Improve Your Breathing for Better Health From #1 Breath Expert In The World | Mel Robbins Podcast
- Guest
- Patrick McKeown
- Read time
- ~5 min
- Uploaded
- 24 Aug 2023
- Duration
- 0:57:13
- Views
- 37.7K
KEYPOINTS
- 01
Healthy breathing is quiet, light, slow, through the nose and barely noticeable
McKeown, founder of Oxygen Advantage and author of ten books on breathing including The Breathing Cure, puts the ideal as 'the perfect person breathes as if they do not breathe', so softly the hairs in your nostrils don't move. Mouth breathing tends to be faster and higher in the chest, which he says feeds the fight-or-flight response. Mel, who calls herself a mouth breather, noticed her breath stuck 'just under my boobs.'
- 02
Stress, talking, desk jobs and congestion slowly wear down how we breathe
Breathing is delicate and easily changed by diet, lifestyle, trauma, stress, a lot of talking and sitting all day. Poor patterns become habits. A stuffy nose pushes you to breathe through your mouth, and mouth breathing makes the nose stuffier, a vicious circle. The more you breathe through your nose, the better it works.
- 03
Nose breathing improves how oxygen reaches your tissues
He cites a 1988 finding that continuous nasal breathing raises blood oxygen uptake by nearly 10%. During exercise it keeps carbon dioxide higher, which, through an effect described in 1904, helps red blood cells release oxygen to tissues. The nose also carries nitric oxide into the lungs, which he describes as antiviral, antibacterial and a bronchodilator, relevant to asthma, bronchitis and COPD.
- 04
Faulty everyday breathing feeds anxiety, not just the reverse
Fast, upper-chest, irregular breathing shows up in at least 10% of the general population but up to 75% of people with anxiety and panic disorders, by his account. Poor oxygen delivery can make brain cells more excitable. He links poorer breathing to fatigue and cold hands and feet. Mel admitted she wears socks to bed because her husband complains about her cold feet.
- 05
The exhale controls relaxation, and mouth exhales are too fast
Relaxation is 'all in the exhalation.' A fast breath out signals stress, and the mouth is a bigger exit than the nostrils, so it speeds the exhale. At rest the exhale should last about one and a half to two times the inhale. Mouth breathing also loses about 42% more water, which affects hydration, gums, breath and lips. Mel tied this to a Stanford finding of neurons that monitor breathing and tell the brain when something's wrong.
- 06
Bigger breaths don't bring more oxygen
At rest, 12 to 14 breaths a minute is typical, but volume matters as much as rate. Over-breathing blows off carbon dioxide, which narrows blood vessels and makes red cells hold on to oxygen, so less of it reaches the body. 'Deep' should mean low, driven by the diaphragm, not big. The diaphragm is also connected to calm and to the upper-airway muscles.
- 07
About six breaths a minute brings body and mind into balance
For deliberate relaxation he gives 4.5 to 6.5 breaths per minute, for example in for five, out for five. Italian researcher Luciano Bernardi found, in a study he dates to around 2000, that both reciting the rosary and repeating mantras brought breathing down to about six breaths a minute. Someone breathing 20 times a minute shouldn't drop straight to six; slow down gradually, for example in for three, out for five.
- 08
Mouth breathing is tied to snoring, poorer sleep and sleep apnoea
A stuffy nose makes you two to three times more likely to have a sleep problem, snore or have obstructive sleep apnoea, he says. Nasal breathers sleep more deeply in the studies he cites. Fast breathing at night can wake you and fuel 3 a.m. rumination. He puts insomnia at about 30% of people, 10% chronically. You can't mouth-snore with your lips closed, and soft nasal breathing reduces nasal snoring.
- 09
Mouth tape helps, but with real caveats for sleep apnoea
He uses an elastic tape stretched 30 to 40% that draws the lips together, as a daytime reminder for kids and adults and at night once nose breathing is comfortable. In mild obstructive sleep apnoea, keeping the mouth closed cut the AHI severity score by 33%. People with moderate to severe apnoea, and some with obesity, need to 'mouth puff', so tape that seals the lips fully, like the micropore tape he used before, can make apnoea worse.
EXAMPLES
- 01
11,000 British children
He cites research by Karen Bonuck following UK children from six months to 57 months: those who snored, had apnoea or breathed through their mouths and went untreated had about a 40% higher risk of special educational needs. He says 25 to 50% of studied children mouth-breathe.
- 02
The Limerick decongestion pilot
In a 26-person hospital pilot in Limerick, Ireland, rhinitis symptoms dropped by 70% at three months with his breath-hold nose-unblocking exercise. He notes it was only published as an abstract and the larger follow-up study never happened.
- 03
Mel's 'Tootsie Roll' nostrils and packing tape
With allergies kicking in, Mel felt her nose clear after the second breath hold. She tried mouth taping the night before with packing tape ('I think I gave my upper lip a wax') and found she mostly sleeps with her mouth closed. Her husband snores, and she says one billion people worldwide have obstructive sleep apnoea.
- 04
Breath-hold sprints for athletes
With well-warmed-up athletes he uses deliberate stress: 40-metre sprints holding the breath with 30 seconds rest, or 400-metre runners holding the breath for the final 40 metres. He doesn't teach hyperventilation and wants everyday breathing fixed first.
- 05
His own pre-meeting reset
Before an intense meeting he takes a soft breath in through the nose and a slow, gentle breath out, untimed and invisible to anyone, to tell his brain everything is fine and move attention out of his head.
OTHER RELEVANT
- 01
Small breath holds for a racing mind
Breathe normally in and out through the nose, pinch it and hold for five seconds, then breathe normally for three or four breaths. Repeat about five times. He says this stimulates the vagus nerve and slows the heart. People with panic disorder should be careful, because focusing on the breath can trigger them.
- 02
Nose-unblocking exercise, with warnings
Exhale normally, pinch your nose, nod your head while holding, ideally working up to about 30 seconds, then breathe in through the nose. Repeat five or six times. Skip it if you have anxiety or panic disorder, are pregnant, or have heart problems.
- 03
Breathe 'sideways', low and slow
Cup your lower ribs and guide them outward on the inhale and inward on the exhale, rather than pushing your belly in and out. Mel realised her yoga belly breathing had been vertical, not horizontal.
- 04
Exercise only as fast as you can nose-breathe
Expect some breathlessness at first. Slow down, or try a nasal dilator on hills, and your body adapts to doing more with less air.
- 05
Breathe about 30% less before bed
For 10 to 15 minutes before sleep, take softer, smaller breaths with slow exhales until you feel slight air hunger. More saliva in your mouth is a sign you've shifted into rest-and-digest. Combine it with a cool, dark room and blue-light glasses.