Does sauna bathing prevent chronic obstructive pulmonary disease or Alzheimer's disease? May adults with cardiovascular disease use a sauna? A systematic review
DOI:
https://doi.org/10.12775/JEHS.2024.70.49802Keywords
sauna, Alzheimer's disease, Dementia, chronic obstructive pulmonary disease (COPD), Cardiovascular DiseasesAbstract
Recently, there has been a surge of interest in sauna bathing and its role in health aspects. However, there are few studies focusing on the association between regular sauntering and the risk of dementia and chronic obstructive pulmonary disease (COPD). Considerably better understood are the effects on the cardiovascular system. This study delves into contemporary scientific research on Finnish saunas, exploring their potential correlation with Alzheimer's disease prevention, their impact on vascular health in adults with cardiovascular disorders, and their association with reducing the risk of chronic obstructive pulmonary disease. Scientific studies published in PubMed, Scopus and Google Scholar databases were analyzed, including terms related to Finnish sauna, dementia, COPD and cardiovascular disease. The methodological quality and results of each study were evaluated. Sauna bathing in addition to being a relaxing lifestyle habit, remains a potential additional strategy which can be used in improving cardiovascular function in adults with well-controlled cardiovascular disorders. A limited amount of research has been identified on the correlation between sauna bathing and reduced risk of Alzheimer's disease and COPD. The accumulating evidence suggests that frequent sauna bathing may reduce the risk or severity of several vascular and nonvascular conditions including COPD and also moderate to high frequency of sauna bathing was associated with lowered risks of dementia and Alzheimer’s disease. Further research is required, especially large-scale cohort studies with repeated measurement on sauna to establish the potential mechanisms linking sauna bathing and either memory diseases or COPD and better understand the relationship between sauntering and cardiovascular health. Upcoming studies may become very promising for the development of sauna bathing as a new non-pharmacological treatment or prevention of various diseases and improvement in the quality of life.
References
Tsonis J. Sauna Studies as an Academic Field: A New Agenda for International Research. Literature & Aesthetics 2016; 26(2): in press. Print.
Bintener C, Miller O, Georges J. Dementia in Europe Yearbook 2019: Estimating the Prevalence of Dementia in Europe. Alzheimer Europe, 2019.
Scheltens P, De Strooper B, Kivipelto M, et al. Alzheimer’s disease. The Lancet 2021; 397: 1577–1590. doi:10.1016/S0140-6736(20)32205-4.
Villemagne V L, Burnham S, Bourgeat P, et al. Amyloid β Deposition, Neurodegeneration, and Cognitive Decline in Sporadic Alzheimer’s Disease: A Prospective Cohort Study. The Lancet Neurology 2013; 12(4): 357–67. doi:10.1016/S1474-4422(13)70044-9.
No authors listed. 2023 Alzheimer's disease facts and figures. Alzheimer's and Dementia 2023; 19(4); 1598-1695. DOI: 10.1002/alz.13016
Twohig D, Nielsen HM. α-Synuclein in the Pathophysiology of Alzheimer’s Disease. Mol Neurodegener. BioMed Central Ltd. 2019; 14(1): 23. doi:10.1186/s13024-019-0320-x.
Motzko-Soares ACP, Vizin RCL, Martins TMS, et al. Thermoregulatory profile of neurodegeneration-induced dementia of the Alzheimer's type using intracerebroventricular streptozotocin in rats. Acta Physiol (Oxf). 2018; 224(2): e13084. doi: 10.1111/apha.13084.
Volloch V, Olsen B, Rits S. Alzheimer's Disease is Driven by Intraneuronally Retained Beta-Amyloid Produced in the AD-Specific, βAPP-Independent Pathway: Current Perspective and Experimental Models for Tomorrow. Ann Integr Mol Med. 2020; 2(1): 90-114. doi: 10.33597/aimm.02-1007.
