Many people new to the Buteyko Method come across the terms breath hold and Control Pause and assume they mean the same thing. Both involve holding your breath, so the confusion is understandable.
The truth is, they serve very different purposes. A breath hold is an exercise, while the Control Pause is a simple breathing assessment that measures your breathing efficiency and carbon dioxide tolerance. Using one instead of the other can lead to misunderstanding your breathing progress.
In this article, you'll learn the difference between a breath hold and a Control Pause, how each is performed, and why understanding the difference is essential for getting the most from your Buteyko breathing practice.
What Is a Breath Hold?

A breath hold is when you deliberately stop breathing for a short period. It is commonly used in sports, freediving, and breathing exercises to train the body to tolerate higher levels of carbon dioxide (CO2) and improve breathing control.
In the Buteyko Method, breath holds are training exercises rather than assessments. They gently challenge the respiratory system and help the body become more comfortable with the natural urge to breathe. Over time, this promotes calmer, more efficient breathing.
A breath hold is not designed to measure how well you breathe. How long you hold your breath depends on factors like mental determination, lung volume, and prior experience. Two people with similar breathing habits may have very different breath hold times.
Common uses of a breath hold include:
- Improving CO2 tolerance.
- Supporting sports performance.
- Encouraging slower, lighter breathing.
- Helping retrain dysfunctional breathing.
The key takeaway is that a breath hold trains the body. It is not a breathing assessment.
What Is a Control Pause?

The Control Pause is a simple way to measure your everyday breathing. Unlike a breath hold, it is not about how long you can go without breathing.
Instead, it measures how long you can comfortably pause your breathing after a normal exhalation before you feel the first natural urge to breathe.
The Buteyko Control Pause is one of the most important tools used in the Buteyko Method. It reflects your breathing efficiency and your tolerance to carbon dioxide.
People who habitually overbreathe often have a shorter Control Pause because their bodies become more sensitive to rising CO2 levels.
A Control Pause always begins after a normal, relaxed breath out. The test ends at the first definite desire to breathe, not when you can no longer hold your breath. You should be able to resume calm nasal breathing immediately after the test.
A Control Pause helps assess:
- Breathing efficiency.
- CO2 tolerance.
- Every day breathing habits.
- Progress during Buteyko breathing practice.
Because it follows the same method every time, the Control Pause Buteyko assessment provides a reliable way to track changes in your breathing over time.
Breath Hold vs. Control Pause: What's the Difference?
Although they both involve holding your breath, a breath hold and a Control Pause are not the same. Understanding the difference between breath hold and Control Pause helps you use each technique correctly.
A breath hold is a training exercise designed to challenge your breathing and encourage adaptation. A Control Pause is a breathing assessment measuring how your body naturally responds to a brief pause without pushing into discomfort.
Another important difference is when each ends. During a breath-hold exercise, you continue beyond the first urge to breathe. During a Control Pause, you stop as soon as you notice the first involuntary desire for air.
|
Feature
|
Breath Hold
|
Control Pause
|
| Purpose | Training exercise | Breathing assessment |
| Goal | Build adaptation and improve CO₂ tolerance | Measure breathing efficiency and CO₂ tolerance |
| Starting Point | After inhaling or exhaling, depending on the exercise | After a normal, relaxed exhalation |
| Stopping Point | Continue beyond the first urge to breathe | Stop at the first natural urge to breathe |
| Measures | Breath-holding ability and training adaptation | Everyday breathing efficiency and CO₂ tolerance |
Trying to achieve a longer Control Pause by pushing through discomfort defeats the assessment's purpose. The goal is to measure your natural breathing response, not your willpower.
Why the Control Pause Measures CO2 Tolerance Better
Many people believe oxygen controls breathing, but carbon dioxide is actually the main driver of your breathing reflex. As CO2 builds up in your blood, your brain signals that it is time to breathe.
The point at which you first notice this urge is a useful indicator of your CO2 tolerance. This is why the Control Pause is used as a practical CO2 tolerance test.
A maximum breath hold is less reliable because many factors affect the result, including motivation, experience, and mental toughness. Someone determined to tolerate discomfort may hold their breath much longer than someone with similar breathing habits.
The Control Pause breathing test removes much of this variation by following a standard method:
- Begin after a normal breath out.
- Stay relaxed throughout the test.
- Stop at the first natural urge to breathe.
- Resume calm nasal breathing immediately.
Because every Control Pause test follows the same procedure, it provides a more consistent measure of breathing efficiency than a maximum breath hold.
How to Measure Your Control Pause
Learning to measure your Control Pause correctly is essential for accuracy. The test should be done when relaxed, ideally first thing in the morning before eating or exercising.
Follow these simple steps:
- Sit comfortably and breathe quietly through your nose for about one minute.
- Take a normal breath in and a normal breath out.
- Pinch your nose and start your timer.
- Hold your breath until you feel the first clear desire to breathe or the first involuntary movement of your breathing muscles.
- Release your nose and resume calm nasal breathing.
Your breathing should return to normal immediately after the test. If you gasp, breathe heavily, or need time to recover, you held your breath too long and your Control Pause test will not be accurate.
Avoid these common mistakes:
- Taking a deep breath before starting.
- Emptying your lungs completely.
- Holding beyond the first urge to breathe.
- Gasping after releasing your nose.
Performing the Buteyko Control Pause test the same way each time makes it much easier to track your progress.
What Is a Good Control Pause Score?
Your Control Pause score gives you an idea of how efficiently you breathe. In general, a higher score reflects better breathing efficiency and greater tolerance to carbon dioxide.
As a general guide:
- Less than 15 seconds: Often associated with overbreathing and lower CO2 tolerance.
- 15 to 20 seconds: Breathing is improving, but there is still room for progress.
- 20 to 40 seconds: Generally reflects functional breathing and good breathing efficiency.
- Above 40 seconds: Often indicates excellent CO2 tolerance and efficient breathing.
These ranges are only a guide. Your Control Pause score should always be considered alongside your symptoms, breathing habits, and overall health.
Rather than focusing on one measurement, repeat the Control Pause test regularly under the same conditions to monitor changes over time.
Can You Improve Your Control Pause?

Yes. Most people can improve their Control Pause by improving the way they breathe every day.
The goal is not to force yourself to hold your breath longer. Instead, you gradually teach your body to be comfortable with healthy carbon dioxide levels by reducing unnecessary breathing.
The Buteyko Method focuses on simple habits such as:
- Breathing through your nose.
- Breathing lightly and quietly.
- Slowing your breathing.
- Practicing regular Buteyko breathing exercises.
As these habits become natural, your breathing efficiency improves and your CO2 tolerance often increases. As a result, your Buteyko Control Pause may gradually lengthen without forcing it.
Improving your breathing takes time, so be patient. Rather than chasing a higher Control Pause score, focus on practicing healthy breathing daily. Consistency leads to lasting improvements in your breathing and overall respiratory health.
Learn the Buteyko Method from Trusted Experts
Understanding the difference between a breath hold and a Control Pause is the first step to improving your breathing. Learning to use both correctly helps build healthier habits, improve your CO₂ tolerance, and get more from your Buteyko practice.
If you're ready to improve your breathing, explore Patrick McKeown's online breathing courses or find a certified Buteyko instructor near you for expert guidance and personalized support.
Anyone passionate about functional breathing can take the next step with the Buteyko Clinic International Breathing Instructor Certification. Our internationally recognized program provides the knowledge and practical skills to confidently teach the Buteyko Method and help others improve their breathing.