
A person's respiratory rate, or the number of breaths they take per minute, is a vital sign that can offer a window into their overall health. When we sleep, our breathing naturally changes as our body's metabolic rate slows, and less oxygen is needed. The normal respiratory rate during sleep depends on age, with children breathing faster than adults. A typical nighttime respiratory rate for healthy adults is between 12 and 20 breaths per minute, but rates below 12 or above 20 can indicate a disruption in breathing processes.
| Characteristics | Values |
|---|---|
| Number of breaths per minute | 12-20 breaths |
| Other names | Respiratory rate, breathing rate, brpm |
| Measurement | Counting the number of breaths for an entire minute |
| Average calculation | Counting breaths for 30 seconds and multiplying by 2 |
| Factors affecting rate | Age, BMI, sex, overall health, alcohol consumption, sleep apnea, infections, heart conditions, anxiety, fever, heart disease, dehydration, lung disease, substance use disorder, stress, smoking, medication |
| Low rate called | Bradypnea |
| High rate called | Tachypnea |
| Low rate symptoms | Fatigue, weakness, dizziness, shortness of breath, confusion, chest pains |
| High rate symptoms | Sharp chest pain when inhaling, shortness of breath, dizziness, confusion, pressure in the chest |
| Medical advice | Contact a healthcare provider if concerned about breathing rate |
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What You'll Learn
- The normal respiratory rate for healthy adults is between 12 and 20 breaths per minute
- Factors like age, BMI, sex, and overall health affect the number of breaths per minute
- Sleep naturally slows respiration as the body shifts into rest and recovery
- Tachypnea is rapid breathing above 20 breaths per minute, while bradypnea is less than 12 breaths per minute
- Alcohol consumption, sleep apnea, infections, and heart conditions can affect respiratory rate

The normal respiratory rate for healthy adults is between 12 and 20 breaths per minute
Respiratory rates vary depending on age, with children breathing faster than adults. As children grow older, their average respiratory rate at rest decreases, until they reach adulthood. An infant's respiratory rate can vary dramatically during a periodic breathing episode, which is considered normal.
Several factors can influence an adult's respiratory rate, including age, weight, exercise, illness, and sleep. During sleep, the body's metabolic rate slows down, and less oxygen is needed, resulting in a slower and more regular breathing pattern during non-REM sleep. However, during REM sleep, breathing can become more variable due to increased brain activity and dreaming.
Breathing rates that deviate from the normal range of 12 to 20 breaths per minute could indicate an underlying health issue. A respiratory rate below 12 breaths per minute is known as bradypnea and may be caused by conditions such as sleep apnea, head injuries, or drug overdoses. On the other hand, a respiratory rate above 20 breaths per minute is referred to as tachypnea and can be associated with anxiety, fever, respiratory diseases, or heart diseases.
It is important to monitor your respiratory rate and consult a healthcare professional if you notice any abnormalities. Tracking your respiratory rate trends over time can help detect any unusual changes, as individual rates may vary slightly.
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Factors like age, BMI, sex, and overall health affect the number of breaths per minute
The average healthy adult has a respiration rate of 12 to 20 breaths per minute. However, this number can vary depending on several factors, including age, BMI, sex, and overall health.
Age plays a significant role in respiratory rate. As people age, their bones become thinner and change shape, which can affect the structure of the rib cage. The diaphragm, a muscle crucial for breathing, weakens with age. Additionally, the airways may not stay completely open due to changes in the surrounding muscles and tissues. Age-related changes in lung tissue can trap air in the lungs, leading to insufficient oxygen intake and carbon dioxide removal. Furthermore, the part of the brain that regulates breathing may lose some function, impairing automatic breathing functions.
BMI (Body Mass Index) is another factor influencing respiration rate. Obesity can lead to the presence of adipose tissue around the rib cage, abdomen, and visceral cavity, increasing respiratory resistance and reducing functional residual capacity (FRC). This reduction in FRC can have consequences for lung function, increasing the risk of expiratory flow limitations and airway closure.
