Traditional has the population data. A Finnish prospective cohort followed 1,688 people for a median of 15 years and recorded 181 fatal cardiovascular events. Compared with one sauna session per week, four to seven sessions per week carried an adjusted hazard ratio of 0.23 for cardiovascular mortality (Laukkanen et al., 2018). A 2024 review of passive heat therapies concluded that Finnish saunas, at 80–100 °C and 10–20% relative humidity, have the most consistent and robust evidence of any heat modality (Laukkanen & Kunutsor, 2024).
There is randomised evidence too. In an eight-week trial, 47 sedentary adults with at least one cardiovascular risk factor were assigned to exercise, exercise plus a 15-minute post-exercise sauna, or control. Adding the sauna to exercise produced a further 2.7 mL/kg/min in cardiorespiratory fitness, 8.0 mmHg lower systolic blood pressure and lower total cholesterol than exercise alone (Lee et al., 2022).
Infrared has small, short, mostly athletic trials. They are not nothing. A crossover trial in 16 male basketball players found a single 20-minute infrared session after resistance training attenuated the drop in countermovement jump performance, reduced muscle soreness and improved perceived recovery, with no detriment to autonomic recovery (Ahokas et al., 2023). A six-week trial in 40 female team-sport athletes using infrared three times a week found no effect on hypertrophy but a possible improvement in long-term power production (Ahokas et al., 2025).
One frequently cited head-to-head deserves a caveat. A 2015 study concluded far infrared bathing was favourable for neuromuscular recovery after maximal endurance work, and was very light loading on the body (Mero et al., 2015). But its “traditional” comparison ran at 35–50 °C with 60–70% humidity — a sanarium, not a Finnish sauna at 90 °C. It compared two mild rooms, not the two things this page is about.
The fair summary: traditional sauna has decades of cohort data and hard endpoints; infrared has a small, promising recovery literature and no long-term outcome data. That is a real gap, and it is not infrared’s fault — it is thirty years younger. But it should inform what you expect.