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Volume 21, Issue 1
  • ISSN: 1573-403X
  • E-ISSN: 1875-6557

Abstract

Physical activity is widely promoted as a preventive strategy against cardiovascular disease and death from this disease. However, the fact that some individuals are unable or unwilling to engage in physical activity highlights the need for alternative strategies. Passive heat exposure using hot water immersion could serve as an alternative to physical exercise, as it provides similar, if not greater, cardioprotection than physical activity. This perspective article presents evidence supporting our concept and provides recommendations for hot water immersion sessions.

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2024-09-10
2025-05-29

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References

  1. DonahueR.P. AbbottR.D. ReedD.M. YanoK. Physical activity and coronary heart disease in middle-aged and elderly men: The Honolulu Heart Program.Am. J. Public Health198878668368510.2105/AJPH.78.6.683
     [Google Scholar]
  2. LeeI.M. RexrodeK.M. CookN.R. MansonJ.E. BuringJ.E. Physical activity and coronary heart disease in women: is “no pain, no gain” passé?JAMA2001285111447145410.1001/jama.285.11.1447 11255420
     [Google Scholar]
  3. MansonJ.E. GreenlandP. LaCroixA.Z. Walking compared with vigorous exercise for the prevention of cardiovascular events in women.N. Engl. J. Med.20023471071672510.1056/NEJMoa021067 12213942
     [Google Scholar]
  4. MoraS. CookN. BuringJ.E. RidkerP.M. LeeI.M. Physical activity and reduced risk of cardiovascular events: potential mediating mechanisms.Circulation2007116192110211810.1161/CIRCULATIONAHA.107.729939 17967770
     [Google Scholar]
  5. NoconM. HiemannT. Müller-RiemenschneiderF. ThalauF. RollS. WillichS.N. Association of physical activity with all-cause and cardiovascular mortality: a systematic review and meta-analysis.Eur. J. Cardiovasc. Prev. Rehabil.200815323924610.1097/HJR.0b013e3282f55e09 18525377
     [Google Scholar]
  6. WilliamsP.T. Physical fitness and activity as separate heart disease risk factors: a meta-analysis.Med. Sci. Sports Exerc.200133575476110.1097/00005768‑200105000‑00012 11323544
     [Google Scholar]
  7. BuchnerD.M. Physical activity and prevention of cardiovascular disease in older adults.Clin. Geriatr. Med.200925466175[viii]. 10.1016/j.cger.2009.08.00219944266
     [Google Scholar]
  8. FranklinB.A. BrinksJ. SternburghL. Move more, sit less: a first-line, public health preventive strategy?Prev. Cardiol.201013420320810.1111/j.1751‑7141.2010.00075.x 20860644
     [Google Scholar]
  9. PerkJ. De BackerG. GohlkeH. European Guidelines on cardiovascular disease prevention in clinical practice (version 2012): The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of nine societies and by invited experts) * Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR).Eur. Heart J.201233131635170110.1093/eurheartj/ehs092 22555213
     [Google Scholar]
  10. PiercyK.L. TroianoR.P. BallardR.M. The physical activity guidelines for Americans.JAMA2018320192020202810.1001/jama.2018.14854 30418471
     [Google Scholar]
  11. VargheseT. SchultzW.M. McCueA.A. Physical activity in the prevention of coronary heart disease: implications for the clinician.Heart20161021290490910.1136/heartjnl‑2015‑308773 26941396
     [Google Scholar]
  12. ZhaoM. VeerankiS.P. MagnussenC.G. XiB. Recommended physical activity and all cause and cause specific mortality in US adults: prospective cohort study.BMJ2020370m203110.1136/bmj.m2031 32611588
     [Google Scholar]
  13. BethancourtH.J. RosenbergD.E. BeattyT. ArterburnD.E. Barriers to and facilitators of physical activity program use among older adults.Clin. Med. Res.2014121-2102010.3121/cmr.2013.1171 24415748
     [Google Scholar]
  14. BruntV.E. MinsonC.T. Heat therapy: mechanistic underpinnings and applications to cardiovascular health.J. Appl. Physiol.202113061684170410.1152/japplphysiol.00141.2020 33792402
     [Google Scholar]
