Laukkanen · Mayo Clinic proceedings 2018 · literature review · n=?

Cardiovascular and Other Health Benefits of Sauna Bathing: A Review of the Evidence.

Level 5 - mechanism / opinion, no new human data

Narrative literature review summarizing observational, experimental, and interventional studies.

PubMed 30077204 · doi:10.1016/j.mayocp.2018.04.008 · record verified 2026-08-26

What was done

Authors searched MEDLINE and EMBASE from inception to February 24, 2018, to review observational studies, randomized controlled trials, and non-randomized trials evaluating Finnish sauna bathing. The review assessed associations with cardiovascular outcomes, nonvascular conditions, mortality, and underlying biological mechanisms.

What was found

The abstract reports no numerical data or effect sizes. It qualitatively describes associations between sauna bathing and reduced risks of hypertension, cardiovascular disease, neurocognitive disorders, pulmonary disease, and all-cause mortality, as well as symptom amelioration in arthritis, headache, and flu. Postulated mechanisms include enhanced endothelium-dependent dilatation, reduced arterial stiffness, autonomic nervous system modulation, improved lipid profiles, and reduced systemic blood pressure.

Why it matters

This review compiles the physiological and epidemiological evidence supporting Finnish sauna use as a lifestyle intervention with broad cardiovascular and overall health benefits.

Limits

The abstract does not state the number of studies reviewed, total sample size, or quantitative effect sizes. Observational findings on Finnish sauna habits may reflect residual confounding (e.g., socioeconomic status, general health consciousness) and may not fully generalize to other heating modalities or populations.