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How does balneotherapy impact sleep and mood?

A randomised controlled trial to investigate sleep, mood state and cardiovascular effects of four spa behaviours in healthy participants aged 18 to 45 years

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12621000735853
Enrollment
24
Registered
2021-06-11
Start date
2021-04-28
Completion date
2021-04-30
Last updated
2021-06-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study aims to determine the effect of a hot springs bathing program (balneotherapy) on sleep and mood state among healthy adults, at a major commercial hot springs destination in Australia, Peninsula Hot Springs. Parallel to the study's main aim, the measures and different groupings will also enable comparison of various commonly practiced bathing behaviours in the outcomes. The potential for habituation is to be explored in the results, with first bathing session results compared to the total program outcomes. Hypothesis: All bathing interventions will show significantly improved mood, cardiovascular function and sleep quality compared to 'quiet time' control intervention.

Interventions

Each participant will be randomised to weekly placements over 4 weeks in the following interventions which deliver an assortment of manipulated independent variables: - Thermoneutral bathing (37 degrees C) for 20 minutes, seated position, neck high. - Warm water bathing (39 degrees C) for 20 minutes, seated position, neck high. - Hot water bathing (42 degrees C) 2X10 minutes sessions, seated position, neck high, with X2 cold plunges. - Quiet time X20 minutes in semi-darkened dome lounges within

Each participant will be randomised to weekly placements over 4 weeks in the following interventions which deliver an assortment of manipulated independent variables: - Thermoneutral bathing (37 degrees C) for 20 minutes, seated position, neck high. - Warm water bathing (39 degrees C) for 20 minutes, seated position, neck high. - Hot water bathing (42 degrees C) 2X10 minutes sessions, seated position, neck high, with X2 cold plunges. - Quiet time X20 minutes in semi-darkened dome lounges within Peninsula Hot Springs (PHS) surrounds, no bathing. All interventions take place within Peninsula Hot Springs, Victoria, Australia. Each intervention takes place at 7.30pm. Bathing interventions are in outdoor geothermal mineral pools. Research assistants onsite control for adherence to the intervention protocols, including session timing, water temperatures and distribution/collection of self-reported questionnaires. Washout between treatments is 7 days.

Sponsors

RMIT University
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Crossover
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
18 Years to 45 Years
Healthy volunteers
Yes

Inclusion criteria

Healthy volunteers aged 18-45, local to the testing site (living within 20 minutes drive).

Exclusion criteria

• Unable to give informed consent • A known mood state disorder (eg. anxiety/depression) and/or psychopharmacological medication, hypertensive medication within 4 weeks of recruitment. • Sleeping problems/taking any sleep medications or supplements that may interfere with sleep. • Caffeine or other addictions. • Serious illness including: Rheumatic disease, cardiovascular disease, diabetes mellitus. • Abnormal blood pressure. • Have undergone cancer treatment within 4 weeks of recruitment. • Bathing within 2 weeks prior to the study. • Shift workers: defined as those who work outside of generally perceived normal working hours. • Holiday makers will be excluded for the likelihood their escape/getaway motivation skews sleep/relaxation/QoL data and they are considered more likely to drop-out. • Allergic reaction to the PHS water. • Claustrophobia. • Pregnant or within lactation period. • Epilepsy. • Recent hospitalisation, surgery or antibiotic therapy. • Need to travel across time zones two weeks before or during the study period. • No evening baths at home post-intervention. • Rheumatic diseases including arthritis, causing pain at night. • Cortisone intake within 4 weeks prior to the study. • Changes in dose rates of other medications up to 1 week before study entry.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026