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Is Belly Breathing Good for You?

April, 2019

It’s common for students to arrive at our classes with strong notions about breathing. Among these is “Belly breathing is good breathing; chest breathing is bad breathing.” I disagree with this widespread belief and present varying amounts of pushback, counterargument, or hints about disagreement depending on the context and how much time I have.

Top: Chest lowered with exhalation. Bottom: Chest expanded with inhalation.

Sometimes I use a hand-waving argument: “Your lungs are housed in your chest; why wouldn’t they expand the chest on inhalation?” Sometimes I argue that if just the belly expands on breathing, that’s usually because the abdominal wall muscles are lax, the long back muscles (erector spinae) are tense, and the intercostal muscles have become stiff from lack of movement. Based on my experience with students, I predict that as the abs become more toned, the erector spinae muscles more relaxed, and the intercostal muscles more malleable, the default pattern of breathing will shift towards chest breathing and back breathing. Belly breathing is important, but only for special situations, like singing and playing the saxophone, where you need control of the diaphragm, or for when you exercise vigorously and need every avenue of expansion available.


Wind musicians, such as this saxophonist, rely upon diaphragm control while playing their instruments.
Photo courtesy Jyotirmoy Gupta.

My main argument that chest breathing and back breathing are normal defaults is the same as my argument for most things in posture: this is the way breathing is done in the populations we are emulating.

Sometimes it is challenging to gauge what a person’s default breathing pattern is. A baby’s breathing pattern varies depending on how she is positioned. We cannot observe ancestral populations live. So, we make observations where possible and best guesses everywhere else.

A baby sleeping on her back naturally defaults to chest breathing.
Photo courtesy Tara Raye.

The shape of one’s rib cage gives a clue about the person’s default breathing pattern. I often use the picture below of a carpenter from Burkina Faso, and explain that his expanded chest was shaped by the healthy “stress” of chest-breathing; belly breathing alone could not give him this kind of chest shape.

It takes the healthy stress of breathing in his chest, day in and day out, to fashion his kind of expanded rib cage. His abs are well-toned and don’t “give” as easily as his intercostal muscles and erector spinae muscles do when he inhales.

Back breathing
Healthy back musculature is also tell-tale of the natural rise and fall motion of the back that accompanies natural breathing. Nature provisioned us with the ability to keep the tissues around the spine in motion even when we are sedentary. The precious cargo that is contained in our torso is able to enjoy motion simply as a by-product of breathing. But this provision can be undermined by muscle tension in the back, or having the substantial weight of the upper body cantilevered forward. It takes a well-stacked spine and relaxed long back muscles to facilitate the natural motion of the back that accompanies breathing. Conversely, it takes the natural motion associated with breathing to relax and maintain healthy spinal tissues. When I traveled in Burkina Faso, I was struck by the resilient texture of people’s back musculature. And they were struck by a muscle knot in my shoulder I asked input for from a bone-setter (more details in my post Lessons I Learned From My Travels: Burkina Faso). I consider strong but malleable back musculature to be another sign of breathing done right. It’s rare in a modern setting.

This soldier taking a dip in Cachoeira, Brazil demonstrates what healthy back musculature and architecture look like.

Chest breathing vs. neck breathing
I have an educated guess about why chest breathing has gotten a bad rap: chest breathing is easily conflated with “neck breathing” — the anxiety-related breathing pattern that makes one’s shoulders move up with inhalation and down with exhalation. This pattern is, indeed, problematic. It results in tight scalenes, sternocleidomastoid muscles, and other neck/shoulder muscles, and causes pain and dysfunction. But let’s not throw the baby out with the bathwater by thinking chest breathing and problematic “neck breathing” are one and the same!

What we really need to do is to isolate chest breathing from neck breathing and enjoy the benefits of chest breathing without triggering tension in the neck and shoulders. We also need to learn to relax the back enough that it can move freely instead of the belly.

Cultivating a deeper awareness of our bodies is a useful feedback mechanism as we begin learning to isolate chest breathing from neck breathing and relax the back. In our Online University for graduates of our Gokhale Method Foundations course and Pop-Up courses, we discuss more advanced techniques for chest breathing. With these techniques, we too can have proud expanded chests and strong resilient backs, instead of aches and pains all around.

This unposed photo of a woman drying her laundry in Burkina Faso shows her expanded chest and healthy rib cage shape. These are a result of normal expansion of the chest with inhalation.

How often do you think about your breathing? Have you been trained to breathe in the chest? Back? Belly? Please share.

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I have been expanding my pallet for the last year. I have an obstructed airway due to orthodontics in my youth. As part of this I have been in speech therapy where they have been teaching me butekyo breathing. They claim it is the healthiest way to breathe but it is difficult. I Have wondered why breathing would be difficult. It doesn’t make a lot of sense.

