Wim Hof Method

The Science behind the Wim Hof Method


A journey through the scientific milestones that have made the Wim Hof Method a recognized practice in the field of health optimization.

Wim Hof has always profoundly understood the importance of staying connected to nature. The point of all those record-breaking, awe-inspiring spectacles was never to show off, but to showcase the immense power of the individual—of any individual.

But if Wim was serious about bringing his method to the entire world, he had to convince the scientific community of its merits. He had to make what he knew on a spiritual level, tangible, so that it could eventually be adopted far and wide, in homes and hospitals alike.

Scientists from across the globe would come to submit first Wim, and then regular earthmen, to various tests and experiments, in their attempts to map all the mysteries of the Wim Hof Method and in so doing, add to our collective understanding of the human body.

Over the span of more than a decade, these studies have together come to paint a clear picture of how the Wim Hof Method works on a physiological level, and in the process legitimized the claims to its many mental and physical benefits.

Today we take you on a little journey through time, taking stops at every landmark study, and looking at how each advanced insight into the workings of the Wim Hof Method, as well as their significance within the greater scientific picture.


— 2012 —

Study : The Influence of Concentration/Meditation on Autonomic Nervous System Activity and the Innate Immune Response

Main findings : Wim Hof can voluntarily influence his autonomic nervous system.


It took almost a decade for any scientist to take an ear to Wim’s championing the untapped power of nature, its tremendous potential to heal, make strong and make happy, and how it is readily available to all of us. But then, in 2010, curiosity finally got the best of a group of researchers at University Medical Center Saint Radboud.

They were particularly interested in Wim’s claim of being able to shake off a case of the flu simply through focus and an intensified mode of breathing. In scientific circles, this was a very bold statement, because willfully suppressing symptoms of illness went against everything that was accepted in modern medicine.

When you get sick, your body fights off the bacterial invaders by mounting a defensive army of antibodies and white blood cells. The resulting clash of microorganisms manifests outwardly in symptoms we are all familiar with: fever, chills, muscle aches, nausea.

That so-called auto-immune response is automatic—hence the word auto. It cannot be stopped or suppressed. At least, that was our scientific understanding at the time. But when the doctors at Radboud University injected Wim with Escherichia coli, a toxic compound that would mimic a real bacterial infection—and that should, by all accounts, trigger a strong immune response, along with all the aforementioned symptoms—all Wim experienced was a slight headache that quickly passed.

When they measured Wim’s blood, the inflammatory proteins—the body’s tiny cellular troops—that ought to have been recruited en masse were at only half, to one third of levels normally seen. The researchers were flabbergasted. Wim Hof had done what was believed to be impossible: to voluntarily, without any medication or outside influence, modify his immune response.

— 2014 —

Study : Voluntary activation of the sympathetic nervous system and attenuation of the innate immune response in humans

Main findings : Anybody trained in the Wim Hof Method can voluntarily attenuate the sympathetic nervous system response.


The results of the first Radboud study were fascinating, but immediately raised a new question: was Wim Hof some kind of scientific anomaly? Or could it be possible that everybody, given the right training, was equally able to stave off illness at will, just like Wim claimed?

That question is exactly the one that the academics at Radboud University set out to answer next. To accomplish this, they sent 12 brave young men off to Poland to be trained in the ways of Wim Hof. The volunteers were taught Wim’s breathing method, and even climbed a whole-ass snowy mountain. Once fully cold- and breathing adapted, they were then injected with the same endotoxin that Wim Hof was given two years prior.

The brave research subjects going up Mt. Sniezka in Poland.

To the surprise of many, the group of trained volunteers did not succumb to the administered bacteria. The 12 men had fewer inflammatory proteins in their blood, experienced less acute symptoms, and recovered faster than the control group.

This study was a monumental breakthrough. It not only cemented the findings of the first Radboud study, and further vindicated Wim Hof, but it showed the world that any mortal can, through Wim Hof Method training, keep their immune response in check. Many who were practicing the Wim Hof Method already knew that happiness, strength and health was within reach of whomever was willing to put in the effort. But now for the first time, there was scientific proof backing up those results.

— 2018 —

Study : “Brain over body” – A study on the willful regulation of autonomic function during cold exposure

Main findings : The main brain regions active during Wim Hof Method practice are identified, revealing involvement of the release of endogenous painkillers.


When Wim’s superhuman feats were proven to be, in fact, quite human, the scientific community worldwide took notice. If every man, woman and child was able to influence their autonomic nervous system with nothing more than cold water and oxygen, that would have major implications for health and wellness practices—both clinically and at home. The next step was to find out what exactly is going on inside our bodies, on a biochemical level, during Wim Hof Method exercises.

