The Buteyko Institute Breathing Method has been known in Australia
since the early 1990s for the management of asthma. The basis of
the method is to normalise the breathing pattern. This results in
a significant decrease in symptoms, with over 90% of course participants
coming off all of their reliever medication within a week of starting
The Buteyko view is that asthma is not a disease, but rather that
it is a collection of symptoms – bronchospasm, mucous production
and inflammation of the lining of the airways. All are brought on
by breathing above the normal physiological level of 4-5 litres
per minute. This overbreathing or hyperventilation causes an imbalance
of the gas levels in the lungs and the blood. In particular we breathe
out too much carbon dioxide. For normal healthy body functioning,
the body needs about 5.5% carbon dioxide in the lungs. If we overbreathe
and lower the level of carbon dioxide in the lungs (the air has
only 0.03% carbon dioxide) the result will be the onset of symptoms.
- Carbon dioxide is a natural smooth muscle dilator or relaxant.
When we have too little carbon dioxide our smooth muscle (which
is wrapped around the tiny air tubes of our lungs) will go into
spasm - experienced as tightness and difficulty breathing out.
- Oxygen is slow to be released from the blood (Bohr Effect and
the Oxy-Haemoglobin Dissociation Curve). This will be experienced
- Mast cells, responsible for part of our immune response become
super-sensitive to perceived allergens, releasing large amounts
of histamine, producing inflammation.
- Over-breathing dries out the airways, inflaming them and encouraging
The goal of the Buteyko Method is to teach people to normalise
their breathing pattern. When breathing rates are normal, the level
of carbon dioxide within the body will be normal and the body functions
well. The smooth muscle around the airways will stay relaxed, oxygen
will move more quickly from the blood to all the cells, mast cells
will function appropriately and the mucous membranes of the airways
will not be inflamed.
By learning the Buteyko Method people are able to overcome most
asthma symptoms by using the breathing exercises. This enables a
reduction in asthma reliever medication.
Asthma management in the western world has changed little in the
past 40 years, other than the introduction of more potent and varied
medications. Both the incidence and death rate of asthma in developed
countries have steadily increased, and medical science seems to
be no closer to identifying the cause.
- Around 700 Australians die from asthma each year.
- Over 2 million Australians have been clinically diagnosed with
- Over 40% of Australian school aged children have asthma.
- Over 12% of Australian adults have asthma.
- The incidence of asthma in Australian school aged children has
increased significantly in the last 20 years.
- The number of prescriptions for asthma treatment in Australia
is estimated to be over 10 million per year.
- Asthma is the most common chronic illness of children and adolescents.
- The total cost burden of asthma to the Australian community
is estimated to be over $750 million per year.
- This total of over $750 million consists of both medical related
costs and indirect costs due to lost productivity and absenteeism.