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Saunas and Heat Therapy: Dr. Stephen Cheung Explains the Science and Health Advantages

MD Amirul149486610
Published on 2026-03-17 07:01:00
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Saunas and Heat Therapy: Dr. Stephen Cheung Explains the Science and Health Advantages

Controlled exposure to heat — through saunas, steam rooms or hot tubs — is gaining attention for more than relaxation. In a recent appearance on CBC Radio’s The Dose, environmental stress researcher Dr. Stephen Cheung outlines how regular passive heat can deliver lasting benefits for cardiovascular and brain health.

Dr. Cheung has studied environmental stress since beginning graduate work in 1991. Over three decades he has researched how heat and cold affect human physiology and performance, advising elite athletes, firefighters and military personnel on operating safely in extreme conditions.

While extreme heat can impair performance or cause heat illness, Dr. Cheung explains that planned, passive heating has different effects. Repeated sessions of safe heat exposure have been associated with improved blood vessel function, lower stroke risk, and potential reductions in the risk of neurodegenerative conditions such as dementia and Alzheimer’s disease.

One primary mechanism involves increased pulsatile blood flow through vessels. This elevated shear stress stimulates the endothelium — the inner vessel lining — to release relaxing factors, including nitric oxide. The result is

greater vessel elasticity and stronger smooth muscle surrounding the arteries.

On The Dose podcast with host Dr. Brian Goldman, Dr. Cheung reviewed practical aspects of heat therapy. Topics included what counts as heat therapy, how it benefits vascular health, evidence on long-term brain outcomes, safety thresholds, recommended frequency, and the question of combining heat with cold plunges.

He also discussed conditions that make heat therapy inappropriate or risky, and offered guidance on how athletes and the general public can introduce passive heat exposure safely into routines.

For listeners who want the full conversation, the episode and its transcript are available via CBC Radio’s The Dose. Dr. Cheung has also written about related topics, such as cold-water immersion, in separate articles.

Selected reference

Cheung SS, Ainslie PN (2022) Advanced Environmental Exercise Physiology, 2nd edition. Human Kinetics, Champaign, USA.

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