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Published in: BMC Sports Science, Medicine and Rehabilitation 1/2024

Open Access 01-12-2024 | Research

Nose vs. mouth breathing– acute effect of different breathing regimens on muscular endurance

Authors: František Lörinczi, Marián Vanderka, Drahomíra Lörincziová, Mehdi Kushkestani

Published in: BMC Sports Science, Medicine and Rehabilitation | Issue 1/2024

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Abstract

Background

It has been reported that the way we breathe (whether through the nose or mouth) can influence many aspects of our health and to some extent, sport performance. The purpose of this study was to evaluate the acute effects of different breathing regimens on muscular endurance and physiological variables.

Methods

A randomized experiment to verify the acute effect of different breathing regimens (NN– inhaling and exhaling through the nose; NM– inhaling through the nose, exhaling through the mouth; MM– inhaling and exhaling through the mouth) on the muscular endurance performance was conducted. 107 physically active college students (68 males, 39 females) performed repeated bench press testing protocol (repetitions to failure (RTF) with 60% of body weight for males (BP60), respectively 40% of body weight for females (BP40)) with various breathing regimens (NN, NM, MM) in random order. Heart rate (HR), blood oxygen saturation (SpO2) and perceived exertion by Borg scale (RPE) were measured as well. A short questionnaire, given after the testing protocol and observation during familiarization, was used to detect each subject’s normal breathing approach during resistance training.

Results

In both genders, no significant differences in RTF, RPE and SpO2 were found. No individual case of deviation of arterial oxygen saturation outside the physiological norm was recorded. ​​In the male group, significantly lower HR values were found during the NN trials, compared to during the NM (p = 0.033) and MM (p = 0.047) trials with no significant differences in females. The HR differences in the males demonstrated a small effect size (NN < NM, d = 0.32; NN < MM, d = 0.30). Questionnaire results suggest that 80% of our participants use NM breathing, 15% use MM breathing and 5% use NN breathing during resistance training.

