Is Sauna Bad for Kidneys? What the Science Says

A sauna is a heated room designed to promote relaxation and detoxification through sweating, with temperatures typically ranging from 150 to 195 degrees Fahrenheit (66-91 degrees Celsius). Many individuals wonder about the impact of this practice on internal organs, particularly the kidneys. This article explores the scientific understanding of how saunas affect kidney health.

Physiological Effects of Sauna Use

Exposure to the high temperatures within a sauna triggers several physiological responses in the human body. The primary response involves profuse sweating, which serves as the body’s natural mechanism to cool down and maintain a stable core temperature. This process leads to a notable loss of fluids and some electrolytes.

The heat also causes blood vessels near the skin’s surface to dilate, which increases blood flow to the skin. Simultaneously, the heart rate increases, mimicking the cardiovascular demands of moderate exercise. These are typical, temporary adjustments the body makes in a healthy individual to manage heat stress.

Sauna Use and Kidney Health

For individuals with healthy kidneys, sauna use is not detrimental. Some research suggests potential benefits, such as a reduced risk of developing chronic kidney disease in men. Heat stress may also help protect against acute kidney injury by inducing a protective protein known as heat shock protein 70 (HSP70).

However, the significant fluid loss through sweating in a sauna can stress the kidneys if not properly managed. Dehydration can lead to a decrease in blood volume, forcing the kidneys to work harder to filter blood. Over time, this sustained effort could potentially lead to kidney damage. Inadequate rehydration also concentrates urine, increasing the risk of kidney stone formation due to a buildup of minerals.

For individuals with pre-existing kidney conditions, such as chronic kidney disease or a history of kidney stones, saunas pose greater risks. Impaired kidneys may struggle to manage fluid and electrolyte imbalances from heavy sweating. Isolated case reports link severe dehydration from excessive sauna use to acute kidney injury or rhabdomyolysis, particularly in those with underlying conditions like sickle cell trait. Sauna-induced sweating can help excrete urea for dialysis patients, but this requires medical supervision.

Safe Sauna Practices

Safe sauna practices minimize potential risks, especially concerning kidney health. Hydration is paramount; drink plenty of water before, during, and after a session. Consuming at least half a liter to a liter before entering prepares the body for fluid loss. Sipping water throughout and replenishing lost fluids and electrolytes afterward is also advised.

Session duration should be limited. Experienced users typically stay 15-20 minutes, while beginners should start with 5-10 minutes. The maximum suggested time is 20-30 minutes.

Listen to your body and exit immediately if dizziness, nausea, or discomfort occurs. Avoid alcohol and medications affecting sweating or hydration before or during use. After a session, allow gradual cool-down. Individuals with pre-existing health conditions, especially kidney issues, should consult their healthcare provider before using a sauna.