Sauna

Last Updated: November 14, 2023

Sauna is a form of passive heat therapy characterized by exposure to high ambient temperatures for short periods of time. It’s most heavily studied for its effects on the cardiorespiratory system, for which it can produce a number of benefits (many that are similar to exercise). The design and practices of saunas can vary considerably, which makes it difficult to directly compare studies on them.

Sauna is most often used for

What is sauna?

A sauna is a form of passive heat therapy in which people sit in small, high-temperature rooms that typically range from 90°C to 100°C for short periods of time. The traditional Finnish sauna involves specific practices such as wooden rooms, cooling-off periods, and regular use 2 to 3 times per week.

What are sauna’s main benefits?

Sauna use has been shown to lower blood pressure, improve cardiovascular health, and significantly reduce the risk of all-cause and cardiovascular mortality over time. Additionally, it may benefit various conditions such as heart failure, dementia, respiratory diseases, and mental health disorders, although more high-quality human trials are needed to confirm these effects.

What are sauna’s main drawbacks?

Sauna use is generally safe for people with stable cardiovascular conditions, but those with unstable or unmanaged cardiovascular issues should avoid it due to potential risks. Additionally, concurrent alcohol use can increase the risk of injury and lower blood pressure, and pregnant individuals should be cautious despite its widespread use in Finland during pregnancy.

How does sauna work?

Sauna works by applying heat to the body, which benefits various systems (such as the cardiorespiratory and musculoskeletal systems), reduces oxidative stress and inflammation, and promotes cellular repair through mild stress. Additionally, sauna provides relaxation and has cultural significance, which contribute to overall health.

What are other names for Sauna?
Note that Sauna is also known as:
  • Bastu (Swedish)
  • Banya (Russian)
  • Saun (Estonian)
  • Shvitz (Hebrew)
  • Hammam (Turkish)
  • Pirtis (Lithuanian)
  • Infrared therapy
  • Waon therapy

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Update History
2023-11-14 00:30:03

A handful of additions and modifications

minor

We added one new meta-analysis to the sauna database. Additionally, we adjusted our language about heart failure class, and how it factors into an overall impression of heart failure severity. Finally, we added more mention of fluid loss, and how that could affect many of the cardiovascular outcomes measured in sauna studies.

