The Vayu Pilot Study: What 199 Participants Showed Over 4 to 6 Weeks

By Dhruv Adhia

In a naturalistic pilot study of 199 Vayu participants, heart rate variability (HRV) increased 28.6% (median), resting heart rate decreased 7.4 bpm, and perceived stress measured on the PSS-10 fell 2.5 points, a 16% reduction, over 4 to 6 weeks of app-guided breathing practice. No adverse events were reported. The manuscript is under peer review; a medRxiv preprint is available (DOI 10.64898/2026.06.08.26355230). The research was conducted with the SFU Metacreation Lab and supported by NRC IRAP funding.

What did the study measure?

Three outcomes: HRV (the beat-to-beat variation in heart rate, a standard marker of autonomic nervous system function), resting heart rate, and perceived stress using the PSS-10, a widely used 10-item self-report scale. Physiological measures came from participants' own wearables during normal app use.

What were the results?

OutcomeChangeEffect size
Heart rate variability (HRV)+28.6%withheld pending revision (median change)
Resting heart rate−7.4 bpmwithheld pending revision
Perceived stress (PSS-10)−2.5 points (−16%)withheld pending revision
Adverse eventsNone reported–

A note on the effect-size column: standardized effect sizes are withheld from this page until the revised preprint is posted. The statistics were reworked during peer review, and publishing a figure the paper is about to correct would put a number on the public record that the published version contradicts. The median changes above are unaffected by that revision. This page will carry the effect sizes from the revised preprint once it is public.

How was the study designed?

This was a naturalistic pilot: 199 participants used Vayu in their daily lives for 4 to 6 weeks, without laboratory visits or supervised sessions. Outcomes were compared before and after the practice period. Naturalistic designs trade experimental control for ecological validity: the results reflect how people actually use a breathing app, not how they perform in a lab.

What are the limitations?

Several, and they matter for interpreting the numbers. There was no control group, so the design cannot separate the effect of the practice from regression to the mean, seasonal factors, or expectation effects. Participants were self-selected, people who had already chosen to use the app and who may be more motivated than the general population. Perceived stress was self-reported. And the study was conducted by Prana Labs researchers on the company's own product (see the disclosure below). These are normal constraints for a pilot; a pilot's job is to justify more rigorous follow-up work, not to settle the question.

Who conducted and funded it?

The study was run by Prana Labs in an ongoing research partnership with the Metacreation Labat Simon Fraser University, with funding support from Canada's NRC IRAP program. The manuscript (Adhia et al.) is under peer review; the medRxiv preprint (DOI 10.64898/2026.06.08.26355230) is available now, and this page will link the peer-reviewed article once it is published.

Where these numbers appear

The figures on this page are the source for the statistics quoted on our clinical evidence, science, and HRV breathingpages. Methodology notes for the app's own metrics live in docs.