Robert Podstawski1, Krzysztof Borysławski2, Cain C.T. Clark3, Jari A. Laukkanen4,5, Piotr Gronek6

1University of Warmia and Mazury in Olsztyn, Faculty of Environmental Sciences, Department of Tourism, Recreation and Ecology, Olsztyn, Poland
2Wrocław University of Life and Environmental Sciences, Department of Anthropology, Wrocław, Poland
3Coventry University, Faculty of Health and Life Sciences, Coventry, United Kingdom
4University of Jyväskylä, Faculty of Sport and Health Sciences, Finland and Central Finland Health Care District Hospital District, Jyväskylä, Finland
5Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland
6University of Physical Education in Poznan, Department of Dance and Gymnastics, Poznan, Poland

The Effect of 16-Minute Thermal Stress and 2-Minute Cold Water Immersion on the Physiological Parameters of Young Sedentary Men

Monten. J. Sports Sci. Med. 2020, 9(1), 57-65 | DOI: 10.26773/mjssm.200308

Abstract

This study aimed to determine the effect of 16 minutes of thermal stress followed by 2 minutes of cold water immersion on the physiological parameters of fifty-five sedentary men (mean age 20.15±1.30 years), who were exposed to 16 minutes of sauna (temperature: 90-91℃; relative humidity: 14-16%) followed by 2 minutes of cold water immersion (12℃). The participants' somatic characteristics were determined before entering the sauna, and their body mass and blood pressure were measured before and after sauna treatment. Physiological parameters were monitored during the 16-minute sauna session and the 2-minute cold water immersion (CRIO) or shower. The subjects perspired 0.21-0.27 litres during the 18-minute session. Heart rate values did not differ significantly between groups during the 16-minute sauna session, but significantly (p<0.001) lower HR values were noted in the CRIO group than in the control group (68.6:105.7 and 57.5:90.7 bpm). The values of SBP and DBP did not differ significantly between groups before the sauna but were significantly (p<0.001) lower in the CRIO group after sauna (SBP – 122.0:127.3 mmHg, DBP – 89.9:76.3 mmHg). In both groups, the participants remained within the easy effort range during most of the 18-minute session (650.9 and 492.6 s). A 16-minute sauna session followed by 2 minutes of cold water immersion induces a significantly greater decrease in HR and BP (SBP and DBP) than a 16-minute sauna session followed by 30 seconds in the shower and a 90 s resting period. During cold water immersion, HR values often decrease to the bradycardia range. Heart rate increased steadily in both groups.

Keywords

Finnish sauna, cryotherapy, sedentary men, physiological parameters, somatic features, body composition



View full article
(PDF – 162KB)

References

Blum, N., & Blum, A. (2007). Beneficial effects of sauna bathing for heart failure patients. Experimental & Clinical Cardiology, 12(1), 29-32.

Boraczyński, T., Boraczyński, M., Podstawski, R., Borysławski, K., & Jankowski, K. (2019). Body mass loss in dry sauna and heart rate response to heat stress. Revista Brasileira de Medicina do Esporte, 24(4), 258-262. https://doi.org/10.1590/1517-869220182404172175

Brunt, V.E., Howard, M.J., Francisco, M.A., Ely, B.R., & Minson, C.T. (2016). Passive heat therapy improves endothelial function, arterial stiffness and blood pressure in sedentary humans. Journal of Physiology, 594(18), 5329-5342. https://doi.org/10.1113/JP272453.

Eisalo, A., & Laurila, O.J. (1988). The Finnish sauna and cardiovascular disease. Annals of Clinical Research, 20, 267-270.

Epstein, M. (1992). Renal effects of head-out water immersion in humans: a 15-year update. Physiological Review, 72, 563-621.

