Cohort study2018

Sauna bathing reduces the risk of stroke in Finnish men and women: A prospective cohort study

Kunutsor SK, Khan H, Zaccardi F, Laukkanen T, Willeit P, Laukkanen JA

Neurology · 58 citations

How it was studied

Design
Cohort study (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death

Who paid for it

Funding
Independent funding
Nonprofit
Foundation for Cardiovascular Research
University or hospital
Itä-Suomen Yliopisto
Nonprofit
Sydäntutkimussäätiö

Based on 3 listed funder(s).

Publication

Published
2018-05-02 · Neurology · vol. 90 · issue 22 · pp. e1937–e1944
Publisher
Lippincott Williams & Wilkins
Cited
77 citations · more than 97% of similar papers · 5.8× the field average
Impact
Top 10% most cited in its field
References
42 works
Access
Free to read
Research areas
Thermoregulation and physiological responses · Therapeutic Uses of Natural Elements · Skin Protection and Aging
Keywords
Bathing, Stroke (engine), Medicine, Stroke risk, Physical therapy, Gerontology, Internal medicine, Ischemic stroke, Engineering, Pathology
MeSH
humans, steam bath, risk factors, prospective studies, finland, female, male, stroke

6 authors

From AT, US, GB, FI

  • Setor K. KunutsorInnsbruck Medical University; Emory University; University of Leicester; University of Eastern Finland; University of Cambridge; Leicester General Hospital; University Hospitals Bristol NHS Foundation Trust; Southmead Hospital; University of Bristol
  • Hassan KhanInnsbruck Medical University; Emory University; University of Leicester; University of Eastern Finland; University of Cambridge; Leicester General Hospital; University Hospitals Bristol NHS Foundation Trust; Southmead Hospital; University of Bristol
  • Francesco ZaccardiInnsbruck Medical University; Emory University; University of Leicester; University of Eastern Finland; University of Cambridge; Leicester General Hospital; University Hospitals Bristol NHS Foundation Trust; Southmead Hospital; University of Bristol
  • Tanjaniina LaukkanenInnsbruck Medical University; Emory University; University of Leicester; University of Eastern Finland; University of Cambridge; Leicester General Hospital; University Hospitals Bristol NHS Foundation Trust; Southmead Hospital; University of Bristol
  • Peter WilleitInnsbruck Medical University; Emory University; University of Leicester; University of Eastern Finland; University of Cambridge; Leicester General Hospital; University Hospitals Bristol NHS Foundation Trust; Southmead Hospital; University of Bristol
  • Jari A. LaukkanenInnsbruck Medical University; Emory University; University of Leicester; University of Eastern Finland; University of Cambridge; Leicester General Hospital; University Hospitals Bristol NHS Foundation Trust; Southmead Hospital; University of Bristol

Abstract

Objective

To assess the association between frequency of sauna bathing and risk of future stroke.

Methods

Baseline habits of sauna bathing were assessed in 1,628 adult men and women aged 53-74 years (mean age, 62.7 years) without a known history of stroke in the Finnish Kuopio Ischemic Heart Disease prospective cohort study. Three sauna bathing frequency groups were defined: 1, 2-3, and 4-7 sessions per week. Hazard ratios (HRs) (95% confidence intervals [CIs]) were estimated for incident stroke.

Results

During a median follow-up of 14.9 years, 155 incident stroke events were recorded. Compared with participants who had one sauna bathing session per week, the age- and sex-adjusted HR (95% CI) for stroke was 0.39 (0.18-0.83) for participants who had 4-7 sauna sessions per week. After further adjustment for established cardiovascular risk factors and other potential confounders, the corresponding HR (95% CI) was 0.39 (0.18-0.84) and this remained persistent on additional adjustment for physical activity and socioeconomic status at 0.38 (0.18-0.81). The association between frequency of sauna bathing and risk of stroke was not modified by age, sex, or other clinical characteristics (p for interaction > 0.10 for all subgroups). The association was similar for ischemic stroke but modest for hemorrhagic stroke, which could be attributed to the low event rate (n = 34).

Conclusions

This long-term follow-up study shows that middle-aged to elderly men and women who take frequent sauna baths have a substantially reduced risk of new-onset stroke.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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