Cacace R, Sleegers K, Van Broeckhoven C. Molecular genetics of early-onset Alzheimer's disease revisited. Alzheimers Dement. 2016; 12(6): 733-48. doi: 10.1016/j.jalz.2016.01.012.
Raulin AC, Doss SV, Trottier ZA, et al. ApoE in Alzheimer's disease: pathophysiology and therapeutic strategies. Mol Neurodegener. 2022; 17(1): 72. doi: 10.1186/s13024-022-00574-4.
Li Z, Shue F, Zhao N, et al. APOE2: protective mechanism and therapeutic implications for Alzheimer's disease. Mol Neurodegener. 2020; 15(1): 63. doi: 10.1186/s13024-020-00413-4.
Szekely CA, Town T, Zandi PP. NSAIDs for the chemoprevention of Alzheimer's disease. Subcell Biochem. 2007; 42: 229-48. doi: 10.1007/1-4020-5688-5_11.
Silva MVF, Loures CMG, Alves LCV, et al. Alzheimer's disease: risk factors and potentially protective measures. J Biomed Sci. 2019 May 9;26(1):33. doi: 10.1186/s12929-019-0524-y.
Laukkanen T, Kunutsor S, Kauhanen J, et al. Sauna bathing is inversely associated with dementia and Alzheimer's disease in middle-aged Finnish men. Age Ageing. 2017; 46(2): 245-249. doi: 10.1093/ageing/afw212.
Knekt P, Järvinen R, Rissanen H, et al. Does sauna bathing protect against dementia? Prev Med Rep. 2020; 20: 101221. doi: 10.1016/j.pmedr.2020.101221.
Guisle I, Canet G, Pétry S, et al. Sauna-like conditions or menthol treatment reduce tau phosphorylation through mild hyperthermia. Neurobiol Aging. 2022; 113: 118-130. doi: 10.1016/j.neurobiolaging.2022.02.011.
Von Schulze AT, Deng F, Morris JK, et al. Heat therapy: possible benefits for cognitive function and the aging brain. J Appl Physiol (1985). 2020; 129(6): 1468-1476. doi: 10.1152/japplphysiol.00168.2020.
Cortes-Canteli M, Iadecola C. Alzheimer's Disease and Vascular Aging: JACC Focus Seminar. J Am Coll Cardiol. 2020; 75(8): 942-951. doi: 10.1016/j.jacc.2019.10.062.
Malone JE, Elkasaby MI, Lerner AJ. Effects of Hypertension on Alzheimer's Disease and Related Disorders. Curr Hypertens Rep. 2022; 24(12): 615-625. doi: 10.1007/s11906-022-01221-5.
Laukkanen T, Kunutsor SK, Khan H et al. Sauna bathing is associated with reduced cardiovascular mortality and improves risk prediction in men and women: a prospective cohort study. BMC Med 2018; 16(1). doi: 10.1186/s12916-018-1198-0.
Brunt VE, Howard MJ, Francisco MA, et al. Passive heat therapy improves endothelial function, arterial stiffness and blood pressure in sedentary humans. J Physiol. 2016; 594(18): 5329-42. doi: 10.1113/JP272453.
Kunutsor SK, Laukkanen JA. Does the Combination of Finnish Sauna Bathing and Other Lifestyle Factors Confer Additional Health Benefits? A Review of the Evidence. Mayo Clin Proc. 2023; 98(6): 915-926. doi: 10.1016/j.mayocp.2023.01.008.
Twarowski B, Herbet M. Inflammatory Processes in Alzheimer's Disease-Pathomechanism, Diagnosis and Treatment: A Review. Int J Mol Sci. 2023; 24(7): 6518. doi: 10.3390/ijms24076518.
Laukkanen JA, Laukkanen T. Sauna bathing and systemic inflammation. Eur J Epidemiol. 2018; 33(3): 351-353. doi: 10.1007/s10654-017-0335-y.
