Scientific Research

Evidence-based research supporting the health benefits of thermal therapy practices. All studies include direct links to original sources.

The Untapped Potential of Cold Water Therapy as Part of a Lifestyle Intervention for Promoting Healthy Aging

Authors: Setor K Kunutsor, Andrea Lehoczki, Jari A Laukkanen

Published: GeroScience, 2024 • 47(1):387–407

Cold Water

Summary

Comprehensive review examining cold water therapy's impact on cardiometabolic health, immune function, mental health, and metabolic processes. The study found that cold water exposure positively impacts cardiometabolic risk factors, stimulates brown adipose tissue, triggers beneficial stress hormone release, and may reduce cardiovascular disease risk. Evidence suggests short-term exposure at lower temperatures provides greater benefits, though optimal protocols require further research.

Key Findings

  • Positively impacts cardiometabolic risk factors and may reduce CVD risk
  • Stimulates brown adipose tissue (BAT) and promotes energy expenditure
  • Triggers release of stress hormones, catecholamines, and endorphins
  • Boosts immune system function and reduces inflammation
  • Enhances recovery following exercise and reduces muscle soreness
Cardiovascular and Other Health Benefits of Sauna Bathing: A Review of the Evidence

Authors: Tanjaniina Laukkanen, Setor Kunutsor, Jari Laukkanen

Published: Mayo Clinic Proceedings, 2018 • 93(8):1111-1121

Sauna

Summary

Systematic review of sauna bathing's cardiovascular benefits based on observational, interventional, and mechanistic studies. Regular sauna use (4-7 times per week) is associated with significantly reduced risk of fatal cardiovascular events, stroke, and all-cause mortality. The study tracked 2,300 participants over 20 years, demonstrating dose-dependent benefits with increased frequency of use.

Key Findings

  • 4-7 sauna sessions per week reduce cardiovascular death risk by 50%
  • Significant reduction in stroke risk with regular use
  • Improves blood pressure and arterial compliance
  • Reduces inflammation and oxidative stress
  • May lower risk of dementia and Alzheimer's disease
Benefits of Sauna Bathing for Heart Health

Authors: UCLA Health

Published: UCLA Health News, 2023 • February 2023

Sauna

Summary

Clinical overview of sauna bathing's cardiovascular benefits, including immediate effects on heart rate, blood pressure, and cholesterol levels. The research demonstrates that combining sauna use with exercise provides more significant improvements than exercise alone, particularly for blood pressure and total cholesterol management. Optimal protocol identified as 15 minutes post-workout, 3 times per week.

Key Findings

  • Heart rate increases to 100-150 bpm, similar to moderate exercise
  • 15 minutes post-workout, 3x/week optimal for blood pressure
  • Raises HDL (good) cholesterol and reduces total cholesterol
  • Improves cardiovascular respiratory fitness (CRF)
  • Reduces risk of sudden cardiac death
Adapted Cold Shower as a Potential Treatment for Depression

Authors: Nikolai A Shevchuk

Published: Medical Hypotheses, 2008 • 70(5):995-1001

Cold Water

Summary

Theoretical and practical examination of cold water exposure as a treatment for depression. The study proposes that cold showers activate the sympathetic nervous system and increase beta-endorphin and noradrenaline levels in the brain, potentially providing antidepressant effects. The proposed protocol involves gradual adaptation to cold water exposure over several weeks.

Key Findings

  • Cold exposure activates sympathetic nervous system
  • Increases beta-endorphin and noradrenaline in brain
  • May provide antidepressant effects without side effects
  • Gradual adaptation protocol recommended
  • High density of cold receptors in skin amplifies electrical impulses
The Effect of Cold Showering on Health and Work: A Randomized Controlled Trial

Authors: Geert A Buijze, Inger N Sierevelt, Bas C van der Heijden, Marcel G Dijkgraaf, Monique H Frings-Dresen

Published: PLoS ONE, 2016 • 11(9):e0161749

Cold Water

Summary

Randomized controlled trial with 3,018 participants examining the effect of cold showers on health and work absence. Participants who incorporated cold showers into their routine experienced a 29% reduction in sickness absence from work. The study found no significant difference between various cold shower durations (30, 60, or 90 seconds), suggesting even brief exposure provides benefits.

