Does holding your breath increase blood pressure

Medically Reviewed by Dan Brennan, MD on April 08, 2021

There are many reasons why you may hold your breath. You may hold your breath while swimming, before playing a wind instrument, or just to see how long you can hold it. It's hard to hold your breath for long periods of time because your body needs oxygen, and it gets it by breathing. 

You don't have to think about breathing. Your body breathes automatically. Holding your breath goes against what your body is designed to do.

What Happens When You Hold Your Breath?

The first thing that happens when you hold your breath is oxygen levels decrease. Then, carbon dioxide levels increase because your body gets rid of that gas by breathing out. This state is called hypoxia. After just a minute or two, your cells start to behave differently than they normally would. This can affect all of your organs.

If you hold your breath for too long it can cause your heart to start beating irregularly. It can damage your kidneys and liver.

Holding your breath also causes the amount of carbon dioxide building up in your body to cross the blood-brain barrier. Your brain notices this change and increases your body's desire to inhale and exhale. If you still don't breathe at this point, you can have a seizure, faint, or even injure your brain.

What to Do If Someone Holds Their Breath for Too Long

If you hold your breath for too long you may pass out. The risks of passing out include hitting your head or injuring yourself while falling. If someone you are with passes out from holding their breath and they don't wake up in a few seconds, they may need emergency medical attention immediately. If they are not breathing, start CPR and call 911.

If they are breathing and are not injured, lay them on their back and hold their legs up at least 1 foot in the air. If they do not wake up after 1 minute of this, call 911.

Holding your breath for too long underwater, especially while alone, can lead to fainting or blacking out while you are still underwater. This can happen even if you are in shallow water. This phenomenon is called a shallow water blackout or hypoxic blackout.

At that point, your body's drive to breathe will take over, and you can inhale water, potentially leading to drowning. That's why you should always go swimming with someone else, make sure you know how to swim properly, and swim in areas where there are lifeguards if possible.

How Long Can You Safely Hold Your Breath For?

Certain people, especially those native to mountainous areas, may be able to hold their breath for longer due to genetics and their environment. One study showed that Himalayan highlanders reacted differently to hypoxia than people from lower altitudes. These differences showed they were better adapted to live at higher altitudes where the air is thinner and there is less oxygen. 

Some people from the Bajau culture in Southeast Asia spend up to five hours of their day diving down as deep as 230 feet with no wetsuit or oxygen tank. A study found they have spleens 50% larger than usual. Their large spleens store more oxygen-rich blood cells than the average person, allowing them to hold their breath longer underwater to collect fish, shellfish, and other objects.

A Spanish free diver, Aleix Segura Vendrell, holds the Guinness World Record for the longest time holding one's breath voluntarily. On February 28, 2016, he held his breath for 24 minutes and 3.45 seconds.

In order to achieve such a result, divers and extreme breath holders inhale pure oxygen for several minutes before their attempt. The longest instance of someone holding their breath without inhaling pure oxygen beforehand is 11 minutes and 34 seconds.

However, most people can only safely hold their breath for 1 to 2 minutes. The amount of time you can comfortably and safely hold your breath depends on your specific body and genetics. Do not attempt to hold it for longer than 2 minutes if you are not experienced, especially underwater.

Are There Any Benefits to Holding Your Breath?

Some preliminary animal studies show that holding your breath may help to regenerate damaged brain tissue. 

Using certain breathing techniques, some of which include holding your breath, may lower inflammation.

Some breathing exercises that involve holding your breath for several seconds can be part of regular relaxation practice. It may also help you to improve the health of your cardiovascular system.

4-7-8 Breathing

 Breathe in, breathe out. Did you know that on average we do it 20,000 times a day? "Breath work" is a term used to describe any type of therapy that utilizes breathing exercises to improve mental, physical and spiritual health. Dr. Andrew Weil, who is a world-renowned pioneer in the field of Integrative Medicine, calls it the simplest and most powerful mind/body technique in his arsenal and says, "If I had to limit my advice on healthier living to just one tip, it would be to learn to breathe correctly."

But why is it so good for you? Breathing is a bodily function that’s both voluntary and involuntary. Through breath control you can voluntarily relax your involuntary nervous system, which regulates the heart, digestion and other bodily functions. Dr. Weil says breath control can lower blood pressure, correct heart arrhythmia and improve digestive problems. Breath work also increases blood circulation throughout the body which can help decrease anxiety, improve sleep and increase energy levels.

One of Dr. Weil’s favorite breathing exercises is "4-7-8 Breathing." Do it at least twice a day for a natural tranquilizing effect for the nervous system.

To watch INTEGRIS APRN and Integrative Medicine expert Juli Johnson demonstrate the technique, visit this On Your Health article (make sure you scroll all the way down the article to view the video).

4-7-8 Breathing

  1. Close your mouth and inhale quietly through your nose to a mental count of four.
  2. Hold your breath for a count of seven.
  3. Exhale completely through your mouth, making a whoosh sound to a count of eight.
  4. Now inhale again and repeat the cycle three more times for a total of four breaths.

Tips

  • Place the tip of your tongue against the ridge of tissue just behind your upper front teeth and keep it there through the entire exercise.
  • You always inhale quietly through your nose and exhale audibly through your mouth; don’t forget the whoosh sound.
  • You will be exhaling through your mouth around your tongue; try pursing your lips slightly if this seems awkward.
  • Exhalation takes twice as long as inhalation.
  • The absolute time you spend on each phase is not important; the ratio of 4:7:8 is important.
  • If you have trouble holding your breath, speed the exercise up but keep to the ratio of 4:7:8 for the three phases.
  • With practice you can slow it all down and get used to inhaling and exhaling more deeply.

Does holding your breath increase heart rate?

Your heart rate slows down When our bodies are deprived of oxygen, the heart can't pump fresh, oxygenated blood out to the body. Studies show that about 30 seconds of breath-holding can lead to a lowered heart rate and lower cardiac output.

Does breathing lower blood pressure?

According to the Japanese Society of Hypertension, taking six deep breaths within 30 seconds significantly reduces blood pressure. This 30-second breathing exercise is a simple and easy way to help manage stress and promote relaxation.