Lee · American journal of physiology. Regulatory, integrative and comparative physiology 2022 · multi-arm randomized controlled trial · n=47

Effects of regular sauna bathing in conjunction with exercise on cardiovascular function: a multi-arm, randomized controlled trial.

Cited 48 times in the scientific literature.

Level 2 - randomized trial

Individual multi-arm randomized controlled trial

PubMed 35785965 · doi:10.1152/ajpregu.00076.2022 · record verified 2026-08-29

What was done

Forty-seven adults aged 49 ± 9 years with low physical activity and at least one cardiovascular disease risk factor were randomized (1:1:1) to an 8-week intervention of: guideline-based regular exercise plus 15-minute post-exercise sauna (EXS), guideline-based regular exercise alone (EXE), or control (CON). Primary outcomes were blood pressure and cardiorespiratory fitness (CRF). Secondary outcomes were fat mass, total cholesterol, and arterial stiffness.

What was found

Compared with CON, EXE increased CRF (+6.2 mL/kg/min; 95% CI, +4.2 to +8.3 mL/kg/min) and fat mass (direction noted without values) but showed no blood pressure differences. Compared with EXE, EXS demonstrated a greater increase in CRF (+2.7 mL/kg/min; 95% CI, +0.2 to +5.3 mL/kg/min), a larger reduction in systolic blood pressure (-8.0 mmHg; 95% CI, -14.6 to -1.4 mmHg), and lower total cholesterol. Numeric values were not reported in the abstract for fat mass, cholesterol, or arterial stiffness.

Why it matters

Post-exercise sauna bathing may be an effective adjunct to exercise training for enhancing cardiorespiratory fitness and lowering systolic blood pressure in sedentary adults with cardiovascular risk factors.

Limits

The sample size was small (n = 47 across three arms), the intervention lasted only 8 weeks, and clinical cardiovascular event outcomes were not evaluated. Numeric data for several secondary outcomes were omitted from the abstract.

Cited by