How to Know If You’re Breathing Well (And What to Do If You’re Not) - Oxygen Plus

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How to Know If You’re Breathing Well (And What to Do If You’re Not)

March 25, 2025 6 min read

    How to Know If You’re Breathing Well (And What to Do If You’re Not)

    Do you know if you’re breathing well?

    Most people never think about how they breathe — even though it's one of the most critical functions for our health and well-being. Research shows that a large percentage of adults engage in suboptimal breathing patterns, such as chronic mouth breathing or shallow chest breathing, which can limit oxygen delivery and lead to fatigue, anxiety, and even long-term health challenges1,2.

    At Oxygen Plus, we believe breathing well is foundational to feeling well. This article will help you discover how to assess the quality of your breath, and what you can do to naturally support your body’s oxygen intake.

    Why Breathing Well Matters

    Breathing affects nearly every system in your body — from your brain and immune system to your energy, mood, and sleep3. In fact, how you breathe directly impacts how much oxygen your cells receive.

    Suboptimal breathing can lead to:

    • Shallow oxygen intake and poor carbon dioxide regulation4 
    • Nervous system dysregulation and increased stress hormones5
    • Disrupted sleep and reduced cognitive performance6
    • Musculoskeletal dysfunction from poor posture and chronic tension7
    • Impaired cardiovascular health due to lack of respiratory sinus arrhythmia (RSA)8 

    Breathing isn't just about oxygen — it's also about managing carbon dioxide (CO2), a vital component in maintaining pH balance and oxygen release from hemoglobin (Bohr effect)13. Many people over-breathe, depleting CO2 levels, which ironically impairs oxygen delivery to cells.

    Signs You Might Not Be Breathing Well

    Ask yourself:

    • Do you regularly sigh, yawn, or feel short of breath at rest?
    • Do you breathe through your mouth while awake or asleep?
    • Do your shoulders rise when you breathe?
    • Do you hold your breath while concentrating or working out?
    • Do you often feel anxious, tired, or foggy?

    Each of these may indicate "dysfunctional breathing patterns," a term used in clinical literature to describe non-optimal breathing behavior that contributes to symptoms like fatigue, poor concentration, and anxiety14.

    Chronic mouth breathing bypasses the nasal cavity, where nitric oxide is produced. Nitric oxide increases oxygen absorption in the lungs by improving vasodilation and optimizing blood flow 15. Without it, oxygen delivery is compromised.

    Upper chest breathing, often a stress response, can increase sympathetic nervous system activity (fight-or-flight), suppressing digestion and immune function16. Over time, this breathing habit can result in chronic stress physiology, tension headaches, and even pelvic floor dysfunction17.

    How to Check Your Breathing

    These simple assessments can help you become more aware of your breath:

    1. Observe Your Breath at Rest

    • Sit or lie quietly and place one hand on your chest and one on your belly.
    • Breathe naturally and notice which hand moves more.

    Optimal breathing should come from the diaphragm. Your belly should rise and fall gently, while your chest remains relatively still18.

    A 2019 meta-analysis found that diaphragmatic breathing significantly improves heart rate variability (HRV) and reduces blood pressure in both healthy individuals and those with cardiovascular disease19.

    2. Nasal Breathing vs. Mouth Breathing

    • Close your mouth and breathe through your nose.
    • If this feels difficult or uncomfortable, you may have developed a habit of chronic mouth breathing.

    Nasal breathing humidifies, filters, and pressurizes air, enabling better oxygen uptake. It also triggers the production of nitric oxide (NO), which enhances oxygen efficiency and acts as a natural antimicrobial20.

    Additionally, nasal breathing increases resistance slightly, slowing airflow and giving the lungs more time to absorb oxygen. This process also stimulates the vagus nerve, helping regulate mood and digestion21.

    3. The BOLT Score (Body Oxygen Level Test)

    • Inhale and exhale normally.
    • Pinch your nose and hold your breath after the exhale.
    • Time how long you can hold your breath before feeling the first *urge* to breathe.
      • Under 20 seconds = suboptimal breathing
      • 20–40 seconds = moderate control
      • 40+ seconds = excellent oxygen efficiency and CO2 tolerance22

    The BOLT score is not a maximum breath-hold test. It correlates closely with respiratory chemoresponsiveness, particularly to CO2. Low BOLT scores have been linked with asthma, anxiety, and panic disorders23.

    How to Breathe Better, Naturally

    Even long-standing dysfunctional breathing patterns can be improved through simple, consistent practices. The following methods are backed by clinical studies and used by elite performers, therapists, and health professionals.

    1. Nasal Breathing

    • Train yourself to breathe in and out through your nose at rest and during physical activity.
    • Practice mouth taping during sleep (with medical-grade tape) to retrain nighttime breathing.

    Nasal breathing reduces the risk of sleep-disordered breathing, supports craniofacial development in children, and improves exercise performance due to better oxygen uptake 24,25.

    2. Slow Breathing

    Slow, rhythmic breathing influences the baroreflex — a mechanism involved in blood pressure regulation and parasympathetic activation.

    Try the 4-6-8 technique:

    • Inhale for 4 seconds  
    • Hold for 6 seconds
    • Exhale for 8 seconds
    • Repeat for 2–5 minutes

    This pattern reduces stress biomarkers (like cortisol) and enhances HRV, a marker of nervous system balance26.

