Key result
Breath-holding during squats increases SBP up to ~23% and elevates HR versus controlled breathing.
Why the study?
The hemodynamic and ventilatory effects of breath-holding during low-to-moderate intensity strength training in women remain unclear.
Does breath-holding alter acute cardiopulmonary responses compared to controlled breathing during squats in healthy young females?
RCT (n=17)
Crossover
Does breath-holding alter acute cardiopulmonary responses compared to controlled breathing during squats in healthy young females?
p-value: p=<0.01
Breath-holding during low-to-moderate intensity squats in healthy young women induces moderate but safe transient cardiovascular strain and ventilation reductions compared to controlled breathing.
Safe during squats in healthy young women; extends RCT evidence on acute responses but leaves open relevance for CV patients.
Breath‐holding (BH), including variations of the Valsalva maneuver, is used during resistance exercise to stabilize the trunk and increase intra‐abdominal pressure. However, its hemodynamic and ventilatory effects during low‐to‐moderate intensity strength training in women remain unclear. In a randomized crossover design, 17 healthy, young females performed squats at three intensities (bodyweight, 25%, and 50% of 10‐repetition maximum) under two breathing conditions: BH or controlled breathing (CB) during the concentric phase. Cardiopulmonary responses were assessed using impedance cardiography, spirometry, and auscultatory arterial blood pressure measurement. Across intensities, BH elicited significantly higher heart rate (+2%–5%; p < 0.01), cardiac output (+3%–8%; p = 0.02), systolic blood pressure (+16%–23%; p < 0.01), rate‐pressure product (+20%–30%; p < 0.01), and rating of perceived exertion (+14%–19%; p < 0.01) than CB. Oxygen uptake (−11%–15%; p < 0.01) and minute ventilation (−16%–17%; p < 0.01) were significantly reduced during BH, followed by a post‐exercise overshoot. Stroke volume and blood lactate did not differ significantly. Even at low‐to‐moderate intensities, BH during resistance exercise induces moderate cardiovascular strain and transient ventilation reductions. In healthy, young women, these responses remained within a non‐critical range, suggesting that short, controlled BH may represent a viable and safe strategy during strength training.
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Hummelmann et al. (2026) conducted an RCT in Healthy (n=17). Breath-holding during the concentric phase of squats vs. Controlled breathing was evaluated on Cardiopulmonary responses including heart rate, cardiac output, and systolic blood pressure (p=<0.01). Breath-holding during squats in healthy young women elicited significantly higher systolic blood pressure (+16%-23%; p<0.01) and heart rate (+2%-5%; p<0.01) compared to controlled breathing.
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