OBJECTIVES: Whole-body hypothermia (to 33.5 ± 0.5 • C) is a therapeutic modality that reduces risks of death and neurodevelopmental disability in neonates subjected to hypoxic-ischemic insults. This in vitro study was designed to determine changes in neonatal cellular metabolism with temperature. Its main aim was to compare the metabolic rate at ≤33 • C with that at ≥35 • C. STUDY DESIGN: Foreskin specimens were used as a source of neonatal tissue. Cellular respiration (mitochondrial O 2 consumption) was used as a surrogate biomarker for the metabolic rate. Foreskin specimens from healthy newborns were collected immediately after circumcision and processed within one hour for measuring the rate of O 2 consumption at various temperatures (±0.5 • C). O 2 consumption was determined as function of time from the phosphorescence decay of Pd (II) meso-tetra-(4-sulfonatophenyl)-tetrabenzoporphyrin. RESULTS: In a vial sealed from air and containing foreskin specimen in phosphate-buffered saline supplemented with 5 mM glucose, [O 2 ] decreased linearly with time, confirming its zero-order kinetics. The rate of O 2 consumption (M O 2 .min −1 ), thus, was the negative of the slope of [O 2 ] vs. time. Cyanide inhibited O 2 consumption, confirming the oxidation occurred in the respiratory chain. Cellular respiration at ≤33 • C (n = 25) significantly differed from that at ≥35 • C (n = 24), p < 0.001. The rate (M O 2 .min −1 .mg −1 ) at 25 • C was 0.034 ± 0.006 (n = 11, p = 0.044), at 33 • C was 0.029 ± 0.008 (n = 14, reference temperature), at 35 • C was 0.062 ± 0.020 ( 2-fold higher, n = 18, p < 0.001), and at 37 • C was 0.061 ± 0.009 ( 2-fold higher, n = 6, p < 0.001). CONCLUSIONS: Neonatal foreskin cellular respiration is highly sensitive to critical temperatures (33 • C vs. 35 • C).