Conclusion

It seems, that various breathing regimens have none or only minor effect on muscular endurance performance and selected physiological parameters. NN seems to be as efficient as other two regimens, which are mostly used in practice (NM, MM).
Literature
1.
go back to reference Allen A. The health benefits of nose breathing item type article. Nursing in General Practice. 2017. Allen A. The health benefits of nose breathing item type article. Nursing in General Practice. 2017.
2.
go back to reference Emslie RD, Massler M, Zwemer JD. Mouth breathing: I. Etiology and effects (a review). J Am Dent Association. 1952;44:506–21.CrossRef Emslie RD, Massler M, Zwemer JD. Mouth breathing: I. Etiology and effects (a review). J Am Dent Association. 1952;44:506–21.CrossRef
3.
go back to reference Bonuck KA, Chervin RD, Cole TJ, Emond A, Henderson J, Xu L, et al. Prevalence and persistence of sleep disordered breathing symptoms in young children: a 6-year population-based cohort study. Sleep. 2011;34:875–84.PubMedPubMedCentralCrossRef Bonuck KA, Chervin RD, Cole TJ, Emond A, Henderson J, Xu L, et al. Prevalence and persistence of sleep disordered breathing symptoms in young children: a 6-year population-based cohort study. Sleep. 2011;34:875–84.PubMedPubMedCentralCrossRef
4.
go back to reference Dallam G, Kies B. The effect of nasal breathing versus oral and oronasal breathing during exercise: a review. J Sports Res. 2020;7:1–10.CrossRef Dallam G, Kies B. The effect of nasal breathing versus oral and oronasal breathing during exercise: a review. J Sports Res. 2020;7:1–10.CrossRef
5.
go back to reference Rangeeth BN, Rangeeth P, Rangeeth MBN. Mouth breathing a habit or anomaly-a review. J Indian Dent Association Madras. 2019;6:137–43. Rangeeth BN, Rangeeth P, Rangeeth MBN. Mouth breathing a habit or anomaly-a review. J Indian Dent Association Madras. 2019;6:137–43.
6.
go back to reference Jefferson Y. Mouth breathing: adverse effects on facial growth, health, academics, and behavior. Gen Dent. 2010;58:18–25.PubMed Jefferson Y. Mouth breathing: adverse effects on facial growth, health, academics, and behavior. Gen Dent. 2010;58:18–25.PubMed
7.
go back to reference D’Amato M, Molino A, Calabrese G, Cecchi L, Annesi-Maesano I, D’Amato G. The impact of cold on the respiratory tract and its consequences to respiratory health. Clin Transl Allergy. 2018;8:20.PubMedPubMedCentralCrossRef D’Amato M, Molino A, Calabrese G, Cecchi L, Annesi-Maesano I, D’Amato G. The impact of cold on the respiratory tract and its consequences to respiratory health. Clin Transl Allergy. 2018;8:20.PubMedPubMedCentralCrossRef
8.
go back to reference Huang TW, Young TH. Novel porous oral patches for patients with mild obstructive sleep apnea and mouth breathing. Otolaryngology–Head Neck Surg. 2014;152:369–73.CrossRef Huang TW, Young TH. Novel porous oral patches for patients with mild obstructive sleep apnea and mouth breathing. Otolaryngology–Head Neck Surg. 2014;152:369–73.CrossRef
9.
go back to reference Fraga WS, Seixas VM, Santos JC, Paranhos LR, César CP. Mouth breathing in children and its impact in dental malocclusion: a systematic review of observational studies. Minerva Stomatol. 2018;67:129–38.PubMed Fraga WS, Seixas VM, Santos JC, Paranhos LR, César CP. Mouth breathing in children and its impact in dental malocclusion: a systematic review of observational studies. Minerva Stomatol. 2018;67:129–38.PubMed
10.
go back to reference Lee M-J, Kim J-G, Yang Y-M, Baik B-J. Effects of mouth breathing on facial skeletal morphology. J Korean Acad Pediatr Dentistry. 2012;39:339–47.CrossRef Lee M-J, Kim J-G, Yang Y-M, Baik B-J. Effects of mouth breathing on facial skeletal morphology. J Korean Acad Pediatr Dentistry. 2012;39:339–47.CrossRef
11.
