[HN Gopher] Sauna use as a lifestyle practice to extend healthspan
       ___________________________________________________________________
        
       Sauna use as a lifestyle practice to extend healthspan
        
       Author : CharlesW
       Score  : 224 points
       Date   : 2022-10-02 15:28 UTC (7 hours ago)
        
 (HTM) web link (www.sciencedirect.com)
 (TXT) w3m dump (www.sciencedirect.com)
        
       | jcalabro wrote:
       | The author of this paper has an excellent podcast about all-
       | around fitness, including but not limited to sauna use. Lots of
       | talk about sleep, nutrition, lifestyle, etc.
       | 
       | https://open.spotify.com/show/5QjpaU0o1Q2MkVZwwG3y7d?si=2845...
        
       | m463 wrote:
       | This was an interesting study:
       | 
       | https://jamanetwork.com/journals/jamainternalmedicine/fullar...
       | 
       | I've always wondered if you can get the same benefits from hot
       | tubs, and maybe even hot showers.
       | 
       | Additionally, things happen in cold too - wonder if cold showers
       | can release these, and at what temperatures /durations. (people
       | have easy access to cold showers)
        
         | lock-the-spock wrote:
         | Visiting Serbia, the hotel's sauna was broken, but they did
         | have a working 'frigudarium', essentially a sit-in freezer. I
         | did not last long though.
        
         | hutzlibu wrote:
         | "Additionally, there are cold shock proteins - wonder if cold
         | showers can release these, and at what temperatures
         | /durations."
         | 
         | I am not sure about these, but if I do a very hot shower
         | followed by very cold long enough I do get roughly the same
         | sauna effect. Skin is tingling and on fire. Even more so, when
         | ice bathing.
         | 
         | Hot tubs are only relaxing for me. I would not want to combine
         | them with cold water and I doubt the effect would be positive.
        
       | celestialcheese wrote:
       | This guy has great notes on building a sauna [1], if you decide
       | to go the route of build vs. buy. Very opinionated, and has very
       | low opinions of american prebuilt sauna kits.
       | 
       | 1 - http://localmile.org/trumpkins-notes-on-building-a-sauna/
        
       | picsao wrote:
        
       | damontal wrote:
       | The problem with the sauna is that I have to sit with other men
       | in various states of nakedness who are coughing, sneezing,
       | listening to music on their phone speaker, or trying to talk to
       | me.
        
         | crazygringo wrote:
         | Oh, and applying various strongly scented lotions and oils that
         | somehow become 100x stronger smelling in the closed hot sauna.
         | You can't even breathe, but they're not going to listen to
         | anyone telling them not to because they've been doing it for 30
         | years there, and who do you think you are, you newcomer?
        
         | [deleted]
        
           | [deleted]
        
         | criddell wrote:
         | Is installing a sauna in your home an option?
        
         | warent wrote:
         | This has never been my experience with saunas. It's always like
         | 2 other guys who just sit there staring at the floor
        
         | lock-the-spock wrote:
         | Any decent shared sauna I've ever been to (many!) will oblige
         | you to shower before and any devices are prohibited.. sorry to
         | hear about your experience but don't give up on the general
         | idea!
        
         | [deleted]
        
         | [deleted]
        
         | tsol wrote:
         | There's a place near my house where they let you rent an ir
         | sauna room for 40 minutes at a time. It includes a TV so you
         | can watch something or listen to music if you like. It's very
         | nice. I wouldn't be surprised if there's something like this
         | near you.
        
       | ffritz wrote:
       | I have been going to the sauna of the nearby gym everyday for
       | about 2 years now, rarely skipping it.
       | 
       | It is honestly hard to express how much I love the effects of it
       | and how much I attribute to it. I can not live without it
       | anymore.
       | 
       | If I wake up after a bad nights sleep and feel extremely groggy,
       | sauna fixes it.
       | 
       | If I am overworked to the point where my head is pulsating, sauna
       | fixes it, and I get another 2 hours of extremely focussed work
       | done afterwards.
       | 
       | Bad mood, a cold, sore muscles, even certain types of headache, a
       | sauna can fix.
       | 
       | I should mention that a sauna for me includes a cold shower
       | immediately after leaving it, as cold as the shower will go. This
       | is the key, the shock will make all the difference. Then you lay
       | down, at least 10 minutes.
       | 
       | I do 2 rounds most days, it's about 80C, I manage between 12-15
       | minutes in the first sitting, then 8-10 in the second.
       | 
       | I can not recommend it enough, it has changed my life.
        
         | mmsnberbar66 wrote:
         | how much do you pay?
        
           | cma wrote:
           | A trashbag sauna is a few cents but it is possible the effect
           | is placebo from going to a fancy place or sunk cost of owning
           | a fancy one.
        
           | ffritz wrote:
           | It's a regular gym that also has a sauna. Around 40EUR per
           | month will get you a gym with sauna in most cities in Germany
           | I would say.
        
         | costcofries wrote:
         | I do this too but with a steam room.
        
           | ffritz wrote:
           | There also is a steam room adjacent to the sauna and from
           | time to time I use it as well, but I feel like the heat does
           | not penetrate as "deep". What's nicer is how the steam
           | soothes the airways in comparison to a Finnish sauna.
        
       | fareesh wrote:
       | Does the sauna provide a significantly different outcome to a hot
       | shower?
        
         | scyzoryk_xyz wrote:
         | Absolutely - it is nothing like a shower. Your skin releases
         | sweat and your airways clear up because you breathe the hot air
         | in and out. As you sit there and wait, your mind calms down
         | too, much like it would during a proper work out. A sauna visit
         | warms you up down to the core especially in a cold winter
         | climate. For several hours afterwards you feel warm, even when
         | out about in the cold. It's like that nice hot feeling after a
         | shower sticks around for several hours instead of half an hour.
        
         | bobthepanda wrote:
         | A sauna is hotter than a hot shower, unless you're showering
         | regularly at 150-195 F.
        
           | yellow_lead wrote:
           | A better question would be the effect on body temperature.
           | Obviously, water transmits heat better than air
        
           | smilliken wrote:
           | The shower is higher humidity though, and the hot water makes
           | direct contact, so the heat is more conductive. Similar for a
           | steam sauna, they are more potent at the same temperature.
           | Also infrared saunas, but for a different reason (the light
           | is absorbed directly into the tissue, without needing to heat
           | the air). So it's definitely not just about temperature.
        
