woo-woo

Is This Stuff Really in Textbooks? And A New Nose-Opening Method

 

Hello, and happy Monday. Here are 4 thoughts, 1 quote, and 1 answer for you to consider as we wrap up October.

 
 
 
 

4 THOUGHTS

1. Is this Stuff Really in Textbooks?

Carbon dioxide (CO2) and the Bohr effect have motivated almost all the interest in breathing for health and performance.

CO2 is said to loosen the bond between oxygen and hemoglobin, allowing more efficient release into the tissues (the Bohr effect). Thus, counterintuitively, by breathing less (retaining more CO2), we actually get more oxygen.

It is often stated that this is just basic (but underappreciated) physiology that is in all the medical textbooks. Luckily, I find joy in reading medical books I don’t fully understand : ) Here’s what I have found:

- “Hemoglobin’s affinity for oxygen is also influenced by pH, carbon dioxide concentration, and body temperature…it releases it more readily under conditions of…increased carbon dioxide concentration." - Essentials of Pathophysiology, pg. 534

- “The shift of the curve to the right may be seen as a compensation that results in greater release of oxygen to the tissues…Temperature affects the relationship (increases in body temperature shift the curve to the right), as do carbon dioxide." - Respiratory Physiology, A Clinical Approach, pg. 110

- “Most of the effect of PCO2, which is known as the Bohr effect, can be attributed to its action on H+ concentration. A rightward shift means more unloading of O2 at a given PO2 in a tissue capillary." - Respiratory Physiology, The Essentials, pg. 91

So yes, this is basic physiology. It’s nothing new. But knowledge is only potential energy. What we’re doing is applying this knowledge in a simple way. Breathe less, get more.

2. A New Nose-Unblocking Exercise

Patrick McKeown’s nose unblocking exercise is phenomenal. It’s simple, and you feel it immediately. However, no one knows precisely how it works. My hypothesis is that it’s primarily due to nasal nitric oxide (but have no way of testing this, except on myself).

It just so happens that last week we discovered a way of breathing that increases nasal nitric oxide (nose in - mouth out). It also just so happens that I got a terribly stuffy nose during that same time.

So, here was my N=1 test. If the unblocking exercise works due to NO, it would stand that performing nasal-in, mouth-out breathing would help clear my nose.

So here’s what I did. I inhaled through my nose, pinched my nose, slowly exhaled through my mouth as long as I could comfortably, and repeated. And, lo and behold, it helped.

However, it took much longer than Patrick’s method (about 2 minutes for me). And, it wasn’t nearly as dramatic. Each breath only opened it slightly more. Conversely, in Patrick’s version, you go from blocked to open almost instantly.

What does this mean? Well, nothing, really. There are many factors to consider. But it *might* be suggesting that NO is, in fact, the “unblocking” mechanism.

So, here’s my request: If you get a stuffy nose this cold season, give it a try and let me know if it does anything for you. N=1 means nothing statistically, but it’s better than nothing practically.

3. For the Practice or For the Results? Why Not Both?

"How do you best move toward mastery? To put it simply, you practice diligently, but you practice primarily for the sake of the practice itself." - Robert Greene, Mastery

Why do you practice breathing? For the practice itself, or for the outcome?

What I love about breathing is that it can be both. In fact, you automatically take care of both, regardless of which one you are focusing on. It’s health and mastery, wrapped in our body’s most important function.

4. Woo-Woo or Wu-Wei?

"It refers to the dynamic, effortless, and unselfconscious state of mind of a person who is optimally active and effective."

- Edward Slingerland, Trying Not to Try

Wu-Wei literally means "effortless action." If it didn’t sound so much like "woo-woo," it might be the perfect definition of ideal breathing.

We train our breathing so that we don’t have to think about it. We train our breathing to achieve this state of effortless yet highly effective action.

 
 
 
 

1 QUOTE

“It’s not enough to understand; you’ve got to do something.”

- Sandra Day O’Connor

 
 
 
 

1 ANSWER

Answer: On one breath, the world record for this movement is 81.6 meters.

…

(Cue the Jeopardy music.)

