Breathing

Breathing is the process that moves air in and out of the lungs. Aerobic organisms require oxygen to release energy via respiration, in the form of the metabolism of energy-rich molecules such as glucose. Breathing is only one process that delivers oxygen to where it is needed in the body and removes carbon dioxide. Another important process involves the movement of blood by the circulatory system. Gas exchange occurs in the pulmonary alveoli by passive diffusion of gases between the alveolar gas and the blood in lung capillaries. Once these dissolved gases are in the blood, the heart powers their flow around the body (via the circulatory system). The medical term for normal relaxed breathing is eupnea.

In addition to removing carbon dioxide, breathing results in loss of water from the body. Exhaled air has a relative humidity of 100% because of water diffusing across the moist surface of breathing passages and alveoli.

Mechanics
In mammals, breathing in, or inhaling, is usually a good movement, with the contraction of the diaphragm muscle. This is known as negative pressure breathing. Normally, the diaphragm's relaxed position recoils (decreasing the thoracic volume) whereas in the contracted position it is pulled downwards (increasing the thoracic volume). This process works in conjunction with the intercostal muscles connected to the rib cage. Contraction of these muscles lifts the rib cage, thus aiding in increasing the thoracic volume. Relaxation of the diaphragm compresses the lungs, effectively decreasing their volume while increasing the pressure inside them. The intercostal muscles simultaneously relax, further decreasing the volume of the lungs. With a pathway to the mouth or nose clear, this increased pressure forces air out of the lungs. Conversely, contraction of the diaphragm increases the volume of the (partially empty) lungs, decreasing the pressure inside, which creates a partial vacuum. Environmental air then follows its pressure gradient down to fill the lungs.

In amphibians, the process used is positive pressure breathing. Muscles lower the floor of the oral cavity, enlarging it and drawing in air through the nostrils (which uses the same mechanics - pressure, volume, and diffusion - as a mammalian lung). With the nostrils and mouth closed, the floor of the oral cavity is forced up, which forces air down the trachea into the lungs.

At rest, breathing out, or exhaling, is a combination of passive and active processes powered by the elastic recoil of the alveoli, similar to a deflating balloon, and the contraction of the muscular body wall. The following organs are used in respiration: the mouth; the nose and nostrils; the pharynx; the larynx; the trachea; the bronchi and bronchioles; the lungs; the diaphragm; and the terminal branches of the respiratory tree, such as the alveoli.

Control of breathing
Breathing is one of the few bodily functions which, within limits, can be controlled both consciously and unconsciously.

Conscious control
Conscious control of breathing is common in many forms of meditation, specifically forms of yoga for example pranayama unlike anapana which is only awareness of breath. In swimming, cardio fitness, speech or vocal training, one learns to discipline one's breathing, initially consciously but later sub-consciously, for purposes other than life support. Human speech is also dependent on conscious breath control. Also breathing control is used in Buteyko method.

Unconscious control
Unconsciously, breathing is controlled by specialized centers in the brainstem, which automatically regulate the rate and depth of breathing depending on the body’s needs at any time. When carbon dioxide levels increase in the blood, it reacts with the water in blood, producing carbonic acid. Lactic acid produced by anaerobic respiration during exercise also lowers pH. The drop in the blood's pH stimulates chemoreceptors in the carotid and aortic bodies in the blood system to send nerve impulses to the respiration centre in the medulla oblongata and pons in the brain. These, in turn send nerve impulses through the phrenic and thoracic nerves to the diaphragm.

Examples
For instance, while exercising, the level of carbon dioxide in the blood increases due to increased cellular respiration by the muscles, which activates carotid and aortic bodies and the respiration center, which ultimately cause a higher rate of respiration.

During rest, the level of carbon dioxide is lower, so breathing rate is lower. This ensures an appropriate amount of oxygen is delivered to the muscles and other organs. It is important to reiterate that it is the buildup of carbon dioxide making the blood acidic that elicits the desperation for a breath much more than lack of oxygen.

Interaction
It is not possible for a healthy person to voluntarily stop breathing indefinitely. If one does not inhale, the level of carbon dioxide builds up in the blood, and one experiences overwhelming air hunger. This irrepressible reflex is not surprising given that without breathing, the body's internal oxygen levels drop dangerously low within minutes, leading to permanent brain damage followed eventually by death. However, there have been instances where people have survived for as long as two hours without air; this is only possible when submerged in cold water, as this triggers the mammalian diving reflex as well as putting the subject into a state of suspended animation.

If a healthy person were to voluntarily stop breathing (i.e. hold his or her breath) for a long enough amount of time, he or she would lose consciousness, and the body would resume breathing on its own. Because of this one cannot commit suicide with this method, unless one's breathing was also restricted by something else (e.g. water, see drowning).

Hyperventilating causes a drop in CO2 below normal levels, lowering blood and oxygen supply to vital organs due to CO2-induced vasoconstriction and suppressed Bohr effect. Voluntary hyperventilation can cause tissue oxygen levels to go to dangerously low levels leading to, for example, fainting due to brain hypoxia.

Components
Oxygen is the essential component of all breathing gases.

The air we inhale is roughly 78% by volume nitrogen, 21% oxygen, 0.96% argon and 0.04% carbon dioxide, helium, water, and other gases. In addition to air, underwater divers often breathe oxygen-rich or helium-rich gas mixtures. Oxygen and analgesic gases are sometimes given to patients under medical care. The atmosphere in space suits is pure oxygen. Also our reliance on this relatively small amount of oxygen can cause overactivity or euphoria in pure or oxygen-rich environments.

The permanent gases in gas we exhale are roughly 4% to 5% more carbon dioxide and 4% to 5% less oxygen than was inhaled. Additionally vapors and trace gases are present: 5% water vapor, several parts per million (ppm) of hydrogen and carbon monoxide, 1 part per million (ppm) of ammonia and less than 1 ppm of acetone, methanol, ethanol (unless ethanol has been ingested, in which case much higher concentrations would occur in the breath, cf. Breathalyzer) and other volatile organic compounds. The exact amount of exhaled oxygen and carbon dioxide when breathing and the amount of gases exhaled may vary based on diet, exercise and fitness.

Air pressure
Atmospheric air at altitude is at a lower pressure than at sea level due to the lesser weight of the air above. This lower pressure can lead to altitude sickness, or hypoxia.

Gases breathed underwater are at higher pressure than at sea level due to the added weight of water. This can lead to nitrogen narcosis, oxygen toxicity, or decompression sickness.'''

Cultural significance
In tai chi chuan, aerobic training is combined with breathing to exercise the diaphragm muscles and to train effective posture, which both make better use of the body's energy. In music, breath is used to play wind instruments and many aerophones. Laughter, physically, is simply repeated sharp breaths. Hiccups, yawns, and sneezes are other breath-related phenomena.

Ancients commonly linked the breath to a life force. The Hebrew Bible refers to God breathing the breath of life into clay to make Adam a living soul (nephesh). It also refers to the breath as returning to God when a mortal dies. The terms "spirit," "qi," "prana" and "psyche" are related to the concept of breath.