  15. ChengJ.L. MacDonaldM.J. Effect of heat stress on vascular outcomes in humans.J. Appl. Physiol.2019126377178110.1152/japplphysiol.00682.2018 30676869
     [Google Scholar]
  16. HoekstraS.P. BishopN.C. LeichtC.A. Elevating body termperature to reduce low-grade inflammation: a welcome strategy for those unable to exercise?Exerc. Immunol. Rev.2020264255 32139348
     [Google Scholar]
  17. TeiC. HorikiriY. ParkJ.C. Acute hemodynamic improvement by thermal vasodilation in congestive heart failure.Circulation199591102582259010.1161/01.CIR.91.10.2582 7743620
     [Google Scholar]
  18. SoharE. ShoenfeldY. ShapiroY. OhryA. CabiliS. Effects of exposure to Finnish sauna.Isr. J. Med. Sci.1976121112751282 1017928
     [Google Scholar]
  19. UkaiT. IsoH. YamagishiK. Habitual tub bathing and risks of incident coronary heart disease and stroke.Heart20201061073273710.1136/heartjnl‑2019‑315752 32209614
     [Google Scholar]
  20. LaukkanenT. KunutsorS.K. KhanH. WilleitP. ZaccardiF. LaukkanenJ.A. Sauna bathing is associated with reduced cardiovascular mortality and improves risk prediction in men and women: a prospective cohort study.BMC Med.201816121910.1186/s12916‑018‑1198‑0 30486813
     [Google Scholar]
  21. KjertakovM. PetersenA. Hot water immersion could be an effective alternative to physical exercise in improving cardiovascular fitness during the COVID-19 pandemic.Front. Physiol.202213103518310.3389/fphys.2022.1035183 36505081
     [Google Scholar]
  22. ArenaR. McNeilA. Let’s talk about moving: the impact of cardiorespiratory fitness, exercise, steps and sitting on cardiovascular risk.Rev. Bras. Cir. Cardiovasc.2017322IIIV10.21470/1678‑9741‑2016‑0078 28492797
     [Google Scholar]
  23. SatohF. OsawaM. HasegawaI. SetoY. TsuboiA. “Dead in hot bathtub” phenomenon: accidental drowning or natural disease?Am. J. Forensic Med. Pathol.201334216416810.1097/PAF.0b013e31828d68c7 23629407
     [Google Scholar]
  24. AbramsonB.L. MelvinR.G. Cardiovascular risk in women: focus on hypertension.Can. J. Cardiol.201430555355910.1016/j.cjca.2014.02.014 24786446
     [Google Scholar]
  25. AkermanA.P. ThomasK.N. van RijA.M. BodyE.D. AlfadhelM. CotterJ.D. Heat therapy vs. supervised exercise therapy for peripheral arterial disease: a 12-wk randomized, controlled trial.Am. J. Physiol. Heart Circ. Physiol.20193166H1495H150610.1152/ajpheart.00151.2019 31002283
     [Google Scholar]
  26. BruntV.E. HowardM.J. FranciscoM.A. ElyB.R. MinsonC.T. Passive heat therapy improves endothelial function, arterial stiffness and blood pressure in sedentary humans.J. Physiol.2016594185329534210.1113/JP272453 27270841
     [Google Scholar]
  27. ElyB.R. FranciscoM.A. HalliwillJ.R. Heat therapy reduces sympathetic activity and improves cardiovascular risk profile in women who are obese with polycystic ovary syndrome.Am. J. Physiol. Regul. Integr. Comp. Physiol.20193175R630R64010.1152/ajpregu.00078.2019 31483156
     [Google Scholar]
  28. KudoY. OyamaJ.I. NishiyamaY. MaedaT. IkewakiN. MakinoN. Immersion in Hot Spring Improves Cardiovascular Functions in Patients with Chronic Heart Failure. J Jap Ass Phys Med.Balneol Climatol200871234240
     [Google Scholar]
  29. HoekstraS.P. BishopN.C. FaulknerS.H. BaileyS.J. LeichtC.A. Acute and chronic effects of hot water immersion on inflammation and metabolism in sedentary, overweight adults.J. Appl. Physiol.201812562008201810.1152/japplphysiol.00407.2018
     [Google Scholar]
  30. HooperP.L. Hot-tub therapy for type 2 diabetes mellitus.N. Engl. J. Med.19993411292492510.1056/NEJM199909163411216 10498473
     [Google Scholar]
  31. PilchW. SzygułaZ. TykaA. Effect of 30-minute sauna sessions on lipid profile in young women.Med. Sport 201418416517110.5604/17342260.1133107
     [Google Scholar]
  32. OyamaJ. KudoY. MaedaT. NodeK. MakinoN. Hyperthermia by bathing in a hot spring improves cardiovascular functions and reduces the production of inflammatory cytokines in patients with chronic heart failure.Heart Vessels201328217317810.1007/s00380‑011‑0220‑7 22231540
