Controlled clinical trial2025Industry fundedOpen access

Funded in part by Novo Nordisk, Novo Nordisk Fonden

Effects of Whole-Body Cryotherapy Combined With Conventional Obesity Management Versus Obesity Management Alone: A Clinical Trial

Karppinen JE, Suojanen L, Heinonen S, Kaye S, van der Kolk BW, White JW, Orava J, Lee SHT, Dillon E, Muniandy M, Rissanen A, le Roux CW, Docherty N, Pajukanta P, Virtanen KA, Pietiläinen KH

Obesity (Silver Spring, Md.) · 2 citations

Review labels

Author industry tiesIndustry funded

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Controlled clinical trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Industry funded
University or hospital
Helsingin Yliopisto
Nonprofit
Suomen Lääketieteen Säätiö
Government
European Commission
Government
Academy of Finland
Company
Novo Nordisk
Nonprofit
Signe ja Ane Gyllenbergin Säätiö
Nonprofit
Sigrid Juséliuksen Säätiö
Nonprofit
Orionin Tutkimussäätiö
Nonprofit
Paulon Säätiö
Company
Instrumentariumin Tiedesäätiö
Company
Novo Nordisk Fonden
Nonprofit
Diabetestutkimussäätiö
Government
Research Council of Finland
University or hospital
University of Helsinki and Helsinki University Hospital
Government
Government Research Funds
Authors
At least one author declares a financial tie to industry
Grants
Academy of Finland (#266286); Academy of Finland (361956); Academy of Finland (335446); Helsingin Yliopisto (NNF17OC0027232); Novo Nordisk Fonden (266286); European Commission (278373); Suomen Lääketieteen Säätiö (NNF17OC0027232); European Commission (EU-FP7); Suomen Lääketieteen Säätiö (314383); Novo Nordisk Fonden (314383); Diabetestutkimussäätiö (335443); Suomen Lääketieteen Säätiö (NNF20OC0060547); Suomen Lääketieteen Säätiö (272376); Helsingin Yliopisto (272376); Suomen Lääketieteen Säätiö (335443); Diabetestutkimussäätiö (272376); Diabetestutkimussäätiö (NNF10OC1013354); Academy of Finland (#314383); Novo Nordisk Fonden (#NNF10OC1013354); Helsingin Yliopisto (NNF10OC1013354); Helsingin Yliopisto (335443); Academy of Finland (292839); Novo Nordisk Fonden (NNF17OC0027232); Novo Nordisk (NNF20OC0060547); Helsingin Yliopisto (314383); Novo Nordisk Fonden (#NNF23SA0083953); Academy of Finland (314456); Academy of Finland (335443); Novo Nordisk Fonden (272376); European Commission (314383); Suomen Lääketieteen Säätiö (266286); Helsingin Yliopisto (NNF20OC0060547); Academy of Finland (265204); Diabetestutkimussäätiö (NNF20OC0060547); Novo Nordisk (NNF10OC1013354); Novo Nordisk Fonden (335443); Diabetestutkimussäätiö (314383); Novo Nordisk Fonden (NNF20OC0060547); Novo Nordisk (NNF17OC0027232); Diabetestutkimussäätiö (NNF17OC0027232); Suomen Lääketieteen Säätiö (NNF10OC1013354); Diabetestutkimussäätiö (266286); Helsingin Yliopisto (266286); Academy of Finland (259926); Academy of Finland (272376)

Based on 15 listed funder(s) and full-text disclosure statement.

Publication

Published
2025-09-03 · Obesity (Silver Spring) · vol. 33 · issue 11 · pp. 2112–2127
Publisher
Wiley
Cited
0 citations · more than 23% of similar papers · 0.0× the field average
References
46 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Adipose Tissue and Metabolism · Exercise and Physiological Responses · Thermoregulation and physiological responses
Keywords
Medicine, Weight loss, Adipose tissue, Obesity, Internal medicine, Weight management, Cryotherapy, Endocrinology, Body mass index, Carbohydrate metabolism, Management of obesity, Clinical trial, Surgery
MeSH
muscle, skeletal, humans, obesity, weight loss, blood glucose, treatment outcome, cryotherapy, energy metabolism, adult, middle aged, female, male, adipose tissue, brown, obesity management

16 authors

From FI, IE, GB, US

  • Jari E. Karppinen · correspondingUniversity of Helsinki
  • Laura SuojanenUniversity of Helsinki; Helsinki University Hospital
  • Sini HeinonenUniversity of Helsinki; Helsinki University Hospital
  • Sanna M. KayeUniversity of Helsinki
  • Birgitta W. van der KolkUniversity of Helsinki
  • James P. WhiteUniversity College Dublin; University College Birmingham; University of Birmingham

Abstract

Objective

To investigate whether whole-body cryotherapy (WBC) enhances weight loss, brown adipose tissue (BAT) activation, and metabolic outcomes during obesity management.

Methods

Nineteen adults with obesity were assigned to a 12-month lifestyle-based obesity management intervention with 28 WBC sessions (-110°C, 3-4 min, ~2 × week) over the first 5 months (CRYO, n = 10) or the intervention without WBC (CON, n = 9). The primary outcome was weight loss (5 and 12 months). Secondary outcomes included BAT glucose uptake and whole-body energy expenditure during cold stimulation (5 months), clinical parameters, subcutaneous adipose tissue transcriptomics, and skeletal muscle proteomics (5 and 12 months).

Results

Weight loss in the CRYO group was 11.9% at 5 months and 9.9% at 12 months, compared to 11.5% and 8.0% in the CON group (p ≥ 0.54 for between-group differences). No significant between-group differences appeared in BAT glucose uptake, energy expenditure, adipose tissue transcriptomics, or skeletal muscle proteomics changes. However, at 5 months, the CRYO group showed greater reductions in fasting glucose (0.41 mmol/L, p = 0.026) and LDL cholesterol (0.44 mmol/L, p = 0.034).

Conclusions

WBC did not significantly enhance weight loss, activate BAT, or alter most metabolic responses during conventional obesity management. Further research is needed to confirm whether WBC benefits glucose and cholesterol metabolism.

Trial registration

ClinicalTrials.gov: NCT01312090.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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