go back to reference Chung Leng Muñoz I, Beltri Orta P. Comparison of cephalometric patterns in mouth breathing and nose breathing children. Int J Pediatr Otorhinolaryngol. 2014;78:1167–72.PubMedCrossRef Chung Leng Muñoz I, Beltri Orta P. Comparison of cephalometric patterns in mouth breathing and nose breathing children. Int J Pediatr Otorhinolaryngol. 2014;78:1167–72.PubMedCrossRef
12.
go back to reference Zhao Z, Zheng L, Huang X, Li C, Liu J, Hu Y. Effects of mouth breathing on facial skeletal development in children: a systematic review and meta-analysis. BMC Oral Health. 2021;21:1–14.CrossRef Zhao Z, Zheng L, Huang X, Li C, Liu J, Hu Y. Effects of mouth breathing on facial skeletal development in children: a systematic review and meta-analysis. BMC Oral Health. 2021;21:1–14.CrossRef
13.
go back to reference Triana BEG, Ahlam HA, León IBG. Mouth breathing and its relationship to some oral and medical conditions: physiopathological mechanisms involved. Revista Habanera De Ciencias Médicas. 2016;15:200–12. Triana BEG, Ahlam HA, León IBG. Mouth breathing and its relationship to some oral and medical conditions: physiopathological mechanisms involved. Revista Habanera De Ciencias Médicas. 2016;15:200–12.
14.
go back to reference Basheer B, Sundeep Hegde K, Bhat SS, Umar D, Baroudi K. Influence of mouth breathing on the dentofacial growth of children. J Int Oral Health. 2014;6:50–5.PubMedPubMedCentral Basheer B, Sundeep Hegde K, Bhat SS, Umar D, Baroudi K. Influence of mouth breathing on the dentofacial growth of children. J Int Oral Health. 2014;6:50–5.PubMedPubMedCentral
15.
go back to reference Correa BM, Rossi AG, Roggia B, Toniolo Da Silva AM. Analysis of hearing abilities in mouth-breathing children. Revista CEFAC. 2011;13:668–75.CrossRef Correa BM, Rossi AG, Roggia B, Toniolo Da Silva AM. Analysis of hearing abilities in mouth-breathing children. Revista CEFAC. 2011;13:668–75.CrossRef
16.
go back to reference McKeown P, Macaluso M. Mouth breathing: physical, mental and emotional consequences. Oral Health. 2017. McKeown P, Macaluso M. Mouth breathing: physical, mental and emotional consequences. Oral Health. 2017.
17.
go back to reference Svensson S, Olin AC, Hellgren J. Increased net water loss by oral compared to nasal expiration in healthy subjects. Rhinology. 2006;44:74–7.PubMed Svensson S, Olin AC, Hellgren J. Increased net water loss by oral compared to nasal expiration in healthy subjects. Rhinology. 2006;44:74–7.PubMed
18.
go back to reference Morton AR, King K, Papalia S, Goodman C, Turley KR, Wilmore JH. Comparison of maximal oxygen consumption with oral and nasal breathing. Aust J Sci Med Sport. 1995;27:51–5.PubMed Morton AR, King K, Papalia S, Goodman C, Turley KR, Wilmore JH. Comparison of maximal oxygen consumption with oral and nasal breathing. Aust J Sci Med Sport. 1995;27:51–5.PubMed
19.
go back to reference Hostetter K, Mcclaran SR. Triathlete adapts to breathing restricted to the nasal passage without loss in VO2max or vVO2max. J Sport Hum Perform. 2016;4:1–7. Hostetter K, Mcclaran SR. Triathlete adapts to breathing restricted to the nasal passage without loss in VO2max or vVO2max. J Sport Hum Perform. 2016;4:1–7.
20.
go back to reference LaComb CO, Tandy RD, Lee SP, Young JC, Navalta JW. Oral versus nasal breathing during moderate to high intensity submaximal aerobic exercise. Int J Kinesiol Sports Sci. 2017;5:8–16.CrossRef LaComb CO, Tandy RD, Lee SP, Young JC, Navalta JW. Oral versus nasal breathing during moderate to high intensity submaximal aerobic exercise. Int J Kinesiol Sports Sci. 2017;5:8–16.CrossRef
21.
go back to reference Dallam GM, McClaran SR, Cox DG, Foust CP. Effect of nasal versus oral breathing on Vo2max and physiological economy in recreational runners following an extended period spent using nasally restricted breathing. Int J Kinesiol Sports Sci. 2018;6:22–9.CrossRef Dallam GM, McClaran SR, Cox DG, Foust CP. Effect of nasal versus oral breathing on Vo2max and physiological economy in recreational runners following an extended period spent using nasally restricted breathing. Int J Kinesiol Sports Sci. 2018;6:22–9.CrossRef
22.
