slow deep breathing

Wim Hof vs. Wim Hof, the Three P's, and Breathing like Journalists

 
 

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4 Thoughts


1. The 3 P’s of Breathing

  1. Physiology: The impact breathing has on your body.

  2. Psychology: The impact breathing has on your mind and emotions.

  3. Philosophy: The impact breathing has on how you live your life.

***

P.S. You can’t have any one P without the others : )

2. A Revolutionary Finding: The Two-Way Street of Breathing and Emotions

“Lo and behold, the participants started to feel the emotions that corresponded to the breathing patterns. In other words, when they took deep, slow breaths, the participants felt calm. And when they took rapid, shallow breaths, they felt anxious or angry. The finding that we can change how we feel by using our breath is revolutionary.” * (my emphasis)

- Emma Seppälä, Ph.D., The Happiness Track

We know that how we feel affects our breathing. However, research tells us it’s a two-way street: We can change our breathing to change how we feel.

Quite revolutionary, indeed.

***

P.S. This falls into the the 1st and 2nd “Ps” above. And if you apply it regularly, then the 3rd one as well : )

3. Wim Hof vs. Wim Hof: Which of His Components is Most Important?

A 2020 study that’s still in preprints (so it hasn’t undergone peer review yet) shed light on the individual components of the Wim Hof Method (WHM).

Here’s what they did:

  • One group practiced the breathing only.

  • One group practiced cold exposure only.

  • One group practiced cold and breathing.

  • One group was trained by Wim Hof.

  • One group was trained by a researcher.

Then, all the groups were injected with endotoxin, like the first WHM study.

Here are a few of the key findings:

  • Breathing by itself reduced inflammation significantly, but did not reduce flu-like symptoms.

  • Cold by itself reduced flu-like symptoms, but did not reduce inflammation. (This doesn’t mean cold exposure doesn’t reduce inflammation in general. It just means it didn’t lessen the acute ramp-up of inflammation brought on by the endotoxin.)

  • The combination of cold and breathing reduced inflammation even more. (So, cold exposure wasn’t helpful on its own for inflammation, but added a boost when combined with the breathing.)

  • The results were the same whether Wim trained them or not (this was most surprising to me).

As a breathing nerd, this paper was super satisfying to read.

But remember it’s still in preprints, so it could turn out there was a major flaw or bad data or something. But, still fun to geek out on nonetheless : )

4. Breathing Like Journalists: Slow Breathing for Everyday Life

“I call this approach, in which you fit deep work wherever you can into your schedule, the journalist philosophy. This name is a nod to the fact that journalists…are trained to shift into a writing mode on a moment’s notice”

- Cal Newport, Deep Work

Let’s adopt this journalist philosophy to our slow deep breathing practice, fitting it into our schedules wherever we can. This will allow us to flip the switch on our physiological and emotional state anytime, anywhere (see thoughts 1 & 2).

Here’s to becoming breathing journalists, today : )

Bonus Thought: Join a Breathing Experiment

My good breathing friend AJ Fisher is looking for participants for a breathing and exercise experiment. Essentially, you get her 8-week Breathography Course for free in exchange for some pulse oximeter measurements (that’s it!).

If you’re interested, you can learn more and sign up here:

Learn More about the Experiment

And, you can learn more about AJ and the amazing things she does here:

AJ’s Corectology Website

 
 
 
 

1 QUOTE

“There is a force within that gives you life. Seek that.”

- Rumi

 
 
 
 

1 ANSWER

Category: Designed for Breathing

Answer: Paradoxically, the narrower passages of the nose reduce this during sleep.

…

(Cue the Jeopardy! music.)

…

Question: What is upper airway resistance?

In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. Me for the next 3 months:

P.P.S. ☝️My wife will attest that this is actually quite accurate for me…

 
 
 

* An asterisk by a quote indicates that I listened to this book on Audible. Therefore, the quotation might not be correct, but is my best attempt at reproducing the punctuation based on the narrator’s pace, tone, and pauses.

Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Ujjayi isn’t Ocean, Well-Being, and Why You Should Teach “Brooklyn” Yoga

 
 

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This week, you’re going to learn:

  • That Ujjayi and Ocean breathing are different,

  • How to breathe for inflammation, and

  • A story I listened and laughed at more times than I’m proud to admit…

I hope you enjoy it!

 
 
 
 

4 Thoughts


1. Ujjayi vs. Ocean Breathing (turns out they’re different)

“Ujjayi pranayama, which is performed by lightly tightening the glottis and breathing with a whispering sound and then exhaling out of either the left or right nostril, stimulates the vagus through massaging the larynx and downregulating the sympathetic nervous system. … Ocean breath is sometimes used synonymously with ujjayi, but the two are separate practices.”

- Eddie Stern, One Simple Thing

I thought Ujjayi and Ocean breathing were the same thing. So, I found this passage fascinating (especially that Ujjayi uses an exhale through one nostril). I messaged Eddie about it, and he kindly responded with even more value.

He added that, for Ocean breathing, “the sound is made not so much by the tightening of the glottis, but by creating a continuum of pressure from the high nasal cavity, through the throat, into the thorax.”

That means there are two key differences between Ujjayi and Ocean breathing:

  • Ujjayi: sound comes from the glottis, and the exhale is through only one nostril.

  • Ocean: sound comes from the nose to thorax, and the exhale is through both nostrils.

My favorite part about breathing is continuously learning that I have so much more to learn : ) Thanks, Eddie!

***

Related: Hatha Yoga Pradipika (#51-53)

Related: My Conversation with Eddie on All Things Breathing

Related Quote: “The surest way to prevent yourself from learning a topic is to believe you already know it.” - James Clear

2. Slow Breathing for Oxidative Stress and Inflammation

Diabetes and its associated blood sugar fluctuations lead to chronic oxidative stress and inflammation. What can slow deep breathing do?

