Techniques

Breath holds in breathing exercises: benefits, limits and safety

A short, relaxed breath hold - the pause after an inhale or exhale in techniques like box breathing or 4-7-8 - can add a sense of focus. Holds are the part of breathing exercises most worth treating with care: keep them brief and comfortable, and skip them if they make you anxious.

Early or limited evidenceReviewed 2026-08-02 · BreathMate Editorial

This page is about holds themselves rather than one technique. If holds create tension, a hold-free longer-exhale breath gives most of the calming benefit without them.

Where holds appear

Rhythm: 4 · 4 · 6 (one cycle ≈ 14s)
Breathing phases in seconds
PhaseSeconds
Inhale4s
Hold (full)4s
Exhale6s

An example: a short, relaxed hold after the inhale. Holds should never be a strain.

How to hold safely

  • Keep holds short and relaxed - never strain for air.
  • Practice seated or lying down.
  • Never hold your breath while driving, in or near water, or standing where brief dizziness could cause a fall.
  • Stop immediately if you feel light-headed.

Common uses

  • Adding a sense of focus in box breathing.
  • Extending a wind-down in 4-7-8.

What the evidence suggests

Evidence: Early or limited evidence

Short, comfortable holds are common in traditional practice, but dedicated evidence that holds add benefit beyond slow breathing itself is limited. The calming effect of paced techniques comes largely from the slow, extended exhale.[1]

Who should avoid or check first

If you are pregnant, have a heart or respiratory condition, high or low blood pressure, a history of fainting, or a panic disorder, check with a clinician before doing breath-hold techniques. [2]

Beginner version

Start with very short holds (2-3 seconds) or none at all. A hold is optional, not a goal.

Hold-free alternative

For most of the benefit without holds, use an extended-exhale or equal breath.

How BreathMate implements it

BreathMate keeps holds gentle when you choose a pattern that uses them, and always offers a hold-free alternative.

Sources

  1. How Breath-Control Can Change Your Life: A Systematic Review of Psycho-Physiological Correlates of Slow Breathing — Zaccaro A, et al., Frontiers in Human Neuroscience (2018). doi:10.3389/fnhum.2018.00353
  2. Breathing exercises for stress — National Health Service (UK)

This is general wellbeing information compiled by our editorial team, not medical advice.