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Table 1 Known effects of cold stress. "Immediate/transient" means effects of a single brief exposure to cold that last less than 1–2 hours. "Sustained/longer-term" means effects (of repeated daily or several times per week cold-water stress) that can last one day or longer.

From: Possible stimulation of anti-tumor immunity using repeated cold stress: a hypothesis

Immediate/transient effects

Sustained/longer-term effects

Activation of:

sympathetic nervous system [15,16]

hypothalamic-pituitary-adrenal axis [17,18]

hypothalamic-pituitary-thyroid axis [19,20]

Increased resting metabolic rate [29]

An increase in plasma levels of:

adrenocorticotropic hormone [35]

corticosterone* [3]

interleukin-2 (modest/undetectable) [3,84]

interleukin-6 [12]

tumor necrosis factor-α [12]

haptoglobin [12]

hemopexin [12]

An increase in plasma levels of:

adrenocorticotropic hormone [30,31]

norepinephrine [15,16]

beta-endorphin [18,32]

corticosterone* [7]

cortisol (modest/undetectable) [33,34,82,83]

thyroid stimulating hormone [20]

triiodothyronine [19,20]

thyroxine [20]

interleukin-6 [6,13]

Decreased plasma level of interleukin-2 [84,85]

Decreased plasma levels of:

α1-antitrypsin [12]

testosterone [6]

  1. * It is expected to have a negligible immunosuppressive effect [86,87].