go back to reference Jensen FB. Red blood cell pH, the Bohr effect, and other oxygenation-linked phenomena in blood O2 and CO2 transport. Acta Physiol Scand. 2004;182:215–27.PubMedCrossRef Jensen FB. Red blood cell pH, the Bohr effect, and other oxygenation-linked phenomena in blood O2 and CO2 transport. Acta Physiol Scand. 2004;182:215–27.PubMedCrossRef
23.
go back to reference Maughan RJ. Impact of mild dehydration on wellness and on exercise performance. Eur J Clin Nutr 2003;57:2. 2003 [cited 2023 Jul 27];57:S19–23. Maughan RJ. Impact of mild dehydration on wellness and on exercise performance. Eur J Clin Nutr 2003;57:2. 2003 [cited 2023 Jul 27];57:S19–23.
24.
go back to reference De Menezes VA, Leal RB, Pessoa RS, Pontes RMES. Prevalence and factors related to mouth breathing in school children at the Santo Amaro project-Recife, 2005. Braz J Otorhinolaryngol. 2006;72:394–8.PubMedCrossRef De Menezes VA, Leal RB, Pessoa RS, Pontes RMES. Prevalence and factors related to mouth breathing in school children at the Santo Amaro project-Recife, 2005. Braz J Otorhinolaryngol. 2006;72:394–8.PubMedCrossRef
25.
go back to reference Abreu RR, Rocha RL, Lamounier JA, Francisca Â, Guerra M. Prevalence of mouth breathing among children. J Pediatr (Rio J). 2008 [cited 2023 Mar 31];84:467–70.PubMedCrossRef Abreu RR, Rocha RL, Lamounier JA, Francisca Â, Guerra M. Prevalence of mouth breathing among children. J Pediatr (Rio J). 2008 [cited 2023 Mar 31];84:467–70.PubMedCrossRef
26.
go back to reference Ferneini EM, Goupil MT, McNulty MA, Niekrash CE. Applied head and neck anatomy for the facial cosmetic surgeon. Appl Head Neck Anat Facial Cosmet Surgeon. 2020:1–256. Ferneini EM, Goupil MT, McNulty MA, Niekrash CE. Applied head and neck anatomy for the facial cosmetic surgeon. Appl Head Neck Anat Facial Cosmet Surgeon. 2020:1–256.
27.
go back to reference Shturman-Ellstein R, Zeballos RJ, Buckley JM, Souhrada JF. The beneficial effect of nasal breathing on exercise-induced bronchoconstriction. Am Rev Respir Dis. 1978;118:65–73.PubMed Shturman-Ellstein R, Zeballos RJ, Buckley JM, Souhrada JF. The beneficial effect of nasal breathing on exercise-induced bronchoconstriction. Am Rev Respir Dis. 1978;118:65–73.PubMed
28.
go back to reference Mangla PK, Menon MPS. Effect of nasal and oral breathing on exercise-induced asthma. Clin Experimental Allergy. 1981;11:433–9.CrossRef Mangla PK, Menon MPS. Effect of nasal and oral breathing on exercise-induced asthma. Clin Experimental Allergy. 1981;11:433–9.CrossRef
29.
go back to reference Kirkpatrick MB, Sheppard D, Nadel JA, Boushey HA. Effect of the oronasal breathing route on sulfur dioxide-induced bronchoconstriction in exercising asthmatic subjects| American Review of Respiratory Disease. American Review of Respiratory Disease; 1982. Kirkpatrick MB, Sheppard D, Nadel JA, Boushey HA. Effect of the oronasal breathing route on sulfur dioxide-induced bronchoconstriction in exercising asthmatic subjects| American Review of Respiratory Disease. American Review of Respiratory Disease; 1982.
30.
go back to reference Liu ZJ, Shcherbatyy V, Gu G, Perkins JA. Effects of tongue volume reduction on craniofacial growth: a longitudinal study on orofacial skeletons and dental arches. Arch Oral Biol. 2008;53:991–1001.PubMedPubMedCentralCrossRef Liu ZJ, Shcherbatyy V, Gu G, Perkins JA. Effects of tongue volume reduction on craniofacial growth: a longitudinal study on orofacial skeletons and dental arches. Arch Oral Biol. 2008;53:991–1001.PubMedPubMedCentralCrossRef
31.
go back to reference Trabalon M, Schaal B. It takes a mouth to eat and a nose to breathe: abnormal oral respiration affects neonates’ oral competence and systemic adaptation. Int J Pediatr. 2012;2012:1–10.CrossRef Trabalon M, Schaal B. It takes a mouth to eat and a nose to breathe: abnormal oral respiration affects neonates’ oral competence and systemic adaptation. Int J Pediatr. 2012;2012:1–10.CrossRef
32.
