Sources & Safety
Research behind the guardrails
Direct links to the references used for PacedBreath's safety choices, with the scope of each source stated plainly.
How PacedBreath uses these sources
PacedBreath is a general-wellness breathing pacer, not a medical device. It does not diagnose a condition or decide whether breathwork is medically appropriate. The app asks about prior discomfort and advice from your clinician, then keeps advanced practices opt-in and hides activating breathing when a user reports a relevant sensitivity.
These references support those conservative product guardrails. They do not prove that a PacedBreath exercise treats a medical condition, and they are not individualized medical advice.
In the iPhone app, open Safety sources during first run, Settings → Safety → Sources & Safety, or Safety information & sources from a protocol setup screen. The native list includes the same direct links and scope notes.
References
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Relaxation Techniques: What You Need To Know
National Center for Complementary and Integrative Health · U.S. National Institutes of Health · Accessed 2026
Supports: General safety framing: relaxation practices are usually safe for healthy people, but some people report increased anxiety and some health conditions warrant professional guidance.
Scope: A broad public-health overview. It does not establish that every breathing pattern is appropriate for every person.
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Effect of breathwork on stress and mental health: A meta-analysis of randomised-controlled trials
Fincham et al. · Scientific Reports · 2023
Supports: General background for guided breathwork. The review also notes that evidence quality and reporting of adverse events vary across studies.
Scope: A meta-analysis of varied breathwork interventions, not proof of a particular result from a specific PacedBreath protocol.
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Brief structured respiration practices enhance mood and reduce physiological arousal
Balban et al. · Cell Reports Medicine · 2023
Supports: Technique background for short and repeated cyclic sighing.
Scope: One short randomized remote study. It does not establish treatment or the same effect for every person.
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Breathing pattern disorders and physiotherapy
Cambridge University Hospitals NHS Foundation Trust · Patient information · Accessed 2026
Supports: Why PacedBreath keeps pauses optional, says to reduce or avoid a pause that causes breathlessness or faintness, and follows individual clinician advice.
Scope: Clinical patient guidance rather than a trial of PacedBreath or a blanket list of contraindications.
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Hyperventilation in panic disorder and social phobia
Nardi, Valença, Nascimento, Mezzasalma & Zin · Psychopathology · 2001
Supports: Why activating fast or deep breathing is hidden when a person reports that similar breathing has triggered panic or distress.
Scope: A clinical-population study of hyperventilation, not evidence that ordinary gentle paced breathing causes panic.
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Rozenblat et al. · Seizure · 2020
Supports: Why activating fast or deep breathing is hidden when a clinician has advised a person that hyperventilation may trigger a seizure.
Scope: This study specifically concerns childhood absence epilepsy and is not generalized to every seizure type.
Use breathing practices safely
- Follow advice from your clinician.
- Keep each breath gentle and never strain to meet a count.
- Stop and return to natural breathing if you feel dizzy, faint, panicky, painful, numb, cramped, or otherwise unwell.
- Do not practice while driving, swimming, bathing, operating machinery, or anywhere reduced attention could create risk.
If you think you may be experiencing a medical emergency, contact local emergency services.