Can Sauna Use Protect Against Alzheimer's?
What 16,000 Finns Tracked for Decades Reveal About Heat and Brain Health
Here's my controversial opinion - I think saunas are one of the most underrated interventions for brain health.
For generations, the Finnish have been inadvertently running a massive population study. Over 16,000 people. Decades of data. And when researchers finally analyzed it all, the results showed regular sauna users had a 20-65% lower dementia risk.
The evidence isn't definitive, but it's strong enough that I've changed my own habits.
The Evidence
Two large-scale Finnish studies have examined the relationship between sauna use and cognitive decline, following participants for decades to understand potential protective effects.
Study 1 (2,315 men, 20+ years)
4-7x/week sauna use → 65% lower Alzheimer's risk
2-3x/week → 20% lower risk
Benefits held after controlling for age, alcohol, weight, BP, and smoking
Study 2 (14,000 people, 39 years)
9-12x/month → 21% lower dementia risk
Sweet spot: 5-14 minutes at 80-99°C
Higher temps (100°C+) actually increased risk
These aren't small effects that disappear under scrutiny. Even after researchers accounted for lifestyle factors and existing health conditions, the protective association remained strong.
Why It Might Work
The protective link makes more sense when you consider what happens in your body. Regular heat exposure triggers repair and maintenance systems throughout your body:
Improved blood vessel function
Reduced inflammation throughout the body
Blood pressure improves, reducing strain on small brain vessels
Cells produce special proteins that help them handle stress better
Think of each sauna session as a controlled challenge that prompts your body to strengthen its defenses. Unlike correlations we can't explain, here we have potential mechanisms that match up with known ways to protect against dementia.
Practical Guidelines
If you're interested in trying sauna bathing, here would be my approach:
✓ 5-14 minute sessions
✓ 80-99°C (176-210°F)
✓ Build up to 2-3x per week
✓ Always hydrate before and after
✓ Start slowly - your tolerance will improve
Safety First: Do NOT Use Saunas If You Have
Check with your doctor first if you have:
Heart disease or low blood pressure
Blood pressure medications
Any chronic health conditions
Avoid saunas completely when:
Fighting infections or fever
Experiencing asthma symptoms
You've been drinking alcohol
Using medication patches
The bottom line? I think sauna bathing shows genuine promise as a brain health intervention, particularly when practiced regularly over many years.
But it's not a magic bullet so consider it as just one potential tool in a comprehensive approach to cognitive health - alongside exercise, good sleep, and social connection.
If you found this helpful, I'd love a like or restack! These articles take considerable research, and your support keeps me going. (Coffee tips always welcome below ☕)
I wonder if any of these studies compared results by gender?
Did the study also look at other variables that may affect risk of Alzheimer’s like exercise and/or diet? Could it be correlation with sauna use instead of causation?