Effects of Wearing Face Masks on Exercise Capacity and Ventilatory Anaerobic Threshold in Healthy Subjects During the COVID-19 Epidemic

被引:3
作者
Lin, Qiang [1 ]
Cai, Yuxing [1 ]
Yu, Changjun [1 ]
Gu, Wei [2 ]
Tan, Yan [2 ]
Wang, Li [2 ]
Chen, Anliang [1 ]
Cheng, Kai [1 ]
Meng, Ting [3 ]
Li, Xueping [1 ]
机构
[1] Nanjing Med Univ, Nanjing Hosp 1, Dept Rehabil Med, Nanjing, Jiangsu, Peoples R China
[2] Nanjing Med Univ, Nanjing Hosp 1, Dept Resp & Crit Care Med, Nanjing, Jiangsu, Peoples R China
[3] Nanjing Univ Tradit Chinese M, Clin Med Coll 1, Nanjing, Jiangsu, Peoples R China
来源
MEDICAL SCIENCE MONITOR | 2022年 / 28卷
关键词
Anaerobic Threshold; COVID-19; Exercise Test;
D O I
10.12659/MSM.936069
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Background: Face masks have become an important part of the COVID-19 prevention approach. This study aimed to explore the effect of wearing masks on exercise ability and ventilatory anaerobic threshold (VAT). Material/Methods: Thirty-four young, healthy volunteers were included in this study, consisting of 18 men and 16 women. The subjects were randomized to perform 2 cardiopulmonary exercise tests (CPET) on a cycle ergometer with gas exchange analysis, one with and another without wearing a face mask (cross-over design). The general data for all subjects and indicators from the 2 exercise tests performed with and without wearing a face mask were collected. Results: In cardiopulmonary exercise tests, wearing a mask significantly (P<0.05) decreased peak indexes (eg, work rate (WR), oxygen consumption per kg body weight (VO2/kg), heart rate (HR), ventilation per minute (VE) and carbon dioxide ventilation equivalent (VENCO2)) and anaerobic threshold indexes (eg, WR, HR, VE, breath frequency (BF), dead space ratio (VD/VT), and VENCO2). However, the PETCO2 at peak was significantly higher. There was a positive linear correlation between WR difference and VO2 difference at VAT (abbreviated as delta WR@ VAT and delta VO2@VAT, respectively) (r=0.495, P=0.003). Subgroup analysis of the VAT indexes showed that WR, VO2/kg, and VE were significantly decreased in the advanced VAT group with mask compared with the stable VAT group with mask (P<0.05). Logistic regression showed that delta VE, delta BF, and delta VE/VCO2 had independent influences on VAT. Conclusions: Wearing masks advances VAT in healthy young subjects during CPET. The advanced VAT was associated with changes in VE, BF, and VE/CO2 while wearing masks.
引用
收藏
页数:8
相关论文
共 17 条
[1]   A NEW METHOD FOR DETECTING ANAEROBIC THRESHOLD BY GAS-EXCHANGE [J].
BEAVER, WL ;
WASSERMAN, K ;
WHIPP, BJ .
JOURNAL OF APPLIED PHYSIOLOGY, 1986, 60 (06) :2020-2027
[2]   "Exercise with facemask; Are we handling a devil's sword?" - A physiological hypothesis [J].
Chandrasekaran, Baskaran ;
Fernandes, Shifra .
MEDICAL HYPOTHESES, 2020, 144
[3]   Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis [J].
Chu, Derek K. ;
Akl, Elie A. ;
Duda, Stephanie ;
Solo, Karla ;
Yaacoub, Sally ;
Schunemann, Holger J. .
LANCET, 2020, 395 (10242) :1973-1987
[4]   Effects of wearing a cloth face mask on performance, physiological and perceptual responses during a graded treadmill running exercise test [J].
Driver, Simon ;
Reynolds, Megan ;
Brown, Katelyn ;
Vingren, Jakob L. ;
Hill, David W. ;
Bennett, Monica ;
Gilliland, Taylor ;
McShan, Evan ;
Callender, Librada ;
Reynolds, Erin ;
Borunda, Nate ;
Mosolf, John ;
Cates, Casey ;
Jones, Alan .
BRITISH JOURNAL OF SPORTS MEDICINE, 2022, 56 (02) :107-113
[5]   Return to training in the COVID-19 era: The physiological effects of face masks during exercise [J].
Epstein, Danny ;
Korytny, Alexander ;
Isenberg, Yoni ;
Marcusohn, Erez ;
Zukermann, Robert ;
Bishop, Boaz ;
Minha, Sa'ar ;
Raz, Aeyal ;
Miller, Asaf .
SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS, 2021, 31 (01) :70-75
[6]   Universal use of face masks for success against COVID-19: evidence and implications for prevention policies [J].
Esposito, Susanna ;
Principi, Nicola ;
Leung, Chi Chi ;
Migliori, Giovanni Battista .
EUROPEAN RESPIRATORY JOURNAL, 2020, 55 (06)
[7]   Effects of surgical and FFP2/N95 face masks on cardiopulmonary exercise capacity [J].
Fikenzer, Sven ;
Uhe, T. ;
Lavall, D. ;
Rudolph, U. ;
Falz, R. ;
Busse, M. ;
Hepp, P. ;
Laufs, U. .
CLINICAL RESEARCH IN CARDIOLOGY, 2020, 109 (12) :1522-1530
[8]   Oxygen Consumption (V'O2) and physical Strainas measured by the occupational activity of cleaning personnel [J].
Froehlich, M. J. ;
Kroidl, R. F. ;
Welte, T. .
JOURNAL OF OCCUPATIONAL MEDICINE AND TOXICOLOGY, 2018, 13
[9]   Controversies in the physiological basis of the 'anaerobic threshold' and their implications for clinical cardiopulmonary exercise testing [J].
Hopker, J. G. ;
Jobson, S. A. ;
Pandit, J. J. .
ANAESTHESIA, 2011, 66 (02) :111-123
[10]   "You can leave your mask on": effects on cardiopulmonary parameters of different airway protective masks at rest and during maximal exercise [J].
Mapelli, Massimo ;
Salvioni, Elisabetta ;
De Martino, Fabiana ;
Mattavelli, Irene ;
Gugliandolo, Paola ;
Vignati, Carlo ;
Farina, Stefania ;
Palermo, Pietro ;
Campodonico, Jeness ;
Maragna, Riccardo ;
Lo Russo, Gerardo ;
Bonomi, Alice ;
Sciomer, Susanna ;
Agostoni, Piergiuseppe .
EUROPEAN RESPIRATORY JOURNAL, 2021, 58 (03)