Gayda, M., Paillard, F., Sosner, P. Juneau, M., Garzon, M., Gonzalez, M., Bélanger, M., & Nigam, A. (2012). Effects of sauna alone and postexercise sauna baths on blood pressure and hemodynamic variables in patients with untreated hypertension. Journal of Clinical Hypertensio. (Greenwich), 14(8), 553-560. https://doi.org/10.1111/j.1751-7176.2012.00637.x

Gianetti, N., Juneau, M., Arsenault, A., Behr, M.A., Grégoire, J., Tessier, M., & Larivée, L. (1999). Sauna induced myocardial ischemia. American Journal of Medicine, 107(3), 228-233. https://doi.org/10.1016/S0002-9343(99)00220-X

Gibson, A.L., Holmes, J.C., Desautels, R.L.,. Edmonds, L.B., & Nuudi, L. (2008). Ability of new octopolar bioimpedance spectroscopy analyzers to predict 4-component-model percentage body fat in Hispanic, black, and white adults, American Journal of Clinical Nutrition, 87(2), 332-338. https://doi.org/10.1093/ajcn/87.2.332

Gill, N.D., Beaven, C.M., & Cook, C. (2006). Effectiveness of post-match recovery strategies in rugby players. British Journal of Sports Medicine, 40(3), 260-263. https://doi.org/10.1136/bjsm.2005.022483

Hannuksela, M., & Ellahham, S. (2001). Benefits and risks of sauna bathing. American Journal of Medicine, 110(2), 118-126. https://doi.org/10.1016/s0002-9343(00)00671-9

Hasan, J., Karvonen, M.J. & Pirronen, P.(1967). Special review. II. Physiological effects of extreme heat. As studied in the Finnish “sauna” bath. American Journal of Physical Medicine, 46, 1226-1246.

Hawkins, C. (1987). The sauna: killer or healer? British Medicine Journal, 295(6605), 1015-1016. https://doi.org/10.1136/bmj.295.6605.1015-a

Hussain, J., & Cohen, M. (2018). Clinical effects of regular dry sauna bathing: A systematic review. Evidence-Based Complementary and Alternative Medicine, 2018, 1857413, https://doi.org/10.1155/2018/1857413

Imamura, M., Biro, S., Kihara, T., Yoshifuku, S., Takasaki, K., Otuji, Y. (2001). Repeated thermal therapy improves impaired vascular endothelial function in patients with coronary risk factors. Journal of the American College of Cardiology, 38(4), 1083-1088. https://doi.org/10.1016/s0735-1097(01)01467-x

Jezová, D., Kvestnanský, R., Vigaš, M. (1994). Sex differences in endocrine response to hyperthermia in sauna. Acta Physiologica Scandinavica, 150(3), 293-298. https://doi.org/10.1111/j.1748-1716.1994.tb09689.x

Kauppinen, K. (1989a). Sauna, shower, and ice water immersion. Physiological responses to brief exposures to heat, cool, and cold. Part I. Body fluid balance. Arctic Medical Research, 48(2), 55-63.

Kauppinen, K. (1989b). Sauna, shower, and ice water immersion. Physiological responses to brief exposures to heat, cool, and cold. Part II. Circulation. Arctic Medical Research, 48(2), 64-74.

Kauppinen, K. (1989c). Sauna, shower, and ice water immersion. Physiological responses to brief exposures to heat, cool, and cold. Part III. Body temperatures. Arctic Medical Research, 48(2), 75-86.

Kauppinen, K., Vuori, I. (1986). Man in the sauna. Annals of Clinical Research, 18, 173-185.

Kihara, T., Biro, S., Imamura, M., Yoshifuku, S., Takasaki, K., Ikeda, Y., Otuji, Y., Minagoe, S., Toyama, Y., & Tei, C. (2002). Repeated sauna treatment improves vascular endothelial and cardiac function in patients with chronic heart failure. Journal of the American College of Cardiology, 39(5), 754-759. https://doi.org/10.1016/s0735-1097(01)01824-1

Kiss, D., Popp., W, Wagner., C, Zwick., H., & Sertl, K. (1994). Effects of the sauna on diffusing capacity, pulmonary function and cardiac output in healthy subjects. Respiration, 61(2), 86-88. https://doi.org/10.1159/000196312

Koljonen, V. (2009). Hot air sauna burns – review of their etiology and treatment. Journal of Burn Care Research, 30(4), 701-710. https://doi.org/10.1097/BCR.0bo13e3181abfa9f.

