BOLT Test (Body Oxygen Level Test) Research

1 peer-reviewed study supporting this intervention. Evidence rating: B

1 Studies
0 RCTs
0 Meta-analyses
2020 Year Range

Study Comparison

Study Year Type Journal Key Finding
Courtney R et al. 2020 Study Biofeedback CO2 tolerance is trainable and improvements correlate with reduced dysfunctional breathing symptoms and better stress resilience.

Study Details

Courtney R

Biofeedback

Key Finding: CO2 tolerance is trainable and improvements correlate with reduced dysfunctional breathing symptoms and better stress resilience.
View Summary

This review examined the concept of CO2 tolerance and its implications for breathing training and health.

Key concepts:

  • CO2 tolerance = threshold at which breathing urge occurs
  • Lower tolerance = tendency toward hyperventilation
  • Higher tolerance = more efficient breathing patterns
  • Tolerance is modifiable through training

Health correlations:

  • Low CO2 tolerance linked to anxiety, panic
  • Associated with exercise intolerance
  • Connected to sleep-disordered breathing
  • Affects stress response

Training effects:

  • Breath-hold practices increase tolerance
  • Nasal breathing normalizes CO2 levels
  • Reduced breathing volume improves tolerance
  • Benefits seen within weeks

Clinical significance:

Provides theoretical foundation for using BOLT and similar tests to assess and track breathing health, supporting breathwork interventions.

Evidence Assessment

B Moderate Evidence

This intervention has moderate evidence from some randomized trials and consistent observational data, though more research would strengthen conclusions.