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References
  1. ^Laukkanen JA, Laukkanen T, Kunutsor SKCardiovascular and Other Health Benefits of Sauna Bathing: A Review of the Evidence.Mayo Clin Proc.(2018-Aug)
  2. ^Tei C, Imamura T, Kinugawa K, Inoue T, Masuyama T, Inoue H, Noike H, Muramatsu T, Takeishi Y, Saku K, Harada K, Daida H, Kobayashi Y, Hagiwara N, Nagayama M, Momomura S, Yonezawa K, Ito H, Gojo S, Akaishi M, Miyata M, Ohishi M,Waon Therapy for Managing Chronic Heart Failure - Results From a Multicenter Prospective Randomized WAON-CHF Study.Circ J.(2016)
  3. ^Miyata M, Kihara T, Kubozono T, Ikeda Y, Shinsato T, Izumi T, Matsuzaki M, Yamaguchi T, Kasanuki H, Daida H, Nagayama M, Nishigami K, Hirata K, Kihara K, Tei CBeneficial effects of Waon therapy on patients with chronic heart failure: results of a prospective multicenter study.J Cardiol.(2008-Oct)
  4. ^Kanji G, Weatherall M, Peter R, Purdie G, Page REfficacy of regular sauna bathing for chronic tension-type headache: a randomized controlled study.J Altern Complement Med.(2015-Feb)
  5. ^Hannuksela M, Väänänen AThe sauna, skin and skin diseases.Ann Clin Res.(1988)
  6. ^Patrick RP, Johnson TLSauna use as a lifestyle practice to extend healthspan.Exp Gerontol.(2021-Oct-15)
  7. ^Ylikahri R, Heikkonen E, Soukas AThe sauna and alcohol.Ann Clin Res.(1988)
  8. ^Hannuksela ML, Ellahham SBenefits and risks of sauna bathing.Am J Med.(2001-Feb-01)
  9. ^Joy N Hussain, Marc M Cohen, Nitin Mantri, Cindy J O'Malley, Ronda F GreavesInfrared sauna as exercise-mimetic? Physiological responses to infrared sauna vs exercise in healthy women: A randomized controlled crossover trialComplement Ther Med.(2022 Mar)
  10. ^Vatansever F, Hamblin MRFar infrared radiation (FIR): its biological effects and medical applications.Photonics Lasers Med.(2012-Nov-01)
  11. ^Nguyen Y, Naseer N, Frishman WHSauna as a therapeutic option for cardiovascular disease.Cardiol Rev.(2004)
  12. ^ Farrell & TurgeonNormal Versus Chronic Adaptations To Aerobic Exercise(2022)
  13. ^Ketelhut S, Ketelhut RGThe blood pressure and heart rate during sauna bath correspond to cardiac responses during submaximal dynamic exercise.Complement Ther Med.(2019-Jun)
  14. ^Lee E, Kolunsarka I, Kostensalo J, Ahtiainen JP, Haapala EA, Willeit P, Kunutsor SK, Laukkanen JAEffects of regular sauna bathing in conjunction with exercise on cardiovascular function: a multi-arm, randomized controlled trial.Am J Physiol Regul Integr Comp Physiol.(2022-Sep-01)
  15. ^Haseba S, Sakakima H, Kubozono T, Nakao S, Ikeda SCombined effects of repeated sauna therapy and exercise training on cardiac function and physical activity in patients with chronic heart failure.Disabil Rehabil.(2016)
  16. ^Laukkanen T, Khan H, Zaccardi F, Laukkanen JAAssociation between sauna bathing and fatal cardiovascular and all-cause mortality events.JAMA Intern Med.(2015-Apr)
  17. ^Laukkanen T, Kunutsor S, Kauhanen J, Laukkanen JASauna bathing is inversely associated with dementia and Alzheimer's disease in middle-aged Finnish men.Age Ageing.(2017-Mar-01)
  18. ^Singh R, Kølvraa S, Bross P, Christensen K, Bathum L, Gregersen N, Tan Q, Rattan SIAnti-inflammatory heat shock protein 70 genes are positively associated with human survival.Curr Pharm Des.(2010)
  19. ^Ihsan M, Deldicque L, Molphy J, Britto F, Cherif A, Racinais SSkeletal Muscle Signaling Following Whole-Body and Localized Heat Exposure in Humans.Front Physiol.(2020)
Examine Database References
  1. Brain Natriuretic Peptide - Tei C, Imamura T, Kinugawa K, Inoue T, Masuyama T, Inoue H, Noike H, Muramatsu T, Takeishi Y, Saku K, Harada K, Daida H, Kobayashi Y, Hagiwara N, Nagayama M, Momomura S, Yonezawa K, Ito H, Gojo S, Akaishi M, Miyata M, Ohishi M, Waon Therapy for Managing Chronic Heart Failure - Results From a Multicenter Prospective Randomized WAON-CHF Study.Circ J.(2016)
  2. Brain Natriuretic Peptide - Miyata M, Kihara T, Kubozono T, Ikeda Y, Shinsato T, Izumi T, Matsuzaki M, Yamaguchi T, Kasanuki H, Daida H, Nagayama M, Nishigami K, Hirata K, Kihara K, Tei CBeneficial effects of Waon therapy on patients with chronic heart failure: results of a prospective multicenter study.J Cardiol.(2008-Oct)
  3. Brain Natriuretic Peptide - Kuwahata S, Miyata M, Fujita S, Kubozono T, Shinsato T, Ikeda Y, Hamasaki S, Kuwaki T, Tei CImprovement of autonomic nervous activity by Waon therapy in patients with chronic heart failure.J Cardiol.(2011-Jan)
  4. Brain Natriuretic Peptide - Kihara T, Biro S, Ikeda Y, Fukudome T, Shinsato T, Masuda A, Miyata M, Hamasaki S, Otsuji Y, Minagoe S, Akiba S, Tei CEffects of repeated sauna treatment on ventricular arrhythmias in patients with chronic heart failure.Circ J.(2004-Dec)
