Effects of Wearing a Mask During Exercise and Type of Mask on Cardiopulmonary Function...American Association for Respiratory Care (AARC) Congress, November 20-23, 2024, Orlando, Florida.

Background: The novel coronavirus infection (COVID-19) has spread worldwide and wearing a mask has become essential in daily life in Japan. Compared to other countries around the world, the rate of mask-wearing among Japanese people is extremely high, with most people wearing masks even when exercis...

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Published in:Respiratory Care Vol. 69; pp. 4136547 - 4136548
Main Authors: Ichiba, Tomomi, Miyagawa, Tetsuo
Format: abstract proceedings research tables/charts Journal Article
Published: Mary Ann Liebert, Inc. 2024 Supplement
Online Access:View this record in EBSCOhost
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        atl: Effects of Wearing a Mask During Exercise and Type of Mask on Cardiopulmonary Function...American Association for Respiratory Care (AARC) Congress, November 20-23, 2024, Orlando, Florida.
      aug:
        au:
          Ichiba, Tomomi
          Miyagawa, Tetsuo
        affil: Faculty of Rehabilitation Division of Physical Therapy, Kochi Professional University of Rehabilitation, Tosa, Kochi, Japan
      sug:
        subj:
          Masks
          Health Behavior
          Exercise Test, Cardiopulmonary
          Cardiopulmonary Physiology Evaluation
          Congresses and Conferences Florida
          Florida
      ab: Background: The novel coronavirus infection (COVID-19) has spread worldwide and wearing a mask has become essential in daily life in Japan. Compared to other countries around the world, the rate of mask-wearing among Japanese people is extremely high, with most people wearing masks even when exercising, both indoors and outdoors. The WHO recommended wearing a mask, but not during strenuous exercise. Therefore, in this study, we investigated the effects of wearing a mask or not during exercise on cardiopulmonary function, as well as the effects of wearing a mask, and investigated whether there are differences depending on the type of mask. Methods: This study was conducted with the approval of the Kyorin University Ethics Review Committee (approval number: 2021-81). The subjects were 21 healthy adult males with no history of orthopedic or cardiopulmonary diseases and no history of smoking. The subjects underwent exercise stress testing on a treadmill, with the speed and angle set to 60% of their maximum oxygen intake at an exercise level equivalent to the anaerobic threshold. The subjects performed treadmill exercise for 10 min at these settings. The measurements were carried out under three conditions: surgical mask, urethane mask, and no mask. Statistical methods were performed using SPSS 21.0J, and all statistical significance levels were set at less than 5%. One-way analysis of variance was used to compare the ventilation index during exercise obtained from the exhaled gas analyzer between the three conditions, and multiple comparisons using the Bonferroni method were used to compare the three conditions. Results: 1) The inspiratory time (TI) was significantly higher when wearing a surgical mask or a urethane mask than when not wearing a mask. The TI of the surgical mask significantly increased than the urethane mask. 2) The frequency was significantly lower when wearing a surgical mask and a urethane mask than when not wearing a mask. 3) End-tidal carbon dioxide partial pressure (ETCO2) showed significantly higher with surgical mask than no mask. Conclusions: It was thought that wearing a mask increases airway resistance during breathing and lengthens TI, which reduces frequency. ETCO2 is an index of ventilation efficiency, and wearing a surgical mask was considered to have poor ventilation efficiency. Our findings suggest that exercising at anaerobic threshold level while wearing a mask in healthy adults affects respiratory function, including ventilatory efficiency. Ventilation index during exercise under 3 conditions: surgical mask urethane mask no mask p value Ti (sec) 1.02±0.18 0.92±0.16 0.85±0.16 0.001 RR (rate/min) 30.44±6.82 32.41±6.76 34.28±7.47 0.01 ETCO2 (%) 6.58±0.49 6.42±0.46 6.30±0.53 0.001 VE/VO2 26.21±2.90 27.53±2.75 28.22±3.29 0.05
      pubtype: Academic Journal
      doctype:
        abstract
        proceedings
        research
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        Journal Article
      ougenre: Article
    language: English
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