Sauna bathing and their properties – empirical research and awareness of people based on anonymous surveys
DOI:
https://doi.org/10.12775/JEHS.2023.46.01.006Keywords
sauna, cardiovascular diseases, health, Waon therapyAbstract
Introduction: Bathing at high temperatures has been a practice used for thousands of years in many cultures. High or low temperatures are considered a stress factor for the human body and are often a challenge to maintain homeostasis. Heat stress can be beneficial to human health, independent of other lifestyle factors.
The aim of the study: The aim of the study was to assess the level of knowledge among people about sauna bathing, the benefits of its use and diseases that are contraindications to such bathing, as well as empirical research on sauna bathing habits based on anonymous surveys.
Materials and methods: The research material was collected using an anonymous survey in May 2023. The obtained results were analyzed and verified on the basis of scientific literature and statistically processed using Microsoft Office Excel.
Results: 87.5% of the respondents use the sauna, the majority - several times a year, and 15% - several times a week. For 77.1% of respondents using the sauna, it is a form of entertainment, but 15.2% treat it as a form of health prevention. Many respondents wrongly indicate contraindications to bathing in the sauna, and 73.3% of people do not know any effects of the sauna.
Discussion and conclusions: Many respondents use the sauna, but most of them use it as a form of entertainment. Few people know the full effect of the sauna on the body and its multidirectionality. More than half of the respondents cannot name the contraindications to bathing in the sauna. As far as possible, the doctor should indicate people with, among others, increased cardiovascular risk, this form of prophylaxis.
References
Laukkanen T, Laukkanen JA, Kunutsor SK. Sauna Bathing and Risk of Psychotic Disorders: A Prospective Cohort Study. Med Princ Pract. 2018;27(6):562-569. doi: 10.1159/000493392. Epub 2018 Sep 2. PMID: 30173212; PMCID: PMC6422146.
Laukkanen T, Khan H, Zaccardi F, Laukkanen JA. Association between sauna bathing and fatal cardiovascular and all-cause mortality events. JAMA Intern Med. 2015 Apr;175(4):542-8. doi: 10.1001/jamainternmed.2014.8187. PMID: 25705824.
Laukkanen T, Kunutsor S, Kauhanen J, Laukkanen JA. Sauna bathing is inversely associated with dementia and Alzheimer's disease in middle-aged Finnish men. Age Ageing. 2017 Mar 1;46(2):245-249. doi: 10.1093/ageing/afw212. PMID: 27932366.
Olsson B. Bastubad kan vara bra vid ett antal sjukdomar – men fler studier krävs - Det vetenskapliga underlaget ännu inte tillräckligt för allmänna rekommendationer [Medical aspects on sauna bathing]. Lakartidningen. 2018 Dec 18;115:FDL7. Swedish. PMID: 30561752.
Miyata M, Tei C. Waon therapy for cardiovascular disease: innovative therapy for the 21st century. Circ J. 2010 Apr;74(4):617-21. doi: 10.1253/circj.cj-09-0939. Epub 2010 Feb 13. PMID: 20154403.
Kaiser P, Seeher U, Krasniqi A, Keiler A, Crazzolara R, Meryk A. Injuries related to sauna bathing. Injury. 2023 Jul;54(7):110825. doi: 10.1016/j.injury.2023.05.056. Epub 2023 May 19. PMID: 37211472.
Hussain J, Cohen M. Clinical Effects of Regular Dry Sauna Bathing: A Systematic Review. Evid Based Complement Alternat Med. 2018 Apr 24;2018:1857413. doi: 10.1155/2018/1857413. PMID: 29849692; PMCID: PMC5941775.
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-CHF Study Investigators. Waon Therapy for Managing Chronic Heart Failure - Results From a Multicenter Prospective Randomized WAON-CHF Study. Circ J. 2016;80(4):827-34. doi: 10.1253/circj.CJ-16-0051. Epub 2016 Mar 18. PMID: 27001189.
Laukkanen JA, Laukkanen T. Sauna bathing and systemic inflammation. Eur J Epidemiol. 2018 Mar;33(3):351-353. doi: 10.1007/s10654-017-0335-y. Epub 2017 Dec 5. PMID: 29209938.
