Neural Correlates of Non-ordinary States of Consciousness in Pranayama Practitioners: The Role of Slow Nasal Breathing
Andrea Zaccaro, Andrea Piarulli, Lorenza Melosini, Danilo Menicucci, Angelo Gemignani
Frontiers in Systems Neuroscience March 21, 2022 DOI: 10.3389/fnsys.2022.803904 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Within-subjects comparison Peer reviewed |
|---|---|
| Sample size | 12 |
| Population | Experienced meditators |
| Interventions | Slow nasal breathing Resting state |
| Measures | Electroencephalography (EEG), perceived state of consciousness |
| Topics | Altered states of consciousness Breathwork |
| Citations | 32 |
| Key points | Slow nasal breathing induces changes in brain activity and subjective experience primarily through olfactory epithelium stimulation rather than vagal stimulation. |
Abstract
The modulatory effect of nasal respiration on integrative brain functions and hence consciousness has recently been unambiguously demonstrated. This effect is sustained by the olfactory epithelium mechanical sensitivity complemented by the existence of massive projections between the olfactory bulb and the prefrontal cortex. However, studies on slow nasal breathing (SNB) in the context of contemplative practices have sustained the fundamental role of respiratory vagal stimulation, with little attention to the contribution of the olfactory epithelium mechanical stimulation. This study aims at disentangling the effects of olfactory epithelium stimulation (proper of nasal breathing) from those related to respiratory vagal stimulation (common to slow nasal and mouth breathing). We investigated the psychophysiological (cardio-respiratory and electroencephalographic parameters) and phenomenological (perceived state of consciousness) aftereffects of SNB (epithelium mechanical - 2.5 breaths/min) in 12 experienced meditators. We compared the nasal breathing aftereffects with those observed after a session of mouth breathing at the same respiratory rate and with those related to a resting state condition. SNB induced (1) slowing of electroencephalography (EEG) activities (delta-theta bands) in prefrontal regions, (2) a widespread increase of theta and high-beta connectivity complemented by an increase of phase-amplitude coupling between the two bands in prefrontal and posterior regions belonging to the Default Mode Network, (3) an increase of high-beta networks small-worldness. (4) a higher perception of being in a non-ordinary state of consciousness. The emerging scenario strongly suggests that the effects of SNB, beyond the relative contribution of vagal stimulation, are mainly ascribable to olfactory epithelium stimulation. In conclusion, slow Pranayama breathing modulates brain activity and hence subjective experience up to the point of inducing a non-ordinary state of consciousness.
In the evidence
This study is part of the evidence base for a synthesis in the library. Here is how each one recorded it.
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State of the evidence: Breathwork Supports
Slow nasal breathing induced prefrontal delta-theta slowing, widespread theta and high-beta connectivity increases, and phase-amplitude coupling changes, attributed primarily to olfactory epithelium stimulation rather than vagal stimulation.
Synthesized
Comparable studies
Other experimental studies on breathwork, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Evaluation of the breathworks mindfulness‐based pain management programme: effects on well‐being and multiple measures of mindfulness Chronic pain patients | 2009 | Pilot investigation; quasi-experimental with intervention and comparison groups | |
| Measure of Significance of Holotropic Breathwork in the Development of Self-Awareness. Participants referred from Danish Holotropic Breathwork facilitators, including 9... | 2015 | Quasi-experiment with multiple case studies and repeated measures | n = 20 |
| An Effectiveness of Holotropic Breathwork on Stress Management among Higher Secondary Students in Selected Schools of Kanpur, Uttar Pradesh Higher secondary students at Sardar Patel Intermediate College, Mandhana, Kanpur, India | 2026 | Quasi-experimental study | n = 60 |
| A Study To Assess The Effectiveness Of Video Assisted Pranayama On Stress Among Students Of Selected College In Chennai College students at Saveetha College of Engineering, Chennai | 2026 | True experimental research design | n = 100 |
| IMPACT OF YOGASANA AND BHRAMARI PRANAYAMA ON SLEEP QUALITY AMONG EPILEPSY PATIENTS Epilepsy patients aged 18-50 years | 2026 | Quantitative experimental single-group pre-test/post-test | n = 35 |
Citations in the library
Cited by 14
- Is Hypnotic Induction Necessary to Experience Hypnosis and Responsible for Changes in Brain Activity? Brain Sciences May 29, 2023
- Lightening the mind with audiovisual stimulation as an accessible alternative to breath-focused meditation for mood and cognitive enhancement. Scientific Reports October 26, 2024
- Differential Effects of Mindfulness Meditation and Paced Breathing on Neural Oscillations and Arousal Mindfulness August 15, 2025
- Update of the Altered States Database (ASDB): 2022-12-31 February 22, 2023
- Breathwork for Chronic Stress and Mental Health: Does Choosing a Specific Technique Matter? Medical Sciences August 13, 2025
and 9 more in the library
Cites 15
- An information integration theory of consciousness BMC Neuroscience November 2, 2004
- A systematic review of the neurophysiology of mindfulness on EEG oscillations Neuroscience & Biobehavioral Reviews 2015
- Functional neuroanatomy of altered states of consciousness: The transient hypofrontality hypothesis Consciousness and Cognition May 19, 2003
- Psychobiology of Altered States of Consciousness. Psychological Bulletin 2005
- Breath of Life: The Respiratory Vagal Stimulation Model of Contemplative Activity Frontiers in Human Neuroscience October 9, 2018
and 10 more in the library