[HN Gopher] Brief structured respiration enhances mood and reduc...
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       Brief structured respiration enhances mood and reduces
       physiological arousal
        
       Author : cdepman
       Score  : 139 points
       Date   : 2023-01-22 17:46 UTC (5 hours ago)
        
 (HTM) web link (www.cell.com)
 (TXT) w3m dump (www.cell.com)
        
       | acituan wrote:
       | This is an extremely weak study that basically launders
       | Huberman's "mini interventionism" and abuses west coast's
       | fascination with what is mostly "breath-themed magic". The idea
       | of hyperregulation of breath is a cousin of hyperregulation of
       | dietary intake, which is a western "top-down"ism, latter of which
       | induced more disordered eating than it achieved/preserved health.
       | 
       | Regarding the criticisms of this study;
       | 
       | Firstly, the small sample size is based on volunteers, so folks
       | already believed there was going to be a payoff from something
       | that is 75% breathwork.
       | 
       | Secondly, there is no "sham intervention" class to counter the
       | placebo effects from this.
       | 
       | Thirdly, their mindfulness instruction is atypical; it should
       | have been passive focus on breath rather than a visual/somatic
       | cue on the forehead to be comperable with breath _work_ vs breath
       | _focus_.
       | 
       | Finally, their exclusion criteria makes it too restricted;
       | 
       | > For health and safety reasons, we excluded those with self-
       | reported _moderate_ to severe psychiatric or medical conditions
       | that could be exacerbated by study participation, such as heart
       | disease, glaucoma, history of seizures, pregnancy, psychosis,
       | suicidality, bipolar disorder, or substance use disorders.
       | 
       | I find it annoying that the list is not exhaustive but we could
       | reasonably assume they also had to exclude moderate and above
       | depression and anxiety disorders, not to mention panic
       | disorder[1]. Anxious folks are particularly sensitive to
       | breathwork, and even 10% of their "healthy" population reported
       | anxiety as a result of these practices (highest ingroup rate is
       | 17%, in the favorite "sighing" group)
       | 
       | Besides the anxiety inducing vs reducing effect of all breathwork
       | had more variance than the mindfulness intervention, which puts
       | into question whether the cost/benefit of the intervention (not
       | to mention it's wide scale applicability) is sufficient.
       | 
       | What Huberman is popular for is known as a "nutrientism" of
       | sorts; as in assemble vitamins a, b, c..., this and that
       | macronutrient plus this and that micronutrient and you will have
       | a full nutritional profile. Not saying he is all bs at all, e.g
       | his circadian light stuff is solid, but more often than not after
       | the 50th episode these turn into bite sized oversold
       | interventions mostly as an illusion of "doing something good for
       | me so that I don't have to do anything else".
       | 
       | As a final note, mindfulness meditation traditionally has never
       | been an _emotion regulation_ tool, it is an _education_ tool as a
       | part of wisdom traditions, none of which had  "good affect in one
       | month" as the primary metric of their success.
       | 
       | [1] The panic disorder population is even more interesting. 50%
       | of the panic disordered people _do not_ suffer from
       | hyperventilatory or otherwise respiratory phenomena. Not only
       | that, the hyperventilators are suffering from hypocapnia, as in a
       | drop in CO2 and not O2, which is completely opposite to Huberman
       | 's "dumping CO2 and therefore relaxing" magic/logic.
        
       | swayvil wrote:
       | _Take a few deep breaths and you 'll feel calmer and sharper._
       | 
       | I heard that somewhere before.
        
       | FireBy2024 wrote:
       | Just noticed that Dr Andrew Huberman is one of the authors of
       | this report.
        
       | staplung wrote:
       | Videos describing two out of the three breath-work techniques
       | mentioned:
       | 
       | 1) cyclic sighing: https://www.youtube.com/watch?v=rBdhqBGqiMc 2)
       | box breathing: https://www.youtube.com/watch?v=tEmt1Znux58
       | 
       | Couldn't find anything for hyperventilation with retention.
       | 
       | I have no idea if they match the exact mechanics that were tested
       | so make of it what you will.
        
         | dalys wrote:
         | Cyclic hyperventilation with retention is the same as wim hof
         | breathing https://youtu.be/tybOi4hjZFQ as I understood from
         | Andrew Huberman
        
       | squeegee_scream wrote:
       | The how-to is buried pretty deep for those like me who are
       | unfamiliar with cyclic sighing (aka psychological sighing or
       | double inhale)
       | 
       | > Participants were informed they should sit down in a chair or,
       | if they prefer, to lie down, and to set a timer for 5 min. Then
       | they were told to inhale slowly, and that once their lungs were
       | expanded, to inhale again once more to maximally fill their lungs
       | -- even if the second inhale was shorter in duration and smaller
       | in volume than the first, and then to slowly and fully exhale all
       | their breath. They were told to repeat this pattern of breathing
       | for 5 min. They were also informed that ideally, both inhales
       | would be performed via their nose and the exhale would be
       | performed via their mouth, but that if they preferred, they were
       | welcome to do the breathing entirely through their nose. They
       | were also informed that it is normal for the second inhale to be
       | briefer than the first.
        
