EFFECTS OF FACE MASKS ON CARDIORESPIRATORY PARAMETERS DURING EXERCISE VELOERGOMETRY TEST
DOI:
https://doi.org/10.17770/sie2024vol2.7836Keywords:
adults, cardiopulmonary exercise test, exertion, face masksAbstract
The COVID-19 pandemic has sparked ongoing scientific discussions about the adverse effects of wearing face masks on cardiorespiratory indicators, and the subjective response to exertion. Many researchers have investigated the impact of wearing face masks on different physiological factors through various exercise routines, such as a progressive cycling test, the 6-minute walk test, and treadmill walking at a constant pace, yielding inconsistent findings. This study aimed to examine the physiological and perceptual responses of wearing surgical face masks during and after the veloegometry test. Fifteen healthy young adults (mean age, 26.8±4.4 years, 5 males and 10 females) conducted the Astrand-Rhyming veloegometry protocol twice (with and without masks). Physiological outcomes (heart rate, maximal oxygen uptake, and oxygen saturation level), perceived exertion, and discomfort feeling by modified Borg scale were assessed. No significant differences were observed in physiological outcomes with or without masks during increasing load intensities (p > 0.05) except for the last minute of testing and the minute after testing (p ≤ 0.005). Participants wearing masks reported the tendency of higher exertion level (3.8±1.08 vs 4.4±0.9) but statistical analysis can't definitively confirm it. While exercising with a face mask may not adversely affect cardiorespiratory factors, it can elevate perceived exertion levels and discomfort, particularly when exercise intensity exceeds a certain threshold.
References
Bruce, R.A., Kusumi, F., & Hosmer, D. (1973). Maximal oxygen intake and nomographic assessment of functional aerobic impairment in cardiovascular disease. Am Heart J. Apr;85(4), 546-62. DOI: 10.1016/0002-8703(73)90502-4
Chandrasekaran, B., & Fernandes, S. (2020). “Exercise with facemask; Are we handling a devil's sword?”–A physiological hypothesis. Medical hypotheses, 144, 110002. doi: 10.1016/j.mehy.2020.110002
de Souza E Silva, C. G., Kaminsky, L. A., Arena, R., Christle, J. W., Araújo, C., Lima, R. M., Ashley, E. A., & Myers, J. (2018). A reference equation for maximal aerobic power for treadmill and cycle ergometer exercise testing: Analysis from the friend registry. European journal of preventive cardiology, 25(7), 742–750. DOI: 10.1177/2047487318763958
Driver, S., Reynolds, M., Brown, K., Vingren, J. L., Hill, D. W., Bennett, M., ... & Jones, A. (2022). Effects of wearing a cloth face mask on performance, physiological and perceptual responses during a graded treadmill running exercise test. British journal of sports medicine, 56(2), 107-113. DOI: 10.1136/bjsports-2020-103758
Epstein, D., Korytny, A., Isenberg, Y., Marcusohn, E., Zukermann, R., Bishop, B., Minha, S., Raz, A., & Miller, A. (2021). Return to training in the COVID-19 era: The physiological effects of face masks during exercise. Scandinavian journal of medicine & science in sports, 31(1), 70–75. DOI: 10.1111/sms.13832
European Commision. (2020). Guidance on regulatory requirements for medical face masks. Retrieved from https://ec.europa.eu/health/system/files/2020-06/md_guidance-reg-req-med-face-masks_0.pdf
Fikenzer, S., Uhe, T., Lavall, D., Rudolph, U., Falz, R., Busse, M., Hepp, P., & Laufs, U. (2020). Effects of surgical and FFP2/N95 face masks on cardiopulmonary exercise capacity. Clinical research in cardiology : official journal of the German Cardiac Society, 109(12), 1522–1530. DOI: 10.1007/s00392-020-01704-y
Hill, J., & Timmis, A. (2002). Exercise tolerance testing. BMJ. May 4;324(7345), 1084-7. DOI: 10.1136/bmj.324.7345.1084
