Evaluating Mouth Taping

Why you might want to use that big hidden nose cavern of yours

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Stop and think for a moment about the purpose of breathing.

The purpose of breathing is to take in oxygen so that your cells can produce energy. Remember that cellular respiration formula from biology class?

C6H12O6 + 6O2 → 6CO2 + 6H2O + ATP

One glucose molecule and 6 oxygen molecules turn into 6 carbon dioxide molecules and 6 water molecules and energy (ATP). In between that input and that output are about 22 magnificently complicated steps, a process that came about in an incredible manner that is beyond a simple evolutionary explanation.(1)

How the process came to be aside, cellular respiration is the reason you have to keep breathing all the time. In order for your body to do anything, you need a constant stream of oxygen. You can’t store much of it for long, so you have to get fresh breaths in order to keep turning that glucose into sweet sweet ATP.

Thankfully, there is a lot of oxygen available in our atmosphere (about 21% by volume), so we don’t even have to breathe particularly efficiently to get enough oxygen. In fact, humans extract only about 25% of the O2 in inhaled air. Some other animals, like fish, have to be way more efficient than that, because ocean water has much less oxygen in it compared to atmospheric air.

The typical human breathing volume is about 500mL, even though our maximum capacity is much larger (3400mL and 4800mL for college-aged women and men respectively). As we age, we do not exhale as fully, and our maximum breath capacity decreases.

But why are we talking so much about respiration?

Because mouth taping is actually about increasing respiration efficiency. It’s supposed to encourage you to breathe through your nose instead of your mouth, which helps the respiratory system take in more oxygen, and is also healthier for other reasons.

Note: In case you haven’t already seen the mouth taping trend, it basically entails wearing a piece of tape over your mouth while you sleep. You wouldn’t do it while you are awake, and the correct way to do it is with a gentle strip over the middle of your lips, not duct taping your entire mouth.

So what is the difference between mouth breathing and nasal breathing?

The Role of the Nasal Cavity

When you inhale through your nose, the air flows first through a maze of spaces in the nasal cavity, then down the trachea, then into the two branching bronchi which lead into the lungs, then into finer tubes called bronchioles, and finally reaches the air sacs called alveoli. The alveoli contain the respiratory surfaces where the gas exchange occurs and oxygen enters the bloodstream.

If you breathe through your mouth, the nasal cavity is bypassed. This is the only difference between the path of the air when mouth breathing versus nasal breathing. So any benefits of nasal breathing are mostly due to whatever happens in the nasal cavity.

The human nasal cavity is larger than one would think. Our noses are actually huge and hidden inside our heads.

What does the nasal cavity do?

One important function is to warm the air to body temperature and humidify it to almost 100%.(2,3) Warm and humid air protects the respiratory tract from drying out and being irritated. Warmed air helps maintain core body temperature more efficiently. And humid air more easily dissolves in the membranes of the alveoli, enabling more efficient gas exchange. 

The nasal cavity also protects us from pathogens in two ways. Firstly, the mucus forms a protective barrier against inhaled pathogens. Secondly, the concentrations of nitric oxide in the nasal cavity are very high due to its production in the paranasal sinuses, and this makes the nasal cavity a sterile environment that prevents growth of pathogens.

Nitric oxide has other purported benefits. It helps to dilate the blood vessels, relaxing the airways and increasing the lungsʼ oxygen-absorbing capacity, and improving circulation and airflow.4 Nobel prize winning pharmacologist Louis Ignarro published a book in 2005 called “No More Heart Disease: How Nitric Oxide Can Prevent - Even Reverse - Heart Disease and Stroke.” He also happens to be a top consultant for the MLM Herbalife, which might cast some doubt on his objectivity, but we haven’t gone deeper down that particular rabbit hole.

There are other potential benefits of nasal breathing being explored, including:

  • Reduced asthma symptoms -- Mouth breathing irritates the respiratory pathways with cold and dry air. (4)
  • Energy efficiency in exercise -- Nasal breathing was more energetically efficient in most (but not all) subjects in a study of 50 young adults.(5) However, another study of 107 young adults saw no improvement in exercise performance when nasal versus mouth breathing.(6)
  • Optimal dental growth in childhood -- Mouth breathing may cause dental malocclusion, where the teeth do not fit together properly.(7) However, this area of research still has inconsistent findings. It’s also notably difficult to study experimentally.
  • Snoring -- Most people snore with their mouths, and nasal breathing is believed to reduce snoring by promoting better airflow and reducing the collapse of soft tissues in the throat.
  • Sleep -- If you aren’t snoring and you are taking in oxygen more efficiently and consistently, you should theoretically sleep more restfully.
  • Facial structure -- According to influencers, nasal breathing can enhance facial structure and make you look more like a Chad. This isn’t scientifically backed, but it’s widely claimed anecdotally.

https://www.tiktok.com/@petessleep/video/7338851043062746414

In summary, the most well-established functions of the nasal cavity are warming and humidifying air for more efficient oxygen uptake and providing an additional protective barrier from pathogens. Other benefits are under investigation, with some supported by preliminary evidence and others still mostly anecdotal or theoretical.