Kunutsor SK, Jae SY, Kurl S, et al. Inflammation, sauna bathing, and all-cause mortality in middle-aged and older Finnish men: a cohort study. Eur J Epidemiol. 2022; 37(12): 1225-1231. doi: 10.1007/s10654-022-00926-w.
Kuo CY, Stachiv I, Nikolai T. Association of Late Life Depression, (Non-) Modifiable Risk and Protective Factors with Dementia and Alzheimer's Disease: Literature Review on Current Evidences, Preventive Interventions and Possible Future Trends in Prevention and Treatment of Dementia. Int J Environ Res Public Health. 2020; 17(20): 7475. doi: 10.3390/ijerph17207475.
Hussain JN, Greaves RF, Cohen MM. A hot topic for health: Results of the Global Sauna Survey. Complement Ther Med. 2019; 44: 223-234. doi: 10.1016/j.ctim.2019.03.012.
Celli BR, MacNee W; ATS/ERS Task Force. Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. Eur Respir J. 2004; 23(6): 932-46. doi: 10.1183/09031936.04.00014304.
Mannino DM, Buist AS. Global burden of COPD: risk factors, prevalence, and future trends. Lancet. 2007; 370(9589): 765-73. doi: 10.1016/S0140-6736(07)61380-4.
Huertas A, Palange P. COPD: a multifactorial systemic disease. Ther Adv Respir Dis. 2011; 5(3): 217-24. doi: 10.1177/1753465811400490.
Kunutsor SK, Laukkanen JA. Frequent sauna bathing may reduce chronic obstructive pulmonary disease risk: A prospective study. Eur J Clin Invest. 2023; 53(5): e13940. doi: 10.1111/eci.13940.
Kanervisto M, Vasankari T, Laitinen T, et al. Low socioeconomic status is associated with chronic obstructive airway diseases. Respir Med. 2011; 105(8): 1140-6. doi: 10.1016/j.rmed.2011.03.008.
Yang IA, Jenkins CR, Salvi SS. Chronic obstructive pulmonary disease in never-smokers: risk factors, pathogenesis, and implications for prevention and treatment. Lancet Respir Med. 2022; 10(5): 497-511. doi: 10.1016/S2213-2600(21)00506-3.
Kunutsor SK, Jae SY, Laukkanen JA. The Interplay Between Socioeconomic Status, Sauna Bathing, and Chronic Obstructive Pulmonary Disease; A Longitudinal Study. J Cardiopulm Rehabil Prev. 2023; 43(2): 148-150. doi: 10.1097/HCR.0000000000000759.
Keast ML, Adamo KB. The Finnish sauna bath and its use in patients with cardiovascular disease. J Cardiopulm Rehabil. 2000; 20(4): 225-30. doi: 10.1097/00008483-200007000-00002.
Luurila OJ. The sauna and the heart. J Intern Med. 1992; 231(4): 319-20. doi: 10.1111/j.1365-2796.1992.tb00938.x.
Eisalo A, Luurila OJ. The Finnish sauna and cardiovascular diseases. Ann Clin Res. 1988; 20(4): 267-70. PMID: 3218899.
Tei C, Horikiri Y, Park JC, et al. Acute hemodynamic improvement by thermal vasodilation in congestive heart failure. Circulation. 1995; 91(10): 2582-90. doi: 10.1161/01.cir.91.10.2582.
Kihara T, Miyata M, Fukudome T, et al. Waon therapy improves the prognosis of patients with chronic heart failure. J Cardiol. 2009; 53(2): 214-8. doi: 10.1016/j.jjcc.2008.11.005.
Miyata M, Tei C. Waon therapy for cardiovascular disease: innovative therapy for the 21st century. Circ J. 2010; 74(4): 617-21. doi: 10.1253/circj.cj-09-0939.
Tei C. Waon therapy: soothing warmth therapy. J Cardiol. 2007; 49(6): 301-4. PMID: 17633566.
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