UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000063006
Receipt number R000072129
Scientific Title Immediate Effects of Hot Spring Bathing on Well-Being-Related Outcomes and Cognitive Alertness: A Pilot Randomized Crossover Trial
Date of disclosure of the study information 2026/09/24
Last modified on 2026/09/21 08:24:48

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Basic information

Public title

Immediate Effects of Hot Spring Bathing on Well-Being-Related Outcomes and Cognitive Alertness: A Pilot Randomized Crossover Trial

Acronym

Immediate Effects of Hot Spring Bathing on Well-Being-Related Outcomes and Cognitive Alertness

Scientific Title

Immediate Effects of Hot Spring Bathing on Well-Being-Related Outcomes and Cognitive Alertness: A Pilot Randomized Crossover Trial

Scientific Title:Acronym

Immediate Effects of Hot Spring Bathing on Well-Being-Related Outcomes and Cognitive Alertness

Region

Japan


Condition

Condition

Healthy adult men

Classification by specialty

Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the immediate effects of Zao hot spring bathing on well-being-related outcomes and cognitive alertness in a pilot randomized crossover trial.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Japanese version of the Restorative Outcome Scale

Key secondary outcomes

Physiological tension, psychological calmness, and cognitive tension assessed using the Short-form self-report measure to assess relaxation effects (S-MARE)
Positive and negative affect assessed using the Japanese version of the Positive and Negative Affect Schedule (PANAS)
Electroencephalogram-derived emotional indices assessed using the KANSEI Analyzer
Voice-derived autonomic nervous system indices assessed using MindScale
Mean reciprocal reaction time, fastest 10% reaction time, slowest 10% reaction time, lapses, and number of false starts assessed using the Psychomotor Vigilance Task-Brief (PVT-B)
Heart rate and heart rate variability
Skin temperature
Subjective well-being


Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

6

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

A: Indoor plain hot-water bathing
B: Indoor Zao hot spring bathing
C: Outdoor Zao hot spring bathing
Participants undergo conditions A, B, and C in this order. In each condition, participants bathe for up to 10 minutes, with an interval of at least 7 days between conditions.

Interventions/Control_2

A: Indoor plain hot-water bathing
B: Indoor Zao hot spring bathing
C: Outdoor Zao hot spring bathing
Participants undergo conditions A, C, and B in this order. In each condition, participants bathe for up to 10 minutes, with an interval of at least 7 days between conditions.

Interventions/Control_3

A: Indoor plain hot-water bathing
B: Indoor Zao hot spring bathing
C: Outdoor Zao hot spring bathing
Participants undergo conditions B, A, and C in this order. In each condition, participants bathe for up to 10 minutes, with an interval of at least 7 days between conditions.

Interventions/Control_4

A: Indoor plain hot-water bathing
B: Indoor Zao hot spring bathing
C: Outdoor Zao hot spring bathing
Participants undergo conditions B, C, and A in this order. In each condition, participants bathe for up to 10 minutes, with an interval of at least 7 days between conditions.

Interventions/Control_5

A: Indoor plain hot-water bathing
B: Indoor Zao hot spring bathing
C: Outdoor Zao hot spring bathing
Participants undergo conditions C, A, and B in this order. In each condition, participants bathe for up to 10 minutes, with an interval of at least 7 days between conditions.

Interventions/Control_6

A: Indoor plain hot-water bathing
B: Indoor Zao hot spring bathing
C: Outdoor Zao hot spring bathing
Participants undergo conditions C, B, and A in this order. In each condition, participants bathe for up to 10 minutes, with an interval of at least 7 days between conditions.

Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

64 years-old >=

Gender

Male

Key inclusion criteria

1. Men aged 20-64 years.
2. Individuals who are able to participate in all three bathing conditions during the study period: an indoor plain hot-water bath (control), an indoor Zao hot 3. spring bath (spring water), and an outdoor Zao hot spring bath (spring water and landscape).
4. Individuals who are able to safely undergo whole-body bathing for 5-10 minutes under each condition.
5. Individuals who are able to understand questions and instructions provided in Japanese and complete psychological questionnaires, simplified electroencephalogram measurements, a reading-aloud task, and a cognitive task.
6. Individuals who are considered eligible for participation in the study by the principal investigator.

Key exclusion criteria

1. Individuals who have been advised by a physician to restrict bathing or who are considered by the principal investigator to be unable to safely undergo hot spring bathing.
2. Individuals with serious underlying medical conditions, including severe cardiovascular, cerebrovascular, respiratory, or renal disease.
3. Individuals with uncontrolled hypertension (systolic blood pressure >=180 mmHg or diastolic blood pressure >=110 mmHg) or other medical conditions that may be aggravated by hot spring bathing.
4. Individuals with epilepsy or other neurological disorders that may interfere with electroencephalogram measurements or cognitive testing.
5. Individuals currently receiving treatment for psychiatric disorders or regularly taking psychotropic medications, hypnotics, anxiolytics, or similar medications.
6. Individuals who are unable to bathe in Zao hot spring because of hypersensitivity to strongly acidic sulfur spring water, skin disorders, or other conditions.
7. Individuals who are considered ineligible for participation in the study by the principal investigator.

Target sample size

12


Research contact person

Name of lead principal investigator

1st name Satoshi
Middle name
Last name Seino

Organization

Yamagata University

Division name

Institute of Well-Being

Zip code

990-9585

Address

Iida-nishi 2-2-2, Yamagata city, Yamagata prefecture

TEL

0236285166

Email

seino.s@med.id.yamagata-u.ac.jp


Public contact

Name of contact person

1st name Satoshi
Middle name
Last name Seino

Organization

Yamagata University

Division name

Institute of Well-Being

Zip code

990-9585

Address

Iida-nishi 2-2-2, Yamagata city, Yamagata prefecture

TEL

0236285166

Homepage URL


Email

seino.s@med.id.yamagata-u.ac.jp


Sponsor or person

Institute

Yamagata University

Institute

Department

Personal name



Funding Source

Organization

Yamagata University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee of Yamagata University School of Medicine

Address

Iida-nishi 2-2-2, Yamagata city, Yamagata prefecture

Tel

023-628-5047

Email

yu-ikekenkyu@jm.kj.yamagata-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 09 Month 24 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2026 Year 09 Month 17 Day

Date of IRB

2026 Year 09 Month 17 Day

Anticipated trial start date

2026 Year 09 Month 18 Day

Last follow-up date

2026 Year 10 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 09 Month 21 Day

Last modified on

2026 Year 09 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072129