Breathing wields incredible power over your health, as it supplies your body with oxygen and removes excess carbon dioxide (CO2) to keep you alive. However, the way you breathe — whether fast or slow, shallow or deep — also sends messages to your body that affect your mood, stress level, blood pressure, immune function, and more. What’s interesting about breathing is that it’s both a voluntary and an involuntary process. While your body breathes automatically, you also have the ability to consciously control your breathing — the speed, the depth, and whether you breathe through your mouth or your nose. So, simply by changing the way you breathe, you can actually influence your health in a variety of ways. Here, I review some of the most important basics of proper breathing and share several effective controlled breathing techniques shown to have a positive impact on health and psychological well-being. Always Breathe Through Your Nose — Even During Exercise Perhaps the most basic of all breathing techniques is to make sure you’re always breathing through your nose. Mouth breathing tends to promote hyperventilation, which actually decreases tissue oxygenation. Mouth breathing also results in diminished levels of CO2 in your body and a decreased ability to filter toxic pollutants from the air. Your body needs a balance of oxygen and CO2 for optimal function. CO2 is not just a waste product but has actual biological roles, one of which is assisting in oxygen utilization. When your CO2 level is too low, changes in your blood pH impair your hemoglobin’s ability to release oxygen to your cells (the Bohr effect). Mouth breathing can also elevate your heart rate and blood pressure, sometimes resulting in fatigue and dizziness. The elasticity of your lungs also depends on nasal resistance, which you only get from nasal breathing due to the smaller diameter of your nasal passages. Poor breathing is even associated with poor posture. So, breathing through your nose helps maintain your health in a number of important ways. While huffing and puffing through your mouth may be particularly tempting during physical exertion, really try to avoid this tendency. You should be exercising only to the extent that you can continue breathing through your nose the vast majority of the time. If this means backing off on intensity, then that’s what you need to do, realizing that it’s only temporary until your body begins to adjust to your slightly increased CO2 levels, which will happen fairly quickly. You just have to get used to “air hunger” (an admittedly uncomfortable feeling of mild suffocation) and realize it’s normal and safe. So, the rule of thumb is to not push yourself to the point where you are unable to maintain nasal breathing. If you feel the need to open your mouth, then slow down and recover. This helps your body to gradually develop a tolerance for increased CO2. Assess Your CO2 Tolerance There’s a simple self-test for estimating your body’s tolerance to CO2. Dr. Konstantin Pavlovich Buteyko,5 a Russian physician, discovered that the level of CO2 in your lungs correlates to your ability to hold your breath after normal exhalation. You can use a stopwatch or simply count the number of seconds to yourself. Here is the process: Sit straight without crossing your legs and breathe comfortably and steadily. Take a small, silent breath in and out through your nose. After exhaling, pinch your nose to keep air from entering. Start your stopwatch and hold your breath until you feel the first definite desire to breathe. When you feel the first urge to breathe, resume breathing, and note the time. The urge to breathe may come in the form of involuntary movements of your breathing muscles, or your tummy may jerk or your throat may contract. Your inhalation should be calm and controlled, through your nose. If you feel like you must take a big breath, then you held your breath too long. The time you just measured is called the “control pause” or CP, which reflects the tolerance of your body to carbon dioxide. Here are the criteria for evaluating your CP: CP 40 to 60 seconds — Indicates a normal, healthy breathing pattern and excellent physical endurance. CP 20 to 40 seconds — Indicates mild breathing impairment, moderate tolerance to physical exercise, and potential for health problems in the future (most folks fall into this category). To increase your CP from 20 to 40, physical exercise is necessary. You might begin by simply walking with one nostril occluded. As your CP increases, begin incorporating jogging, cycling, swimming, weightlifting, or anything else to build up an air shortage. CP 10 to 20 seconds — Indicates significant breathing impairment and poor tolerance to physical exercise; nasal breath training and lifestyle modifications are recommended. If your CP is less than 20 seconds, never have your mouth open during exercise, as your breathing is too unstable. This is particularly important if you have asthma. CP under 10 seconds — Serious breathing impairment, very poor exercise tolerance, and chronic health problems. Short CP times correlate with low tolerance to CO2 and chronically depleted CO2 levels. As a result, the shorter your CP, the more easily you’ll get breathless. The good news is that you will feel better and improve your exercise endurance with each five-second increase in your CP.
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