How Many Calories Do You Burn When You Cough?

A cough is a powerful, protective reflex designed to rapidly clear the large airways of irritants, mucus, and foreign particles. This involuntary action requires a sudden, coordinated effort from various muscle groups, leading many to wonder about the energy cost of such a forceful event. This analysis provides a factual breakdown of the minimal caloric expenditure involved and the specific physiological processes that drive it.

The Specific Calorie Count

The caloric burn from a single cough is extremely small, often measured in fractions of a calorie. Estimates suggest that one cough engages enough muscle activity to burn approximately 1/2 to 3 calories. Because this action is brief, the total impact on daily energy expenditure is negligible. While a single cough is metabolically insignificant, a severe and sustained coughing fit can increase the body’s energy use above its resting rate. Studies show that vigorous coughing regimens can increase resting energy expenditure by over 60% for the duration of the activity, though this only translates to a few calories per minute during the fit itself.

The Mechanics of Forced Expiration

The minimal energy consumed during a cough results from the complex, three-phase muscular sequence known as forced expiration. This process begins with a deep, rapid inhalation to draw a significant volume of air into the lungs, using the diaphragm and external intercostal muscles.

The second phase is compression, where pressure for the explosive expulsion is generated. The vocal cords (glottis) snap shut, trapping the inhaled air. Simultaneously, expiratory muscles, including the abdominal muscles and internal intercostals, contract forcefully, building immense pressure within the thoracic cavity.

The final phase, expulsion, occurs when the vocal cords suddenly relax and the glottis opens. This releases the highly compressed air at speeds that can exceed 100 miles per hour. The energy required to power these rapid, forceful contractions accounts for the small number of calories burned.

Energy Expenditure Compared to Other Minor Actions

Placing the caloric cost of coughing into context demonstrates its practical insignificance toward overall metabolism. Compared to other involuntary actions, a single cough’s energy expenditure is comparable to or slightly less than that of a vigorous sneeze. A sneeze often recruits a more powerful contraction of the facial and respiratory muscles.

Activities like continuous laughing or light, non-locomotive actions such as fidgeting also consume energy, but the total impact remains minimal. For instance, a person engaged in light office work or typing might burn approximately 17 to 20 calories per hour.

The short duration and localized muscle engagement of a cough mean it adds little to the Total Daily Energy Expenditure (TDEE). If a person is ill and experiencing a high frequency of coughing, the overall metabolic increase is primarily due to the body’s immune response and fever, not the coughing action itself.