The Diary of a CEOThe Breathing Expert: Mouth Breathing Linked To ADHD, Diabetes & Child Sickness!
At a glance
WHAT IT’S REALLY ABOUT
How Modern Breathing Habits Quietly Destroy Health, Sleep, And Minds
- James Nestor explains that most modern humans breathe dysfunctionally, and that this under‑appreciated habit underpins a huge range of illnesses from diabetes and asthma to anxiety, ADHD and chronic fatigue.
- He describes how industrialized food, poor posture, mouth breathing, indoor air quality, and chronic stress have deformed our faces, shrunk our airways, and broken the ‘automatic’ breathing patterns evolution prepared us for.
- Through his own experiments, clinical research, and practical demonstrations, he shows how simple, free changes—especially nasal, slower, diaphragm-led breathing and better sleep breathing—can radically improve health, cognition, and emotional stability.
- Nestor argues that breathing should be treated as a core pillar of health, on par with diet, exercise and sleep, and that parents, doctors and educators are missing a huge lever by ignoring how children and adults actually breathe.
IDEAS WORTH REMEMBERING
5 ideasPrioritize nasal breathing—especially during sleep and exercise.
Breathing through the nose filters, warms and humidifies air, recaptures moisture, and boosts nitric oxide production up to sixfold, improving circulation and immune defense. Nestor’s Stanford experiment forcing 10 days of mouth breathing rapidly created snoring, sleep apnea, exhaustion and inflammation. Practical steps include consciously closing the mouth during the day, training to nasal-breathe while exercising (even if intensity must drop initially), and using gentle aids at night (e.g., Myotape, chin straps) to keep the mouth shut while maintaining safety.
Treat noisy or mouth breathing in children as a medical red flag, not a quirk.
If a child habitually breathes through an open mouth, snores, or if you can audibly hear them breathing at night, Nestor argues this is ‘cause for alarm’. Research on over 11,000 children found those with sleep-disordered breathing were 50–90% more likely to develop ADHD-like symptoms, hyperactivity, aggression, depression and anxiety. Many researchers he cites claim most so‑called ADHD in kids is sleep-disordered breathing. Parents should film their child sleeping, note mouth posture and sounds, and push pediatricians, ENTs and dentists to assess airway size, nasal obstruction, and breathing habits—not just prescribe stimulants or remove tonsils.
Rebuild functional breathing mechanics via posture and diaphragm training.
Most people use only ~5–10% of their diaphragm because they sit slumped and breathe shallowly into the upper chest. This forces the heart to work harder, limits gas exchange, and keeps the nervous system in a low-level stress state. Nestor demonstrates simple drills: sitting or standing tall with a relaxed but straight spine, placing hands above the hip bones and feeling them move laterally on inhale, then placing fingers on the upper chest to feel subtle expansion without lifting the shoulders. Practiced daily (and incorporated into workouts), this retrains the diaphragm, improves lung inflation, and supports better posture automatically.
Use simple breathing ratios to regulate stress and nervous system state.
Acute stress (email ‘apnea’, airport queues, arguments) pushes people into sympathetic over-breathing or breath-holding. Nestor suggests two main tools: (1) the ‘physiological sigh’—two quick inhales followed by a long, relaxed exhale—to rapidly reset breathing and calm a spike of stress, and (2) slow nasal breathing with a slightly longer exhale (e.g., 4 seconds in, 6 seconds out or about 5–6 seconds in and out) to strengthen parasympathetic tone, lower heart rate, and often reduce blood pressure by 10–15 points in minutes. The exhale lengthens heart-rate deceleration, signaling safety to the nervous system.
Monitor and build CO₂ tolerance instead of chronically over-breathing.
Chronic anxiety, panic, and ‘office stress breathing’ are strongly associated with low CO₂ levels from constant shallow, rapid breathing and frequent breath-holds. Nestor recommends a daily BOLT/control pause test: take a normal breath in, exhale to a neutral end, then hold until you first feel clear discomfort (swallow, diaphragm twitch, urge to breathe), and time it. Most people start around 15 seconds; athletes ~20; those with severe asthma/panic as low as 3–5 seconds. A functional target is ~40 seconds with a calm, unforced first inhale afterwards. Repeating this test and practicing slower nasal breathing and breath holds gradually increases CO₂ tolerance and resilience to stress.
WORDS WORTH SAVING
5 quotesYou can eat all the right foods, sleep eight hours a night, exercise all you want—if you are not breathing right, you will always be sick.
— James Nestor
What has changed is this modern environment is conspiring to make us sick.
— James Nestor
Some researchers said, ‘There is no such thing as ADHD. What that is, is sleep-disordered breathing.’
— James Nestor
The greatest indicator of lifespan was lung size and lung health.
— James Nestor
Look at a healthy infant sleeping. You can’t tell they’re breathing. That’s what healthy breathing is—it should not be perceptible.
— James Nestor
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