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Breath Holding Time Results for Sick People: Low Body Oxygen

Clouds in the eveningMedical and physiological research articles about BHT (breath holding time test done after usual exhalation and only until initial discomfort) or CP (Control Pause or Buteyko Control Pause - see the link to the test below), or body oxygen level in people with chronic diseases.

On the graph below, the numbers of patients are provided in brackets. For example, "Hypertension (95)" means that 95 hypertension patients were studied. The body-oxygen level (breath holding time) for all groups of sick people was measured in seconds.

Control Pause (oxygenation indes or stress-free breath hoolding time) in sick people - 9 medical studies

Condition Number of
subjects
Body Oxygen or
Control Pause, s
Reference
Hypertension 95 12 s Ayman et al, 1939
Neurocirculatory asthenia 54 16 s Friedman, 1945
Anxiety states 62 20 s Mirsky et al, 1946
Class 1 heart patients 16 16 s Kohn & Cutcher, 1970
Class 2-3 heart patients 53 13 s Kohn & Cutcher, 1970
Pulmonary emphysema 3 8 s Kohn & Cutcher, 1970
Functional heart disease 13 5 s Kohn & Cutcher, 1970
Asymptomatic asthmatics 7 20 s Davidson et al, 1974
Asthmatics with symptoms 13 11 s Perez-Padilla et al, 1989
Panic attack 14 11 s Zandbergen et al, 1992
Anxiety disorders 14 16 s Zandbergen et al, 1992
Outpatients 25 17 s Gay et al, 1994
Inpatients 25 10 s Gay et al, 1994
COPD and congenital heart failure 7 8 s Gay et al, 1994
12 heavy smokers 12 8 s Gay et al, 1994
Panic disorder 23 16 s Asmudson & Stein, 1994
Obstructive sleep apnea syndrome 30 20 s Taskar et al, 1995
Successful lung transplantation 9 23 s Flume et al, 1996
Successful heart transplantation 8 28 s Flume et al, 1996
Outpatients with COPD 87 8 s Marks et al, 1997
Asthma 55 14 s Nannini et al, 2007

Landscape with lake and forestAgain as before, breath holding can be done in different conditions (e.g., after normal inhalation, or exhalation, or after taking a very deep inhalation, or after a complete exhalation, until first stress or as long as possible). However, in order to find body-oxygen levels in these sick people, it is logical to use normal conditions: usual exhalation (or at functional residual capacity = volume of air in the lungs at normal expiration) and stress-free version of the test (no pushing the patient for better numbers and no gasping after the test). If you are interested in these details, visit Body Oxygen Complete Table for Sick People and see how these different tests were standardized.

These Control Pause values or body-oxygen levels for sick people can be compared with Normal Breath Holding Time - Control Pause in Healthy People.

DoctorsDoctor Buteyko and his MDs tested thousands of patients and found that the following relationships, in general, hold true in relation to body-oxygen levels:
1-10 s - severely sick, terminally and critically ill patients, usually hospitalized.
10-20 s - sick patients with numerous symptoms, complaints and, often, on daily medication.
20-40 s - people with poor health (no major symptoms), often without serious organic problems.
40-60 s - good or normal health.
Over 60 s - ideal health, when many chronic diseases are virtually impossible.

My own practical experience with hundreds of Buteyko students, who were previously sick or very sick, and other people completely agrees with these findings.

Conclusion: Sick people have low body-oxygen levels and shorter breath holding time results due to heavy breathing (see the Homepage for modern average breathing rates).

References for Table 5 (CP in Sick People)

Reference pages: Breathing norms and medical facts:
- Breathing norms: Parameters, graph, and description of the normal breathing pattern
- 6 breathing myths: Myths and superstitions about breathing and body oxygenation (prevalence: over 90%)
- Hyperventilation: Definitions of hyperventilation: their advantages and weak points
- Hyperventilation syndrome: Western scientific evidence about prevalence of chronic hyperventilation in patients with chronic conditions (37 medical studies)
- Normal minute ventilation: Small and slow breathing at rest is enjoyed by healthy subjects (14 studies)
- Hyperventilation prevalence: Present in over 90% of normal people (24 medical studies)
- HV and hypoxia: How and why deep breathing reduces oxygenation of cells and tissues of all vital organs
- Body-oxygen test (CP test) : How to measure your own breathing and body oxygenation (two in one) using a simple DIY test
- Body oxygen in healthy: Results for the body-oxygen test for healthy people (27 medical studies)
- Body oxygen in sick : Results for the body-oxygen test for sick people (14 medical studies)
- Buteyko Table of Health Zones: Clinical description and ranges for breathing zones: from the critically ill (severely sick) up to super healthy people with maximum possible body oxygenation
- Morning hyperventilation: Why people feel worse and critically ill people are most likely to die during early morning hours

References: pages about CO2 effect:
- Vasodilation: CO2 expands arteries and arterioles facilitating perfusion (or blood supply) to all vital organs
- The Bohr effect: How and why oxygen is released by red blood cells in tissues
- Cell oxygen levels: How alveolar CO2 influences oxygen transport
- Oxygen transport: O2 transport is controlled by vasoconstriction-vasodilation and the Bohr effects, both of which rely on CO2
- Free radical generation: Reactive oxygen species are produced within cells due to anaerobic cell respiration caused by cell hypoxia
- Inflammatory response: Chronic inflammation in fueled by the hypoxia-inducible factor 1, while normal breathing reduces and eliminates inflammation
- Nerve stabilization: People remain calm due to calmative or sedative effects of carbon dioxide in neurons or nerve cells
- Muscle relaxation: Relaxation of muscle cells is normal at high CO2, while hypocapnia causes muscular tension, poor posture and, sometimes, aggression and violence
- Bronchodilation: Dilation of airways (bronchi and bronchioles) is caused by carbon dioxide, and their constriction by hypocapnia (low CO2)
- Blood pH: Regulation of blood pH due to breathing and regulation of other bodily fluids
- CO2: lung damage: Elevated carbon dioxide prevents lung injury and promotes healing of lung tissues
- CO2: Topical carbon dioxide can heal skin and tissues
- Synthesis of glutamine in the brain, CO2 fixation, and other chemical reactions
- Deep breathing myth: Ignorant and naive people promote the idea that deep breathing and breathing more air at rest is beneficial for health
- Breathing control: How is our breathing regulated? Why hypocapnia makes breathing uneven, irregular and erratic.



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