           | mateo- wrote:
           | i imagine hot shower also worse for your skin
        
           | crazygringo wrote:
           | I can definitely turn my shower up for a hotter body
           | experience than any sauna I've ever been in, and obviously
           | it's nowhere near 150-195 which would be lethal.
           | 
           | Because the water is making direct contact with my body for
           | much more heat transfer. The dry air of a sauna is vastly
           | slower, plus you're sweating which provides evaporative
           | cooling which isn't happening in the shower.
           | 
           | So I too really don't see how saunas are appreciably
           | different from hot showers here.
        
             | randomopining wrote:
             | You're sweating long after a sauna way more than any hot
             | shower i've taken... so there is def something different
             | going on
        
       | papandada wrote:
       | Healthful hormesis (in nontoxic doses): saunas, cold exposure,
       | fasting, breath holding, exercise could be included here too, I
       | guess... Any others?
        
         | stevebmark wrote:
         | https://www.bluezones.com/2016/11/power-9/
        
           | papandada wrote:
           | Interesting link thanks! Of that list of 9 I guess you could
           | label alcohol as hormesis. Not without controversy of course.
           | And some argue plant intake is a form of hormesis.
        
       | piskov wrote:
       | What about lung (alveoli) damage due to extremely hot air?
        
       | dominotw wrote:
       | Would doing hot yoga at 105F also have some of these benefits to
       | a certain degree?
        
       | RC_ITR wrote:
       | One wonders if this is just a really complicated pathway for
       | 'sweating is a useful tool in maintaining electrolyte balance
       | within the blood, particularly with high sodium diets'
        
         | Atlas-Marbles wrote:
         | As the article describes, it's more concrete than that. Heat
         | shock proteins such as FOXO3 are associated with longevity and
         | regulate DNA repair and tumor suppression.
         | 
         | https://www.foundmyfitness.com/topics/sauna#molecular-mechan...
        
       | hprotagonist wrote:
       | https://opencorporates.com/companies/us_fl/L20000049338
       | 
       | second author's affiliation is ... a ghost company?
        
         | anonporridge wrote:
         | Big sauna pushing propaganda?
        
           | notart666 wrote:
           | Most likely. He has his own podcast as well. In regions of
           | Japan and Korea and Nordic countries where Sauna and Spas are
           | a normal part of life are. Japan and Korea both have similar
           | diets to America in recent years and similar health issues
           | because of their dining out cultures yet both have high life
           | expectancies. As do normal wealthy nations without them. It's
           | safe to say life expectancy has more to do with advancements
           | in technology rather than a fun and relaxing experience. One
           | of the things I dislike the most about it all is that saunas
           | are just meant to be relaxing but the involvement of psuedo
           | science in it has been concerning but is also due to it's
           | association with chiropracty and the Chinese Alternative
           | Medicine movement that has been adapted over into Korea and
           | Japan. Unironically through religion and shamanism.
           | Chiropracty is a dangerous pseudoscience though massages at
           | certain levels may be harmless and fun but have no real
           | medicinal value.
        
             | RC_ITR wrote:
             | >Japan and Korea both have similar diets to America
             | 
             | I do not think this is true. I don't love the world in data
             | guy, but according to his work, Americans consume _way_
             | more calories than Japan /Korea [0]
             | 
             | [0]https://ourworldindata.org/food-supply
        
               | notart666 wrote:
               | This is in reference to the types of foods most commonly
               | consumed by the average adult dailt in Japan and Korea.
               | Dealing heavily in fried foods and high sodium content
               | due to the regionality. It is similar to the Southern
               | portion of the North American Diet the most but with less
               | caloric content. Yet the same heart problems afflicting
               | African Americans effect Koreans and Japanese the
               | difference in survival rates is early detection and
               | preventative measure. Which result in significantly
               | higher life expectancies.
        
               | opportune wrote:
               | I am pretty sure obesity is a huge difference, unless you
               | are including reducing it as a preventative measure. The
               | diet may be the same but you are going to have way more
               | heart problems at a BMI of 35 than 25. Anybody who has
               | been to both Japan/SK and the South could tell you that
               | there is a massive difference in BMI between the two
               | areas.
        
             | jimmaswell wrote:
             | > Chiropracty is a dangerous pseudoscience
             | 
             | Maybe true on some level, and there are certainly a lot of
             | scam artists or misguided ones, but I've seen too many
             | anecdotal cases of people with major issues that couldn't
             | be solved by physical therapists somehow resolved or
             | greatly alleviated by a chiropractor to write them off.
        
               | notart666 wrote:
               | Placebo effect is very real. Just as many people who
               | believe in alternative medicines. An essential oil can
               | not cure you of anything.
        
               | jimmaswell wrote:
               | Not nearly the same thing. You can't fix these kind of
               | things with a placebo.
               | 
               | For one definite example I know someone who even took a
               | dog after it got a vertebrae out of alignment and wasn't
               | walking right and it fixed the issue.
        
               | hprotagonist wrote:
               | sure you can.
               | 
               | https://pubmed.ncbi.nlm.nih.gov/34051018/
               | 
               | many chronic pain conditions respond well to placebo
               | therapies. Because pain is more centrally mediated than
               | you'd think.
        
       | thih9 wrote:
       | > Whereas the risk for sudden cardiac death was 22% lower for men
       | using the sauna 2-3 times per week, the risk was 63% lower for
       | men who used the sauna 4-7 times per week (...)
       | 
       | Aren't patients with cardiac problems generally discouraged from
       | using sauna? Wouldn't that be a significant factor in this
       | correlation?
        
         | sgtnoodle wrote:
         | The participants that suddenly dropped dead during the study
         | were omitted from the results to avoid bias.
        
         | hutzlibu wrote:
         | Not generally, as far as I know. But of course, you have to be
         | way more careful and conscious if you have a condition.
         | 
         | So maybe not use the hottest sauna and push your limits and
         | maybe no more sauna competitions. (Who can stay the longest,
         | there used to be a world championship in this, but not anymore
         | after one of the finalists - died).
        
         | moffkalast wrote:
         | > 22% lower for men using the sauna 2-3 times per week, the
         | risk was 63% lower for men who used the sauna 4-7 times per
         | week
         | 
         | Extrapolating further, going to the sauna 10-14 times a week
         | would make you immortal.
        
           | codegladiator wrote:
           | Extrapolating further, staying in the sauna indefinitely will
           | age you down.
        
           | shapefrog wrote:
           | Checking with my slide ruler, can confirm your calculations
           | are correct.
        