Kosunen, K., Pakarinen, J., Kouppasalmi, K., & Adlercreutz, H. (1976). Plasma renin activity, angiotensin II, and aldosterone during intense heat stress. Journal of Applied Physiology, 41, 323-327. https://doi.org/10.1152/jappl.1976.41.3.323

Kozłowski, S., & Saltin, B. (1964). Effect of sweat loss on body fluids. Journal of Applied Physiology, 19(6), 1119-1124. https://doi.org/10.1152/jappl.1964.19.6.1119

Kukkonen-Harjula, K., & Kauppinen, K. (2006). Health effects and risks of sauna bathing. International Journal of Circumpolar Health, 65(3), 195-205. https://doi.org/10.3402/ijch.v65i3.18102

Kunutsor, S.K., Powles, J.W. (2010). The effect of ambient temperature on blood pressure in a rural West African adult population: a cross-sectional study. Cardiovascular Journal of Africa, 21(1), 17-20.

Laukkanen, T., Kunutsor, S., Kauhanen, J., & Laukkanen, J.A. (2016). Sauna bathing is inversely associated with dementia and Alzheimer’s disease in middle-aged Finnish men. Age & Ageing, 46(2), 245-249. https://doi.org/10.1093/ageing/afw212.

Laukkanen, T., Kunutsor, S.K., Zaccardi, F., Lee, E., Willeit, P., Khan, H., & Laukkanen, J.A. (2018). Acute effects of sauna bathing on cardiovascular function. Journal of Human Hyprtension, 32, 129-138. https://doi.org/10.1038/s41371-017-0008-z

Lee, P.H., Macfarlane, D.J., Lam, T.H., & Stewart, S.M. (2011). Validity of the international physical activity questionnaire short form (IPAQ-SF): A systematic review. International Journal of Behavioral. Nutrition and Physical Activity, 8, 115. https://doi.org/10.1186/1479-5868-8-115

Leppäluoto, J., Tuominen, M., Väänänen, A., Karpakka, J., & Vouri, J. (1986). Some cardiovascular and metabolic effects of repeated sauna bathing. Acta Physiologica Scandinavica, 128(1), 77-81. https://doi.org/10.1111/j.1748-1716.1986.tb07952.x

Luuira, O.J. (1980). Arrhythmias and other cardiovascular responses during Finnish sauna and exercise testing in healthy men and post-myocardial infarction patients. Acta Medica Scandinavica. Suplementum, 64, 1-60.

Miyamoto, H., Kai, H., Nakamura, H., Osada, K., Mizuta, Y., Matsumoto, A., & Imazumi, T. (2005). Safety and efficacy of repeated sauna bathing in patients with chronic systolic heart failure: a preliminary report. Journal of Cardiac Failure, 11(6), 432–436. https://doi.org/10.1016/j.cardfail.2005.03.004

Montain, S.J., & Coyle, E.F. (1992). Influence of graded dehydration on hyperthermia and cardiovascular drift during exercise. Journal of Applied Physiology, 73, 1340-1350. https://doi.org/10.1152/jappl.1992.73.4.1340

Ohori, T., Nozawa, T., Ihori, H., Shida, T., Sobajima, M., Matsuki, A., Yasumura, S., & Inoue, H. (2012). Effect of repeated sauna treatment on exercise tolerance and endothelial function in patients with chronic heart failure. American Journal of Cardiology, 109, 100-104. https://doi.org/10.1016/j.amjcard.2011.08.014

Peiffer, J.J., Abbiss, C.R., Watson, G., Nosaka, K., & Laursen P.B. (2008). Effect of a 5-min cold-water immersion recovery on exercise performance in the heat. British Journal of Sports Medicine, 44(6), 461-465. https://doi.org/10.1136/bjsm.2008.048173

Pilch, W., Szyguła, Z., Klimek, A., Pałka, T., Cisoń, T., Pilch, P., & Masafumi, T. (2010). Changes in the lipid profile of blood serum in women taking sauna baths of various duration. International Journal of Occupational Medicine and Environmental Health, 23(2), 167-174. https://doi.org/10.2478/v10001-010-0020-9

