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What’s the Best Way to Breathe?

Nose, mouth or belly? How you breathe can affect your sleep, stress and workout


woman practicing mindful breathing for inner calm and wellness
Stocksy

Lara Atella’s hot Pilates Barre Sculpt class is so intense, students often forget to breathe.

Despite the name of the Washington, D.C.–based studio, the class at Hot Yoga Capitol Hill is a lot less like yoga and a lot more like calisthenics with weights in a really hot room. Set to 100 degrees and 40 to 50 percent humidity, both of those numbers creep higher when the popular class is packed.

“This class is designed to challenge you — perhaps at times to the point of exhaustion or muscle failure,” Atella announces before each session. The daunting message comes with a key breathing tip: “Take breaks anytime as needed, choose the options that work best for you, and keep your breath and form strong.”

Throughout the one-hour class, Atella asks the students, who range in age from their mid-20s to their late 60s, “Are you breathing?” In response, she says, sometimes you can hear a collective exhale, like a wave through the room.

“I find myself, sometimes, crumbling — hands on the thighs or knees and leaning over with that labored breath,” says Mike Sinisgalli, 61, who lives in Rockville, Maryland, and is new to the class. Recently, after a particularly rough HITT (high-intensity interval training) routine, he says, he, “ended up doing some mouth breathing. I found myself trying to calm down and slow down and do a little more breathing through the nose, just because I was getting winded.” His focus on breathing through the nose helped him “stay in the game longer” because “slower is the way for me.”

Nose breathing benefits

Nose breathing does, in fact, force you to breathe slower.  “When you breathe slower, it makes you more calm. It triggers what's called your parasympathetic system, which decreases anxiety,” days Dr. Nicholette Martin, who is board-certified in physical medicine and rehabilitation. “If you breathe through your nose, you can't hyperventilate, and if you are hyperventilating … your blood pressure goes up, your heart rate goes up. And in the end, none of those things are good,” says Martin, who is a medical director with the Montgomery County, Maryland, government.

Research suggests nose breathing can help your health, overall — lowering blood pressure, reducing risk factors for heart disease and decreasing stress, all of which may matter even more as we get older. On top of that, chronic mouth breathing has been linked to less efficient breathing patterns, health issues and even disease.

In addition to breathing slower and deeper, breathing through the nose helps protect your lungs by humidifying the air and employing your body’s natural filtration system: Nose hairs, or cilia, capture the gunk in the air — including dust, pollens and pollution. Alternatively, “when you're breathing through your mouth, you are exposing yourself to everything in the environment,” says James Nestor, who wrote Breath: The New Science of a Lost Art. 

Times you need to mouth breathe

That said, mouth breathing can play an important role during a fight-or-flight moment. "Usually, you are breathing harder and you're breathing faster, and usually through your mouth.… Your heart rate increases so you can get more blood to your to your legs and to your brain in case you have to run,” says Martin. When you get to safety, “you start to breathe through your nose. You become more calm and more focused and more relaxed,” she says. 

For the same reason, mouth breathing can be a good go-to during intense exercise when “your muscles are screaming for more oxygen right now,” says Atella. “Switching to bigger, faster mouth breaths lets you move a lot more air and dump carbon dioxide more quickly.”

Whether you are taking one of Atella’s hot cardio classes, running or walking, exercise enables you to become "a more lean engine, a more efficient engine,” says Dr. MeiLan Han, chief of pulmonary and critical care at the University of Michigan Health.

Lung workouts

Exercise, Han says, is one of the best things we can do for our lung health because it generates deep breaths, which helps open up the lungs. She says that when an individual exercises throughout their lifetime, or even if they start later in life, studies show better lung function in older adulthood.

And if they maintain or even improve their fitness levels, that actually leads to people having the absolute best lung function later in life. Exercise helps you “get air into the deepest part of your lungs. And the reason that’s important is, if parts of our lungs don’t get adequate aeration, it can lead to infection,” Han says.

Where you breathe from matters — “slower and lower”

We’re born knowing how to breathe — from our bellies. Look at any healthy newborn, or even a healthy dog, and you’ll see what it looks like to belly breathe. This is also called diaphragmatic breathing. The diaphragm is the muscle just below your rib cage. When it moves, you can visibly see the belly move.

Over time, sometimes for medical reasons, like polyps in the nose or a deviated septum, some of us become chest breathers. It’s a more shallow kind of breathing, and it actually requires a lot more effort; the muscles between the ribs and the neck work extra hard despite the fact that a lot less air is moving. 

Prolonged chest breathing can lead to a handful of problems, including coughing, hoarseness, tension headaches, chest tightness and anxiety, according to the Mayo Clinic.

Breathing through the nose helps us “breathe slower and lower,” says Nestor, who adds that it’s free and has no side effects.

Retrain yourself to be a better breather, but do not tape your mouth shut

There’s no medicine or quick-fix hack to help you breathe better. But it also doesn’t require a heavy lift, and it certainly doesn’t require something dangerous like taping your mouth shut while sleeping, says Han. Mouth taping has become a social media trend, says Han, and one that can do harm. “What that can actually lead to is not breathing at all in the middle of the night. And as we've seen, people go into atrial fibrillation from doing this,” warns Han.

To retrain yourself to belly breathe, all you need to do is practice — breathing slowly, rhythmically and deeply, says Nestor. “You don't need to sit in yoga pants in the corner and meditate,” he says. Just set a timer for five minutes and practice while you’re watching TV, reading a book, sitting in traffic, even when you’re doing the dishes. If you can’t get to five or six while breathing in through your nose and belly, count to four, says Nestor.

Sleep and other health benefits

For those over 50, breath awareness can be especially helpful because the autonomic nervous system tends to get a little less flexible as we age. That can show up as poor or disruptive sleep, problems with digestion, higher stress reactivity or simply feeling like it takes longer to relax after exercise or a busy day. Gentle diaphragmatic breathing can help make you feel more balanced.

Other research suggests those with GERD who practice belly breathing after eating reduce how often they experience acid reflux, according to the Mayo Clinic.

Those with sleep apnea and chronic obstructive pulmonary disease (COPD) may find relief from belly breathing. Belly breathing also can slow your heartbeat and lower or stabilize blood pressure.

What we shouldn’t forget when we are talking about the right way to breathe, says Han, is all the external threats to our breathing, including air pollution, respiratory viruses and the need for flu, RSV and pneumonia vaccines. 

“Those are the kinds of things that are going to ultimately help people live longer and better lives,” says Han. “If you want to protect the lungs and if you want to breathe better, we should be talking about those things.”

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