Respiratory Responses during Exercise in Self-contained Breathing Apparatus among Firefighters and Nonfirefighters

Background: Firefighters are required to use self-contained breathing apparatus (SCBA), which impairs ventilatory mechanics. We hypothesized that firefighters have elevated arterial CO2 when using SCBA. Methods: Firefighters and controls performed a maximal exercise test on a cycle ergometer and two...

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Main Authors: David Hostler, David R. Pendergast
Format: Article
Language:English
Published: Elsevier 2018-12-01
Series:Safety and Health at Work
Online Access:http://www.sciencedirect.com/science/article/pii/S2093791117300975
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author David Hostler
David R. Pendergast
author_facet David Hostler
David R. Pendergast
author_sort David Hostler
collection DOAJ
description Background: Firefighters are required to use self-contained breathing apparatus (SCBA), which impairs ventilatory mechanics. We hypothesized that firefighters have elevated arterial CO2 when using SCBA. Methods: Firefighters and controls performed a maximal exercise test on a cycle ergometer and two graded exercise tests (GXTs) at 25%, 50%, and 70% of their maximal aerobic power, once with a SCBA facemask and once with protective clothing and full SCBA. Results: Respiratory rate increased more in controls than firefighters. Heart rate increased as a function of oxygen consumption (V.O2) more in controls than firefighters. End-tidal CO2 (ETCO2) during the GXTs was not affected by work rate in either group for either condition but was higher in firefighters at all work rates in both GXTs. SCBA increased ETCO2 in controls but not firefighters. Conclusions: The present study showed that when compared to controls, firefighters’ hypoventilate during a maximal test and GXT. The hypoventilation resulted in increased ETCO2, and presumably increased arterial CO2, during exertion. It is proposed that firefighters have altered CO2 sensitivity due to voluntary hypoventilation during training and work. Confirmation of low CO2 sensitivity and the consequence of this on performance and long-term health remain to be determined. Keywords: Carbon dioxide retention, Exercise, Protective equipment, Self-contained breathing apparatus
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spelling doaj.art-1c4476a52a7a483786d5752675c62c232023-08-02T01:18:22ZengElsevierSafety and Health at Work2093-79112018-12-0194468472Respiratory Responses during Exercise in Self-contained Breathing Apparatus among Firefighters and NonfirefightersDavid Hostler0David R. Pendergast1SUNY University at Buffalo, Department of Exercise and Nutrition Sciences, Center for Research and Education in Special Environments (CRESE), USA; Corresponding author. University at Buffalo Exercise and Nutrition Sciences, 212 Kimball Tower Buffalo NY 14213, USA.SUNY University at Buffalo, Department of Physiology and Biophysics, USABackground: Firefighters are required to use self-contained breathing apparatus (SCBA), which impairs ventilatory mechanics. We hypothesized that firefighters have elevated arterial CO2 when using SCBA. Methods: Firefighters and controls performed a maximal exercise test on a cycle ergometer and two graded exercise tests (GXTs) at 25%, 50%, and 70% of their maximal aerobic power, once with a SCBA facemask and once with protective clothing and full SCBA. Results: Respiratory rate increased more in controls than firefighters. Heart rate increased as a function of oxygen consumption (V.O2) more in controls than firefighters. End-tidal CO2 (ETCO2) during the GXTs was not affected by work rate in either group for either condition but was higher in firefighters at all work rates in both GXTs. SCBA increased ETCO2 in controls but not firefighters. Conclusions: The present study showed that when compared to controls, firefighters’ hypoventilate during a maximal test and GXT. The hypoventilation resulted in increased ETCO2, and presumably increased arterial CO2, during exertion. It is proposed that firefighters have altered CO2 sensitivity due to voluntary hypoventilation during training and work. Confirmation of low CO2 sensitivity and the consequence of this on performance and long-term health remain to be determined. Keywords: Carbon dioxide retention, Exercise, Protective equipment, Self-contained breathing apparatushttp://www.sciencedirect.com/science/article/pii/S2093791117300975
spellingShingle David Hostler
David R. Pendergast
Respiratory Responses during Exercise in Self-contained Breathing Apparatus among Firefighters and Nonfirefighters
Safety and Health at Work
title Respiratory Responses during Exercise in Self-contained Breathing Apparatus among Firefighters and Nonfirefighters
title_full Respiratory Responses during Exercise in Self-contained Breathing Apparatus among Firefighters and Nonfirefighters
title_fullStr Respiratory Responses during Exercise in Self-contained Breathing Apparatus among Firefighters and Nonfirefighters
title_full_unstemmed Respiratory Responses during Exercise in Self-contained Breathing Apparatus among Firefighters and Nonfirefighters
title_short Respiratory Responses during Exercise in Self-contained Breathing Apparatus among Firefighters and Nonfirefighters
title_sort respiratory responses during exercise in self contained breathing apparatus among firefighters and nonfirefighters
url http://www.sciencedirect.com/science/article/pii/S2093791117300975
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