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加拿大不列顛哥倫比亞大學的研究表明，遠紅外線桑拿對於2型糖尿病患者可能具有心血管益處。經過三個月每週三次的紅外線桑拿浴治療後，受試者的收縮壓明顯下降，腰圍也有減少趨勢。這項治療為患者提供了一種新的生活方式選擇，可能有助於改善心血管健康。

遠紅外線桑拿浴是否對患有2型糖尿病的人具有心血管益處？

Do Far-infrared Saunas Have Cardiovascular Benefits in People with Type 2 Diabetes?

Richard Beever BSc MD CCFP CI
Vancouver, British Columbia, Canada, Clinical Assistant Professor, Faculty of Medicine, Department of Family Practice, University of British Columbia

https://www.sciencedirect.com/science/article/abs/pii/S1499267110420079

目的

遠紅外線桑拿對擠壓性心力衰竭、高血壓和肥胖的治療有益。因此，它們可能對患有2型糖尿病的人的心血管（CV）健康有益。我們的目的是檢查紅外線桑拿浴是否有定量的CV效益。

方法

干預由20分鐘的紅外線桑拿浴組成，每週三次，持續3個月。測量以下CV風險因素：體重、身高、腰圍、血壓（BPtru）、糖化血紅蛋白（A1C）、空腹血糖和膽固醇概況。基線研究參數在開始桑拿浴前一週內測量。干預後的測量數據在最後一次桑拿浴後的1至3天內收集。

結果

收縮壓下降了6.4毫米汞柱（124 ± 12 vs. 118 ± 15 mm Hg，95% CI 0.01-12.71 p = 0.05），並且有減少腰圍的趨勢（115.0 ± 13.4 vs. 112.7 ± 11.9厘米，95% CI 0.4-5.1 p = 0.10）。所有其他測量都沒有顯著變化。沒有不良事件。研究完成率為75%。

結論

我們的結果表明，使用紅外線桑拿浴可能有助於降低血壓和腰圍。受試者對紅外線桑拿浴的依從性大於對其他生活方式干預的依從性。依從性/依從性的組合，以及改善血壓和可能的腰圍，使紅外線桑拿治療成為一個有吸引力的生活方式選擇。

OBJECTIVE

Far-infrared saunas are beneficial for the treatment of congestive heart failure, hypertension and obesity. As such, they may have a beneficial effect on cardiovascular (CV) health in those with type 2 diabetes. Our objective is to examine whether or not there are quantitative CV benefits from infrared sauna use.

METHODS

The intervention consisted of 20-minute, thriceweekly infrared sauna sessions, over a period of 3 months. The following CV risk factors were measured: weight, height, waist circumference, blood pressure (BPtru), glycated hemoglobin (A1C), fasting blood glucose and cholesterol profile. Baseline study parameters were measured within one week prior to commencing sauna sessions. Post-intervention measurements were collected between 1 and 3 days after the last sauna session.

RESULTS

Systolic blood pressure decreased by 6.4 mm Hg (124 ± 12 vs. 118 ± 15 mm Hg, 95% CI 0.01-12.71 p = 0.05), and there was a trend toward decreased waist circumference (115.0 ± 13.4 vs. 112.7 ± 11.9 cm, 95% CI 0.4-5.1 p = 0.10). All other measurements did not change significantly. There were no adverse events. Study completion rate was 75%.

CONCLUSION

Our results suggest that infrared sauna use may be beneficial for lowering blood pressure and waist circumference. Subject adherence to infrared sauna use is greater than adherence to other lifestyle interventions. The combination of favourable compliance/adherence, as well as effectiveness in improving blood pressure and possibly waist circumference, makes infrared sauna therapy an attractive lifestyle option.

「肥胖、糖尿病和心血管疾病的健康後果將淹沒並使我們的醫療系統陷入癱瘓，除非停止目前的趨勢，」Emili和同事們（1）如此陳述。由於冠心病的風險隨著多個危險因素的增加而增加，因此減少多個危險因素的手段可能在預防和/或治療心血管疾病（CVD）（2）方面具有協同作用。

遠紅外線桑拿浴（FIRS）的製造商聲稱有許多健康益處，包括

設計

這是一個連續的、縱向的、中斷的時間序列研究。

干預

我們研究了一個由加拿大標準協會批准的Sunlight Armana 3紅外線桑拿浴，並按照製造商的說明（Sunlight Saunas World Headquarters，Overland Park，Kansas，USA）操作。受試者被要求在2007/2008年冬季期間參加20分鐘的桑拿浴，每週3次，為期3個月。