Agree.  I have tried to learn Butekyo as well.  It feels so unnatural and stressful.  Having had orthodontics way back in the day your post makes me wonder if my anxiety breathing could be related. Thanks.

Esther, thank you so very much for this post. Thank you especially for having the courage to think independently.  It takes a true scientist to be able to be open to new ways of thinking.  I am not medically educated but I trust my intuition and when I read your words above, I just felt things fall into place for me and I felt "truth".  

To this I would add that in my own research on the issue of breathing I learned that breathing in different ways affects the autonomic system.  My understanding is that diaphragmatic breathing stimulates the parasympathetic (rest and repair) nervous system and upper chest breathing stimulates the sympathetic nervous system.  Would you comment on this?  I don't know if this is correct or not and after seeing your video of a sleeping child (who obviously is in "rest and repair mode") yet who is clearly breathing in the chest, I am doubting this little bit of "science" regarding the autonomic nervous system.  I'm guessing that the sympathetic nervous system might be activated by neck tension and maybe that is what stimulates "fight or flight" mode. If that is the case, it feels to me that chest breathing - activating the entire chest cavity but not necessarily the diaphragm and not tensing the neck and shoulders - would be very balancing to the autonomic nervous system and allow your body to work with whatever is needed at that moment.  

Again, thanks so much!  xo



Bikram yoga does not explicitly discuss belly vs. chest breathing, but I think that implicitly it agrees with you, Esther, because the Bikram pranayama keeps the belly contracted during both inhalation and exhalation.

Thanks for posting this - I found it really interesting and helpful.

Hello Esther,

Thank you for writing more about this interesting subject. Much as I love your work, I thought that this was something you were wrong about once I became somewhat familiar with the Buteyko Method. I don't agree with Konstantin Buteyko on everything, however. For example he apparently avoided meat and animal products generally. As a devotée to Dr. Weston A. Price, I can't agree with that! It's too bad when the best sources are contradicting each other...


Anyway, I think the argument about back sleeping is a bad one. Babies don't like sleeping on their backs, though they can get used to it. They prefer their tummies and sleep better that way (this is well known and even manipulated as a "cause" of SIDS--"they sleep too deeply!"). I'm personally a snorer when I'm on my back, as are many people, so this is another reason I'm convinced that back sleeping is not conducive to healthy breathing.

You are touching on numerous controversial subjects (vegetarianism, back / tummy sleeping for babies and prioritizing prevention of SIDS versus a particular baby's comfort, merits of Buteyko, solutions for snoring at night). I'll postpone responses to some of these issues to a future time.

Regarding Buteyko: I do agree on the desirability to promote nose breathing over mouth breathing. I like gentle approaches to such transitions (e.g. not taping a child's mouth shut at night, a pracitce I am aware of in conjunction with Buteyko. Not sure how broadly it is implemented or whether it was an isolated practice). And yes, there is a disagreement about chest / abdomninal breathing. I've laid out some thoughts / pics in this blog and people are free to adopt what's convincing / looks right / feels right. 

Thanks, Esther. I'm a new mother and I've started putting my baby on his tummy since about 6 weeks of age. He immediately started sleeping better (he fights sleeps terribly and is in a baby carrier for much of the day, unfortunately! Oh how I wish you could talk about that more! He is only 2.5 months old so we have him on the front in an ErgoBaby. His spine is definitely compressed but he needs to sleep! Why does everyone claim that they need to have a rounded back? I wish I could understand this because the idea of him having hip displacement, etc is scary.) and has slept six+ hours in the night ever since. We have an organic mattress, however. I read that in New Zealand the SIDS campaigning was not about back sleeping but in putting a plastic covering over the mattresses because off-gasing is a purported cause of SIDS (hence the increased rate with stomach-sleeping). Apparently SIDS is extremely low or non-existent there. I read this on a couple websites; anyone reading my comment should verify for themselves.

Hi Esther,

Thank you for writing about this subject.  I'm curious if you have ideas about mouth vs nose breathing and how they may affect belly/chest breathing? I notice in the first picture the boy has his mouth closed and exhale through his nose, and in the second picture (inhale) his mouth is opened.  Thanks again!

This touches on a refreshingly non-controversial topic. All experts that I know of agree that nose breathing is a desirable default over mouth breathing. I don't know of the body of knowledge correlating nose / mount breathing with chest / abdominal breathing. I suspect that they are unrelated. 

In the photos, I don't think it's significant that the subject has his mouth open in one pic and closed in the other. Thee were posed photos of my son, who was a good enough sport (even at that age!) to model for me in the prickly grass near our home. He was probably saying something to me in the pic where his mouth is open.

