» Articles » PMID: 30356789

Breath of Life: The Respiratory Vagal Stimulation Model of Contemplative Activity

Overview
Specialty Neurology
Date 2018 Oct 26
PMID 30356789
Citations 72
Authors
Affiliations
Soon will be listed here.
Abstract

Contemplative practices, such as meditation and yoga, are increasingly popular among the general public and as topics of research. Beneficial effects associated with these practices have been found on physical health, mental health and cognitive performance. However, studies and theories that clarify the underlying mechanisms are lacking or scarce. This theoretical review aims to address and compensate this scarcity. We will show that various contemplative activities have in common that breathing is regulated or attentively guided. This respiratory discipline in turn could parsimoniously explain the physical and mental benefits of contemplative activities through changes in autonomic balance. We propose a neurophysiological model that explains how these specific respiration styles could operate, by phasically and tonically stimulating the vagal nerve: respiratory vagal nerve stimulation (rVNS). The vagal nerve, as a proponent of the parasympathetic nervous system (PNS), is the prime candidate in explaining the effects of contemplative practices on health, mental health and cognition. We will discuss implications and limitations of our model.

Citing Articles

Impact of combined high-intensity bodyweight interval training and breathing exercise on cardiometabolic health in normal-weight middle-aged adults with hypertension.

Herawati I, Mat Ludin A, Ishak I, Mutalazimah M, Farah N BMC Public Health. 2025; 25(1):962.

PMID: 40069690 PMC: 11895283. DOI: 10.1186/s12889-025-22139-y.


A randomized controlled clinical trial of a Wim Hof Method intervention in women with high depressive symptoms.

Blades R, Mendes W, Don B, Mayer S, Dileo R, OBryan J Compr Psychoneuroendocrinol. 2024; 20:100272.

PMID: 39606690 PMC: 11599992. DOI: 10.1016/j.cpnec.2024.100272.


Neurobiological and Anti-Inflammatory Effects of a Deep Diaphragmatic Breathing Technique Based on Neofunctional Psychotherapy: A Pilot RCT.

Maniaci G, Daino M, Iapichino M, Giammanco A, Taormina C, Bonura G Stress Health. 2024; 40(6):e3503.

PMID: 39543797 PMC: 11636440. DOI: 10.1002/smi.3503.


Clinical effectiveness of guided breathing exercises in reducing anxiety, stress, and depression in COVID-19 patients.

Sheikh S, Rostami A, Shahbazi A, Abdollahi Nezhad F, Khazai O, Arbabisarjou A Sci Rep. 2024; 14(1):26620.

PMID: 39496767 PMC: 11535222. DOI: 10.1038/s41598-024-78162-3.


Slow-Paced Breathing Intervention in Healthcare Workers Affected by Long COVID: Effects on Systemic and Dysfunctional Breathing Symptoms, Manual Dexterity and HRV.

Mauro M, Zulian E, Bestiaco N, Polano M, Larese Filon F Biomedicines. 2024; 12(10).

PMID: 39457567 PMC: 11505241. DOI: 10.3390/biomedicines12102254.


References
1.
Penttila J, Helminen A, Jartti T, Kuusela T, Huikuri H, Tulppo M . Time domain, geometrical and frequency domain analysis of cardiac vagal outflow: effects of various respiratory patterns. Clin Physiol. 2001; 21(3):365-76. DOI: 10.1046/j.1365-2281.2001.00337.x. View

2.
Sapolsky R, Romero L, Munck A . How do glucocorticoids influence stress responses? Integrating permissive, suppressive, stimulatory, and preparative actions. Endocr Rev. 2000; 21(1):55-89. DOI: 10.1210/edrv.21.1.0389. View

3.
Markil N, Whitehurst M, Jacobs P, Zoeller R . Yoga Nidra relaxation increases heart rate variability and is unaffected by a prior bout of Hatha yoga. J Altern Complement Med. 2012; 18(10):953-8. DOI: 10.1089/acm.2011.0331. View

4.
Secher N, Amann M . Human investigations into the exercise pressor reflex. Exp Physiol. 2011; 97(1):59-69. DOI: 10.1113/expphysiol.2011.057679. View

5.
Critchley H, Garfinkel S . Interactions between visceral afferent signaling and stimulus processing. Front Neurosci. 2015; 9:286. PMC: 4550795. DOI: 10.3389/fnins.2015.00286. View