…

Question: What is underwater walking?

(P.S. The video is pretty amazing. Watch out Laird.)

In good breath,
Nick

P.S. Very Scary.

 
 

The Simplest Way to Increase Nitric Oxide Through Nasal Breathing

 

Hello, and happy Monday. Here are 4 thoughts, 1 quote, and 1 answer (like "Jeopardy") related to breathing that I hope you enjoy.

 
 
 
 

4 THOUGHTS

1. Can Mouth Breathing Increase Nitric Oxide?

Yes, but only if done on the exhale.

Nitric oxide (NO) is continuously produced in the nasal cavity. When we inhale through the nose, we harness this wondrous molecule and its benefits in the airways and lungs.

But if we also exhale through our nose, some of it gets washed out. Conversely, if we exhale through our mouth, the NO continues to accumulate in the nasal cavity. Then, more is brought in with the next nasal inhale.

In through the nose, out through the mouth.

Here’s what a researcher at the UCLA School of Medicine says:

"Exhaling through the nose is highly wasteful in that the NO would be expelled away from the lungs, where it is needed most." - Louis J. Ignarro, Inhaled NO and COVID-19

While I personally don’t recommend exhaling through the mouth all the time, there are clearly times when it might be beneficial, even if only for short periods.

The next thought has a few ideas about putting this knowledge into practice.

2. Increase Oxygenation by 10% (without increasing carbon dioxide)

"The subject inhaled through the nose with the mouth closed and exhaled through the mouth with the nose blocked. Thereby, a maximum of NO from the nasal airways is inhaled while a minimum is lost during exhalation." - Lundberg et al. (1996)

This protocol, nose in - mouth out, led to a 10% increase in tissue oxygenation when compared with mouth in-nasal out.

Notably, there were no significant carbon dioxide changes between protocols. Thus, by inhaling through the nose and exhaling through the mouth, we can increase tissue oxygenation without increasing carbon dioxide.

It’s all due to nitric oxide.

We should not base all our breathing on any one conclusion. And many factors need to be weighed, such as moisture and heat loss from exhaling through the mouth. But these results are intriguing nonetheless.

Here’s a simple way I put them into practice: I start each slow breathing session with 3-5 nose in - mouth out breaths before switching to nose in - nose out.

This study also implies that nose in - mouth out could increase oxygenation to the working muscles during exercise. So, if you’re uncomfortable with nasal-only breathing during your workout, switching to nose in - mouth out could be a beneficial compromise from an oxygenation perspective.

3. Why Slowing Your Breathing Helps You Relax

"By repeatedly stimulating the vagus nerve during those long exhalations, slow breathing may shift the nervous system towards that more restful state, resulting in positive changes like a lower heart rate and lower blood pressure." (my emphasis)

- BBC, Why Slowing Your Breathing Helps You Relax

It’s always fun to find an article reporting the science behind slow breathing from a news outlet like BBC. They even present some information you might not have considered, like how taking "big breaths" might benefit relaxation.

The article also touches on everything from pain to arthritis and provides many useful references. It's an excellent summary. Enjoy!

Thanks to 411 reader A. P. for inspiring this thought.

4. What is Breathing? And is it Woo-Woo (part II)?

When I was drafting last week’s thought about breathing being woo-woo, my grammar editor said that I was using the word "breathe" too much. Almost ironically, the synonym it suggested was: live.

I thought, "funny that a word synonymous with life itself is often considered woo-woo." But at the same time, interchanging "breath" with "life" is borderline woo-woo : )

But this is an appropriate synonym. Because at its root, what is breathing? At the risk of sounding a bit woo-woo myself, here is one answer: breathing is living.

 
 
 
 

1 QUOTE

"For breath is life, and if you breathe well you will live long on the earth."

- Sanskrit Proverb

 
 
 
 

1 ANSWER

Answer: This is the lowest blood oxygen saturation recorded in a human climbing Mount Everest.

…

(Cue the Jeopardy music.)

…

Question: What is 34.4%?

