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The evidence for cold exposure and immune or inflammatory modulation is supported by two distinct lines of investigation from this curated corpus: a clinical proof-of-concept trial in human patients and a mechanistic mouse study. Buijze et al. (2019) conducted an observational cohort study examining an add-on training program that included breathing exercises, cold exposure, and meditation in 24 adults with moderately active axial spondyloarthritis, characterized by an ASDAS >2.1 and hs-CRP ≥5 mg/L. Xie et al. (2023) used a preclinical mouse model to investigate the role of CXCL13 in promoting thermogenesis through macrophage recruitment and inflammation inhibition in brown adipose tissue following cold stimulation. Both studies, despite their different designs and directness levels, converge on the immune-inflammation outcome class, providing a multi-layered view of potential mechanisms.

Evidence grade: exploratory

Contradiction status: none

Publication: 5e04142b-5106-4483-8db7-d9378c53fb19

Provenance: Derivation Web chain

Citation Support

  • source_1 Jaeckstein 2025
  • source_2 Ma 2025
  • source_3 Feng 2025
  • source_4 Kwok 2024
  • source_5 Lyons 2024

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