         | 2000UltraDeluxe wrote:
         | > Aren't patients with cardiac problems generally discouraged
         | from using sauna?
         | 
         | If so, I've never heard about it. In Finland, sauna is usually
         | promoted as something that improves cardiovascular health.
         | Associated activities like rolling in the snow or winter
         | bathing is a completely different matter, but it's perfectly
         | possible to enjoy sauna without those.
         | 
         | I'm not a health professional, though, so check with your
         | doctor first if you have heart problems.
        
           | JimBlackwood wrote:
           | This was also my experience in Finland. There were warning
           | signs in some rented sauna's for jumping into the snow or
           | water after a sauna for people suffering from cardiac
           | problems.
           | 
           | No note about sauna use in general.
        
           | enra wrote:
           | In US they basically discourage or warn people not to use
           | sauna if they have any kind of condition, including being
           | pregnant or have been consuming alcohol.
           | 
           | In Finland most pregnant women have always gone to sauna and
           | they haven't observed any kind of birth defects any more than
           | elsewhere.
           | 
           | Common sense applies and usually expected from adults in
           | Finland. If you start to feel light headed or otherwise bad,
           | you should leave the sauna and drink water or cool off.
        
           | [deleted]
        
         | dharmaturtle wrote:
         | This is a good point, and was brought up in a response to a
         | study from Laukkanen: https://sci-
         | hub.se/10.1001/jamainternmed.2015.3432
         | 
         | > heart rate increases up to 100 beats/min during sauna
         | sessions at moderate temperatures and up to 150 beats/min
         | during hotter saunas. Although not an issue for healthy
         | individuals, such a cardiac challenge may feel uncomfortable
         | for participants with poor cardiorespiratory fitness and pre-
         | existing disease. Simple adjustment for disease vs no disease
         | may not entirely solve this problem since reverse causation
         | bias (ie, health status affects the likelihood of a sauna
         | session) operates within disease groups; the more severe the
         | disease, the greater the fear of cardiac challenge... A more
         | robust finding at reduced risk of reverse causation bias would
         | be a graded association between number of sauna sessions and
         | mortality in an initially healthy, cardiorespiratory fit
         | population, but this was not observed.
         | 
         | Laukkanen responded with
         | 
         | > ...we did observe graded inverse associations with sudden
         | cardiac death (SCD), fatal coronary heart disease (CHD), and
         | cardiovascular disease (CVD) events, which are the
         | characteristics of a true inverse association between sauna
         | bathing and outcomes. Furthermore, results were carefully
         | adjusted for socioeconomic status (SES), physical activity, and
         | cardiorespiratory fitness...
         | 
         | Notably Laukkanen didn't say that the graded association was in
         | an "initially healthy" population, as the first reply
         | specified.
        
         | wjnc wrote:
         | It's from a prospective study [1] so the hope is No, as long as
         | the study follows people and their habits for long enough.
         | 
         | Edit: the first men in this study were enrolled in the mid 80s.
         | I always have lots of respect for scientists starting such very
         | long run initiatives. I would imagine it to be boring at times,
         | but hard work begets hard data.
         | 
         | [1] https://clinicaltrials.gov/ct2/show/NCT03221127#:~:text=STU
         | D....
        
           | civilized wrote:
           | Ideally they would exclude from the study's analysis data any
           | time in which a person was under such advisement to avoid the
           | sauna for cardio reasons.
        
             | chordalkeyboard wrote:
             | ideally they would _include_ them and account for them in
             | the analysis, as exclusion presents a confounding variable.
        
               | civilized wrote:
               | "Accounting for" using e.g. regression techniques is
               | complex guesswork and leaves room for residual
               | confounding. (Just try to imagine how _exactly_ you 'd do
               | it in this case!)
               | 
               | There is no perfect solution, but simply excluding
               | problematic data is often the least confounding option.
        
               | chordalkeyboard wrote:
               | in this case, the data are not merely problematic, but
               | actually relevant to the study's conclusion. excluding
               | those data is certainly more confounding than including
               | them, because those data are relevant to the conclusion
               | of the study.
               | 
               | Imagine if you did a study on whether air bags in
               | automobiles reduced fatalities, and excluded
               | 'problematic' data involving cases where the occupants
               | were injured by the air bag.
        
               | civilized wrote:
               | I'm not saying to exclude the event where the person got
               | heart disease. I'm saying to exclude the data after the
               | diagnosis, where the person is avoiding the sauna under
               | doctor's advice.
               | 
               | This isn't difficult to do in a longitudinal study and
               | would indeed be standard in many such studies. You
               | wouldn't want to include data where the arrow of
               | causation is _known_ to run opposite to what you are
               | trying to test for.
        
       | breck wrote:
       | I believe this. I used to hate going in saunas because it was a
       | bunch of old naked men. I get it, it's part of life, but if I
       | wanted to see that I'd go to the maternity ward.
       | 
       | Recently found some saunas that are just a bunch of old men in
       | trunks and towels. These guys are healthy as Odysseus.
        
         | smilespray wrote:
         | Your local maternity ward is full of old naked men?
        
           | breck wrote:
           | Both of my daughters looked like naked old men when they were
           | born. Then again they do have a very ugly dad (AFAIK --
           | havent done 23andme yet).
        
       | nathanvanfleet wrote:
       | I used to use the sauna at the gym I went to back when I lived in
       | Montreal, well during the winter at least. I really enjoyed it.
       | But I don't really know where there is one in San Francisco.
       | Maybe when I am very old and somehow buy a house (?) I will get a
       | personal one. But the idea of a public sauna is nice but I guess
       | antiquated.
        
         | frob wrote:
         | Archimedes Banya in South SF is a wonderful Russian bath house.
         | There are 4 or 5 saunas of varying types, two hot tubs, a warm
         | pool, and a cold plunge. I've been going there for at least 6
         | years now and it's always been fantastic. https://banyasf.com/
        
         | late2part wrote:
         | I haven't been here, but you could do it up _Rounders_ style...
         | 
         | https://banyasf.com/
        
           | romanhn wrote:
           | This is a good one. Just be aware that it is clothing-
           | optional.
        
         | 121789 wrote:
         | There are a bunch of places. Mostly spas and gyms
        
         | nathanasmith wrote:
         | There are these sauna blankets[0] you might want to consider.
         | It's basically a bag you lay in that uses infrared to mimic a
         | sauna. I'm not affiliated in any way and have never used one so
         | can't attest to its efficacy.
         | 
         | [0]https://stylebyemilyhenderson.com/blog/infrared-sauna-
         | blanke...
        
