Independent guide for the UK

    Sauna benefits, weighed up

    Is a sauna good for your heart? How long should you stay in, and is infrared as good as the real thing? We read the studies, grade the evidence behind each claim and explain how to use heat and cold water safely, so you know what a session can and can't do.

    80–100°C
    is the usual heat of a Finnish sauna, with low humidity
    4–7×
    a week was linked with the lowest risk of heart deaths in Finnish studies
    0.5kg
    or so of sweat lost in a session, which is water, not fat
    15°C
    or colder water can trigger cold water shock

    What the research supports

    Each common claim, graded by the quality of the studies behind it. Regular saunas have some of the best long-term data of any wellness habit, but most of it comes from one region of Finland, and many popular claims have none at all.

    1. Moderate evidence

      Heart health

      Decades-long Finnish studies link frequent saunas with far fewer heart deaths and strokes, and short trials show helpful changes in blood vessels. Not yet tested in long randomised trials.

    2. Moderate evidence

      Blood pressure

      A session lowers blood pressure for a while, an 8-week trial found a lasting fall when saunas followed exercise, and a cohort study linked frequent use with less hypertension.

    3. Weak evidence

      Dementia and brain health

      One cohort of Finnish men found much less dementia among frequent users. It has not been repeated elsewhere.

    4. Weak evidence

      Mood and depression

      One small randomised trial of medical whole-body heating eased depression for six weeks. That was not a sauna, and no sauna trial has tested it.

    5. Weak evidence

      Sleep

      Most regular users say they sleep better, but that comes from surveys, not trials.

    6. Weak evidence

      Muscle recovery and fitness

      Small trials of 6 to 10 people hint at better endurance and recovery.

    7. Weak evidence

      Lungs and colds

      One Finnish cohort linked frequent saunas with less pneumonia and lung disease.

    8. Weak evidence

      Skin

      One small study found regular users had a more stable skin barrier.

    9. No good evidence

      Detox and weight loss

      Sweat carries tiny amounts of toxins compared with your kidneys, and the weight you lose is water that comes back when you drink.

    • No good evidence
    • Weak evidence
    • Moderate evidence
    • Strong evidence

    Read the full benefits guide

    The Finnish studies, in one chart

    Since 1984, researchers in Kuopio have followed thousands of people and asked how often they use a sauna. The more often, the lower the risk of several major diseases. What these results do and don’t prove.

    1. Sudden cardiac death2,315 men, 21 years · Laukkanen 2015
      63% lower
    2. Death from heart disease or stroke1,688 men and women, 15 years · Laukkanen 2018
      77% lower
    3. Stroke1,628 men and women, 15 years · Kunutsor 2018
      62% lower
    4. High blood pressure1,621 men, 25 years · Zaccardi 2017
      47% lower
    5. Dementia2,315 men, 21 years · Laukkanen 2017
      66% lower
    6. Respiratory disease1,935 men, 26 years · Kunutsor 2017
      41% lower
    Risk compared with once a week, after adjusting for age, smoking, blood pressure, cholesterol and other factors. These are associations from one Finnish study population, not proof that saunas caused the difference.How much weight to give them.

    Hot, then cold?

    Many UK sauna clubs pair the heat with a cold plunge or a dip in the sea. The cold has real effects on muscle soreness and mood, a smaller evidence base than the heat, and one serious risk: the gasp reflex that comes with sudden immersion. Here is what the trials show and how to do it safely.

    Cold water and contrast
    • 10–15°C water for 10 to 15 minutes did best for muscle soreness in a review of trials
    • 29%fewer sick days among Dutch adults who ended their shower with 30 to 90 seconds of cold
    • ~4dips before the cold shock response starts to fade, on average
    • 1–3minutes is plenty in cold water for most people starting out

    Not all heat is the same

    A Finnish sauna, an infrared cabin and a steam room work at very different temperatures and humidity, and most of the research used the first. Every type compared.

    1. Finnish saunaDry, 10–20%, with bursts of steam (löyly) · 5–20 min
      70 to 100°C
    2. Russian banyaHumid, often 40–60% · 5–15 min
      70 to 90°C
    3. Infrared cabinDry, under 20% · 15–40 min
      40 to 60°C
    4. Steam roomSaturated, close to 100% · 10–20 min
      40 to 50°C
    5. Hot tub or hot bathWater · 10–20 min
      37 to 40°C
    Usual air (or water) temperature. Humidity changes how hot it feels: 45°C in a steam room is harder going than 80°C in a dry Finnish sauna, because sweat can't evaporate.

    Questions people ask

    Short answers, each linked to the guide that explains it in full.

    What is the difference between a sauna and a steam room?

    A traditional sauna is hot and fairly dry, typically 70°C to 100°C with 10% to 20% humidity, rising briefly when water is thrown on the stones. A steam room is much cooler, about 40°C to 50°C, but close to 100% humidity, so sweat can't evaporate.

    What are the proven benefits of a sauna?

    Nothing is proven in the strict sense, because there are no long randomised trials. The best evidence is for the heart and circulation: long Finnish studies link frequent sauna use with fewer heart deaths, strokes and cases of high blood pressure, and short trials show a session lowers blood pressure and makes arteries more flexible for a while.

    What are the side effects of a sauna?

    The most common are feeling light-headed or faint on standing, headache, and dehydration. Overheating, heat exhaustion and, rarely, heatstroke can happen if you stay in too long, especially after drinking. Men who use saunas often may have a temporary drop in sperm count.

    Do I need planning permission for a garden sauna?

    Often not. Garden buildings usually fall under permitted development if they meet the size, height and position limits on the Planning Portal, such as staying under 2.5 metres high within 2 metres of a boundary. Rules differ for listed buildings, flats and designated land, so check with your council.