Sleep · 6 min read
Breathing exercises for sleep: what helps, and what the studies say
Your mind is racing, your body is tired, and sleep won’t come. Breathing exercises are one of the few things you can do in bed right away, with the lights off and your phone down. Here are two exercises you can follow along with, honestly sorted: what has actually been studied for sleep, and what’s just popular?
Key takeaways
- Slow breathing at about six breaths a minute (5 seconds in, 5 seconds out) is the best-studied option for sleep. In one trial, young adults rated their sleep better after 30 evenings of it than a group that spent the same time on social media.
- 4-7-8 is popular but has barely been studied for sleep itself. In a head-to-head lab comparison, it changed heart rate variability less than six breaths a minute.
- Both share a long exhale. In lab tests, breathing out longer than you breathe in feels more relaxing.
- The study used 15 minutes in the evening. Breathe gently, not deeply: too much air makes you dizzy.
- If you’ve been sleeping badly for weeks, talk to your doctor. There are well-studied treatments for that.
Why your breath can help you fall asleep
Falling asleep means your body has to power down, and you can’t order it to. Breathing is one of the few body functions that runs on autopilot but that you can still steer on purpose. When you slow it down, your heart rate variability goes up, a measure of how active the calming branch of your nervous system is. A large review of 223 studies found that effect during the exercise, right after it, and after several sessions.1
At rest, adults typically breathe 12 to 20 times a minute.2 The exercises below are much slower. Here’s what that looks like:
- Calm and awake: about 15 breaths a minute.
- Slow breathing: 5 seconds in, 5 seconds out. That’s 6 breaths a minute.
- 4-7-8: one breath takes 19 seconds, so just over 3 a minute. Most of that time goes to holding and breathing out.
Exercise 1: Slow breathing, six breaths a minute
This is the exercise with the best evidence for sleep, and it’s simple: equal time in and out, 5 seconds each way.
- Lie down the way you want to fall asleep. A hand on your belly helps you feel your breath.
- Breathe in gently through your nose for 5 seconds.
- Breathe out calmly for 5 seconds, through your nose or slightly parted lips.
- Don’t breathe deeper than you need to. It’s about the rhythm, not about taking in a lot of air.
- Keep going for 10 to 15 minutes, or until you feel sleepy.
Two minutes of slow breathing
Tap Breathe along once you’re lying down
What the research shows: in a randomized trial, 64 healthy young adults did 15 minutes of slow breathing every evening for 30 days, guided by an app. The comparison group spent the same time on social media. The slow breathers rated their sleep better afterward, and their overnight heart rate variability went up.3 The study tested the technique, not the nowa app.
It’s a small study of healthy young adults. That makes it an early hint, nothing more, but the exercise has hardly any downsides.
Exercise 2: The 4-7-8 method
The 4-7-8 method goes back to Andrew Weil, who adapted it from a yoga breathing technique. It’s meant to help you wind down and fall asleep. This is how one study taught it:4
- Lie down and close your eyes.
- Breathe out completely through your mouth, with an audible whoosh.
- Close your lips and breathe in quietly through your nose while you count to 4.
- Hold your breath while you count to 7.
- Breathe out through your mouth with a whoosh while you count to 8.
Four rounds are plenty to start with. Then just breathe normally.
Four rounds of 4-7-8
Breathe all the way out first
What the research shows: 4-7-8 has barely been studied for sleep itself. In 43 healthy young adults, heart rate dropped after three short sets.4 When researchers compared 4-7-8 directly with six breaths a minute, heart rate variability rose more with six breaths a minute. In the lab, none of the exercises had a meaningful effect on blood pressure or mood.5 None of these studies measured how fast people fall asleep, and all of them tested the techniques, not the nowa app.
That doesn’t mean 4-7-8 doesn’t work for you. Many people like the counting because it gives their mind something to do. But the evidence for it is weaker than for slow breathing.
Only hold your breath as long as it feels easy, never until you’re gasping for air. Never practice breath holds in or near water (including the bathtub), while diving or driving, or anywhere a brief blackout could be dangerous. Don’t breathe fast and deep beforehand. If you’re pregnant or have a heart or circulation condition, high blood pressure, epilepsy, glaucoma, or panic disorder, skip longer breath holds or check with your doctor first.
When 4-7-8 feels hard or makes things worse
People often search for “4-7-8 is too hard” or “4-7-8 doesn’t work.” If that’s you, one of these usually helps:
- The hold feels endless. Count faster, or try 3-5-6. The ratio matters more than the seconds.
- You feel lightheaded or tingly. You’re probably taking in too much air. Breathe more gently, or switch to slow breathing without a hold.
- Counting keeps you awake. Let the pacer or a vibration count for you, or try simply breathing out longer than you breathe in.
- You feel more anxious. For some people, paying close attention to their breath feels uncomfortable at first. That’s not a failure. Stop, breathe normally and try again another time with a gentler rhythm.
Which exercise fits you?
| Exercise | Rhythm | Per minute | Studied for sleep |
|---|---|---|---|
| Slow breathing | 5 in, 5 out | 6 | one small study in healthy adults: sleep rated better |
| 4-7-8 | 4 in, 7 hold, 8 out | just over 3 | barely; mostly heart rate and HRV measurements |
| Longer out than in | for example 3 in, 6 out | almost 7 | not for sleep, but for relaxation |
The third row is a good choice if holding your breath feels unpleasant: breathe in normally and breathe out for twice as long. In a lab study with 30 adults, people felt more relaxed when they breathed out longer than they breathed in.6
Making it work tonight
- In bed, lights off. Do the exercise where you want to fall asleep.