  • JACM (2011): “Diaphragmatic breathing, likely through the activation of the parasympathetic nervous system…reduces reactive oxygen species production.”

  • Nature (2017): “…our results lead to the hypothesis that slow breathing may exert some antioxidant effect, possibly via parasympathetic stimulation.”

  • PLOS One (2013): “RR [relaxation response] practice…reduced expression of genes linked to inflammatory response and stress-related pathways.”

Taken together, these results suggest that slow breathing could be a simple and effective way to reduce oxidative stress and inflammation in diabetes. 

But you don’t need diabetes to benefit. These two complications are present in many acute and chronic conditions, so the above results will help everyone.

3. “Why Your Breath is Connected to Your Well-Being”

“As deep breaths slow your heart rate, for example, your vagus nerve recognizes the cues of safety and sends that information to parts of the body so they can turn off their defenses, such as those that arise from a sense of anxiety or threat.”

- Why Your Breath is Connected to Your Well-Being

This is an awesome little article on breathing and well-being, focusing mainly on the vagus nerve.

You will learn how vagal tone is connected with social situations, how compassion can increase respiratory sinus arrhythmia (a marker of vagal activity), and 4 simple ways to calm your whole body.

I hope you enjoy it as much as I did.

4. Why You Should Start Teaching “Brooklyn” Yoga

“One new meditator kept coming to interviews with a chronic lament: ‘The breath is so boring!’

Finally, I asked him if he'd ever heard of Brooklyn yoga? He said no. I told him to close his mouth tight and close off both nostrils with his fingers. We sat that way for some time until finally he let go of his nose and gasped for air.

‘Was that breath boring?’, I said.”

- Larry Rosenberg, Breath by Breath

I must have listened to this story about 10 times in a row and laughed more with each one. It brilliantly captures the importance of breathing—no science or technical jargon needed.

So if anyone tells you breathing is boring, doesn’t work, or is pseudo-science, teach them a little “Brooklyn” yoga—you might just change their mind : )

***

P.S. When I ran in and told my wife the story (yes, I was excited, lol), she didn’t get the “Brooklyn” part. Neither do I, but I think that’s the point : )

Related: Is Breathing Woo-Woo? (Thought #4)

 
 
 
 

1 Quote

“If one wants longevity, one should let the spirit and the breath pour into each other.”

–Tao Tsang

Translation from The Primordial Breath

 
 
 
 

1 Answer

Category: Vagus Nerve Function

Answer: Activation of the vagus nerve releases this chemical, which stimulates muscle contractions in the parasympathetic nervous system and slows the heart rate.

…

(Cue the Jeopardy! music.)

…

Question: What is acetylcholine?

In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. No I don’t “meditate”

 
 
 

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Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Box Breathing for Stress, and the Ancients’ Code to Becoming a Hero

 
 

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This week, you'll learn that breathing is only part of the solution, along with the ancient (and quite unexpected) secret to becoming a hero.

Enjoy!

 
 
 
 

4 Thoughts


1. Breathing as the XX% Solution

“Consider what life would be like if we gave up the idea of healthy or sick, zero versus one, and replaced it with the idea of multiple continuum. One minute, for example, we might score 60% on one health dimension, 30% on another, and perhaps 85% on yet a third. How would that change our lived experience?”

- Dr. Ellen Langer, Counterclockwise

I love this idea from Dr. Langer. It encourages us to forget “all or nothing” approaches and instead consider everything on a continuum. This perspective also provides a new way of finding solutions to our health problems.

Let’s say I only sleep 5 hours a night. Then, I start mouth taping and begin sleeping 6.5. That’s a 30% improvement. But let’s say you’re already sleeping 7 hours, and mouth tape gets you to 7.5. That’s only a 7% increase. But, that 7% might be all you need to feel your absolute best.

The point is that we’re all unique, and we’re all on different spots on the health continuum. My 80% solution might be your 30% one, and vice-versa.

So, instead of wondering what breathing (or the latest diet, the sauna, etc.) can fix for you, perhaps consider what percentage of the solution it is. “How would that change your lived experience?”

***

Related Quote: “The people I distrust most are those who want to improve our lives but have only one course of action.” - Frank Herbert

2. Test Like a Pro

“You may feel your anxiety turning to panic. … To tackle this, watch your breathing. Just before you might go into panic mode, put your hand on your belly and try to draw air so deeply into your lungs that your hand moves up and down. This deep breathing can allow you to grow calmer and steadier.”

- Dr. Barbara Oakley and Olav Schewe, Learn Like a Pro

Last week, we discovered that to learn like a pro, we need to sleep like a pro. This week, Dr. Oakley and Olav Schewe give us their advice for testing like a pro: slow deep breathing.

This technique isn’t just for school tests, either. This is for any big event you’re facing. Of course, sometimes anxiety is good (see Kelly McGonigal’s amazing book, The Upside of Stress). But, in moments when you’re panicking, and it’s hampering your performance, here’s the perfect trick.

Place one hand on your belly and use your breathing to make it move. This activates the calming parasympathetic nervous system, helping you relax and gain mental focus. It’s free, available anytime, anywhere.

Here’s to approaching whatever tests life throws at us like pros, today.

***

Related: A better state-of-mind: deep breathing reduces state anxiety and enhances test performance through regulating test cognitions in children (Check out the last two sentences of the abstract)

Related: This 2-Minute Breathing Exercise Can Help You Make Better Decisions, According to a New Study

3. From the Cleveland Clinic: “How Box Breathing Can Help You Destress”

“Box breathing’s simplicity is its greatest strength”

- Melissa Young, MD, How Box Breathing Can Help You Destress

The Cleveland Clinic is one of the most respected hospitals and research centers worldwide. So, it was awesome to see them release an article on box breathing this past week.

It’s a quick yet comprehensive guide on box breathing. Enjoy!