It seems to me that the advice (e.g. in meditation practice) to breathe into your belly may derive from a time when anatomy books were not common and an ordinary person was likely to have no idea they had such a thing as a respiratory diaphragm or how it might work. Relaxation of the respiratory diaphragm is essential in promoting the parasympathetic (nurturing) nervous system that is important in achieving a relaxed mind. Thus, in saying "breathe into your belly" the meditation teacher is telling you to relax your diaphragm. If the diaphragm is relaxed and moving freely, the motion of the breath can be felt throughout the body, including into the depths of the belly. That motion is important to the health of the digestive organs. But it is, or should be, subtle.

But the chest is where the lungs are and the whole point of breathing is to get air into the lungs. The motion of the chest in breating is important to the health of the heart and endocrine systems as well as to the health of the spine, as Esther points out so well in her book.

I discovered 8 Steps to a Pain Free Back about six months ago at age 72. After more than 30 years of Iyengar yoga, I was still in the dark (not the fault of my teachers!) as to why my upper body was getting so thin and weak and my back and shoulders hunched. Turns out, I was armoring my compromised lumbar spine by tucking my pelvis, as Esther has described. Sitting or standing, I did not feel the breath in my belly and I also had the sensation of my breath being restricted in my chest. Now following the 8 steps, I can sit upright and feel the gentle wave of motion from my diaphragm into my belly and at the same time feel my chest expanding in all directions and, along with it, I have intimations of courage and compassion I wished for but never expected to have. 

Thank you, Esther!



We maybe should remember that the diaphragm relaxes when it goes up, it's most relaxed at the end of the outbreath, if that isn't done though collapsing the chest down. It might not feel like the most relaxed moment, as the deep abdominals (transverse) and some other muscles will probably have more tension at that moment. Sleeping on the belly was mentioned by someone else, I find that position the most conducive to sleep, maybe diaphragm relaxation and improved back/side breathing  partly explains this (it also helps avoid tucking the pelvis when sleeping - like Susan, a problem I have to work on).

Interesting article. I love part about muscle disbalance, but on the other hand DNS method is all about belly breathing.

I don't understand how it is even possible to sleep on one's belly without totally torqueing the neck, even with no pillow. What sort of pillow do such people use? The only way I could even consider trying to belly-sleep would be if I were using a special chiropractic bed with a hole for the head letting my face point straight down. I'm now age 65, and my neck has only gotten stiffer in the last few years.

People in some parts of the world, and all babies, can bend their necks 90 degrees. For the rest of us a hand or the edge of a pillow placed under the rear part of the skull reduces the need for the neck to turn.

I have been using a VPAP (Variable positive airway pressure) machine for sleep apnea for several years now and was puzzled at the changes I noticed in my daytime breathing. I am breathing abdominally significantly less than before. It feels as if my entire torso expands smoothly with each inhale, and relaxes and lengthens during exhalation. I feel back and abdominal movement, but it's all one natural movement. I had been taught abdominal (and 3-part) breathing in yoga class, and was worried, but this article has encouraged me to trust my body.

Because the VPAP eliminates my apnea and snoring, it's now comfortable to sleep on my back. 

Interesting! Thanks for sharing your valuable experience!

Hello Esther,

I'm coming back to this thread because I don't know where else to ask this.

I was wondering -- could you write a post about good posture while bottle feeding babies (it is not evident to me--my baby's spine often go to a default round shape) and, especially, about helping your child to maintain and hone good posture while learning to sit? My four month old has rapidly started to sit and can even do so to some extent without support, but his back is a bit rounded and his neck is not lengthened, though he has always had strong neck muscles. I can tell that this is part of him strengthening his muscles, but it pains me to see his spine curved and I worry about him developing bad habits. Is there any risk or do all babies acquire good posture on their own? I know you talk about them needing to be held properly. Maybe you could also mention tripod sitting.


Thank you.

Hi Esther

I hope you're fine and safe. Gosh, how happy i am, for finding your website! I am a personal trainer and coach of Low Pressure Fitness (hypopressive exercises). My project calls Hugo Loureiro Tailor Made Training and i also work with other methods such as Pilates, Myofascial Release, Garuda Method and Neuromuscular Training. I was preparing a live talk about belly breathing vs thoracic breathing and most information and knowledge, regarding this controversial subject, points to hail belly breathing, as a sort of Holy Graal. In Low Pressure Fitness we emphasize the importance of a multidimensional breathing pattern, by using chest, ribs, shoulder blades and back , to recruite propoperly the thoracic and pelvic diaphragms and the abdominal wall, for a better manage of pressures on the body. I'm very enthusiastic about your point of view and how you expose the importance of thoracic breathing, for a more toned abdominal wall and a less stiff back. I told about you to the main researcher of Low Pressure Fitness, Dr. Tamara Rial. She lives in Newtown (Pensylvania) and she'd be glad to stay in touch with you!


Congrats for your work and for making my day brighter and happier

Hugo Loureiro

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