFemaleHumansHumidityMaleOxygen ConsumptionWaterYoung AdultWaterAcclimationAthletesCore temperatureHot water exercisePerformanceSkin temperature

Identifiers

What Socratic holds

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Registered trials

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 Socratic graph.