Study shows breathing problems common and worsened by smoking and lung disease.
Dysfunctional breathing is a pattern of breathing that does not work well and can cause many bothersome symptoms. It is often missed in everyday care because it can look like other health problems, and many people do not know it can happen outside of long-term lung disease. A recent study from a team at Osaka Metropolitan University looked at how common this pattern is in the general population and what factors seem to raise the chance of it. The study also looked at how tobacco use connects to this issue, since smoking is known to affect the lungs in many ways.
The research group used an online survey to reach more than twenty-nine thousand adults across Japan. The survey included the Nijmegen Questionnaire, which is a tool often used in clinics to spot signs of this breathing pattern. The results showed that a little more than one in every ten people had signs that fit with dysfunctional breathing. This finding shows that the problem is not rare and can be found in regular community settings, not only in hospitals or clinics that treat long-term lung disease.
The survey results also showed strong links between this breathing pattern and several lung-related conditions. People who had asthma, chronic lung disease, or past episodes of bronchitis or pneumonia were more likely to show signs of dysfunctional breathing. These links make sense because these conditions can change how the body handles air flow and symptoms like tightness in the chest. The study also found links with conditions that are not directly tied to the lungs, such as epilepsy or past strokes. These findings show that the pattern may develop in a wide range of health settings, not only with lung issues.

The research team also looked closely at tobacco use. People who currently smoked had higher rates of dysfunctional breathing than those who had quit or never smoked. Smoking can irritate the airways and make existing breathing symptoms worse. When smoking is combined with lung-related health problems, the chance of having this breathing pattern seems to rise even more. This suggests that smoking does not only affect long-term lung health but can also change day-to-day breathing in a way that causes repeated discomfort.
The study shows the value of paying close attention to breathing symptoms in people from all backgrounds. When this breathing pattern goes unnoticed, it can lead to extra tests, extra worry, and delays in proper care. When it is spotted early, simple steps such as breathing retraining or support from trained providers can help reduce symptoms and improve comfort. Since tobacco use raised the chance of this pattern, stopping smoking may help reduce long-term strain on the lungs and may help limit the chance of this breathing pattern returning.
Overall, the study helps show how common this breathing issue is and how it connects with both lung-related and non-lung-related conditions. It also shows how smoking adds to the problem. Better awareness in everyday care may help many people feel better and avoid extra medical stress.
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Dysfunctional breathing is common and influenced by tobacco use and respiratory conditions


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