為了確定FIRS對CV健康是否有益，我們測量了身高、體重、腰圍

參與者衰減

邀請信件發送給我們的糖尿病患者人口（167人）（見圖1）； 38名受試者表示有興趣參加。有22名受試者報名並完成了基線測量。排除了2人，剩下20人參加研究。研究受試者全部為白人；其中14名女性，6名男性；平均年齡為66.5歲（範圍：50-75歲）。所有20名受試者都開始了研究，其中15人（75％）完成了。5名未參加的受試者

這項研究代表了先前發表的研究的改進，因為它具有更大的樣本大小4., 7., 8., 13.，相當長的持續時間4., 5., 6., 8., 9., 10., 11., 12., 13.，並專注於第2型糖尿病的患者。與以前研究FIRS對BP的效果的研究不同，我們的干預後測量至少在最後一次桑拿浴後24小時進行，允許足夠的時間重新水合8., 11.。我們的另一個重要區別是

我們的結果表明，FIRS的使用降低了第2型糖尿病患者的BP和WC。我們發現FIRS使用的吸收率大於標準生活方式干預的吸收率。有利的依從性和有效性的結合使FIRS治療成為一個吸引人的生活方式選擇。在這項研究中，FIRS並未降低體重、FBG、膽固醇或甘油三酯；然而，我們的樣本量相對較小，因此需要進一步研究。

這項工作得到了加拿大不列顛哥倫比亞省溫哥華UBC的臨床調查員（R3）獎學金的支持。

A. Masuda et al.
The effects of repeated thermal therapy for two patients with chronic fatigue syndrome
J Psychosom Res.
(2005)
Y. Sugahara et al.
Efficacy and safety of thermal vasodilation therapy by sauna in infants with severe congestive heart failure secondary to ventricular septal defect
Am J Cardiol.
(2003)
H. Miyamoto et al.
Safety and efficacy of repeated sauna bathing in patients with chronic systolic heart failure: a preliminary report
J Card Fail.
(2005)
T. Kihara et al.
Repeated sauna treatment improves vascular endothelial and cardiac function in patients with chronic heart failure
J Am Coll Cardiol.
(2002)
M. Imamura et al.
Repeated thermal therapy improves impaired vascular endothelial function in patients with coronary risk factors
J Am Coll Cardiol.
(2001)
M.L. Hannuksela et al.
Benefits and risks of sauna bathing
Am J Med.
(2001)
H. Argani et al.
Seasonal variations of blood pressure in hemodialysis and renal transplant recipients
Transplant Proc
(2004)
A. Emili et al.
Treating metabolic syndrome: lifestyle change or medication?
Can Fam Physician.
(2007)
J.M. Hoeg
Evaluating coronary heart disease risk: tiles in the mosaic
JAMA.
(1997)
Advertisement: Physician Heal Thyself Soleil Sauna
Just for Canadian Doctors
(2006)
A. Masuda et al.
The effects of repeated thermal therapy for patients with chronic pain
Psychother Psychosom.
(2005)
T. Kihara et al.
Effects of repeated sauna treatment on ventricular arrhythmias in patients with chronic heart failure
Circ J.
(2004)
Y. Nguyen et al.
Sauna as a therapeutic option for cardiovascular disease
Cardiol Rev.
(2004)
A. Masuda et al.
Repeated sauna therapy reduces urinary 8-epi-prostaglandin F(2alpha)
Jpn Heart J.
(2004)
S. Biro et al.
Clinical implications of thermal therapy in lifestyle-related disease
Exp Biol Med (Maywood).
(2003)
R. Beever
Far-infrared saunas for treatment of cardiovascular risk factors: summary of published evidence
Can Fam Physician.
(2009)
H.C. Gerstein et al.
Preventive medicine in people at high risk for chronic disease: the value of identifying and treating diabetes
CMAJ.
(1999)
J. Kaur et al.
Diabetes and cardiovascular diseases
Am J Ther.
(2002)
G.S. Mattu et al.
Overall accuracy of the BpTRU-an automated electronic blood pressure device
Blood Press Monit.
(2004)
L. Beckett et al.
The BpTRU automatic blood pressure monitor compared to 24 hour ambulatory blood pressure monitoring in the assessment of blood pressure in patients with hypertension
BMC Cardiovasc Disord.
(2005)
M. Greiver
Improving diabetes care in my practice
Can Fam Physician.
(2007)
C.M. Judge et al.
Physical exposures during pregnancy and congenital cardiovascular malformations
Paediatr Perinat Epidemiol.
(2004)
K. Kauppinen
Facts and fables about sauna
Ann N Y Acad Sci.
(1997)
There are more references available in the full text version of this article.