     [Google Scholar]
  33. RossR. BlairS.N. ArenaR. Importance of assessing cardiorespiratory fitness in clinical practice: a case for fitness as a clinical vital sign: a scientific statement from the American Heart Association.Circulation201613424e653e69910.1161/CIR.0000000000000461 27881567
     [Google Scholar]
  34. BaileyT. CableN. MillerG. SprungV. LowD. JonesH. Repeated warm water immersion induces similar cerebrovascular adaptations to 8 weeks of moderate-intensity exercise training in females.Int. J. Sports Med.2016371075776510.1055/s‑0042‑106899 27286178
     [Google Scholar]
  35. ImbodenM.T. HarberM.P. WhaleyM.H. The association between the change in directly measured cardiorespiratory fitness across time and mortality risk.Prog. Cardiovasc. Dis.201962215716210.1016/j.pcad.2018.12.003 30543812
     [Google Scholar]
  36. KavanaghT. MertensD.J. HammL.F. Prediction of long-term prognosis in 12 169 men referred for cardiac rehabilitation.Circulation2002106666667110.1161/01.CIR.0000024413.15949.ED 12163425
     [Google Scholar]
  37. WaldockK.A.M. GibsonO.R. RelfR.L. Exercise heat acclimation and post-exercise hot water immersion improve resting and exercise responses to heat stress in the elderly.J. Sci. Med. Sport202124877478010.1016/j.jsams.2021.05.017 34158232
     [Google Scholar]
  38. GassE.M. GassG.C. PitettiK. Thermoregulatory responses to exercise and warm water immersion in physically trained men with tetraplegia.Spinal Cord200240947448010.1038/sj.sc.3101341 12185609
     [Google Scholar]
  39. AkiedaK. YamamotoR. TamuraK. Successful treatment of a case with acute hepatic failure following hot bath immersion.Tokai J. Exp. Clin. Med.20083326569 21318969
     [Google Scholar]
  40. LeeC.W. PerngC.L. HuangY.S. LuoJ.C. HungC.L. LinH.C. Multiple organ failure caused by non-exertional heat stroke after bathing in a hot spring.J. Chin. Med. Assoc.201073421221510.1016/S1726‑4901(10)70044‑7 20457444
     [Google Scholar]
  41. NishikawaK. ItoT. TsuchiyaS. ShimodateY. YamakageM. Acute liver injury developed during the clinical course of non-exertional heat stroke following a hot spring bath.Journal of the Japanese Society of Intensive Care Medicine201320341541610.3918/jsicm.20.415
     [Google Scholar]
  42. EpsteinY. YanovichR. Heatstroke.N. Engl. J. Med.2019380252449245910.1056/NEJMra1810762 31216400
     [Google Scholar]
  43. KjertakovM. EpsteinY. Exertional heat stroke in Athletes.OA Maced J Med Sci201311135139https://oamjms.eu/index.php/mjms/article/view/oamjms.2013.026
     [Google Scholar]
  44. ShinY.O. LeeJ.B. MinY.K. YangH.M. Heat acclimation affects circulating levels of prostaglandin E2, COX-2 and orexin in humans.Neurosci. Lett.2013542172010.1016/j.neulet.2013.03.017 23523649
     [Google Scholar]
  45. RicheyR.E. HemingwayH.W. MooreA.M. Olivencia-YurvatiA.H. RomeroS.A. Acute heat exposure improves microvascular function in skeletal muscle of aged adults.Am. J. Physiol. Heart Circ. Physiol.20223223H386H39310.1152/ajpheart.00645.2021 35060753
     [Google Scholar]
  46. KjertakovM. ChandrasiriS. PetersenA. Hot water immersion as a potential substitute for strength training during the COVID-19 pandemic.Front. Physiol.202314110360910.3389/fphys.2023.1103609 36846340
     [Google Scholar]
  47. YalçınA.D. ToydemirH.E. FortaH. Hot water epilepsy: Clinical and electroencephalographic features of 25 cases.Epilepsy Behav.200691899410.1016/j.yebeh.2006.03.013 16698323
     [Google Scholar]
  48. LaukkanenJ.A. LaukkanenT. KunutsorS.K. Cardiovascular and other health benefits of sauna bathing: a review of the evidence.Mayo Clin. Proc.20189381111112110.1016/j.mayocp.2018.04.008 30077204
     [Google Scholar]
/content/journals/ccr/10.2174/011573403X319557240822094347
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  • Article Type:     Editorial
Keyword(s): Cardiovascular disease; cardiovascular mortality; hot water immersion; passive heat exposure; physical activity; prevention

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