Wim Hof

"Fainting is okay, it just means you went deep." – Wim Hof

Maybe Wim Hof has some crazy ideas, but he has done more for "breathing" than just about anyone on this planet. I am incredibly grateful for him and his work.

His new book comes out tomorrow. I ordered a copy and hope you will too.

In good breath,
Nick

P.S. We’ve Been Ordering Pizza All Wrong

 
 

The Breathing 411 - Understand This, and You Will Understand Breathing

 

Happy Monday. I hope you enjoy this edition with a cup of coffee : )

Enjoy 4 thoughts, 1 quote, and 1 answer (like "Jeopardy") related to breathing.

 
 
 
 

4 THOUGHTS

1. Understand This, and You Will Understand Breathing

Breathing information is often contradictory:

  • Wim Hof tells you to breathe more oxygen.
    Patrick McKeown tells you to breathe less.

  • Oxygen is your body’s most important energy source.
    But the exhale is the most important part of the breath.

  • You need to teach yourself to tolerate higher levels of carbon dioxide.
    Carbon dioxide also causes fear in people who literally can’t feel fear.

  • Lung capacity determines longevity.
    But you also shouldn’t take big breaths.

  • And on & on

To understand breathing, you must accept that all of these are right, and all of them are wrong. It depends on the circumstance.

Despite its simplicity, breathing is one of the most complex functions in the human body. Blanket statements on "right or wrong" simply cannot be made without context. We must embrace the contradictions.

2. Should You Be Breathing Even Slower?

A study published in 2006 found that resonance frequency was inversely correlated with height. That is, the taller you are, the slower you need to breathe to synchronize your heart rate, breathing rate, and autonomic nervous system.

In their excellent book, The Healing Power of the Breath, Richard Brown and Patricia Gerbarg give this specific recommendation: "For people who are over six feet tall, the ideal resonant rate is three to three and a half breaths per minute."

So, if you’re over six feet tall, you might find that breathing slower than the typical recommendation of 5-6 breaths per minute works better for you. I fall into that category, and I’ve found 3 - 3.5 breaths per minute (currently 7 sec inhale, 11 sec exhale) to be my sweet spot.

3. What is Hyperventilation?

"Respiratory alkalosis is caused by hyperventilation or a respiratory rate in excess of that needed to maintain normal PCO2." - Essentials of Pathophysiology, pg. 205

"Hyperventilation is a term that describes breathing beyond that which is required to meet the metabolic needs of the body as reflected in the production of carbon dioxide." - Respiratory Physiology, pg. 128

Here are two different textbook definitions of hyperventilation. It’s actually pretty straightforward. And, as you can see, it doesn’t involve huffing and puffing. Thus, we can hyperventilate without even knowing it.

Two easy ways to check if you are overbreathing are the BOLT score and the CO2 Tolerance Test.

Two easy ways to fix it are to breathe through your nose and make your breathing quiet while at rest.

Thanks to 411 reader W.H. for inspiring this thought.

4. Is Breathing Woo-Woo?

It fascinates me that breathing, your body’s most important function, has kind of a "woo-woo" reputation. It shouldn’t. There is a mountain of scientific evidence showing its efficacy for health and wellness. For example, I have reviewed over 80 scientific papers, and HHPF seems to post a new one every day.

But you actually don’t need any of the science. Here is the quickest way to determine for yourself:

Hold your breath.

I think you will agree "breathing" isn’t woo-woo after only a few seconds.

Thanks to fellow breathing nerd R. vdC. for inspiring this thought.

 
 
 
 

1 QUOTE

"The test of a first-rate intelligence is the ability to hold two opposed ideas in the mind at the same time, and still retain the ability to function."

- F. Scott Fitzgerald

 
 
 
 

1 ANSWER

Answer: The estimated prevalence of this condition is about 23% in women and 50% in men.

…

(Cue the Jeopardy music.)

…

Question: What is sleep-disordered breathing?

 
 

The Breathing 411 - What do 5,649 and 28,800 Have in Common?

 

Hello and Happy Monday. Welcome to another edition of The Breathing 4.1.1.

Below you’ll find 4 thoughts, 1 quote, and 1 answer (think "Jeopardy"). Enjoy!

