Face Masks and the Cardiorespiratory Response to Physical Activity in Health and Disease
| Autor: | Michael K. Stickland, Yannick Molgat-Seon, A. William Sheel, Christopher K. Davis, Andrew M. Luks, Jordan A. Guenette, Susan R. Hopkins, Rui Carlos Sá, Paolo B. Dominelli, Erik R. Swenson |
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| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty business.product_category face mask pulmonary limitations to exercise Respiratory physiology Disease 03 medical and health sciences Work of breathing 0302 clinical medicine Disease Transmission Infectious medicine Humans 030212 general & internal medicine Exercise physiology Respirator Focused Reviews Intensive care medicine Exercise Pandemics Personal Protective Equipment Personal protective equipment Cardiopulmonary disease SARS-CoV-2 business.industry Masks COVID-19 Cardiorespiratory fitness United States 030228 respiratory system business |
| Zdroj: | Annals of the American Thoracic Society |
| ISSN: | 2325-6621 2329-6933 |
| DOI: | 10.1513/annalsats.202008-990cme |
| Popis: | To minimize transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the novel coronavirus responsible for coronavirus disease (COVID-19), the U.S. Centers for Disease Control and Prevention and the World Health Organization recommend wearing face masks in public. Some have expressed concern that these may affect the cardiopulmonary system by increasing the work of breathing, altering pulmonary gas exchange and increasing dyspnea, especially during physical activity. These concerns have been derived largely from studies evaluating devices intentionally designed to severely affect respiratory mechanics and gas exchange. We review the literature on the effects of various face masks and respirators on the respiratory system during physical activity using data from several models: cloth face coverings and surgical masks, N95 respirators, industrial respirators, and applied highly resistive or high–dead space respiratory loads. Overall, the available data suggest that although dyspnea may be increased and alter perceived effort with activity, the effects on work of breathing, blood gases, and other physiological parameters imposed by face masks during physical activity are small, often too small to be detected, even during very heavy exercise. There is no current evidence to support sex-based or age-based differences in the physiological responses to exercise while wearing a face mask. Although the available data suggest that negative effects of using cloth or surgical face masks during physical activity in healthy individuals are negligible and unlikely to impact exercise tolerance significantly, for some individuals with severe cardiopulmonary disease, any added resistance and/or minor changes in blood gases may evoke considerably more dyspnea and, thus, affect exercise capacity. |
| Databáze: | OpenAIRE |
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