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Are saunas good for you?

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The bottom line

Saunas are known for promoting relaxation and may also have beneficial effects on immunity, inflammation, and cardiovascular health. While saunas are generally safe to use for most people, sauna exposure can result in dehydration, low blood pressure, and even sudden death in susceptible individuals.

Prevention Tips

  • Drink plenty of fluids before and after sauna use.

  • Avoid alcohol consumption around the time of sauna use.

  • If you experience dizziness, lightheadedness, nausea, or palpitations while using a sauna, leave the sauna immediately.

This Really Happened

A woman in her 80’s was found dead in a sauna. She was found naked and lying on her back on the top bench of the sauna, and no signs of foul play were noted by investigators. At autopsy, two transdermal fentanyl pain patches were found on the decedent’s back, and she was noted to have brain swelling and fluid within her lungs. Analysis of her postmortem blood revealed an abnormally high concentration of fentanyl in her bloodstream, and “fatal poisoning by fentanyl” was listed as her cause of death. The elevated temperature of the sauna was listed as a contributing cause of death. Investigators concluded that the sauna’s heat likely caused increased absorption of fentanyl from the transdermal patches into the decedent’s bloodstream, resulting in fentanyl toxicity and subsequent death.

How hot are saunas?

Sauna bathing involves exposure to high temperatures, often ranging from 113 degrees Fahrenheit (F) to 212 degrees F (45-100 degrees Celsius). There are different types of saunas, including wet, dry, and infrared varieties. Wet saunas (or steam saunas) are characterized by high levels of humidity, while dry saunas have a lower relative humidity of 10-20%. Traditional saunas use heaters or wood stoves to heat the ambient air, while infrared saunas use heating elements to produce infrared radiation. Since infrared radiation is able to penetrate skin more effectively than warmed air, infrared saunas typically achieve lower ambient temperatures than traditional saunas. Because of this, people who use infrared saunas experience sweating at lower temperatures than users of traditional saunas, and infrared saunas are often described as being more comfortable than traditional saunas.

What are the benefits of saunas?

Saunas are often used for relaxation and can also enhance sleep quality when used before going to bed. The heightened body temperature caused by sauna exposure results in a temporary reduction in blood pressure, a faster heart rate, and increased levels of cortisol, norepinephrine, and other biologically active chemicals that can affect our immunity, inflammation, and oxidative stress. Due to these changes, regular sauna use may be associated with improvements in heart and lung condition, hormonal function, and immune system activity, although additional research is needed to better define how sauna use affects our overall health.

What are the benefits of an infrared sauna?

Infrared saunas use infrared rays to heat exposed skin. Since infrared radiation can pass through skin more efficiently than warmed air, infrared saunas can maintain lower temperatures than traditional saunas. The relatively lower temperatures of infrared saunas make these devices more comfortable to use than traditional saunas.

Is a sauna good for a cold?

Some studies suggest that raising the temperature inside the mouth may be effective in treating cold symptoms, but neither sauna bathing nor steam inhalation have been proven to treat symptoms of common cold viruses. Additionally, current evidence suggests that the inhalation of hot air while in a sauna does not affect the severity of cold symptoms. At this time, there is no medical literature supporting the use of saunas to prevent or treat respiratory viral infections, including COVID-19.

Are saunas good for detoxification?

Toxic elements are found in blood, urine, and sweat. Since the heat exposure from saunas can increase sweating, some people believe that the excessive sweating caused by sauna use can enhance the removal of toxic heavy metals from the body. In one study, the excretion of cadmium, lead, and aluminum was greater in sweat than in urine. This suggests that sweating, including that caused by sauna use, might be an effective method of toxin elimination. Unfortunately, there is no proof that sweat-induced toxin elimination is associated with actual health benefits. In addition, the use of saunas as a detoxification method has not been investigated extensively, and some studies have found that excretion of heavy metals through sweat is actually greater during exercise than during sauna exposure. For now, there is no conclusive evidence that sauna use is an effective detoxification method.

Do saunas help you lose weight?