4. The Ancients’ Secret to Becoming a Hero (it’s not what you might think)

“True heroism, as the ancients understood, isn’t about strength, or boldness, or even courage. It’s about compassion.”

- Christopher McDougall, Natural Born Heroes

Heroes are compassionate. In fact, the word hero itself actually means “protector” in Greek, not “strength” or “courage.” That’s why we call our parents, big brothers and sisters, military, police, firefighters, doctors, nurses, and especially our dogs, heroes. They protect us.

And these heroes don’t just rely on boldness or brute strength, like movies and the news might make us believe. They rely on empathy and compassion for those they are protecting. As McDougall puts it:

“Empathy, the Greeks believed, was a source of strength, not softness; the more you recognized yourself in others and connected with their distress, the more endurance, wisdom, cunning, and determination you could tap into.”

Thus, we can all be heroes because we can all develop these traits. Sitting and breathing, meditating, or doing some yoga will increase your compassion and awareness for yourself and those around you. That’s how heroes are made.

So who can you show compassion and empathy for this week? You might just become their hero.

 
 
 
 

1 Quote

“In a crunch situation, I recommend you collapse your concentration to your breathing while maintaining relaxed awareness of the surroundings. Breathing deeply will greatly reduce the stress, slow your heart rate, and bring your nervous system back into balance.”

- Mark Divine, Retired Navy SEAL Commander

 
 
 
 

1 Answer

Category: Word Etymology

Answer: The word “breath” is derived from the Old English “brǣth,” which has this meaning.

…

(Cue the Jeopardy! music.)

…

Question: What is ‘smell or scent’?

P.S. Thus, the word breath itself is related to the nose : )

In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. wow, respect to these teen parents

 
 
 

Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

The Science of Presence, Beating Gravity, and How to Sleep Like a Pro

 
 

Listen Instead of Reading

 

Greetings,

Here are 4 thoughts, 1 quote, and 1 answer for this week.

I hope you enjoy it!

 
 
 
 

4 Thoughts


1. How to Sleep Like a Pro: Nose, 4-4-6-2, Repeat

“Breathe deeply and regularly…Try to breathe through your nose, keeping your mouth closed if at all possible. The more you breathe through your nose, the easier you will find it to breathe through your nose. In other words, use it or lose it.”

- Dr. Barbara Oakley and Olav Schewe, Learn Like a Pro

I didn’t expect to find anything about breathing in a book called “Learn Like a Pro,” which is geared mainly toward college students. But, to learn well, you need to sleep well. Enter: the power of the breath.

And their advice for falling asleep? Inhale for 4 sec, hold for 4 sec, exhale for 6 sec, hold for 2 sec. “This type of breathing balances both the oxygen and carbon dioxide levels in your body and allows you to relax more deeply.”

It’s just so awesome to see slow nasal breathing make its way into random places like this. If put into practice, these few sentences could change a student’s life forever. Simply amazing.

Here’s to sleeping (and learning) like a pro, tonight.

***

P.S. I’ve been having a little self-induced stress insomnia recently (such is life), so it was perfect timing for this passage.

Related: Self-Regulation of Breathing as an Adjunctive Treatment of Insomnia

2. Beating Gravity with Your Nose

“The results presented in this work provide evidence that the development of a substantial production of NO in the upper airways of humans may be an important part of our adaptation to life on two legs to ameliorate the influence of gravity on pulmonary blood flow distribution.”

- Nasal nitric oxide and regulation of human pulmonary blood flow in the upright position

Translation: Nasal nitric oxide might have been an evolutionary adaptation to counteract gravity, allowing us to sit and walk upright. 🤯

Gravity moves blood flow toward the base of the lungs. Nitric oxide, however, redistributes blood flow help better utilize the massive surface area of the lungs. This allows us to get more oxygen in the upright position.

So go take a walk, breathe through your nose, oxygenate your body, and enjoy this gift evolution has given us.

***

Related Quote: “Our own physical body possesses a wisdom which we who inhabit the body lack.” - Henry Miller

3. Psychology Today: “The Simplest Stress Management Skill”

“It may seem incredible that such a simple exercise can make a huge difference in a person’s ability to feel less stressed.”

- Dianne Grande, Ph.D., The Simplest Stress Management Skill

Of course, that “simple exercise” is slow deep breathing : )

This quick and excellent article touches on the vagus nerve and equal versus extended exhalations. It also provides some straightforward and practical guidelines for a “minimum effective dose” of slow breathing. Enjoy!

4. The Making of the Present Moment

“Your experience of the present moment is based on the activity of your nervous system at that moment. ”

- Rick Hanson, Ph.D., Neurodharma

We are always in the moment. As Howard Cohn says, “In truth, we are always present. We only imagine ourselves to be in one place or another.”

So what “presence” really refers to is experiencing our current moment. And as Dr. Hanson reminds us, our experience of any moment is just our nervous system at that moment. And the fastest way to access that? Our breath.

So experience your breath to experience presence. Or better yet, change your breath, change your nervous system, and use this science and physiology of presence to make your own moments.

***

Related Quote: “Breathe and you dwell in the here and now.” - Annabel Laity

Related Quote: “As such, the state of the autonomic nervous system underlies all psychological and physiological functioning, whether we are conscious of it or not. However, there is a bridge between our conscious mind and the subconscious action of the autonomic nervous system – breathing.” - The New Science of Breath

 
 
 
 

1 Quote

“Everything I have earned today was at least partially a result of breathing.  My best performance.  My emotional control. My ability to endure.  Breathing gave me all of this.”

- Rickson Gracie, Breathe: A Life in Flow

P.S. I listened to Breathe, so I apologize if the punctuation is incorrect.

 
 
 
 

1 Answer

Category: Breathing in the Womb

Answer: Babies are supplied oxygen in the womb through this tube-like structure.

…

(Cue the Jeopardy! music.)

