Cohort study2022

Frequent sauna bathing offsets the increased risk of death due to low socioeconomic status: A prospective cohort study of middle-aged and older men

Kunutsor SK, Jae SY, Laukkanen JA

Experimental gerontology · 12 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
2022-07-28 · Exp Gerontol · vol. 167 · p. 111906
Publisher
Elsevier BV
Cited
12 citations · more than 75% of similar papers · 1.0× the field average
References
43 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Thermoregulation and physiological responses · Therapeutic Uses of Natural Elements · Body Contouring and Surgery
Keywords
Medicine, Prospective cohort study, Cohort, Cohort study, Socioeconomic status, Bathing, Population, Demography, Internal medicine, Environmental health, Pathology
MeSH
humans, baths, steam bath, risk factors, cohort studies, prospective studies, social class, aged, middle aged, male

3 authors

From GB, FI, KR

  • Setor K. Kunutsor · correspondingUniversity Hospitals Bristol NHS Foundation Trust; Southmead Hospital; National Institute for Health and Care Research; University of Bristol; Central Finland Health Care District
  • Sae Young JaeUniversity of Seoul
  • Jari A. LaukkanenUniversity of Eastern Finland; Eastern Finland Laboratory Center; Central Finland Health Care District

Abstract

Background and aim

Low socioeconomic status (SES) and frequent sauna bathing are associated with increased and decreased risk of all-cause mortality, respectively. Whether there is an interplay among SES, sauna bathing and all-cause mortality risk is not known. We aimed to evaluate the separate and joint associations of SES and frequency of sauna bathing (FSB) with all-cause mortality risk in a prospective cohort study.

Methods

We employed the Kuopio Ischaemic Heart Disease Study cohort comprising of 2575 men aged 42-61 years at study entry. Self-reported SES and sauna bathing habits were assessed at baseline. Socioeconomic status was categorized as low and high (median cutoff) and FSB as low and high (defined as ≤2 and 3-7 sessions/week, respectively).

Results

During a median follow-up of 27.8 years, 1618 deaths occurred. Comparing low vs high SES, the multivariable-adjusted HR (95 % CI) for all-cause mortality was 1.31 (1.18-1.45). Comparing high vs low FSB, the multivariable-adjusted HR (95 % CI) for all-cause mortality was 0.86 (0.76-0.97). Compared with high SES-low FSB, low SES-low FSB was associated with an increased risk of all-cause mortality 1.35 (1.20-1.51), without significant evidence of an association for low SES-high FSB and all-cause mortality risk 1.07 (0.89-1.29). Positive additive and multiplicative interactions were found between SES and FSB.

Conclusions

There exists an interplay among SES, sauna bathing and all-cause mortality risk in a general Finnish male population. Frequent sauna baths may offset the increased overall mortality risk due to low SES.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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