Physiological impact of different types of mask at rest

Introduction: Due to the mandatory use of a mask in the context of the Covid-19 pandemic, we set out to evaluate the physiological impact of hypoxia and hypercapnia generated by different masks at rest. Methods: Thirty-two competitive adolescent athletes (40% female) were evaluated. Room air and int...

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Main Authors: Ignasi de Yzaguirre i Maura, Diego Dulanto Zabala, Daniel Brotons i Cuixart, J. Antoni Gutierrez Rincon, Joan Vives i Turcó, Gonzalo Grazioli
Format: Article
Language:English
Published: Elsevier 2022-07-01
Series:Apunts Sports Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666506922000116
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author Ignasi de Yzaguirre i Maura
Diego Dulanto Zabala
Daniel Brotons i Cuixart
J. Antoni Gutierrez Rincon
Joan Vives i Turcó
Gonzalo Grazioli
author_facet Ignasi de Yzaguirre i Maura
Diego Dulanto Zabala
Daniel Brotons i Cuixart
J. Antoni Gutierrez Rincon
Joan Vives i Turcó
Gonzalo Grazioli
author_sort Ignasi de Yzaguirre i Maura
collection DOAJ
description Introduction: Due to the mandatory use of a mask in the context of the Covid-19 pandemic, we set out to evaluate the physiological impact of hypoxia and hypercapnia generated by different masks at rest. Methods: Thirty-two competitive adolescent athletes (40% female) were evaluated. Room air and intra-mask measurements were taken at rest while sitting in a chair. A spirometric study was performed and the intra-mask concentration of O2 and CO2 was evaluated, comparing 3 situations: a) Home (H): mask that the subject was wearing from home. b) Surgical (S): surgical mask. c) KN95 mask (KN95). Results: The ambient air in the laboratory was: O2: 20.9% and CO2: 544 ± 67 ppm (0.05%); Intra-mask O2: H: 17.8 ± 0.72 %; S: 17.08 ± 0.62 %; KN95: 16.8 ± 0.56 %; (H vs S: ns; H vs NK95: p <0.001; S vs KN95: p <0.002). Intra-mask CO2: H: 1.81 ± 0.52 %; S 1.92 ± 0.35 %; KN95: 2.07 ± 0.36%; (H vs S: ns; H vs NK95: p <0.001; S vs KN95: p <0.012). CO2 levels with KN95 were lower in men 1.97 ± 0.37 % vs 2.2 ± 0.29 % than in women (p<0.04), with a significant correlation between gender and weight (r: 0.98, p: 0.01) and height (r: 0.78, p: 0.01). Conclusions: The KN95 mask presented a lower concentration of O2, and a higher concentration of CO2 compared to the baseline situation with the surgical masks and those home-made. There is a difference in CO2 between the sexes when the KN95 mask was used, in relation to weight and height.
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spelling doaj.art-4b790a906a0f42cb98f8b13f2418d8122022-12-22T03:55:14ZengElsevierApunts Sports Medicine2666-50692022-07-0157215100389Physiological impact of different types of mask at restIgnasi de Yzaguirre i Maura0Diego Dulanto Zabala1Daniel Brotons i Cuixart2J. Antoni Gutierrez Rincon3Joan Vives i Turcó4Gonzalo Grazioli5Unitat d'Esport i Salut. Generalitat de Catalunya, Spain; Corresponding author.Hospital Universitario Basurto, Bilbao, SpainUnitat d'Esport i Salut. Generalitat de Catalunya, SpainServeis medics Futbol Club Barcelona, SpainUnitat d'Esport i Salut. Generalitat de Catalunya, SpainÀptima Centre Clínic, Mutua Terrassa, SpainIntroduction: Due to the mandatory use of a mask in the context of the Covid-19 pandemic, we set out to evaluate the physiological impact of hypoxia and hypercapnia generated by different masks at rest. Methods: Thirty-two competitive adolescent athletes (40% female) were evaluated. Room air and intra-mask measurements were taken at rest while sitting in a chair. A spirometric study was performed and the intra-mask concentration of O2 and CO2 was evaluated, comparing 3 situations: a) Home (H): mask that the subject was wearing from home. b) Surgical (S): surgical mask. c) KN95 mask (KN95). Results: The ambient air in the laboratory was: O2: 20.9% and CO2: 544 ± 67 ppm (0.05%); Intra-mask O2: H: 17.8 ± 0.72 %; S: 17.08 ± 0.62 %; KN95: 16.8 ± 0.56 %; (H vs S: ns; H vs NK95: p <0.001; S vs KN95: p <0.002). Intra-mask CO2: H: 1.81 ± 0.52 %; S 1.92 ± 0.35 %; KN95: 2.07 ± 0.36%; (H vs S: ns; H vs NK95: p <0.001; S vs KN95: p <0.012). CO2 levels with KN95 were lower in men 1.97 ± 0.37 % vs 2.2 ± 0.29 % than in women (p<0.04), with a significant correlation between gender and weight (r: 0.98, p: 0.01) and height (r: 0.78, p: 0.01). Conclusions: The KN95 mask presented a lower concentration of O2, and a higher concentration of CO2 compared to the baseline situation with the surgical masks and those home-made. There is a difference in CO2 between the sexes when the KN95 mask was used, in relation to weight and height.http://www.sciencedirect.com/science/article/pii/S2666506922000116HypoxiaHypercapniaRarefied airFace maskRespiratory dead spaceCOVID-19
spellingShingle Ignasi de Yzaguirre i Maura
Diego Dulanto Zabala
Daniel Brotons i Cuixart
J. Antoni Gutierrez Rincon
Joan Vives i Turcó
Gonzalo Grazioli
Physiological impact of different types of mask at rest
Apunts Sports Medicine
Hypoxia
Hypercapnia
Rarefied air
Face mask
Respiratory dead space
COVID-19
title Physiological impact of different types of mask at rest
title_full Physiological impact of different types of mask at rest
title_fullStr Physiological impact of different types of mask at rest
title_full_unstemmed Physiological impact of different types of mask at rest
title_short Physiological impact of different types of mask at rest
title_sort physiological impact of different types of mask at rest
topic Hypoxia
Hypercapnia
Rarefied air
Face mask
Respiratory dead space
COVID-19
url http://www.sciencedirect.com/science/article/pii/S2666506922000116
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