         | akiselev wrote:
         | SF has one of the best saunas I've ever been to: Archimedes
         | Banya in Dogpatch. Tons of pools and sauna rooms at different
         | temperatures, private rooms, food, outdoor balcony, and so on.
        
         | ww520 wrote:
         | Gyms usually have it. Most 24h Fitness Super gyms have it.
         | Check out the gyms' websites.
        
       | chiefalchemist wrote:
       | In order to indulge in a sauna session you need free time. Also,
       | saunas don't grow on trees. Access takes resources. I didn't see
       | anything about how they controlled for this.
       | 
       | It's an interesting finding but it feels closer to coorelation at
       | this point.
        
         | DoughnutHole wrote:
         | Most of these studies were carried out in Finland, where saunas
         | might as well grow on trees. They have more saunas than
         | households, and there are public saunas accessible to anyone
         | for free. Financial resources aren't an issue there with
         | regards to saunas - everyone has access.
         | 
         | I don't know about adjusting for free time, but the key studies
         | in this review accounted for socio-economic status.
        
           | chiefalchemist wrote:
           | Good info. Thx.
           | 
           | But it would help to know _exactly_ what this study did. None
           | the less, even if saunas are ubiquitous and free, you still
           | need free time. Being poor is more than a financial
           | condition.
        
         | ww520 wrote:
         | Unless they've calibrated on the social-economical level of the
         | control group, it could be just a proxy for wealth. People who
         | can pay for better medical access can have better health.
        
       | loufe wrote:
       | To save you all the scroll down,
       | 
       | 7. Conclusions Sauna bathing is associated with many health
       | benefits, from cardiovascular and cognitive health to physical
       | fitness and muscle maintenance. It is generally considered safe
       | for healthy adults and may be safe for special populations with
       | appropriate medical supervision. Heat stress via sauna use
       | elicits hormetic responses driven by molecular mechanisms that
       | protect the body from damage, similar to those elicited by
       | moderate- to vigorous-intensity exercise, and may offer a means
       | to forestall the effects of aging and extend healthspan.
        
         | nopenopenopeno wrote:
         | What is "healthspan"?
        
       | avgcorrection wrote:
       | Yeah, people talk about sauna in a health context (vaguely) but I
       | almost never hear from them what the health benefits are supposed
       | to be. I might be motivated to do it if there are benefits to it,
       | but right now it feels like a bit of a chore.
        
       | otikik wrote:
       | I was raised on a place that reaches 49 degrees Celsius in
       | summer. At night it would go down to a "pleasant" 37.
       | 
       | I have had enough sauna for the rest of my life, thank you very
       | much.
        
       | kekebo wrote:
       | Lari and Tanjaniina Laukkanen do interesting research on this,
       | notably the 2015 paper that shows up to 40% reduction in all
       | cause mortality with 4-7 sauna sessions per week vs 1 (in 2315
       | middle-aged men over about 20 years):
       | 
       | https://jamanetwork.com/journals/jamainternalmedicine/articl...
        
         | mirekrusin wrote:
         | If somebody can afford 7 sauna sessions per week, money aspect
         | of their life is likely sorted out which surely impacts all
         | cause mortality.
        
           | bubblethink wrote:
           | Lots of gyms/clubs have sauna, and through group/family plans
           | and such, they can be reasonably priced ( less than 100 a
           | month)
        
             | scyzoryk_xyz wrote:
             | I think this might be dependent on location in the world
             | and the local culture. Where I am in Europe, sauna is
             | commonly available and reasonably low-cost as a public
             | space. But I can imagine many places in the US still only
             | having sauna in country clubs or at high-end sports
             | facilities. The POV that sauna is for the privileged few is
             | perfectly understandable and yet hilariously alien to those
             | of us from places where sauna is common.
             | 
             | The idea of having a completely private sauna- now that
             | sounds like a luxury I can only hope to afford one day!
        
           | Ndymium wrote:
           | If you have a sauna in your home (which most Finns do), then
           | you can afford to use it 4-7 times a week even if you're not
           | rich. Though maybe not with the current electricity prices,
           | but earlier it was no problem. I'd say 7 times is a bit
           | excessive though, but I know people for whom 4 times a week
           | would be normal.
        
             | nopenopenopeno wrote:
             | That's a moot point. If you have a sauna in your home and
             | the time to use it, you're rich enough that the above holds
             | true.
        
               | enra wrote:
               | In Finland there is like 2M saunas for 5.5M people. Most
               | houses have one, larger apartments have one, and
               | apartment buildings have a shared one. It usually built
               | inside the bathroom and can very small one just to fit 2
               | people. You can probably build one with $1-2k (if you do
               | most of the work yourself). The most expensive part is
               | the heater. It's no way only for the rich.
               | 
               | Finland might be rich in global standard in like other
               | western country but most people are middle class and
               | generally lower wealth than some other European
               | countries. they still use saunas.
               | 
               | Time-wise, it takes 1-2h to heat up a sauna. You can have
               | one that the heater is insulated and has a top so it can
               | be always on. Then you just remove the top and sauna is
               | ready in 15mins. If you are working class, you still have
               | time to a sauna in evening.
               | 
               | Now the main problem is the electricity cost. Many have
               | wood heated saunas in the contryside or at their family's
               | summer cottage where you get the wood for free from your
               | own forest.
        
               | nopenopenopeno wrote:
               | Like I said, if you have a sauna in your home and the
               | time to use it, you're rich enough that the above holds
               | true. Whether that's most people or a only few.
        
               | jtakkala wrote:
               | Did you even read the comment above? Sauna usage in
               | Finland has basically no correlation with socioeconomic
               | status. Pretty much everyone has access to a sauna and
               | the time to use one. Not only is it a tradition, but
               | Finland goes to great lengths to prioritize the health
               | and welfare of all its citizens, regardless of ones
               | wealth.
        
