Safety Guidelines for Oxygen Advantage: Cautions for Breathwork Training

Safety Guidelines for Oxygen Advantage
The Oxygen Advantage method is a breathing technique designed to improve health, mental focus, and athletic performance. It is built on three connected pillars: Body, Mind, and Sport.  

Each pillar offers different breathing tools tailored for specific benefits. While many of these exercises are safe and gentle, some advanced techniques require caution and clear contraindications to avoid health risks. 

The Three Pillars of Oxygen Advantage 

1. Body: Functional Breathing (Safe and Gentle)

The Body pillar focuses on functional breathing practices. These include:
  • Quiet nasal breathing  
  • Proper diaphragm use  
  • Light, gentle breathing volume  
  • Slower respiratory rate
These techniques improve everyday breathing patterns and help balance the nervous system. They also support better sleep and overall health.  

Functional breathing is natural, gentle, and generally safe for most people, except for certain groups, such as women in the first trimester of pregnancy or individuals with specific medical conditions.

2. Mind: Focus, Attention, and Emotional Stability

The Mind pillar uses breath-led exercises to train attention and calm the mind. These techniques help:
  • Improve concentration  
  • Reduce unproductive thinking  
  • Quiet mental agitation  
  • Access flow states
These exercises are restorative and support emotional stability, helping individuals manage stress and anxiety more effectively. 
Check out the impressive range of comprehensive online breathing courses available on Oxygen Advantage for you.

3. Sport: Powerful Performance Adaptations

The Sport pillar comprises advanced breathing exercises intended for athletes and highly conditioned individuals.

These exercises include dynamic breath holds during movement, which intentionally reduce blood oxygen saturation to approximately 85 percent, thereby inducing controlled hypoxia. Additionally, these practices elevate carbon dioxide levels, resulting in hypercapnia.

These techniques simulate altitude training and trigger strong physiological and psychological adaptations, such as:
  • Delayed lactic acid buildup and fatigue  
  • Improved repeated sprint ability  
  • Enhanced anaerobic performance  
  • Greater mental resilience  
  • Increased tolerance to air hunger
Because these exercises place significant stress on the body, they are not suitable for everyone. Clear contraindications must be observed, similar to high-intensity physical training. 
Safety Guidelines for Oxygen Advantage

Contraindications and Cautions for Oxygen Advantage Training

1. Pregnancy

Contraindicated during the first trimester:

  • Avoid breath-holding  
  • Avoid strong reductions in breathing volume  
  • Avoid any exercise that causes air hunger, including breathe light exercises during rest and physical activity
Gentle nasal breathing, relaxation, and soft breathing are safe and beneficial during this period.

Allowed with caution in the second and third trimesters:

  • Gentle relaxation  
  • Nasal breathing only  
  • Very soft and slow breathing  
  • No breath holding or controlled hyperventilation  
  • Avoid exercises causing moderate or strong air hunger.

2. Children and Adolescents

Breath holds should not be practiced by children with:
  • Pulmonary hypertension  
  • Diabetes  
  • Epilepsy  
  • Serious or unstable medical conditions  
  • Severe asthma
Breath holds may be beneficial only when the child has good breathing control and the practice remains very light and comfortable. 

3. Adults: Conditions Where Breath Holds and Hyperventilation Are Not Recommended

Adults with the following conditions should avoid breath holds beyond mild air hunger and controlled hyperventilation:
  • Serious medical conditions (general precaution)  
  • Age over 60 unless cleared and supervised  
  • Cardiovascular issues, including high or low blood pressure, arrhythmias, and history of heart disease  
  • Obstructive sleep apnea  
  • Anxiety or panic disorders (breath holds may trigger symptoms)  
  • Chronic fatigue syndrome and Long COVID  
  • Dysautonomia or autonomic nervous system dysregulation  
  • Active cancer or undergoing cancer treatment  
  • BOLT score below 12 seconds (indicating unstable breathing)  
  • Diabetes (especially with strong breath holds)  
  • Pulmonary hypertension  
  • Recent surgery, hospitalization, or medical instability  
  • Severe migraines or vestibular disorders (hyperventilation can worsen symptoms).

4. Water-Related Safety

Oxygen Advantage breath holds, reduced breathing, and hyperventilation exercises must be practiced only on dry land. They are never performed in or under water due to the risk of shallow water blackout.

Swimming-specific Oxygen Advantage programs are land-based and designed to improve performance in the pool safely without practicing breath holds while swimming. 

5. Situations Where Strong Air Hunger or Breath-Hold Training Is Not Suitable

Avoid strong air hunger or extended breath holds in individuals with:
  • A history of fainting or syncope  
  • Concussion or traumatic brain injury  
  • Severe postural orthostatic tachycardia syndrome (POTS)  
  • Uncontrolled asthma  
  • Severe chronic obstructive pulmonary disease (COPD) or unstable respiratory disease  
  • Active respiratory infections such as flu, cold, or chest infections  
  • Eating disorders (due to dysregulated carbon dioxide sensitivity and anxiety physiology)  
  • Stroke history or cerebrovascular disease  
  • Sickle cell disease (hypoxia or breath holds may provoke crises)
These precautions are based on established breathwork safety guidelines from clinical and sports settings.

Key Safety Principles for Oxygen Advantage Training

  • Breathwork should never cause distress or severe discomfort.  
  • Air hunger should remain mild, especially for those with medical, respiratory, cardiac, or psychological vulnerabilities.  
  • Stop immediately if symptoms worsen during practice.  
  • When in doubt, practice only the “light, slow, quiet” version of breathing exercises.

Conclusion

The Oxygen Advantage method offers powerful tools to improve physical and mental performance through breathing. The Body and Mind pillars provide safe and gentle techniques suitable for most people. The Sport pillar includes advanced exercises that require caution and clear contraindications.

Understanding who should avoid or modify these exercises is essential to practice safely. Pregnant women, children with medical conditions, adults with cardiovascular or respiratory issues, and individuals with certain neurological or psychological disorders should follow the guidelines strictly. 

Adherence to these safety guidelines enables practitioners to experience enhanced focus, resilience, and athletic performance while minimizing health risks.

For those interested in exploring Oxygen Advantage, consulting with certified OA instructors and healthcare professionals is recommended before starting advanced breath hold or hyperventilation exercises. 

For further information on safe practice or to assess suitability for Oxygen Advantage training, visit oxygenadvantage.com.