Performing moderate to severe activity is safe and tolerable for healthy youth while wearing a cloth facemask

PLoS One. 2023 Mar 6;18(3):e0282475. doi: 10.1371/journal.pone.0282475. eCollection 2023.

Abstract

Objective: To investigate if a cloth facemask could affect physiological and perceptual responses to exercise at distinct exercise intensities in healthy young individuals.

Methods: Nine participants (sex, female/male: 6/3; age: 13±1 years; VO2peak: 44.5±5.5 mL/kg/min) underwent a progressive square-wave test at four intensities: (1) 80% of ventilatory anaerobic threshold (VAT), (2) VAT, and (3) 40% between VAT and [Formula: see text] wearing a triple-layered cloth facemask or not. Participants then completed a final stage to exhaustion at a running speed equivalent to the maximum achieved during the cardio-respiratory exercise test (Peak). Physiological, metabolic, and perceptual measures were measured.

Results: Mask did not affect spirometry (forced vital capacity, peak expiratory flow, forced expiratory volume; all p≥0.27), respiratory (inspiratory capacity, end-expiratory volume [EELV] to functional vital capacity ratio, EELV, respiratory frequency [Rf], tidal volume [VT], Rf/VT, end-tidal carbo dioxide pressure, ventilatory equivalent to carbon dioxide ratio; all p≥0.196), hemodynamic (heart rate, systolic and diastolic blood pressure; all p>0.41), ratings of perceived exertion (p = 0.04) or metabolic measures (lactate; p = 0.78) at rest or at any exercise intensity.

Conclusions: This study shows that performing moderate to severe activity is safe and tolerable for healthy youth while wearing a cloth facemask.

Trial registration: ClinicalTrials.gov: NCT04887714.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Anaerobic Threshold
  • Carbon Dioxide
  • Child
  • Female
  • Humans
  • Male
  • Masks*
  • Respiration*
  • Respiratory Rate

Substances

  • Carbon Dioxide

Associated data

  • ClinicalTrials.gov/NCT04887714

Grants and funding

Fundação de Amparo à Pesquisa do Estado de São Paulo Award Number: 2021/05847-8 | Recipient: Felipe Miguel Marticorena Fundação de Amparo à Pesquisa do Estado de São Paulo Award Number: 2017/13552-2 | Recipient: Bruno Gualano Fundação de Amparo à Pesquisa do Estado de São Paulo Award Number: 2020/12036-3 | Recipient: Gabriel Castanho Barreto Fundação de Amparo à Pesquisa do Estado de São Paulo Award Number: 2020/07860-9 | Recipient: Gabriel Perri Esteves Fundação de Amparo à Pesquisa do Estado de São Paulo Award Number: 2020/04368-6 | Recipient: Tamires Nunes Oliveira Fundação de Amparo à Pesquisa do Estado de São Paulo Award Number: 2016/50438-0 | Recipient: Bryan Saunders Faculdade de Medicina da Universidade de São Paulo Award Number: 2020.1.362.5.2 | Recipient: Bryan Saunders The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.