Sauna use causes sweating, which peaks after approximately fifteen minutes of sauna exposure and results in an average of one pound of fluid loss. While this may cause temporary weight loss, it can also result in dehydration and loss of essential nutrients like magnesium, sodium, and iron. To avoid dehydration associated with sauna exposure, individuals should consume fluids during and after sauna use.

Who should not use a sauna?

Alcohol consumption around the time of sauna use may increase the risk of sudden death. Because of this, sauna use should be avoided during periods of alcohol consumption. Individuals with low blood pressure should use caution when using a sauna, as a temporary decrease in blood pressure can occur after sauna use. People who use transdermal medication patches, such as nicotine and nitroglycerin patches, should avoid the use of saunas while on these medications. The heat generated by sauna exposure causes an increase in blood flow to the skin surface, which can enhance the body’s absorption of the medication contained within these patches. Stimulants, including cocaine and amphetamines, can alter the body’s response to heat exposure. The combination of sauna exposure and stimulant use may result in life-threatening hyperthermia and death. Children and pregnant women are generally advised to avoid sauna use, as the heat exposure from saunas may be harmful to the fetus and can also cause low blood pressure, fainting, and cardiac arrest in children.  

What should I do if I have questions about using a sauna for detoxification?

For questions about poisoning from heavy metals and other toxins, use the webPOISONCONTROL® online tool to get help, or call your poison center at 1-800-222-1222. Whether online or by phone, expert guidance is always free, confidential, and available 24 hours a day.

References

Beever R. Far-infrared saunas for treatment of cardiovascular risk factors: summary of published evidence. Can Fam Physician. 2009 Jul;55(7):691-6.

Buguet A. Sleep under extreme environments: effects of heat and cold exposure, altitude, hyperbaric pressure and microgravity in space. J Neurol Sci. 2007 Nov 15;262(1-2):145-52.

Cho KH, Jung SH, Choi MS, Jung YJ, Lee CG, Choi NC. Effect of water filtration infrared-A (wIRA) sauna on inorganic ions excreted through sweat from the human body. Environ Sci Pollut Res Int. 2022 Oct 8:1–8.

Cohen M. Turning up the heat on COVID-19: heat as a therapeutic intervention. F1000Res. 2020 Apr 24;9:292.

Genuis SJ, Birkholz D, Rodushkin I, Beesoon S. Blood, urine, and sweat (BUS) study: monitoring and elimination of bioaccumulated toxic elements. Arch Environ Contam Toxicol. 2011 Aug;61(2):344-57. 

Hannuksela ML, Ellahham S. Benefits and risks of sauna bathing. Am J Med. 2001 Feb 1;110(2):118-26.

Kriikku P, Ojanperä I, Lunetta P. Death in Sauna Associated With a Transdermal Fentanyl Patch. Am J Forensic Med Pathol. 2020 Dec;41(4):313-314.

Kuan WH, Chen YL, Liu CL. Excretion of Ni, Pb, Cu, As, and Hg in Sweat under Two Sweating Conditions. Int J Environ Res Public Health. 2022 Apr 4;19(7):4323.

Laukkanen JA, Laukkanen T, Kunutsor SK. Cardiovascular and Other Health Benefits of Sauna Bathing: A Review of the Evidence. Mayo Clin Proc. 2018 Aug;93(8):1111-1121.

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.

Lunetta P, Kriikku P, Tikka J, Ojanperä I. Fatal α-PVP and amphetamine poisoning during a sauna and autoerotic practices. Forensic Sci Med Pathol. 2020 Sep;16(3):493-497.

Pach D, Knöchel B, Lüdtke R, Wruck K, Willich SN, Witt CM. Visiting a sauna: does inhaling hot dry air reduce common cold symptoms? A randomised controlled trial. Med J Aust. 2010 Dec 6-20;193(11-12):730-4.

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.

Podstawski R, Boraczyński T, Boraczyński M, Choszcz D, Mańkowski S, Markowski P. Sauna-induced body mass loss in young sedentary women and men. ScientificWorldJournal. 2014;2014:307421.

Singh M, Singh M, Jaiswal N, Chauhan A. Heated, humidified air for the common cold. Cochrane Database Syst Rev. 2017 Aug 29;8(8):CD001728. 

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