Passive Heat Training
Passive heat training means sitting in a dry sauna or a hot tub after an easy run or on a rest day, so you get heat exposure without extra running. Your coach may add it as an optional extra in the weeks before a race. The evidence for it is uncertain and strongest for a hot race, so it is a small supplement to the training you do and never a reason to skip a run. This is general training guidance.
Is it worth doing?
Exercise in the heat is the method with the strongest evidence. Across 211 papers, an average of 8 sessions of about 90 minutes at about 39°C lowered heart rate at the end of exercise by 17 beats a minute and core temperature by 0.43°C, expanded plasma volume by 5.6% and improved time trial performance by 3.1%1. Passive heat is the easier option, and its results are less certain. A 2025 analysis pooling 10 studies (199 people) found the effect on performance in hot conditions trivial and imprecise, and rated the certainty of the evidence low to very low2. A second 2025 review of 14 trials found post-exercise heating may improve running performance, at least in hot conditions, with no effect on cycling performance, and rated its evidence low to moderate3.
Coaches of runners who race in heat find that most of the benefit of exercise in the heat comes in the first nine to eleven exposures and that it fades quickly, so the sessions keep going until race week.
So take it if you have a sauna or a hot tub, you are racing in heat or at altitude, and the sessions cost you none of your training. If you have no access, skip it. Nothing about your race depends on it.
Where it helps
A hot race is where it is most likely to help. In a 2016 trial of 17 men, 6 days of 40 minutes running followed by 40 minutes in 40°C (104°F) water improved a 5 km time trial in 33°C heat by 4.9% and lowered resting core temperature, and a 5 km time trial in 18°C did not improve4. A cool race day is therefore no reason to do it: the 2025 pooled analysis found trivial effects on performance in cool, thermoneutral conditions2.
For a race at altitude, treat it as a small bonus. In a 2024 analysis of 9 studies (79 recreationally trained men) of heat acclimation, mostly exercise in the heat, heat adaptation had moderate benefits on resting and submaximal measures in low oxygen and small effects on performance5. That is a reason to keep the sessions you are already doing, and not a reason to add more.
The research is mostly in men. Across 73 passive heat studies, 427 of 1,392 participants were women, and none of the studies was designed to compare men and women6. The evidence is less certain for women than for men.
How it fits your build
Your coach decides whether heat sessions belong in your build and how many, and writes each one into your plan as an optional session.
Sessions go on rest days or after an easy run, not on a hard day, a long-run day or a day with two runs, and not on race day, the day before it or after the race. A newer runner usually does without, because heat is an extra stress and a newer runner has less room for it.
What a session looks like
Runsense's session is up to 20 minutes in a dry sauna at 160 to 180°F (about 71 to 82°C) or in a hot tub or hot bath at 100 to 104°F (about 38 to 40°C). Build up gradually, starting with fewer minutes. Drink before and after, and see the guide on hydration and electrolytes. To pace a hot race, see race-day pacing.
The studies used longer and hotter sessions, so Runsense's is the cautious end. A 2021 trial in runners used about 28 minutes at 101 to 108°C after training, three times a week for three weeks. Heart rate in a 30-minute run in 40°C heat was 11 beats a minute lower than in runners who trained as usual7.
Safety
Get out right away if you feel dizzy, lightheaded or nauseated, or if your heart is pounding, and stand up slowly afterwards. Do not combine heat exposure with alcohol. Skip it if you are pregnant, have a heart condition, or are ill or dehydrated, and check with a doctor if you are unsure.
Keep a hot tub at 104°F (40°C) or below, the limit a U.S. government safety statement from 1996 sets for spa water8. Runsense's hot tub range stops there.
Sources
- McDonald P, Brown HA, Topham TH, Kelly MK, Jardine WT, Carr A, et al. Influence of exercise heat acclimation protocol characteristics on adaptation kinetics: a quantitative review with Bayesian meta-regressions. Comprehensive Physiology 15(3):e70017 (2025). (Bayesian meta-analyses of data from 211 papers on exercise heat acclimation) ↩
- Solomon TPJ, Laye MJ. The effect of post-exercise heat exposure (passive heat acclimation) on endurance exercise performance: a systematic review and meta-analysis. BMC Sports Science, Medicine and Rehabilitation 17(1):4 (2025). (Meta-analysis of 10 studies, 199 participants (156 male, 43 female, aged 20 to 32)) ↩
- Ahokas EK, Hennessy RS, Hanstock HG, Kyröläinen H, Ihalainen JK. Effects of post-exercise heat exposure on acute recovery and training-induced performance adaptations: a systematic review. Sports Medicine - Open 11(1):106 (2025). (Systematic review of 14 randomized or crossover trials, 194 participants) ↩
- Zurawlew MJ, Walsh NP, Fortes MB, Potter C. Post-exercise hot water immersion induces heat acclimation and improves endurance exercise performance in the heat. Scandinavian Journal of Medicine and Science in Sports 26(7):745-754 (2016). (17 non-heat-acclimatized males (10 hot-water immersion, 7 control), 6 days) ↩
- Willmott AGB, Diment AG, Chung HC, James CA, Maxwell NS, Roberts JD, et al. Cross-adaptation from heat stress to hypoxia: a systematic review and exploratory meta-analysis. Journal of Thermal Biology 120:103793 (2024). (Meta-analysis of 9 studies, 79 recreationally trained male participants) ↩
- Mee JA, Barnes O, Lawrence EJ, Thomas G, Duncan BJ, Gibson OR, et al. Passive heat intervention research in women: systematic review and audit of female representation. Experimental Physiology (2026). (Review and audit of 73 studies, 1,392 participants (427 female)) ↩
- Kirby NV, Lucas SJE, Armstrong OJ, Weaver SR, Lucas RAI. Intermittent post-exercise sauna bathing improves markers of exercise capacity in hot and temperate conditions in trained middle-distance runners. European Journal of Applied Physiology 121(2):621-635 (2021). (20 middle-distance runners (13 female), sauna group n = 12 against control n = 8, 3 weeks) ↩
- U.S. Consumer Product Safety Commission. CPSC Issues Warning for Pools, Spas and Hot Tubs (news release), June 3, 1996. Advises keeping spa water at 104 degrees Fahrenheit or below. A government safety statement, not research. ↩
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