               | hazard wrote:
               | If only the authors had considered this...
               | 
               | > Noncausal mechanisms, including socioeconomic status
               | and reverse causation bias, have been proposed as
               | contributors to the KIHD findings (Kivimaki et al.,
               | 2015). Although differences in socioeconomic status may
               | influence sauna access and opportunities for use, the
               | robust dose-dependent associations observed between sauna
               | bathing and sudden cardiac death, coronary artery
               | disease, and cardiovascular events in the KIHD studies
               | are indicative of genuine inverse associations (Laukkanen
               | et al., 2015a). Furthermore, the KIHD studies were
               | conducted in Finland, where sauna use is deeply rooted in
               | the culture, and saunas are readily accessible (Laukkanen
               | et al., 2015a). Similarly, whereas reverse causation bias
               | figures prominently in observational studies and is a
               | valid concern when investigating links between
               | cardiovascular disease and lifestyle, the KIHD findings
               | were adjusted for potential biases, including lifestyle
               | factors such as socioeconomic status, physical activity,
               | and cardiorespiratory fitness (Laukkanen et al., 2015a).
        
           | paulywog wrote:
           | I once had a gym membership which included a sauna, and would
           | often take some time in the sauna after a workout. It really
           | just depends how you want to spend your time
        
           | Grustaf wrote:
           | All gyms and pools in Europe have saunas, is that not the
           | case in the US?
        
       | jononomo wrote:
       | What about hot yoga?
        
       | thenerdhead wrote:
       | Similar to Japan's snow monkeys, it was originally thought they
       | go to hot springs to warm up. When observed, one of the primary
       | benefits that was found is stress reduction. The monkeys have
       | enough fur to stay warm in the cold and don't often need to go to
       | the springs for food from tourists either. Not only does it
       | reduce their stress, it helps with reproduction rates and extends
       | their survival rates at the same time that was found.
       | 
       | https://en.wikipedia.org/wiki/Japanese_macaque
       | 
       | https://www.nationalgeographic.com/animals/article/japanese-...
        
       | tingletech wrote:
       | related: The Science & Health Benefits of Deliberate Heat
       | Exposure | Huberman Lab Podcast #69 (April 2022)
       | https://www.youtube.com/watch?v=EQ3GjpGq5Y8
        
       | steele wrote:
       | Saunas or ice baths? Inquiring scrotums wanna know.
        
       | bilsbie wrote:
       | How is this not just healthy (and rich) user bais?
        
         | Etheryte wrote:
         | In Finland, nearly everyone has access to a sauna, it's not a
         | rich person's thing. According to some sources [0] there are
         | 3.3 million saunas in Finland, per a population of 5.5 million.
         | By some estimates [1], there are more saunas than there are
         | homes in Finland.
         | 
         | [0] https://finland.fi/life-society/bare-facts-of-the-sauna
         | 
         | [1] https://www.finnwards.com/living-in-finland/how-much-do-
         | home...
        
       | faangiq wrote:
       | Clearly not. But it's enjoyable.
        
       | faebi wrote:
       | Has anyone tried one of these 1000-2000$ Sauna's one can buy on
       | Amazon and similar? Are they good enough for average people? I'm
       | living in a rented flat and think I could fit one on part of my
       | balcony.
        
         | theNJR wrote:
         | I'm trying to figure this out too.
         | 
         | This would fit for me, and reviews seem good, but hard to
         | really know - https://a.co/d/2wU3ycJ
         | 
         | Reddit seems to like this one
         | https://www.cedarbrooksauna.com/36x42-near-infrared-cedar-sa...
        
         | criddell wrote:
         | Those are generally near IR saunas, right? I haven't seen one
         | that gets hot enough (although I don't remember the exact
         | details).
        
         | dharmaturtle wrote:
         | I built a super cheap "traditional" dry sauna. It's basically
         | an electric burner, a pot to increase surface area and
         | humidity, a 25 foot roll of thermal foil, and a sleeping bag as
         | the ceiling. I disassembled the burner, removed all the plastic
         | pieces, and short circuited the safety cutoff. It's jank AF,
         | but in the end less than 100$. AFAIK there aren't any dry
         | saunas under $1000 - the heater alone is ~$200. Mine is also
         | portable, so it's in the garage in summer and in the laundry
         | room in winter. There are portable infrared saunas for ~$100,
         | but most studies are on the "dry" type. I rubber band a block
         | of ice to my phone and do my reading/social media in there, so
         | the time cost is reduced. It's pitch black in there, so I have
         | a very bright night light. No problems with air circulation -
         | it doesn't get stuffy, even when I throw a dash of water in the
         | pot.
         | 
         | https://i.imgur.com/Lml7Vms.jpg
         | 
         | 2 years in and I haven't burned down the house... yet. I've
         | since added more ceramic around the pot so burning myself would
         | be very difficult.
         | 
         | (Reference to my post from the last time this article was
         | posted on HN: https://news.ycombinator.com/item?id=28495062 )
        
           | hammock wrote:
           | Where do you sit?
        
             | [deleted]
        
             | dharmaturtle wrote:
             | On that very, very short wooden rectangle in the center of
             | the platform in the photo. It's less a thing I sit on and
             | more something I "asian squat" on. So I end up facing the
             | burner (though it's now shielded with ceramic).
        
         | 42e6e8c8-f7b8-4 wrote:
         | You feel like you've been duped by Skymall, but these $170
         | personal suana tents actually work
         | https://www.amazon.com/SereneLife-AZSLISAU10BK-Portable-Infr...
         | 
         | If you can endure the mockery of your room mates, you will
         | indeed get a good sweat going.
        
           | jerlam wrote:
           | I bought one of these sauna tents and it was pretty
           | underwhelming. I can barely stand 30 minutes in a real sauna
           | - in this home sauna tent, I watched an entire movie (two
           | hours) and had to get out more from boredom than the heat.
        
         | burritosnob wrote:
         | I bought one of the ~$400 tent saunas on Amazon and it was the
         | best health related purchase in recent years. It only gets to
         | 135 degrees, whereas the one at gym reached nearly 200, but it
         | feels hotter and I can only last about half the time.
         | 
         | I sit in it at least once a day followed by a 10-15 minute cold
         | shower where I drink a 32oz of water and another 32oz of water
         | mixed with popular powdered green vitamin.
         | 
         | For these familiar with Whoop, I consistently have 5-10% better
         | recoveries and sleep performance on the days I use the sauna. I
         | also feel better which is what really matters.
        
           | superamit wrote:
           | Can you link to the one you bought and liked?
        