…

Question: What is the umbilical cord?

In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. it comes very naturally

 
 
 

Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Breathing For Better Health, Easy Fixes, and How to Breathe with Stardust

 
 

Listen Instead of Reading

 

Hey,

Welcome back to another issue of The Breathing 411. Here are 4 thoughts, 1 quote, and 1 answer for this week.

I hope you enjoy it!

 
 
 
 

4 Thoughts


1. Posture is Easier with the Breath

“Question: Do I start with breathing correctly or addressing my posture?

Answer: Breathing comes first. Aligning your body correctly will come more easily once you have your breathing down. Plus, most cues to help with posture end up making a person tighten more rather than relax on the inhale.”

- Belisa Vranich and Brian Sabin, Breathing for Warriors

I constantly struggle with my posture (but only all the time 😂). So, I loved this answer from two of the world’s leading experts on the topic.

Additionally, as we’ve all probably experienced, you can’t really get a good breath unless you have good posture, so they really go hand-in-hand. Good breathing leads to better posture, and good posture leads to better breathing.

So sit up straight, take a relaxing breath, and enjoy the rest of this post : )

***

Related Quote: “What the bodily form depends on is breath (chi) and what breath relies upon is form. When the breath is perfect, the form is perfect (too)…Consequently, breath and form must be accomplished together.” - Chinese adage from The Primordial Breath (but I found it in Breath)

2. Fixing Hyperventilation Easily with Slow Breathing

“The mechanism by which hyperventilation is targeted by HRVB has not been proven, although it is reasonable to hypothesize that it involves a combination of slow breathing, decreased emotional and autonomic reactivity, and attention to breathing mechanisms for controlling it.”

- Applied Psychophysiology and Biofeedback (2020)

Because slow breathing increases HRV and improves autonomic and emotional reactivity, it naturally reduces your stress. It naturally improves your sensitivity to carbon dioxide. And it naturally optimizes gas exchange.

All of this helps you breathe calmer more often.

So to fix hyperventilation easily, maybe we don’t need to fix it at all? Perhaps we should just enjoy our slow breathing practice and, with time, let our improved physiological state naturally lead to optimal breathing volume.

This approach won’t be suitable for everyone, but if you struggle with overbreathing, this might be the best place to start.

***

P.S. Ironically, when people start a slow breathing practice, they often overcompensate for the slower rate by taking bigger breaths and end up mildly hyperventilating. For this reason, many researchers and coaches (myself included) suggest that slow breathing is not enough—we must also focus on breathing volume. However, as pointed out in this 2020 meta-analysis, slow breathing might self-correct with time.

3. Scientific American: “Proper Breathing Brings Better Health”

“Breathing is so central to life that it is no wonder humankind long ago noted its value not only to survival but to the functioning of the body and mind and began controlling it to improve well-being.”

- Scientific American

This is perhaps my favorite online article published about breathing. But, I realized I have somehow never shared it here.

I especially loved a part near the end. It’s almost as if the author is surprising himself with all the benefits of breathing as he’s researching and writing the article, and he can’t believe this stuff isn’t widely used:

“In fact, I am mystified that controlled breathing is not recommended and practiced more widely. Perhaps it is perceived as too simple, commonplace and obvious to be a remedy.”

Those were my exact feelings when I found “breathing.”

Enjoy the excellent read!

***

Related Quote: “Even more foolishly I had assumed that a universal awareness of the importance of breathing existed. Nothing could have been farther form the truth.” - Carl Stough (also found in Breath)

4. How to Breathe Stardust with Stardust

“Every atom in your body that is heavier than helium was made inside a star, usually as it was exploding.  Carbon, oxygen, iron, all of it. Take a breath, and breathe stardust with stardust. This body is billions of years old.”

- Rick Hanson, Ph.D., Neurodharma

That is all. 🤯

 
 
 
 

1 Quote

“A single breath has more truth in it than all your thoughts about breathing will ever have.”

– Adyashanti

P.S. Thanks to great friend E.S. for sending this quote to me. It’s almost as if that quote is specifically calling me out on this newsletter 😂

 
 
 
 

1 Answer

Category: Hyperventilation

Answer: It is suggested that adults with a respiratory rate greater than this number “should receive immediate medical review.”

…

(Cue the Jeopardy! music.)

…

Question: What is 27 breaths per minute?

In good breath,

Nick Heath, T1D, PhD
“Breathing is the compound interest of health & wellness.”

P.S. “Guess we’ll head out too”

 
 
 

Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Delightful Practice, Reverse Arambhashura, and The Buddha’s Take on Science

 
 

Listen Instead of Reading

 

Hello,

Here are four thoughts, one quote, and one answer for this week.

I hope you enjoy it!

 
 
 
 

4 Thoughts


1. What Science Has in Common with The Buddha

“Research in general tells us something about most people. Given that our concern is for what we, rather than what most people, should do, current medical practice alone cannot have a definitive answer…We need to learn how to integrate what the medical world knows to be generally true with what we know, or can find out, about ourselves.”

- Ellen Langer, Ph.D., Counterclockwise

Ellen Langer was the first woman to be tenured in Harvard’s Psychology Department. She’s a badass, and this book is insanely good. If you’re interested in applying scientific research in your own life, it’s a must-read.

The above passage is particularly critical for breathing. As we continue to learn new things about breathwork, the most important thing is to integrate that knowledge with our personal situation to find out what’s best for us.

And remember, just because it worked in a study doesn’t mean it will work for you.

As the Buddha supposedly said, “Believe nothing, no matter where you read it, or who said it, no matter if I have said it, unless it agrees with your own reason and your own common sense.” It seems like Dr. Langer would agree : )

How do we do this in our own lives? Let’s turn to another brilliant mind for more advice in Thought #2.

