We examined the effect of thermal balance perturbation on cold-induced vasodilation through a dynamic A-B-A-B design applying heat (condition A) and cold (condition B) to the body's core, while the hand is exposed to a stable cold stimulus. Fifteen healthy adults (8 men, 7 women) volunteered. Applications of heat and cold were achieved through water immersions in two tanks maintained at 42 and 12°C water temperature, respectively, in an A-B-A-B fashion. Throughout the experiment, the participants' right hand up to the ulnar styloid process was placed inside a temperature-controlled box set at 0°C air temperature. Results demonstrated that cold-induced vasodilation occurred only during condition B and at times when body heat content was decreasing but rectal temperature had not yet dropped to baseline levels. Following the occurrence of all cold-induced vasodilation events, rectal temperature was reduced, and the phenomenon ceased when rectal temperature fell below baseline. Heart rate variability data obtained before and during cold-induced vasodilation demonstrated a shift of autonomic interaction toward parasympathetic dominance, which, however, was attributed to a sympathetic withdrawal. Receiver operating characteristics curve analyses demonstrated that the cold-induced vasodilation onset cutoff points for rectal temperature change and finger temperature were 0.62 and 16.76°C, respectively. It is concluded that cold-induced vasodilation is a centrally originating phenomenon caused by sympathetic vasoconstrictor withdrawal. It is dependent on excess heat, and it may be triggered by excess heat with the purpose of preserving thermal balance.finger blood flow; thermoregulation COLD-INDUCED VASODILATION (CIVD) is a counterintuitive acute increase in local cutaneous blood flow occurring in humans and other homoeotherms exposed to cold (11), first identified in 1930 (35). The emergence of CIVD has been described as nonsystematic, and, hence, its function(s) as well as its causative agent(s) remain unexplainable (10,11,40). We recently proposed that CIVD is a thermoregulatory mechanism triggered by increased mean body temperature (19). Although our finding was based on finger temperature and not on actual blood flow data, it is supported by observations of a central component to CIVD (8,34,37,41,42,46). Furthermore, thermal balance has been shown to influence CIVD in a way that whole body cooling results in delayed CIVD onset (14,17,30,46), whereas increased thermogenesis (44) or body heat content (14) result in accelerated CIVD response.The difficulty to hitherto elucidate the CIVD response may be partly attributable to the currently incomplete understanding of its neurophysiological mechanisms. These mechanisms can be explored by monitoring heart rate variability (HRV) during CIVD because the cardiovascular adaptations to thermal stimuli are the result of a simultaneous activation of the peripheral vascular and cardiac efferent branches of the autonomic nervous system (36).Our primary objective in this experiment...