             | burritosnob wrote:
             | https://www.amazon.com/gp/product/B07WC64NPQ/ref=ppx_yo_dt_
             | b...
             | 
             | Worth noting, the first one lasted 13 months before the
             | frame became fairly rusty/moldy from sweat. I would put
             | most the blame here on me though as I was only one using it
             | so I didn't always wipe up the pool of sweat after use. I
             | would also say I'm on the extreme end of customers using it
             | once or twice daily.
             | 
             | The second one, which I bought last month, now has a
             | plastic frame instead of metal so should be non-issue. It
             | also now has a washable foam floor panel I take out after
             | each use to dry and can be machine washed.
             | 
             | Nerdy addition, I got paranoid about some Amazon
             | reviews/comments mentioning EMF exposure so I bought an EMF
             | meter to test the sauna. I don't remember exact reading but
             | it rated lower than sitting in my car while idling. While
             | it may still have been high for some, I justified it by the
             | fact I'm driving far less since I WFH so in the end about
             | the same.
        
         | giardini wrote:
         | Surely you can "try before you buy" by visiting a local gym or
         | sauna? And thus avoid buying, storing and setting up, all of
         | which would be lost time and effort were it to prove unsuitable
         | for you.
        
           | eesmith wrote:
           | I read faebi's comment as wanting to have a sauna (perhaps
           | from experience at a gym, etc. and liking it) and wondering
           | if it those saunas were actually practical.
           | 
           | Thought that come to my mind are: How much power does it
           | draw? How long does it take to warm up? How hot do they go?
           | How easy are they to install? - and to take down when moving
           | out? And to clean/maintain?
        
             | iso1631 wrote:
             | https://www.centurysaunas.co.uk/how-much-does-a-sauna-
             | cost-t...
             | 
             | Says an electric heater (not infrared) sauna is about 4.5kW
             | (about half my shower), takes about 40 minutes to heat up,
             | then 20 minutes in it, so say 5kWh if you time it right,
             | maybe 8kWh if you have a longer time in it or aren't
             | perfectly tires. Even at current uncapped UK prices of
             | 60p/kWh that's about the cost of a takeaway coffee.
             | 
             | I'd use a sauna a lot more if the UK were like Germany (I
             | was in Munich recently for work and used it every day),
             | however there are rarely saunas in UK hotels, and those
             | that are require you to wear clothes! Sadly haven't got
             | enough space at home for one.
        
         | kampsduac wrote:
         | I got a sauna blanket about a year ago and enjoy it enough
         | (considering the price and space it takes up)
         | 
         | https://higherdose.com/products/infrared-sauna-blanket
        
       | dukeofdoom wrote:
       | Not to be skeptical of this article...but I can easily make
       | similar claims:
       | 
       | Just get a kayak and it will do all these things too if you use
       | it. Exercise, vitamin d, nature, fresh air, healthier lifestyle.
       | 
       | You can jump in cold water after to stress you body in similar
       | way to Sauna, and or take a hot bath with Epsom salts after you
       | get home.
       | 
       | Bring a fishing pole and you can fish from the kayak too, so it
       | can help feed you some delicious healthy source of protein. Heck
       | buy two Kayaks and bring a friend. Now you have a social life.
        
       | fasteddie31003 wrote:
       | I've been doing 5 sauna sessions a week for about 25 minutes at
       | 200F for about a year now. Once I've been sufficiently dehydrated
       | from the sauna I take a multivitamin and chug some water. My
       | thought is that your cells are more receptive to water soluble
       | vitamins after being dehydrated and you won't just pee out the
       | vitamins. I've seen a lot of health benefits such as clearer
       | skin, good sleep, and no illnesses for the past year. That's my N
       | or 1 study.
        
         | saiya-jin wrote:
         | If you just pop vitamins in water without any fat ingested, the
         | most critical ones solluble in fat will swipe through your body
         | regardless. Its hard to give any conclusion just some limited
         | experience, although I have no doubt that the procedure you
         | describe benefits you overall.
         | 
         | I was doing before sauna quite often after workouts in the gym
         | (well after weight lifting and not cardio, and _not_ during
         | summer) and it felt great. But it could have been 90% or even
         | 100% the workouts. Its true that I often feel very tired after
         | sauna, like a baby that just wants to sleep. Which may be great
         | sometimes, but otherwise it isn 't (ie coming back to work, or
         | driving back for 1h from mountains).
         | 
         | Now during/after covid and after having 2 kids its a distant
         | dream and I feel like shit.
        
         | Reason077 wrote:
         | Wouldn't taking a nice hot bath have similar effects? I also
         | tend to feel a bit dehydrated afterwards, if the water is
         | particularly hot!
        
         | bitL wrote:
         | Try to restrict the stay in the hot to around 10 minutes
         | followed by 2 minutes immersed in cold water, repeating that
         | 4-5x in a row with multivitamin/multimineral water in-between.
         | That resets my brain and I feel like a newborn.
        
           | fasteddie31003 wrote:
           | Yep I do this too. I have an outdoor shower that cools me off
           | pretty fast. I gotta wait another couple months before there
           | is snow on the ground to roll around in.
        
             | bitL wrote:
             | Cold shower is great, immersing yourself fully in cold
             | water is like one notch more intense as body has no parts
             | that are still hot anywhere. I basically see all my veins
             | when I get out of the cold water, like after an intense 2h
             | bike ride.
        
           | benjaminwootton wrote:
           | 1 hour of sauna is quite the commitment.
        
             | bitL wrote:
             | Try it once, then evaluate ;-)
        
         | gambiting wrote:
         | I mean, not to disagree with you, but I have seen those exact
         | same benefits just staying locked up for a year at home because
         | of the pandemic. Turns out not having a bullshit commute,
         | eating more healthy and not interacting with other people does
         | miracles for skin, sleep quality and the number of illnesses
         | you catch :-)
        
           | Jimajesty wrote:
           | But what would happen if you combined both? Best skin in the
           | game.
        
           | isoprophlex wrote:
           | You are not wrong I think, I can never go back to commuting
           | every day, and I love cooking my own healthy food... but
           | after 2+ years of lockdown my entire household seems to have
           | lost all immunity to everything pathological. The amount of
           | shit the kids seem to catch at school is staggering.
           | 
           | N=1 and highly subjective of course, but I don't remember A)
           | our kids falling ill with random fevers so often, pre-
           | pandemic and B) my wife and me being infected by them in turn
           | so easily
        
             | Retric wrote:
             | As I recall, kids and teachers would regularly be low level
             | sick during school, which seems to be supported here:
             | 
             | "It varies a lot among kids. But most babies, toddlers and
             | preschoolers can have as many as 12 colds a year and still
             | be normal. On average, you'll probably see between seven
             | and eight infections a year. This number may be higher for
             | children who are in child care or when they start school.
             | It's also typical for kids to have symptoms lasting up to
             | 14 days. And sometimes a cough can last up to six weeks.
             | That means kids can be sick for a majority of the year and
             | still have a pretty typical immune system."
             | https://mcpress.mayoclinic.org/parenting/the-constant-
             | cold-w...
        