Kikuchi H, Shiozawa N, Takata S, Ashida K, Mitsunobu F. Effect 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;9:9-15. doi: 10.2147/COPD.S50860. Epub 2013 Dec 12. PMID: 24363555; PMCID: PMC3865971.
Kunutsor SK, Laukkanen T, Laukkanen JA. Sauna bathing reduces the risk of respiratory diseases: a long-term prospective cohort study. Eur J Epidemiol. 2017 Dec;32(12):1107-1111. doi: 10.1007/s10654-017-0311-6. Epub 2017 Sep 13. PMID: 28905164.
Kunutsor SK, Laukkanen T, Laukkanen JA. Frequent sauna bathing may reduce the risk of pneumonia in middle-aged Caucasian men: The KIHD prospective cohort study. Respir Med. 2017 Nov;132:161-163. doi: 10.1016/j.rmed.2017.10.018. Epub 2017 Oct 23. PMID: 29229091.
Patrick RP, Johnson TL. Sauna use as a lifestyle practice to extend healthspan. Exp Gerontol. 2021 Oct 15;154:111509. doi: 10.1016/j.exger.2021.111509. Epub 2021 Aug 5. PMID: 34363927.
Kunutsor SK, Khan H, Zaccardi F, Laukkanen T, Willeit P, Laukkanen JA. Sauna bathing reduces the risk of stroke in Finnish men and women: A prospective cohort study. Neurology. 2018 May 29;90(22):e1937-e1944. doi: 10.1212/WNL.0000000000005606. Epub 2018 May 2. PMID: 29720543.
Luurila OJ. Cardiac arrhythmias, sudden death and the Finnish sauna bath. Adv Cardiol. 1978;25:73-81. doi: 10.1159/000402007. PMID: 707206.
Keast ML, Adamo KB. The Finnish sauna bath and its use in patients with cardiovascular disease. J Cardiopulm Rehabil. 2000 Jul-Aug;20(4):225-30. doi: 10.1097/00008483-200007000-00002. PMID: 10955262.
Kivimäki M, Virtanen M, Ferrie JE. The Link Between Sauna Bathing and Mortality May Be Noncausal. JAMA Intern Med. 2015 Oct;175(10):1718. doi: 10.1001/jamainternmed.2015.3426. PMID: 26436738.
Ohori T, Nozawa T, Ihori H, Shida T, Sobajima M, Matsuki A, Yasumura S, Inoue H. Effect of repeated sauna treatment on exercise tolerance and endothelial function in patients with chronic heart failure. Am J Cardiol. 2012 Jan 1;109(1):100-4. doi: 10.1016/j.amjcard.2011.08.014. Epub 2011 Sep 23. PMID: 21944673.
Fujita S, Ikeda Y, Miyata M, Shinsato T, Kubozono T, Kuwahata S, Hamada N, Miyauchi T, Yamaguchi T, Torii H, Hamasaki S, Tei C. Effect of Waon therapy on oxidative stress in chronic heart failure. Circ J. 2011;75(2):348-56. doi: 10.1253/circj.cj-10-0630. Epub 2010 Dec 14. PMID: 21173495.
Sugahara Y, Ishii M, Muta H, Egami K, Akagi T, Matsuishi T. Efficacy and safety of thermal vasodilation therapy by sauna in infants with severe congestive heart failure secondary to ventricular septal defect. Am J Cardiol. 2003 Jul 1;92(1):109-13. doi: 10.1016/s0002-9149(03)00483-1. PMID: 12842264.
Gryka D, Pilch W, Szarek M, Szygula Z, Tota Ł. The effect of sauna bathing on lipid profile in young, physically active, male subjects. Int J Occup Med Environ Health. 2014 Aug;27(4):608-18. doi: 10.2478/s13382-014-0281-9. Epub 2014 Jul 7. PMID: 25001587.
Pilch W., Szyguta Z., Torii M. Effect of the sauna-induced thermal stimuli of various intensity on the thermal and hormonal metabolism in women. Biology of Sport. 2007;24(4):357–373.
