Randomized controlled trial2026

Japanese steam sand bath heat therapy mediates comparable reductions in blood pressure with smaller discomfort and respiratory strains than hot water immersion and sauna

Horiuchi M, Fujii N

European journal of applied physiology · 0 citations

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Unclassified
The Vision for a Digital Garden City Nation

Based on 1 listed funder(s).

Publication

Published
2025-08-29 · Eur J Appl Physiol · vol. 126 · issue 3 · pp. 1391–1403
Publisher
Springer Science+Business Media
Cited
0 citations · more than 22% of similar papers · 0.0× the field average
References
52 works
Access
Paywalled
Research areas
Thermoregulation and physiological responses · Body Contouring and Surgery · Therapeutic Uses of Natural Elements
Keywords
Immersion (mathematics), Respiratory system, Human physiology, Medicine, Sports medicine, Anesthesia, Chemistry, Animal science, Biomedical engineering, Internal medicine, Physical therapy, Biology, Mathematics
MeSH
humans, steam bath, hyperthermia, induced, immersion, steam, blood pressure, adult, male, hot temperature, young adult, sand, east asian people

2 authors

From JP

  • Masahiro HoriuchiNational Institute of Fitness and Sports in Kanoya
  • Naoto Fujii · correspondingUniversity of Tsukuba

Abstract

Purpose

Heat therapies such as hot water immersion, Finland saunas, and Waon therapy have been reported to reduce resting arterial blood pressure. However, hyperthermia imposes physiological and perceptual strains. To acquire a habit of heat therapy, it is ideal to develop a modality that offers therapeutic benefits with minimal strain. Here, we hypothesized that the unique Japanese traditional steam sand heat therapy lowers blood pressure with minimum physiological and perceptual strains.

Methods

Fourteen healthy young male adults underwent three heating procedures, each lasting 20 min: (1) steam sand bath (~ 50 °C), (2) hot water bath (~ 41 °C), or (3) sauna (~ 80 °C) in a randomized counter-balanced manner. Cardiorespiratory responses and perceptions were assessed before, during, and after each heating.

Results

Core temperature increased in the following order: hot water bath > sauna > steam sand bath (all p 0.39). Thermal comfort at the end of heating was lower (i.e., more comfortable) in the steam sand bath compared to the other two conditions (both p < 0.001).

Conclusion

We show that the traditional Japanese steam sand bathing may provide blood pressure-lowering benefits with reduced respiratory and perceptual strains compared to hot water bath and sauna.

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

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