***

Related Quote: “I believe books are medicine. A library is a medicine cabinet. What can heal one person may not work at all for somebody else. You know when something is healing you, just as you know when something isn't.” - Sandra Cisneros (I know it’s about books, but still so good.)

2. Delight in Practice: How To Integrate Science Into Your Life

“So look for what feels good and meaningful in what you’re already doing, and perhaps find additional things that are naturally pleasurable for you…Practice is less effective if it’s heavy and somber most of the time. It’s ok to have fun with it.”

- Rick Hanson, Ph.D., Neurodharma

How’s that for a book title? There was no way I could not read that one : )

It’s packed with insight, but I thought this passage paired perfectly with Thought #1. To begin applying the new things you learn about breathing, start with what you already find meaningful, and add on from there.

For example, suppose you love the Oxygen Advantage. But, then you learn that taking big breaths every now and then is beneficial for lung capacity. In that case, you might try adding 5 big breaths before each breath hold you perform. If you like it, you keep it. If not, you don’t.

We also don’t want to take it too seriously (often guilty here). As Dr. Hanson also tells us, “It’s good to bring playfulness, even delight, to your practices.”

Here’s to applying rigorous science in our lives in a delightful way, today.

***

Related Quote: “As long as you derive inner help and comfort from anything, keep it.” - Gandhi

Related: Science Guides the Macro, Practice Guides the Micro (Thought #4)

3. Forbes: “How Breathing Calms Your Brain, And Other Science-Based Benefits Of Controlled Breathing”

“A brief review of the latest science on breathing and the brain, and overall health, serves as a reminder that breathing deserves much closer attention – there’s more going on with each breath than we realize.”

- David DiSalvo, Forbes Magazine

Here’s a quick summary of some of the science-backed benefits of breathing from Forbes. It was written 2017, but just as relevant today.

I liked the headline-paragraph-headline-paragraph style. Concise and informative. I hope you enjoy it too!

4. Slow Breathing as Reverse Arambhashura

There’s a Sanskrit word, arambhashura, which means something like “hero in the beginning.” We’ve all been there. You start a project all excitedly, but the excitement wanes. You hit some roadblocks. You decide it’s not worth it.

A slow breathing session is like reverse arambhashura. Because of the positive breathing-relaxation feedback loop, you gain motivation as you go. And when you’re done, you’re more focused, relaxed, and happy than when you began. You’re a hero at the end.

Here’s to practicing a little reverse arambhashura today.

 
 
 
 

1 Quote

“The kind of success I am most interested in is the sort available to every human being living, breathing, thinking, and doing things on this earth.”

– Tom Morris

 
 
 
 

1 Answer

Category: Body Oxygen Consumption

Answer: For the energy to perform their vital functions, the lungs themselves consume this percentage of the total body oxygen consumption.

…

(Cue the Jeopardy! music.)

…

Question: What is 5%?

In good breath,

Nick Heath, T1D, PhD
Diabetes is Tiny. You are Mighty.

P.S. I actually needed to hear this…

 
 
 

Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Slow Breathing Really Does Help Everything, According to a 2020 Study

 
 

Listen to this post:

 

Hey,

It’s a fun post this week. Lots of good info, plus one of the best real-life breathing videos you’ll ever see.

I hope you enjoy it!

 
 
 
 

4 Thoughts


1. Slow Breathing Really Does Help Everything, According to a 2020 Study

“The results of this review provide evidence that HRVB and PB at approximately six breaths per minute have positive effects on a variety of physical, behavioral, and cognitive conditions.”

- Heart Rate Variability Biofeedback Improves Emotional and Physical Health and Performance: A Systematic Review and Meta Analysis

Good news. I’m not crazy, which is how I often feel after every paper I read leads me to say that “slow breathing helps with just about everything.”

But, that’s also the conclusion of a recent 2020 meta-analysis.

They found that, like we discuss all the time, slow breathing won’t “cure” any one particular thing. But, it does help many different things in small ways:

“The overall effect sizes are modest but highly significant, suggesting that these methods may not be sufficient for treating any one problem but may be useful as a complementary intervention.”

Amen to that. And like you already know, when combined and compounded, these small improvements add up to overall better health.

To learn more, click here and read my short summary of the study.

Or better yet, don’t read it. Instead, spend those few minutes breathing slowly and experiencing the positive benefits for yourself : )

…

Related: Breathing is the Compound Interest of Health and Wellness

Related: Cardiovascular and Respiratory Effect of Yogic Slow Breathing in the Yoga Beginner: What Is the Best Approach?



2. Diabetes Really Does Hurt Everything, According to Our 2020 Life Experience

Just kidding. Well, kinda.

But I believe the meta-analysis above in thought #1 highlights why slow breathing can be so beneficial for diabetes.

As we know, when not properly managed, diabetes hurts just about every aspect of health and wellness:

  • Anxiety

  • Distress

  • Autonomic function

  • Emotional regulation

  • Cardiovascular function

  • And on & on

So, if slow breathing helps many of these, even modestly, they’re still going to add up to considerable benefits for our diabetes control.

Of course, it’s not a cure-all. But slow breathing is possibly the simplest, safest, and most effective thing we can do to address many diabetic problems.

…

Related: Diaphragmatic breathing improves antioxidant status & HbA1c in type 2 diabetics


3. Breathing Exercises for Kids: Everything Parents Need to Know

“The cure? Take a deep breath. That sounds like a useless platitude. It’s not.”

- Breathing Exercises for Kids: Everything Parents Need to Know

Wow, this was a surprisingly good article. Quick and easy, and full of good information. It did have one typo about CO2, but I’ll let it slide since they provided so many awesome breathing books I can now get my daughter : )

And since they also provided this excellent advice for our children, nieces and nephews, and really just everyone in general:

“You practice every day, you slow breathe every day, even when you’re not anxious, and then even though you become a little bit anxious, you have the bandwidth to not fall off the edge.”