Sex hormones also play a role in respiratory differences between males and females. The locus coeruleus, a sexually dimorphic nucleus, affects CO2-drive to breathe differently in each sex, altering respiratory frequency in females and tidal volume in males. Sex hormones influence neuromodulatory systems that impact respiratory control, potentially contributing to sex-dependent respiratory responses.
Overall health and medical conditions can significantly impact respiration rate. For example, people with lung diseases such as emphysema, asthma, or chronic bronchitis may experience atypical respiratory rates. Sleep apnea, a condition characterised by brief pauses in breathing during sleep, can affect respiratory rate. It is often caused by the relaxation of soft tissues in the throat and can lead to decreased overall respiratory rate. Additionally, head injuries affecting the brain area responsible for breathing can cause a reduced respiration rate.
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Sleep naturally slows respiration as the body shifts into rest and recovery
Sleep is a vital process that allows the body to rest and recover. During sleep, various physiological changes occur, including a decrease in respiratory rate. Typically, a healthy adult's respiratory rate ranges from 12 to 20 breaths per minute, but this can vary depending on age, with children having higher respiratory rates that decrease as they grow older.
Sleep naturally slows respiration as the body transitions into a state of rest. This reduction in breathing rate is more pronounced during non-REM sleep, particularly deep sleep, when metabolic demands decrease, resulting in slower and more regular breathing patterns. Conversely, during REM sleep, breathing may become more variable, sometimes faster or irregular, due to heightened brain activity associated with dreaming.
The respiratory rate during sleep is an essential indicator of overall health. Deviations from the typical range of 12 to 20 breaths per minute can signify underlying health issues. For instance, a rate below 12 breaths per minute, known as bradypnea, may be indicative of conditions such as sleep apnea, head injuries, or drug overdose. On the other hand, a rate exceeding 20 breaths per minute, termed tachypnea, could be a symptom of anxiety, fever, respiratory diseases, or heart problems.
It is important to note that the respiratory rate is influenced by multiple factors, including age, BMI, sex, and overall health. Additionally, certain medications, such as corticosteroids and bronchodilators, can increase the breathing rate during sleep. Tracking respiratory rate trends over time can help identify any abnormalities and ensure early detection of potential health concerns.
To maintain respiratory health, it is advisable to manage underlying conditions, such as asthma or sleep apnea, with medical guidance. Creating a healthy sleep environment, free from allergens, and practising stress-reducing techniques like deep breathing or meditation can also support respiratory well-being. If you have concerns about your breathing or sleep patterns, consulting a healthcare professional is recommended.
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Tachypnea is rapid breathing above 20 breaths per minute, while bradypnea is less than 12 breaths per minute
The average respiratory rate for a healthy adult between the ages of 18 and 65 is 12 to 20 breaths per minute. This rate can vary depending on factors such as age, exercise, and illness. Children have a higher resting ventilatory rate than adults, and this rate gradually decreases until around age 18. Additionally, sleep naturally slows down respiration as the body enters a state of rest and recovery. During non-REM sleep, breathing becomes slower and more regular, while in REM sleep, it can become more variable, sometimes faster or irregular, due to increased brain activity.
Tachypnea refers to a respiratory rate greater than the normal range, typically defined as any rate above 20 breaths per minute for adults. It is characterised by abnormally rapid and shallow breathing and can be a symptom of either a physiologic state or an underlying pathology. Physiological causes of tachypnea include exercise and anxiety, while pathological causes can include sepsis, pneumonia, asthma, pulmonary embolism, and many other medical issues. Tachypnea can be indicative of a health condition and may require medical attention.
On the other hand, bradypnea is the term for abnormally slow breathing, classified as a respiratory rate of fewer than 12 breaths per minute. Bradypnea is often a symptom of an underlying physical problem or health condition, such as cardiac issues, medication or drug use, or hormonal imbalances. Alcohol consumption, opioid usage, and exposure to certain toxins or chemicals can also lead to bradypnea. Bradypnea can result in low oxygen levels in the body, and severe cases may require emergency medical intervention, such as supplemental oxygen and other life support measures.