         | HighlandSpring wrote:
         | The second sigh sounds like it may, in effect, progressively
         | overload your lung capacity. Felt good too
        
         | [deleted]
        
       | Gatsky wrote:
       | Mindfulness in this study:
       | 
       | > Participants were informed they should sit down in a chair or,
       | if they preferred, to lie down, and then to set a timer for 5
       | min. Then they were told to close their eyes and to start
       | breathing while focusing their mental attention on their forehead
       | region between their two eyes. They were told that if their focus
       | drifted from that location to re-recenter their attention by
       | focusing back first on their breath and then on the forehead
       | region between their eyes. They were told that as thoughts arise,
       | to recognize that as normal, refocus their attention back to
       | their forehead region and to continue the practice until time has
       | elapsed.
       | 
       | Is this a legit expression of mindfulness meditation? It lacks
       | any sort of breath modification.
        
         | mehphp wrote:
         | Mindfulness meditation just requires you to keep bringing your
         | attention back to _something_. The breath is just a very
         | convenient option.
        
         | adamtemple wrote:
         | Most mindfulness paradigms teach you to notice the breath and
         | not modify it. This excerpt is the basics of mindfulness.
        
           | Gatsky wrote:
           | And for only 5 minutes?
        
       | martingoodson wrote:
       | This isn't a particularly high quality study. Eg no Statistical
       | power sample size calculation done beforehand.
        
       | rojobuffalo wrote:
       | It's remarkable that I so often lapse in my meditation practice
       | when it's such a short time commitment and so consistently
       | improves my mood. I tell myself that morning yoga is enough or a
       | walking meditation while taking the dog out is enough - I do
       | those every day without fail. But they're not the same as seated
       | breath work.
       | 
       | Why do other mood improvement habits seem more approachable, like
       | making a cup of tea or exercise or a shower, while sitting and
       | breathing seems harder?
        
         | nvader wrote:
         | I've heard meditation described as "motionless ju-jitsu with
         | yourself". In the absence of any obstacle, the only opponent is
         | you, but by definition you are equal in strength to yourself.
         | So meditation can devolve into a heated evenly-matched contest
         | of wills, which is extremely draining.
        
           | weregiraffe wrote:
           | "Perfectly symmetrical violence never solved anything"
        
           | rojobuffalo wrote:
           | Oh man I love that description! It makes me think how
           | exercise is like a contest against physical limits, which are
           | knowable. Hard work leads to heavier lifts or longer runs.
           | But when you kick your own ass in meditation, the limits are
           | more ambiguous and progress isn't so linear.
        
           | nprateem wrote:
           | It certainly shouldn't. Your aim is just to keep bringing
           | your attention back to the object of attention. Each time you
           | do that is a success, so feel pleased with yourself at that
           | point.
           | 
           | Fighting is a bad habit that will send you down a blind
           | alleyway in meditation. There should be no striving, no
           | effort, just gentle persistence.
        
           | calebio wrote:
           | Very well said! Your comment reminded me of this video I saw
           | a few years ago, "Understanding the Monkey Mind" --
           | https://www.youtube.com/watch?v=t-JiQubfMPg
           | 
           | When you stop fighting your monkey mind, your monkey mind
           | becomes your friend and ally instead of your opponent or
           | enemy.
        
         | leashless wrote:
         | http://files.howtolivewiki.com/.meditation_2015/transcripts/...
         | This came out of an attempt to strip the core meditation
         | techniques down to completely remove the mysticism, and adjust
         | the practice cycle for long-term solo practitioners who are
         | agnostic or atheist and can't lean on concepts like "The
         | Buddha" or "Lord Shiva" (although I myself am Hindu.)
         | 
         | The critical innovation is doing ten minute rounds of different
         | practices, so no practice is held for very long. This seems to
         | help a ton with "mind wanders" and surprisingly doesn't seem to
         | impair overall progress at all. If anything the rotation of
         | practices seems to improve overall concentration and keeps
         | people from hallucinating because they've been staring at a
         | blank wall for six hours!
        
         | stanislavb wrote:
         | The million dollar question! I guess as we can't "see" the
         | direct benefit and it somehow seems boring -\\_(tsu)_/-.
        
