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Biohacks · Breath

Breathwork, downshifted: Wim Hof, box breathing and the slow exhale

Breathwork, explained honestly: the Wim Hof method, box breathing and slow exhale techniques, the physiology of the vagus nerve and stress response, what the research actually shows, and important safety rules.

  • 8 min read
  • By Joakim Bjarke
  • Developed in Sweden

Your breath is the one part of the nervous system you can steer on purpose. Here is the honest version: how the two opposite styles of breathwork work, the physiology behind them, what the research actually shows, and the safety rule that matters most.

Of all the tools in the biohacking toolbox, breathwork is the cheapest and the most portable. You always have it with you, it costs nothing, and it is the one lever that lets you deliberately reach into the autonomic nervous system, the part that usually runs on its own. But "breathwork" covers two almost opposite practices: some methods rev you up, others wind you down. Understanding which is which, and why, is the whole game.

The one idea that explains all of it

Your autonomic nervous system has two branches. The sympathetic branch is "fight or flight", it raises heart rate, alertness and arousal. The parasympathetic branch is "rest and digest", it slows the heart and settles the body. Breathing is wired into both. As a rough rule, longer or more forceful inhaling tilts you toward arousal, and longer, slower exhaling tilts you toward calm. This happens largely through the vagus nerve, the main parasympathetic cable from the brainstem to the heart and organs. A slow exhale stimulates the vagus, which slows the heart. That single fact, exhale to calm down, underlies most of the gentle, evidence-friendly breathwork worth practising.

A quiet seat at a window in soft morning light
Slow breathing needs no equipment and no room. A chair by a window is the whole setup.

Style one: the slow exhale (box breathing and 4-7-8)

The downshifting styles are the ones to reach for when you are stressed, anxious or trying to sleep. Box breathing, popularised by Navy training, is the simplest: inhale for four counts, hold for four, exhale for four, hold for four, and repeat. 4-7-8 breathing is similar but weights the exhale even more: inhale for four, hold for seven, exhale for eight.

Box breathing4-4-4-4inhale, hold, exhale, hold
4-7-8 breathing4-7-8inhale, hold, exhale
Slow pace5-6breaths a minute

What unites them is a slow breathing rate, roughly five to six breaths a minute, and an exhale that is as long as or longer than the inhale. At that pace you engage respiratory sinus arrhythmia, the natural rise and fall of heart rate with the breath, and increase what scientists call heart rate variability, a marker of healthy parasympathetic tone. A 2018 systematic review of slow-paced breathing found consistent evidence for lower arousal, reduced blood pressure and improved measures of stress and anxiety. This is the well-supported, low-risk end of breathwork, and the part you can use any time you feel wound up.

A slow exhale stimulates the vagus, which slows the heart.

The mechanism, in one line

Style two: the Wim Hof method (the stimulating kind)

At the other end is the Wim Hof method, named after the Dutch athlete famous for cold endurance. Its breathing portion is the opposite of calming: rounds of roughly 30 deep, fast breaths followed by a breath-hold on empty lungs, repeated several times, often paired with cold exposure. It feels energising, sometimes tingly or lightheaded, because the rapid breathing changes blood chemistry and the practice drives up the body's stress hormones on purpose.

Cold water at the edge of a wooden dock
The stimulating styles are often paired with cold exposure.

There is real science here, not just hype. In a landmark 2014 study published in PNAS, Kox and colleagues trained volunteers in a Wim-Hof-style program of breathing, cold and meditation, then injected them with a bacterial toxin that normally provokes a strong immune reaction. The trained group showed a sharper adrenaline response and a noticeably dampened inflammatory reaction with milder flu-like symptoms, an effect previously thought to be outside voluntary control. It was a striking result. It is also a small, specific study, and it does not license sweeping claims about curing anything. What it shows is that this kind of breathing can measurably influence the stress and immune systems, which is genuinely interesting and worth treating with respect rather than mysticism.

A note on free-diving breathing

You will sometimes see free-divers' breathing held up as a breathwork practice. Free-divers do use slow, relaxed breathing before a dive to lower heart rate and calm the body, which overlaps with the gentle slow-exhale styles above. But the breath-holding part of free-diving is a specialised, hazardous skill practised with safety partners and training. The relaxation principle is borrowable; the breath-holds are not a casual home exercise.

A swimmer under the surface of cold open water
Free-divers borrow the relaxation, not the breath-holds.

How to use this

  1. To calm down or sleep, use a slow style. Box breathing (4-4-4-4) or 4-7-8 for a few minutes. Make the exhale the longest part. This is the everyday tool.
  2. For a morning lift, the stimulating styles can be used, but only seated or lying down, away from water, and never if any of the cautions above apply to you.
  3. Pair calming breath with the evening. A few rounds of slow breathing fits naturally into a wind-down routine; see our sleep guide for the wider picture.
  4. Pair calming breath with the cold. Controlling your breathing through the initial gasp is the core skill of the cold plunge, the same slow-exhale principle in a harder moment.

This article is for educational purposes and is not medical advice. Forceful breathwork can cause fainting and must never be done in or near water or while driving. It is not suitable during pregnancy or for people with heart conditions, epilepsy, or a history of fainting; talk to your doctor first. Daylight is a food supplement and nothing here is a claim about what it does.

The evidence

References

Every claim above traces to one of these. Follow a link to read the paper yourself.

  1. 01

    Kox, M., et al. (2014). Voluntary activation of the sympathetic nervous system and attenuation of the innate immune response in humans. PNAS, 111(20), 7379-7384.

    PMID 24799686
  2. 02

    Zaccaro, A., et al. (2018). How breath-control can change your life: a systematic review on psycho-physiological correlates of slow breathing. Frontiers in Human Neuroscience, 12, 353.

    PMID 30245619
  3. 03

    Russo, M. A., Santarelli, D. M., & O'Rourke, D. (2017). The physiological effects of slow breathing in the healthy human. Breathe, 13(4), 298-309.

    PMID 29209423
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