Effects of surgical facemasks on perceived exertion during submaximal exercise test in healthy children.
COVID-19
Children
Exercise capacity
Mask
Journal
European journal of pediatrics
ISSN: 1432-1076
Titre abrégé: Eur J Pediatr
Pays: Germany
ID NLM: 7603873
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
17
11
2021
accepted:
26
02
2022
revised:
23
02
2022
pubmed:
4
3
2022
medline:
19
5
2022
entrez:
3
3
2022
Statut:
ppublish
Résumé
Only a few data associated to wearability of facemask during exercise are available in children. The aim of the study was to evaluate the effect of wearing a facemask on perceived exertion (primary aim), dyspnea, physical performance, and cardiorespiratory response during a submaximal exercise test in children aged between 8 and 12 years. This study was performed in 2021 in healthy volunteer children from 8 to 12 years. They performed prospectively two 1-min sit-to-stand tests (STST), with or without a surgical facemask. The perceived exertion (modified Borg scale), dyspnea (Dalhousie scale), heart rate, and pulsed oxygen saturation were recorded before and after STST. The STST measured the submaximal performance. Thirty-eight healthy children were recruited (8-9 years: n = 19 and 10-11 years: n = 19). After the STST, the perceived exertion increased with or without a facemask (8-9 years group: + 1 [0.6; 1.4] and + 1.6 [1.0; 2.1] - 10-11 years group: + 1.3 [0.7; 1.8] and + 1.9 [1.3; 2.6]) and it was higher with the facemask. The difference between the two conditions in perceived exertion was not clinically relevant in any group (mBorgf: 0.56 pts and 0.68 pts, respectively). The different domains of dyspnea assessed with Dalhousie scale were not influenced by the facemask. The submaximal performance measured by the STST was not changed by the mask whatever the age group. The cardio-respiratory demand was not clinically modified.Conclusion: The surgical facemask had no impact on dyspnea, cardiorespiratory parameters, and exercise performance during a short submaximal exercise in healthy children.
Identifiants
pubmed: 35239031
doi: 10.1007/s00431-022-04430-x
pii: 10.1007/s00431-022-04430-x
pmc: PMC8892819
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2311-2317Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Matuschek C, Moll F, Fangerau H, Fischer JC, Zänker K, van Griensven M et al (2020) Face masks: benefits and risks during the COVID-19 crisis. Eur J Med Res 25(1):32
doi: 10.1186/s40001-020-00430-5
Wang Y, Xu G, Huang YW (2020) Modeling the load of SARS-CoV-2 virus in human expelled particles during coughing and speaking. PLoS One 15(10):e0241539
Chu DK, Akl EA, Duda S, Solo K, Yaacoub S, Schunemann HJ et al (2020) 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 395(10242):1973–1987
doi: 10.1016/S0140-6736(20)31142-9
Scheuch G (2020) Breathing is enough: for the spread of influenza virus and SARS-CoV-2 by breathing only. J Aerosol Med Pulm Drug Deliv 33(4):230–234
doi: 10.1089/jamp.2020.1616
Anfinrud P, Stadnytskyi V, Bax CE, Bax A (2020) Visualizing speech-generated oral fluid droplets with laser light scattering. N Engl J Med 382(21):2061–2063
doi: 10.1056/NEJMc2007800
Stadnytskyi V, Bax CE, Bax A, Anfinrud P (2020) The airborne lifetime of small speech droplets and their potential importance in SARS-CoV-2 transmission. Proc Natl Acad Sci U S A 117(22):11875–11877
doi: 10.1073/pnas.2006874117
Blocken B, Malizia F, Van Druenen T, Marchal T (2021) Towards aerodynamically equivalent COVID19 1.5 m social distancing for walking and running. 12
Dong Y, Mo X, Hu Y, Qi X, Jiang F, Jiang Z et al (2020) Epidemiology of COVID-19 among children in China. Pediatrics 145(6)
Lu X, Zhang L, Du H, Zhang J, Li YY, Qu J et al (2020) SARS-CoV-2 infection in children. N Engl J Med 382(17):1663–1665
doi: 10.1056/NEJMc2005073
Mickells GE, Figueroa J, West KW, Wood A, McElhanon BO (2021) Adherence to masking requirement during the COVID-19 pandemic by early elementary school children. J Sch Health 91(7):555–561