               | bobthepanda wrote:
               | Kids are basically building up their immune systems. With
               | poor hygiene practices and a tendency to touch everything
               | (and then their face or mouth) it's unavoidable.
               | 
               | That being said, I do remember that the first cold season
               | after people started going out again being nastier than
               | normal.
        
               | isoprophlex wrote:
               | Holy hell okay that's... terrifying and comforting.
               | Definitely feeling some confirmation bias on my part.
        
           | thih9 wrote:
           | Is this now a N=2 study with grandparent as the test group
           | and parent as the control group?
        
           | sgtnoodle wrote:
           | I take immunosuppressants and have a kid in pre-school, so
           | maybe I should get a sauna...
        
           | tsol wrote:
           | So perhaps they both reduce stress?
        
           | Reason077 wrote:
           | I'm not sure that "not interacting with other people" is
           | likely to be conductive to long-term health? The other things
           | all sound pretty positive, however.
        
         | hutzlibu wrote:
         | I would skip the artificial vitamins and see if it makes any
         | difference (I doubt it).
         | 
         | I rather would go with cold water shower/bath after the sauna
         | and healthy food for vitamins in general.
        
           | jordanbeiber wrote:
           | Yes, there was a large study here in Sweden a few years back
           | that indicated vitamin supplements tend to do more harm than
           | good.
           | 
           | Seems like it's been more or less confirmed by other studies
           | as well.
           | 
           | Eat some fruit and a carrot!
        
             | MrDresden wrote:
             | Out of interest, would you happen to have a link or
             | reference to those studies?
        
       | legulere wrote:
       | > Research into the effects of saunas on people largely comes
       | from Finland. It is generally of low quality and insufficient to
       | make health recommendations.
       | 
       | https://en.m.wikipedia.org/wiki/Sauna#Health_effects
        
         | darawk wrote:
         | TFA cites a number of RCTs that seem reasonably high quality to
         | me:
         | 
         | https://www.jstage.jst.go.jp/article/circj/68/12/68_12_1146/...
         | 
         | https://www.jstage.jst.go.jp/article/circj/80/4/80_CJ-16-005...
         | 
         | https://www.sciencedirect.com/science/article/abs/pii/S01675...
         | 
         | https://www.nature.com/articles/s41371-017-0008-z (this one
         | isn't an RCT, it's just a pre/post design, but is still
         | experimental)
         | 
         | Note: this list is not exhaustive, I just plucked a few out.
         | I'd like to see slightly larger sample sizes in a few of them,
         | but otherwise they seem structurally reasonable, and many are
         | in Japan, not Finland.
        
           | Gatsky wrote:
           | These are all looking at various surrogate endpoints, and
           | seem to be short term interventions. At best you could say
           | they show saunas are safe for populations with heart disease.
           | Cardiac and overall mortality would be the key endpoint to
           | test in a large RCT. Even so, there won't be a placebo. The
           | control group would have to do _something_ for it to be a
           | fair comparison... perhaps something sauna-like but with less
           | physiological impact (Massage? A cooler sauna?).
        
         | SECProto wrote:
         | Looks like you can take this new study, and use it to expand
         | that section (and remove the unsourced generalization about
         | research being low quality)
         | 
         | (edit: did so myself)
        
       | rdtwo wrote:
       | Where can one actually buy a decent quality Finnish sauna? There
       | are a lot of crap products out there but what's a good basic well
       | designed 2-3 person sauna?
        
         | dubcanada wrote:
         | If you can find one through one of their partners
         | https://eurodita.com/category/timber-sauna-pods-barrels/ are
         | pretty decent.
        
       | lifeisstillgood wrote:
       | Used to love this at London's Gyms - but after lockdown, they all
       | seemed to take the opportunity to close down the expensive, prone
       | to breaking saunas. And yes they were elitist and expensive. And
       | I loved taking five minutes to relax before cubicle life.
        
       | Madmallard wrote:
       | Doesn't a hot shower function almost identically?
        
       | deegles wrote:
       | I used to love using the sauna but I don't have faith that I can
       | avoid catching Covid in one.
        
         | cinntaile wrote:
         | The virus dies within a couple of minutes due to the heat.
        
           | deegles wrote:
           | If the person sitting next to you in a sauna has it, that's
           | plenty of time to catch it? Also, there isn't enough heat to
           | kill it in the locker rooms or rest of the gym (where I have
           | access to one.)
        
             | cinntaile wrote:
             | It would likely depend lots of factors. A big factor should
             | be how long you sit there, since it's a sauna you don't
             | usually sit there for that long.
             | 
             | The gyms never closed here and they looked at the data.
             | They found that gymgoers didn't catch covid in a higher
             | degree than regular people during the pandemic, you should
             | see if there exists a similar analysis for where you live.
        
       | hn_throwaway_99 wrote:
       | Another example of something that feels pretty awesome that is
       | also good for you. I strongly believe that, in the US in
       | particular, we somehow developed this warped Puritanical idea
       | that things that are "good for you" need to be painful or taste
       | bad. We've also managed to often replace things that _are_ both
       | exquisitely wonderful for the senses _and_ good for you with
       | "cheap knock off" versions that are worse for you in all areas,
       | both health-wise and experience-wise. Think a delicious dark
       | chocolate (consensus seems to be lots of antioxidant benefits) vs
       | a Hershey bar that is loaded with more sugar and tastes slightly
       | of vomit.
       | 
       | Some more things that feel wonderful and are good for you that
       | many Americans seem to have trouble appreciating for some reason:
       | 
       | 1. sleep
       | 
       | 2. a delicious meal with lots of fresh vegetables, fruits, nuts,
       | etc.
       | 
       | 3. a massage
       | 
       | 4. exercise with friends (e.g. a jog or walk through the park, or
       | a game of tennis).
       | 
       | 5. a bike ride
        
         | el_nahual wrote:
         | I would add (controversially) "the sun" to that list.
         | 
         | The sun is delicious. The sun is also good for you. The sun
         | makes you look good.
         | 
         | And yet Americans have an almost belligerent attitude towards
         | the sun. Hats, sunscreen, long sleeved shirts, umbrellas.
         | Adults, children, everyone is perpetually hiding from the sun,
         | and they look kinda sickly.
         | 
         | Can the sun give you skin cancer? Yes, of course. (In the same
         | way a sauna can give you a heart attack i suppose). But the
         | benefits to overall _wellness_ are incredible.
        
