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Do You Really Need to Cool Down After a Workout?

Do You Really Need to Cool Down After a Workout?

New York Times21-04-2025
The standard workout arc, whether it's a yoga class or Peloton session, is usually book-ended by two easier parts: the warm-up and the cool-down. Personal trainers insist on them, physiology textbooks tout them and most video workouts include them.
But for many people, just fitting in a 30-minute run or 25-minute strength session can feel impossible. Do you really need another five minutes to cool down?
The answer is, not really. A cool-down is typically some form of easier movement that acts like an offramp from a workout, allowing the heart rate and blood pressure to slowly recover to pre-exercise levels. For most people, that means jogging slowly after a hard run or stretching after weight lifting. But it could be as simple as a few slow breathing exercises.
While research has shown that as little as nine minutes of dynamic movement before exercise can reduce injury and make a workout more effective, there has been far less data supporting the cool-down, said Andy Galpin, the director of the Human Performance Center at Parker University in Dallas.
If you rush from your spin bike to your morning commute, you likely won't sabotage your workout gains or recovery. But you could be missing out on other benefits.
What constitutes a cool-down?
'As a general rule,' said Dr. Erica Spatz, a cardiologist at Yale School of Medicine, a cooled-down state is 'when the heart rate comes down below 100 beats per minute and breathing returns to normal.'
But there isn't a specific protocol or definition of how to get there after exercise. Any activity that brings the body to a resting state could count, said Monika Fleshner, a professor of integrative physiology at the University of Colorado, Boulder.
A cool-down can be passive, like foam rolling or breathing exercises in the shower. But more often it's active, such as continuing an exercise at an easier pace or going to a lower resistance on a spin bike. If you were lifting weights, you might perform a few mobility exercises after.
For the average person, a cool-down should take about five to 10 minutes, depending on the intensity of the workout, said Dr. Spatz.
Do cool-downs work?
When it comes to performance or injury prevention, the short answer is no. But that doesn't mean they have no value.
For decades, experts prescribed an active cool-down to help alleviate muscle soreness by allowing built-up lactic acid to dissipate. But the lactic acid theory was debunked as early as the 1980s, and we now know the chemical has nothing to do with muscle soreness, though many people still buy into the concept, Dr. Galpin said.
A 2018 review found that active cool-downs are largely ineffective at improving same- or next-day performance and do not significantly reduce muscle soreness or damage. But that doesn't mean you should skip cool-downs if you enjoy them, said the review's co-author Bas Van Hooren, a sports scientist and assistant professor at Maastricht University in the Netherlands.
'Our review didn't find any downsides to doing a cool-down,' he said. Some people reported that it felt good, or that they used it as a time to socialize, he added.
However, exercise can trigger a stress response and activate a fight-or-flight reaction in the body, Dr. Fleshner said. And while the body will return to a resting state on its own, a passive cool-down that focuses on slow, controlled breathing can activate a rest-and-digest response in some people, facilitating a quicker return to normal breathing levels, heart rate and blood pressure, she said.
When do you actually need a cool-down?
There are three scenarios where cool-downs are useful, if you enjoy them.
First, ramping down can be helpful for especially intense exercise. If you suddenly stop after a hard workout, your blood pressure may drop while your blood vessels are still dilated, causing you to feel dizzy, even faint, Dr. Spatz said. This is especially true among people 60 or older or those with heart disease.
Second, people experiencing chronic stress may also have a more sluggish return to a resting state, Dr. Fleshner said. 'A cool-down that includes controlled breathing, like yoga or meditative stretching, might help them activate their parasympathetic nervous system' to calm the body, she said.
Lastly, if you exercise vigorously in the evening, especially at a high intensity, a cool-down may lead to a better night's sleep, Dr. Galpin said. Levels of the stress hormone cortisol naturally increase in the morning and decrease at night, and moderate to intense exercise can elevate them, causing increased heart rates.
'Exercise is essentially a form of arousal, just like watching a thriller or playing a video game,' he said.
In addition to helping the body shift to a resting state, a cool-down can also be a time when you reflect on the work you've done, Dr. Fleshner said. The last thing it should be is an added stress.
'Is it essential? No,' she said. 'Can it be nice? Yes.'
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Fitbit's AI health coach is the first I might actually be interested in
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The 4:3 weight loss plan that stops diabetes in its tracks
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Smartwatches Won't Fix the Burnout Crisis in Medicine