However, with breathing efficiency being such a compelling health opportunity and a growing topic of interest, these claims deserve further scrutiny. If something this simple could unlock better health and performance, it’s too good not to investigate.

Existing Studies on Mouth Taping

Despite its surging popularity, there has been surprisingly little research about the efficacy of mouth taping. In fact, we found only four existing experiments where participants wore mouth tape during sleep. These were relatively small (20-50 participants each), and all of them only looked at populations of patients with sleep apnea or asthma.(8, 9, 10, 11)

Table 1: Studies about mouth taping during sleep

So, we’re left wondering, is this mouth taping trend actually doing anything for the general population? In particular, does using mouth tape during sleep improve typical sleep quality, snoring, and attractiveness?

Announcing the Big Taping Truth Trial

Cosimo Research is organizing the first large study to investigate the benefits of mouth taping in a general population. We will be exploring its effects through a decentralized study, gathering data directly through participants' fitness trackers. We'll announce more information soon, but for now, sign up here to register your interest in participating in this groundbreaking research!

References

  1. Meléndez-Hevia, E., Waddell, T.G. & Cascante, M. The puzzle of the Krebs citric acid cycle: Assembling the pieces of chemically feasible reactions, and opportunism in the design of metabolic pathways during evolution. J Mol Evol 43, 293–303 (1996). https://doi.org/10.1007/BF02338838
  2. Sobiesk JL, Munakomi S. Anatomy, Head and Neck, Nasal Cavity. [Updated 2023 Jul 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK544232/
  3. Plotnikow GA, Accoce M, Navarro E, Tiribelli N. Humidification and heating of inhaled gas in patients with artificial airway. A narrative review. Rev Bras Ter Intensiva. 2018 Mar;30(1):86-97. doi: 10.5935/0103-507x.20180015. PMID: 29742220; PMCID: PMC5885236.
  4. Ruth, A. The health benefits of nose breathing. Nursing in General Practice (2015). http://hdl.handle.net/10147/559021.
  5. Hall, R. Energetics of nose and mouth breathing, body size, body composition, and nose volume in young adult males and females. American Journal of Human Biology 17 (2005). https://doi.org/10.1002/ajhb.20122
  6. Lörinczi F, Vanderka M, Lörincziová D, Kushkestani M. Nose vs. mouth breathing- acute effect of different breathing regimens on muscular endurance. BMC Sports Sci Med Rehabil. 2024 Feb 9;16(1):42. doi: 10.1186/s13102-024-00840-6. PMID: 38336799; PMCID: PMC10858538.
  7. Lin L, Zhao T, Qin D, Hua F, He H. The impact of mouth breathing on dentofacial development: A concise review. Front Public Health 2022;10:929165.
  8. Lee YC, Lu CT, Cheng WN, Li HY. The Impact of Mouth-Taping in Mouth-Breathers with Mild Obstructive Sleep Apnea: A Preliminary Study. Healthcare (Basel). 2022 Sep 13;10(9):1755. doi: 10.3390/healthcare10091755. PMID: 36141367; PMCID: PMC9498537.
  9. Labarca G, Sands SA, Cohn V, Demko G, Vena D, Messineo L, Gell L, Hess L, White DP, Wellman A, Azarbarzin A. Mouth Closing to Improve the Efficacy of Mandibular Advancement Devices in Sleep Apnea. Ann Am Thorac Soc. 2022 Jul;19(7):1185-1192. doi: 10.1513/AnnalsATS.202109-1050OC. PMID: 35254967.
  10. Huang T-W, Young T-H. Novel Porous Oral Patches for Patients with Mild Obstructive Sleep Apnea and Mouth Breathing: A Pilot Study. Otolaryngology–Head and Neck Surgery. 2015;152(2):369-373. doi:10.1177/0194599814559383
  11. Sue Cooper, Janet Oborne, Tim Harrison, Anne Tattersfield, Effect of mouth taping at night on asthma control – A randomised single-blind crossover study, Respiratory Medicine, Volume 103, Issue 6, 2009, https://doi.org/10.1016/j.rmed.2009.02.003.
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