Elderly person enjoying a hot spring bath at home.

Hot Springs at Home: Can a Soothing Soak Prevent Long-Term Care?

"Discover the surprising link between having a hot spring water supply at home and its potential to reduce the risk of needing long-term care. Learn how easy access to therapeutic bathing could benefit your health and well-being."


As Japan faces an aging population, finding ways to support the elderly and prevent the need for long-term care has become a national priority. The Japanese government established a long-term care insurance system in 2000 to provide financial assistance to those who require it. With long-term care costs on the rise, maintaining physical function and preventing decline is crucial for both individual well-being and economic stability.

Many studies suggest that hot spring bathing offers various physical and mental health benefits, including pain relief and improved mobility. With over 27,000 hot spring sources throughout Japan, these natural resources have the potential to promote healthy aging. But is there a direct link between regularly using hot springs and preventing the need for long-term care?

A unique opportunity to explore this connection exists in Atami City, where a municipal hot spring management system pipes hot spring water directly into residents' homes. This allows a significant portion of the population to enjoy daily hot spring bathing. By combining data on long-term care insurance with information on hot spring water supply, researchers aimed to uncover whether having easy access to hot springs at home could indeed play a role in preventing or delaying the need for long-term care.

Hot Spring Home Setups: How Does Easy Access Impact Long-Term Care Needs?

Elderly person enjoying a hot spring bath at home.

Researchers in Atami City, Japan, embarked on a case-control study to investigate the link between residential hot spring access and long-term care. The study focused on 2,719 Atami residents who were already receiving long-term care insurance benefits as of March 2017. The team then linked these individuals' long-term care records with data on whether or not their homes had a hot spring water supply.

For 2,194 participants with multiple long-term care assessments, the researchers compared their initial care levels with their care levels as of March 2017. Participants were divided into two groups: those whose care level remained the same or improved (the "no change/improvement" group) and those whose care level declined (the "worsening" group).
  • Initial Assessment: Track each participant's starting level of required care.
  • Hot Spring Access: Determine if a hot spring water supply was installed in their home.
  • Care Level Changes: Monitor changes in care level over time.
  • Group Classification: Sort participants into "no change/improvement" or "worsening" groups.
  • Statistical Analysis: Compare the groups, considering factors like sex and initial care level.
The researchers then analyzed the data to determine if there was a statistically significant association between having a hot spring water supply at home and the likelihood of either maintaining or improving one's care level. Odds ratios (ORs) and confidence intervals (CIs) were calculated to quantify the strength of this association.

The Bottom Line: Is a Hot Spring at Home Worth It?

The study's findings suggest a potential link between having a hot spring water supply at home and preventing the worsening of care level, particularly among women. The results indicated that easy access to hot spring bathing may contribute to maintaining or improving physical function and overall well-being, potentially delaying or preventing the need for more intensive long-term care. While this study offers encouraging insights, further research is needed to confirm these findings and explore the underlying mechanisms. Factors such as bathing frequency, water composition, and individual health conditions should be taken into account to gain a more comprehensive understanding of the benefits of hot spring bathing for healthy aging.

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