- Dr. Umakanth Katwa,
Director, Sleep Laboratory at Boston Children’s Hospital
Professor at Harvard Medical School

Sounds good to me.

Enjoy the excellent read!

…

Related: Watch this in action.

This is perhaps the best real-world 21-second breathing video ever recorded.

4. Words Are Not Always Adequate, or Important

“Again, the likely explanation is that what is most easily put into words is not necessarily what is most important.”

- Barry Schwartz, The Paradox of Choice

This is certainly true for breathing.

Heart rate variability, autonomic function, blood pressure, blood flow, anxiety, distress. Slow breathing helps them all, and they all sound good.

But are they what’s truly most important?

I think that 21-second YouTube video above is what’s most important.

And I don’t have words for that.

 
 
 
 

1 Quote

“Adopt the pace of nature: her secret is patience.”

- Ralph Waldo Emerson

 
 
 
 

1 Answer

Answer: Over 1.1 million children and adolescents below the age of 20 have this chronic disease, increasing their likelihood of anxiety and depression.

…

(Cue the Jeopardy! music.)

…

Question: What is type-1 diabetes?

In good breath,

Nick Heath, T1D, PhD
Diabetes is Tiny. You are Mighty.

P.S. WELL WHAT TIME DOES HE GET OFF?

 
 
 

Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Coherent Breathing, Diabetes, and How All Top Performers Use The Breath

 
 

Listen to this post:

 

Thanks for clicking on another issue of The Breathing 411.

Here are 4 thoughts, 1 quote, and 1 answer for this week. Enjoy!

 
 
 
 

4 Thoughts

1. Why We Should Practice Coherent Breathing, in just Two Sentences

“When oscillations of two or more systems are synchronised it increases physiological efficiency by enabling the functions of these systems to be coordinated. This prevents energy being wasted on non productive functions.”

- The Functions of Breathing and its Dysfunctions and Their Relationship to Breathing Therapy

Coherent (or resonant) breathing synchronizes different body systems, and I thought those two sentences perfectly summarized why it’s so important:

It improves efficiency and conserves energy.

To experience this yourself, you might think finding your particular resonant breathing rate requires special biofeedback equipment…and you’d be right. 

Fortunately, however, a 2006 study found that we get most of the benefits by simply breathing at 5-6 breaths per minute. Meaning you can get started right now without any fancy gear. It’s as simple as using a phone app.

Here’s to synchronizing our breathing for optimal efficiency today.

Related Quote: “Did it matter if we breathed at a rate of six or five seconds, or were a half second off? It did not, as long as the breaths were in the range of 5.5.” - James Nestor, Breath

P.S. The two apps I recommend are iBreathe and BreathWrk.

2. All Things Breathing and Diabetes

Patrick McKeown and I sat down a couple of months ago to talk about all things breathing and diabetes. It was a surreal experience to be chatting with the person who has taught me so much. We covered a lot of material from both personal and scientific perspectives.

Watch the full interview on YouTube here.

I hope you enjoy watching and listening.

Related Links:

3. Mick Fanning’s Breathwork is the Key to His Success

“Fanning’s performance coach, Nam Baldwin says breathwork is the foundation of mental and physical performance.”

- Mick Fanning’s scoliosis led him to breath work. Now, it’s key to his success

Aside from diabetes, one reason I became interested in breathing was surfing. So, when I saw this headline, I couldn’t wait to read it.

And it was better than expected. It was impossible to pick just one quote to share, so here’s another gem from Mick himself:

“You can change your moods, your thought patterns, just by concentrating on breath… and the better you breathe the better you perform.”

Enjoy the great read!

4. Maybe All Top Performers Focus on Their Breath?

And it’s not just Mick Fanning. In The Mindful Athlete, we learn that many top-performing teams and athletes use breathing as a critical component of their practice. They might not use “breathwork,” but they certainly make focusing on their breath a daily routine, especially before games:

“If they're mindful athletes, most of them are actually bringing their attention not to the game ahead, but to the present moment: fully concentrating on their breathing and, in doing so, centering themselves in that calm place where they are able to be in touch with the space between stimulus and response.”

- George Mumford, The Mindful Athlete

We’re all athletes in the game of life. (Having a chronic disease like diabetes makes each day like the Super Bowl.) We might not have personal trainers, nutritionists, or millions of dollars. But we all have the breath. And we all have access to the same control and awareness that these top performers do.

Let’s use it wisely.

 
 
 
 

1 Quote


“What do Mahatma Gandhi, the martial artist Bruce Lee, Buddhist meditators, Christian Monks, Hawaiian kahunas, and Russian Special Forces have in common? They all used breathing to enhance their physical, mental, and spiritual well-being.”

- Richard P. Brown & Patricia L. Gerbarg,
The Healing Power of the Breath

 
 
 
 

1 Answer

Answer: The cardiovascular system shows resonance at approximately this frequency.

…

(Cue the Jeopardy! music.)

…

Question: What is 0.1 Hz?

In good breath,

Nick Heath, T1D, PhD
Diabetes is Tiny. You are Mighty.

P.S. …and the money will come

 
 
 

Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

A Buffet of 13 Interesting Breathing Articles

 
 
 

I’ve been out of town, with less time than normal to work on the newsletter. So, I decided to share a buffet of interesting breathing articles this week.

I hope there are a few you enjoy!

 
 
 
 

4 Thoughts

1. Study Shows How Slow Breathing Induces Tranquility

“Breathe slowly and smoothly. A pervasive sense of calm descends. Now breathe rapidly and frenetically. Tension mounts. Why? It’s a question that has never been answered by science, until now.”

- Stanford Medicine News Center

We all know that slow breathing calms us, and fast breathing stimulates us. But in this great article, we learn that there are specific neurons “spying” on our breathing, “reporting their finding to another structure in the brainstem.”

Enjoy the interesting read!

Thanks to new 411 reader A.L. for inspiring this thought!