           | meowmeowmoo wrote:
           | Can't you still benefit from sunlight with sunscreen on? I
           | wonder what the risk curve for skin cancer from sun exposure
           | looks like.
        
           | avgcorrection wrote:
           | I guess it doesn't help that many Americans are white
           | European descendants that live in
           | subtropical/tropical/mediterrannean climates.
        
         | ravenstine wrote:
         | Generally, I agree, but "feels good" doesn't translate well
         | between individuals. To many, eating a jelly donut "feels
         | good", at least in the short term. Most people don't excel at
         | long term thinking, and so whether one feels good probably
         | isn't a great metric for whether one is doing something
         | beneficial.
         | 
         | Another thing is that I personally wouldn't consider 4 out of
         | the 5 things you listed to feel good, and in a few cases I
         | don't even find them to be linearly beneficial. The kind of
         | cardio exercise you mentioned (all exercise is cardio BTW) is
         | something I don't enjoy before or after. Things like bike
         | riding have both positives and negatives, and I am not a fan of
         | the high cortisol state that results. I'm not saying riding
         | bikes is bad, but if I was totally oblivious to the health
         | benefits, I would find it to be a slog once I got over the
         | novelty
        
           | meowmeowmoo wrote:
           | Biking results in high cortisol? Doesn't exercise reduce
           | stress hormones? I'm assuming you're saying exercise causes
           | short-term spikes in cortisol?
        
         | echelon wrote:
         | > fruits
         | 
         | One that only belongs in careful moderation.
         | 
         | Edit: I'm getting downvoted, so I'll elaborate. The sugar
         | content of fruit is not great for you. The beneficial effects
         | of the fiber and vitamin content do not offset the detrimental
         | effects of the sugar.
         | 
         | Treat fruit as you would a dessert. In moderation.
        
           | ravenstine wrote:
           | Fruits are fine occasionally, but they aren't a health food.
           | Fructose is totally contraindicated. People need to keep this
           | in mind when suggesting to eat plenty of fruits. There is no
           | need to do so even from a Vitamin C standpoint.
        
             | meowmeowmoo wrote:
             | Fruits have other vitamins. And aren't they also a good
             | source of antioxidants?
        
               | ravenstine wrote:
               | You can get those vitamins from other vegetables that are
               | less deleterious. Even beef contains pretty much
               | everything you need but without the liver toxicity of
               | fructose.
               | 
               | As far as antioxidants go, yeah... those are totally
               | overrated. The human body, with the exception of Vitamin
               | C, creates its own antioxidants. Adding exogenous
               | antioxidants isn't particularly beneficial and can also
               | come with some drawbacks. Any benefit you get from fruit
               | antioxidants is outweighed by fructose. Sure, feel good
               | about getting some anthocyanins and whatever from the
               | occasional blueberries, but by no means do you need
               | those, and don't pound blueberries every single day.
        
               | echelon wrote:
               | Vegetables are too, and they're overwhelmingly better for
               | you.
        
       | setheron wrote:
       | Love my sauna but never know if I'm staying too short or too long
       | to achieve the positive effects.
       | 
       | I stay in maybe 5-10 minutes and have it reach 200F
        
         | marstall wrote:
         | I've been listening to Rhonda Patrick's podcast,
         | FoundMyFitness. She's a Sauna buff and cites studies saying 175
         | degrees for 20 minutes 4-7 times a week is the sweet spot in a
         | "Finnish Sauna" (ie not infrared)
        
           | jdeaton wrote:
           | Did you notice she is the first author of this review?
        
         | steve_adams_86 wrote:
         | You might find this episode of Huberman Lab[1] helpful. He goes
         | in depth on current research about why deliberate heat exposure
         | benefits our bodies and how you can use things like saunas to
         | trigger the benefits. I listened but didn't pay too close
         | attention to practices because I don't own a sauna, but I'm
         | fairly sure a lot of the content would be helpful.
         | 
         | [1] https://hubermanlab.com/the-science-and-health-benefits-
         | of-d...
        
         | mbrock wrote:
         | Have you tried alternating with refreshing cool showers or
         | baths? That's what I really like about sauna.
        
         | [deleted]
        
         | rikelmens wrote:
         | Real benefits start after the body starts feeling
         | uncomfortable. Don't push it too much after that. Cool down,
         | repeat 2-3 times.
        
         | 2000UltraDeluxe wrote:
         | Go for break once you feel you're done, go take a dip in a lake
         | or roll in the snow (or a cold shower). After that, another
         | 10-15 minutes in the sauna should feel nice. Repeat if you feel
         | like it.
         | 
         | Here in Finland, it's customary to enjoy a cold beer in the
         | sauna as well (or more, but that kinda nullifies any health
         | benefits). Cooling your mouth down makes the sauna experience
         | better -- if you don't want a beer then sparkling water will
         | also do the trick.
        
       | pelasaco wrote:
       | and unfortunately because of the high energy costs in Germany,
       | the sauna that I used to visit weekly, will mostly be closed over
       | winter, actually they closed it already.
        
         | _dain_ wrote:
         | yes the energy austerity will have so many sad downstream
         | effects, including death of sauna culture :(
         | 
         | nuclear vandalists have a lot to answer for.
        
           | pelasaco wrote:
           | Yes, well, first Putin, then our government in the last 16
           | years for becoming so dependent from Russia and then
           | ideology..
        
       | siliconc0w wrote:
       | I envoy an infrared sauna but they usually top out at around
       | 140F. The studies they're referring to are Finnish studies that
       | use dry heat (heated rocks) that go a bit higher than that to
       | 175F+ which I'm pretty sure I'd enjoy less. So before you buy an
       | IR sauna (which I've thought about), the published data for their
       | health benefits is limited. Which makes sense, if it's easy it
       | isn't as an effective stressor.
        
         | SebaSeba wrote:
         | The usual and the right way to enjoy finnish sauna is by
         | throwing water on the hot rocks every 30-60 seconds or so. That
         | way the heat is very endurable, feels very nice and the sauna
         | is actually very humid. Trust me, I am a finn.
        
         | darawk wrote:
         | Most of the studies I see listed refer to "Waon therapy" which
         | use IR saunas. At least, the RCTs they cite seem to mostly do
         | that.
        
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