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Comment by api

8 hours ago

Does a long hot bath do the same?

If you are a man, the hot water has a deleterious effect on your testicles' ability to make sperm. But so do saunas apparently.

https://pubmed.ncbi.nlm.nih.gov/23411620/

That one was 80-90C, which is a really hot sauna.

Yes, if by hot bath you mean submerging yourself to neck level in 40ºC or above water for 20-30 minutes. There's no reason to believe any "heat therapy" modality is superior to another as long as you suffer equal heat stress.

For the record, if you're not acclimated, intense heat exposure is a lot more agonising than 30 minutes of exercise for less benefit. If you haven't experienced a properly tuned sauna in your life you are in for a ride. What's being studied in the literature is nothing like your standard hotel experience.

  • The standard hotel experience is sitting wrapped in a towel and longing for my winter coat! Actually I would probably feel similarly in this study, 73°c is really cold for sauna. 90°c-100°c is the sweet spot

  • How are you suffering equal heat stress from being submerged in moderately warm water and breathing very hot air? I could imagine quite different effects on airways and skin, for example. "Exactly the same effect" seems like the unexpected outcome here.

    > intense heat exposure is a lot more agonising than 30 minutes of exercise for less benefit

    Having to do absolutely nothing other than not leaving is quite different from pushing through a physical activity that can also easily be causing all kinds of discomfort.

    • It's all about raising your core temperature, water transfers heat to the body much more efficiently than air, so water at 104F ends up raising your body core temperature as much as a dry sauna at 170F. I did some experimentation on this, I have access to a dry sauna at my gym and I track my HR and exertion levels, I did the same with the hot tub at home making sure the water temperature doesn't go below 104F and im fully submerged to the neck, 30 mins session in both cases. The graphs look pretty much identical, same HR uptrends. So as far as cardio effects and heat shock proteins I do believe they are the same, not sure if there could be any benefit to breathing dry hot air for the lungs, but so far most benefits from sauna come from raising core temp

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    • > How are you suffering equal heat stress from being submerged in moderately warm water

      by the rules of this universe, you can't survive being submerged in 40C water for a prolonged period of time (even 37C would kill you as well), because humans produce heat and if you can't dispose of it you'll overheat and be dead soon enough

    • Have you tried submerging yourself in moderately hot water, I wonder? And have you spent some time pondering the difference in heat transfer between convection and conduction?

It might not do the exact same, but it will have some effect. A lot of the benefit comes from the raised heart rate and opening of the blood vessels that the sauna produces, and I can expect that a warm bath would also have a similar effect. I think both are also known to reduce stress, which can help to lower blood pressure.