Pilch, W., Szyguła, Z., Tori, M., & Hackney, A. (2008). The influence of hyperthermia exposure in sauna on thermal adaptation and select endocrine responses in women. Medicina Sportiva, 12(3), 103-108. https://doi.org/10.2478/v10036-008-0020-z

Podstawski, R., Boraczyński, T., Boraczyński, M., Choszcz, D., Mańkowski, S., & Markowski, P. (2014). Sauna-induced body mass loss in young sedentary women and men. Scientific World Journal, 307421, https://doi.org/10.1155/2014/307421

Podstawski, R., Boraczyński, T., Boraczyński, M., Choszcz, D., Mańkowski, S., & Markowski, P. (2016). Sauna-induced body mass loss in physically inactive young women and men. Biomededica Human Kinetics, 8, 1-9. https://doi.org/10.1515/bhk-2016-0001

Podstawski, R., Borysławski, K., Clark, C.C.T., Choszcz, D., Finn, K.J., & Gronek, P. (2019). Correlations between repeated use of dry sauna for 4x10 minutes, physiological parameters, anthropometric features, and body composition in young sedentary and overweight men: health implications. BioMed Research International, 2019, 7535140, https://doi.org/10.1155/2019/7535140

Podstawski, R., Choszcz, D., Honkanen, A., Tuohino, A., & Kolankowska, E. (2016). Socio-Economic Factors And Psycho-physical well-being as predictors of sauna use among male university students. South African Journal on Research in Sport, Physical Education and Recreation, 38(3), 153-166. https://doi.org/10520/EJC199885

Rismann, A., al.-Karawi, J., & Jorch, G. (2002). Infants physiological response to short heat stress during sauna bath. Clinical Pediatrics, 214, 132-135. https://doi.org/10.1055/s-2002-30149

Sawicka, A., Brzostek, T., & Kowalski, R. (2007). Effects of sauna on the cardiovascular system. Medical Rehabilitation, 11(1), 15-22.

Sawka, M.N., Young, A.J., Francesconi, R.P., Muza, S.R., & Pandolf, K.B. (1985). Thermoregulatory and blood responses during exercise at graded hypohydration levels. Journal of Applied Physiology, 59, 1394-1401. https://doi.org/10.1152/jappl.1985.59.5.1394

Scoon, G.S.M., Hopkins, W.G., Mayhew, S., Cotter, J.D. (2007). Effect of post-exercise sauna bathing on the endurance performance of competitive male runners. Journal of Science and Medicine in Sport, 10(4), 259-262. https://doi.org/10.1016/j.jsams.2006.06.009

Šrámek, P., Šimečková, M., Janskȳ, L., Savliková, J., & Vybiral, S. (2000). Human physiological responses to immersion into water of different temperatures. European Journal of Applied Physiology, 81, 436-442.

Tei, C, Tanaka, N. (1996). Thermal vasodilatation as a treatment of cognitive heart failure: A novel approach. Journal of Cardiology, 27(1), 29-30.

Tei, C., Horikiri, Y., Park, J.C., Jeong, J.W., Chang, K.S., Toyama, Y., Tanaka, N. (1995). Acute hemodynamic improvement by thermal vasodilation in cognitive heart failure. Circulation, 91(10), 2582-2590. https://doi.org/10.1161/01.cir.91.10.2582

Vaile, J., O’Hagan, C., Stefanovic, B., Walker, M., Gill, N., & Askew, C.D. (2009). Effect of cold water immersion on repeated cycling performance and limb blood flow. British Journal of Sports Medicine, 45(10), 825-829. https://doi.org/10.1136/bjsm.2009.067272

Vuori, I. (1987). The hart and the cold. Annals of Clinical Research, 19, 156-162.

Zaccardi, F., Laukkanen, T., Willeit, P., Kunutsor, S.K., Kauhanen, J., Laukkanen, J.A. (2017). Sauna Bathing and Incident Hypertension: A Prospective Cohort Study. American Journal of Hypertension, 30, 1120-1125. https://doi.org/10.1093/ajh/hpx102