Cross-sectional study2023

Sauna bathing, renal function and chronic kidney disease: Cross-sectional and longitudinal findings from the KIHD study

Kunutsor SK, Kauhanen J, Laukkanen JA

European journal of clinical investigation · 2 citations

How it was studied

Design
Cross-sectional 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
2023-04-08 · Eur J Clin Invest · vol. 53 · issue 8 · p. e14001
Publisher
Wiley
Cited
3 citations · more than 58% of similar papers · 0.4× the field average
References
50 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Thermoregulation and physiological responses · Therapeutic Uses of Natural Elements · Skin Protection and Aging
Keywords
Cross-sectional study, Renal function, Medicine, Kidney disease, Internal medicine, Bathing, Gerontology, Pathology
MeSH
kidney, humans, creatinine, steam bath, risk factors, cross-sectional studies, adult, middle aged, male, renal insufficiency, chronic

3 authors

From GB, FI

  • Setor K. Kunutsor · correspondingUniversity of Leicester; Leicester General Hospital
  • Jussi KauhanenUniversity of Eastern Finland
  • Jari A. LaukkanenUniversity of Eastern Finland; Central Finland Health Care District

Abstract

Background

It is uncertain if passive heat therapies are associated with adverse renal outcomes. We sought to evaluate the cross-sectional and longitudinal associations of the frequency of sauna bathing with renal function measures and chronic kidney disease (CKD).

Materials and methods

Baseline self-reported sauna bathing habits were assessed in 2071 men aged 42-61 years with normal kidney function. Baseline estimated glomerular filtration rate (GFR) and serum levels of creatinine, potassium (K) and sodium (Na) were measured, with only 11-year measurements of K and Na 11 years in a random subset of participants due to logistical reasons. Study participants were followed up for CKD diagnosed using KDOQI guidelines, which were collected from the National Hospital Discharge Registry. The associations of frequency of sauna bathing with renal function measures were evaluated using regression analyses. Hazard ratios (HRs; 95% CIs) were estimated for CKD.

Results

There were no significant changes in baseline levels of estimated GFR, creatinine and Na comparing 4-7 sauna sessions/week versus 1 sauna session/week; there was a slight increase in K .05 mmoL/L (95% CI, .00, .10; p = .033). There were no significant changes in levels of serum K and Na at 11 years. After 25.7 years overall median follow-up, 188 CKD cases were recorded. Comparing 4-7 sauna sessions/week with 1 sauna session/week, there was no evidence of an association with CKD .84 (95% CI, .46-1.53; p = .56).

Conclusions

Cross-sectional and longitudinal observational evidence suggests that frequent sauna bathing is not associated with impaired renal function or the future risk of CKD.

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

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