The act of breathing, or respiration, involves the rhythmic movement of air into and out of the lungs. Breathing provides the constant atmospheric supply required to power every cell and removes the gaseous waste products generated by those cells. Without this continuous exchange, the body’s energy production processes would immediately falter, leading to systemic failure within minutes.
Cellular Respiration and Energy Production
The ultimate purpose of drawing air into the body is to supply oxygen for cellular respiration, the metabolic process that generates usable energy. Cells convert nutrient molecules, primarily glucose, into Adenosine Triphosphate (ATP), which serves as the universal energy currency. This highly efficient process, known as aerobic metabolism, takes place inside the mitochondria of cells.
During the final stage of aerobic respiration, oxygen functions as the terminal electron acceptor in the electron transport chain. The flow of electrons down this chain releases the energy necessary to synthesize the majority of the cell’s ATP. Without oxygen to accept these electrons, the entire chain halts, stopping energy generation. This dependence means that a steady, uninterrupted supply of oxygen is required.
If the oxygen supply is insufficient, cells are forced to rely on anaerobic metabolism, which does not require oxygen but is less efficient. Anaerobic processes only partially oxidize glucose, yielding a mere two ATP molecules per glucose molecule, compared to the 30 to 38 ATP produced by aerobic respiration. This quick but limited energy pathway leaves much of the chemical energy locked in intermediate byproducts, such as lactic acid.
The Mechanics of Air Movement
The physical movement of air, known as ventilation, relies on changing the volume of the thoracic cavity to create pressure gradients. This mechanism follows Boyle’s Law, which describes the inverse relationship between the volume of a container and the pressure of the gas inside it. Expanding the chest cavity decreases the internal pressure, while contracting it increases the pressure.
Inhalation is an active process initiated by the contraction of the diaphragm, the large, dome-shaped muscle beneath the lungs. When the diaphragm contracts, it flattens and moves downward, increasing the vertical dimension of the chest cavity. Simultaneously, the external intercostal muscles contract, lifting the rib cage up and out. This combined action expands the thoracic volume, causing the pressure inside the lungs to drop below atmospheric pressure, which drives air to rush in.
Normal exhalation is a passive process driven by the elastic recoil of the lungs. The diaphragm and intercostal muscles relax, allowing the rib cage to return to its resting position. This reduction in the volume of the thoracic cavity compresses the air within the lungs. The resultant increase in pressure above the atmospheric level forces the air to flow out of the body.
How Gas Exchange Occurs
Once air reaches the lungs, the transfer of gases between the air and the blood takes place across the specialized surfaces of the alveoli. The lungs contain millions of these microscopic air sacs, which are enveloped by a dense network of pulmonary capillaries. This interface, called the alveolar-capillary membrane, measures only about 2.2 micrometers in thickness.
The movement of oxygen and carbon dioxide across this membrane is governed by diffusion. Gases move spontaneously from an area where their concentration is high to an area where it is low. Oxygen from the inhaled air, which has a higher partial pressure in the alveoli (around 104 mmHg), diffuses rapidly into the lower partial pressure blood (around 40 mmHg) in the capillaries.
At the same time, carbon dioxide is carried by the blood returning from the body’s tissues and has a higher partial pressure in the capillaries. It diffuses out of the blood and into the alveoli, where it is then expelled with the next breath. After entering the blood, oxygen molecules quickly bind to hemoglobin proteins within red blood cells for transport to tissues throughout the body.
The Body’s Breathing Control System
Breathing is regulated almost entirely without conscious thought by a control system located in the brainstem, specifically the medulla oblongata and the pons. These regions establish the rhythm of breathing, ensuring the respiratory rate adjusts constantly to meet the body’s metabolic demands. This involuntary control is maintained through continuous monitoring of the blood’s chemical composition.
The body primarily monitors the level of carbon dioxide, rather than oxygen, to determine the ventilation rate. Specialized chemoreceptors, particularly those located in the brainstem, are highly sensitive to the pH of the surrounding fluid. Carbon dioxide reacts with water in the blood to produce carbonic acid, which quickly dissociates and releases hydrogen ions, thereby lowering the pH.
When physical activity or other factors cause a buildup of carbon dioxide, the resulting drop in pH immediately stimulates the brainstem’s respiratory centers. The response is an increase in the rate and depth of breathing, which acts to expel the excess carbon dioxide. This increased ventilation restores the blood’s pH balance.

