The Kuopio study
The Kuopio Ischaemic Heart Disease study followed 2,315 men aged 42 to 60 from eastern Finland, recruited between 1984 and 1989, for a median of 20.7 years. The men were grouped by how often they used a (traditional, hot-air) sauna: once a week (601 men), two or three times (1,513) or four to seven times a week (201).
| Outcome, 4–7 sessions a week vs once a week | Result | Source |
|---|---|---|
| Sudden cardiac death | hazard ratio 0.37 (95% CI 0.18–0.75) | Laukkanen et al., JAMA Internal Medicine 2015 |
| Fatal coronary heart disease | 48% lower risk (2–3 sessions: 23% lower) | Laukkanen et al., 2015 |
| Death from any cause during follow-up (crude) | 30.8% vs 49.1% (2–3 sessions: 37.8%) | Laukkanen et al., 2015 |
| Dementia | hazard ratio 0.34 (95% CI 0.16–0.71) | Laukkanen et al., Age and Ageing 2017 |
| Alzheimer's disease | hazard ratio 0.35 (95% CI 0.14–0.90) | Laukkanen et al., 2017 |
The researchers adjusted for smoking, weight, physical activity, blood pressure, cholesterol and income.
What these studies can't tell us
- Association, not proof. Men who use a sauna daily may differ in ways no adjustment captures (health, wealth, free time). Only trials can show cause and effect, and long-term trials of sauna use don't exist.
- Men in one region. The cohort was middle-aged Finnish men; the results may not apply to women, other ages or other countries.
- Traditional sauna only. The study is about Finnish hot-air saunas (typically around 80 °C), not infrared cabins.
Getting the basics right
Typical Finnish practice is rounds of 5–20 minutes in the heat with cooling breaks in between. Drink water, skip alcohol, get out when you feel unwell, and read the sauna safety guide. People with heart conditions, low or high blood pressure, pregnancy or who take medication should ask their doctor before starting.
Sources
- Laukkanen T, Khan H, Zaccardi F, Laukkanen JA. Association between sauna bathing and fatal cardiovascular and all-cause mortality events. JAMA Intern Med. 2015;175(4):542–548. doi:10.1001/jamainternmed.2014.8187
- 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;46(2):245–249. doi:10.1093/ageing/afw212