That is what researchers at Wayne State University School of Medicine in Detroit set out to uncover. They invited Wim over to their lab, and put him in a special Avengers wetsuit. The suit was fitted with many little tubes through which water could be pumped at a constant rate. This allowed the researchers to simulate an environment of alternating warm and cold water, while closely measuring body temperature using PET and fMRI scans.

When Wim utilized his breathing method and mental focus, The fMRI scan demonstrated highly elevated activity in the “periaqueductal grey” area of the brain. This brain region stimulates the release of opioids and endocannabinoids—our body’s homegrown painkillers—in order to soften any painful sensation.

Meanwhile, the scans showed less activity in the insular cortex. This area of the brain governs how we experience pain consciously and emotionally. In other words, through his breathing method, Wim was able to stay emotionally calm, and not let the cold water enveloping his body send him into a panic.

As the name of the study suggests, Wim and the Michigan team convincingly showed that you can actively steer both the physiological response to outside stimuli like cold, as well as how you mentally perceive that impulse.

The implications were hard to understate: now that there was scientific proof that combining Wim Hof Method breathing and cold exposure produces endogenous painkillers, it opened the door for the Wim Hof Method to be part of standard treatment protocols for all sorts of pain-related health conditions. What’s more, if we could wilfully modulate our pain response, then we might well also exert greater control over a slew of other ANS-governed processes that were previously thought to be entirely autonomous. Could we voluntarily influence our blood pressure, release of hormones, or nutrient absorption? The results of this study suddenly made that prospect a lot more plausible.

A recent study into Wim Hof Method practice & pain perception cemented the pain-dampening findings of Wayne State University. Researchers used quantitative sensory testing to determine how strongly people experienced pain, and found that pain perception was decreased for the group that was trained in the Wim Hof Method.

— 2019 —

Study : An add-on training program involving breathing exercises, cold exposure, and meditation attenuates inflammation and disease activity in axial spondyloarthritis

Main findings : The Wim Hof Method shows effectiveness as an inflammation-reducing treatment in people with axial spondyloarthritis.


The analgesic potential of the Wim Hof Method had been clearly established. But was the breathing method only effective during acute inflammation, or would it have similar effects on people dealing with more chronic conditions? Before the Wim Hof Method could be adopted in caretaking facilities en masse, it had to be field tested in a clinical setting.

Researchers at the Academic Medical Centre in Amsterdam set up a proof of concept trial involving patients with axial spondyloarthritis (axSpA)— a condition characterized by chronic rheumatic inflammation of the spine. The scientists followed the intervention and control group for 8 weeks, measuring their blood for inflammation markers at the 4- and 8-week interval.

What they found was that in the intervention group, Erythrocyte Sedimentation Rate, or ESR levels — a key marker for the presence and intensity of inflammation — had almost halved by the end of the treatment period, going from 16 down to 9 millimeters per hour. ESR levels remained unchanged for the control group. Meanwhile, serum calprotectin levels — another disease activity biomarker in axSpA — also dropped in the intervention group.

The study group was small, but the results pointed overwhelmingly in the direction of the Wim Hof Method being an effective practice to keep symptoms of axial spondyloarthritis in check. And because other, similar inflammatory conditions share the same disease markers, these findings suggested that Wim’s breathing and cold therapy might provide relief for those conditions as well. A similar study investigating the effects of Wim Hof Method training on patients with psoriasis has certainly indicated as much.

— 2022 —

Study : The positive effects of combined breathing techniques and cold exposure on perceived stress: a randomised trial

Main findings : Wim Hof Method practice is effective in bringing down perceived stress; the combined use of breathing and cold has a synergistic effect.


As the Wim Hof Method gained recognition as a scientifically validated form of therapy, interest from academics and universities began to grow, both in depth and in scope. The locus of interest also started expanding into the more psychological benefits of the Wim Hof Method.

A couple of researchers from the University of Bayreuth in Germany were interested in the effects of Wim Hof Method practice on perceived stress. They recruited 100 participants, who were divided into 4 groups: a breathing group, a cold exposure group, a group that did both breathing and cold, and a control group. The intervention groups practiced the Wim Hof Method for 14 days, and their perceived stress levels were measured before and afterwards using industry standard PSS-10 and PSQ questionnaires.

After the 2-week intervention, all groups save the control showed improvements in stress. What was particularly striking however, was that those who did both Wim Hof Method breathing and cold exposure, experienced significantly lower stress levels than the other two intervention groups. This study demonstrated beautifully the compounding effect of Wim Hof Method breathing and cold exposure.

