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Effects of Face Masks on Physical Performance and Physiological Response during a Submaximal Bicycle Ergometer Test

Bibliographic Data

ID15514580
AuthorsBenjamin Steinhilber (0000-0001-9622-6511, University of Tübingen, corresponding author), Robert Seibt (0009-0007-3937-8798, University of Tübingen), Julia Gabriel (University of Tübingen), Joulia Brountsou (University of Tübingen), Markus Muljono (University of Tübingen), Tomasz Downar (University of Tübingen), Mona Bär (0000-0001-5753-5047, University of Tübingen), Rosina Bonsch (University of Tübingen), Adrian Brandt (University of Tübingen), Peter Martus (0000-0002-5386-5732, University of Tübingen), Monika A Rieger (0000-0002-7855-3663, University of Tübingen)
Year2022
Volume19
Issue3
Pages1063-1063
Publication date2022-01-18
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19031063
PMID35162087
OpenAlexW4206650855
LanguageEN
References cited26

The ongoing COVID-19 pandemic requires wearing face masks in many areas of our daily life; hence, the potential side effects of mask use are discussed. Therefore, the present study explores whether wearing a medical face mask (MedMask) affects physical working capacity (PWC). Secondary, the influence of a filtering facepiece mask with exhalation valve class 2 (FFP2exhal) and a cotton fabric mask (community mask) on PWC was also investigated. Furthermore, corresponding physiological and subjective responses when wearing face masks as well as a potential moderating role of subjects' individual cardiorespiratory fitness and sex on face mask effects were analyzed. Thirty-nine subjects (20 males, 19 females) with different cardiorespiratory fitness levels participated in a standardized submaximal bicycle ergometer protocol using either a MedMask, FFP2exhal, community mask, or no mask (control) on four days, in randomized order. PWC130 and PWC150 as the mechanical load at the heart rates of 130 and 150 beats per minute were measured as well as transcutaneous carbon dioxide partial pressure, saturation of peripheral capillary oxygen, breathing frequency, blood pressure, perceived respiratory effort, and physical exhaustion. Using the MedMask did not lead to changes in PWC or physiological response compared to control. Neither appeared changes exceeding normal ranges when the FFP2exhal or community mask was worn. Perceived respiratory effort was up to one point higher (zero-to-ten Likert scale) when using face masks ( p < 0.05) compared to control. Sex and cardiorespiratory fitness were not factors influencing the effects of the masks. The results of the present study provide reason to believe that wearing face masks for infection prevention during the COVID-19 pandemic does not pose relevant additional physical demands on the user although some more respiratory effort is required

Anesthesia · Bicycle ergometer · Blood pressure · Cardiorespiratory fitness · Exhalation · Heart rate · Physical medicine and rehabilitation · Physical therapy · Rating of perceived exertion · Climate Change and Health Impacts · COVID-19 and Mental Health · Infection Control and Ventilation · Medicine · Internal Medicine

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