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Slow-paced breathing

Compared in the reviewR8 · 33 full-text papers, 40 abstract-only

At least one paper behind this review states what this option was measured against. That is not a ranking, and this option carries no evidence profile of its own.

Requirements it fills
  • acute stress / anxiety downregulation
    Emotional · 1 paper put it here (inferred by the extraction, not stated in the paper)
  • daily regulation practice
    Emotional · 1 paper put it here (inferred by the extraction, not stated in the paper)
  • in-the-moment reset
    Emotional · 1 paper put it here (inferred by the extraction, not stated in the paper)
  • pre-sleep wind-down
    Sleep · 2 papers put it here (inferred by the extraction, not stated in the paper)
How it is performed
  • - Breathing technique: Slow-paced breathing (SPB) at 6 cycles per minute (cpm) - Breath ratio: Inhale through the nose, exhale with pursed lips - Posture: Seated on a chair with upper body and arms supported - Sequence: Resting period, reactivity period (SPB), recovery period - Duration per element: 5 minutes each - Biofeedback condition: Visualization of heart rate signal on a smartphone

    S. Laborde, Mark S. Allen, U. Borges et al. (2021) · Psychophysiology · 10.1111/psyp.13952
    Psychophysiologic effects of slow-paced breathing at six cycles per minute with or without heart rate variability biofeedback.
  • - Technique: Slow-paced breathing - Duration: 15 minutes each evening - Rate: Approximately 6 cycles per minute (cpm) - Breath Ratio: Inhalation 4.5 seconds, Exhalation 5.5 seconds - Posture: Not specified - Sequence: Inhale through nose, exhale through pursed lips - Administration: Guided by smartphone application "Breath Pacer"

    S. Laborde, T. Hosang, E. Mosley, F. Dosseville (2019) · Journal of Clinical Medicine · 10.3390/jcm8020193
    Influence of a 30-Day Slow-Paced Breathing Intervention Compared to Social Media Use on Subjective Sleep Quality and Cardiac Vagal Activity
  • 2-minute paced respiration at 0.1 Hz, with 5 seconds for inhalation and 5 seconds for exhalation, preceded and followed by 1-minute free breathing periods.

    I. Esteves, A. Fouto, A. Ruiz-Tagle, G. Caetano, P. Figueiredo (2025) · Scientific Reports · 10.1038/s41598-025-23131-7
    Using ECG-derived respiration for explaining BOLD-fMRI fluctuations during rest and respiratory modulations
Dose

Measured in duration — derived from the review's own dose_and_time prose.

Dose and time, as the papers state it
  • - Dose: 5 minutes per session - Sessions per day: 1 session - Total programme length: 1 hour

    S. Laborde, Mark S. Allen, U. Borges et al. (2021) · Psychophysiology · 10.1111/psyp.13952
    Psychophysiologic effects of slow-paced breathing at six cycles per minute with or without heart rate variability biofeedback.
  • - Dose: 15 minutes per session - Frequency: Once per day (evening) - Total programme length: 30 days - Breathing frequency: 6 cycles per minute (cpm) - Inhalation duration: 4.5 seconds - Exhalation duration: 5.5 seconds

    S. Laborde, T. Hosang, E. Mosley, F. Dosseville (2019) · Journal of Clinical Medicine · 10.3390/jcm8020193
    Influence of a 30-Day Slow-Paced Breathing Intervention Compared to Social Media Use on Subjective Sleep Quality and Cardiac Vagal Activity
  • approximately 4 minutes (1 minute free breathing + 2 minutes paced respiration + 1 minute free breathing)

    I. Esteves, A. Fouto, A. Ruiz-Tagle, G. Caetano, P. Figueiredo (2025) · Scientific Reports · 10.1038/s41598-025-23131-7
    Using ECG-derived respiration for explaining BOLD-fMRI fluctuations during rest and respiratory modulations
Equipment

Equipment is a property of the movement and is authored, never derived from the evidence corpus (docs/research/round2/ROUND2_KNOWN_CORRECTIONS.md §1). This option resolves to no catalogue exercise, so nothing has authored it yet.

Level and prerequisites

R8's level field records who was eligible for the trial, not what a person needs before trying the practice, so it is not carried here.

Progression and regression
  • The protocol involves a progression in breathing frequency during familiarization from 10 cpm to 6 cpm. The experiment is structured into resting, reactivity, and recovery phases, with a washout period between conditions to reset to baseline.

    S. Laborde, Mark S. Allen, U. Borges et al. (2021) · Psychophysiology · 10.1111/psyp.13952
    Psychophysiologic effects of slow-paced breathing at six cycles per minute with or without heart rate variability biofeedback.
  • The protocol remained consistent with a 15-minute slow-paced breathing exercise each evening for 30 days, with no progression or regression in terms of difficulty or complexity over time.

    S. Laborde, T. Hosang, E. Mosley, F. Dosseville (2019) · Journal of Clinical Medicine · 10.3390/jcm8020193
    Influence of a 30-Day Slow-Paced Breathing Intervention Compared to Social Media Use on Subjective Sleep Quality and Cardiac Vagal Activity
Who should not do this
  • - Contraindications: Self-reported cardiovascular, respiratory, or neurologic diseases; psychiatric disorders; regular medication affecting cardiovascular or respiratory systems; smoking; regular practice of breathing exercises including yoga. - Adverse effects: Dyspnea and hyperventilation. - Safety precautions: Instructing individuals to breathe more shallowly, providing SPB training, and adapting the respiratory pacer with pleasant stimuli can help mitigate side effects.

    S. Laborde, Mark S. Allen, U. Borges et al. (2021) · Psychophysiology · 10.1111/psyp.13952
    Psychophysiologic effects of slow-paced breathing at six cycles per minute with or without heart rate variability biofeedback.
  • - Contraindications: Non-smokers, no sleep disorders (score lower than 5 on the Pittsburgh Sleep Quality Index), no cardiovascular diseases (self-reported). - Cautions: Findings cannot be generalized to other populations, such as older adults or those with health conditions. - Adverse effects: Not mentioned.

    S. Laborde, T. Hosang, E. Mosley, F. Dosseville (2019) · Journal of Clinical Medicine · 10.3390/jcm8020193
    Influence of a 30-Day Slow-Paced Breathing Intervention Compared to Social Media Use on Subjective Sleep Quality and Cardiac Vagal Activity
Setting, as the studies used it
  • Facility or specialist equipment: The study required a laptop for displaying the breathing pacer video, a smartphone with the Elite HRV app for biofeedback, a Polar H7 chest strap for heart rate monitoring, and an ECG device (Faros 180°) for HRV measurement. The setting was likely a controlled laboratory environment.

    S. Laborde, Mark S. Allen, U. Borges et al. (2021) · Psychophysiology · 10.1111/psyp.13952
    Psychophysiologic effects of slow-paced breathing at six cycles per minute with or without heart rate variability biofeedback.
  • Facility or specialist (ECG device and electrodes) and minimal (smartphone app for breathing intervention and social media use)

    S. Laborde, T. Hosang, E. Mosley, F. Dosseville (2019) · Journal of Clinical Medicine · 10.3390/jcm8020193
    Influence of a 30-Day Slow-Paced Breathing Intervention Compared to Social Media Use on Subjective Sleep Quality and Cardiac Vagal Activity
What the papers compared it with

No paper compares this option with another or calls it interchangeable with one.

A paper measuring one option against another does not make the two interchangeable, and it does not say which to choose. These are listed as what the papers did, and nothing here proposes a substitution.

Slow-paced breathing