Related: Feeling anxious? The way you breathe could be adding to it

Related: What Focusing on the Breath Does to Your Brain

2. This Ridiculously Simple Breathing Technique Is Scientifically Proven to Improve Mental Focus

“I can't promise that it will make everything go smoothly, or take all your jitters away. But I can guarantee that you'll feel more focused and calm than you did before.”

- Inc. Magazine

Perfectly said. If you need a quick way to increase focus, it might be as simple as making “your exhalations longer than your inhalations.”

Enjoy the super quick read.

And, if you want to dive deeper down the rabbit hole, here are a few more:

Related: Diaphragmatic Breathing Exercises and Your Vagus Nerve

Related: Longer Exhalations Are an Easy Way to Hack Your Vagus Nerve

Related: Slower Breathing Facilitates Eudaimonia via Your Vagus Nerve

Related: This 2-Minute Breathing Exercise Can Help You Make Better Decisions, According to a New Study

3. The Importance of Breathing, from the American Institute of Stress

Please do yourself and favor and check out this issue of Contentment from the American Institute of Stress. They dedicated the entire thing to breathing.

Here’s what’s included:

  • The Health Benefits of Nose Breathing

  • Healing Power Of The Breath

  • The Setup Breath: Exhaling Deeply First

  • Re-Association: Fusing Awareness and Sound with Deep Breathing Practices

  • Take A Deep Breath

  • Yogic Breathing: Ancient and Modern

  • One-Minute Relaxation Exercise for Busy People

The first two were my favorites. You’re sure to find one or two you enjoy too.

P.S. I found this through an excellent Medium blog post.

4. Significant Brain Changes Found in Children Who Regularly Snore

“Children who regularly snore have structural changes in their brain that may account for the behavioral problems associated with the condition including lack of focus, hyperactivity, and learning difficulties at school.”

- Significant Brain Changes Found in Children Who Regularly Snore

This was a somewhat troubling read on how sleep-disordered breathing might explain hyperactivity and aggression in children.

With complex issues like these, it’s likely not as simple as “one thing.” But, this is an important read, especially if you have or work with children.

Thanks to great friend E.S. for sharing this with me.

Related: The influence of snoring, mouth breathing and apnoea on facial morphology in late childhood: a three-dimensional study. Thanks to HHPF for sharing this one.

Related Quote: “If respiration truly acts as a fundamental organizer of oscillatory brain activity, then surely its modulation could be utilized to modulate brain activity to promote sleep.” - Frontiers in Psychiatry (2019)

 
 
 
 

1 Quote

“In a single breath, more molecules of air will pass through your nose than all the grains of sand on all the world’s beaches—trillions and trillions of them.”

- James Nestor, Breath

 
 
 
 

1 Answer

Answer: In the early 1770s, this gas was independently discovered in England and Sweden.

…

(Cue the Jeopardy! music.)

…

Question: What is oxygen?

In good breath,

Nick Heath, T1D, PhD
Diabetes is Tiny. You are Mighty.

P.S. Enough for the next 11 days

 
 
 

Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

Breathing Through Negative Feedback Loops, and the WHM in 2.5 Minutes

 
 

Listen to this post:

 

Welcome back to another issue of The Breathing 411.

Here are 4 thoughts, 1 quote, and 1 answer for the week. Enjoy!

 
 
 
 

4 Thoughts

1. The Epiphenomena of Breathing

“However, a lightbulb also produces heat. Heat is not the function of the lightbulb, nor is it the reason we originally fashioned it […] It is an unintended by-product of the operation, not the true function. Heat is an epiphenomenon in this case.”

- Matthew Walker, Why We Sleep

Depending on you and your perspective, breathing can have many epiphenomena. For example, you might do a breathing practice to relax. But, as a by-product, it will also improve autonomic and cardiovascular function.

Perhaps your breathing practice is for better sleep. In this case, you’ll still experience the epiphenomena of better insulin sensitivity and better focus.

In fact, optimal breathing has so many “epi-benefits,” it’s hard to keep track. Luckily, you don’t have to. You simply pick one or two reasons that make sense for you, and let the rest happen on its own, like heat from a lightbulb.

Related Quote: “Replace the habit of taking short shallow breaths into the top of the lungs with the practice of taking a full deep breath. Nearly all of the benefits begin with this one simple change.” - Al Lee, Don Campbell, Perfect Breathing

2. The Negative Feedback of Stress in Diabetes, and What We Can Do About It

  • Diabetes is a chronic stressor. [1]

  • Chronic stress worsens blood sugar control. [2]

  • It also reduces HRV, increasing susceptibility to more stress. [3]

  • This then can increase anxiety. [4]

  • Leading to more stress and worse blood sugar control. [2]

  • Which then leads to the subjective feeling of more stress. [1]

It’s a merciless cycle.

Encouragingly, however: “Emerging evidence strongly suggests…that interventions that help individuals prevent or cope with stress can have an important positive effect on quality of life and glycemic control.”

You probably know where this is going : )

Slow breathing immediately helps:

  • It reduces chronic stress by increasing vagal tone. [5]

  • It improves both short- and long-term HRV. [6]

  • It reduces anxiety. [7]

  • It improves blood sugar control. [8]

The negative feedback loop of stress and diabetes won’t just go away. But slow breathing gives you an effective intervention you can use to help offset its harmful effects and prevent it from getting out of control forever.

Related Quote: “Slow breathing could be a simple beneficial intervention in diabetes.” - Nature Scientific Reports

3. How The Wim Hof Method Works, In 2.5 Minutes

“So what happens when you breathe this way is you stress your body out. […] You control your stress to a specific amount of time so that, for the rest of the day, you can chill out. So that is probably why Wim Hof’s method works so well.”

- James Nestor

Tomorrow is Wim Hof’s birthday. In that spirit, here’s a quick 2.5 minute clip of James Nestor explaining how the WHM works.