Imamura M, Biro S, Kihara T, Yoshifuku S, Takasaki K, Otsuji Y, Minagoe S, Toyama Y, Tei C. Repeated thermal therapy improves impaired vascular endothelial function in patients with coronary risk factors. J Am Coll Cardiol. 2001 Oct;38(4):1083-8. doi: 10.1016/s0735-1097(01)01467-x. PMID: 11583886.
Masuda A, Nakazato M, Kihara T, Minagoe S, Tei C. Repeated thermal therapy diminishes appetite loss and subjective complaints in mildly depressed patients. Psychosom Med. 2005 Jul-Aug;67(4):643-7. doi: 10.1097/01.psy.0000171812.67767.8f. PMID: 16046381.
Masuda A, Miyata M, Kihara T, Minagoe S, Tei C. Repeated sauna therapy reduces urinary 8-epi-prostaglandin F(2alpha). Jpn Heart J. 2004 Mar;45(2):297-303. doi: 10.1536/jhj.45.297. PMID: 15090706.
Zinchuk V., Zhadzko D. Sauna effect on blood oxygen transport and prooxidant-antioxidant balance in athletes. Medicina Sportiva: Journal of Romanian Sports Medicine Society. 2012;8(3):p. 1883.
Garolla A, Torino M, Sartini B, Cosci I, Patassini C, Carraro U, Foresta C. Seminal and molecular evidence that sauna exposure affects human spermatogenesis. Hum Reprod. 2013 Apr;28(4):877-85. doi: 10.1093/humrep/det020. Epub 2013 Feb 14. PMID: 23411620.
Milunsky A, Ulcickas M, Rothman KJ, Willett W, Jick SS, Jick H. Maternal heat exposure and neural tube defects. JAMA. 1992 Aug 19;268(7):882-5. PMID: 1640616.
Kukkonen-Harjula K, Kauppinen K. Health effects and risks of sauna bathing. Int J Circumpolar Health. 2006 Jun;65(3):195-205. doi: 10.3402/ijch.v65i3.18102. PMID: 16871826.
Mínguez-Alarcón L, Gaskins AJ, Chiu YH, Messerlian C, Williams PL, Ford JB, Souter I, Hauser R, Chavarro JE. Type of underwear worn and markers of testicular function among men attending a fertility center. Hum Reprod. 2018 Sep 1;33(9):1749-1756. doi: 10.1093/humrep/dey259. PMID: 30102388; PMCID: PMC6530653.
Janssen CW, Lowry CA, Mehl MR, Allen JJ, Kelly KL, Gartner DE, Medrano A, Begay TK, Rentscher K, White JJ, Fridman A, Roberts LJ, Robbins ML, Hanusch KU, Cole SP, Raison CL. Whole-Body Hyperthermia for the Treatment of Major Depressive Disorder: A Randomized Clinical Trial. JAMA Psychiatry. 2016 Aug 1;73(8):789-95. doi: 10.1001/jamapsychiatry.2016.1031. Erratum in: JAMA Psychiatry. 2016 Aug 1;73(8):878. PMID: 27172277.
Zaccardi F, Laukkanen T, Willeit P, Kunutsor SK, Kauhanen J, Laukkanen JA. Sauna Bathing and Incident Hypertension: A Prospective Cohort Study. Am J Hypertens. 2017 Nov 1;30(11):1120-1125. doi: 10.1093/ajh/hpx102. PMID: 28633297.
Laukkanen T, Kunutsor SK, Khan H, Willeit P, Zaccardi F, Laukkanen JA. Sauna bathing is associated with reduced cardiovascular mortality and improves risk prediction in men and women: a prospective cohort study. BMC Med. 2018 Nov 29;16(1):219. doi: 10.1186/s12916-018-1198-0. PMID: 30486813; PMCID: PMC6262976.
Henderson KN, Killen LG, O'Neal EK, Waldman HS. The Cardiometabolic Health Benefits of Sauna Exposure in Individuals with High-Stress Occupations. A Mechanistic Review. Int J Environ Res Public Health. 2021 Jan 27;18(3):1105. doi: 10.3390/ijerph18031105. PMID: 33513711; PMCID: PMC7908414.
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