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Underwater Meditation and the Blue Mind State: Toward a Physiological Framework Linking Aquatic Immersion, Autonomic Regulation, and Default Mode Network Dynamics

Arpit Bansal, Divya Bartaria

European Journal of Prosthodontics and Restorative Dentistry September 12, 2026 DOI: 10.1922/ejprd.v34i12s.2014 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Topics Default mode network Meditation
Key findings The authors report consistent evidence that water immersion increases parasympathetic activation and HRV, and that water-based sensory reduction alters DMN connectivity, though in divergent directions across paradigms: floatation is associated with decreased connectivity between posterior DMN hubs and somatosensory cortex, while cold-water immersion is associated with increased DMN connectivity to affect-related networks. They propose a "reconfiguration hypothesis" to reconcile these findings and outline a candidate practice of breathing-supported underwater stillness, emphasizing that no published study has directly tested underwater meditation as defined here and that the framework is hypothesis-generating rather than established.

Abstract

Water-based contemplative and recovery practices — from head-out immersion and cold-water bathing to floatation-based sensory reduction — are consistently associated with shifts in autonomic and, increasingly, brainnetwork activity. This paper synthesizes the physiological literature on hydrostatic, thermal, vestibular, and sensory-attenuation effects of water immersion and evaluates the evidence linking these effects to heart-rate variability (HRV), vagal tone, and default mode network (DMN) function. We find consistent support for immersion-induced parasympathetic activation and increased HRV, and consistent evidence that water-based sensory reduction alters DMN connectivity — but the direction of that change is not uniform across paradigms: floatation-based sensory attenuation is associated with decreased connectivity between posterior DMN hubs and somatosensory cortex, while cold-water immersion is associated with increased connectivity between DMN and affect-related networks. We propose that these apparently divergent findings may be reconciled by a reconfiguration hypothesis: rather than being globally suppressed or globally enhanced, the DMN may shift from a self-referential, interoceptively fused configuration toward one that is more loosely coupled to somatosensory salience and more integrated with networks supporting positive affect and attentional control. Building on this reconciliation, we outline a candidate practice — sustained, breathing-supported (e.g., scuba-assisted) underwater stillness — as a technique that may extend exposure to this proposed state while avoiding the sympathetic activation associated with breath-holding. We are explicit throughout about the boundary between what the literature supports and what remains hypothetical: no published study has directly tested underwater meditation as defined here, and the framework should be treated as hypothesis-generating rather than established. We close with a concrete, falsifiable research agenda combining HRV, EEG/fMRI, and validated psychological measures.

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