Enjoy!

Related: 20 One-Sentence Thoughts on the Wim Hof Method

Related Quote: “I’m not afraid of death, I’m afraid not to have lived fully.” - Wim Hof

4. We Are All Living Nasal Breathers

“All living things on our planet undergo a unescapable and predictable daily change in their environment: Day becomes night. […] To cope with this predictable daily change in light and dark, almost every living organism has developed an internal timing system, or circadian clock.”

- Satchin Panda, PhD, The Circadian Code

In The Circadian Code, we learn that, try as we might, we cannot override our circadian rhythm. Evolution programmed it into us. Trying to fight it with more coffee (talking to myself here) will only hurt us in the long run. We’re much better off aligning with it to achieve our best health outcomes.

This reminded me of a seemingly unrelated, yet similar concept: we’re all nasal breathers.  We can optimize our diets, exercise, and so on, but if we don’t breathe how evolution designed us to—through our nose—we’ll never reach our full health potential.

Related: Chronic sinus inflammation appears to alter brain activity

Related Quote: “Around 1500 BCE, the Ebers Papyrus, one of the oldest medical texts ever discovered, offered a description of how nostrils were supposed to feed air to the heart and lungs, not the mouth.” - James Nestor, Breath

 
 
 
 

1 Quote

“The power of the breath has been used not just to heal, but to attain extraordinary feats that appear to defy laws of physiology. […] With mastery of his breath and his meditative practices, Hof is redefining what is considered physiologically possible for a human.”

- Michael J Stephen, MD, Breath Taking

 
 
 
 

1 Answer

Answer: Although known as the Ice Man, Wim Hof has also completed a full marathon without water in this desert.

…

(Cue the Jeopardy! music.)

…

Question: What is the Namib Desert?

P.S. Here’s short clip of him walking. He’s mainly nose-breathing, probably to conserve water : )

In good breath,

Nick Heath, T1D, PhD
Diabetes is Tiny. You are Mighty.

P.S. Do drugs and stay out of school

 
 
 

Sign Up For The Breathing 411

Each Monday, I curate and synthesize information from scientific journals, books, articles, and podcasts to share 4 thoughts, 1 quote, and 1 answer (like "Jeopardy!") related to breathing. It’s a fun way to learn something new each week.

 
 

The Breathing 411 - Intermittent Fasting and Time-Restricted Breathing

 

Welcome to another week of The Breathing 4.1.1. Let’s get right to it.

 
 
 
 

4 THOUGHTS

1. Time-Restricted Breathing?

Every now and then, skipping a meal or two ("intermittent fasting") can be good for you. Studies have even found that just compressing your eating window (that is, "time-restricted eating") is beneficial for metabolism and weight loss.

You can do this on a much smaller scale with breathing. It’s called "intermittent breathing," or simply holding your breath. Maybe it’s only 30 seconds instead of 30 hours. Still, the idea is similar: Restrict your body from something it’s used to, and it elicits beneficial responses.

Similarly (although the analogy breaks down some), "time-restricted breathing" can also be done by setting aside time each day to breathe less. You might only do this for five minutes. But, like how time-restricted eating makes the meals you do eat more useful, time-restricted breathing improves your oxygen metabolism, making those other 20,000+ breaths you take each day more effective.

2. Slow Breathing as a Treatment for Insomnia

"Practicing the 0.1 Hz rate before sleep was shown to improve sleep onset latency and quality in insomniacs and enhance the stability of their sleep pattern (13). Thus, we suggest 0.1 Hz as the optimal frequency for a slow breathing technique." - Self-Regulation of Breathing as an Adjunctive Treatment of Insomnia

Last week, I mentioned that slow breathing might be a way to help with insomnia, based purely on deductive reasoning. With insomnia on my radar, this article jumped off the page at me. I cannot recommend it enough. Choosing only one quote was nearly impossible.

Even if you do not care about insomnia, their sections on "Cardiorespiratory Synchronization" and "Slow Deep Breathing" are phenomenal. They will be the motivation of several future thoughts…

In the meantime, let us slow down our breathing before bed (to say, 6 breaths per minute, also known as 0.1 Hz) to help increase cardiorespiratory synchronization, increase parasympathetic tone, and have a restful night’s sleep.

3. Why You Need Efficient Breathing: 18x the Energy

"Anaerobic metabolism…is relatively inefficient compared with aerobic processes. Only two ATP molecules are produced…In contrast, the body reaps 36 molecules of ATP for each molecule of glucose metabolized aerobically."

- Respiratory Physiology: A Clinical Approach

That means that aerobic metabolism (with oxygen) is about 18x more efficient than anaerobic metabolism (without oxygen). Therefore, the more efficient you are at using oxygen, the more efficient you are at producing energy.

A practical way to improve your oxygen efficiency? Time-restricted breathing.

4. A Simple Way to Breathe Better Right Now

Make your breathing quiet. This might be the easiest, most practical thing you can do anytime, anyplace, to improve your breathing (after nose breathing, of course). Give it a try now, if you feel so inspired.

Make sure you cannot hear your breathing, even internally. You’ll naturally slow down your breathing and naturally breathe less. It’s fantastic, and it’s easy.

 
 
 
 

1 QUOTE

"Gandhi became absolutely motionless. His absorption was so profound that he scarcely seemed to breathe"

- Eknath Easwaran, Gandhi The Man

 
 
 
 

1 ANSWER

Answer: The average number of breaths in a lifetime.

…

(Cue the Jeopardy music.)

…

Question: What is over 600 million?

BONUS THOUGHT

"And if the traveler is fortunate—that is, if the path is complex and profound enough—the destination is two miles farther away for every mile he or she travels." - George Leonard

I am fortunate to be traveling with you. Thank you for reading.

In good breath,
Nick

P.S. You’re Wrong and College Has Failed You