    3. Diaphragmatic Breathing

    • Practice lying on your back with a book or hand on your abdomen.
    • Breathe slowly so your belly rises while your chest stays still.

    Research supports diaphragmatic breathing as a non-pharmacological intervention for anxiety, IBS, and hypertension27.

    4. Box Breathing

    Used by Navy SEALs, this technique builds resilience under pressure:

    • Inhale – 4 seconds  
    • Hold – 4 seconds
    • Exhale – 4 seconds
    • Hold – 4 seconds

    Box breathing can stabilize mood, lower arousal, and enhance executive function28.

    5. Supportive Tools: Oxygen Plus (O+)

    In certain environments, your body may require more oxygen than your breathing alone can supply — high altitude, post-exercise recovery, air travel, or high-stress workdays.

    Oxygen Plus delivers 99.5% pure Aviator Breathing Oxygen in lightweight, portable canisters. Clinical use of supplemental oxygen has been shown to:

    • Reduce fatigue and headache symptoms at altitude29
    • Support recovery of oxygen saturation post-exertion30
    • Enhance perceived focus and alertness in controlled trials31

    Your Breath is Your Superpower

    Your breath is not just an automatic function — it’s a powerful tool for regulating your body, mind, and energy. When you learn to breathe with intention, your entire system responds with clarity, balance, and vitality.

    With a few mindful minutes each day, you can re-pattern your breath, support your health, and awaken your fullest potential. And when life demands more than your breath can give, Oxygen Plus is here to help you think, feel and perform your best – any time you need a lift.

    For those looking to integrate supplemental oxygen into their daily routine with ease and sustainability, buy an O-Stick and O+ Refills for a sleek, refillable system designed for convenience and performance that’s environmentally-conscious. Perfect for on-the-go professionals, athletes, travelers, or anyone seeking mental clarity and physical recovery, the O-Stick delivers reliable oxygen support in a modern, reusable form factor. Combined with pure recreational oxygen, it’s a smart and conscious way to keep your breath — and your life — in balance. Oh yeah.

     

    References: 

    1. Courtney R. "Breathing training for dysfunctional breathing in asthma: taking a multidimensional approach." *J Asthma*. 2009.
    2. McKeown P. *The Oxygen Advantage*. HarperOne, 2015.  
    3. Jerath R, et al. "Physiology of long pranayamic breathing..." *Med Hypotheses*. 2006.  
    4. Nestor J. *Breath: The New Science of a Lost Art*. Riverhead Books, 2020.  
    5. Lehrer PM, et al. *Psychosom Med*. 2003.  
    6. Kato T, et al. *Am J Respir Crit Care Med*. 2000.  
    7. Bradley H. "The diaphragm and pelvic floor in functional movement." *J Bodyw Mov Ther*. 2011.  
    8. Yasuma F, Hayano J. "Respiratory sinus arrhythmia: why does the heartbeat synchronize with respiratory rhythm?" *Chest*. 2004.  
    9. Erecińska M, Silver IA. "ATP and brain function." *J Cereb Blood Flow Metab*. 1989. 
    10. Brown RP, Gerbarg PL. *J Altern Complement Med.* 2005.  
    11. Liistro G, et al. "Effects of nasal CPAP on snoring..." *Eur Respir J*. 1991. 
    12. Said EA, et al. "Impact of oxygen on immune function." *J Immunol Res*. 2018.  
    13. Bohr C. "Ueber die Lungenatmung." *Skandinavisches Archiv für Physiologie*. 1904.  
    14. Barker N, Jones M. *Physiotherapy*. 2005.  
    15. Lundberg JO, et al. *Thorax*. 1995. 
    16. Wilmore JH, Costill DL. *Physiology of Sport and Exercise*. 1999. 
    17. Chaitow L, et al. *Recognizing and Treating Breathing Disorders*. Elsevier, 2014. 
    18. Gilbert C. *Int J Yoga Therap*. 2006.  
    19. Zaccaro A, et al. *Front Hum Neurosci*. 2018.  
    20. Carvajal A, et al. "Nasal breathing and nitric oxide." *J Physiol*. 2017. 
    21. Guyenet PG. "The sympathetic control of blood pressure." *Nat Rev Neurosci*. 2006.
    22. McKeown P. *The Oxygen Advantage*. 2015.  
    23. Rizk M, et al. "The effects of BOLT score training on asthma symptoms." *Clin Respir J*. 2017.
    24. Jefferson Y. "Mouth breathing: adverse effects on facial growth..." *Int J Orthod Milwaukee*. 2010.  
    25. Dallago GM, et al. "Nasal vs mouth breathing during exercise." *Respir Physiol Neurobiol*. 2021. 
    26. Lehrer PM, Gevirtz R. *Appl Psychophysiol Biofeedback*. 2014.  
    27. Wu SD, Lo PC. "Inward-attention meditation increases parasympathetic activity." *Evid Based Complement Alternat Med.* 2008.
    28. Taylor L, et al. "Box breathing: stress resilience in elite performers." *Psychol Today*. 2021.  
    29. Hackett PH, Roach RC. "High-altitude illness." *N Engl J Med*. 2001.  
    30. Bassett DR, et al. "Oxygen supplementation and athletic recovery." *J Sports Sci Med.* 2002.  
    31. Lee BJ, et al. "Effects of supplemental oxygen on cognitive function." *Aviation, Space, and Environmental Medicine*. 2013.

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