ClinicalTrials.gg
CompletedNCT07681011Updated Jul 6, 2026

Effects of Cold-Water and Cold-Air Exercise on Appetite, Energy Intake, and Food Preference

An interventional study of Control Condition and Cold-Water Exercise in Healthy Adult Male, Appetite and Energy Intake, sponsored by Coventry University. Completed at 1 site in United Kingdom. Open to male participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-06.

Sponsored by Coventry University · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Registered 1 year 5 months after the study started (first participant enrolled Jan 2025, registered Jun 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
11
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
Male
01

Study summary

This study investigated whether exercising in cold environments affects appetite, energy intake, and food preference compared with exercising in thermoneutral conditions. Eleven healthy males completed five laboratory trials as part of a crossover study: a control trial and four exercise trials performed in cold-water (16°C), thermoneutral water (35°C), cold-ambient air (6°C), and thermoneutral ambient air (26°C). Appetite responses were assessed throughout each trial, and participants were provided with an ad libitum meal after exercise to measure energy intake. Food preference was assessed using the Leeds Food Preference Questionnaire. The study aimed to determine whether environmental temperature and exercise medium influence acute post-exercise eating behaviour.

Read the detailed description

Exercise performed in cold environments may influence thermoregulatory responses and subsequent eating behaviour differently compared with exercise performed under thermoneutral conditions. Previous research suggests that cold exposure may increase post-exercise energy intake; however, the influence of environmental temperature and exercise medium (water versus air) on appetite regulation and food-related behaviour remains unclear.

This study used a randomised repeated-measures crossover design to investigate the effects of cold and thermoneutral exercise conditions on appetite, energy intake, and food preference in healthy males.

Eleven healthy males completed five laboratory trials: a no-exercise control condition and four experimental exercise conditions consisting of 30 minutes of arm-leg rowing exercise performed in cold-water (16°C), thermoneutral water (35°C), cold-ambient air (6°C), and thermoneutral ambient air (26°C). Trials were separated by a minimum seven-day washout period.

Appetite responses were assessed using visual analogue scales throughout each trial. Following exercise, participants consumed an ad libitum meal to assess acute post-exercise energy intake. Food preference responses, including food appeal and preference measures, were assessed using the Leeds Food Preference Questionnaire.

The primary objective was to determine whether environmental temperature and exercise medium influence post-exercise energy intake. Secondary objectives were to examine effects on subjective appetite and food preference measures.

This study provides insight into how exercising in different thermal environments may influence immediate eating behaviour following exercise.

02

Conditions studied

  • Healthy Adult Male
  • Appetite
  • Energy Intake

Browse trials for

Keywords

  • Cold-ambient air exercise
  • Thermoregulation
  • Appetite
  • Food preference
  • Crossover study
  • Cold exposure
  • Energy Intake
  • Cold-Water Exercise
  • Healthy Adult Male
03

In context

Food Preferences

155 studies on the registry are indexed under Food Preferences; 20 are open to participants now.

This study's enrollment of 11 is below the median of 133 across 121 interventional studies indexed under Food Preferences.

Browse Food Preferences studies →

Lead sponsor

Coventry University is the lead sponsor of 16 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Healthy males aged 18-65 years
  • Living in the UK
  • Recreationally active and meeting current physical activity guidelines
  • Body mass stable (\<2 kg change) during the 3 months prior to the study
  • Able to complete moderate-intensity arm-leg rowing exercise
  • Able to tolerate the cold-water familiarisation/tolerance test
  • Low cognitive restraint score on the Three-Factor Eating Questionnaire Revised
  • 18-item (TFEQ-R18)
  • Able to consume the standardised breakfast and ad libitum pasta meal provided during the study
  • Able to provide written
  • Willing to complete study questionnaires and experimental assessments
  • Willing to undergo core temperature measurement via self-inserted rectal thermistor and body composition assessment

Exclusion criteria

Exclusion Criteria:

  • Diagnosed cardiovascular, pulmonary, metabolic, or renal disease, or symptoms suggestive of these conditions
  • Any to moderate-intensity exercise
  • Conditions increasing risk during cold exposure, including history of cold-induced asthma, Raynaud's phenomenon, cold urticaria, or other non-freezing cold injuries
  • Cold-habituated individuals (e.g., regular cold-water swimmers)
  • Current medication known to alter body weight or metabolism
  • Smoking, drug misuse, or alcohol abuse
  • Current musculoskeletal injury or condition that could be worsened by exercise
  • History of eating disorders or restrained eating behaviour
  • Shift work or sleep deprivation affecting study participation
  • Unable to fast before experimental sessions
  • Unable to tolerate the cold-water familiarisation/tolerance procedure
  • Unable to consume the foods provided as part of the standardised breakfast or ad libitum meal due to dietary restrictions or allergies
  • Unable to commit to study requirements
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
11 participants (actual)

Study arms

  • Active comparator
    Control Condition

    Resting control condition with no exercise performed. Participants completed the same standardised laboratory procedures and outcome assessments under resting conditions.

    Other: Control Condition

  • Experimental
    Cold-Water Exercise

    Participants completed 30 minutes of arm-leg rowing exercise performed in cold water at 16°C.

    Other: Cold-Water Exercise

  • Experimental
    Thermoneutral Water Exercise

    Participants completed 30 minutes of arm-leg rowing exercise performed in thermoneutral water at 35°C.