It is important to note that both tachypnea and bradypnea can vary with age, and their presence may indicate different health concerns depending on individual circumstances. If you notice abnormal breathing patterns, either during sleep or while awake, it is advisable to consult a healthcare professional for personalised advice and guidance.
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Alcohol consumption, sleep apnea, infections, and heart conditions can affect respiratory rate
During sleep, a person's respiration rate naturally slows down as their body transitions into a state of rest and recovery. Typically, healthy adults between the ages of 18 and 65 have a respiratory rate of 12 to 20 breaths per minute while sleeping. However, certain factors, such as alcohol consumption, sleep apnea, infections, and heart conditions, can influence and affect this rate.
Alcohol consumption has been found to significantly increase the apnea-hypopnea index (AHI) and decrease mean oxyhemoglobin saturation (SpO2) during sleep. This means that alcohol can lead to more breathing interruptions and a reduction in oxygen levels in the blood. The impact of alcohol on breathing during sleep is particularly notable in individuals with obstructive sleep apnea (OSA), where the airway becomes partially or completely blocked during sleep. Alcohol acts as a central nervous system depressant, suppressing breathing and increasing the risk of apnea episodes.
Sleep apnea is a condition that directly affects respiratory rate during sleep. It is characterised by repeated pauses in breathing, which can last for brief periods or extend to longer durations. Obstructive sleep apnea occurs when the airway becomes blocked, while central sleep apnea involves the brain failing to signal the muscles to breathe. Sleep apnea can lead to a low respiratory rate, resulting in symptoms like excessive daytime sleepiness, loud snoring, morning headaches, and decreased concentration.
Infections, particularly respiratory infections, can also impact respiratory rate during sleep. They have been associated with increased sleep disturbances, restless sleep, and reduced sleep quality. The body's immune response to infections may lead to longer sleep durations and more awakenings during the night. Additionally, infections can cause difficulties in falling asleep and affect overall sleep patterns.
Heart conditions can influence respiratory rate, especially during sleep. During deep sleep, an individual's heart rate slows down to 20-30% below their resting heart rate. However, during REM sleep, when dreaming occurs, the heart rate can vary significantly depending on the dream content. Intense dreams or dreams involving physical activity can cause an increase in heart rate similar to that during wakefulness. Therefore, heart conditions that affect heart rate variability can impact the respiratory rate during sleep.
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Frequently asked questions
The normal breathing rate while sleeping varies depending on age. Generally, the rate is between 12 and 20 breaths per minute for healthy adults. Children tend to breathe faster, and their average respiratory rate decreases with age.
Many factors can affect a person's breathing rate while sleeping, including age, BMI, sex, overall health, sleep stage, and individual differences. Additionally, certain medications, alcohol consumption, sleep apnea, infections, and heart conditions can also influence breathing rates during sleep.
You can measure your breathing rate by counting the number of breaths you take in one minute. This can be done by watching the rise and fall of your chest or using wearable devices, chest straps, fingertip pulse oximeters, or in-home sleep study devices.
A breathing rate of less than 12 breaths per minute is considered low and is called bradypnea. It can be caused by sleep apnea, alcohol consumption, stress, anxiety, or certain health conditions. A breathing rate above 20 breaths per minute is considered high and is called tachypnea. It can be due to anxiety, fever, respiratory diseases, heart diseases, or dehydration.
If you notice that your breathing rate is consistently lower or higher than the normal range, it is advisable to consult a healthcare professional. Breathing rates that deviate from the average can indicate underlying health conditions or disruptions in breathing processes. Severe respiratory symptoms, such as chest pain, bluish skin, gurgling sounds during breathing, or very few breaths per minute, require immediate medical attention.











