This transcript has been edited for clarity. Welcome to Impact Factor , your weekly dose of commentary on a new medical study. I'm Dr F. Perry Wilson from the Yale School of Medicine. Burnout is a huge problem across multiple professions in the United States. Grades K-12 teachers have about a 50% burnout rate. So do people in quality assurance. But I was unable to find a profession with a higher rate of burnout, or a higher potential for harm from burnout, than — you guessed it — physicians. A 2022 survey found that 63% of physicians had burnout, rates that have been among the highest of all US workers since 2011. And this is a huge problem. When docs are burned out, they are more likely to commit medical errors, be named in malpractice suits, and even exhibit racial biases. Administrators of health systems have taken notice. But their solutions have often been criticized as tone-deaf. 'Mandatory burnout workshops' are not helping anyone's burnout, I promise you. 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That you are not the master of your fate or the captain of your soul. Big issues. So how is a smartwatch supposed to help? Well, the idea isn't crazy. Smartwatches are miniature biofeedback devices. They tell you about your heart rate, your step count, how much you slept. Those little data points can lead to some real behavior change. This is anecdotal, but multiple people have told me they've cut back on drinking alcohol because they noticed that their smartwatch-reported sleep quality is worse on nights that they drink. Researchers at the Mayo Clinic and University of Colorado thought that maybe giving smartwatches to physicians would lead them to make small lifestyle changes, like getting more sleep, that would reduce this problem of burnout. Here's how the trial worked, as reported in JAMA Network Open . One hundred and eighty-four physicians — about half attendings, half residents and fellows, and about 60% female — were randomized to two groups. One group got a smartwatch, specifically the Venu 2 Plus from Garmin, to wear for 6 months. The other group got nothing. Well, to be fair, they got a smartwatch as well — just after a 6-month wait so the team would have 6 months of high-quality comparison data. At the beginning of the study and several times over those 6 months, the participants took surveys about their mental health: a resilience survey, a quality-of-life survey, a depression survey, a stress survey, a sleep survey and, importantly, a burnout survey. At baseline, 50% of people in the intervention arm were burned out and 43% were burned out in the control arm. After 6 months, burnout dropped to 41% in the intervention arm and rose to 51% in the control arm. The difference here was not technically statistically significant, but after accounting for the fact that burnout was higher at baseline in the intervention group, the team concluded that the odds of burnout were about 50% lower after 6 months of the smartwatch intervention. I know statistics can get confusing in situations like this. I think sometimes it helps just to look at the graph and make your own judgment: Burnout down a bit with a smartwatch, up a bit without a smartwatch. Fine. There was also about a 20% improvement in resilience scores, while there were no differences in quality of life, depression, or stress scores. So… is that it? Have we solved this problem plaguing all of healthcare and multiple other industries across the United States? Smartwatches? My fear is that some C-suite execs will look at this study and think they can cut burnout rates in half by sending a bunch of smartwatches around. Maybe it seems obvious to you that it wouldn't actually work, but let's break down a bit how the results of this study may be somewhat skewed. The most important thing to note is that this study was not blinded. The people in the smartwatch group knew they were in the smartwatch group because… they were wearing the smartwatch. It's hard to imagine a way to blind this study, to be fair, although I suppose you could give everyone a smartwatch but half the people get fake data or something. But once you know that you are in the intervention group, biases in your answers creep in. Just imagine you're in the study. At baseline, you take these surveys, then they give you a smartwatch, and 6 months later you take a bunch of surveys again. Maybe you skew your answers a bit, even unconsciously, because you like the people running the study or science in general, or maybe even smartwatches. The authors acknowledge this but minimize it, suggesting that if this 'social desirability bias' was present, it should improve scores across all the surveys. I mean, okay, but to be honest, the score differences are pretty marginal across the board, so I don't find that argument very compelling. The real issue here is that this study puts the locus of control in the wrong place, as many burnout interventions do. It puts the responsibility for burnout on the shoulders of the burned-out physicians. It suggests we can tolerate our jobs better if we just change our outlook: Sleep more, meditate more, live in the moment, do tai chi, etc. But I would argue that the problem with burnout is not in the mind of the physician; the problem is the system in which we work. More than 75% of physicians in the United States today are employed by hospitals, health systems, or other corporate entities. The private-practice model is rapidly dying and the physician workforce is learning what it means to be labor instead of management. They are feeling what it is like to be exploited, for lack of a better word — pushed to see more patients in less time, pushed to generate more RVUs, pushed to work weekends and nights to increase margins. It's not what they signed up for. The problem of burnout is from the system. If you want to cut rates in half, you don't send docs a smartwatch. You give them more time to see fewer patients. You change the insurance system that leaves us on the phone arguing for prior authorization for hours at a time. And if that affects the bottom line of the health system, you look for cuts in the — and this is true — 10 administrators for each physician in the US. Look, I love my smartwatch. It helps me delete emails while I'm waiting for the elevator. But the solution to physician burnout is not here. It's out there.

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