         | jddj wrote:
         | You might be understating the task.
         | 
         | After all, _all of humanity 's problems stem from man's
         | inability to sit quietly in a room alone_
        
         | swayvil wrote:
         | Re : lapse in meditation practice.
         | 
         | Concentration meditation. I used to do it as much as possible.
         | Every day. Sometimes 2, 3, 6 times. I was kinda nuts. But my
         | practice was strong.
         | 
         | Vipassana + concentration. My practice was extremely erratic.
         | 
         | Vipassana. Just vipassana. That's what I do now. My practice is
         | very consistent. Haven't missed a day in a decade.
         | 
         | I think it's because vipassana is more compatible with the rest
         | of my life than concentration. So there's no big transition.
         | I'm basically doing vipassana, in varying degrees, all the
         | time.
         | 
         | For what it's worth.
        
         | wpietri wrote:
         | For me during meditation, many thoughts arise. Often they are
         | things I am troubled or anxious about. If I am doing something
         | else, I have a ready-made distraction from those thoughts. But
         | if I'm just sitting, I actually have to be present for them.
         | It's much harder to build a habit where the short-term payoff
         | is negative.
         | 
         | You might try making it part of a broader routine. Lately (and
         | unusually for me) I've been struggling with sleep. So I've
         | explicitly adopted a bedtime routine that gets me to wind down.
         | As part of that, I light a big candle when I start the routine.
         | Then the last thing I do before blowing out the candle getting
         | into bed is to sit down by the candle and use it as a
         | medication focus. This way I feel like I'm getting the sitting
         | for "free" in that I don't have to expend any willpower to make
         | it happen; there are other positive associations that serve as
         | the reward.
        
         | klyrs wrote:
         | > sitting and breathing seems harder?
         | 
         | The stillness, I think. With adhd, that's my challenge anyway.
         | The mind does not shut off, and 5 minutes can feel like
         | forever. Even thinking about it makes me squirm. But I took a
         | yoga class once that did breathwork, and with guidance, I found
         | the ability to focus my entire attention on my breath; the
         | action and the feeling of it.
        
       | DFHippie wrote:
       | The one that works is the one that people do without special
       | training: sighing*. There had to be some reason why people sigh.
       | 
       | * Yes, this is an odd sort of sighing, but it isn't that
       | different from spontaneous sighing. And people also
       | hyperventilate on their own, but mostly preparatory to diving or
       | holding their breath for some other reason.
        
         | klyrs wrote:
         | > And people also hyperventilate on their own, but mostly
         | preparatory to diving or holding their breath for some other
         | reason.
         | 
         | It's common for people to hyperventilate in the midst of a
         | panic attack, and the common advice I've seen is to encourage a
         | panicked person to take deep breaths. Strange to see it as a
         | consideration for beneficial effects. As a kid I'd
         | hyperventilate to feel dizzy because it was fun (oops was I
         | getting high?)
        
         | kbutler wrote:
         | Except sighing isn't generally a natural response to stress,
         | but a response to boredom.
         | 
         | So maybe it's consciously emulating a natural behavior matching
         | a lower-stress state, to help shift to that state.
         | 
         | From personal experience, the deep inhalation preceding a sigh
         | (extended exhalation) is also helpful.
        
           | nobodyandproud wrote:
           | A sigh of frustration is pretty common. Biting one's tongue
           | and taking a breathe.
        
       | simonebrunozzi wrote:
       | So physiological sighing seems to be more effective than other
       | things at improving mood and arousal.
       | 
       | How would one learn how to do it properly? I don't think a random
       | Youtube video has enough credibility.
        
         | calebio wrote:
         | A lot of breath work is very specific to the individual.
         | Guides, how-tos, videos can often make people more anxious
         | because their body is behaving slightly differently than their
         | "source".
         | 
         | Surprisingly, you don't need to learn it as much as you just
         | need to do it and think about how your body feels as you do it.
         | 
         | When you exhale, just exhale like you were just relieved of
         | something horrible... or like you're saying "whewwwwwwwwww" as
         | in "whewww, that's a relief".
         | 
         | Don't worry about how many seconds it was, don't really count
         | unless you like to, just breath and feel the feelings.
         | 
         | When you do that a few times, especially after a slow inhale...
         | it starts to feel really good, really natural, and in a weird
         | way when you think it's going to work and think it's going to
         | feel good, it actually ends up feeling good and relieving
         | stress.
        
       | wayeq wrote:
       | The cyclic breathing required by swimming has a large overlap
       | with the breathing techniques described in this study, and I
       | suspect it has a lot to do with how much of a mental health
       | improvement it is for me.
       | 
       | Coupled with the full body muscle engagement and cardiovascular
       | training that comes along with it, it seems like the perfect
       | exercise for those that have access to a pool.
        