Key Findings

  • 29% reduction in sickness absence from work
  • No significant difference between 30, 60, or 90 second exposure
  • Improved perceived energy levels and well-being
  • Sustainable practice with high adherence rates
  • Benefits persist beyond the intervention period
Sauna Bathing and Incident Hypertension: A Prospective Cohort Study

Authors: Tanjaniina Laukkanen, Hassan Khan, Francesco Zaccardi, Jari A Laukkanen

Published: American Journal of Hypertension, 2017 • 30(11):1120-1125

Sauna

Summary

Prospective cohort study examining the relationship between sauna bathing frequency and hypertension risk. Among 1,621 participants followed for an average of 24.7 years, those who used the sauna 4-7 times per week had a 47% lower risk of developing hypertension compared to those who used it once per week. The study demonstrates a clear dose-response relationship.

Key Findings

  • 47% lower hypertension risk with 4-7 sessions per week
  • Clear dose-response relationship with frequency
  • Benefits independent of cardiovascular risk factors
  • Long-term protective effects over 24.7 years
  • Particularly beneficial for those at risk of hypertension
Contrast Water Therapy and Exercise Induced Muscle Damage: A Systematic Review and Meta-Analysis

Authors: Chris M Bleakley, Gareth W Davison

Published: Physical Therapy in Sport, 2010 • 11(1):11-14

Contrast Therapy

Summary

Systematic review and meta-analysis examining contrast water therapy (alternating hot and cold water immersion) for exercise-induced muscle damage recovery. The analysis of multiple studies found that contrast therapy significantly reduces muscle soreness and improves recovery of muscle function compared to passive recovery, making it an effective strategy for athletes and active individuals.

Key Findings

  • Significantly reduces delayed onset muscle soreness (DOMS)
  • Improves recovery of muscle power and function
  • More effective than passive recovery
  • Optimal protocol: 1 min cold (10-15°C), 1 min hot (38-40°C)
  • Particularly effective when performed immediately post-exercise
Whole-Body Cryotherapy in Athletes: From Therapy to Stimulation

Authors: Giuseppe Banfi, Alessandra Lombardi, Giampiero Colombini, Giovanni Melegati

Published: Sports Medicine, 2010 • 40(6):509-517

Cold Water

Summary

Comprehensive review of whole-body cryotherapy applications in athletic performance and recovery. The study examines how extreme cold exposure (-110°C to -140°C for 2-3 minutes) affects inflammation, pain perception, and recovery processes. While more extreme than cold water immersion, the mechanisms and benefits share similarities with cold water therapy protocols.

Key Findings

  • Reduces inflammation markers and oxidative stress
  • Decreases pain perception through analgesic effects
  • Accelerates recovery between training sessions
  • Improves sleep quality in athletes
  • May enhance subsequent exercise performance
Sauna Bathing and Risk of Psychotic Disorders: A Prospective Cohort Study

Authors: Tanjaniina Laukkanen, Setor Kunutsor, Jussi Kauhanen, Jari A Laukkanen

Published: Medical Principles and Practice, 2018 • 27(6):562-569

Sauna

Summary

Long-term prospective study investigating the relationship between sauna bathing frequency and risk of psychotic disorders. Among 2,138 men followed for an average of 25 years, frequent sauna use (4-7 times per week) was associated with a significantly reduced risk of developing psychotic disorders compared to infrequent use (once per week), suggesting mental health benefits beyond cardiovascular effects.

Key Findings

  • 77% reduced risk of psychotic disorders with frequent use
  • Dose-dependent relationship with bathing frequency
  • Benefits independent of other lifestyle factors
  • Potential mechanisms include stress reduction and improved sleep
  • Long-term protective effects over 25 years
Post-Exercise Cold Water Immersion: Is It Time to Rethink the Benefits?

Authors: Jonathan M Peake, Philo U Saunders, Glenn K Nosaka

Published: Frontiers in Physiology, 2021 • 12:568811

Cold Water

Summary

Critical review examining both benefits and potential drawbacks of post-exercise cold water immersion. While confirming acute benefits for recovery and soreness reduction, the study raises important considerations about timing and frequency, particularly for those seeking long-term training adaptations. Suggests strategic use rather than routine application after every training session.

Key Findings

  • Effective for acute recovery and reducing muscle soreness
  • May attenuate long-term training adaptations if overused
  • Strategic timing important for optimal benefits
  • Most beneficial after high-intensity or competition
  • Consider training goals when implementing protocols