Wearing of Cloth or Disposable Surgical Face Masks has no Effect on Vigorous Exercise Performance in Healthy Individuals

Keely Shaw, Scotty Butcher, Jongbum Ko, Gordon A Zello, Philip D Chilibeck, Keely Shaw, Scotty Butcher, Jongbum Ko, Gordon A Zello, Philip D Chilibeck

Abstract

Wearing face masks is recommended for the prevention of contracting or exposing others to cardiorespiratory infections, such as COVID-19. Controversy exists on whether wearing face masks during vigorous exercise affects performance. We used a randomized, counterbalanced cross-over design to evaluate the effects of wearing a surgical mask, a cloth mask, or no mask in 14 participants (7 men and 7 women; 28.2 ± 8.7 y) during a cycle ergometry test to exhaustion. Arterial oxygen saturation (pulse oximetry) and tissue oxygenation index (indicator of hemoglobin saturation/desaturation) at vastus lateralis (near-infrared spectroscopy) were assessed throughout the exercise tests. Wearing face masks had no effect on performance (time to exhaustion (mean ± SD): no mask 622 ± 141 s, surgical mask 657 ± 158 s, cloth mask 637 ± 153 s (p = 0.20); peak power: no mask 234 ± 56 W, surgical mask 241 ± 57 W, cloth mask 241 ± 51 W (p = 0.49)). When expressed relative to peak exercise performance, no differences were evident between wearing or not wearing a mask for arterial oxygen saturation, tissue oxygenation index, rating of perceived exertion, or heart rate at any time during the exercise tests. Wearing a face mask during vigorous exercise had no discernable detrimental effect on blood or muscle oxygenation, and exercise performance in young, healthy participants (ClinicalTrials.gov, NCT04557605).

Keywords: COVID-19; coronavirus; maximal oxygen uptake; near-infrared spectroscopy; pandemic; physical activity; pulse oximetry.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Time to exhaustion during the exercise test for individual participants across conditions. There were no statistical differences between conditions (p = 0.20).
Figure 2
Figure 2
(A) Arterial oxygen saturation, (B) muscle tissue oxygenation index, (C) rating of perceived exertion, and (D) heart rate expressed as percentage of peak power during the exercise test. All values are mean ± SD.