Hopkins, S. R., Dominelli, P. B., Davis, C. K., Guenette, J. A., Luks, A.M., Molgat-Seon, Y., Sá Rui Carlos, Sheel, A. W., Swenson, E. R., & Stickland M.K. (2021). Face Masks and the Cardiorespiratory Response to Physical Activity in Health and Disease. Annals of the American Thoracic Society, 18(3), 399–407. DOI: 10.1513/AnnalsATS.202008-990CME
Lassing, J., Falz, R., Pokel, C., Fikenzer, S., Laufs, U., Schulze, A., et al. (2020). Effects of surgical face masks on cardiopulmonary parameters during steady state exercise. Sci. Rep. 10:22363. doi: 10.1038/s41598-020-78643-1
Löllgen, H., & Leyk, D. (2018). Exercise Testing in Sports Medicine. Deutsches Arzteblatt international, 115(24), 409–416. DOI: 10.3238/arztebl.2018.0409
Mapelli, M., Salvioni, E., De Martino, F., Mattavelli, I., Gugliandolo, P., Vignati, C., Farina, S., Palermo, P., Campodonico, J., Maragna, R., Lo Russo, G., Bonomi, A., Sciomer, S., & Agostoni, P. (2021). You can leave your mask on": effects on cardiopulmonary parameters of different airway protective masks at rest and during maximal exercise. The European respiratory journal, 58(3), DOI: 10.1183/13993003.04473-2020
Ministru kabinets. (2021). Latvijas Republikas Ministru Kabineta noteikumi Nr. 662 “Epidemioloģiskās drošības pasākumi Covid-19 infekcijas izplatības ierobežošanai”. Pieejams https://likumi.lv/ta/id/326513-epidemiologiskas-drosibas-pasakumi-covid-19-infekcijas-izplatibas-ierobezosanai
Otsuka, A., Komagata, J., & Sakamoto, Y. (2020). Wearing a surgical mask does not affect the anaerobic threshold during pedaling exercise. Journal of Human Sport and Exercise,17(1), 22-28. DOI: https://doi.org/10.14198/jhse.2022.171.03
Prado, D., Silvino, V. O., Motta-Santos, D., & Dos Santos, M. (2022). The effect of the protective face mask on cardiorespiratory response during aerobic exercise. Clinical and experimental pharmacology & physiology, 49(4), 453–461. DOI: 10.1111/1440-1681.13624
Prado, D., Silvino, V. O., Vieira, E. G., Rosa, B. V., Silva, A., & Santos, M. (2021). The Effect of Respiratory Protective Surgical Mask on Physiological Markers of Endurance Performance in a Recreational Runner. Arquivos brasileiros de cardiologia, 117(1suppl1), 23–28. DOI: 10.36660/abc.20200792
Rakita, A., Nikolić, N., Mildner, M., Matiasek, J., & Elbe-Bürger, A. (2020). Re-epithelialization and immune cell behaviour in an ex vivo human skin model. Scientific reports, 10(1), 1. DOI: 10.1038/s41598-019-56847-4
Roberge, R. J., Bayer, E., Powell, J. B., Coca, A., Roberge, M. R., & Benson, S. M. (2010). Effect of exhaled moisture on breathing resistance of N95 filtering facepiece respirators. The Annals of occupational hygiene, 54(6), 671–677. DOI: https://doi.org/10.1093/annhyg/meq042
Scheid, J. L., Lupien, S. P., Ford, G. S., & West, S. L. (2020). Commentary: physiological and psychological impact of face mask usage during the covid-19 pandemic. International journal of environmental research and public health, 17(18), 6655. DOI: 10.3390/ijerph17186655
Shaw, K., Butcher, S., Ko, J., Zello, G. A., & Chilibeck, P. D. (2020). Wearing of cloth or disposable surgical face masks has no effect on vigorous exercise performance in healthy individuals. International Journal of Environmental Research and Public Health, 17(21):8110. DOI: 10.3390/ijerph17218110
Tobase, L., Peres, H. H. C., Polastri, T. F., Cardoso, S. H., Souza, D. R., Almeida, D. G., & Timerman, S. (2023). The use of the Borg Rating of perceived exertion scale in cardiopulmonary resuscitation. Arquivos Brasileiros de Cardiologia, 120(1). DOI: 10.36660/abc.20220240
Zheng, C., Poon, E. T. C., Wan, K., Dai, Z., & Wong, S. H. S. (2023). Effects of wearing a mask during exercise on physiological and psychological outcomes in healthy individuals: A systematic review and meta-analysis. Sports Medicine, 53(1), 125-150. DOI: 10.1007/s40279-022-01746-4