       | rolph wrote:
       | this sounds alot like pranayama
        
         | [deleted]
        
       | unity1001 wrote:
       | I tried this humming thing some people are recommending, and I
       | think it actually works.
       | 
       | https://www.youtube.com/watch?v=mH40wdhzUuM
       | 
       | Its based on solid research - test groups that hum in the
       | specific frequency were found to have increased their nitric
       | oxide production a dozen or more times. Whereas control groups
       | and groups that did the meditation in another frequency either
       | did not produce any different amount or comparably low amounts.
        
       | JaggerFoo wrote:
       | I like that they described how each method is performed. The
       | mindful meditation method was a bit different from what I've
       | used, but something I can adopt.
       | 
       | So cyclic sighing can replace mindful meditation, except that it
       | requires more use to reap the benefits.
       | 
       | So now Cyclic Sighing, Mindful Meditation and Binaural Beats are
       | techniques I can call upon in times of stress.
       | 
       | Cheers
        
         | [deleted]
        
       | guybedo wrote:
       | there are many interesting breathing techniques, interestingly it
       | usually provides benefits similar to a meditation practice. I
       | added this one to my routines:
       | https://routineshub.com/public/items/760bb353-35cc-483c-adce...
       | 
       | I also regularly practice Andrew Weil's 478 breathing
       | https://routineshub.com/public/items/fb2c75bd-4d6d-424e-925a...
        
       | knaik94 wrote:
       | I enjoy and use this breathing technique but I haven't ever
       | practiced or cared about mindful meditation. In my experience
       | doing breathing exercises while doing something physical helps me
       | way more than doing it while sitting. The most interesting result
       | from this study was the change in the spread for HRV.
       | 
       | I personally found that having physical markers for when to
       | breathe in and out made it a lot easier to understand and
       | practice. Tying yoga poses to the amount of time I hold air made
       | is easier to track my improvements too. I imagine swimming
       | similarly allows a more structured way to practice cyclic
       | breathing. I was able to break an 8 minute 2k row when I did it
       | with cyclic breathing. Nothing has improved my cardio as much as
       | erg + controlled breathing, I use pretty short intervals.
       | 
       | Another place cyclic breathing was crucial was when I did
       | marching band. I played trombone so it was mandatory that I have
       | athletic lung capacity. I was told that the exercises aren't
       | making your lungs bigger, you're getting used to having your
       | lungs stay expanded for longer.
       | 
       | The most important thing was the extra breath you take after you
       | feel like your lungs are completely full. Everyone coughs when
       | you take in that extra bit of air after breathing in deeply, in
       | the beginning. There's plastic ball valve things you can buy to
       | observe your breathing but I never personally saw it as useful. A
       | relative was given something similar after a heart attack in
       | order to monitor lung strength during recovery.
       | 
       | It's also pretty common to recommend some type of cyclic
       | breathing when handling anxiety. It helps control and lower the
       | physical symptoms of anxiety like rapid heart rate.
       | 
       | Looking up box/cyclic breathing guides for athletes or music
       | students might help, if you are looking for more structure
       | guides. The cyclic breathing in this study is not the same as
       | circular breathing.
        
       | williamscales wrote:
       | I have pretty severe anxiety at this time and these breathing
       | practices have really helped me get out of a bad situation
       | without medication:
       | 
       | 1) Box breathing
       | 
       | 2) Yoganidra (even if I'm not trying to fall asleep)
        
         | tsujamin wrote:
         | +1 box breathing
        
         | jawon wrote:
         | Yoga Nidra for sure. Except it can be really effective at
         | putting you to sleep. I now have trouble listening to any track
         | on this album without passing out:
         | https://open.spotify.com/album/00Dzgh60bmNigM9fvckKa3?si=sqO...
        
       | photochemsyn wrote:
       | The article briefly mentions "diaphragmatic breathing" without
       | going into it, but it's one of the best ways to do breathing
       | exercises in a slow, controlled and relaxing manner while sitting
       | upright at a desk. It's also a part of the training for
       | vocalists, and that a good source on how-to guides, e.g.
       | 
       | https://www.singwise.com/articles/correct-breathing-and-supp...
       | 
       | > "It is also important to note that, in voice pedagogy,
       | 'breathing from the diaphragm' and 'breathing from the belly' are
       | not viewed as being synonymous. The breath support technique that
       | is widely referred to as 'diaphragmatic breathing', (when
       | correctly executed), should not be confused with 'belly
       | breathing'. Unlike 'belly breathing', 'breathing from the
       | diaphragm' involves no pushing or forceful expulsion of air, and
       | is the natural, correct, safe, gentle, internationally accepted
       | method of supporting the singing tone. In diaphragmatic
       | breathing, the tone rides on a minimal and steady stream of air,
       | which brings stability and consistency to the tone."
        
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