  5. Brain Natriuretic Peptide - Ichiki T, Burnett JC, Scott CG, Heublein DM, Miyata M, Kinugawa K, Inoue T, Tei C, Neurohumoral Modulation During Waon Therapy in Chronic Heart Failure - Subanalysis of Waon-CHF Study.Circ J.(2017-Apr-25)
  6. Brain Natriuretic Peptide - Fujita S, Ikeda Y, Miyata M, Shinsato T, Kubozono T, Kuwahata S, Hamada N, Miyauchi T, Yamaguchi T, Torii H, Hamasaki S, Tei CEffect of Waon therapy on oxidative stress in chronic heart failure.Circ J.(2011)
  7. Heart Failure Severity - Basford JR, Oh JK, Allison TG, Sheffield CG, Manahan BG, Hodge DO, Tajik AJ, Rodeheffer RJ, Tei CSafety, acceptance, and physiologic effects of sauna bathing in people with chronic heart failure: a pilot report.Arch Phys Med Rehabil.(2009-Jan)
  8. Depression Symptoms - Masuda A, Nakazato M, Kihara T, Minagoe S, Tei CRepeated thermal therapy diminishes appetite loss and subjective complaints in mildly depressed patients.Psychosom Med.(2005)
  9. Swimming Performance Metrics - Skorski S, Schimpchen J, Pfeiffer M, Ferrauti A, Kellmann M, Meyer TEffects of Postexercise Sauna Bathing on Recovery of Swim Performance.Int J Sports Physiol Perform.(2019-Dec-22)
  10. Heart Rate - Dariusz Sitkowski, Tomasz Cisoń, Zbigniew Szygula, Olga Surała, Michał Starczewski, Dorota Sadowska, Jadwiga Malczewska-LenczowskaHematological Adaptations to Post-Exercise Sauna Bathing with No Fluid Intake: A Randomized Cross-Over StudyRes Q Exerc Sport.(2021 Nov 2)
  11. Oxygen Uptake - Lee E, Kolunsarka I, Kostensalo J, Ahtiainen JP, Haapala EA, Willeit P, Kunutsor SK, Laukkanen JAEffects of regular sauna bathing in conjunction with exercise on cardiovascular function: a multi-arm, randomized controlled trial.Am J Physiol Regul Integr Comp Physiol.(2022-Sep-01)
  12. Blood Pressure - Akinori Masuda, Masaaki Miyata, Takashi Kihara, Shinichi Minagoe, Chuwa TeiRepeated sauna therapy reduces urinary 8-epi-prostaglandin F(2alpha)Jpn Heart J.(2004 Mar)
  13. Wound Healing - Papp AA, Alhava EMSauna-bathing with sutures. A prospective and randomised study.Scand J Surg.(2003)
  14. Common Cold Symptoms - Pach D, Knöchel B, Lüdtke R, Wruck K, Willich SN, Witt CMVisiting a sauna: does inhaling hot dry air reduce common cold symptoms? A randomised controlled trial.Med J Aust.(2010)
  15. Blood glucose - Schenaarts L, Hendriks FK, Fuchs CJ, Sluijsmans WE, Snijders T, van Loon LJA Single Sauna Session Does Not Improve Postprandial Blood Glucose Handling in Individuals with Type 2 Diabetes Mellitus: A Cross-Over, Randomized, Controlled Trial.Exp Clin Endocrinol Diabetes.(2024 Sep 26)
  16. Heart Rate Variability - Kunbootsri N, Janyacharoen T, Arrayawichanon P, Chainansamit S, Kanpittaya J, Auvichayapat P, Sawanyawisuth KThe effect of six-weeks of sauna on treatment autonomic nervous system, peak nasal inspiratory flow and lung functions of allergic rhinitis Thai patients.Asian Pac J Allergy Immunol.(2013-Jun)
  17. Plasma Volume - Kissling LS, Akerman AP, Campbell HA, Prout JR, Gibbons TD, Thomas KN, Cotter JDA crossover control study of three methods of heat acclimation on the magnitude and kinetics of adaptation.Exp Physiol.(2022-Apr)
  18. Perceived Body Temperature - Campbell HA, Akerman AP, Kissling LS, Prout JR, Gibbons TD, Thomas KN, Cotter JDAcute physiological and psychophysical responses to different modes of heat stress.Exp Physiol.(2022-May)
  19. Blood Pressure - Bartolomé I, Siquier-Coll J, Pérez-Quintero M, Robles-Gil MC, Grijota FJ, Muñoz D, Maynar-Mariño M3-Week passive acclimation to extreme environmental heat (100± 3 °C) in dry sauna increases physical and physiological performance among young semi-professional football players.J Therm Biol.(2021-Aug)
  20. Exercise Tolerance - Kikuchi H, Shiozawa N, Takata S, Ashida K, Mitsunobu FEffect of repeated Waon therapy on exercise tolerance and pulmonary function in patients with chronic obstructive pulmonary disease: a pilot controlled clinical trial.Int J Chron Obstruct Pulmon Dis.(2014)
  21. Microbiome - Karolkiewicz J, Nieman DC, Cisoń T, Szurkowska J, Gałęcka M, Sitkowski D, Szygula ZNo effects of a 4-week post-exercise sauna bathing on targeted gut microbiota and intestinal barrier function, and hsCRP in healthy men: a pilot randomized controlled trial.BMC Sports Sci Med Rehabil.(2022-Jun-16)
  22. Depression Symptoms - Kanji G, Weatherall M, Peter R, Purdie G, Page REfficacy of regular sauna bathing for chronic tension-type headache: a randomized controlled study.J Altern Complement Med.(2015-Feb)