References

    1. Esposito S., Principi N., Leung C.C., Migliori G.B. Universal Use of Face Masks for Success Against COVID-19: Evidence and Implications for Prevention Policies. Eur. Respir. J. 2020;55:1–5. doi: 10.1183/13993003.01260-2020.
    1. Chu D.K., Akl E.A., Duda S., Solo K., Yaacoub S., Schünemann H.J., COVID-19 Systematic Urgent Review Group Effort (SURGE) Study Authors 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. Lancet. 2020;395:1973–1987. doi: 10.1016/S0140-6736(20)31142-9.
    1. Leung N.H.L., Chu D.K.W., Shiu E.Y.C., Chan K.-H., McDevitt J.J., Hau B.J.P., Yen H.-L., Li Y., Ip D.K.M., Peiris J.S.M., et al. Respiratory Virus Shedding in Exhaled Breath and Efficacy of Face Masks. Nat. Med. 2020;26:676–680. doi: 10.1038/s41591-020-0843-2.
    1. Wang Y., Tian H., Zhang L., Zhang M., Guo D., Wu W., Zhang X., Kan G.L., Jia L., Huo D., et al. Reduction of Secondary Transmission of SARS-CoV-2 in Households by Face Mask Use, Disinfection and Social Distancing: A Cohort Study in Beijing, China. BMJ Glob. Health. 2020;5:e002794. doi: 10.1136/bmjgh-2020-002794.
    1. Jones N.R., Qureshi Z.U., Temple R.J., Larwood J.P.J., Greenhalgh T., Bourouiba L. Two Metres or One: What Is the Evidence for Physical Distancing in Covid-19? BMJ. 2020;370:m3223. doi: 10.1136/bmj.m3223.
    1. Chandrasekaran B., Fernandes S. “Exercise with Facemask; Are We Handling a devil’s sword?”—A Physiological Hypothesis. Med. Hypothesis. 2020;144:110002. doi: 10.1016/j.mehy.2020.110002.
    1. Zouhal H., Ben Abderrahman A., Khodamoradi A., Saeidi A., Jayavel A., Hackney A.C., Laher I., Algotar A.M., Jabbour G. Effects of Physical Training on Anthropometrics, Physical and Physiological Capacities in Individuals With Obesity: A Systematic Review. Obes. Rev. 2020;21:9. doi: 10.1111/obr.13039.
    1. Leal J.M., Galliano L.M., Del Vecchio F.B. Effectiveness of High-Intensity Interval Training Versus Moderate-Intensity Continuous Training in Hypertensive Patients: A Systematic Review and Meta-Analysis. Curr. Hypertens. Rep. 2020;22:26. doi: 10.1007/s11906-020-1030-z.
    1. Moghetti P., Balducci S., Guidetti L., Mazzuca P., Rossi E., Schena F. Walking for Subjects with Type 2 Diabetes: A Systematic Review and Joint AMD/SID/SISMES Evidence-Based Practical Guideline. Nutr. Metab. Cardiovasc. Dis. 2020;30:1882–1898. doi: 10.1016/j.numecd.2020.08.021.
    1. Kalligeros M., Shehadeh F., Mylona E.K., Benitez G., Beckwith C.G., Chan P.A., Mylonakis E. Association of Obesity With Disease Severity Among Patients with COVID-19. Obesity. 2020;28:1200–1204. doi: 10.1002/oby.22859.
    1. Zangrillo A., Beretta L., Scandroglio A.M., Monti G., Fominskiy E., Colombo S., Morselli F., Belletti A., Silvani P., Crivellari M., et al. Characteristics, Treatment, Outcomes and Cause of Death of Invasively Ventilated Patients with COVID-19 ARDS in Milan, Italy. Characteristics. 2020;22:200–211.
    1. Zhu L., She Z.-G., Cheng X., Qin J.-J., Zhang X.-J., Cai J., Lei F., Wang H., Xie J., Wang W., et al. Association of Blood Glucose Control and Outcomes in Patients With COVID-19 and Pre-Existing Type 2 Diabetes. Cell Metab. 2020;31:1068–1077.e3. doi: 10.1016/j.cmet.2020.04.021.
    1. Wong A.Y.-Y., Ling S.K.-K., Louie L.H.-T., Law G.Y.-K., So R.C.-H., Lee D.C.-W., Yau F.C.-F., Yung P.S.-H. Impact of the COVID-19 Pandemic on Sports and Exercise. Asia-Pac. J. Sports Med. Arthrosc. Rehabil. Technol. 2020;22:39–44. doi: 10.1016/j.asmart.2020.07.006.
    1. Fikenzer S., Uhe T., Lavall D., Rudolph U., Falz R., Busse M., Hepp P., Laufs U. Effects of Surgical and FFP2/N95 Face Masks on Cardiopulmonary Exercise Capacity. Clin. Res. Cardiol. 2020;6:1–9.
    1. Epstein D., Korytny A., Isenberg Y., Marcusohn E., Zukermann R., Bishop B., Minha S., Raz A., Miller A. Return to Training in the COVID-19 Era: The Physiological Effects of Face Masks During Exercise. Scand. J. Med. Sci. Sports. 2020 doi: 10.1111/sms.13832.
    1. Fischer E.P., Fischer M.C., Grass D., Henrion I., Warren W.S., Westman E. Low-Cost Measurement of Face Mask Efficacy for Filtering Expelled Droplets During Speech. Sci. Adv. 2020;6:eabd3083. doi: 10.1126/sciadv.abd3083.
    1. Judd T.B., Cornish S.M., Barss T.S., Oroz I., Chilibeck P.D. Time Course for Recovery of Peak Aerobic Power After Blood Donation. J. Strength Cond. Res. 2011;25:3035–3038. doi: 10.1519/JSC.0b013e3182132df7.
    1. Lawler J., Powers S.K., Thompson D. Linear Relationship between VO2max and VO2max Decrement during Exposure to Acute Hypoxia. J. Appl. Physiol. 1988;64:1486–1492. doi: 10.1152/jappl.1988.64.4.1486.
    1. Chilibeck P., Calder A., Sale D.G., Webber C. Reproducibility of Dual-Energy X-Ray Absorptiometry. Can. Assoc. of Radiol. J. 1994;45:297–302.
    1. Boyes N.G., Eckstein J., Pylypchuk S., Marciniuk D.D., Butcher S.J., Lahti D.S., Dewa D.M.K., Haykowsky M.J., Wells C.R., Tomczak C.R. Effects of Heavy-Intensity Priming Exercise on Pulmonary Oxygen Uptake Kinetics and Muscle Oxygenation in Heart Failure with Preserved Ejection Fraction. Am. J. Physiol. Integr. Comp. Physiol. 2019;316:R199–R209. doi: 10.1152/ajpregu.00290.2018.
    1. Jang S., Han S.H., Rhee J.-Y. Cluster of Coronavirus Disease Associated with Fitness Dance Classes, South Korea. Emerg. Infect. Dis. 2020;26:1917–1920. doi: 10.3201/eid2608.200633.

Source: PubMed

3
Sottoscrivi