go back to reference Sevoz-Couche C, Laborde S. Heart rate variability and slow-paced breathing: when coherence meets resonance. Neurosci Biobehav Rev. 2022;135:104576.PubMedCrossRef Sevoz-Couche C, Laborde S. Heart rate variability and slow-paced breathing: when coherence meets resonance. Neurosci Biobehav Rev. 2022;135:104576.PubMedCrossRef
33.
go back to reference Trevisan ME, Boufleur J, Soares JC, Haygert CJP, Ries LGK, Corrêa ECR. Diaphragmatic amplitude and accessory inspiratory muscle activity in nasal and mouth-breathing adults: a cross-sectional study. J Electromyogr Kinesiol. 2015;25:463–8.PubMedCrossRef Trevisan ME, Boufleur J, Soares JC, Haygert CJP, Ries LGK, Corrêa ECR. Diaphragmatic amplitude and accessory inspiratory muscle activity in nasal and mouth-breathing adults: a cross-sectional study. J Electromyogr Kinesiol. 2015;25:463–8.PubMedCrossRef
34.
go back to reference Kolar P, Sulc J, Kyncl M, Sanda J, Neuwirth J, Bokarius AV, et al. Stabilizing function of the diaphragm: dynamic MRI and synchronized spirometric assessment. J Appl Physiol. 2010;109:1064–71.PubMedCrossRef Kolar P, Sulc J, Kyncl M, Sanda J, Neuwirth J, Bokarius AV, et al. Stabilizing function of the diaphragm: dynamic MRI and synchronized spirometric assessment. J Appl Physiol. 2010;109:1064–71.PubMedCrossRef
35.
go back to reference Nelson N. Diaphragmatic breathing the foundation of core stability. Strength Cond J. 2012;34:34–40.CrossRef Nelson N. Diaphragmatic breathing the foundation of core stability. Strength Cond J. 2012;34:34–40.CrossRef
37.
go back to reference Ali-Ahmad D, Bonville C. Replication of respiratory syncytial virus is inhibited in target cells generating nitric oxide in situ. Front Bioscience-Landmark. 2003. Ali-Ahmad D, Bonville C. Replication of respiratory syncytial virus is inhibited in target cells generating nitric oxide in situ. Front Bioscience-Landmark. 2003.
38.
go back to reference Martina A, Jana P, Anna S, Tomas B. Nitric oxide—important messenger in human body. Open J Mol Integr Physiol. 2012;2012:98–106. Martina A, Jana P, Anna S, Tomas B. Nitric oxide—important messenger in human body. Open J Mol Integr Physiol. 2012;2012:98–106.
39.
go back to reference Arnal JF, Flores P, Rami J, Murris-Espin M, Bremont F, Pasto L, Aguilla M, et al. Nasal nitric oxide concentration in paranasal sinus inflammatory diseases. Eur Respir J. 1999;13:307–12.PubMedCrossRef Arnal JF, Flores P, Rami J, Murris-Espin M, Bremont F, Pasto L, Aguilla M, et al. Nasal nitric oxide concentration in paranasal sinus inflammatory diseases. Eur Respir J. 1999;13:307–12.PubMedCrossRef
40.
go back to reference Bennett WD, Zeman KL, Jarabek AM. Nasal contribution to breathing with exercise: effect of race and gender. J Appl Physiol. 2003;95:497–503.PubMedCrossRef Bennett WD, Zeman KL, Jarabek AM. Nasal contribution to breathing with exercise: effect of race and gender. J Appl Physiol. 2003;95:497–503.PubMedCrossRef
41.
go back to reference Saibene F, Mognoni P, Lafortuna CL, Mostardi R. Oronasal breathing during exercise. Pflugers Arch. 1978;378:65–9.PubMedCrossRef Saibene F, Mognoni P, Lafortuna CL, Mostardi R. Oronasal breathing during exercise. Pflugers Arch. 1978;378:65–9.PubMedCrossRef
42.
go back to reference Niinimaa V, Cole P, Mintz S, Shephard RJ. The switching point from nasal to oronasal breathing. Respir Physiol. 1980;42:61–71.PubMedCrossRef Niinimaa V, Cole P, Mintz S, Shephard RJ. The switching point from nasal to oronasal breathing. Respir Physiol. 1980;42:61–71.PubMedCrossRef
43.
go back to reference Fregosi RF, Lansing RW. Neural drive to nasal dilator muscles: influence of exercise intensity and oronasal flow partitioning. J Appl Physiol. 1995;79:1330–7.PubMedCrossRef Fregosi RF, Lansing RW. Neural drive to nasal dilator muscles: influence of exercise intensity and oronasal flow partitioning. J Appl Physiol. 1995;79:1330–7.PubMedCrossRef
44.