    Other: Thermoneutral Water Exercise

  • Experimental
    Cold-Ambient Air Exercise

    Participants completed 30 minutes of arm-leg rowing exercise performed in cold ambient air at 6°C.

    Other: Cold-Ambient Air Exercise

  • Experimental
    Thermoneutral Ambient Air Exercise

    Participants completed 30 minutes of arm-leg rowing exercise performed in thermoneutral ambient air at 26°C.

    Other: Thermoneutral Ambient Air Exercise

Interventions

  • OtherControl Condition

    Resting control condition with no exercise exposure.

  • OtherCold-Water Exercise

    Arm-leg rowing exercise performed in 16°C water.

  • OtherThermoneutral Water Exercise

    Arm-leg rowing exercise performed in 35°C water.

  • OtherCold-Ambient Air Exercise

    Arm-leg rowing exercise performed in 6°C ambient air.

  • OtherThermoneutral Ambient Air Exercise

    Arm-leg rowing exercise performed in 26°C ambient air.

06

What researchers measure

Primary outcomes

  1. Post-exercise ad libitum energy intake

    Energy intake consumed during an ad libitum homogeneous pasta meal provided after each 30-minute experimental/control condition. The mass of food consumed was determined by subtracting the mass of food remaining (including leftovers on the plate and cutlery). Absolute energy intake was calculated using the nutritional information provided by the food manufacturer.

    Time frame: 30 minutes after completion of the 30-minute experimental/control condition.

  2. Subjective appetite responses

    Subjective appetite responses including hunger, fullness, satisfaction, and prospective food consumption assessed using a 100-mm Visual Analogue Scale (VAS) ranging from 0 mm (not at all) to 100 mm (extremely). Higher scores indicate greater subjective appetite sensations.

    Time frame: Before and after breakfast, before the 30-minute experimental/control condition, during the 30-minute experimental/control condition, and before and after the ad libitum meal.

  3. Food preference and food reward responses

    Food preference and reward responses assessed using the Leeds Food Preference Questionnaire (LFPQ). Outcomes include explicit liking, explicit wanting, implicit wanting, and fat and sweet appeal bias scores. Higher scores indicate greater preference or reward response for the respective food category (fat or sweet).

    Time frame: 15 minutes after completion of each 30-minute experimental/control trial and 15-minutes before the ad libitum meal.

Secondary outcomes

  1. Core body temperature

    Changes in core body temperature measured continuously using a rectal thermistor during and after each experimental/control condition.

    Time frame: During the 30-minute experimental/control condition and during the 60-minute post-exposure recovery period.

  2. Energy expenditure

    Energy expenditure during the exercise/control condition estimated from breath-by-breath oxygen consumption and carbon dioxide production using indirect calorimetry.

    Time frame: During the 30-minute experimental/control condition.

  3. Skin temperature and mean body temperature responses

    Skin temperature was measured at four sites (chest, bicep, thigh, and calf) using skin temperature probes. Mean skin temperature and mean body temperature were calculated to assess changes in peripheral and overall thermal status.

    Time frame: 5-minutes before and 5-minutes after the 30-minute experimental/control condition.

  4. Thermal sensation and shivering responses

    Thermal sensation was assessed using the American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE) 7-point Thermal Sensation Scale, ranging from -3 (cold) to +3 (hot), where 0 indicates thermal neutrality. Shivering responses were assessed using the Bedside Shivering Assessment Scale (BSAS) ranging from 0 (no shivering) to 3 (severe shivering), with higher scores indicating greater shivering severity.

    Time frame: During the 30-minute experimental/control condition at 10-minute intervals.

07

Study locations

1 site
  • Centre for Physical Activity, Sport and Exercise Sciences, Research Laboratory, Coventry University
    Coventry, CV1 5FB, United Kingdom
08

References and documents

Publications

  • Grigg MJ, Thake CD, Allgrove JE, King JA, Thackray AE, Stensel DJ, Owen A, Broom DR. Influence of water-based exercise on energy intake, appetite, and appetite-related hormones in adults: A systematic review and meta-analysis. Appetite. 2023 Jan 1;180:106375. doi: 10.1016/j.appet.2022.106375. Epub 2022 Nov 12. PubMed 36375602 ↗
  • Grigg MJ, Thake CD, Allgrove JE, Broom DR. Effects of cold-water immersion on energy expenditure, ad-libitum energy intake and appetite in healthy adults. Physiol Behav. 2025 Jul 1;296:114914. doi: 10.1016/j.physbeh.2025.114914. Epub 2025 Apr 10. PubMed 40221072 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared. Study results will be reported in aggregate form through publications and presentations. Data will be retained securely in accordance with Coventry University research governance and data protection requirements.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2025 to primary completion in Jul 2025, 5 months.

Of 92 non-industry interventional studies with no phase under Food Preferences, half reached primary completion within 5 months of starting (the median), counting those still running; a quarter within 1 and three quarters within 17. This study's 5 months is close to that.

Counting every sponsor, half of 92 studies reached it within 5 months; a quarter within 1 and three quarters within 17.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 26, 2026
First posted
Jul 2, 2026
StartActual
Jan 7, 2025
Primary completionActual
Jul 2, 2025
CompletionActual
Jul 2, 2025
Last update
Jul 6, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07681011
Lead sponsor
Coventry University
Responsible party
Marie Hutson (PhD Researcher, Coventry University) — Principal investigator
First posted
Jul 2, 2026
Start date
Jan 7, 2025
Primary completion
Jul 2, 2025
Completion
Jul 2, 2025
Last update
Jul 6, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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