 
 
 
 

4 THOUGHTS

1. What do 5,649 and 28,800 Have in Common?

"The average daily step count required to induce feelings of anxiety and depression and decrease satisfaction with life is 5,649. The typical American takes 4,774 steps per day. Across the globe, the average is 4,961." - Kelly McGonigal, The Joy of Movement

Active people become anxious and lose life satisfaction when their step count drops to 5,649 or less. That’s a bit staggering, given the U.S. and global step count statistics Kelly cites.

That passage got me thinking, "I wonder if there is a similar idea for breaths per day?" However, with breathing, it would be opposite: The more breaths you take, the more unhealthy you are. Sure enough, there is something close:

"Recent evidence suggests that an adult with a respiratory rate of over 20 breaths/minute is probably unwell, and an adult with a respiratory rate of over 24 breaths/minute is likely to be critically ill.” - Respiratory Rate: The Neglected Vital Sign

If your spontaneous breathing rate is over 20 breaths per minute, you are "probably unwell." That comes out to about 28,800 breaths per day.

So, do you want to feel unwell and anxious?
Take less than 5,649 steps and breathe more than 28,800 breaths per day.

Want to be happy and healthy?
Walk more, breathe less.

P.S. That 28,800 number might even be too high. James Nestor shares some great ancient wisdom on this:

"Chinese doctors two thousand years ago advised 13,500 breaths per day, which works out to nine and a half breaths per minute. "
- Breath

2. The Most Fundamental of the Fundamentals

Last week, Kobe Bryant provided an excellent example of the importance of practicing the fundamentals. We talked about how we don’t need to worry about the "latest and greatest" breathing technique. Instead, we need to focus on the fundamentals. They’re simple, but they’re not easy.

We can take that thought step farther: Breathing itself is the most fundamental of the fundamentals. We’re all in the sport of life. And that requires breathing…at least 13,500 times a day : ) So, let’s optimize that first, then work on the fundamentals of your particular sport or profession.

3. Bring Attention & Intention to Your Breathing

"Attention without intention is wasted energy." - Chris Bailey, Hyperfocus

This quote makes complete sense in terms of productivity, self-improvement, and group workouts (CrossFit, yoga, etc.). But the minute you apply it to something like sitting down to breathe, it can get misinterpreted:

"Set an intention for your breathing practice."

"Be intentional with your breathing today."

It’s just begging to be put in the "woo-woo" category and not be taken seriously.

But intentions are powerful (hence the quote from Chris Bailey). So a compromise I have made is to set scientific intentions before each slow breathing practice. "I am going to increase my heart rate variability" or "I am going to balance my autonomic nervous system."

These are just facts that I state at the beginning of my practice that work as intentions, without feeling woo-woo.

I find it to be an excellent way to give the practice more meaning. (And don’t forget to celebrate afterward!)

4. Slow Breathing for Hypertension

Slow, controlled breathing (<10 breaths per minute) has consistently been shown to be beneficial for reducing blood pressure. So much so that it is recognized by the American Heart Association for its positive effects. (They’ve given it a Class IIa, Level of Evidence B. Here’s what that means.)

This got me thinking about a paper published back in 2005 that I loved. They concluded:

"Slow breathing showed the potential to be a simple and inexpensive method to improve autonomic balance and respiratory control and reduce blood pressure in hypertensive patients." - Joseph et al. (2005)

The interesting part was that the authors provided an exciting hypothesis for how that’s occurring using autonomic function as the foundation. That hypothesis inspired me to create this little graphic to help get the point across.

Read the Full Summary for More Details.

 
 
 
 

1 QUOTE

My new favorite definition of success:

"To know that even one life has breathed easier because you have lived. This is to have succeeded."

- Ralph Waldo Emerson

 
 
 
 

1 ANSWER

Answer: The largest lung capacity of any mammal.

…

(Cue the Jeopardy music.)

…

Question: What is 5,000 liters (or 1,320 gallons)?

(For reference, the human lung has a capacity of about 6-liters.)

In good breath,
Nick

P.S. How I Feel Shopping on Amazon Now.