go back to reference Garner DP, Scheett TP, McDivitt EJ. The effects of mouthpiece use on gas exchange parameters during steady-state exercise in college-aged men and women. J Am Dent Association. 2011;142:1041–7.CrossRef Garner DP, Scheett TP, McDivitt EJ. The effects of mouthpiece use on gas exchange parameters during steady-state exercise in college-aged men and women. J Am Dent Association. 2011;142:1041–7.CrossRef
45.
go back to reference Recinto C, Efthemeou T, Boffelli PT, Navalta JW. Effects of nasal or oral breathing on anaerobic power output and metabolic responses. Int J Exerc Sci. 2017;10:506.PubMedPubMedCentral Recinto C, Efthemeou T, Boffelli PT, Navalta JW. Effects of nasal or oral breathing on anaerobic power output and metabolic responses. Int J Exerc Sci. 2017;10:506.PubMedPubMedCentral
46.
go back to reference Stastny P, Gołaś A, Blazek D, Maszczyk A, Wilk M, Pietraszewski P et al. A systematic review of surface electromyography analyses of the bench press movement task. PLoS ONE. 2017;12. Stastny P, Gołaś A, Blazek D, Maszczyk A, Wilk M, Pietraszewski P et al. A systematic review of surface electromyography analyses of the bench press movement task. PLoS ONE. 2017;12.
47.
go back to reference Miller NSCA. T. NSCA’s guide to tests and assessments. Human Kinetics. 2012. Miller NSCA. T. NSCA’s guide to tests and assessments. Human Kinetics. 2012.
48.
go back to reference Pryor RR, Sforzo GA, King DL. Optimizing power output by varying repetition tempo. J Strength Cond Res. 2011;25:3029–34.PubMedCrossRef Pryor RR, Sforzo GA, King DL. Optimizing power output by varying repetition tempo. J Strength Cond Res. 2011;25:3029–34.PubMedCrossRef
49.
go back to reference Sakamoto A, Sinclair PJ. Effect of movement velocity on the relationship between training load and the number of repetitions of bench press. J Strength Cond Res. 2006. Sakamoto A, Sinclair PJ. Effect of movement velocity on the relationship between training load and the number of repetitions of bench press. J Strength Cond Res. 2006.
50.
go back to reference Clemons J, Chantelle A. Effect of grip width on the myoelectric activity of the prime movers in the bench press. J Strength Cond Res. 1997;11. Clemons J, Chantelle A. Effect of grip width on the myoelectric activity of the prime movers in the bench press. J Strength Cond Res. 1997;11.
51.
go back to reference Lehman GJ. The influence of grip width and forearm pronation/supination on upper-body myoelectric activity during the flat bench press. J Strength Cond Res. 2005. Lehman GJ. The influence of grip width and forearm pronation/supination on upper-body myoelectric activity during the flat bench press. J Strength Cond Res. 2005.
52.
go back to reference Cohen J. Statistical power analysis for the behavioural sciences. Hillsdale, NJ: L Erlbaum Associates; 1998. Cohen J. Statistical power analysis for the behavioural sciences. Hillsdale, NJ: L Erlbaum Associates; 1998.
53.
go back to reference Portney LGross, Watkins MP. Foundations of clinical research: applications to practice. Pearson/Prentice Hall; 2009. Portney LGross, Watkins MP. Foundations of clinical research: applications to practice. Pearson/Prentice Hall; 2009.
55.
go back to reference Feldmann A, Schmitz R, Erlacher D. Near-infrared spectroscopy-derived muscle oxygen saturation on a 0–100% scale: reliability and validity of the Moxy monitor. J Biomed Opt. 2019;24. Feldmann A, Schmitz R, Erlacher D. Near-infrared spectroscopy-derived muscle oxygen saturation on a 0–100% scale: reliability and validity of the Moxy monitor. J Biomed Opt. 2019;24.
Metadata
Title
Nose vs. mouth breathing– acute effect of different breathing regimens on muscular endurance
Authors
František Lörinczi
Marián Vanderka
Drahomíra Lörincziová
Mehdi Kushkestani
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Sports Science, Medicine and Rehabilitation / Issue 1/2024
Electronic ISSN: 2052-1847
DOI
https://doi.org/10.1186/s13102-024-00840-6

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