- No screen. In the 30-evening study, the comparison group was on their phones and slept worse.3 A vibration or quiet counting is all you need.
- Gentle, not deep. In the lab comparison, six breaths a minute led to mild overbreathing on average, meaning too much air.5 If you feel dizzy or notice tingling in your hands or lips, you’re probably breathing too much: breathe more lightly.
- Don’t force it. Trying hard to fall asleep keeps you awake. The exercise is an offer, not a test.
When to get help
A bad night is normal. Breathing exercises are a wind-down routine, not a treatment.
If you’ve been sleeping poorly for weeks and feel drained during the day, talk to your doctor. For ongoing insomnia, the American Academy of Sleep Medicine and the European guideline both recommend cognitive behavioral therapy for insomnia (CBT-I) as the first treatment, in person or as a digital program.7, 8
If you snore loudly, someone has noticed pauses in your breathing, or you often feel exhausted despite sleeping, see a doctor rather than trying breathing exercises.
Frequently asked questions
- How long should I do breathing exercises before bed?
- The study with 64 young adults used 15 minutes in the evening.3 Try it and notice what feels right for you. If you fall asleep while doing it, even better.
- Nose or mouth?
- For slow breathing, ideally through your nose. For 4-7-8, breathe in through your nose and out through your mouth.
- Can I fall asleep in 60 seconds with a breathing trick?
- That promise doesn’t come from research. The studies on 4-7-8 I found didn’t measure how fast people fall asleep. Give yourself 10 to 15 minutes instead.
- Can I do these when I wake up at night?
- Yes. The same rules apply for falling back asleep: keep the lights off, don’t look at your phone, and breathe slowly and calmly.
This article shares general information about breathing exercises for relaxation and well-being. It is not medical advice and does not replace diagnosis or treatment by a licensed professional. nowa is a wellness app. It is not a medical device and is not intended to diagnose, treat, cure, or prevent any disease. Only practice while it feels comfortable. If you feel dizzy or short of breath, or notice a racing heart, chest pain, or strong anxiety, stop and breathe normally. If you have a medical condition (for example a heart or lung condition, or epilepsy) or are pregnant, talk to your doctor or midwife before trying new breathing exercises. Never change prescribed treatment on your own.
Sources
- Laborde S, Allen MS, Borges U, Dosseville F, Hosang TJ, Iskra M, Mosley E, Salvotti C, Spolverato L, Zammit N, Javelle F (2022). Effects of voluntary slow breathing on heart rate and heart rate variability: a systematic review and a meta-analysis. Neuroscience & Biobehavioral Reviews 138:104711. doi.org/10.1016/j.neubiorev.2022.104711
Systematic review and meta-analysis, 223 studies - Nicolò A, Massaroni C, Schena E, Sacchetti M (2020). The importance of respiratory rate monitoring: from healthcare to sport and exercise. Sensors 20(21):6396. doi.org/10.3390/s20216396
Review - Laborde S, Hosang T, Mosley E, Dosseville F (2019). Influence of a 30-day slow-paced breathing intervention compared to social media use on subjective sleep quality and cardiac vagal activity. Journal of Clinical Medicine 8(2):193. doi.org/10.3390/jcm8020193
Randomized trial, 64 healthy young adults, 30 days - Vierra J, Boonla O, Prasertsri P (2022). Effects of sleep deprivation and 4-7-8 breathing control on heart rate variability, blood pressure, blood glucose, and endothelial function in healthy young adults. Physiological Reports 10(13):e15389. doi.org/10.14814/phy2.15389
Lab study, 43 healthy young adults, single session - Marchant J, Khazan I, Cressman M, Steffen P (2025). Comparing the effects of square, 4-7-8, and 6 breaths-per-minute breathing conditions on heart rate variability, CO2 levels, and mood. Applied Psychophysiology and Biofeedback 50(2):261–276. doi.org/10.1007/s10484-025-09688-z
Lab comparison, 84 college students - Van Diest I, Verstappen K, Aubert AE, Widjaja D, Vansteenwegen D, Vlemincx E (2014). Inhalation/exhalation ratio modulates the effect of slow breathing on heart rate variability and relaxation. Applied Psychophysiology and Biofeedback 39(3–4):171–180. doi.org/10.1007/s10484-014-9253-x
Lab study, 30 adults - Edinger JD, Arnedt JT, Bertisch SM, et al. (2021). Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine clinical practice guideline. Journal of Clinical Sleep Medicine 17(2):255–262. doi.org/10.5664/jcsm.8986
Clinical practice guideline, American Academy of Sleep Medicine - Riemann D, Espie CA, Altena E, et al. (2023). The European Insomnia Guideline: an update on the diagnosis and treatment of insomnia 2023. Journal of Sleep Research 32(6):e14035. doi.org/10.1111/jsr.14035
European clinical guideline
All sources last checked on October 28, 2026. Spotted a mistake? Write to support@nowabreathing.com and I’ll fix it and note the change here.