doi: 10.1111/josh.13033
Jefferson T, Del Mar CB, Dooley L, Ferroni E, Al-Ansary LA, Bawazeer GA et al (2020) Physical interventions to interrupt or reduce the spread of respiratory viruses. Cochrane Database Syst Rev 11:Cd006207
Canini L, Andréoletti L, Ferrari P, D'Angelo R, Blanchon T, Lemaitre M et al (2010) Surgical mask to prevent influenza transmission in households: a cluster randomized trial. PLoS One 5(11):e13998
Mask use in the context of COVID-19: interim guidance (2020) In: World Health Organization. [Internet]. Available from: https://www.apps.who.int/iris/handle/10665/337199
Eberhart M, Orthaber S, Kerbl R (2021) The impact of face masks on children-a mini review. Acta Paediatr 110(6):1778–1783
doi: 10.1111/apa.15784
Lubrano R, Bloise S, Testa A, Marcellino A, Dilillo A, Mallardo S et al (2021) Assessment of respiratory function in infants and young children wearing face masks during the COVID-19 pandemic. JAMA Netw Open 4(3):e210414
Reychler G, Audag N, Mestre NM, Caty G (2019) Assessment of validity and reliability of the 1-minute sit-to-stand test to measure the heart rate response to exercise in healthy children. JAMA Pediatr 173(7):692–693
doi: 10.1001/jamapediatrics.2019.1084
Borg E, Borg G, Larsson K, Letzter M, Sundblad BM (2010) An index for breathlessness and leg fatigue. Scand J Med Sci Sports 20(4):644–650
doi: 10.1111/j.1600-0838.2009.00985.x
Pianosi PT, Huebner M, Zhang Z, McGrath PJ (2014) Dalhousie dyspnea and perceived exertion scales: psychophysical properties in children and adolescents. Respir Physiol Neurobiol 199:34–40
doi: 10.1016/j.resp.2014.04.003
Hommerding PX, Donadio MV, Paim TF, Marostica PJ (2010) The Borg scale is accurate in children and adolescents older than 9 years with cystic fibrosis. Respir Care 55(6):729–733
pubmed: 20507656
Pfeiffer KA, Pivarnik JM, Womack CJ, Reeves MJ, Malina RM (2002) Reliability and validity of the Borg and OMNI rating of perceived exertion scales in adolescent girls. Med Sci Sports Exerc 34(12):2057–2061
doi: 10.1097/00005768-200212000-00029
Person E, Lemercier C, Royer A, Reychler G (2018) Effect of a surgical mask on six minute walking distance. Rev Mal Respir 35(3):264–268
doi: 10.1016/j.rmr.2017.01.010
Li Y, Tokura H, Guo YP, Wong AS, Wong T, Chung J et al (2005) Effects of wearing N95 and surgical facemasks on heart rate, thermal stress and subjective sensations. Int Arch Occup Environ Health 78(6):501–509
doi: 10.1007/s00420-004-0584-4
Reychler G, Straeten CV, Schalkwijk A, Poncin W (2021) Effects of surgical and cloth facemasks during a submaximal exercise test in healthy adults. Respir Med 186:106530
Mapelli M, Salvioni E, De Martino F, Mattavelli I, Gugliandolo P, Vignati C et al (2021) You can leave your mask on: effects on cardiopulmonary parameters of different airway protection masks at rest and during maximal exercise. Eur Respir J
Fikenzer S, Uhe T, Lavall D, Rudolph U, Falz R, Busse M et al (2020) Effects of surgical and FFP2/N95 face masks on cardiopulmonary exercise capacity. Clin Res Cardiol 109(12):1522–1530
doi: 10.1007/s00392-020-01704-y
Schulte-Korne B, Hollmann W, Vassiliadis A, Predel HG (2021) Effects of surgical face masks on exercise performance and perceived exertion of exercise in well-trained healthy boys. Wien Med Wochenschr
Reychler G, Pincin L, Audag N, Poncin W, Caty G (2020) One-minute sit-to-stand test as an alternative tool to assess the quadriceps muscle strength in children. Respir Med Res 78:100777
Meyer JP, Hery M, Herrault J, Hubert G, Francois D, Hecht G et al (1997) Field study of subjective assessment of negative pressure half-masks. Influence of the work conditions on comfort and efficiency. Appl Ergon 28(5–6):331–338
Nisar M, Spence DP, West D, Haycock J, Jones Y, Walshaw MJ et al (1992) A mask to modify inspired air temperature and humidity and its effect on exercise induced asthma. Thorax 47(6):446–450
doi: 10.1136/thx.47.6.446