A forthcoming study involving 120 women, and conducted by Elissa Epel at the University of California, is anticipated to echo these findings. They’re still sifting through the data, but preliminary findings strongly indicate that the Wim Hof Method is effective at reducing stress and—perhaps even more so than aerobic exercise—improving mood.


Study : The Effect of Mindset and Breathing Exercises on Physical and Mental Health in Persons with Spinal Cord Injury

Main findings : The Wim Hof Method shows effectiveness in improving quality of life for people with spinal cord injury.


Following the already formidable body of evidence on the potential for the Wim Hof Method to alleviate pain, Rehabilitation Research Center Reade — an expertise center for rehabilitation and rheumatology in Amsterdam — wanted to see if Wim’s method would have similar positive effects on people dealing with spinal cord injury.

Spinal cord injury, or SCI, can be a very debilitating condition, especially the more severe forms. Injuries to the spine tend to damage, clamp, or sever critical nerves that in turn govern important brain signalling. When those signals are disrupted, it messes with hormone balance and causes pain, inflammation, and breathing and sleeping problems.

All of these symptoms ultimately lead back to a compromised nervous system, and since Wim Hof Method practice tends to improve autonomic nervous function, the potential to alleviate SCI issues was plain as day.

Academics at Reade set up a pilot study in which they invited a small group of people with SCI to practice the breathing method for a period of four weeks. These people were tested on various parameters, such as lung capacity, blood pressure, energy levels and mood, before and after the trial phase.

As expected, the results were very positive: almost half of the trial participants reported feeling more relaxed, having more energy, and sleeping better. Some noted experiencing less pain or coughing than usual, better energy levels & mood, or used less spasticity medication after the WHM intervention. The participants also reported noticeable improvements in respiratory function and hyperventilation, and hindrance due to spasticity showed a favorable trend. The outcome was so promising that Reade decided to follow the pilot study up with a full-fledged randomized controlled trial, results of which are still pending.

— 2024 —

Researchers at Wayne State University had already discovered that Wim Hof Method practice directly influences cannabinoid signaling, in their earlier Brain Over Body study. Since those signaling pathways are also involved in modulating the stress response, they were curious if Wim Hof Method breathing and cold exposure might also directly improve one’s mood.

But where the University of Bayreuth had measured perceived stress via questionnaires, the people at Wayne State would directly measure changes in the brain via multi-modal imaging. In this new proof of concept study they had four volunteers undergo a 6-week Wim Hof Method training program, and as before used PET and fMRI scans for the measurements—except this time to detect binding to CB1 (cannabinoid type 1) receptors.

In the intervention group, they found “a global increase in CB1 receptor binding of ∼20% [...]”. The CB1 receptor plays a central role in the regulation of mood, by inhibiting the release of various neurotransmitters—such as serotonin, glutamate and GABA.

This was another big discovery. Despite the small number of participants, the study strongly suggested that Wim Hof Method practice improves sub-threshold mood and anxiety related symptoms. Not only did this legitimize the Wim Hof Method as an effective everyday tool to keep spirits high and stress low, it was also another step in having Wim’s method approved for use in a clinical capacity—for example to treat people dealing with chronic depression.

— 2025 & beyond —

The scientific evidence amassed over the last decade is nothing short of astounding. It's incredibly uplifting to see so many renowned institutions take an interest in the Wim Hof Method, as these studies are critical steps towards Wim’s important method becoming a widely recognized tool in the mainstream health and wellness sphere. We are truly seeing Wim’s mission come to fruition.

Besides forming big steps towards scientific legitimacy, these discoveries also serve to further our understanding of what we are humanly capable of—affirming our innate power to deal with all sorts of illnesses and symptoms, to lift our own mood, boost our energy and get restful sleep—all through nothing but our own body, mind, and Mother Nature.

Beyond the research covered here, there are many more studies that don’t strictly follow exact Wim Hof Method protocols, but that have nevertheless contributed to the overall physiological puzzle of the Wim Hof Method. Meanwhile many more studies are in various stages of development, and we are eagerly anticipating what new insights they will bring. One big upcoming study from the University of Queensland involves more than 400 trial subjects, and is poised to shed decisive new light on the potential for the Wim Hof Method to spread happiness, strength and health across the globe.

Hungry for more science?

Do you want to know more about how the Wim Hof Method works its magic inside the human body?

In our free e-book The Wim Hof Method Explained you learn all about the wonderful physiological processes involved in breathing and cold exposure, how they optimize your body and effectively fight disease on a biochemical level.